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Medi 90- Chap 9 End.

QuestionAnswer
Endocrine Glands Secrete hormones directly into the bloodstream
Exocrine Glands Send chemical substances (tears, sweat, milk, saliva) via ducts outside the body
Hormone secretion is sent to Target Organs
Target organ Organ or tissue that responds to a hormone
Types of endocrine gland stimulation Humoral stimulus, Neural stimulus, Hormonal stimulus
Hypersecretion Excessive/Above normal secretion of hormones
Hyposecretion Under/below/deficient secretion of hormones
-dipsia thirst
-crine secrete
-ism condition
-trophy development, nourishment
-emia blood condition
-gen, -genesis forming, producing, origin
-iasis abnormal condition
-tropin stimulate (stimulating the function of)
-osis abnormal condition, increase
-pathy disease
-penia decrease, deficiency
-logy study of
-logist specialist in the study of
-tome instrument to cut
-tomy incision
-uria urine
-oid resembling
thym/o thymus gland
thyroid/o, thyr/o thyroid gland
parathyroid/o parathyroid gland
pituitar/o pituitary gland
pancreat/o pancreas
adrenal/o, adren/o adrenal gland
aden/o gland
hem/o blood
glyc/o, gluc/o, glucos/o, glycos/o glucose, sugar
calc/o, calc/i calcium
natr/o sodium
kal/i potassium
toxic/o poison
crin/o secrete
dips/o thirst
acr/o extremity
andr/o male
orchid/o, orchi/o, orch/o, test/o testis (pl. testes)
nephr/o, ren/o kidney
a- without, not
dys- bad, painful difficult
endo- in, within
hyper- excessive, above normal
hypo- under, below, deficient
para- near, beside, beyond
pan- all
Hypothalamus
Hypothalamus target organ Pituitary gland
Hypothalamus releases Releasing and inhibiting hormones to anterior pituitary and neurohormones to posterior pituitary
Pituitary Gland Master gland that secretes 8 major hormones
Pituitary gland target organ Other endocrine glands
Pituitary gland functions regulates body activities, stimulates glands to secrete specific hormones
Hyposecretion of the pituitary gland causes Panhypopituitarism
Anterior lobe of the pituitary gland is also known as; make up Adenohypophysis; glandular tissue
Adenohypophysis function Manufactures and releases hormones
Posterior lobe of the pituitary gland also known as; make up neurohypophysis; nerve fibers
Anterior pituitary gland releases Follicle stimulating hormone, luteinizing hormone, adrenocorticotropic hormone, thyroid stimulate hormone, prolactin, growth hormone
Posterior pituitary gland releases Oxytocin, antidiuretic hormone
Follicle stimulating hormone and luteinizing hormone target organs Ovaries and testes
Follicle stimulating hormone (FSH) stimulates hormones for sex follicle production in ovaries (ovum) and testes (sperm)
Luteinizing hormone (LH) stimulates hormones in ovaries (estrogen/progesterone) and testes (testosterone)
Hyposecretion of FSH and LH infertility, lack of sexual maturation
Adrenocorticotropic hormone (ACTH) target organ adrenal glands
Adrenocorticotropic hormone (ACTH) stimulates Adrenal cortex to secrete glucocorticoids- mainly cortisol
Hypersecretion of ACTH Cushings disease (secondary to pituitary adenoma)- too much cortisol
Thyroid stimulating hormone (TSH) target organ Thyroid gland
Thyroid stimulating hormone (TSH) regulates Thyroid gland activity to release T3 and T4
Hypersecretion of TSH hyperthyroidism
Prolactin target organ mammary glands
Prolactin function Promotes lactation (milk production) and growth of breast tissue
Hyposecretion of prolactin Poor lactation
Hypersecretion of prolactin Too much lactation (galactorrhea)
Growth hormone (GH) target organ Body tissues
Growth hormone function Regulates growth of bone, muscle, and other body tissues. Increases use of fats for energy (somatotropin)
Hyposecretion of GH Dwarfism (too little, stay little)
Hypersecretion of GH gigantism (too much, get big)
Antidiuretic Hormone target organ Kidneys
Antidiuretic hormone function Increases water reabsorption by the kidney (water returns to the blood- keeps it in the body) to maintain water balance within the body; More ADH secreted; less urine produced
Vasopressin in high doses also known as ADH causes vasoconstriction which increases systolic BP
Hyposecretion of ADH Diabetes insipidus
Hypersecretion of ADH syndrome of inappropriate ADH (SIADH)
Diabetes insipidus Insufficient ADH from pituitary causing loss of water and less reabsorption
Oxytocin target organ Uterine Muscle
Oxytocin function Stimulates uterine contractions during labor and also targets mammary glands to promote breast milk ejection
-tocia labor
Endonasal Transsphenoidal Surgery Minimally invasive endoscopic surgery that removes pituitary tumors through the nasal cavity via the sphenoid sinus; AKA transsphenoidal hypophysectomy
Thyroid Gland target organ All cells
Thyroid gland secretes Thyroxine (T4) and triiodothyronine (T3), calcitonin
T3 function Increases rate of cellular metabolism
T4 function Increases rate of cellular metabolism after being converted to T3 in the tissue
Thyroid gland function Increases rate of O2 consumption affecting the rate at which carbohydrates, proteins, and fats are metabolized
Calcitonin target organ Bones and kidneys
Calcitonin function Regulates normal blood levels of calcium and phosphate to reduce blood calcium (antagonist to PTH)
Hyposecretion of the thyroid Cretinism (infants), and myxedema (adults)
Hypersecretion of thyroid Graves disease; Body makes antibody (TSI) which stimulates excessive hormone production causing exophthalmos and goiter
Parathyroid gland secretes Parathyroid hormone (PTH)
Parathyroid target organ Bones, kidneys, intestines
Parathyroid hormone function Regulates calcium balance to increase blood calcium, activates osteoclasts, increases reabsorption of calcium and phosphate from bone to blood, increases calcium absorption from food, promotes vitamin D and increased calcium absorption
Parathyroid hormone inhibited by Rising calcium in blood
Hyperparathyroidism causes Loss of bone density, kidney stones, hypercalcemia, osteitis fibrosa cystica
Hypoparathyroidism Deficient production of PTH leads to hypocalcemia that may result in tetany
Thymus gland is largest in Children and after puberty the gland shrinks and is replaced by adipose tissue
Thymus gland secretes Thymosin
Thymus gland function Stimulates the development of disease-fighting T cells that plays a role in the development of the immune response in infants
Islets of Langerhans Produce alpha (glucagon) and beta (insulin) cells
Pancreas function Regulates blood glucose
Alpha and beta cells play a role In proper metabolism of sugars and starches
Pancreatic hormones Insulin and Glucagon
Insulin targets Tissue cells and liver
Insulin function Promotes movement of glucose into cells and promotes storage as glycogen in the to lower blood sugar
Glucagon targets Liver and blood
Glucagon function Promotes movement of glucose into the blood by breaking down glycogen stored in liver cells to raise blood sugar (glycogenolysis)
Insulin hyposecretion Glucose does not enter the cell and instead returns to the blood causing hyperglycemia
Insulin hypersecretion Causes hyperinsulinism and hypoglymia (too much insulin in the blood lowers blood sugar too much)
Glucagon hyposecretion Causes hypoglycemia where there is not enough glucagon to stimulate glycogen breakdown in the liver, keeping blood sugar low
Diabetes Mellitus (DM) type 1 Childhood onset, insulin dependent, autoimmune disease where immune system destroys beta cells that release insulin eliminating insulin production
Diabetes Mellitus (DM) type 2 Adult onset; Non-insulin dependent, insulin resistant or deficient, pancreas eventually makes less insulin
Insulin pumps Deliver insulin 24 hours a day via catheter placed under the skin
Glucometer Monitors blood glucose levels (glycemia), self monitoring done preprandial and at bedtime
Adrenal Gland Function
Layers of the adrenal gland Adrenal medulla and adrenal cortex
Adrenal medulla secretes Catecholamines
Adrenal cortex secretes Glucocorticoids, mineralocorticoids, gonadocorticoids
Catecholamine hormones targets SNS target organs
Catecholamines are directly controlled by the hypothalamus and part of the sympathetic nervous system
Catecholamine types Epinephrine (adrenaline) and norepinephrine (noradrenaline)
Catecholamine causes Vasoconstriction, elevation in BP, increased cardiac output, dilation of airways, mobilization of glucose
Glucocorticoid function Affects metabolism of sugars, fats, and proteins (cortisol) and anti-inflammatory (corticosterone)
Glucocorticoids influence Sugar (glucose)
Glucocorticoids target Body cells
Mineralocorticoids targets Kidneys
Mineralocorticoids type Aldosterone
Mineralocorticoids influence Salts (regulates electrolytes)
Aldosterone function Reabsorption of Na+ and excretion of K+ in kidneys to promote water conservation and reduce urine output
Gonadocorticoids influence Sex cells
Gonadocorticoids produce Sex hormones
Gonadocorticoids function Help maintain secondary sex characteristics, such as development of the breasts and adult distribution of hair
Hyposecretion of mineralocorticoids Addison disease
Addison disease Adrenal cortex is damaged or atrophied, low aldosterone levels, hyponatremia, fatigue, weakness, low BP, severe dehydration, syncope during postural hypotension
Cushing Syndrome Cluster of symptoms produced by hypersecretion of cortisol; alters carbohydrate, protein metabolism, electrolyte balance
Cushing syndrome S/S Obesity, moon-face, thoracic fat deposition, purple striae, hyperglycemia
Adrenal virilism (females) Excessive androgens lead to male characteristics, amenorrhea, acne, deep voice, hirsutism (hair growth-hypertrichosis)
Feminization (males) Excessive estrogens and progestins in males, development of feminine characteristics, gynecomastia
Ovaries secrete Estrogen
Estrogen function develop and maintain female sex organs and characteristics, initiates building of uterine lining
Estrogen secretion controlled by FSH
Progesterone function Thickens lining of the uterus, prepare the breast for milk production
Progesterone secretion controlled by LH
Testes secrete Testosterone
Testosterone function Key role in sexual and reproductive development that influences the prostate gland
Pineal gland secretes Melatonin
Melatonin function Regulates circadian rhythm is influenced by light
Melatonin inhibited by Light
Melatonin promoted by Darkness
A1c testing Used to diagnose DM with higher accuracy than other blood glucose tests
Fasting blood sugar (FBS) Measures circulating glucose in a patient who has fasted at least; AKA fasting blood glucose
Glucose tolerance test (GTT) Measures blood glucose levels at regular intervals (usually 1-3 hours)
Thyroid function test (TFT) Measures T3, T4, and TSH in the bloodstream
Radioactive iodine uptake test (RAIU) Nuclear imaging procedure that combines a thyroid scan with an RAIU procedure to evaluate the structure and physiological functioning of the thyroid gland; Measures how well the thyroid gland can absorb iodine from the blood (iodine uptake)
Hormone Replacement therapy (HRT) Oral administration or injection of synthetic hormones to correct hormone deficiencies
Corticosteroids Replace hormones lost in adrenal insufficiency (Addison disease); also used to suppress inflammation
Insulins Lowers blood glucose levels by promoting its entrance into body cells and converting glucose to glycogen
Oral hypoglycemics Stimulate insulin secretion from pancreatic cells in type 2 DM and decrease peripheral resistance to insulin
Created by: jrivas21
 

 



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