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VCU PHIS 206 - Hypothyroidism
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Physiology 206 1STedition Lecture 32Outline of Last Lecture I. Colloid II. Thyroid Hormone RegulationOutline of Current Lecture I. Hypothyroidism II. HyperthyroidismCurrent LectureHypothyroidism Effect- Reduced metabolic rate- Weight gain- Always have poor tolerance for cold- Sympathomimetic is reduced, so act like they are getting sympathetic stimulation Blood pressure goes down and tire easily slows reflexes Mentally sluggish- In Adults, hypothyroidism is called Myxedema because there is fluid accumulation in tissues round face, bone structure obscured, poke skin leaves dent- In Newborns, called Cretinism at serious risk if not treated early, growth retarded has profound mental retardation.Hyperthyroidism- In Adults, hyperthyroidism called Grave's Disease Produces antibody that acts like TSH, fools thyroid and is not subject to feedback control most common cause of adult hyperthyroidism greatly increases metabolic rates lose weight muscle mass reduced have elevated heart rate and BP makes them irritable and anxious on edge; easily startled poor emotional controlThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute. easy to identify symptom: Exopthalmos- eyes pop out of head, as a result of accumulation of fluid behind eye.~ this is only a symptom of Grave's Disease; not all hyperthyroidismGoiter- Enlarged thyroid gland looks like a fat lower neck doesn't tell you whether it is hypo or hyper thyroidism can have thyroid problem without goiter anything that hyperstimulates thyroid, will cause goiter a hyper secreting thyroid gland with goiter is hyperthyroidism when a person has a tumor will cause a change when iodine deficiency,pituitary secret lots of TSH, thyroid enlarging,but can't make thyroid hormone,so hypothyroidismAdrenal Cortex- Adrenal glands are 2 little pyramids on top of kidneys- Gland has two parts:1.) Adrenal Medulla- (Inner) derived from nervous tissue; part of the sympathetic nervous system, for the most part.2.) Adrenal Cortex- has 3 layers and make 3 kinds of hormones (layers don't specify hormone)Hormones:a.) Mineralocorticoid- involved in regulating electrolyte balance; help to maintain composition of ECFb.) Glucocorticoid- have to deal with metabolism of fatsc.) Adrenal Sex Hormone- similar in nature and effect to hormones produced in gonads; not terribly important; exception DHEA- effects same as testosterone, so insignificant in males, but in women, it is the only male sex hormone, important in puberty- All Hormones are Steroids and do all the things Steroids do.Mineralocorticoid- Aldosterone most important effect is promotion of sodium reabsorption and Potassium Secretion it osmotically increases amount of water retained help to maintain blood


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