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EXSC 224: Exam 2

Another name for anterior pituitary gland.
Adenohypophysis - Proper gland; glandular tissue
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6 hormones secreted by the anterior pituitary gland
GH, TSH, FSH, LH, ACTH, and PRL
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Growth hormone is sometimes referred to as what?
Somatotropic hormone because it secretes somatic (body) cells
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Function of Growth Hormone
allows bone to grow taller; conserves glucose into blood
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IGF
somatomedins (stimulate GH secretion); insulin like growth hormone; growth promoting actions
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2 Hormones secreted by hypothalamus, that regulate GH that are antigonistic
GHRH and GHIH
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GHRH function
(Growth Hormone Releasing Hormone)  Hypo-secretes and stimulates cells to secretion of GH
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GHIH
(Growth Hormone Inhibiting Hormone) Inhibits GH release; stops stimulation - somatostatin
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Increase in GH and IGFs inhibits what?
GH and GHRH
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Growth Hormone Deficiency in children
Pituitary Dwarfism
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Pituitary Dwarfism symtoms
- Slows bone growth  - Shorter than 4'7 - Not midgets - bodies are proportional  - Hypoglycemia
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Treatments for Pituitary Dwarfism
GH replacement therapy before puberty
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Growth hormone deficiency in adults
- Doesn't cause you to become shorter because you don't have GH  - Hypoglycemia  - Loss of lean tissue because you lose IGFs
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Growth Hormone Excess in children
Pituitary Gigantism
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Pituitary Gigantism symptoms
- Never stop growing until death or until removal of tumor - Tumor produces GH that is not regulated by GHRH or GHIH
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Growth Hormone Excess in adults
Acromegaly
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Acromegaly symptoms
- Taller the earlier in life it occurs  - Developed after growth plates have sealed  - Long arms, big jaw, long legs  - Hyperglycemia  - Die as young middle age adults
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TSH - Thyrotropin
Produced by thyroid gland and sits at level of clavical
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TRH
released by hypothalamus to stimulate secretion of TSH
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TSH's target gland?
Thyroid Gland
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TSH stimulates secretion of what hormones?
T3 and T4 (thyroid hormones)
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What decreases stimulation of TRH (also GHIH)?
When thyroid hormone levels go up in the blood, then circulates to inhibit hypothalamus
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ACTH - Adrenocorticotropic Hormone
Role in stress response and stimulates release of cortisol
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CRH
secreted by hypothalamus to stimulate release of ACTH
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ACTH's target gland?
Adrenal Gland
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Cortisol
Provides glucose which increases body temp. to wake you up in the morning
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2 Gonadotropins
FSH & LH
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FSH function
Activate sperm/egg
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LH function
production of sex steroids(testosterone and estrogen)
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GnRH
secreted by hypothalamus and stimulates release of FSH and LH
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FSH and LH target gland?
testes/ovaries
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PRL - prolactin
Gateway hormone; activates mammary glands and stimulates milk production
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PIH
(Prolactin inhibiting hormone) Inhibits the hypothalamus to inhibit PRH and PRL release
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When is PIH dominate and when is it *inhibited?
Dominate until after 48 hours after *suckling
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PRH
(Prolactin releasing hormone)  secreted by hypothalamus to stimulate secretion of PRL
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PRL target gland?
mammary glands
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What feedback is PRL under?
None. PRL does not inhibit PRH
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Overproduction of PRL results in what for men and women?
Men: impotence and breast enlargement  Women: inappropriate milk production
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Another name for posterior pituitary gland.
Neurohypophysis - not a proper gland; neural tissue
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2 Posterior pituitary gland secretes what two hormones?
Oxytocin and ADH (antidiuretic hormone)
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Oxytocin function
- induce labor - stimulates uterine contractions  - works best after 5 minutes  - enhances let down reflex for nursing purposes  - role in pleasure/orgasm
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ADH function
- regulates body water to prevent dehydration  - do not produce urine in large quantities
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What triggers ADH secretion?
When salt concentrations/electrolytes go up (from sweating)
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Osmoreception
measures salt concenctrations (in ADH)
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Where does ADH exert its biological effects?
on the kidneys where urine is produced; absorbs water/sodium
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Aquaporons
allow us to access and recover the remaining H2O (in ADH)
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Little Urine
Highly concentrated
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ADH deficiency
Diabetes Insipidous
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Diabetes Insipidous symptoms
- abnormal increase in urine output and fluid intake  =- "Tasteless urine" - Sterile/diluted urine - a lot of urine
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Nocturia
ADH deficiency; awake at night a lot to pee
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Enuresis
ADH deficiency; involuntary peeing during sleep
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Cause of ADH deficiencies
Death of ADH productions cells in hypothalamus/posterior pituitary gland
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ADH overproduction
SIADH (syndrome of inappropriate ADH secretion)
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SIADH symptoms
- retain water = bloated - Hyponatremia - low sodium concentrations  - concentrated urine - little urine
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Cause of SIADH
- Hypervolemia  - ADH secreting tumor (non-pituitary)
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2 hormones secreted by the thyroid gland
Thyroid hormone (T3 & T4) and Calcitonin
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T3 and T4
Permissive hormone (makes other hormones function better)  - 2 amino acids - Have iodine boundary: tyrosine with iodine - Lipid soluble
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6 functions of Thyroid hormone
1. Increase metabolic rate* (main one) 2. Increase heat production 3. Maintains blood pressure 4. Regulates bone and muscle growth 5. Maturation 6. Developing skeletal and nervous systems
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What inhibits Thyroid hormone
Thyroid hormone; it inhibits hypothalamus and stops the pathway
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Hypo-thyroid disorder in children
Cretinism
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Cretinism symptoms
retardation; slows development and growth delayed; thickens neck;
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Cause and treatment for cretinism
Iodine deficiency; treat with iodine salt
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Hypo-thyroid disorder in adults
Myxedema
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Myxedema symptoms
- No developmental delays because already fully developed  - Low metabolic rate  - Lethargic  - Cold  - Scaly skin  - Gain weight (mostly adipose)  - No mental retardation  - Goiter
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Cause of myxedema
Due to low production because something is wrong with the thyroid - destroyed
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Treatment of myxedema
Get synthetic made thyroid
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Goiter
swollen thyroid gland; accumulates unusable colloid
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Hyper-thyroid disorder
Grave's disease
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Grave's disease definition
autoimmune disorder where stimulation causes overproduction of thyroid hormone
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Grave's disease symptoms
- Hot, sweat profusely - Become thin/gaut - Goiter - Exophthalmos
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Grave's disease cause
immune system is attacking the thyroid gland
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Calcitonin
secreted when blood calcium levels are high (when you drink milk)
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Calcitonin action
inhibit osteoclasts and excites osteoblasts to build bone/put calcium into the bone
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Hormone secreted by parathyroid gland
PTH (parathyroid hormone)
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PTH is antagonistic to what other hormone?
Calcitonin
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PTH function
inhibits osteoblasts and excites osteoclasts/ takes calcium out of bone into the blood
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When is PTH secreted?
When blood calcium levels are low; when calcium blood levels rise to normal decreases PTH secretion
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Hyper-parathyroidism
overproduction of PTH - promotes osteoclasts  - weakens bones
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Cause of hyper-parathyroidism
Parathyroid gland tumor
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Hypo-parathyroidism
low production of PTH - promotes osteoblasts - Hypocalcemia - Causes spontaneous membrane depolarization
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Cause of hypo-parathyroidism
Parathyroid gland trauma- removal during thyroid surgery
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What two regions make up the adrenal glands
1. Cortex 2. Medulla
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3 zones within cortex secrete what steroid hormones
Mineralcorticoids, Glucocorticoids, and Gonadocorticoids
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Mineralcorticoid
2nd hormone that regulates body water; stimulates reabsorption of sodium and water through the kidneys also known as aldosterone regulation
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High potassium concentrations in the blood
Low heart rate
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Aldosterone function
cells sense high potassium level, then stimulate cells within kidneys to reabsorb sodium and also H2O and pump out potassium; causes blood volume to increase as it increases
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Recovering sodium results in what?
expanding total body water and increase plasma volume and pressure
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RAAS
Renin Angiotensin Aldosterone system
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RAAS function
sensitive to potassium but also to blood pressure  - kidneys detect low blood pressure then secrete renin
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Renin function
an enzyme that activates a pathway which results in production of angiotensin 2
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Angiotensin 2
stimulates secretion of aldosterone
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ACTH can also stimulate secretion of what hormone?
Aldosterone (weak secretion)
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ANP
secreted when heart is over stretched/blood volume is too high; inhibits aldosterone secretion
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Inhibiting aldosterone secreting by ANP results in what?
excretion of more sodium in urine and water retention goes down (pee more) = lower blood volume
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Hypo-aldosteronism
Addison's disease
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Addison's disease 2 hormones
Mineralcorticoids and Glucocorticoids
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Symptoms of Addison's disease
- Hypobulimic - low blood volume  - Dehydrated - Hypotension - Low blood pressure - Low sodium and water concentrations - High potassium concentrations  - Low blood glucose - cortisol
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Cortisol
- High in the morning low in day/night  - After secreted, recovers sodium and water - long term mechanism to regulate body H2O
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Hyper-aldosteronism
- extreme sodium reabsorption - Potassium levels low - Hypertension - blood pressure/high blood volume
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Cause of hyper-aldosteronism
Tumor in adrenal gland; growth of tissue causes overproduction
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Glucocorticoid inhibits what two hormones?
CRH and ACTH
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Glucocorticoid main function?
wants to raise blood glucose ** (4 stars)
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*Glucogenesis
formation from non glucose sources
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*Proteolysis
breakdown of proteins
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*Insulin resistance
convinces cells that don't need glucose to not take it up and use it to spare it for the brain
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*Lipolyiss
uses fat for fuel
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*Immune function
suppresses portions of immune system (Cortisol does this)
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2 diseases related to hypersecretion of aldosterone
Cushings disesase and Cushings syndrome
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Cushings syndrome
excess glucocorticoid
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Cushings disease
specifically increase of ACTH
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Cushing disease symptoms
- Buffalo Hump on neck - Hyperglycemia - Increase blood sugar - Muscle atrophy - Loss bone mass  - Pour wound healing  - retain H2O
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