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Endocrine Definitions

AB
HormonesChemical transmitters released by glands into the blood
Primary disease of the Endocrine SystemDisease due to malfunction of an organ
Secondary disease of the Endocrine SystemCaused by malfunction of endocrine gland that stimulates that organ
Pineal GlandBody's biological clock
Seasonal Affectove DisorderElevated melatonin
Pituitary GlandSite of 10-20% intracranial tumors
Growth Hormone (GH)Ant lobe: promotes normal growth
Melanocyte Stimulating Hormone (MSH)Ant lobe: promotes pigmentation
Thyroid Stimulating Hormone (TSH)Ant lobe: Stimulates function of thyroid gland
Adrenocorticotropic HormoneAnt lobe: Stimulates adrenal cortex
Follicle Stimulating Hormone (FSH)Ant lobe: Stimulates growth of follicles in ovaries and spermatogenesis
Luteinizing Hormone (LH)Ant lobe: Stimulates ovulation and regulates testosterone
Prolactin (PRL)Ant lobe: lactation, potentiates testosterone
OxytocinPost lobe: Uterine contraction
Antidiuretic Hormone (ADH)Post lobe: concentrates urine and conserving fluids
AcromegalyHyperpituitarism: increase in GH in the adult
ParlodelDecrease GH
GigantismHyperpituitarism: Increase in GH before epiphysis closure in childhood
SandostatinSuppresses all pituitary hormones
ProlactinemiaExcess prolactin
SomatotropinTreats hypopituitarism. PM dose, children only
Diabetes InsipidusDeficient ADH, excessive diluted urine
Lithium, DilantinCan cause diabetes insipidus
Polyuria5,000-20,000cc/day
Adrenal MedullaProduces epinephrine and norepinephrine
Adrenal CortexProduces steroids: glucocorticoid, mineralocorticoids, androgens
GlucocorticoidsTHE anti-inflammatory; increases glucose levels
Adrenal atrophyAdrenal glands on vacation; take off steroids slowly
MineralocorticoidsNa reabsorption
Exogenous cause of Hyper AdrenalProlonged use of high dose steroids
Endogenous causes of hyper AdrenalCorticotropin, Cortisol, neoplasms
Cushing's SyndromeIncreased secretion of adrenal cortex
Conn's SyndromeCause of hyperaldosteronism from an adrenal tumor
Addison's DiseaseCortisol insufficiency; hypofunction of adrenal cortex
Addisonian crisisShock; cause is usually not taking corticosteroids as ordered
PheochromocytomaHypersecretion adrenal medulla d/t epinephrine excreting tumor
CalcitoninProduced by thyroid gland; moves Ca++ in blood into bones
Grave's DiseaseHyperthyroidism; excessive T3 T4; autoimmune
Thyroid StormRelease large amounts of thyroxin causing elevation in body processes
CretinismDecreased T3/T4 from birth; results in dwarfism
Myxedema ComaHypothyroidism complication; hypotension, hypoventilation
GoiterEnlarged thyroid without over or undersecretion
ParathyroidRegulate calcium in the blood
HypoparathyroidismHypocalcemia, Ca++ below 8.5
HyperparathyroidismHypercalcemia
Thymus GlandNormal development of immunologic function early in life
Islet alpha cellsProduce Glucagon; raises blood sugar
Islet beta cellsProduce insulin; lowers blood sugar
Islet delta cellsSecrete somatostatin and gastrin
Diabetes MellitusInsufficient or absent insulin or inability of cell to use insulin
Normal blood sugar70-120 mg/dL
DM blood sugarFasting > 126 mg/dL
Type 1 DMInsulin Dependent Diabetes Mellitus
Type 2 DMNon-Insulin Dependent Diabetes Mellitus
Fasting Blood SugarBlood sugar with 4 hours min without food
Post-prandialBlood sugar 2 hours after a meal
Glycosylated HemoglobinBlood sugar for 3 months
GTTGlucose Tolerance Test
Target Heart Rate220-age=Z, Z x 75%
HypoglycemiaInsulin shock, blood sugar <60
HyperglycemiaDiabetic Ketoacidosis; IDDM only
HHNKSNIDDM blood sugar 800-2000; mortality 65%
Somogyi EffectRebound hyperglycemia in AM
Dawn PhenomenonEarly rise in blood sugar in AM, no hypoglycemia noc
RetinopathyDamage to retinal vessels
PVDPain in legs or numbness; poor healing
NephropathyDamage to capillaries in kidneys



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