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82 Cards in this Set

  • Front
  • Back

Hormone

are chemical messengers that are transported by the bloodstream and stimulate physiological responses in cells of another tissue or organ

Endocrine system

the glands, tissues, and cells that secrete hormones.


Endocrinology

the study of the endocrine system.

Endocrine Glands

  • pituitary,
  • thyroid,
  • adrenal glands,
  • Pineal gland,
  • Hypothalamus,
  • Thymus,
  • Pancreas,
  • Parathyroid glands,
  • Gonads: Ovary, Testis

Exocrine Glands

secrete their products by way of a duct onto an epithelial surface such as the kin or the mucosa of the digestive tract, they have extracellular effects such as digestion of food.

endocrine glands

ductless and release their secretions into the bloodstream. Intracellular effects - they alter cell metabolism.


High density of blood capillaries.


What two glands are considered exocrine and endocrine?

Pancreas


Ovary

Fenestrated Capillaries

especially permeable type, have large pores in their walls allowing for the easy uptake of matter from the gland tissue.

Liver

behave as exocrine cells, secreting bile into ducts that lead ultimately to the small intestine.


they also secrete hormones into the blood, and act as endocrine cells.

Hypothalamus

shaped like a flattened funnel, forms the floor and walls of the third ventricle of the brain.



regulates primitive functions of the body ranging from water balance and thermoregulation to sex drive and childbirth.



Many of its functions are carried out by way of the pituitary gland.



produces ADH and OT hormones, stored in the posterior pituitary.



RH - releasing hormones

Pituitary gland

suspended from the floor of the hypothalamus by a stalk, infundibulum, and housed in a depression of the sphenoid bone, the sella turcica.


shaped like a kidney bean, 1.3 cm wide



composed of two structures:


adenohypophysis - anterior


neurohypophysis - posterior

Adenohypophysis

constitutes the anterior three quarters of the pituitary.



has two parts: a large anterior lobe


posterior lobe

Hypothalamus hormones

Eight of these hormones; Six to regulate the anterior pituitary and two that are stored in the posterior pituitary



oxytocin, OT - stored in posterior


antidiuretic hormone - ADH - stored in posterior



Gonadotropin-releasing hormone


Thyrotropin-releasing hormone


Corticotropin - releasing hormone


Prolactin-inhibitin hormone


Growth hormone- releasing hormone


somatostatin

AnteriorPituitary hormones

Follicle-stimulating hormone/ FSH


Luteinizing hormone/ LH


Thyroid-stimulating hormone,TSH, thyrotropin.


Adrenocorticotropic hormone/ ACTH


Prolactin/ PRL


Growth hormone/ GH

Neurohypophysis

constitutes the posterior one quarter of the pituitary.

Hypothalamic Releasing and Inhibiting Hormones that regulate the Anterior Pituitary

  • Thytropin-releasing hormone, TRH, - secretion of TSH and PRL (prolactin)
  • Corticotropin releasing hormone, CRH - secretion of adrenocorticotropic hormone, ACTH
  • Gonadotropin releasing hormone, GNRH- secretion of FSH and luteinizing hormone, LH
  • Growth hormone-releasing hormone, GHRH, - secretion of GH, growth hormone
  • Prolactin-inhibiting hormone PIH- inhibits secretion of prolactin PRL
  • Somatostatin - inhibits GH and TSH.

Hypothalamus Pituitary -Target Organ Relationships

GNRH=FSH & LH=estrogen/progesteron=ovaries and testes


TRH=TSH=T3 & T4= thyroid


TRH= PRL= mammary gland


CRH=ACTH=cortisol- adrenal cortex


GHRH=GH=target organs liver, fat, muscle, bone

What is Negative Feedback Inhibition

the pituitaary stimulates another endocrine gland to secrete its hormone, and that hormone feeds back to the pituitary or hypothalamus and inhibits further secretion of the pituitary hormone.



TRH/TSH/thyroid hormone/target organs/

Pineal Gland

is attached to the roof of the third ventricle of the brain, beneath the posterior end of the corpus callosum.


shaped like a pine cone

Thyroid Gland

largest endocrine gland in adults weighing about 25g.



lies adjacent tot he trachea immediately below the larynx, and is named for the nearby shieldlike thyroid cartilage of the larynx.



shaped like a butterfly wrapped around the trachea, with two winglike lobes usually joined inferiorly by a norrow bridge of tissue, the isthmus.



receives one of the body's highest rates of blood flow.



contains nests of C cells, or parafollicular cells.



Calcitonin, T3, T4

Parathyroid glands

ovoid glands, usually four of them, partially embedded in the posterior surface of the thyroid,



Secrete PTH, parathyroid hormone in response to hypocalcemia. PTH raises blood calcium levels.

Adrenal glands

sit like a cap on the superior pole of each kidney.



adrenal medulla is 10 to 20% of the gland.



release epinephrine, norepinephrine, dopamine



adrenal cortex - produces more than 25 steroid hormones

Adrenal Cortex

mineralcorticoids - which regulate the bodys electrolyte balance.


glucocorticoids- which regulate the metabolism of glucose and other organic fuels


Sex steroids



has three layers:


zona glomerulosa - thin outer layer- mineralocorticoids - aldosterone most significant . stimulates kidneys to retain sodium in the body fluids and excrete potassium in the urine


zona fasciculata - thick middle layer - glucocorticoids


zona reticularis - inner layer - sex steroids

Pancreatic Islets

elongated, spongy gland located below and behind the stomach; most of it is retroperitoneal.



endocrine cell clusters called pancreatic islets, islets of Langerhans.



secretes:


insulin - decreases blood glucose


glucagon - increases blood glucose


somatostain - GH decreases inhibits

Gonads

ovaries and testes


are both endocrine and exocrine



exocrine products- whole cells - eggs, sperm


endocrine products - gonadal hormones.



ovaries - estradiol, progesterone, inhibin


gonads - testerone

Diabetes Insipidus

a form of diabetes that results from hyposecretion of ADH

congenital Hypothyroidism

present at birth


most preventable cause of mental retardation

Myxedema

adult hypothyroidism

endemic goiter

deficiency of dietary iodine

toxic goiter

thyroid hypersecretion (graves disease)

gigantism

GH hypersecretion in childhood

pituitary dwarfism

GH hyposecretion

Acromegaly

GH hypersecretion in adults

Circulatory System

consists of the heart, blood vessels and blood

Cardiovascular system

refers only to the heart and vessels

Hematology

study of blood

what is the fundamental purpose of the circulatory system?

to transport substances from place to place in the body. blood is the liquid medium in which these materials travel, blood vessels ensure the proper routing of blood to its destination, and the heart is the pump that keeps the blood flowing.


TRANSPORT - oxygen, nutrients, waste products.


PROTECTION


REGULATION

BLOOD

adults generally have about 4 to 6 liters of blood.


it is a liquid connective tissue composed of cells and an extracellular matrix.


Plasma


formed elements



Water - 92%


Albumin - 60% total proteins

Plasma

a clear light yellow fluid constituting a little over half of the blood volume



mixture of water, proteins, nutrients, electrolyes, nitrogenous wastes, hormones, and gases.



Albumin is the most abundant plasma protein


Fibrinogen a sticky protein that forms the framework of a blood clot.



Urea nitrogenous waste most abundant

Formed elements

cells and cell fragments including the red blood cells, white blood cells, and platelets



Erythrocytes - RBC


Platelets


Leukocytes - WBC - neutrophils, eosinophils, basophils, lymphocytes, monocytes

components of blood

Plasma - 55%


WBC and platelets - <1% of whole blood


Erythrocytes - 45% of whole blood



formed elements WBC and RBC

Serum

when blood clots and solids are removed the remaining fluid.

how is blood produced

hemopoiesis


an adult produces 400 billion platelets, 200 billion RBC and 10 billion WBC every day.




the tissues that produce blood cells are called hemopoietic tissues

Viscosity

is the resistance of a fluid to flow, resulting from the cohesion of its particles.



the thickness or stickiness of a fluid.



partially governs the flow of blood through the vessels.


Reduction in RBC or protein deficiency reduces viscosity and causes blood to flow to easily.

Osmolarity

if blood osmolarity is to high, the bloodstream absorbs too much water, this raises the blood volume resulting in high bp.



if to low, too much water remains in the tissues and they become edematous, bp may drop, from loss of water from the bloodstream

Blood formation in the bone marrow and lymphatic organs is called?

myeloid hemopoiesis - red bone marrow


lymphoid hemopoiesis - white blood cells

Structure and function of erythrocytes RBC

1. pick up oxygen from the lungs and deliver it to tissues elsewhere


2. pick up carbon dioxide from the tissues and unload it in the lungs.



discoidal cell with a biconcave shape, a thick rim and a thin sunken center


cytoplasm of an RBC consists mainly of a 33% solution of hemoglobin, gives red pigment to blood.

erthropoiesis

erythrocyte production


lives for an average of 120 days

Primary polycythemia

is due to cancer of the erythropoietic line of the red bone marrow. RBC as high as 11 milliion



Polycythemia from all other causes is called secondary polycythemia - from dehydration, smoking, air pollution, emphysema, high altitude, RBC counts as high as 6 to 8 million



dangers: increased blood volume, pressure, viscosity, stroke, heart failure, embolism

Pernicious anemia

deficiency of B12



anemia - decreased red blood cells


dangers: hypoxia, blood osmolarity reduced, edema


viscosity reduced, heart beats faster.

Blood types and transfusion compatibility are a matter of interactions between?

plasma proteins and erythrocytes

Antigens

are complex molecules such as proteins, glycoproteins, and glycolipids that are genetically unique to each individual.



occur on the surfaces of all cells and enable the body to distinguish its own cells from foreign matter.



when the body detects an antigen of foreign origin, it activates an immune response.


this response consists partly of the plasma cells, secreting proteins call antibodies.

Antibodies

bind to antigens and mark them, or the cells bearing them for destruction.

agglutination

which each antibody molecule binds to two or more antigen molecules and sticks them together.

blood types result from reactions between?

antigens called, agglutinogens, on the surfaces of the RBC's and antibodies called agglutinins in the blood plasma.

ABO group

Blood types:


A - A antigen, B antibody


B - B antigen, A antibody


AB - AB antigen, no antibody - Universal Receipient.


O - no antigens, A & B antibody - Universal Doner



One's ABO blood type is determined by the hereditary presence or absence of antigens A and B on the RBC's.

ABO Blood Group Blood transfusion types

Type O - receive 0, donate - O,A,B,AB - UNIVERSAL DONER.



Type A - receive O,A, donate - A, AB



Type B - receive OB, donate - B, AB



Type AB - receive O,A,B,AB - UNIVERSAL RECIPIENT - donate - AB

RH factor and pregnancy

a condition sometimes occurs when an Rh- woman carries an Rh+ fetus.

Leukocytes


white blood cells - WBC's

are the least abundant formed elements, totaling only 5,000 to 10,000 WBC's/ul



they afford protection against infection and other diseases.



easily recognized in stained blood films, because they have a conspicuous neclei that stain from light violet to dark purple.



retain their organelles throughout life.

Types of Leukocytes

Granulocytes


Neutrophils - 60 to 70% of WBC's'


Eosinophils - 2% to 4%


Basophils - rarest - <0.5% of WBC count



Agranulocytes


Lymphocytes - second to neutrophils in abundance. 25% to 33%


Monocytes - largest - 3% to 8%, count rises in inflammation and viral infections.


Leukopenia

a WBC count below the normal 5,000 to 10,000



seen in lead, arsenic and mercury poisoning, radiation sickness, and infectious diseases such as measles, mumps, chickenpox, polio, influenza, typhoid fever, AIDS.

Leukocytosis

a count above 10,000



usually indicates infection, allergy or other diseases, but can also occur in response to dehydration or emotional disturbances.


Leukemia

cancer of the hemopoietic tissues that usually produces an extraordinarily high number of circulating leukocytes.



myleoid - uncontrolled granulocyte production.


lymphoid - unconrolled lymphocyte or monocyte production


Platelets

are not cells but small fragments of marrow cells called megakaryocytes.



second most abundant formed elements after erythrocytes.



count 130,000 to 400,000

Hemolytic anemia

RBC destruction

Hemoglobin

red pigment that gives RBC its color.



cytoplasm of an RBC consists mainly of a 33% solution called hemoglobin

Cardiovascular System

has two major divisions:



pulmonary circuit - right half heart - carries blood to the lungs for gas exchange and returns it to the heart.



systemic circuit - left half heart - supplies blood to every organ of the body, including other parts of the lungs and the wall of the heart itself.

the heart

Right half supplies the pulmonary circuit.


it receives blood that has circulated through the body, unloaded its oxygen and nutrients, and picked up a load of carbon dioxide and other wastes.



Left half - supplies the systemic circuit.


blood leaves it by way of another large artery, the aorta.

position, size and shape of the heart

the heart is located in the thoracic cavity in the mediastinum, between the lungs and deep tot he sternum.



tilted toward the left



2/3 of heart lies to left of the median plane



Base - broad superior portion


Apex - blunt point inferior portion



roughly size of one's fist

Pericardium

a double walled sac that encloses the heart.



has three layers:


pericardial sac - outer wall


visceral pericardium- epicardium- serous layer turns inward at base of the heart.


pericardial cavity - between the parietal and viscerl membranes, filled w/pericardial fluid, 5 - 30ml, that allows heart to beat with minimal friction

The heart wall

consists of three layers:



epicardium - serous membrane of the eternal heart surface.


endocardium - lines the interior of the heart chambers


myocardium - thickest layer, performs work of heart, in between epi and endo

internal anatomy of the heart consists of?

Four chambers:


two superior - right and left atria - thin walled receiving chambers for blood returning to the heart by way of the great veins.


two inferior chambers - right and left ventricle, are the pumps that eject blood into the arteries and keep it flowing around the body



atrioventricular AV valv es - regulates the openings between the atria and ventricles.


Right AV has - tricuspid


Left AV has - bicuspid - aka: mitral valve


semilunar valves - pulmonary and aortic valves, regulate the flow of blood from the ventricles into the great arteries.


Pulmonary valve - controls the opening from the right ventricle into the pulmonary trunk.


Aortic valve - controls the opening from the left ventricle into the aorta.

Facts heart

Arteries - carry oxygenated blood


Veins - carry deoxygenated blood



right side heart - deoxiginated


left side heart - oxygenated



Superior Vena Cava - largest vein, carry deoxygentaed blood from from various regions of the body to right atrium.


Pulmonary Veins - carry oxygenated blood to heart. O2 blood from lungs to left atrium


Aorta - main artery - left ventricle



Atrium - receives blood


Ventricles - pushes out

What is called the pacemaker of the heart?

SA Node- 70-80 bpm - sinoatrial node - a patch of modified cardiocytes in the right atrium, just under the epicardium near superior vena cava.

Conduction system of heart.

SA node fires


excitation spreads through atrial myocardium


AV node - 40-50 bpm fires


Excitation spreads down AV bundle


Purkinje fibers- nerve like fibers - distribute excitation the ventricular myocardium

Electrocardiogram

ECG or EKG- composite of all action potentials of nodal and myocardial cells detected, amplified and recorded by electrodes on arms, legs and chest.

Arrhythmia

any abnormal cardiac, rhythem.


Systole

contraction of heart

Diastole

relaxation of the heart

waves of EKG

P wave - atria begin depolarizing


PQ segment - time for impulses to travel from SA node to AV node.


QRS complex - ventricular depolarization


ST segment - time during which the ventricles contract and eject blood.


T wave - ventricular repolarization immediately before diastole.

Cardiac Output

amount of blood ejected by each ventricle in 1 minute.



bodys total volume of blood, 4-6L.4

Blood flow through heart by steps

1. Superior & Inferior Vena Cava - Deoxygenated


2. right atrium - deoxygenated


3. Tricuspid valve - deoxygenated


4. right ventricle - deoxygenated


5. Pulmonary Semilunar valve - deoxygenated


6. Pulmonary Artery - deoxygenated


7. Lungs - becomes oxygenated


8. Pulmonary Vein - Oxygenated


9. Left Atrium - Oxygenated


10. Biscuspid valve - oxygenated


11. Left Ventricle - oxygenated


12. Aortic Semilunar Valve - oxygenated


13. Aorta - oxygenated


14. to the body via arteries - body consumes oxygens blood becomes deoxygenated again.