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37 Cards in this Set

  • Front
  • Back

Suprarenal glands

Adrenal gland - situated on top of kidneys

Adrenal cortex produces

Steroid hormones (like cortisol and aldosterone)

Adrenal medulla produces

Catecholamines like epinephrine (adrenaline)

Conn's syndrome

Hyperaldosteronism - caused by tumor

Cushing's syndrome

Hypercortisolism - hyperglycemia

Adrenogenital syndrome

Enzyme deficiency

Zona glomerulosa

Adrenal cortex zone - produces aldosterone

Zonda fasciculata

Adrenal cortex zone - produces cortisol

Zona reticularis

Adrenal cortex zone - adrenogenital syndrome

Which of the 3 adrenal cortex zones is under control of the pituitary?

Zonda fasciculata

Hypocortisolism

Addison's disease - hypoglycemia

Cortisol required for

Normal glucose metabolism

Aldosterone is a

Mineralocorticoid

2ndary aldosteronism common due to

Kidney disease

Epinephrine increases levels of

Glucose, and is released in response to hypoglycemia

Neuroblastoma

Adrenal medullar tumor - children, malignant

Pheochromocytoma

Adrenal medulla tumor - adults, mostly benign (10% are malignant)

Vanillyl mandelic acid (VMA) is

Metabolic end product found in urine and important for diagnosis of adrenal medulla tumor

Both neuroblastoma and pheochromocytoma may produce blank and cause blank

May produce catecholamines (NE, E) and cause hypertension

Location and number of parathyroids

In the neck (behind thyroid), four glands each size of coffee bean

Parathryoid glands secrete

PTH (parathyroid hormone)

PTH involved in

Regulating homeostasis of serum calcium and phosphate - bone metabolism

Parathyroid tumor commonly causes

Hypercalcemia

PTH release caused by

Low blood calcium levels

PTH causes

Ca retention at kidney, Ca release from bone, and interacts with vitamin D

What causes salt and pepper appearance in the skull?

Osteitis fibrosa cystica caused by parathryoid tumor

Parathyroid tumor 5 signs

Stones (renal), bones (painful), groans (abdominal), moans (psychic), overtones (fatigue)

3 presentations of primary HPT

Asymptomatic hypercalcemia, insidious onset of hypercalcemia with mild non-specific symptoms, and renal colic (pain from stones)

Hyper vs hypoparathyroidism prevalence

Hypo is rare

Insulin dependent diabetes

Type 1 (type 2 is non-insulin dependent)

Type 1 and 2 diabetes are primary or secondary?

Primary

Which type of diabetes has an acute, emergency onset and can present weeks to months after a viral or bacterial infection?

Type 1

Which type of insulin is more hereditary, type 1 or 2?

Type 2

Type 1 diabetes involves the loss of which cells?

Beta cells

Serum insulin level in type 1 vs 2 diabetes

Low in type 1, normal in type 2

Most common cause of chronic pancreatitis

Chronic alcoholism

Pancreatic neoplasms are typically

Exocrine, derived from ducts, solid rather than cystic, malignant rather than benign, and functionally silent rather than hormonally active