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75 Cards in this Set

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Thyroids is derived from

Endoderm except parafolicular c cells which is derived from neural crest

Adrenal cortex is derived from

Mesoderm but medulla from neural crest

Melanotropin secretory hormone MSH

MIDDLE LOBE OF PITUITARY

Aipcidophilic hormone

GH ➕ PROLACTIN

Posterior pituitary is derived from

Neurectoderm

Endocannabinoids acts on

Nucleus acumbens


Hypothalmus. ➡➡➡⬆⬆apetite

V2 receptors present in

Principal cells of collecting ducts and it induce aquaporin isenrtion

Kidney reabsorbtion calcium occur in response to PTH in

DCT

PTH inhibit Phosphate reabsobtion in

PCT

PTH induced vitamin D activation is by

1 alpha hydroxylase activation in PCT

PTHrP ⬆in

🔴squamous cell Ca of lungs


🔴renal cells Ca

Wolf chaikoof effect

increse iodine ➡decrease activity of thyroid peroxidase ➡decrease organification


➡⬇T3 T4

Wolf chaikoof effect

increse iodine ➡decrease activity of thyroid peroxidase ➡decrease organification


➡⬇T3 T4

cAMP dependent hormones

Lahori ➡LH


Chargha➡CRH


Masala➡MSH


Fish➡FSH


Achari➡ACTH


Paratha➡PTH


Tikkashop➡TSH


And➡ADH


Ciggi➡hCG


Ghr➡GHRH


With calcium➡➡calcitonin


➕Glucose➡Glycagon

cGMP

BNP


ANP


EDRF (NO)

IP3

GO➡➡(GROWTH hormone ➕OXYTOCIN)


Through➡➡TRH


angio➡➡Angiotensin 2


And ➡➡(ADH V1)


His➡➡ (HIStamin 1)


Gas ➡➡Gastrin

IP3

GO➡➡(GROWTH hormone ➕OXYTOCIN)


Through➡➡TRH


angio➡➡Angiotensin 2


And ➡➡(ADH V1)


His➡➡ (HIStamin 1)


Gas ➡➡Gastrin

IP3

GO➡➡(GnRH ➕OXYTOCIN)


Through➡➡TRH


angio➡➡Angiotensin 2


And ➡➡(ADH V1)


His➡➡ (HIStamin 1)


Gas ➡➡Gastrin

Nonreceptor tyrosine kinase pathway➡➡JAK/STAT PATHWAYS

Ery!!➡eryhtropoitin


Throw➡thrombopoitin


Pro➡PROLACTIN


immuno➡IMUNOMODULATPRE (CYTOKINES )


G➡G-CSF


G➡GH

Map kinase pathway

INSULIN


IGF1


EGF


PDGF


FGF

Cushing disease

ACTH producing pituitary adenoma

Cushing disease

ACTH producing pituitary adenoma

Primary adrenal insufficiency

Adrenal glands problem

Secondary adrenal insufficiency

ACTH is low due to pituitary problem

Tertiary adrenal insufficiency

CRH is low from hypothalmus


Or ➡due to chronic exogenous steroid use hypothalmic suppression will occur

Metyrapone stimulation test used for

Adrenal insufficiency

Metyrapone block

11 deoxycortisol ➡🛇cortisol

Metyrapone block

11 deoxycortisol ➡🛇cortisol

Normal response of metyrapone test

⬆ACTH


⬇cortisol


⬆deoxycortisol

Abnormal metyrapone test is if primary

ACTH will ⬆


But


Deoxycortisol and cortisol both ⬇

Abnormal metyrapone test is if primary

ACTH will ⬆


But


Deoxycortisol and cortisol both ⬇

In 2°\3° adrenal insufficiency metyrapone test will be

Both ACTH and deoxycortisol ⬇⬇

In 2°\3° adrenal insufficiency metyrapone test will be

Both ACTH and deoxycortisol ⬇⬇

In secondary or tertiary adrenal insufficiency aldosterone is

Preserved but in primary it does not normal it is decreased

APUD

Amine precurson uptake decarboxylase ➡secrete many amine hormones

Neuroblastoma

🔴homer wright rossetes


🔴NSE ➕


🔴Chromogranin➕


🔴Synaptophysin ➕


🔴Bombesin ➕


⬆⬆Overexpression of n-myc gene✔

Opsoclonus myoclonus syndrome


Irregular mass of abdomen crossing midline

Neuroblastoma

Pheochromocytoma

Phenoxybenzamine


Alpha 1 blocker before beta blocker must be given

Pheochromocytoma

Phenoxybenzamine


Alpha 1 blocker before beta blocker must be given

Pheochromocytoma

Phenoxybenzamine


Alpha 1 blocker before beta blocker must be given

Hypothyroid myathy ➡➡⬆CK

Thyrotoxic myopathy ➡normal ck

Diffuse thyroid enlargement

Graves diseasd


Iodine deficiency


Hashimoto


Tsh secreting adenoma

Nodular thyroid swellings


Toxic multinodular goiter


Thyroid adenoma


Thyroid cyst


Thyroid carcinoma

Hashimoto thyroidoitis associated with

HLA DR5


⬆risk of non hodgkin lymphomaas


Hasimotos thyroiditis histology

Hurthle cells (large oxyphilic cells filled with granular cytoplasm)


Mononuclear infiltrate


Germinal centres


Hasimotos thyroiditis histology

Hurthle cells (large oxyphilic cells filled with granular cytoplasm)


Mononuclear infiltrate


Germinal centres


Hard rock like mass thyroid

Reidel thyroidoitis


Histolgy➡➡mix cell infiltrate with multinucleated cells

Hard rock like mass thyroid

Reidel thyroidoitis


Histolgy➡➡mix cell infiltrate with multinucleated cells

Women with painful thyroid

De quarvian thyroid/sub acute thyroiditis



➡histolgy


Giant cells


Granulamotous inflammation

Women with painful thyroid

De quarvian thyroid/sub acute thyroiditis



➡histolgy


Giant cells


Granulamotous inflammation

Goitrogens drugs

Amiadrone


Lithium

Jod basedow phenomena

Decreasing iodine in already deficient person will lead to thyrotoxicosis

Jod basedow phenomena

Decreasing iodine in already deficient person will lead to thyrotoxicosis

RAS mutation in which thyroid cancer

Follicular thryoids CA which spread hematogenously

RAS mutation in which thyroid cancer

Follicular thryoids CA which spread hematogenously

Papillary thyroid cancer is associated with which gene muataion

RET and BRAF

Papillary thyroid cancer is associated with which gene muataion

RET and BRAF

Medullary carcinoma is asociated with which mutation

RET ➡men 2 A MEN 2 B

Pseudopseudohypoparathyroidism

Similar to Albright osteodystrophy


But as the name suggest it is false albright bcz


Physical feature are same but kidneys are PTH responsive

Pseudopseudohypoparathyroidism

Similar to Albright osteodystrophy


But as the name suggest it is false albright bcz


Physical feature are same but kidneys are PTH responsive

Nelson syndrome

Excessive ACTH producing adenoma growth


After bilateral adrenalactomy due to loss of negative feedback from cortisol

Pituitary apoplexy

Hemorrage in pituaitary adenoma if it is in ACTH adenoma it will present with cardiovascular collapse

Pituitary apoplexy

Hemorrage in pituaitary adenoma if it is in ACTH adenoma it will present with cardiovascular collapse

Pituitary apoplexy

Hemorrage in pituaitary adenoma if it is in ACTH adenoma it will present with cardiovascular collapse

Pegvisomant

Growth hormone receptor antagonist

Pegvisomant

Growth hormone receptor antagonist

Pituitary apoplexy

Hemorrage in pituaitary adenoma if it is in ACTH adenoma it will present with cardiovascular collapse

Pegvisomant

Growth hormone receptor antagonist

Gigantism is associated with which cancet

Colorectal carcinoma and polyp

Nephrogenic diabetis inspidus is caused by

Hypercalcemia


Hupokalemia


Lithium


ADH analog

Ghrelin stimulate

Hunger


And


GH release

PTH also ⬆cAMP in urine and

⬆RANK L expression

Mg ⬇↔⬆PTH

Hypothyroidism ⬇LDL receptor expression on hepatocytes

Hypercholestrolemia

Inverse occur in Hyperthyroidism

Propylthiouracil side effect

Hepatotoxicity


ANCA associated vasculitis

Demeclocycline

ADH antagonist of tetracycline family used in





SiADH

Side effects are like those of tetracyclin