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37 Cards in this Set

  • Front
  • Back
What is the classical definition of a hormone (4), and exceptions for each tenent?
1. regulator but not initiator
- sexual differentation
2. ductless glands
- hypothalamus
- GI mucosa
3. transported through blood
- leydig cells are paracrine
- hypothalamus is neuroendocrine
4. effects at specific target tissues other than site of production
- growth hormone, thyroid, and insulin do not have specific targets; testosterone is produced and acts in testes and estrogen is produced and acts in follicles
What are hormones called when they are initiators? What are two key characteristics?
imprinting
- effects are permanent
- narrow window of timing
How does oxytocin act as a hormone? as a neurotransmitter?
hormone:
- parturition (cramps during labor)
- milk letdown
neurotransmitter:
- hurts memory consolidation and retrieval
- stimulates monogamy and pair bonding, motherly love
How does vasopressin act as a hormone? as a neurotransmitter?
hormone:
- antidiuretic
neurotransmitter:
- facilitates memory
- inhibits pair bonding
What is the difference between hormones and neurotransmitters in terms of ligand affinity? local concentrations?
hormones: high ligand affinity, low local concentrations
neurotransmitters: low ligand affinity, high local concentrations
What is the difference between hormones and neurotransmitters in terms of clearance, and response time?
hormones: slow clearance, slow response
neurotransmitter: fast clearance, fast response
What is the difference between hormones and neurotransmitters in terms of target?
hormones can have "indiscriminate" targets and go everywhere, while neurotransmitters have a target
What are the 4 types of lipid hormones (steroids)?
1. estrogens
2. androgens
3. progestins
4. corticoids
Why do thyroid hormones act like lipid hormones?
because iodine has a huge electron cloud that makes it insoluble
Which are faster, protein or lipid hormones?
protein hormones
What 2 hormones are stored in the posterior pituitary?
1. ADH
2. Oxytocin
How much does one urinate in a day?
.5-1 L
What are the 2 types of polyuria?
diabetes insipidus - ADH deficiency
nephrogenic diabetes insipidus - problem with ADH receptor
How much of the anterior pituitary is devoted to growth hormone?
50%
What are the 6 hormones of the anterior pituitary?
1. growth hormone
2. prolactin
3. TSH
4. ACTH
5. LH
6. FSH
What does TSH stand for?
thyrotropin
What does ACTH stand for, and what does it do?
adrenocorticotropin; stimulates growth of adrenal cortex and production of cortical hormones
What does prolactin do?
controls breast development and milk production
What are the 3 layers of the adrenal cortex, and what types of hormones do they produce?
1. glomerulosa - mineralocorticoids (aldosterone)
2. fasciculata - glucocorticoids
3. reticulosa - sex hormones
What layer of the adrenal cortex does ACTH have no effect on?
no effect on the glomerulosa
Do men make prolactin?
men make just as much prolactin as women, but we don't know what it does
What is the difference between giantism and acromegaly?
giantism - excess secretion of growth hormone before puberty
acromegaly - secretion of growth hormone after puberty, growth of cartilage
What two hormones in the brain promote the release of growth hormone?
somatostatin
growth-hormone-releasing-hormone
What is the difference between T3 and T4? Which is the active form?
the number of iodides; T3 is the active form
What is the BIG problem with hyperthyroidism?
increased body temperature leads to brain damage
What might blood look like with hypothyroidism?
could be white because of so much lipid in it, because lipid turnover is reduced
What does Parathyroid hormone maintain calcium at the expense of?
phosphorous (K)
What is hypercalcemia?
usually not a problem
What is hypocalcemia?
too little PTH, causes tetany, seizures, low serum calcium; diaphragm decays.
What is co-morbid with hypocalcemia? Why?
hypothyroid, hypogonadal - they all use G protein; defect is also at G protein
What are some consequences of anti-inflammatory glucocorticoid therapy?
makes you vulnerable to opportunistic infections because it suppresses the immune system, can also make you more likely to get cancer
What is the disease associated with too much glucocorticoids?
cushing's disease
What is the hormone mainly associated with hypertension?
angiontensin 2
What disease is hyposecretion of the adrenal gland?
Addison's Disease
What is it difficult to diagnose adrenal pathologies?
vague symptoms
What can glucocorticoids do to your adrenals?
glucocorticoids atrophy your adrenals; need to be weaned so that you don't go into shock
Why does lidocaine contain epinephrine?
vasoconstriction prevents lytic enzymes from reaching the anesthetized area