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19 Cards in this Set

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.Adrenal cortex
Secretes _____ -based steroid hormones, called “________
lipid

corticosteroids.

MINERALOCORTICOIDS
_______ is the main one
GLUCOCORTICOIDS
___________
Aldosterone

Cortisol
(hydrocortisone)
is the main one
.Adrenal medulla
Secretes
. epinephrine and norepinephrine
.Steroid hormone synthesis

pregnenolone oxidized and isomerized to progesterone by =
3-ß-hydroxysteroid dehydrogenase
.
.
.
.
.
.
.
..
.Cortisol, the most important glucocorticoid

Helps the body deal with =
.stressful situations within minutes


Physical: trauma, surgery, exercise
Psychological: anxiety, depression, crowding
Physiological: fasting, hypoglycemia, fever, infection
Regulates or supports a variety of important cardiovascular, metabolic, immunologic, and homeostatic functions including water balance
.People with
adrenal insufficiency:

these stresses can cause =
3ct
.hypotension,
shock
death:

must give glucocorticoids, e.g. for surgery or if have infection, etc.
.Effect of (+) cortisol on protein metabolism:

Reduction of =
protein storage in all cells
except those of
liver –
↑or ↓ protein catabolism =
&
↑or ↓ protein synthesis =
.
↑ protein catabolism

↓ protein synthesis
.Effect of cortisol on protein metabolism
Reduction of protein storage in all cells except those of liver – ↑ protein catabolism & ↓ protein synthesis
Cortisol increases liver & plasma proteins
Mobilizes amino acids from non hepatic cells, thus increase blood amino acid level.
↑ amino acid transport to liver cells & ↓ transport of amino acids into other cells
.Keeps blood glucose levels high enough to support brain’s activity
Forces other body cells to switch to fats and amino acids as energy sources
Catabolic: break down protein
Redirects circulating lymphocytes to lymphoid and peripheral tissues where pathogens usually are
In large quantities, depresses immune and inflammatory response
Used therapeutically
Responsible for some of its side effects
.
.
.Hormonal stimulation of glucocorticoids HPA axis (hypothalamic/pituitary/adrenal axis)
.With stress, hypothalamus sends ___to anterior pituitary (adenohypophysis)
Pituitary secretes ___
& goes to ___ ___
CRH

ACTH

adrenal cortex

where it stimulates ___ secretion
Sympathetic nervous system can also stimulate it
Adrenal cortex also secretes ___
Converted in peripheral tissues to testosterone and estrogen (also steroid hormones)
Unclear function in relation to stress
glucocorticoid

DHEA (dehydroepiandrosterone)
.Part of autonomic nervous system
Spherical chromaffin cells of the adrenal medulla (and some neurons) Secrete epinephrine and norepinephrine.
Amine hormones
Fight, flight, fright
Vesicles store the hormones
.
.
.Hormones of the Adrenal Medulla

Produceswhat class hormones =
(catecholamines).

which produces two similar Hormones =
Epinephrine
Norepinephrine

These hormones prepare the body to deal with short-term stress

Take less than 30 seconds to kick in and last several minutes
.Addison’s disease
. – low aldosterone & cortisol
low aldosterone & cortisol
what Dz =
.Addison’s disease
.. Cushing’s syndrome
hypersecretion of
cortisol
androgens
aldosterone
Addison’s disease
	- hyposecretion  of glucocorticoids by the adrenal cortex characterized by
Addison’s disease
- hyposecretion of glucocorticoids by the adrenal cortex characterized by
bronzing of the skin


- Usually involves cortisol and aldosterone: low blood glucose and sodium, severe dehydration, fatigue, loss of appetetie, abdominal pain
Cushing syndrome
____secretion of glucocorticoids by the adrenal cortex characterized by weight gain in the ____ of the body but not in the =
hyper

trunk

arms and legs
Cushing’s syndrome

Symptom
-Upper body obesity with
- thin arms and legs
-Buffalo hump
-Red, round face
-High blood sugar
-High blood pressure
-Acne
-Blurry vision
-Poor wound healing