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Endocrine System Alterations Homeostatic Controls Endocrine Glands & Hormones Endocrine Problem Overview Hypothalamic Regulation Hyper- / Hypo- secretion of hormones Antibodies against hormone Receptor changes or blockage Signal Transduction problems Cell Signaling Signal Transduction Overview Receptor Location Summary Cellular Actions Synthesis Contraction and Relaxation of muscles Secretion Cell permeability changes DNA transcription Phosphorylate to activate enzymes Protein synthesis Feed Back Loops Ultra Short Short Long Fate of Hormones Deactivated Secreted Hypothalamus Hypothalamic Nuclei Supraoptic Preoptic Paraventricular Ventromedial Dorsomedial Mammillary Arcuate (Infundibular) Hypothalamus & Pituitary Gland Direct Neural Regulation of PP Store Release Hypophyseal Portal System Hypothalamic Control over AP Hypothalamic Control for AP H-Hormone AP - H Target Effects GHRH; IH GnRH GnRH TRH CRH PRH PIH ? MRH GH FSH LH TSH ACTH PRL M/Sk; cells Gonads Gonads Thyroid Adrenal C Mammary Gland Growth and repair MSH Gamete Hormone T3; T4 Corticocoids Milk production Melanocyte melanin Pituitary Anatomy Pituitary Hormones Posterior Pituitary: ADH problems DI Decrease ADH Central Diabetes ISADH Increase Tumor ADH Panhypopituitarism Pituitary Adenoma Pituitary Tumor View and Surgery Pineal Gland Location Brain Sand in Pineal Gland Brain Sand: Calcium, Magnesium, Silicon Melatonin Synthesis Melatonin Stimulus Melatonin Function OTC Hormones Hormone Integration Pineal Gland Tumor GH: Hypersecretion Dwarfism Three Types Achondrodysplasia Autosomal dominant (primarily from older men > 35 years old) Two copies are fatal Gene 3 Fibroblast Growth Factor point mutation Abnormal Cartilage production Short Bones Skeletal radiograph to confirm MOPD: Primordial Dwarfism Microcephalic Osteodysplasia Fetal Development Maximum: 3 ft tall Proportional dwarf Brain Aneurysms occur Thyroid and Parathyroid Thyroid Gross Anatomy Thyroid Hormone Control and Problems Thyrotoxicosis Hyperthyroidism Hypothyroidism Graves Disease Autoimmune Tumors Carcinoma Adenoma Thyroid Scans Thyroid Histology Thyroid Hormone Formation Thyroid Hormone Regulation Thyroid Hormone Target / Action Thyroid Problems Hypothyroidism Iodine Deficiency Cretinism Myxedema Secondary Hypothyroidism Goiter Testing for Hypothyroidism Graves Disease Auto AB: Graves Disease Hashimoto’s Disease Hashimoto’s Thyroditis Graves vs. Hasimoto Thyroid Hyperplasia Thyroid Cancers Thyroid “C” Cells C cell carcinoma Medullary Thyroid Carcinoma Thyroid Tumors Thyroid Follicular Adenoma Thyroid Follicular Carcinoma Thyroid Nodule Flow Chart Parathyroid Location Parathyroid Gross Anatomy Thyroid - Parathyroid Parathyroid Histology Calcium Regulation Primary and Secondary Hyperparathyroidism Hyperparathyroidism effects Parathyroid Hyperplasia Parathyroid Adenoma Parathyroidectomy Adrenal gland Location Adrenal Gland Gross Anatomy Adrenal Gland Specimens Adrenal Gland Histology Adrenal Gland Divisions (Histo) Adrenal Hormones Zona Glomerulosa Hypoadrenocorticism Addison’s Disease Zona Fasiculata; Zona Reticularis Cushings Adrenal Gland Atrophy Sympathetic NS: Adrenal Medulla Adrenal Medulla Pheochromocytoma Adrenal Adenoma Other Adrenal Tumors carcinoma paraganglioma ALD Decreased cholesterol conversion to steroids Myelin Degeneration Treatment: Lorenzo’s Oil Pancreas Gross Anatomy Pancreas Histology: Islets DM Blood Sugar DM: Type 1 DM: Type 2 DM Sequella Gestational Diabetes DM sequella Diabetic Ketoacidosis Uncontrolled DM Insulinoma Acinar Pancreas Pancreatic Tumors Treatment Questions?