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Patho-disorders of the pituitary gland
Exam 3
11
Nursing
Undergraduate 3
03/28/2011

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Cards

Term

 

Pituitary

Definition
"Hypophysis"
-lies inferior to the hypothalamus which works on the lobes of the pituitary direct or indirect action.
Term

 

Hypothalamus

Definition
direct action-posterior pituitary-has nerves that end in the posterior pituitary

indirect action-anterior pituitary-secretes regulatory hormones to A.P. to secrete or not.
Term

 

Posterior Pituitary

Definition
"Neuro-hypophysis"- hormones are packaged in the hypothalamus. goes directly to the target no intermediary. Goes straight and affects the target tissue.

Oxytocin- released during sex for both male and female. Short lived, a couple days, released during breast feeding

antidiuretic hormone-"vasopressin" lasts longer, decreases urine output.
Term

 

Anterior pituitary

Definition
"adeno-hypophysis"- goes through intermediary before it reaches its final target tissue.. The hypothalamus secretes regulator hormones to A.P. to secrete or not.

5 cell types "tropes" give us 6 A.P. hormones
-somatotrope- GH
-lactotrope- prolactin
-gonadotrope- Gonadotropins (Gn)
-thyrotropes- Thyroid-stimulating hormone (TSH)
-corticotropes- adrenocorticotropic H (ACTH) and Melanocyte-stimulating hormone (MSH)
Term

 

Panhypopituitarism

Definition
all pituitary hormones are low except prolactin. When there is a loss of of dopamine prolactin levels go up.
Term

 

endocrine disorders

Definition
primary- the gland is somehow affected

secondary- the hormone produced is affected
Term

 

 

ADH: Excess

 

SIADH-syndrome of inappropriate ADH

Definition
usually from a tumor-from lung metastasis
-hyponatremia-cellular swelling

reduced unrinary output
fluid retention, weight gain
weakness, fatigue, lethargy, muscle cramping
N/V, anorexia
cerebral swelling with clinical consequences
Term

ADH deficiency:

diabetes insipidus-renal type, kidneys aren't responding to ADH

Definition
problem making or producing ADH
etiology: trauma to the head, alcohol, tumors

hypernatremia

polyuria, nocturia, polydipsia
decreased food intake, acute weight loss
dehydration, thirst, disorientation, lethargy, seizures
further electrolyte loss
Term

 

Growth hormone deficiency:

pituitary dwarfism

Definition
-primary target liver to raise blood glucose levels-gluconogenesis, has a large role in metabolism
-increase of bone and cartilage
-breaks down fats
-increase muscle mass

-tumor in the pituitary hormone

normal birth weight and length
growth impairment
hypoglycemia
hypothyroidism
thin habitus
delayed dentition
delayed puberty
any facial features in center of face at birth signifies problem
Term

 

 

Growth hormone prepubertal excess:

gigantism

Definition
all bones growing in increased fashion, happens before epiphysis

increased proportional growth
muscular hypertrophy/atrophy
goiter and hypermetabolism
HTN
reduced life span
few acromegalic features may occur
Term

 

growth hormone postpubertal excess:

acromegaly

Definition
soft tissue hypertrophy
increased bone density
large hands and feet
coarse facial features
weight gain
glucose intolerance
arthritis
paresthesia
headaches
gonadal atrophy in late stages
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