Adrenal Gland Flashcards

1
Q

Outline the 3 classes of steroid hormones?

A

Glucocorticoids - cortisol

Mineralocorticoids- aldosterone

Androgens - DHEAS and andostenedione

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2
Q

What is the adrenal medulla?

A

Sympathetic nervous system

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3
Q

What does the adrenal medulla produce?

A

Produces catecholamines ( adrenaline and nonadrenaline

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4
Q

Describe the outer cortex name, cell structure and hormone

A
  • Zona glomerulosa

-cell arrangement in clumps

-aldosterone hormone

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5
Q

Describe the middle cortex name, cell structure and hormone

A

Zona fasciculata

  • cells arranged in cords alongside blood sinusoids

-cortisol hormone

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6
Q

Describe the inner cortex name, cell structure and hormone

A

Zona reticularis

Network of smaller cells

Glucocorticoids and androgens hormones

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7
Q

Describe the centre of the gland name, cell structure and hormone

A

Adrenal medulla

Loose network of neurosecretory cells surrounded by blood vessels

Catecholamines (adrenaline and noradrenaline)

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8
Q

What is primary adrenal cortical hypo function also known as?

A

Addisons disease

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9
Q

Describe Addison’s disease;

A

Can occur gradually or suddenly onset

Acute adrenal insufficiency can be life threatening

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10
Q

Outline some clinical features of addisons disease:

A

Weakness
Weight loss
Anorexia
Skin pigmentation

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11
Q

What is the secondary cause of adrenocortial hypo function?

A

Withdrawal of glucocorticoids (or failure to increase dose)

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12
Q

What is adrenal cortex hyper function known as?

A

Conn’s syndrome

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13
Q

What is conn’s syndrome caused by?

A
  • adrenal adenoma (75%)
  • bilateral hyperplasia of Zona glomerulosa
  • adrenal carcinoma (rare)
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14
Q

What are some clinical features of conns syndrome?

A
  • hypertension

-muscle weakness

-tetany

-parethesia

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15
Q

Outline the function of adrenaline in catecholamines;

A
  • increases glycogen breakdown
  • lipolysis
  • gluconeogenesis
  • increase release of amino acids,lactate and pyruvate
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16
Q

What is Pheochromocytoma?

A

Catecholamine secreting tumour

17
Q

Outline some symptoms and signs of pheochromocytoma

A

Hypertension

Vasomotor signs
(Anxiety, sweating, palpitations, tremor and abdominal pain)