infarction of the gland, removal of gland, organic damage of adenohypophysis
Hypopituitarism is caused by? (3)
Sheehan syndrome
-pituitary infarction
a
What is the most common way Hypopituitarism manifests?
a) gradually
b) rapid
loss of body hair, decreased libido, aldosterone production cap; decreased adrenal androgen production
What are some symptoms of Cortisol deficiency in women? What is the cause?
amenorrhea
-loss of menses
amenorrhea, atrophic changes of vagina, uterus, and breasts
FSH & LH deficiencies in women? (2)
atrophy of testicles, decreased beard growth
FSH & LH deficiencies in men? (2)
hyperpituitarism
-excessive production of adenohyophyseal hormones
adenoma of adenohypohysis; hypothalmic cause
What are the causes of hyperpituitarism?
acromegaly
-a disorder where too much growth hormone is released; causing bones, cartilage, body organs, and other tissues to increase in size
somatotropin
-growth hormone
excessive secretion of: somatotropin, corticotropin/ACTH, prolactin
What are some consequences of Hyperpituitarism?
acromegaly, gigantism
Excessive secretion of somatotropin can result in? (2)
Cushing syndrome
Excessive secretion of corticotrophin/ACTH can result in?
decreased production of GnRH
Excessive secretion of prolactin can result in?
enhances amino acid transport, increases rate at which cells use fatty acids, decreases rate at which cells use carbohydrates
What are some functions of Growth Hormone? (3)
produced by somatotrophs in anterior pituitary
Where is growth hormone produced?
overgrowth of cartilage, enlargement of heart, disturbances in fat metabolism & glucose tolerance
Excessive secretion of GH in adults can result in what?
sexual precocity
-early onset of estrogen and androgen secretion and excessive GH
Marfan syndrome
-abnormally long arms, legs, and fingers
insulin-like growth factor -1
-somatomedin
connective tissue proliferation, bony proliferation, phosphate reabsorption, impaired carb tolerance, increased metabolic rate , hyperglycemia
Pathomechanisms of Somatotropin? (6)
somatotrope adenoma
The most common cause of Acromegaly is?
excess secretion of GHRH by hypothalamic tumors, ectopic GHRH secretion by nonendocrine tumors, ectopic secretion of GH
What are other causes of Acromegaly? (3)
normalization of: oral glucose load, IGF-1 levels; removal of tumor, relieving central pressure effects
What are treatment goals of Acromegaly?