Hypersecretion of growth hormone in children results in _________
because the growth hormone targets the still-active _______ .
This results in abnormal _______but relatively normal body proportions.
gigantism
growth plates
height
If excess growth hormone is released after closure of the epiphyseal plates, the condition is called ________ . This term literally means ______-. The patient experiences overgrowth of bones in the. ____, ___, and ____
acromegaly
enlarged extremities
hands, feet, face
In both conditions of gigantism and acromegaly, hypersecretion of growth hormone is the result of an ______________ that makes excess growth hormone. Usual treatment is __________of the tumor. Anatomic changes that have already occurred can NOT be ________.
adenohypophyseal tumor
surgical removal
reversed
Hyposecretion of prolactin is only a problem if a woman wants to ________
breastfeed
. Clinical signs including inappropriate lactation, lack of menses and infertility in females or breast enlargement and impotence in males suggest a diagnosis of _____________________
hyperprolactinemia
ADH stands for______________________.
_____________ is the result of ADH deficiency. Symptoms include increased output of _______and intense _____ .
This is different from _________ in which insulin deficiency results in the loss of large amounts of glucose in the urine.
antidiuretic hormone
diabetes insipidus
urine
thirst
diabetes mellitus
Diabetes insipidus can be caused by damage to the __________ or _______ In this condition it is very important to avoid ________ .
hypothalamus
posterior pituitary.
dehydration
SIADH stands for ____________________________________
Fluid retention occurs. Headache and disorientation result from ____________________
Management requires _____ restriction and monitoring of blood ________ levels.
syndrome of inappropriate hormone secretion
edema of the brain.
fluid
sodium
List 5 causes of hypothyroid disorders.
surgical removal of thyroid
inadequate TSH
inadequate TRH
inadequate dietary iodine
gland defect
Severe hypothyroidism is also known as ________
myxedema
Name 8 symptoms of hypothyroidism.
mental sluggishness
constipation
puffy eyes
edema
low metabolic rate
thick, dry skin
feeling chilled
lethargy
If myxedema is due to lack of iodine, the thyroid gland enlarges and this is called __________. The pituitary increases secretion of ___ but the thyroid gland cannot produce thyroid hormone in the absence of the iodine. If untreated, the cells “burn out” and no longer produce thyroid hormone. Treatment includes supplements of _______ or ______________ depending on the cause.
endemic goiter
TSH
iodine
hormone replacement
Severe hypothyroidism in infants is called _________. These children are mentally retarded and have a short, disproportionately sized body.
cretinism
Graves’ disease is a form of ___________. It is thought to be an autoimmune disorder because patients have antibodies that mimic ___ , therefore continuously stimulate release of _______________
hyperthyroidism
TSH
Thyroid hormone
Name 5 symptoms of Graves’ disease
sweating
weight loss despite adequate food intake
elevated metabolic rate
rapid irregular heart rate
nervousness
In Graves’ disease, ___________ (protrusion of the eyeballs) may occur if tissue behind the eye becomes edematous. Treatment includes surgical removal of the ______ or ingestion of_____________ that will destroy most of the active thyroid cells.
exophthalmos thyroid
radioactive iodine
Hyperparathyroidism is rare and results from a tumor of the __________. In this condition, _______ is removed from bones and replaced by___________. ________________________ is a severe form of this disorder in which bones may break spontaneously.
parathyroid gland
calcium
fibrous connective tissue
osteitis fibrosis cystica
Name 2 serious consequences of elevated calcium in hyperparathyroidism:
depression of nervous system leading to abnormal reflexes and weak skeletal muscles
kidney stones
calcium deposits in soft tissues throughout the body that may impair vital organ functioning is a result of _____________________
metastatic calcification
Hypoparathyroidism is a deficiency of ___ and usually results from ____ or removal during _________. Hypocalcemia leads to increased excitability of _____ and “tetany.”
PTH
trauma
thyroid surgery
neurons
Three symptoms of tetany are:
If untreated, death results from ______________.
convulsions
loss of sensation
muscle twitches
respiratory paralysis
Glucocorticoid excess is called _________________.
If it is due to an ACTH-releasing pituitary tumor, it is called __________.
cushing’s syndrome
cushing’s disease
Name 4 other locations an ACTH-releasing tumor may occur:
kidney
lung
adrenal cortex
pancreas
What is the most frequent cause of Cushing’s syndrome?
clinical administration of pharmacologic doses of glucocorticoid drugs
elevated blood glucose due to glucocorticoid drugs results in?
steroid diabetes?
What leads to hypertension and edema?
water and salt retention
Name 4 cushingoid signs.
swollen “moon” face
poor wound healing
easy bruising
buffalo hump
Addison’s disease is the major hyposecretory disorder of the _________
Glucose and sodium _____ while potassium ______. Symptoms include __________ and __________. Treatment is ____________ replacement.
adrenal cortex
drop
rises
dehydration
hypotension
corticosteroid
Hormones of the __________ are not essential for life. Hypersecretion of catecholamines may come from a _______________. Name 6 symptoms:
adrenal medulla
pheochromocytoma
hyperglycemia
hypertension
increased metabolic rate
rapid heart beat
intense nervousness
sweating
Diabetes mellitus is caused by hyposecretion or hypoactivity of _______. After eating, blood glucose levels remain ____. Symptoms of excess hyperglycemia include ________________________________________________________. Excess glucose is lost in the ____. When sugar cannot be used for fuel, ___ are mobilized. Ketoacidosis results from a drop in pH due to accumulation of fatty acid metabolites. When ketone bodies spill into the urine, this is called _______. Servere ketoacidosis is life-threatening.
insulin
high
nausea which precipitates fight or flight response leading to the body releasing more glucose
urine
fats
pH
ketonuria
The three main signs of diabetes mellitus are _______, _______, and ________
polyuria
polydipsia
polyphagia
Excessive insulin secretion, called _________ , results in low blood glucose levels also known as ____________.
hyperinsulinemia
hypoglycemia