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ENDOCRINE GLANDS Secrete hormones directly into bloodstream Ductless
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EXOCRINE GLANDS secrete substances through a duct (sweat, salivary, lacrimal and pancreas)
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Function of the Endocrine System
to secrete hormones – chemical messengers that coordinate and direct target cells and organs.
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Hormonal Control NEGATIVE FEEDBACK
Drop in hormone level triggers a chain reaction to increase secretion, for example Blood level of hormone falls Brain gets message and sends out hormone to stimulate gland Gland stimulates more hormone When blood levels of hormone increase, the brain hormones stop
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Nervous Control In some cases, sympathetic nervous system causes direct release of hormone from gland (for example, when stress causes the adrenal medulla to secrete adrenalin)
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PITUITARY GLAND Tiny structure the size of a grape Located at the base
of the brain Connected to the hypothalamus Divided into anterior and posterior lobes The “Master Gland”
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Anterior Pituitary Lobe
GROWTH HORMONE - GH (SOMATOTROPIN) responsible for growth and development PROLACTIN – develops breast tissue, stimulates production of milk after childbirth THYROID-STIMULATING HORMONE – TSH - stimulates thyroxine ADRENOCORTICOTROPIC HORMONE – ACTH – stimulates adrenal cortex
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FOLLICLE-STIMULATING HORMONE – FSH -stimulates growth of graafian follicle and production of estrogen in females, sperm in males
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LUTEINIZING HORMONE – LH – stimulates ovulation and formation of corpus luteum, which produces progesterone in females OXYTOCIN
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Posterior Pituitary Lobe
VASOPRESSIN – converts to ADH (antidiuretic hormone) in the bloodstream, acts on kidney to concentrate urine and preserve H2O in the body
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OXYTOCIN Released during childbirth causing contractions of the uterus
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THYROID GLAND Butterfly-shaped mass of tissue
On either side of larynx, over trachea H-shaped
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Main hormone – THYROXINE – is controlled by the secretion of TSH
Thyroxine controls the rate of metabolism
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CALCITONIN Controls calcium ion concentration in the body, prevents hypercalcemia
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PARATHYROID GLANDS Four glands, each the size of a grain of rice
Attached to posterior thyroid Produce PARATHORMONE which helps control blood calcium level, prevents hypocalcemia
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THYMUS Endocrine gland and lymphatic organ
Located behind the sternum, above and in front of the heart Begins to disappear at puberty
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Produces hormone called THYMOSIN which helps with the maturation of WBC during childhood to fight infection Produces lymphoctyes that mature into a type of WBC called a T lymphocyte
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ADRENAL GLANDS Located on top of each kidney
Adrenal cortex secretes hormones known as corticoids – they are anti-inflammatory They are: mineralcorticoids, glucocorticoids, and sex hormones ANDROGENS are male sex hormones
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Adrenal medulla secretes epinephrine (adrenalin) and nor epinephrine
ADRENALIN is a powerful cardiac stimulant – “fight or flight” hormones that prepare the body for an emergency situation
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The liver & muscles release glucose to provide an extra source of energy.
Fat tissue is broken down to produce additional energy Muscles develop greater endurance & so tire less easily The heart contracts more forcibly & beats much faster Gives superhuman strength in emergency situations
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GONADS Ovary in female Testes in male
Estrogen – development of female reproductive organs, secondary sex characteristics Progesterone – plays a part in the menstrual cycle Testosterone – male reproductive organs and secondary sex characteristics
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PANCREAS Located behind the stomach Endocrine and exocrine functions
Involved in production of INSULIN by ISLETS OF LANGERHANS Insulin – promotes utilization of glucose by the cells, fatty acid and amino acid transport, and facilitates protein synthesis
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PINEAL GLAND Found in the brain Shaped like a pine cone
Full function still remains unknown Produces MELATONIN which rises and falls during the waking & sleeping hours. It is believed this hormone is what triggers our sleep by peaking at night & causing drowsiness.
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Other Hormones PROSTAGLANDINS – tissue hormones, can cause constriction of blood vessels, muscle contractions. Can be used to induce labor.
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Endocrine Disorders
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GIGANTISM Hyperfunction of pituitary – too much growth hormone
In preadolescent – overgrowth of long bones leads to excessive tallness
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ACROMEGALY Hyperfunction of pituitary – too much growth hormone in adulthood Overdevelopment of bones in face, hands and feet Attacks cartilage – so the chin protrudes, lips nose and extremities enlarge Rx – drugs to inhibit growth hormone, radiation
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DWARFISM Hypofunction of pituitary in childhood
Small size, but body proportions and intellect are normal Sexual immaturity Rx – early diagnosis, injection of growth hormone
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What is achondroplasia
Achondroplasia is a disorder of bone growth. Although achondroplasia literally means "without cartilage formation," the problem is not in forming cartilage but in converting it to bone, particularly in the long bones of the arms and legs. All people with achondroplasia have short stature. The average height of an adult male with achondroplasia is 131 centimeters (4 feet, 4 inches), and the average height for adult females is 124 centimeters (4 feet, 1 inch).
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Characteristic features of achondroplasia include an average-size trunk, short arms and legs with particularly short upper arms and thighs, limited range of motion at the elbows, and an enlarged head (macrocephaly) with a prominent forehead. Fingers are typically short and the ring finger and middle finger may diverge, giving the hand a three-pronged (trident) appearance. People with achondroplasia are generally of normal intelligence.
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Health problems commonly associated with achondroplasia include episodes in which breathing slows or stops for short periods (apnea), obesity, and recurrent ear infections. In adulthood, individuals with the condition usually develop a pronounced and permanent sway of the lower back (lordosis) and bowed legs. Older individuals often have back pain, which can cause difficulty with walking. How common is achondroplasia? Achondroplasia is the most common type of short-limbed dwarfism. The condition occurs in 1 in 15,000 to 40,000
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HYPERTHYROIDISM Overactive thyroid gland
Too much thyroxine secreted leading to enlargement of gland People with this disease consume large quantities of food but lose body fat and weight
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Most pronounced symptoms are enlargement of gland (GOITER) and bulging of eyeballs (EXOPHTHALMOS)
Rx – total or partial removal of thyroid gland, drugs to reduce thyroxine, radiation
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HYPOTHYROIDISM Not enough thyroxine secreted
May be due to lack of iodine (simple goiter) Major cause of other types is inflammation of thyroid which destroys the ability of the gland to make thyroxine Symps – dry and itchy skin, dry and brittle hair, constipation, muscle cramps at night
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TETANY In hypoparathyroidism, decreased calcium levels affect function of nerves Convulsive twitching develops, person dies of spasms in the respiratory muscles Rx – Vitamin D, calcium and parathormone
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CUSHING’S SYNDROME Hypersecretion of adrenal cortex
May be caused by adrenal cortical tumor or prolonged use of prednisone Symps – high blood pressure, muscle weakness, obesity, poor healing, tendency to bruise, hirsutism (excessive hair growth), menstrual disorders Rounded moon face and buffalo hump Rx – surgical removal of tumor
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ADDISON’S DISEASE Hypofunction of adrenal cortex
Symps – bronzing of skin, hypoglycemia, hypotension, etc. Rx – replace deficient hormones
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Steroid Abuse in Sports
Anabolic steroids (androgens) can help build bigger, stronger muscles Risks far outweigh temporary improvements – males have liver changes, atrophy of testicles, breast enlargement, and cardiovascular disease
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Female risks include amenorrhea, abnormal placement of body hair, baldness, voice changes
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DIABETES MELLITUS Caused by secretion of insulin
Can be insulin dependent (juvenile) or non-insulin dependent Symps – polyuria, polyphagia, polydipsia, weight loss, blurred vision, and possible diabetic coma If not treated, excess glucose in blood (hyperglycemia) and glucose secreted in urine (glycosuria) Since glucose not available for cellular oxidation, body starts to burn up protein and fat If too much insulin is given, blood sugar may go too low (hypogycemia insulin shock)
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If blood sugar gets too high – hyperglycemia diabetic coma
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Type II (non-insulin dependent) is most common, usually familial, occurs later in life, control with oral hypoglycemic drugs and diet
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Tests for Diabetes – blood sample measured in glucometer – done by patient in home – normal blood sugar mg
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