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neuroendocrine system

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causes 80% of primary hyperparathyroidism
adenoma of parathyroid
encapsulated proliferation of chief cells
adenoma of parathyroid
most common cause of secondary hyperparathyroidism
chronic renal disease leading to hypocalcemic stimulation of PTH secretion
cause of death due to carcinoma of parathyroid
hyprecalcemia, not widespread organ replacement
causes of hypoadrenalism
primary chronic insufficiency (addison's disease)
primary acute insufficiency (crisis in chronix sit)
causes of hyperadrenalizm
hyperaldosteronism (conns syndrome)
hypercortisolism
hypersecretion of sex steroid
most common cause of adrenocortical hyperfunction
hypercortisolism
pituitary cushings syndrome, adrenal cushings sydrome, paraneoplastic
prognosis of cortical carcinoma of adrenal gland
poor
medullary adrenal pathology
pheochromocytoma
neuroblastoma
secretes epi and NE causing HTN
pheochromocytoma
only absolute criterion for malignancy in pheochromocytoma or gastrinoma
presance of metastasis
most common tumors in infancy and childhood
neuroblastoma
increased urinary homovanillic acid, vanillylmandelic acid, dopamine, metanephrine
neuroblastoma
arises from chief cells of paraganglia
paraganglioma
carotid and aorticopulmonary paraganglioma are termed
chemodectomas
most common type of islet cell tumor
beta cel insulin
insulinoma
presents with multiple peptic ulcers, high gastric acid secretion and plasma gastrin levels
zollinger ellison syndrome
MEN-1
gene that predisposes patient to multiple endocrine neuplasia
MENI
neoplasms of parathyroid glands, adrenal cortex, pituitary, pancreas
MENIIa
pheochromo, medullary carc of thiroid, parathyrroid hyperplasia
sipple yndrome
MENIIa
MENIIb
same as IIa, no parathyroid abn, but with mucocutaneous neuromas

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