| Various endocrine organs and functions of each
                        
                                                                                    
                                                                                            | Hypothalamus (control/integrator) | releasing hormones to the anterior pituitary (blood communication) and direct connection to posterior pituitary (nerve communication) |  
                                                                                            | Pineal gland | sleep |  
                                                                                            | Pituitary gland | 1st hormones to body organs |  
                                                                                            | Pancreas | Insulin and glucagon |  
                                                                                            | Thyroid gland | Parafollicular cells, high blood calcium, storage of calcium in bone |  
                                                                                            | Parathyroid gland | low blood calcium, parathyroid hormone (pth), release calcium into blood from bone |  Pituitary gland
                        
                                                                                    
                                                                                            | Adrenal glands | stress response, blood pressure response, blood osmolarity, sex hormones |  
                                                                                            | Thyroid gland | follicular cells, release thyroid hormone (t3 and t4) to increase metabolism and body temperature |  
                                                                                            | Mammary gland | secretion of milk for offspring |  
                                                                                            | Testes | make and release testosterone |  
                                                                                            | Ovaries | make and release estrogen and progesterone |  
                                                                                            | Melanocytes | makes melanin, protection from UV rays |  
                                                                                            | Ductus deferens | orgasm response, semen |  
                                                                                            | Uterine and vaginal muscles | orgasm response, childbirth |  
                                                                                            | Liver | blood sugar regulation and storage, growth hormone signaling to muscle and bone |  
                                                                                            | Bone | growth hormone cycle |  
                                                                                            | Muscle | growth hormone cycle, glucose storage |  
                                                                                            | Kidneys | water and blood pressure |  Steroid and non-steroid hormone mechanisms
                        
                                                            
                            | What are characteristics of steroid hormones? lipid so they enter the cell and go into the nucleus and target DNA to make new proteins |  
                            | What are characteristics of a non-steroid hormone? do not enter cell, interact with surface proteins ->  secondary messenger internally in the cell to cause response  (signaling cascade) |  T3T4 production for thyroid gland (hypothalamus)
                        
                                                                                    
                                                                                            | Temp/metabolism feedback loop |  
                                                                                            | Low metabolism - low T3T4, low body temp |  
                                                                                            | TRH  -> TSH -> follicular cells release the follicle containing T3 and T4 -> increase metabolism |  Thyroid Follicular Cells and Parafollicular Cells
                        
                                                                                    
                                                                                            | Parafollicular | High calcium |  
                                                                                            | Follicular | Low metabolism (T3 and T4) |  Layers of Adrenal Gland
                        
                                                                                    
                                                                                            | Cortex |  
                                                                                            |  | Zona glomerulosa | stress response - cortisol |  
                                                                                            |  | Zona fasciculata | low blood volume - aldosterone |  
                                                                                            |  | Zona reticularis | DHEA and androstenedione, precursors  to sex hormones |  
                                                                                            | Medulla | stress response - epinephrine and  norepinephrine |  Basic Knowledge for Multiple Choice
                        
                                                                                    
                                                                                            | Know the effects of the renin-angiotensin-aldosterone system and how it regulates blood volume and blood pressure in detail |  
                                                                                            | Know how ACE inhibitors work |  
                                                                                            | Know how ADH works and how it regulates blood osmolarity and blood pressure |  Diabetes mellitus (I and II) effects on bg
                        
                                                                                    
                                                                                            | Type I | no production of insulin |  
                                                                                            | Type II | we may or may not make insulin and body cells no longer respond to insulin - insulin resistance |  
                                                                                            | Insulin beta cells use glucose so we can't control high glucose levels | Low levels can cause diabetic coma |  Endocrine Pathology
                        
                                                                                    
                                                                                            | Hyperthyroidism | High thyroid activity - weight loss, etc., cushing's syndrome, insomnia, hyperactivity |  
                                                                                            | Hypothyroidsim | A lack of temp. control, weight gain, hair loss, lethargy, etc. |  
                                                                                            | Diabetes | sugar in urine (sweet urine) |  
                                                                                            |  | Insipidus | Kidneys processing too quickly, water goes through too fast, excessive urination, dehydration |  
                                                                                            |  | Mellitus | insulin issues |  Endocrine System
                        
                                                            
                            | What are the similarities of the endocrine and nervous systems? Both control systems (homeostasis and other) |  
                            | What are some differences of the nervous and endocrine systems? Mode of communication (endo- hormones nerv- electrial signals) Speed of response (endo- slow nerv- fast)
 Duration of change/response (endo- longish term nerv- gone fast)
 |  |  | Blood Glucose Feedback Loop
                        
                                                                                    
                                                                                            | Stimulus | Increased blood glucose |  
                                                                                            | Sensor/Integrator | Pancreatic Beta cells |  
                                                                                            | Hormone Released | Insulin |  
                                                                                            | Effector | Liver and skeletal muscle |  
                                                                                            | Response | Liver and skeletal muscle uptake glucose -> glycogen |  
                                                                                            | Result | Decrease In blood glucose and return to homeostasis |  Growth Hormone Feedback Loop
                        
                                                                                    
                                                                                            | Stimulus | Low blood glucose, sleep, or stress |  
                                                                                            | Sensor/Integrator | Hypothalamus |  
                                                                                            | Hormone Released | GHRH |  
                                                                                            | Target | Anterior Pituitary Somatotropes |  
                                                                                            | Hormone Released | GH |  
                                                                                            | Effector | Liver, bones, muscles, fat cells |  
                                                                                            | Response | Increase blood glucose, cell growth and proliferation, bone length, muscle mass, lipolysis. Decrease glucose uptake |  
                                                                                            | Result | Return to homeostatic blood glucose levels and growth and repair of the body |  Calcium Feedback Loop (High)
                        
                                                                                    
                                                                                            | Stimulus | Increased blood Ca2+ |  
                                                                                            | Sensor/Integrator | Parafollicular cells in thyroid gland |  
                                                                                            | Hormone released | Calctionin |  
                                                                                            | Effectors | Osteoblasts |  
                                                                                            | Responses | Osteoblasts activity increases = put calcium into bone |  
                                                                                            | Result | Blood calcium level decreases back to normal |  Calcium Feedback Loop (Low)
                        
                                                                                    
                                                                                            | Stimulus | Decreased blood Ca2+ |  
                                                                                            | Sensor/Integrator | Parathyroid glands |  
                                                                                            | Hormone released | PTH |  
                                                                                            | Effectors | Osteoclasts, kidneys, intestines |  
                                                                                            | Responses | Osteoclasts degrade bone matrix which releases calcium into blood, kidney (reabsorb Ca) targets liver which releases Vit. D. Vit D to intestines absorb more calcium |  
                                                                                            | Result | Calcium blood return to normal range |  Calcium Feedback Loop (Low)
                        
                                                                                    
                                                                                            | Stimulus | Decreased blood Ca2+ |  
                                                                                            | Sensor/Integrator | Parathyroid glands |  
                                                                                            | Hormone released | PTH |  
                                                                                            | Effectors | Osteoclasts, kidneys, intestines |  
                                                                                            | Responses | Osteoclasts degrade bone matrix which releases calcium into blood, kidney (reabsorb Ca) targets liver which releases Vit. D. Vit D to intestines absorb more calcium |  
                                                                                            | Result | Calcium blood return to normal range |  Metabolism Feedback Loop
                        
                                                                                    
                                                                                            | Stimulus | Decrease in T3 and T4 concentrations |  
                                                                                            | Sensor/Integrator | Chemo and temp receptors, Hypothalamus |  
                                                                                            | Hormone Released | Hypothalamus releases TRH |  
                                                                                            | Target | Anterior pituitary |  
                                                                                            | Hormone released | TSH |  
                                                                                            | Target | Thyroid gland (follicular cells) |  
                                                                                            | Hormone released | Thyroid gland released T3 and T4 |  
                                                                                            | Effector | Body tissues |  
                                                                                            | Response | Increased metabolic activity |  
                                                                                            | Result | Return to homeostatic body temperature, increase in energy |  Lymphatic System
                        
                                                                                    
                                                                                            | What are characteristics of the lymphatic system? | Vessels, nodes, and accessory organs filled with water like fluid |  
                                                                                            | What is the purpose of the lymphatic system? | To return free fluid in the body back to the blood, houses and matures the WBC |  Function of Lymphatic sys. & Accessory
                        
                                                                                    
                                                                                            | Vessels | Vessels, trunks, ducts | Absorption of interstitial fluid and transportation of lymph |  
                                                                                            | Nodes | Structures that house and allow for storage of an maturation of lymphocytes | Monitor lymph fluid for pathogens |  
                                                                                            | Thymus | where T cells mature |  
                                                                                            | Spleen | Were we send red blood cells to be recycled , storage of WBC |  
                                                                                            | Lacteals | in the intestine microvilli fat absorption |  
                                                                                            | MALT | nodules to monitor incoming solutes for pathogens, in mucosa |  Lymph Drainage
                        
                                                                                    
                                                                                            | Right lymphatic duct | right lymphatic vessels of the right facde, right neck, right arm, right axillary and cervical lymph nodes |  
                                                                                            | Left lymphatic duct aka thoracic duct | All remaining lymph vessels and nodes of the upper body and the total lower body. Left cervical, left axillary, l+r iliac, l+r inguinal lymph nodes |  Role of the lymphatic sys. in immune response
                        
                                                                                    
                                                                                            | House and mature many white blood cells, we transport WBC from tissues back into circulation, nodes monitor cells and pathogens that travel through |  |  | Erythrocyte recycling
                        
                                                                                    
                                                                                            | Break down old RBC with the spleen and liver, dispose of bilirubin as bile, reuse iron to make new RBC |  Blood
                        
                                                            
                            | What are general characteristics of blood? Fluid, proteins, cells |  Functions of blood
                        
                                                                                    
                                                                                            | Transportation | Gases, nutrients, hormons, WBCs (immune response throughout the body) |  Blood recipient prob and erythroblastosis fetalis
                        
                                                                                    
                                                                                            | Agglutination with the wrong type blood - destroy blood, death |  
                                                                                            | Mother is Rh- and has been exposed to positive blood/antigen, has made antibodies against Rh+, will attack fetus |  Clotting Disorders
                        
                                                                                    
                                                                                            | Lack of platelet production = no clot = thrombocytopenia |  
                                                                                            | Hemophilia - genetic disorder that stops/lacks conversion of clotting factors |  Thrombus and Embolus
                        
                                                                                    
                                                                                            | Thrombus | Clot forming where it does not belong, usually in an artery with cholesterol crystal deposits |  
                                                                                            | Embolus | Thrombus dislodging from the clot, can block a vessel somewhere else in the body, I.e. pulmonary embolus |  Steps of Hemostasis (basic steps)
                        
                                                                                    
                                                                                            | Vascular spasms | let a ton of blood in the area to provide platelets |  
                                                                                            | Platelet plug | platelets start to stick together and adhere to endothelium and CT |  
                                                                                            | Coagulation | 1. Prothrombin activator released by damage 2.PA converts prothrombin into thrombin
 3. Thrombin converts fibrinogen into fibrin (insoluble - not dissolvable)
 |  Anemia and Polycythemia
                        
                                                                                    
                                                                                            | Anemia | low O2 to tissues |  
                                                                                            | Hemorrhagic anemia | caused by blood loss |  
                                                                                            | Hemolytic anemia | excessive RBC destruction with low hematopoiesis |  
                                                                                            | Aplastic anemia | bone marrow is not functioning enough (during and after chemo) |  
                                                                                            | Iron deficient | not enough iron to make hemoglobin |  
                                                                                            | Sickle Cell anemia | inherited Hb mutation |  
                                                                                            | Polycythemia | high RBC - blood is too viscous/thick dec. O2 delivery to tissues, lead to clots |  Components of blood and plasma
                        
                                                                                    
                                                                                            | Plasma | proteins (albumins [most abundant], globulins, fibrinogen), water, solutes (ions, waste, gases, regulation molecules/hormones) |  
                                                                                            | Formed elements | cells and others |  
                                                                                            | Erythrocyte | transportation of gases |  
                                                                                            | Leukocytes | Immune response |  
                                                                                            | Platelets | Blood clotting |  RBC Count
                        
                                                                                    
                                                                                            | Low RBC | Tired/lethargy, dizziness/light headedness, increased heart rate, headaches, shortness of breath, pale skin |  
                                                                                            | Extra RBC but not too high | Blood doping, inc. O2 carrying capacity, decreases fatigue, inc. performance |  
                                                                                            | High RBC (low plasma - dehydration) | Fatigue, shortness of breath, insomnia, itchy skin |  Hematocrit
                        
                                                                                    
                                                                                            | % of formed elements specifically RBC |  
                                                                                            | Estimate of oxygen carrying capacity |  Hematopoiesis Feedback Loop
                        
                                                                                    
                                                                                            | Stimulus | Decreased O2 to tissues |  
                                                                                            | Sensor/intefrator | Kidney |  
                                                                                            | Signal released | Erythropoietin |  
                                                                                            | Effector | Spongy bone - red bone marrow |  
                                                                                            | Response | Make RBC |  
                                                                                            | Result | Inc. delivery of O2 to tissues back to homeostasis |  Hematopoesis
                        
                                                                                    
                                                                                            | Making of blood cells - differentiation of stem cells | Myeloid stem cells (makes RBC, platelets, basophils, eosinophils, neutrophils, monocytes). Lymphoid stem cells (lymphocytes) |  
                                                                                            | Red bone marrow | in spongy bone |  Structure of Hb Subunits
                        
                                                                                    
                                                                                            | Alpha chains x2 |  
                                                                                            | Beta chains x2 |  
                                                                                            | Each chain forms around an iron molecule (Fe) (1 Heme = chain + Fe) |  
                                                                                            | 4 heme = hemoglobin |  
                                                                                            | 1 heme carries 1 O2 |  
                                                                                            | 1 hemoglobin - carries 4 O2 |  Hb binding affinity for O2 and CO2
                        
                                                                                    
                                                                                            | Lungs | pH - high pH -> inc. O2 affinity and binding | Temp - cold -> inc. O2 affinity and binding | Partial Pressure - lots of O2 -> inc. O2 affinity and binding |  
                                                                                            | Body tissues | pH - low pH -> dec. O2 affinity and binding allow CO2 binding | Temp - lots of metabolism inc. heat -> dec. O2 affinity and binding allow CO2 binding | Partial Pressure - lots of CO2 -> dec. O2 affinity and bonding |  Facts for RBCs
                        
                                                                                    
                                                                                            | About 44% of blood |  
                                                                                            | 4-7million/mm3 in an adult |  
                                                                                            | Live for about 120 days |  
                                                                                            | Anucleate at maturity |  Purpose of RBC Shape
                        
                                                                                    
                                                                                            | Biconcave | increases surface area to increase diffusion fro transportation |  
                                                                                            | How does sickle cell anemia affect the shape? | changes the surface area of the cell, changes the Hb folding, holding/transporting less material, the hook shape can get stuck together more easily causing clots |  Lymphocytes
                        
                                                                                    
                                                                                            | B cells | antibody making memory cells, pathogens we have come across before (bacteria, virus, etc.) |  
                                                                                            | T cells | memory cells that target the cells or other pathogens that are foreign directly |  
                                                                                            | NK cells | cancer killers, destroy abnormal cells |  Leukocytes
                        
                                                                                    
                                                                                            | Neutrophils | innate immunity, bacterial infection |  
                                                                                            | Lymphocytes | adaptive immunity |  
                                                                                            | Monocytes | innate immunity, but will follow b cell orders or antibody flags, macrophage, usually stay in peripheral tissues |  
                                                                                            | Eosinophils | innate immunity, parasites |  
                                                                                            | Basophils | damage identifying cells, increase inflammation and blood flow to damaged but not bleeding areas |  | 
            
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