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Lecture notes Endocrinology The Anterior Pituitary Gland and Hypothalamic Control (BI2BB4) $10.47   Add to cart

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Lecture notes Endocrinology The Anterior Pituitary Gland and Hypothalamic Control (BI2BB4)

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The second lecture in a series for the module Endocrinology. This lecture covers the basics of the anterior pituitary gland from it's connection to the hypothalamus, it's hormones, the HPA axis and more. A great way to start your understanding of the module or to miss a lecture or two.

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  • August 7, 2022
  • 4
  • 2019/2020
  • Class notes
  • Dr phil knight
  • All classes
  • Unknown
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L2 – The Anterior pituitary gland and its hypothalamic control
Keywords:

Parvocellular, adenohypophysis, sella turnica, rathke’s pouch, median eminence (connects
hypothalamus and pit, reg hormone release) microadenoma (<1cm),macroadenoma (>1cm),
meninges (connective tissue cover of brain and spinal cord),metabolic (food→energy), anabolism
(synth of complex molecules for storage of energy)

Lecture:

 Hypothalamus controls body temp, circadian rhythm and appetite
o Depression via adrenocortical hypothalamus-anterior pit axis
 Hypothalamic-pituitary system = final area in which all senses are
o Main interface between brain and periphery
o Organizes hormonal responses (internal/external)
o Pituitary gland = separate organ to brain (attached to hypothalamus via stalk)
 Based in bone in cranium
 Sella turcica/pituitary fossa = where pituitary gland sits in bone
 Nonfunctioning adenomas
 Histology:
 Pituitary (0.5g)
 Anterior = more vascularized
o Doubles in pregnancy and puberty
 Anterior = larger, pink lobe and posterior = smaller, yellow lobe
o Tumors
 Grown from Rathke’s pouch (up growth from roof of mouth) into sella
turnica/pituitary fossa
 Remnants of Rathke’s pouch = fluid filled cysts = ↑ pressure in
pituitary fossa
 ↑ # of tumors bc ↑ hormone conc?
 Upward tumor growth out of pit fossa = bitemporal hemianopia bc
compressed optic chiasm (bitemporal visual field loss bc crossing retinas)
 Upper field lost first bc pressure comes from below
 Treat w/↓ pressure on chiasm (radiotherapy)
 Lateral extension into sinus can cause ophthalmoplegia (eye paralysis bc ↓
extraocular muscle movement)
 Best imaged w/MRI
 Headaches (bc obstruction to CSF drain and stretching of meninges)
 Non benign = metastasis, meningioma and lymphoma
o No nerve fibers
o 5 types of secretory cell
 Chromophobes (afraid of stain – no uptake - pale)
 Undifferentiated cells
 Chromophiles (red/purple staining)
 Acidophils – take up acidic
o Somatotrophs (release GH)

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