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Terms in this set (74)
diabetes - leading cause of mortality macrovascular disease
cerebrovascular disease disorder resulting from a change within one or more
blood vessels of the brain
thyroid nodules goiters can be the result of multiple goiters,
cystic nodules are not usually an underwriting
concern, a solid nocule greater than 1 cm raises
concern for cancer
will appear cold (hypofunctioning) on most thyroid cancers
radioactive iodine uptake scan
regulates glucose levels insulin, glucagon, somatostatin, cortisol, epinephrine,
growth hormonw
thyroxine Hormone secreted from the thyroid gland that
promotes growth and development; increases
metabolic rate in cells
hyperparathyroidism excessive secretion of parathyroid hormone resulting
in abnormally high levels of calcium in the blood
adrenal gland tissue located on top of the kidneys that releases
adrenaline and cortisol during states of emotional
arousal
, hormones peptides that are secreted into the bloodstream and
act on target tissues. target tissues have specific
receptors for hormones.
pituitary gland found in the sella turcica above the sphenoid sinus.
attached to the brain via pituitary stalk, which is a vital
link of communication between the pituitary and
hypothalamus. Colloquially called the 'master gland'.
prolactinoma benign tumor of lactotroph cells. clinical
presentation differs for men and women and
depends on size of the tumor.
prolactinoma in women tumors are usually small (microadenoma, less than
10mm)
excess prolactin causes irreg menses and
galactorrhea
prolactinoma in men tumors are usually large (macroadenoma-greater
than 10mm)
excess prolactin causes loss of libido and impotency
large tumors can cause headaches, visual
disturbance
prolactinoma treatment for small bromocriptine (Parlodel)
tumors pergolide (Permax)
carbergoline (Dostinex)
life expectancy prolactinoma microadenoma - normal with treatment
macroadenoma - mortality increased if
hypopituitarism that develops after surgery or
radiaation is not detected or treated appropriately
hypopituitarism can result from surgical removal of prolactinoma, or
other pituitary tumors. Is of clinical and underwriting
significance. patients need replacement of cortisol,
thyroid hormone, estrogen for women, testosterone
for men..