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Endocrine
VM 608 Final
54
Veterinary Medicine
Professional
05/03/2012

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Term
Hormones that vary under physiologic conditions
Definition
Aldosterone
Insulin
ADH
Term
Hormones that are constant under physiologic conditions
Definition
Thyroid hormone
Glucocorticoids
Term
Adenohypophyseal apalasia
Definition
occurs in Guernsey, Jersey cattle
genetic hypofunction of pituitary
neurohypophysis develops normally
fetal growth stops at 7 months and stops secreting tropic hormones causing target organ hypoplasia
Term
Pituitary Cysts
Definition
undifferentiated remnants of Rathke's pouch that is persistent in dorsal aspect of nasopharynx
obstruction of nares, ventral displacement of soft palate
failed development causes partial/complete lack of adenohypophysis
mucinous cysts form
slow growth, puppy coat
Term
Carniopharyngioma
Definition
benign, slow growing tumor
derived from remnants of oropharyngeal epithelium of Rathke's pouch
compresses structure nearby
decreased secretion of pituitary tropic hormones, ADH, cranial nerve deficits, CNS dysfunction
Term
Pituitary Adenoma in Horses
Definition
adenoma of pars intermedia
occurs more often in mares
large tumors that compress hypothalamus
Hirtuism, PU/PD, ravenous appetite, intermittent pyrexia, hyperhidrosis
Term
Functional Pituitary Adenoma in Dogs
Definition
adenoma of pars distalis/intermedia
usually ACTH-secreting cells
magnitude of effect not related to tumor size
causes hyperplasia of adrenal cortex and Cushing's disease
Term
Nonfunctional Pituitary Adenoma in Dogs
Definition
pars intermediate/distalis origin
compresses and effaces adjacent structures (pars nervosa, hypothalamus, optic chiasm)
Term
Diabetes insipidus
Definition
disruption of ADH production due to:
compression/destruction of pars nervosa by cysts or neoplasia, inflammation, trauma
Or due to failure of response to ADH by kidneys (acquired/congenital)
PU/PD, hypotonic urine, no glucose in urine
Term
Waterhouse–Friderichsen syndrome
Definition
adrenal gland failure due to hemorrhage into the adrenal glands, secondary to severe bacterial infection
see reddening of adrenal cortex, hemorrhage
due to Salmonella, E.coli
Term
Hypoadrenocorticism Causes
Definition
Primary causes: adrenalitis, hemorrhage, idiopathic atrophy
Secondary causes: decreased ACTH, iatrogenic
Term
Hypoadrenocorticism Signs
Definition
Mineralocoricoid deficiencyL
decrease sodium resorption leads to hyperkalemia and polyrua
hyperkalemia leads to bradycardia

Glucocorticoid deficiency:
hyperpigmentation of skin
Term
Hyperadrenocorticism Causes
Definition
Primary: functional cortical neoplasia, idiopathic hyperplasia (certain breeds)

Secondary (most common): functional corticotroph adenoma of pituitary

cortisol increases protein catabolism and decreases protein synthesis
Term
Hyperadrenocorticism Signs
Definition
PU/PD
Penduluous abdomen
Hepatomegaly (glycogen storage)
Alopecia of ventral abdomen, cutaneous atrophy
Calcinosis cutis
Term
Nodular Adrenal Cortical Hyperplasia
Definition
in older dogs, cats, horses
Term
Diffuse Adrenal Cortical Hyperplasia
Definition
due to oversecretion of ACTH
Term
Cortical Adenoma
Definition
in older dogs
usually incidental finding
Term
Adrenocortical Carcinoma
Definition
in older dogs, cattle
often large, invasive, metastatic
Term
Ferret Adrenal-Associated Endocrinopathy
Definition
associated with high estrogen levels with adrenal proliferation
zona reticularis produces androgens which may be converted to estrogen
alopecia, swollen vulva, pyometra, prostatic cysts, squamous metaplasia
Term
Pheochromocytoma
Definition
originates from chromaffin cells of adrenal medulla
large, effacing, benign/malignant
often not functional
makes hormones to increase heart rate animal
Has a lot of vasculature and seen only in the medulla of the adrenals
can invade into vena cava and peritoneum
Term
Functional Pheochromocytoma
Definition
Secretes Epinephrine
increases heart rate, blood pressure
increases lipid breakdown
peripheral vasoconstriction
coronary and bronchial dilation
uses glycogen storage

causes tachycardia, cardiac hypertrophy
Term
Hypothyroidism
Definition
Most cases come in with skin signs
decreased metabolic rate, lethargy, dullness, weight gain, cold interolerance
hyperkeratosis with alopecia on ventral chest
hypercholesterolemia causing atherosclerosis, hepatomegaly, glomerular lipidosis
Term
Hypothyroidism Causes
Definition
idiopathic follicular collapse
lymphocytic thyroiditis (Hashimoto's)
secondary to pituitary neoplasia
Grave's disease-antibody mimics receptor of TSH and binds and blocks off receptors
Term
Multifocal Nodular Hyperplasia of Thyroid
Definition
aging change in horses, dogs, cats
nonfunctional
incidental finding except in cats
Term
Diffuse Hyperplastic and Colloid Goiter Causes
Definition
due to iodine deficiency and toxic goitrogens
Term
Diffuse Hyperplastic Goiter Signs
Definition
affects foals, lambs, kids, pigs
stillbirths, prolonged gestation
alopecia in lambs
palpable bilateral thyroid enlargement
poor coat quality, ram libido in adults
Term
Colloid Goiter
Definition
a large, soft goiter with distended spaces filled with colloid
as T3/T4 returns to normal, TSH levels drop which reduce the uptake of colloid from follicles
this causes accumulation of colloid in the follicles
Term
Congenital Dyshormonogenetic Goiter
Definition
genetic recessive trait in sheep
due to thyroglobulin synthesis defect
not due to iodine deficiency or failure of uptake
Term
Hyperthyroidism Signs in Cats
Definition
hyperactivity
weight loss despite increased appetite
PU/PD
moderate hyperthermia
tachycardia, cardiomegaly
Term
Hyperthyroidism Causes in Cats
Definition
multinodular hyperplasia
Follicular cell adenoma/adenocarcinoma
Term
Hyperthyroidism Signs in Dogs
Definition
PU/PD
muscle weakness/atrophy
decreased exercise intolerance
weight loss despite increased appetite
heat intolerance
pacing, nervous
tachycardia
Term
Hyperthyroidism Causes in Dogs
Definition
follicular cell adenoma/adenocarcinoma
Term
Follicular Cell Adenoma
Definition
common in cats as cause of hyperthyroidism
solitary mass
often functional
Term
Follicular Cell Adenocarcinoma
Definition
common in dogs as cause of hyperthyroidism
invasive, metastatic to esophagus, trachia
often nonfunctional
Term
Thyroid C-cell Adenoma/Adenocarcinoma
Definition
happens in bulls on high calcium diets
tumor produces calcitonin to decrease plasma calcium and increase bone deposition
compresses normal thyroid
Very pale in comparison to thyroid tumor
Will break through capsule often and invade surrounding tissue
Term
Hypoparathyroidism Causes
Definition
usually lymphocytic parathyroiditis
destruction by neoplasia
burn out due to long term hypercalcemia
Term
Hypoparathyroidism Signs
Definition
excitability, restlessness
ataxia, tremors progressing to tetany
Term
Primary Hyperparathyroidism Causes
Definition
adenoma of chief cell origin
often functional tumor secreting PTH
Term
Hyperparathyroidism Signs
Definition
fibrous osteodrystphy
hypercalcemia, PU/PD, depression, weakness
metastatic calcification
Term
Secondary Nutritional Hyperparathyroidism
Definition
common in most domestic animals except ruminants
diets are low in Ca, high in P, low in Vitamin D
feeding bran or insects which are high in P
Term
Secondary Renal Hyperparathyroidism
Definition
reduced GFR-->retention of P-->decreased calcium--> increased PTH

decreased production of vitamin D3 leads to hypocalcemia
Term
Pseudohyperparathyroidism
Definition
paraneoplastic syndrome
humoral hypercalcemia of malignancy
tumor produces PTH or PTH-like substance
Term
Pseudohyperparathyroidism Causes
Definition
apocrine gland adenocarcinoma
lymphosarcoma
Term
Pseudohyperparathyroidism Signs
Definition
persistent hypercalcemia and hyperphosphatemia
atrophy of parathyroids
thyroid C cell hyperplasia
reduction with removal of neoplasia
Term
Pancreatic Cell Function
Definition
Alpha cells-glucagon
Beta cells- insulin
Gamma cells-somatostatin
Term
Diabetes Mellitus Types
Definition
Type 1-failure to produce insulin
Type 2-failure to respond to insulin
Type 1 common in female dogs
Type 2 common in old, obese cats
Term
Diabetes Mellitus Signs
Definition
PU/PD
polyphagia
weakness
Term
Diabetes Mellitus Causes
Definition
Older Dogs: inflammation, degeneration
Younger Dogs: idiopathic pancreatic atrophy, inflammation, agenesis/hypoplasia, autoimmune destruction
Term
Diabetes Mellitus in Cats
Definition
associated with older, obese, male castrated cats
early hydropic change and later amyloidosis of islets
insulin resistance in muscle, liver
Term
Extrapancreatic Lesions of Diabetes Mellitus
Definition
Hepatomegaly
Cataracts
Microangiopathy
Cystitis
Glycogen nephrosis
Term
Functional B-cell Neoplasia
Definition
more likely to be carcinoma
causes hypoglycemia
weakness, ataxia, seizures
Term
Insulinoma
Definition
low blood sugar due to overproduction of insulin
Give sugar to fix this
Beta cell tumor
Term
Glucagonoma
Definition
high blood sugar
Remove the tumor
Term
Gastrinoma
Definition
overproduction of acid in the stomach
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