Orchestra
Hypothalamo-pituitary-thyroid axis
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Hypothalamo-pituitary ? adreno-corticalaxis
Hypothalamo-pituitary-gonadal axis
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Hypothalamo-sympatho-adrenal axis
Hypophysiotropic hormones
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TRHCRH
GnRH
GRH
GIH/Somatostatin
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PIHPRH
Releasing hormones
Thyrotropin Releasing hormones (TRH)
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-Secreted from paraventricular nucleus ofhypothalamus
-Stimulates TSH
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-Also promotes GH and ProlacinGonadotropin Releasing Hormone (GnRH)
- Secreted by Arcuate nucleus of hypothalamus
- Stimulates LH, FSH
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Releasing hormonesCorticotropin Releasing Hormone (CRH)
- Secreted
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fromParaventricular
nuclei
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of
hypothalamus
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- Stimulates ACTH- Promotes POMC gene in corticotrophs
- Also promotes endorphins and lipotrophins
secretion
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Growth hormone releasing hormone (GHRH)
- Secreted from arcuate nucleus of hypothalamus
- Stimulates secretion of GH
Prolactin releasing hormone (PRH)
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-Stimulates prolactin secretionInhibiting Hormones
Growth hormone inhibiting hormone (GHIH)
-Secreted from anterior periventricular nucleus
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- Inhibits growth hormone, prolactin, TSHProlactin Inhibiting hormone (PIH)
- Dopamine secreted from arcuate nucleus
- Inhibits Prolactin, TSH,GH
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Kallaman's syndrome
Hypogonadotropic hypogonadism
Hyposmia or anosmia
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Common in menMutation of KALIG1 gene on X
chromosome
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Cell types in anterior pituitarySomatotropes
Corticotropes
Thyrotropes
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GonadotropesLactotropes/Mammotropes
Hypopituitarism is marked by abnormal
pallor
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Hyperpigmentation in adrenal
insufficiency
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Effects of Pituitary insufficiencyDestroyed by disease- Supracellar cysts
Pituitary tumors
Postpartum necrosis ? Sheehan
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syndrome
Remnanats of Rathke pouch
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enlargement and compression ofpituitary
Hypopituitarism
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Adrenal cortex atrophiesStress induced aldosterone secretion is
absent
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Growth is inhibitedThyroid function is depressed
Gonads atrophy
Hypophysectomy ameliorates diabetes
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mellitusDiabetes Insipidus