SEELEY'S ANATOMY+PHYSIOLOGY
SEELEY'S ANATOMY+PHYSIOLOGY
12th Edition
ISBN: 9781260172195
Author: VanPutte
Publisher: RENT MCG
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Chapter 18, Problem 5CT
Summary Introduction

To determine:

The reason for Julie’s condition and the treatments that can be recommended.

Introduction:

Julie has gained weight over the past year and feels weak. The blood test results indicate increased levels of cortisol and ACTH (adrenocorticotropic hormone) in the blood. However, the results do not indicate any extrapituitary source of the hormone ACTH.

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Over the past year, Julie has gradually gained weight. The increasein adipose tissue is distributed over her trunk, face, and neck, and hermuscle mass appears to be decreased. Julie also feels weak and bruiseseasily. Her physician suspects Cushing syndrome and orders a seriesof blood tests. The results reveal elevated blood levels of cortisol andACTH. There is no evidence of an extrapituitary source of ACTH.Predict the cause of Julie’s condition and the treatments that are likelyto be recommended
Becky has lost 30 pounds over the past several months, even though herappetite has been good and she has been eating more than usual. Shecomplains to her physician that she is nervous and restless, has a shortattention span, becomes fatigued easily but cannot sleep well, movescompulsively, and sweats excessively. Her physician notes that she alsoexhibits tachycardia. Suspecting hyperthyroidism, he orders a blood test,which indicates elevated levels of T3 and T4 and low levels of TSH. Beckyalso has a TSH-like immunoglobulin in her plasma. Explain these results.
Certain endocrine disorders, such as Cushing syndrome, can becaused by excessive secretion of a hormone (in this case, ACTH) bythe pituitary gland, or by a problem with the adrenal gland itself. Ifyou were able to measure the ACTH levels of a Cushing patient,how could you tell the difference between a pituitary problem and aprimary adrenal gland problem?

Chapter 18 Solutions

SEELEY'S ANATOMY+PHYSIOLOGY

Ch. 18.2 - Prob. 11AYPCh. 18.2 - Prob. 12AYPCh. 18.2 - Prob. 13AYPCh. 18.2 - What effects do stress, blood amino acid levels,...Ch. 18.2 - Describe the effects of GH on its target tissues.Ch. 18.2 - Prob. 16AYPCh. 18.2 - Prob. 17AYPCh. 18.2 - Prob. 18AYPCh. 18.2 - For each of the following hormones secreted by the...Ch. 18.2 - Prob. 20AYPCh. 18.2 - What is a gonadotropin? Name two...Ch. 18.3 - Prob. 22AYPCh. 18.3 - Prob. 23AYPCh. 18.3 - How are the thyroid hormones transported in the...Ch. 18.3 - Prob. 25AYPCh. 18.3 - Starting in the hypothalamus, explain how chronic...Ch. 18.3 - Prob. 27AYPCh. 18.3 - Prob. 28AYPCh. 18.3 - Prob. 29AYPCh. 18.3 - What conditions cause hyperthyroidism? Describe...Ch. 18.3 - Prob. 31AYPCh. 18.4 - Prob. 32AYPCh. 18.4 - Prob. 33AYPCh. 18.4 - Prob. 34AYPCh. 18.4 - Prob. 35AYPCh. 18.4 - What can cause hypoparathyroidism?Describe the...Ch. 18.4 - Prob. 37AYPCh. 18.5 - Where are the adrenal glands located? Describe the...Ch. 18.5 - Name two hormones secreted by the adrenal medulla,...Ch. 18.5 - Prob. 40AYPCh. 18.5 - Prob. 41AYPCh. 18.5 - Name the target tissue ofaldosterone, and list...Ch. 18.5 - Prob. 43AYPCh. 18.5 - Prob. 44AYPCh. 18.5 - List the possible causes of hypersecretion of...Ch. 18.5 - Prob. 46AYPCh. 18.6 - Prob. 47AYPCh. 18.6 - Prob. 48AYPCh. 18.6 - How does insulin affect the satiety center of the...Ch. 18.6 - Prob. 50AYPCh. 18.6 - Prob. 51AYPCh. 18.7 - Prob. 52AYPCh. 18.7 - Prob. 53AYPCh. 18.7 - Prob. 54AYPCh. 18.8 - Prob. 55AYPCh. 18.8 - List the hormones secreted by the ovaries, and...Ch. 18.8 - What hormones from the anterior pituitary gland...Ch. 18.8 - Prob. 58AYPCh. 18.9 - Prob. 59AYPCh. 18.9 - Prob. 60AYPCh. 18.10 - What hormone is secreted by the thymus? What is...Ch. 18.10 - Prob. 62AYPCh. 18.10 - Prob. 63AYPCh. 18.10 - Prob. 64AYPCh. 18.10 - List examples of paracrine chemical messengers...Ch. 18.10 - Prob. 66AYPCh. 18.11 - Prob. 67AYPCh. 18.11 - Prob. 68AYPCh. 18 - The pituitary gland a. develops from the floor of...Ch. 18 - The hypothalamohypophysial portal system a....Ch. 18 - Prob. 3RACCh. 18 - Prob. 4RACCh. 18 - Prob. 5RACCh. 18 - Prob. 6RACCh. 18 - Prob. 7RACCh. 18 - Hypersecretion of growth hormone a.results in...Ch. 18 - Prob. 9RACCh. 18 - Prob. 10RACCh. 18 - Prob. 11RACCh. 18 - Prob. 12RACCh. 18 - Prob. 13RACCh. 18 - Parathyroid hormone secretion increases in...Ch. 18 - Prob. 15RACCh. 18 - Prob. 16RACCh. 18 - In the condition in which a benign tumor results...Ch. 18 - Which of these is nor a hormone secreted by the...Ch. 18 - Prob. 19RACCh. 18 - Prob. 20RACCh. 18 - Prob. 21RACCh. 18 - Within the pancreas, the pancreatic islets produce...Ch. 18 - Insulin increases a. the uptake of glucose by its...Ch. 18 - Prob. 24RACCh. 18 - Prob. 25RACCh. 18 - Prob. 26RACCh. 18 - Prob. 27RACCh. 18 - Prob. 28RACCh. 18 - Prob. 29RACCh. 18 - Prob. 30RACCh. 18 - Prob. 1CTCh. 18 - Prob. 2CTCh. 18 - A patient complains of headaches and visual...Ch. 18 - Prob. 4CTCh. 18 - Prob. 5CTCh. 18 - Prob. 6CTCh. 18 - Prob. 7CTCh. 18 - Predict some of the consequences of exposure to...Ch. 18 - Katie was getting nervous. At 16, she was the only...
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