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Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
ENDOCRINE SYSTEM
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N, MULLANA
• System of ductless glands
• Regulates body functions via
hormones secreted into the
bloodstream.
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Mechanisms of hormone release
(a) Humoral: in response to changing levels of ions
or nutrients in the blood
(b) Neural: stimulation by nerves
(c) Hormonal: stimulation received from other
hormones
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
2
ENDOCRINE SYSTEM
Major Endocrine Glands:
• Hypothalamus
• Pituitary Gland
• Thyroid Gland
• Parathyroid Gland
• Thymus
• Adrenal Gland
Other organs containing
endocrine tissue:
• Pancreas
• Kidneys
• Heart
• Digestive Tract
• Placenta
• Testes
• Ovaries
• Pineal Gland
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
3
ENDOCRINE SYSTEM
HYPOTHALAMUS
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
4
• ‘Master Gland’
• Function : Control centre
• Attached to roof of third ventricle,
near thalamus
• Continuously receive information
on status of body systems via nerve
impulses
• Monitors composition &
temperature of blood
• Messages interpreted, evaluated :
outgoing messages dispatched via
nerves / hormones
• Plays role in feedback systems that
govern secretions of endocrine
system
2. PITUITARY GLAND
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
5
• Pea sized mass of glandular
tissue
• Lies in sella turcica
• Slender stalk: Infundibulum
connects pituitary gland to
hypothalamus
• 2 parts : Neurohypophysis
Adenohypophysis
Indirectly controls :
• Growth
• Metabolism
• Sexual reproduction
• Lactation
2. PITUITARY GLAND: PARTS
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
6
Neurohypophysis Adenohypophysis
Small posterior lobe Large anterior lobe
Stores hormones Releases hormones
Oxytocin Growth hormone (GH)
Anti Diuretic hormone
(ADH)
Thyroid Stimulating hormone
(TSH)
Adenocorticotropic hormone
(ACTH)
Lutenizing hormone (LH)
Follicle stimulating hormone
(FSH)
Melanocyte stimulating
hormone (MSH)
Prolactin (PRL)
2. PITUITARY GLAND: HORMONES
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
7
HORMONES EFFECTS
Oxytocin (OC) Stimulates contraction of uterus & contractile
cells of breast
ADH Prevents excess urine production
GH General body growth
ACTH Stimulate adrenal cortex to release hormone
TSH Controls thyroid gland
LH Stimulates sexual & reproductive function
FSH Stimulate production of sperm & egg in
ovaries & testis
MSH Related to skin pigmentation
PRL Initiates milk production in breast
Posterior
Pituitary
Anterior
Pituitary
3. THYROID GLAND
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
• Located in middle anterior
part of neck: below larynx, in
front of trachea
• “Butterfly” shape
• 2 lobes connected by isthmus
• ↑ in size : puberty &
pregnancy
• Rich blood supply: able to
deliver high levels of
hormones in short period of
time
• Produces Thyroxin (T4) &
Tri-iodothyronine (T3)
• Calcitonin : involved in
calcium & phosphate
homeostasis
4. PARATHYROID GLAND
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
9
• Small rounded mass
• Attached to posterior surface of
thyroid gland
• Produces Parathyroid hormone
(PTH)
• Controls homeostasis of calcium
& phosphate in blood by
activating Vitamin D
5. THYMUS
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
10
•Plays a role in the immune
system
•Produces thymosin, thymic
humaral factor & thymic factor
•Responsible for maturation of
T-lymphocytes
HARMONES OF THYROID, PARATHYROID & THYMUS
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
11
ORGAN HORMONE EFFECT
Thyroid gland
(Follicular cells)
T3 & T4 energy utilization
oxygen consumption
growth & development
Thyroid gland
(C cells)
Calcitonin ↓ Calcium ion concentration
in body fluids
Parathyroid PTH ↑ Calcium ion concentration
in body fluids
Thymus Thymosin Maturation & functional
competence of immune
system
↑
6. ADRENAL GLAND
Endocrine System… POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
12
• Located superior to the
kidney
• Divided into: (i) outer cortex
(ii) inner
medulla
6. ADRENAL GLAND
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
13
ADRENAL CORTEX ADRENAL MEDULLA
Secretes steroid hormones Secretes hormones controlled by
ANS
Glucocorticoids (metabolism) eg.
cortisol
Epinephrine (Adrenaline)
Mineralocorticoids (homeostasis of
ions) eg. Aldosterone
Norepinephrine (Noradrenaline)
Gonadocorticoids (oestrogens &
androgens)
ADRENAL HORMONES
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
14
EFFECTHARMONESREGION
↑cardiac activity
↑blood pressure
↑glycogen breakdown
↑blood glucose
Epinephrine
(Adrenaline),
Norepinephrine
(Noradrenaline)
Medulla
Androgens3. Zona Reticularis
Releases amino acids from skeletal
muscle & lipids from adipose.
Promotes liver glycogen & glucose
formation
Anti inflammatory effect
Glucocorticoid:
cortisol
2. Zona fasciculata
↑Renal reabsorption of sodium ions
& water.
↑renal potassium ion loss
Mineralocorticoid:
Aldosterone
Cortex
1. Zona glomerulos
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
15
7. PANCREAS
• Flattened organ
• Lies retroperitoneally &
transversly across posterior
abdominal wall
• Posterior to stomach, between
doudenum on right & spleen
on left
• Classified as exocrine &
endocrine
Hormones:
• Islets of Langerhans
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
16
HORMONES OF PANCREAS
CELLS HARMONE EFFECT
Alpha (α) cells Glucagon Glucose synthesis & glycogen
breakdown in liver
↑ Blood glucose concentration
Beta (β) cells Insulin Stimulation of lipids & glycogen
storage & formation
↓ Blood glucose concentration
Delta (δ) cells Somatostatin Inhibits secretion of insulin &
glucagon
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
12 & 13. TESTES & OVARIES
TESTES:
• Located within scrotum
• Produce testosterone
• Stimulates development of male
sexual characteristics
OVARIES:
• Located in pelvic cavity
• Produce oestrogen &
progesterone
• Responsible for development &
maintenance of female
characteristics & menstrual cycle
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
18
HORMONES OF REPRODUCTIVE SYSTEM
CELLS HORMONES EFFECT
Testes
Interstitial cells
1. Testosterone
2. Inhibin
1. Maturation of sperm
Male secondary sex characteristics
2. Inhibits secretion of FSH
Ovaries
Follicle cells
1. Oestrogen
2. Inhibin
1. Follicle maturation
Female secondary sex characteristic
2. Inhibits secretion of FSH
Corpus Luteum Progesterone Prepare uterus for implantation
Prepare breast for secretory function
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
19
OTHER ENDOCRINE TISSUES
KIDNEYS:
• Renal Erythropoietic factor: erythropoietin
HEART:
• Atrial Natriuretic factor (ANF)
GIT:
• Stomach gastrin, enteric gastrin, secretin, cholecystokinin,
enterocinin, gastric inhibiting hormone
PLACENTA:
• Human chorionic gonadotropin, oestrogen, progesterone,
relaxin
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
20
ENDOCRINE DISORDERS
2 Categories:
• Abnormal hormone production
• Abnormal cellular sensitivity
ACROMEGALY:
• Over production of growth
hormone
• Bone shape changes
• Cartilaginous areas of skeleton
enlarge
• Broad facial features
• Enlarged lower jaw
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
2 1
ENDOCRINE DISORDERS
CRETINISM
• Results from thyroid
hormone insufficiency in
infancy
Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
22
ENDOCRINE DISORDERS
GOITER
• Enlarged thyroid gland
• Results from thyroid hormone
hyposecretion
• Due to iodine insufficiency
Endocrine System…. …. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA
23
ENDOCRINE DISORDERS
CUSHING’S SYNDROME
• Results from hypersecretion of
glucocorticoids
• Lipid reserves are mobilized
• Adipose tissue accumulates in
cheeks & base of neck
Endocrine System…. …. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
FEEDBACK CONTROL OF HORMONE RELEASE
• Regulation
Eg. Production of releasing substance / inhibiting substance
→ Release of hormone from pituitary gland
→ stimulates hormone release by target gland
→ hormone exert normal effect & influence further release
of a releasing or inhibiting substance
→ inhibit release of hormone from pituitary gland
Endocrine System…. …. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
RAISE YOUR HANDS AND ANSWER THE QUESTION.
Q 1. Which hormones are
responsible for milk
production and milk
secretion?
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
 ANSWER:
MILK PRODUCTION: PROLACTIN
MILK SECRETION: OXYTOCIN
Q.2 IDENTIFY THE MISSING
PARTS.
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Q.3As glands help for every
response in endocrine system,
like wise neuron helps for every
response in nervous system .
TRUE OR FALSE????
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
ANSWER:
TRUE, ThaT’s
nEURon.
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Q 4. TSH AND LH STANDS
FOR?
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
TSH =
THYROID STIMULATING
HORMONE
LH=
LEUTINIZING HORMONE
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
PEHCHAN KON?????
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,

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Endocrine system

  • 1. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 2. ENDOCRINE SYSTEM Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N, MULLANA • System of ductless glands • Regulates body functions via hormones secreted into the bloodstream.
  • 3. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 4. Mechanisms of hormone release (a) Humoral: in response to changing levels of ions or nutrients in the blood (b) Neural: stimulation by nerves (c) Hormonal: stimulation received from other hormones Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 5. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 2 ENDOCRINE SYSTEM Major Endocrine Glands: • Hypothalamus • Pituitary Gland • Thyroid Gland • Parathyroid Gland • Thymus • Adrenal Gland
  • 6. Other organs containing endocrine tissue: • Pancreas • Kidneys • Heart • Digestive Tract • Placenta • Testes • Ovaries • Pineal Gland Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 3 ENDOCRINE SYSTEM
  • 7. HYPOTHALAMUS Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 4 • ‘Master Gland’ • Function : Control centre • Attached to roof of third ventricle, near thalamus • Continuously receive information on status of body systems via nerve impulses • Monitors composition & temperature of blood • Messages interpreted, evaluated : outgoing messages dispatched via nerves / hormones • Plays role in feedback systems that govern secretions of endocrine system
  • 8. 2. PITUITARY GLAND Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 5 • Pea sized mass of glandular tissue • Lies in sella turcica • Slender stalk: Infundibulum connects pituitary gland to hypothalamus • 2 parts : Neurohypophysis Adenohypophysis Indirectly controls : • Growth • Metabolism • Sexual reproduction • Lactation
  • 9.
  • 10. 2. PITUITARY GLAND: PARTS Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 6 Neurohypophysis Adenohypophysis Small posterior lobe Large anterior lobe Stores hormones Releases hormones Oxytocin Growth hormone (GH) Anti Diuretic hormone (ADH) Thyroid Stimulating hormone (TSH) Adenocorticotropic hormone (ACTH) Lutenizing hormone (LH) Follicle stimulating hormone (FSH) Melanocyte stimulating hormone (MSH) Prolactin (PRL)
  • 11. 2. PITUITARY GLAND: HORMONES Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 7 HORMONES EFFECTS Oxytocin (OC) Stimulates contraction of uterus & contractile cells of breast ADH Prevents excess urine production GH General body growth ACTH Stimulate adrenal cortex to release hormone TSH Controls thyroid gland LH Stimulates sexual & reproductive function FSH Stimulate production of sperm & egg in ovaries & testis MSH Related to skin pigmentation PRL Initiates milk production in breast Posterior Pituitary Anterior Pituitary
  • 12. 3. THYROID GLAND Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA • Located in middle anterior part of neck: below larynx, in front of trachea • “Butterfly” shape • 2 lobes connected by isthmus • ↑ in size : puberty & pregnancy • Rich blood supply: able to deliver high levels of hormones in short period of time • Produces Thyroxin (T4) & Tri-iodothyronine (T3) • Calcitonin : involved in calcium & phosphate homeostasis
  • 13. 4. PARATHYROID GLAND Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 9 • Small rounded mass • Attached to posterior surface of thyroid gland • Produces Parathyroid hormone (PTH) • Controls homeostasis of calcium & phosphate in blood by activating Vitamin D
  • 14. 5. THYMUS Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 10 •Plays a role in the immune system •Produces thymosin, thymic humaral factor & thymic factor •Responsible for maturation of T-lymphocytes
  • 15. HARMONES OF THYROID, PARATHYROID & THYMUS Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 11 ORGAN HORMONE EFFECT Thyroid gland (Follicular cells) T3 & T4 energy utilization oxygen consumption growth & development Thyroid gland (C cells) Calcitonin ↓ Calcium ion concentration in body fluids Parathyroid PTH ↑ Calcium ion concentration in body fluids Thymus Thymosin Maturation & functional competence of immune system ↑
  • 16. 6. ADRENAL GLAND Endocrine System… POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 12 • Located superior to the kidney • Divided into: (i) outer cortex (ii) inner medulla
  • 17. 6. ADRENAL GLAND Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 13 ADRENAL CORTEX ADRENAL MEDULLA Secretes steroid hormones Secretes hormones controlled by ANS Glucocorticoids (metabolism) eg. cortisol Epinephrine (Adrenaline) Mineralocorticoids (homeostasis of ions) eg. Aldosterone Norepinephrine (Noradrenaline) Gonadocorticoids (oestrogens & androgens)
  • 18. ADRENAL HORMONES Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 14 EFFECTHARMONESREGION ↑cardiac activity ↑blood pressure ↑glycogen breakdown ↑blood glucose Epinephrine (Adrenaline), Norepinephrine (Noradrenaline) Medulla Androgens3. Zona Reticularis Releases amino acids from skeletal muscle & lipids from adipose. Promotes liver glycogen & glucose formation Anti inflammatory effect Glucocorticoid: cortisol 2. Zona fasciculata ↑Renal reabsorption of sodium ions & water. ↑renal potassium ion loss Mineralocorticoid: Aldosterone Cortex 1. Zona glomerulos
  • 19. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 15 7. PANCREAS • Flattened organ • Lies retroperitoneally & transversly across posterior abdominal wall • Posterior to stomach, between doudenum on right & spleen on left • Classified as exocrine & endocrine Hormones: • Islets of Langerhans
  • 20. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 16 HORMONES OF PANCREAS CELLS HARMONE EFFECT Alpha (α) cells Glucagon Glucose synthesis & glycogen breakdown in liver ↑ Blood glucose concentration Beta (β) cells Insulin Stimulation of lipids & glycogen storage & formation ↓ Blood glucose concentration Delta (δ) cells Somatostatin Inhibits secretion of insulin & glucagon
  • 21.
  • 22. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 12 & 13. TESTES & OVARIES TESTES: • Located within scrotum • Produce testosterone • Stimulates development of male sexual characteristics OVARIES: • Located in pelvic cavity • Produce oestrogen & progesterone • Responsible for development & maintenance of female characteristics & menstrual cycle
  • 23. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 18 HORMONES OF REPRODUCTIVE SYSTEM CELLS HORMONES EFFECT Testes Interstitial cells 1. Testosterone 2. Inhibin 1. Maturation of sperm Male secondary sex characteristics 2. Inhibits secretion of FSH Ovaries Follicle cells 1. Oestrogen 2. Inhibin 1. Follicle maturation Female secondary sex characteristic 2. Inhibits secretion of FSH Corpus Luteum Progesterone Prepare uterus for implantation Prepare breast for secretory function
  • 24. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 19 OTHER ENDOCRINE TISSUES KIDNEYS: • Renal Erythropoietic factor: erythropoietin HEART: • Atrial Natriuretic factor (ANF) GIT: • Stomach gastrin, enteric gastrin, secretin, cholecystokinin, enterocinin, gastric inhibiting hormone PLACENTA: • Human chorionic gonadotropin, oestrogen, progesterone, relaxin
  • 25. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 20 ENDOCRINE DISORDERS 2 Categories: • Abnormal hormone production • Abnormal cellular sensitivity ACROMEGALY: • Over production of growth hormone • Bone shape changes • Cartilaginous areas of skeleton enlarge • Broad facial features • Enlarged lower jaw
  • 26. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 2 1 ENDOCRINE DISORDERS CRETINISM • Results from thyroid hormone insufficiency in infancy
  • 27. Endocrine System…. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 22 ENDOCRINE DISORDERS GOITER • Enlarged thyroid gland • Results from thyroid hormone hyposecretion • Due to iodine insufficiency
  • 28. Endocrine System…. …. POOJA SAHARAN, M.Sc NSG. I YR. M.M C.O.N, MULLANA 23 ENDOCRINE DISORDERS CUSHING’S SYNDROME • Results from hypersecretion of glucocorticoids • Lipid reserves are mobilized • Adipose tissue accumulates in cheeks & base of neck
  • 29. Endocrine System…. …. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N, FEEDBACK CONTROL OF HORMONE RELEASE • Regulation Eg. Production of releasing substance / inhibiting substance → Release of hormone from pituitary gland → stimulates hormone release by target gland → hormone exert normal effect & influence further release of a releasing or inhibiting substance → inhibit release of hormone from pituitary gland
  • 30. Endocrine System…. …. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N, RAISE YOUR HANDS AND ANSWER THE QUESTION.
  • 31. Q 1. Which hormones are responsible for milk production and milk secretion? Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 32.  ANSWER: MILK PRODUCTION: PROLACTIN MILK SECRETION: OXYTOCIN
  • 33. Q.2 IDENTIFY THE MISSING PARTS. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 34. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 35. Q.3As glands help for every response in endocrine system, like wise neuron helps for every response in nervous system . TRUE OR FALSE???? Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 36. ANSWER: TRUE, ThaT’s nEURon. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 37. Q 4. TSH AND LH STANDS FOR? Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 38. TSH = THYROID STIMULATING HORMONE LH= LEUTINIZING HORMONE Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 39. PEHCHAN KON????? Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 40. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,
  • 41. Endocrine System…. POOJA SAHARAN, M.Sc NSG I YR. M.M C.O.N,