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Disorders Related to the Endocrine System Jeff Buttram Bio 120 - Medical Terminology
This presentation will focus on the following two disorders:  hypercalcemia  glycosuria
hypercalcemia excessive amounts of calcium in the blood.
Normal levels of calcium in the body (blood) assist with: bone maintenance. muscle contraction. hormone release. brain and nerve function.  * too much or too little calcium can interfere with the above functions.
Endocrine system glands that regulate healthy calcium levels: parathyroid - produces more parathyroid hormone (PTH) when calcium levels fall or less when levels are too high. thyroid - produces calcitonin which slows the release of calcium from the body.
* Image of parathyroid and thyroid gland placement in the cervical (neck) area. 
Causes of hypercalcemia overactive parathyroid (main cause). cancer. certain medications. certain diseases. excessive use of calcium or vitamin D supplements.
Overactive parathyroid will increase parathyroid hormone ( PTH) release, therefore:  the bones will release excess calcium into blood. the digestive system will absorb excess calcium. the kidneys will excrete less calcium and activate vitamin D (calcitriol). Vitamin D is crucial to proper calcium absorption.
* diagram of normal PTH interaction with the body systems.
Types of cancer associated with hypercalcemia: lung. breast. multiple myeloma (cancer of plasma cells in bone marrow). tumors can cause paraneoplastic sydrome, where a protein that acts like PTH is released, initiating calcium release.
Medications associated with hypercalcemia Lithium - used to treat bipolar disorder. Increases release of PTH. Thiazide diuretics - used to treat hypertension and edema - decreases amount of calcium urinated.
Diseases associated with hypercalcemia: tuberculososis (TB) - infectious inflammatory disease most commonly affecting the respiratory system. sarcoidosis - inflammatory autoimmune disease of the lymph system. * both of the above are considered granulomatous disease because they are related to granuloma, or areas of inflamed tissue, that cause excess release of vitamin D (calcitriol). familial hypocalciuric hypercalcemia - a rare genetic defect results in  faulty calcium receptors.
Hypercalcemia complications osteoporosis - bones release too much calcium. kidney stones - crystals form from excess calcium. kidney failure - excess calcium affects kidneys ability to cleanse blood. nervous system - confusion, dementia, confusion. heart arrythmias - too much calcium can affect normal electrical impulses in the heart.
Hypercalcemia symptoms nausea/vomiting. loss of appetite. excess thirst. frequent urination. constipation. abdominal pain. muscle weakness. muscle/joint aches. confusion. fatigue.
Diagnostic tests for hypercalcemia: Blood tests - look for high calcium levels in blood or for excess PTH levels. Mammogram. Chest x-ray. MRI (magnetic resonance imaging). CT (computerized tomography) scan.  * above 4 tests test for lung or breast cancer, or granulomatous diseases.
glycosuria presence of excess sugar in the urine
Two main categories of causes for glycosuria hyperglycemia - blood glucose levels are so high that the renal tubules cannot absorb all of the gluscose (can't keep up). renal glycosuria - renal tubules cannot absorb glucose even when blood glucose levels are at normal to low levels (due to a defect in nephron ).
* Detail of renal tubules 
Conditions associated with glycosuria diabetes mellitus (most common) -insulin shortage  results in inefficient breakdown of glucose.   hyperthyroidism - leads to poor absorption of glucose from body's waste fluids. liver problems - conditions such as cirrhosis impair liver's ability to process carbohydrates. kidney disease - infections or disease impair glucose filtration. pregnancy - sugar "leaks" from kidney to urine common in pregnancy.
* Diagram detailing physiology of diabetes mellitus (type II)
Glycosuria diagnostics a urine sample is collected. a color sensitive "dipstick" changes color and is used to determine amount of glucose in urine.

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Presentation chap 11

  • 1. Disorders Related to the Endocrine System Jeff Buttram Bio 120 - Medical Terminology
  • 2. This presentation will focus on the following two disorders:  hypercalcemia  glycosuria
  • 3. hypercalcemia excessive amounts of calcium in the blood.
  • 4. Normal levels of calcium in the body (blood) assist with: bone maintenance. muscle contraction. hormone release. brain and nerve function.  * too much or too little calcium can interfere with the above functions.
  • 5. Endocrine system glands that regulate healthy calcium levels: parathyroid - produces more parathyroid hormone (PTH) when calcium levels fall or less when levels are too high. thyroid - produces calcitonin which slows the release of calcium from the body.
  • 6. * Image of parathyroid and thyroid gland placement in the cervical (neck) area. 
  • 7. Causes of hypercalcemia overactive parathyroid (main cause). cancer. certain medications. certain diseases. excessive use of calcium or vitamin D supplements.
  • 8. Overactive parathyroid will increase parathyroid hormone ( PTH) release, therefore:  the bones will release excess calcium into blood. the digestive system will absorb excess calcium. the kidneys will excrete less calcium and activate vitamin D (calcitriol). Vitamin D is crucial to proper calcium absorption.
  • 9. * diagram of normal PTH interaction with the body systems.
  • 10. Types of cancer associated with hypercalcemia: lung. breast. multiple myeloma (cancer of plasma cells in bone marrow). tumors can cause paraneoplastic sydrome, where a protein that acts like PTH is released, initiating calcium release.
  • 11. Medications associated with hypercalcemia Lithium - used to treat bipolar disorder. Increases release of PTH. Thiazide diuretics - used to treat hypertension and edema - decreases amount of calcium urinated.
  • 12. Diseases associated with hypercalcemia: tuberculososis (TB) - infectious inflammatory disease most commonly affecting the respiratory system. sarcoidosis - inflammatory autoimmune disease of the lymph system. * both of the above are considered granulomatous disease because they are related to granuloma, or areas of inflamed tissue, that cause excess release of vitamin D (calcitriol). familial hypocalciuric hypercalcemia - a rare genetic defect results in  faulty calcium receptors.
  • 13. Hypercalcemia complications osteoporosis - bones release too much calcium. kidney stones - crystals form from excess calcium. kidney failure - excess calcium affects kidneys ability to cleanse blood. nervous system - confusion, dementia, confusion. heart arrythmias - too much calcium can affect normal electrical impulses in the heart.
  • 14. Hypercalcemia symptoms nausea/vomiting. loss of appetite. excess thirst. frequent urination. constipation. abdominal pain. muscle weakness. muscle/joint aches. confusion. fatigue.
  • 15. Diagnostic tests for hypercalcemia: Blood tests - look for high calcium levels in blood or for excess PTH levels. Mammogram. Chest x-ray. MRI (magnetic resonance imaging). CT (computerized tomography) scan.  * above 4 tests test for lung or breast cancer, or granulomatous diseases.
  • 16. glycosuria presence of excess sugar in the urine
  • 17. Two main categories of causes for glycosuria hyperglycemia - blood glucose levels are so high that the renal tubules cannot absorb all of the gluscose (can't keep up). renal glycosuria - renal tubules cannot absorb glucose even when blood glucose levels are at normal to low levels (due to a defect in nephron ).
  • 18. * Detail of renal tubules 
  • 19. Conditions associated with glycosuria diabetes mellitus (most common) -insulin shortage  results in inefficient breakdown of glucose. hyperthyroidism - leads to poor absorption of glucose from body's waste fluids. liver problems - conditions such as cirrhosis impair liver's ability to process carbohydrates. kidney disease - infections or disease impair glucose filtration. pregnancy - sugar "leaks" from kidney to urine common in pregnancy.
  • 20. * Diagram detailing physiology of diabetes mellitus (type II)
  • 21. Glycosuria diagnostics a urine sample is collected. a color sensitive "dipstick" changes color and is used to determine amount of glucose in urine.