prepared by medical practitioner Dr.HARI BASKAR ,from Coimbatore,India, is well versed in physiology and general medical sciences is a most common reference author in this subject.This presentation focuses on the metabolic actions of thyroid hormone-THYROXIN.
PHYSIOLOGY
OF
THYROID
HORMONES
Understand the significance of the conversion of tetraiodothyronine (T4) to triiodothyronine (T3) and reverse T3 (rT3) in extrathyroidal tissues.
Understand how thyroid hormones produce their cellular effects.
Describe the physiological effects of thyroid hormones in the body.
Outline the mechanisms for regulation of thyroid hormone.
Correlate knowledge to hypo- and hypersecretion of thyroid hormones
prepared by medical practitioner Dr.HARI BASKAR ,from Coimbatore,India, is well versed in physiology and general medical sciences is a most common reference author in this subject.This presentation focuses on the metabolic actions of thyroid hormone-THYROXIN.
PHYSIOLOGY
OF
THYROID
HORMONES
Understand the significance of the conversion of tetraiodothyronine (T4) to triiodothyronine (T3) and reverse T3 (rT3) in extrathyroidal tissues.
Understand how thyroid hormones produce their cellular effects.
Describe the physiological effects of thyroid hormones in the body.
Outline the mechanisms for regulation of thyroid hormone.
Correlate knowledge to hypo- and hypersecretion of thyroid hormones
Thyroid hormone (The Guyton and Hall physiology)Maryam Fida
THYROID HORMONE
Location:
The thyroid gland located below the larynx on each side of and anterior to the trachea.
Largest Endocrine Hormone
Secretion:
secretes:
1. thyroxine (T4)
2. triiodothyronine (T3)
3. Also secretes calcitonin (an important hormone for calcium metabolism)
Cell: Thyrotopes
secretion is controlled by thyroid-stimulating hormone (TSH) from the anterior pituitary gland.
93% T4 & 7% T3
T4→T3 in tissues
Qualitatively same
Differ in Rapidity & Intensity of action.
T3 is 4 times more potent than T4, but decrease conc. In blood & decrease half life.
T3 and T4 combine mainly with thyroxine-binding globulin.
More than 90% of Thyroid hormone that binds with cellular receptors is T3.
T4
No effect for 2-3 days after injection
Long Latent Period.
Activity peaks in 10-12 days & ↓↓ with a half life of 15 days.
In some cases it takes 6 weeks-2 months.
T3
4 times rapid
Latent Period 6-12 hours
Peak in 2-3 days
Composed of large numbers of closed follicles filled with colloid and lined with cuboidal epithelial cells that secrete into the interior of the follicles
The major component of colloid is the large glycoprotein Thyroglobulin contains the thyroid hormones within its molecule.
50mg/year, 1mg/week
Ingested iodine in the form of iodides
Iodides ingested orally are absorbed from GIT
⅕ removed from the blood by thyroid cells for synthesis of hormones; rest excreted through kidneys.
Basal membrane of thyroid cells has an active pump to push iodides to interior (Iodine Pump).
Normally 30% more conc. Inside
Max. active 250% more conc. Inside
The rate of Iodine trapping is influenced by conc. of TSH
TSH stimulates and hypophysectomy greatly diminishes the activity of the iodide pump in thyroid cells.
The thyroid hormones, triiodothyronine (T3) and its prohormone, thyroxine (T4), are tyrosine-based hormones produced by the thyroid gland that are primarily responsible for regulation of metabolism. Iodine is necessary for the production of T3 and T4. A deficiency of iodine leads to decreased production of T3 and T4, enlarges the thyroid tissue and will cause the disease known as simple goitre. The major form of thyroid hormone in the blood is thyroxine (T4), which has a longer half-life than T3.The ratio of T4 to T3 released into the blood is roughly 20 to 1. T4 is converted to the active T3 (three to four times more potent than T4) within cells by deiodinases (5'-iodinase). These are further processed by decarboxylation and deiodination to produce iodothyronamine (T1a) and thyronamine (T0a). All three isoforms of the deiodinases are selenium-containing enzymes, thus dietary selenium is essential for T3 production.
Thyroid function tests help to determine if your thyroid is not working correctly. If blood levels of thyroid hormone are high, the brain senses this and sends a message to stop producing TSH.
This PPT gives the students the basic physiology of the Thyroid gland. It is the only Endocrine gland that can be palpable with your hands. Very useful to M.B.B.S; B.D.S as well as PG students.
TWO ADRENAL GLANDS: SUPERIOR POLES OF TWO KIDNEYS
COMPOSED: ADRENAL CORTEX AND ADRENAL MEDULLA
ADRENAL CORTEX: CORTICOSTEROIDS (MINERALOCORTICOIDS, GLUCOCORTICOIDS, ANDROGENIC HORMONES)
ANDROGENIC HORMONES: TESTOSTERONE
MINERALOCORTICOIDS: ELECTROLYTES
GLUCOCORTICOIDS: INCREASE BLOOD GLUCOSE CONC, PROTEIN AND FAT METABOLISM
ALDOSTERONE: MINERALOCORTICOIDS
CORTISOL: GLUCOCORTICOIDS
Thyroid hormone (The Guyton and Hall physiology)Maryam Fida
THYROID HORMONE
Location:
The thyroid gland located below the larynx on each side of and anterior to the trachea.
Largest Endocrine Hormone
Secretion:
secretes:
1. thyroxine (T4)
2. triiodothyronine (T3)
3. Also secretes calcitonin (an important hormone for calcium metabolism)
Cell: Thyrotopes
secretion is controlled by thyroid-stimulating hormone (TSH) from the anterior pituitary gland.
93% T4 & 7% T3
T4→T3 in tissues
Qualitatively same
Differ in Rapidity & Intensity of action.
T3 is 4 times more potent than T4, but decrease conc. In blood & decrease half life.
T3 and T4 combine mainly with thyroxine-binding globulin.
More than 90% of Thyroid hormone that binds with cellular receptors is T3.
T4
No effect for 2-3 days after injection
Long Latent Period.
Activity peaks in 10-12 days & ↓↓ with a half life of 15 days.
In some cases it takes 6 weeks-2 months.
T3
4 times rapid
Latent Period 6-12 hours
Peak in 2-3 days
Composed of large numbers of closed follicles filled with colloid and lined with cuboidal epithelial cells that secrete into the interior of the follicles
The major component of colloid is the large glycoprotein Thyroglobulin contains the thyroid hormones within its molecule.
50mg/year, 1mg/week
Ingested iodine in the form of iodides
Iodides ingested orally are absorbed from GIT
⅕ removed from the blood by thyroid cells for synthesis of hormones; rest excreted through kidneys.
Basal membrane of thyroid cells has an active pump to push iodides to interior (Iodine Pump).
Normally 30% more conc. Inside
Max. active 250% more conc. Inside
The rate of Iodine trapping is influenced by conc. of TSH
TSH stimulates and hypophysectomy greatly diminishes the activity of the iodide pump in thyroid cells.
The thyroid hormones, triiodothyronine (T3) and its prohormone, thyroxine (T4), are tyrosine-based hormones produced by the thyroid gland that are primarily responsible for regulation of metabolism. Iodine is necessary for the production of T3 and T4. A deficiency of iodine leads to decreased production of T3 and T4, enlarges the thyroid tissue and will cause the disease known as simple goitre. The major form of thyroid hormone in the blood is thyroxine (T4), which has a longer half-life than T3.The ratio of T4 to T3 released into the blood is roughly 20 to 1. T4 is converted to the active T3 (three to four times more potent than T4) within cells by deiodinases (5'-iodinase). These are further processed by decarboxylation and deiodination to produce iodothyronamine (T1a) and thyronamine (T0a). All three isoforms of the deiodinases are selenium-containing enzymes, thus dietary selenium is essential for T3 production.
Thyroid function tests help to determine if your thyroid is not working correctly. If blood levels of thyroid hormone are high, the brain senses this and sends a message to stop producing TSH.
This PPT gives the students the basic physiology of the Thyroid gland. It is the only Endocrine gland that can be palpable with your hands. Very useful to M.B.B.S; B.D.S as well as PG students.
TWO ADRENAL GLANDS: SUPERIOR POLES OF TWO KIDNEYS
COMPOSED: ADRENAL CORTEX AND ADRENAL MEDULLA
ADRENAL CORTEX: CORTICOSTEROIDS (MINERALOCORTICOIDS, GLUCOCORTICOIDS, ANDROGENIC HORMONES)
ANDROGENIC HORMONES: TESTOSTERONE
MINERALOCORTICOIDS: ELECTROLYTES
GLUCOCORTICOIDS: INCREASE BLOOD GLUCOSE CONC, PROTEIN AND FAT METABOLISM
ALDOSTERONE: MINERALOCORTICOIDS
CORTISOL: GLUCOCORTICOIDS
STUDY OF HORMONES SECRETED BY DUCTLESS GLAND
HORMONE: CHEMICAL SUBSTANCE SECRETED INTO BLOOD AND PRODUCE PHYSIOLOGICAL EFFECT IN THE BODY
FUNCTIONS OF HORMONE SYSTEM
REGULATING ALL BODY FUNCTIONS
METABOLISM
GROWTH AND DEVELOPMENT
WATER AND ELECTROLYTE BALANCE
REPRODUCTION
BEHAVIOR
Debridement is an important component of the wound bed preparation (WBP) management Model.
Cause of the wound and patient-centered concerns, debridement is a necessary step in local wound care.
Debridement is the removal of necrotic tissue, exudate, bacteria, and metabolic waste from a wound in order to improve or facilitate the healing process
Chest pain or discomfort
Common presenting symptom of cardiovascular disease
May be cardiac or noncardiac in origin.
Cardiac – angina, MI, pericarditis, mitral valve prolapse, dissecting aortic aneurysm
Non cardiac – anemia (physical exertion), cervical disc disease, anxiety, trigger points etc
Follows pattern of ulnar nerve distribution (heart supplied by C3-T4 spinal segments)
Radiating pain to neck, jaw, upper trapezius, upper back, shoulder or arms (commonly left
Biologist & gerontologist used concept of senescence to explain biological aging
Senescence or normal aging refers to a gradual, time related to biological process that takes places as degenerative processes overtake regenerative or growth processes.
or
senescence: a change in the behavior of an organism with age leading to a decreased power of survival and adjustment
Immunology plays a very important role in homeostasis but it possesses two edge sword actions. Either hypo or hyperimmunity both can cause systemic diseases which will manifest in the oral cavity.
Immunomodulators are the agents which modulate the body immunity according to
the need.
There are natural and synthetic immunomodulatory agents .
Endocrinology is a specialty of medicine; some would say a sub-specialty of internal medicine, which deals with the diagnosis and treatment of diseases related to hormones. Endocrinology covers such human functions as the coordination of metabolism, respiration, reproduction, sensory perception, and movement
non-skeletal mesodermal tissues: adipose tissue, fibrous tissue, muscle, blood vessels and peripheral nerves (despite neuroectodermal origin)
benign, malignant and intermediate (low-grade malignant – locally aggressive, can recur, no metastatic potential)
originate from primitive mesenchymal stem cells
classification according to differentiation lines (e.g. liposarcoma is not a tumor arising from adipose tissue but exhibiting lipoblastic differentiation)
Down syndrome (DS or DNS), also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is typically associated with physical growth delays, characteristic facial features and mild to moderate intellectual disability. The average IQ of a young adult with Down syndrome is 50, equivalent to the mental ability of an 8- or 9-year-old child, but this can vary widely.
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
The lymphatic system is responsible for the production, transport and filtration of lymph fluid throughout the body. In addition to its important circulatory functions, the lymphatic system also has important immunological functions
The pressure of the blood in the circulatory system, often measured for diagnosis since it is closely related to the force and rate of the heartbeat and the diameter and elasticity of the arterial walls.
Eating a diet high in vegetables, fruits, whole grains, and legumes.
Choosing lean, low-fat sources of protein.
Limiting sweets, soft drinks, and foods with added sugar.
Including proteins, carbohydrates, and a little good fat in all meals and snacks.
Vectors are organisms that transmit pathogens and parasites from one infected person (or animal) to another, causing serious diseases in human populations
She has a wonderful personality.”“He has no personality.”“He has a charming personality.”“We seem to have a personality conflict.”“It’s just her personality.”“She has her mother’s personality.”“He’s a real personality.”
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
1. THYROID HORMONES
LOCATED: BELOW LARYNX
WEIGHT: 15-20 GM
TWO HORMONE:
THYROXINE (T4) AND TRI-
IODOTHYRONINE (T3)
CONTROL: TSH FROM
ANTERIOR PITUITARY
GLAND
CALCITONIN: CALCIUM
METABOLISM
2. SYNTHESIS OF THYROID HORMONES
COMPOSED: FOLLICLES FILLED WITH COLLOID
MAJOR CONSTITUENT: THYROGLOBULIN
IODIDE ABORBTION FROM GIT, COMBINE WITH TYROSINE
THYROGLOBULIN: 30 THYOXINE AND FEW TRI-IODOTHYRONINE
RELEASE OF THROXINE AND TRI-IODOTHYRONINE
• SURFACE OF THYROID CELLS SEND OUT PSEUDOPOD EXTENSIONS,
CLOSE AROUND COLLOID, FORM PINOCYTIC VESICLES
• PROTEASES IN CYTOPLASM, FUSE WITH VESICLES, DIGEST THYROGLO-
BULIN AND RELEASE THYROXINE AND TRI-IODOTHYRONINE IN FREE
FORM, 93%, THYOXINE AND 7% TRI-IODOTHYRONINE
• COMBINE WITH PLASMA PROTEIN , SLOWLY USED AT TARGET CELLS
FOR DAYS AND WEEKS
3. PHYSIOLOGICAL FUNCTIONS OF THYROID HORMONES
THROID HORMONES INCREASE TRANSCRIPTION OF LARGE NUMBERS
OF GENES
IN ALL CELLS OF BODY, INCREASE NUMBER OF PROTEIN (ENZYMES,
STRUCTURAL PROTEIN, TRANSPORT PROTEIN) AND INCREASE
FUNCTIONAL ACTIVITY THROUGHOUT THE BODY
THYROID HORMONES ACTIVATE NUCLEAR RECEPTORS
BIND WITH DNA, INITIATE TRANSCRIPTION, mRNA FORMED, RNA
TRANSLATION NEW INTRACELLULAR PROTEIN FORMED
THYROID HORMONES INCREASE CELLULAR METABOLIC ACTIVITY
INCREASE METABOLIC ACTIVITY, RATE OF UTILIZATION OF FOOD FOR
ENERGY, RATE OF PROTEIN SYNTHESIS AND CATABOLISM INCREASED,
4. THYROID HORMONES INCREASE NUMBER AND ACTIVITY OF MITOCHONDRIA
INCREASE RATE OF FORMATION OF ATP, INCREASE ACTIVITY OF CELL
THROID HORMONE INCREASE ACTIVE TRANSPORT OF IONS THROUGH
CELL MEMBRANES
INCREASE ACTIVITY OF ENZYMR NaK ATPase, TRANSPORT OF IONS,
ENERGY USES AND INCREASE AMOUNT OF HEAT IN BODY
EFFECT OF THYROID HORMONE ON GROWTH
HYPOTHYROIDISM: RATE OF GROWTH RETARDED,IN
HYPERTHYROIDISM, EXCESSIVE GROWTH
STIMULATE CARBOHYDRATE METABOLISM
RAPID UPTAKE OF GLUCOSE BY CELLS, ENHANCED GLYCOLYSIS AND
GLUCONEOGENESIS, INCREASE RATE OF ABSORPTION FROM GIT,
INCREASE INSULIN SECRETION
5. STIMULATION OF FAT METABOLISM
LIPIDS METABOLIZED RAPIDLY, DECREASED FAT STORES OF BODY,
INCREASE FREE FATTY ACID CONC IN PLASMA, ACCELERATE OXIDATION
OF FATTYACIDS BY CELLS
INCREASE REQUIRMENT OF VITAMINS
INCREASE QUANTITY OF ENZYMES AND VITAMINS (ESSENTIAL PARTS OF
ENZYMES AND CO-ENZYMES), INCREASE NEED FOR VITAMINS
INCREASE BASAL METABOLIC RATE
INCREASE METABOLISM IN ALL CELLS, INCREASE BASAL METABOLIC RATE
60-100%
DECREASED BODY WEIGHT
INCREASE THYROID HORMONE-DECREASED BODY WEIGHT
INCREASE APPETITE, COUNTERBALANCE METABOLIC RATE
6. EFFECT OF THYROID HORMONES ON CARDIOVASCULAR SYSTEM
INCREASED BLOOD FLOW AND CARDIAC OUTPUT: INCREASE METABOLISM,
INCREASE UTILIZATION OF OXYGEN AND RELAESE OF METABOLIC END PRODUCT.
VASODILATION AND INCREASE BLOOD FLOW AND CARDIAC OUTPUT
INCREASED HEART RATE: INCREASE HEART RATE AND SENSITIVE SIGN TO
DETERMINE EXCESSIVE AND DIMINISHED THYROID HORMONE
INCREASED HEART STRENGTH: SLIGHT INCREASE IN THYROID
HORMONE:INCREASE STRENGTH, EXCESSIVE INCREASE ITHYROID HORMONE,
HEART MUSCLE STREGTH DEPREESED
7. INCREASED RESPIRATION
INCREASE RATE AND DEPTH OF RESPIRATION
INCREASED GASTROINTESTINAL MOTILITY
INCREASES RATE OF SECRETION OF DIGESTIVE JUICES AND MOTILITY OF GIT
EXCITATORY EFFECTS ON CENTRAL NERVOUS SYSTEM
INCREASES CEREBRATION, EXTREME NERVOUSNESS, ANXIETY COMPLEXES,
EXTREME WORRY
MUSCLE FUNCTION
SLIGHT INCREASE THYROID HORMONE: VIGOR
EXCESS INCREASE OF THYROID: MUSCLE WEAK
LACK OF THYROID HORMONE: MUSCLES SLUGGISH, SLOWLY RELAX AFTER
CONTRACTION
FINE MUSCLE TREMOR: SIGN OF HYPERTHYROIDISM
8. EFFECT ON SLEEP
EXHAUSTING EFFECT OF THYROID ON MUSCULATURE, EXCITABILITY ON
SYNAPSES,IN HYPOTHYROIDISM, SLEEP LASTING 12-14 HOURS A DAY
EFFECT ON OTHER ENDOCRINE GLANDS
INCREASE RATE OF SECRETION OF ENDOCRINE GLANDS, INCREASE
GLUCOSE METABOLISM, INCREASE NEED OF INSULIN, INCREASE
METABOLIC ACTIVITIES IN BONE, INCREASE PARATHYROID HORMONE
EFFECT OF THYROID ON SEXUAL FUNCTION
HYPOTHYROIDISM: LOSS OF LIBIDO, HYPERTHYROIDISM: IMPOTENCE
LACK OF THYOID HORMONE: HEAVY AND PROLONG BLEEDING AND
IRREGULAR MENSTRUAL CYCLE
HYPERTHYROIDISM: INFREQUENT MENSTRUATION CAUSE AMENORRHEA
9. REGULATION OF THYROID HORMONE SECRETION
STIMULATING FACTORS
• TSH, AN ANTERIOR PITUITARY HORMONE, STIMULATED BY TRH BY
HYPOTHALAMUS, INCREASE SECRETION OF THYROID GLANDULAR
CELLS
• EXPOSURE OF COLD
• LOW METABOLIC RATE
INHIBITORY FACTORS
• EXCITEMENT AND ANXETY
• NEGATIVE FEEDBACK INHIBITION
• ANTITHYROID DRUGS OR LACK OF IODINE
10. HYPERTHYROIDISM
TOXIC GOITER, THYROTOXICOSIS, GRAVES' DISEASE
ANTIBODIES (THYROID STIMULATING IMMUNOGLOBULIN) FORMED
AGAINST TSH RECEPTOR IN THYROID GLAND, INDUCE CONTINUOUS
ACTIVATION OF cAMP SYSTEM OF CELLS, HIGH CONC OF THYROID
HORMONES AND SUPPRESS FEEDBACK BY ANTERIOR PITUITARY
SYMPTOMS: EXOPHTHALAMUS (PROTRUSION OF EYE BALL),
EXCITABILITY, INTOLERANCE TO HEAT, INCREASE SWEATING, WEIGHT
LOSS, VARYING DIARRHEA, MUSCLE WEAKNESS, NERVOUSNESS OR
OTHER PSHYCHIC DISORDERS,EXTREME FATIGUE, INABILITY TO SLEEP,
TREMOR OF HANDS
11. HYPOTHYROIDISM
CAUSE BY AUTOIMMUNITY AGAINST THYROID GLAND, ABSENT SECRETION
OF THYROID HORMONES
MYXEDEMA
LACK OF THYROID HORMONE FUNCTION
SYMPTOMS: BAGGINESS OF EYES, SWELLING OF
FACE, INCREASE BLOOD CHOLESTEROL
CRETINISM
HYPOTHYROIDISM DURING FETAL LIFE, FAILURE OF BODY GROWTH AND
MENTAL RETARDATION