Describe the pathophysiology of acromegaly


Problem

1) Normal Endocrine Function

• Describe the actions of trophic hormones relative to control of hormone secretion.

• Explain how hormone levels are controlled in the body (e. g. positive and negative feedback loop and neural regulation).

2) Basic Concepts of Endocrine Disorders

• What are the ways in which hormone receptors can be altered to change responsiveness to specific hormones?

• Explain the differences between primary and secondary hormone excess or deficiency

3) Growth Hormone Disorders

• Outline the causes of growth hormone excess and deficiency in children and adults

• Describe the pathophysiology of acromegaly.

• Describe the clinical manifestation/features of growth hormone excess adults and in children

4) Disorders of the Adrenal Gland

• What causes Addison's disease?

• Relate the clinical presentation/features of Addison's disease to the pathophysiology of the disorder relative to low cortisol and low aldosterone.

• Discuss the pathophysiologic consequences and clinical manifestations of excess ACTH secretion.

• Differentiate between the causes of Cushing Syndrome and Cushing's disease.

• What are the clinical manifestations associated with excess cortisol secretion?

• Discuss the pathophysiologic consequences and the clinical manifestations of hyperaldosteronism.

5) Disorders of ADH production

• What is the functional relationship between the hypothalamus and the anterior pituitary and how is this altered in in DI?

• Differentiate between causes of neurogenic and nephrogenic diabetes insipidus (DI).

• What are the causes of clinical manifestations of the syndrome of inappropriate ADH (SIADH)? What conditions are commonly associated with SIADH?

• Discuss the pathophysiologic consequences of excess secretion or loss of ADH or aldosterone.

6) Disorders of the Parathyroid Glands

• What are the physiologic/pathophysiologic consequences of parathyroid deficiency or excess?

• Explain why osteoporosis is associated with hyperparathyroidism.

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