semest 1 chap 13a

Upload: ryiss03

Post on 04-Jun-2018

221 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/13/2019 Semest 1 Chap 13a

    1/102

  • 8/13/2019 Semest 1 Chap 13a

    2/102

    By the end of the lesson, the studentsshould be able to- describe the endocrine system (glands)inthe human body- describe types of hormones- describe the characteristics of hormone

    - describe the mechanism of hormoneaction

    1

  • 8/13/2019 Semest 1 Chap 13a

    3/102

    213.1 Human HormonesEndocrine System

    Consists of ductless glandscalled endocrine glands

    which release hormones

    directly into thebloodstream to betransported to the target

    organs, cells or tissuesrich supply of blood

  • 8/13/2019 Semest 1 Chap 13a

    4/102

    @13.2

    3

    13.1 Human HormonesEndocrine System

  • 8/13/2019 Semest 1 Chap 13a

    5/102

    413.1 Human HormonesHormones

    Organic compound secreted by cells inone part of the bodyand transported via the bloodstream

    to the target organs on the other partsof the body

    where they induce a change in the

    body i.e. to regulate metabolic processes,growth and reproductive

  • 8/13/2019 Semest 1 Chap 13a

    6/102

    513.1 Human HormonesHormones

  • 8/13/2019 Semest 1 Chap 13a

    7/102

    613.1 Human HormonesTypes of Hormones

    Based on chemical compound thereare three types:

    1. Proteinsi. Proteinsii. Peptidesiii. Glycoproteins

    2. Amines3. Steroids

  • 8/13/2019 Semest 1 Chap 13a

    8/102

    713.1 Human HormonesTypes of Hormones

    1. Proteins proteinse.g. GH, PRL, insulin, glucagon

    short polypeptide chains peptidese.g. oxytocin, ADH, calcitonin, PTH

    some linked to small carbohydratemolecules glycoproteinse.g. FSH, LH, TSH

  • 8/13/2019 Semest 1 Chap 13a

    9/102

    813.1 Human HormonesTypes of Hormones

    1. Proteinscannot pass through cell membranesrelatively larger molecules

    bind to specific receptors on the cellsurface

  • 8/13/2019 Semest 1 Chap 13a

    10/102

    913.1 Human HormonesTypes of Hormones

    2. Aminesderived from protein and amino acidmetabolism

    thyroxine, melatonin, epinephrine,norepinephrine

  • 8/13/2019 Semest 1 Chap 13a

    11/102

    113.1 Human HormonesTypes of Hormones

    3. Steroidscommon molecular structure consistsof four rings of carbon atom

    lipid solublecan pass through cell membranes

    e.g. sex hormones, glucocorticoids,

    mineralocorticoids

  • 8/13/2019 Semest 1 Chap 13a

    12/102

    1113.1 Human HormonesProperties of Hormones

    1. Soluble :- small organic molecules- easy to enter the bloodstream

  • 8/13/2019 Semest 1 Chap 13a

    13/102

    1213.1 Human HormonesProperties of Hormones

    2. Specific :- a type of hormone induces a changeon a particular target organs- i.e. fits into a precise target molecule

  • 8/13/2019 Semest 1 Chap 13a

    14/102

    1313.1 Human HormonesProperties of Hormones

    3. Small amount :- hormones can cause desired effects(sometimes substantial effects) in lowconcentration - higher concentration can lead toinhibition of their action (negativefeedback)- deficient or excessive amount cangive bad effects in growth anddeveloment

  • 8/13/2019 Semest 1 Chap 13a

    15/102

    1413.1 Human HormonesProperties of Hormones

    4. Slow effects :- hormones do not cause immediateeffects (i.e. slow), but- the effects can be permanent

  • 8/13/2019 Semest 1 Chap 13a

    16/102

    1513.1 Human HormonesProperties of Hormones

    5. Travels in blood :- hormones are secreted directly intothe blood stream to be transported tothe target organs- i.e. not via specific ducts

  • 8/13/2019 Semest 1 Chap 13a

    17/102

    1613.1 Human HormonesProperties of Hormones

    6. Can be denatured :- by temperature, why?

  • 8/13/2019 Semest 1 Chap 13a

    18/102

    1713.1 Human HormonesEndocrine Glands

    What you should know

    The Gland i.e. the major glands only

    The Hormone(s) Secreted The Roles/Functions

    The Effects of Deficiency

    The Effects of Excessive Secretion

    the name ofdisease/symptomonly

  • 8/13/2019 Semest 1 Chap 13a

    19/102

    1813.1 Human HormonesEndocrine Glands

    Major Endocrine Glandshypothalamus and pituitary glandsthyroid and parathyroid glands

    pancreasadrenal glandsgonads

  • 8/13/2019 Semest 1 Chap 13a

    20/102

    1913.1 Human HormonesHypothalamus

    integrates nervous and endocrinefunctionsits neurosecretory cells producehormonesand secrete them to the posterior

    pituitary to be releasede.g. oxytocin,

    ADH,hormone releasing factors(e.g. GnRH, TRH, CRH)

  • 8/13/2019 Semest 1 Chap 13a

    21/102

    213.1 Human HormonesHypothalamus

  • 8/13/2019 Semest 1 Chap 13a

    22/102

    2113.1 Human HormonesHypothalamic Hormones: GnRH, TRH

    GnRH (gonadotropin - releasinghormone) brings about secretionof FSH and LH, which are classifiedas gonadotropins.

    TRH (thyrotropin-releasinghormone) stimulates the secretion of

    TSH

  • 8/13/2019 Semest 1 Chap 13a

    23/102

    2213.1 Human HormonesPituitary Glands @ Hypophysis

    master glands controls hormone secretion of manyother endocrine glandsi.e. other endocrine glands are itstarget organsconsists of two lobes

    anterior posterior

  • 8/13/2019 Semest 1 Chap 13a

    24/102

    2313.1 Human HormonesPituitary Glands

  • 8/13/2019 Semest 1 Chap 13a

    25/102

    2413.1 Human HormonesPosterior Pituitary: ADH

    Effects of deficiencyDiabetes insipidus

    ADH undersecreted

    excessive large amount of waterexcreted in the urine ( polyuria )increased thirst ( polydipsia )some cases: bed-wetting

  • 8/13/2019 Semest 1 Chap 13a

    26/102

    2513.1 Human HormonesPosterior Pituitary @ Neurohypophysis

    the hormones are neurosecretions fromhypothalamic nerve cellsreleases the hormones to the targetorganse.g. ADH, oxytocin

  • 8/13/2019 Semest 1 Chap 13a

    27/102

    2613.1 Human HormonesPosterior Pituitary: ADH

    antidiuretic hormones @ vasopressina peptide (9 amino acids)target organ:

    kidneys representative role:helps regulate body fluid balance

    promotes water retention by kidneys

    regulated by: water/salt balance

  • 8/13/2019 Semest 1 Chap 13a

    28/102

    2713.1 Human HormonesPosterior Pituitary: ADH

    Effects of excessive secretionedema

    water accumulated in the tissuespacesgeneral puffiness

  • 8/13/2019 Semest 1 Chap 13a

    29/102

    2813.1 Human HormonesPosterior Pituitary: Oxytocin

    Gr. sharp childbirtha peptide (9 amino acids)target organs:

    uterus, mammary gland representative role:- stimulate uterine contraction- stimulate milk ejection after childbirthregulated by:nervous system

  • 8/13/2019 Semest 1 Chap 13a

    30/102

    2913.1 Human HormonesPosterior Pituitary: Oxytocin

    Effects of excessive secretion

    miscarriage

  • 8/13/2019 Semest 1 Chap 13a

    31/102

    313.1 Human Hormones Anterior Pituitary @ Adenohypophysis

    adeno - = glandular i.e. contains many glandular epithelialarger than posterior lobe (75% total

    weight)

  • 8/13/2019 Semest 1 Chap 13a

    32/102

    3113.1 Human Hormones Anterior Pituitary: Hormones

  • 8/13/2019 Semest 1 Chap 13a

    33/102

  • 8/13/2019 Semest 1 Chap 13a

    34/102

    3313.1 Human Hormones Anterior Pituitary: FSH

    follicle stimulating hormones a glycoproteintarget organs:

    ovaries, testes representative role:stimulate growth of follicles andseminiferus tubules

    stimulate production of ova and spermsregulated by:GnRH

  • 8/13/2019 Semest 1 Chap 13a

    35/102

    3413.1 Human Hormones Anterior Pituitary: FSH

    Effects of deficiencyhypogonadism

    reduced or absent of secretion ofhormones from sex glandssexual characteristics is not well-developed

  • 8/13/2019 Semest 1 Chap 13a

    36/102

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    37/102

    3613.1 Human Hormones Anterior Pituitary: LH

    luteinising hormones named after the corpus luteum , atemporary endocrine tissue in the ovaries

    a glycoproteintarget organs:- ovaries- testes (@ ICSH: interstitial cell-

    stimulating hormone)

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    38/102

    3713.1 Human Hormones Anterior Pituitary: LH

    representative roles:stimulate ovulation (i.e. the monthlyrelease of a mature egg from an ovary) andstimulate secretion of estrogen and

    progesterone by corpus luteum stimulate secretion of testosterone*

    regulated by:GnRH

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    39/102

    3813.1 Human Hormones Anterior Pituitary: LH

    Effects of deficiencyhypogonadism

    Effects of excessive secretionhypergonadism

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    40/102

    3913.1 Human Hormones Anterior Pituitary: ACTH

    adreno cortico tropic hormones a peptidetarget organs:

    - cortex of adrenal gland (outer part) representative roles:stimulate adrenal cortex to secreteglucocorticoid

    regulated by:CRH, glucocorticoid in blood

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    41/102

    413.1 Human Hormones Anterior Pituitary: ACTH

    Effects of deficiency Addison s disease

    Effects of excessive secretionexcessive adrenal hormones

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    42/102

    4113.1 Human Hormones Anterior Pituitary: TSH

    thyroid stimulating hormones a glycoproteintarget organs:

    - thyroid glandrepresentative roles:stimulate secretion of thyroid hormonese.g. thyroxine (T 4), triiodothyronine (T 3)

    regulated by: TRH, thyroxine in blood

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    43/102

    4213.1 Human Hormones Anterior Pituitary: TSH

    Effects of deficiencyhypothyroidism

    goiter enlarged thyroid gland

    13 1 H H

  • 8/13/2019 Semest 1 Chap 13a

    44/102

    4313.1 Human Hormones Anterior Pituitary: TSH

    Effects of excessive secretionhyperthyroidismGraves disease

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    45/102

    4413.1 Human Hormones Anterior Pituitary: MSH*

    melanocyte stimulating hormones target organs:- skin

    representative roles:fat metabolismstimulate skin darkening

    regulated by:MRH, MIH

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    46/102

    4513.1 Human Hormones Anterior Pituitary: GH

    growth hormones @ somatotropin a proteintargets:

    - most cells, bonesrepresentative roles:

    stimulate growth (especially bones) andmetabolic functions

    regulated by:hypothalamic hormones

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    47/102

    4613.1 Human Hormones Anterior Pituitary: GH

    Effects of deficiency pituitary dwarfs do not grow any tallerthan a normal 6-year-oldchildnormal intelligence andbody proportionsbecome prematurelysenilemost die before 50

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    48/102

    4713.1 Human Hormones Anterior Pituitary: GH

    Effects of excessivesecretiongiantism/gigantism

    over secretionduring skeletaldevelopmentgrow more than2.5 m and 180 kgdeath occursbefore 30

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    49/102

    4813.1 Human Hormones Anterior Pituitary: GH

    Effects of excessive secretionacromegaly over secretion after skeletal systemis fully developeddoes not lengthen bones butthickens them, esp. jaws, hands,feet and eyebrow ridgesosteoporosis, joints painincreased blood pressure

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    50/102

    4913.1 Human Hormones Anterior Pituitary: Prolactin, PRL

    lactogenic hormonestargets:- mammary glands

    representative roles:stimulates production and secretionregulated by:hypothalamic hormones

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    51/102

    513.1 Human Hormones Anterior Pituitary: Prolactin, PRL

    Effects of deficiencylack of milk secretion

    Effects of excessive secretionexcessive milk production

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    52/102

    5113.1 Human Hormones Thyroid Gland

    located in the neck, anterior to thetracheahas a well developed circulatory systemits follicular cells secrete thyroxine andtriiodothyronine its parafollicular @ C cells secretecalcitonin

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    53/102

    5213.1 Human Hormones Thyroid Gland: Thyroid Hor mones

    Thyroxinean amine containing four atoms ofiodine hence, T 4 tetra iodothyronine90% of thyroid secretion

    Triiodothyroninean amine containing three atoms ofiodine hence, T

    4 tri iodothyronine

    highly concentratedseveral times more potent

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    54/102

    5313.1 Human Hormones Thyroid Gland: Thyroid Hor mones

    common roles:stimulate and maintain metabolic

    processescooperate with GH to regulate overallgrowth and maturation, including thedevelopment of the nervous system

    regulated by: TSH

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    55/102

    5413.1 Human Hormones Thyroid Gland: Thyroid Hor mones

    13 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    56/102

    5513.1 Human Hormones Thyroid Gland: Thyroid Hor mones

    Effects of deficiency goitersevere hypothyroidism

    cretinism in children myxedema in adults

    5613 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    57/102

    5613.1 Human Hormones Thyroid Gland: Thyroid Hor mones

    Effects of excessive secretionhyperthyroidismGraves disease

    exophthalmos bulging eyesdue toincreased fluid

    behind eyes

    5713 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    58/102

    5713.1 Human Hormones Thyroid Gland: Calcitonin

    a peptidetarget cells

    bone breaker cells - osteoclasts

    representative roles:lowers calcium and phosphate level inblood

    regulated by:

    calcium in blood

    5813 1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    59/102

    5813.1 Human HormonesParathyroid Glands

    tiny glands embedded in the posterior of the thyroidsecrete parathormone , PTHa peptide

    target cellsosteoclasts (stimulated)

    representative roles:

    raises calcium and phosphate level inbloodregulated by:calcium in blood

    5913.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    60/102

    5913.1 Human HormonesParathyroid Gland: PTH

    Effects of deficiencyhypoparathyroidism

    hypocalcemiaCa , Palter impulse transmissionosteoporosisimpaired bone growth

    muscle tetany (paralysis)

    613.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    61/102

    613.1 Human HormonesParathyroid Gland: PTH

    Effects of excessive secretionhyperparathyroidism

    hypercalcemia

    Ca , Posteoporosis weight losskidney and heart failure

    6113.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    62/102

    6113.1 Human HormonesRegulation of Blood Calcium Level

    6213.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    63/102

    6213.1 Human HormonesPancreas

    Gr. all flesh posterior to stomach

    head tucked into the curve ofduodenum

    6313.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    64/102

    6313.1 Human HormonesPancreas

    functions asexocrine gland(with ducts) indigestive system

    endocrine gland(without ducts) which secreteshormones fromclusters of cells,islets ofLangerhans

    6413.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    65/102

    64

    Pancreas : Glucagon

    a proteinfrom alpha cells of pancreatic isletstarget organs

    liver

    representative roles:raises blood glucose leveli.e. by glycogenolysis, gluconeogenesis

    regulated by:glucose in blood

  • 8/13/2019 Semest 1 Chap 13a

    66/102

  • 8/13/2019 Semest 1 Chap 13a

    67/102

    6713.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    68/102

    67

    Pancreas : Insulin

    a proteinfrom beta cells of pancreatic isletstarget organs

    liver

    representative roles:lowers blood glucose level

    regulated by:glucose in blood

    6813.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    69/102

    68

    Pancreas : Insulin

    Effects of deficiency Diabetes mellitus

    Effects of excessive secretionhypoglycemiacan lead to comatose as brain isdeprived of sufficient glucose

    6913.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    70/102

    69

    Pancr eas : Glucagon and Insulin

    713.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    71/102

    7

    Adrenal Glands

    ad renal (Gr. upon the kidneys ) triangular shaped organsmade up of two separate glands

    cortex outer portionmedulla

    inner portion

    7113.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    72/102

    71

    Adrenal Cortex

    produces and secretes:- glucocorticoids- mineralocorticoids

    - gonadocorticoids* (small amount)

    7213.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    73/102

    72

    Adrenal Cortex: Glucocorticoids

    steroids:cortisol , corticosterone, cortisone

    target cells:

    most cells, esp. liver cells representative roles:

    raise blood glucose level - gluconeogenesisregulated by:

    ACTH

    7313.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    74/102

    3

    Adrenal Cortex: Glucocorticoids

    Effects of deficiency Addison s disease

    Effects of excessive secretionCushing s disease redistribution of fats to the face,chest, abdomen

    tendency toward diabetes mellitusloss of protein muscles weaken

  • 8/13/2019 Semest 1 Chap 13a

    75/102

    7513.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    76/102

    Adrenal Cor tex : Gonadocorticoids

    adrenal sex hormonessteroids: androgens - , estrogens - target organ:

    most cellsrepresentative roles:stimulate secondary sex characteristics

    regulated by: ACTH

    7613.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    77/102

    Adrenal Cor tex : Gonadocorticoids

    Effects of deficiency childish character

    Effects of excessive secretionadrenogenital syndrome

    excessive androgenaccelerate sex development in male

    childrenmale characteristics appear in female

    7713.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    78/102

    Adrenal Medulla

    produces and secretes:- epinephrine/adrenaline- norepinephrine/noradrenaline

    7813.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    79/102

    Adrenal Medulla: Epinephrine

    steroidstarget organ:

    liver, muscle, adipose tissue

    representative roles: produces body to react quickly andstrongly to emergenciesregulate carbohydrate and fat metabolism

    regulated by:nervous system

    7913.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    80/102

    Adrenal Medulla: Norepinephrine

    steroidstarget organ:

    smooth muscle of blood vessels

    representative roles: promotes constriction of blood vesselregulated by:nervous system

    813.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    81/102

    Gonads: Testes

    androgens (steroids)testosterone (mostly), inhibintarget organ:

    generalrepresentative roles:regulates male secondary sexcharacteristics

    spermatogenesis (with LS and FSH)regulated by:FSH and LH

    8113.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    82/102

    Gonads: Ovaries steroidsthree types:

    estrogensestrin, estrone, estradiol

    progesterone @ progestin

    relaxin

    8213.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    83/102

    Gonads: Ovaries target organ:

    various: uterus, mammary glands, general*representative roles:

    help regulate menstrual cycle and developmammary glands (e & p)stimulates growth of uterine lining (e & p)stimulates development of female secondarysex characteristics (e)aids in formation of placenta (p)eases childbirth (r)

    regulated by:FSH and LH

  • 8/13/2019 Semest 1 Chap 13a

    84/102

    113.1 Human Hormones

  • 8/13/2019 Semest 1 Chap 13a

    85/102

    Mechanisms of Action Two mechanisms

    Gene Activation:Steroid based hormones

    Cyclic AMP Activation:Protein, peptide and amine basedhormones

    213.1 Mechanisms of Action

  • 8/13/2019 Semest 1 Chap 13a

    86/102

    Gene Activation

    1. a steroid hormonemolecule passes throughthe cell membrane

    2. and binds to a receptor protein in the cytoplasm(or in the nucleus )hormone-receptor complex

    313.1 Mechanisms of Action

  • 8/13/2019 Semest 1 Chap 13a

    87/102

    Gene Activation 3. the complex enters the

    nucleus and the hormoneexerts an effect upon thechromosome stimulatingtranscription

    4. the mRNA enters thecytoplasm and translated into new proteins, e.g.enzyme

    413.1 Mechanisms of Action

  • 8/13/2019 Semest 1 Chap 13a

    88/102

    Gene Activation

    513.1 Mechanisms of Action

    A i i f AMP @ 2 nd M

  • 8/13/2019 Semest 1 Chap 13a

    89/102

    Activation of cAMP @ 2 nd Messenger 1. at the target cell, a peptide hormone molecule

    cannot pass through the membrane, why?2. instead, it binds to a receptor present on the

    cell surface hormone-receptor

    complex

  • 8/13/2019 Semest 1 Chap 13a

    90/102

    713.1 Mechanisms of Action

    A i i f AMP

  • 8/13/2019 Semest 1 Chap 13a

    91/102

    Activation of cAMP 5. cAMP activates a

    series of reactionse.g. it activates protein kinase A inthe conversion of

    glycogenglucose

    813.1 Mechanisms of Action

    A i i f AMP

  • 8/13/2019 Semest 1 Chap 13a

    92/102

    Activation of cAMP

    913.1 Human Hormones

    M h i f A ti

  • 8/13/2019 Semest 1 Chap 13a

    93/102

    Mechanisms of Action

  • 8/13/2019 Semest 1 Chap 13a

    94/102

    1 Appendix

    Addi di

  • 8/13/2019 Semest 1 Chap 13a

    95/102

    Addison s diseaseSymptoms

    muscle weaknessloss of appetitenausea, vomiting, diarrhea

    anemia and low blood pressure whenstanding dizziness, faintinghyperpigmentation of skin (bronzed,dark tanning)depressioncraving for salty food

    2 Appendix

    Addi di

  • 8/13/2019 Semest 1 Chap 13a

    96/102

    Addison s disease

    back

    back

  • 8/13/2019 Semest 1 Chap 13a

    97/102

    4 Appendix

    A g l

  • 8/13/2019 Semest 1 Chap 13a

    98/102

    Acromegaly

    back

    5 Appendix

    Cretinism

  • 8/13/2019 Semest 1 Chap 13a

    99/102

    CretinismSymptoms

    mental and skeletalretardationjaundiced and dry

    skin puffy eyelidsshoulders sagabdomen protrudesslowness ofmovement andspeech

    back

    6 Appendix

    Myxedema

  • 8/13/2019 Semest 1 Chap 13a

    100/102

    MyxedemaSymptoms

    swollen facialfeaturesdry swelling skin

    slowed speech andmental awarenessintolerance to cold,fatigue and

    weakness

    back

    7 Appendix

    Islets of Langerhans in Pancreas

  • 8/13/2019 Semest 1 Chap 13a

    101/102

    Islets of Langerhans in Pancreas

    back

    8 Appendix

    Further references

  • 8/13/2019 Semest 1 Chap 13a

    102/102

    Further references

    http://www.udel.edu/Biology/Wags/histopage/colorpage/cen/cenacm1.GIF

    http://omega.dawsonscollege.qc.ca/ray/endocrine/

    http://www.udel.edu/Biology/Wags/histopage/colorpage/cen/cenacm1.GIFhttp://www.udel.edu/Biology/Wags/histopage/colorpage/cen/cenacm1.GIFhttp://omega.dawsonscollege.qc.ca/ray/endocrine/http://omega.dawsonscollege.qc.ca/ray/endocrine/http://omega.dawsonscollege.qc.ca/ray/endocrine/http://omega.dawsonscollege.qc.ca/ray/endocrine/http://www.udel.edu/Biology/Wags/histopage/colorpage/cen/cenacm1.GIFhttp://www.udel.edu/Biology/Wags/histopage/colorpage/cen/cenacm1.GIF