Endocrine: Concept Checklist

Concepts covered across the module lectures, grouped by lecture. Tick each once you can explain it from memory.

L1 Anatomy _ histology of the hypothalomo-pituitary axis (13 Jul) L1 Endocrine Anatomy _ histology of the hypothalomo-pituitary axis

  • Definition of the endocrine system: ductless secretion, specificity via receptors, homeostasis
  • Anatomical distribution of endocrine tissue: discrete glands, clusters within other tissues, isolated cells
  • Lobes of the pituitary and the hormones of each; trophic hormones
  • Location and relations of the hypothalamus and pituitary on MRI and at the skull base; transsphenoidal surgery
  • Blood supply of the pituitary and the hypophyseal portal system; why the anterior lobe has no direct arterial supply
  • Histology of the anterior pituitary: acidophils, basophils, chromophobes vs immunohistochemical cell types and proportions
  • Pituitary adenoma classification by staining and immunohistochemistry (e.g. prolactinoma)
  • The five hypothalamic-pituitary axes: releasing/inhibiting factors, pituitary hormones, targets and products
  • Long-loop vs short-loop feedback
  • Hypothalamic neurosecretory nuclei, the median eminence and tuberoinfundibular dopamine neurons
  • Measuring hypothalamic activity: portal blood sampling showing pulsatile GnRH/LH, historical discovery of hypothalamic peptides, fibre photometry of GnRH neurons

L2 Anatomy _ histology of the thyroid, para-thyroid and adrenal glands (13 Jul) L2 Endocrine Anatomy _ histology of the thyroid, para-thyroid and adrenal glands

  • Pituitary vascular arrangement and embryology from neural ectoderm and Rathke’s pouch
  • Posterior pituitary as neural tissue: magnocellular neurons, hypothalamo-hypophyseal tract, neurosecretion of oxytocin and vasopressin
  • Chemical classes of hormones (peptides, amines, steroids) and their structural consequences
  • Thyroid anatomy and blood supply; T4 vs T3 structure; the thyroid follicle and colloid
  • Thyroid hormone synthesis, extracellular storage in thyroglobulin, iodide concentration, and TSH-stimulated secretion
  • TRH-TSH-thyroid feedback and pathogenesis of iodine-deficiency goitre
  • Parafollicular C cells and calcitonin
  • Parathyroid glands: location and chief vs oxyphil cells
  • Embryology of thyroid (descent from foramen caecum, neural crest C cells) and parathyroids (pharyngeal pouches); surgical relations
  • Adrenal anatomy, cortical zones, their hormones and controlling signals
  • Adrenal medulla: chromaffin cells as postganglionic sympathetic equivalents, catecholamine secretion, embryology from neural crest
  • Embryonic origins of endocrine tissues and common structure-function features