Common Disorders of Endocrine System – PST04103 Human Anatomy and Physiology

NTA Level 4 • Semester 1 • PST04103

Common Disorders of Endocrine System

Human Anatomy and Physiology • Source Session/Topic 33
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 33: Common Disorders of Endocrine System

Total Session Time: 60 minutes

Prerequisites

• Session 32:Structure and functions of endocrine system

Learning Tasks

By the end of this session students are expected to be able to:

• Define Disorders of Endocrine System
• List Common Disorders of Endocrine System
• Explain the Common Disorders of the Endocrine System

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers
• Overhead projector (OHP) and computer

SESSION OVERVIEW

|Step |Time |Activity/ |Content |

| | |Method | |

|1 |05 minutes |Presentation |Introduction, Learning Tasks |

|2 |10 minutes |Presentation |Definition and types of Common |

| | |buzzing |Disorders of Endocrine System |

|3 | |Presentation |Common Disorders of Endocrine System|

| |35minutes |Small Group | |

| | |Discussion | |

|4 |05 minutes |Presentation |Key Points |

| 5 |05 minutes |Presentation |Evaluation |

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing

STEP 2: Definition and Types of Common Disorders of Endocrine System

(10minutes)

|Activity: Buzzing (5 minutes) |

| |

|ASK students to pair up and buzz on the following question for 2 |

|minutes |

| |

|What are endocrine system disorders |

|What are the types of common disorders of endocrine system? |

| |

|ALLOW few pairs to respond and let other pairs to add on points not |

|mentioned |

| |

|WRITE their response on the flip chart/board |

| |

|CLARIFY and SUMMARIZE by using the content below |

Common disorders of endocrine system:

Endocrine disorders may be subdivided into three groups:

• Endocrine gland hypo secretion which leading to hormone deficiency
• Endocrine gland hypersecretion which leading to hormone excess
• Tumours which benign or malignant of endocrine glands

Types of common disorders of endocrine system

• Disorders of the growth hormone:

o Dwarfism

o Giantism (Gigantism)

• Disorders of the thyroxine

o Goiter

o Cretinism

o Myxedema

o Grave’s disease

• Diabetes Mellitus
• Disorders of the adrenal cortex

o Cushing’s syndrome

STEP 2: Common Disorders of Endocrine System (35minutes)

|Activity: Small Group Discussion ( 30 minutes) |

| |

|DIVIDE students into small manageable groups |

| |

|ASK students to discuss on the following question |

|What are the common disorders of endocrine system? |

| |

|ALLOW students to discuss for 15 minutes |

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|CLARIFY and SUMMARIZE by using the contents below |

Disorders of the Growth hormone:

• Dwarfism

o Hypo secretion of GH results in pituitary dwarfism, in which the

person mayattain a final height of only 3 to 4 feet but will have

normal body proportions.

o Growth hormone can now be produced using genetic engineering and may

be used to stimulate growth in children with this disorder

• Giantism (Gigantism)

o Is the hyper secretion of growth hormone

o The long bones grow excessively and the person may attain a height

of 8 feet.

o In adults, the hyper secretion of growth hormone due to pituitary

tumour can result to acromegaly, a condition where by the long bones

cannot grow due to closure of epiphyseal discs.

Disorders of the thyroxine

• Goiter

o It is caused by dietary deficiency of iodine

o In an attempt to produce more thyroxine, the thyroid cells become

enlarged, and hence the thyroid gland enlarges and becomes visible

on the front of the neck.

• Cretinism

o It is a condition of hypo secretion of thyroxine in new born

o It retards both physical and mental development.

• Myxedema

o It is a condition of hypo secretion of thyroxine in adults

o This decreases metabolic rate and hence general body weakness

• Grave’s disease

o This is autoimmune disease which result to hypersecretion of

thyroxine hormone

Diabetes Mellitus

• There are two types of diabetes mellitus:

o Type 1 is called insulin-dependent diabetes and its onset is usually

in childhood (juvenile onset).

▪ Is characterized by destruction of the beta cells of the islets

of Langerhans and a complete lack of insulin

o Type 2 is called non–insulin-dependent diabetes, and its onset is

usually later in life (maturity onset).

▪ Insulin is produced but cannot exert its effects on cells because

of a loss of insulin receptors on cell membranes.

▪ Risk factors include a family history of diabetes and being

overweight. Control may not require insulin, but rather medications

that enable insulin to react with the remaining membrane receptors.

Disorders of the adrenal cortex

• Addison’s disease

o Itis a result of hypo secretion of the adrenal cortical hormones.

o Atrophy of the adrenal cortex decreases both cortisol and

aldosterone secretion.

o Deficiency of cortisol is characterized by hypoglycaemia, decreased

gluconeogenesis, and depletion of glycogen in the liver.

▪ Consequences are muscle weakness and the inability to resist

physiological stress.

o Aldosterone deficiency leads to retention of potassium and excretion

of sodium and water in urine.

▪ The result is severe dehydration, low blood volume, and low blood

pressure.

• Cushing’s syndrome

o Itis a result of hypersecretion of the adrenal cortex, primarily

cortisol.

o The cause may be a pituitary tumour that increases ACTH secretion or

a tumour of the adrenal cortex itself.

o Excessive cortisol promotes fat deposition in the trunk of the body,

while the extremities remain thin.

o The skin becomes thin and fragile, and healing after injury is slow.

STEP 3: Key Points (5 minutes)

• Dwarfism and gigantism are the disorders of the growth hormone
• Grave’s disease is the only thyroxine disorder which is due to hyper

secretion of thyroxine

• Overweight is the main risk factor of diabetes mellitus type 2
• Addison’s disease is a result of hypo secretion of the adrenal

cortical hormones.

• Cushing’s syndrome is a result of hyper secretion of the adrenal

cortex, primarily cortisol.

• Goiter caused by dietary deficiency of iodine

STEP 4: Evaluation (5 minutes)

• What are the Disorders of Endocrine System
• What are the Common Disorders of Endocrine System
• What is the main cause of poor sensitivity of insulin receptors?

References

Kumar, A. et al (2004). Robbins Basic Pathology. WB: Saunders.

Spector, T.D. & Axford, J. S. (1999). Introduction to General

Pathology. Edinburgh:

Seeley, R. R., Stephens, T. D.& Tate, P. (2003). Anatomy and Physiology.

New York:

McGraw-Hill

Shier, A., Butler, J., & Lewis, R. (2004). Hole’s Human Anatomy &

Physiology. New York:

McGraw-Hill

Standring, S. (2008). Grays’s Anatomy The anatomical basis of clinical

practice. United

Kingdom: Churchill Livingstone Elservier.

Thibodeau, G. A., & Patton, K. T. (1999). Anatomy & Physiology. Saint

Louis: Mosby,

Von Hoffman Press, Inc.

Tortora, G.J & Derrickson, B (2009). Principles of Anatomy and Physiology

12th Edition,

USA, John Wiley & Sons Inc, USA

Walter, J.B, & Talbot, I. C. (1996). General Pathology. New York: Churchill

Livingstone

Waugh, A. & Grant, A. (2006). Ross and Willson Anatomy and physiology in

Health and

illness. United Kingdom: Churchill Livingstone Elservier

.

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