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The Zero to Finals Medical Revision Podcast

Hormonal Axis Physiology

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8678 Ratings

🗓️ 23 November 2018

⏱️ 9 minutes

🧾️ Download transcript

Summary

In this episode I cover hormonal axis physiology as part of an introduction to the pathophysiology of endocrine conditions. If you want to follow along with written notes on arrhythmias go to zerotofinals.com/endocrinology/physiology/ or find the endocrinology section in the Zero to Finals medicine book. This episode covers the physiology of the hypothalamus and pituitary glands, thyroid axis, adrenal axis, growth hormone axis, parathyroid hormone axis and the renin-angiotensin system.

Transcript

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0:00.0

Hello and welcome to the zero to finals podcast. My name is Tom and in this episode I'm going to be

0:09.1

talking to you about hormonal access physiology. And if you want to follow along with written notes on

0:14.5

this topic, you can follow along at zero tofinals.com slash endocrinology slash physiology

0:20.8

or in the endocrinology section of the zero

0:24.0

de finals medicine book so let's get straight into it the hypothalamus sits above the

0:30.0

pituitary gland and stimulates it with various hormones the pituitary gland comprises of an

0:36.3

anterior and a posterior section that release separate hormones.

0:41.5

The anterior pejoratory gland releases thyroid-stimulating hormone or T-S-H,

0:47.7

adrenocortica-tropic hormone or A-C-T-H,

0:52.1

follicle stimulating hormone or F-S-H and loutonizing hormone, L-H, growth hormone, or GH, and prolactin.

1:03.5

The posterior pituitary releases oxytocin and antidioretic hormone, or ADH.

1:11.7

The thyroid axis.

1:15.0

The hypothalamus releases

1:16.4

Thyrotrophin releasing hormone, or TRH,

1:20.3

and this stimulates the anterior pituitary gland

1:23.1

to release thyroid-stimulating hormone, or T-S-H.

1:31.9

The thyroid-stimulating hormone, in-S-H. The thyroid-stimulating hormone in turn stimulates the thyroid gland to release tri-iodothyronine or T-3 and thyroxine, which is T-4.

1:40.6

T-3 and T-4 are sensed by the hypothalamus and the anterior pejoratory gland, and they suppress

1:46.2

the release of TRH and Tsh.

1:49.4

This results in lower amounts of T3 and T4 being produced by the thyroid gland.

1:55.0

The lower levels of T3 and T4 offer less suppression to the TRH and the TSAH, and so more of these hormones are released,

2:03.3

resulting in a rise in T3 and T4. In this way, the level of thyroid hormone is closely regulated

...

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