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醫醫醫醫 醫醫醫醫醫 (Endocrine Syste m)

醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

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Page 1: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

醫學術語內分泌系統

(Endocrine System)

Page 2: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Hypothalamus & Pituitary gland( 下視丘 & 腦下垂體 )Growth hormone

Too much:Before puberty: gigantismAfter puberty: acromegaly

Too less:Drawfism

Page 3: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Hypothalamus & Pituitary gland( 下視丘 & 腦下垂體 )Prolactin

Too much:HyperprolactinemiaProlactinomaGalactorrheaAmenorrheaGynecomastia

Page 4: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Hypothalamus & Pituitary gland( 下視丘 & 腦下垂體 )ACTH

Too much:Cushing diseaseCushing syndrome Moon faceAcneBuffalo humpAmenorrheaPurple abdominal striae

Page 5: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Hypothalamus & Pituitary gland( 下視丘 & 腦下垂體 ) ADH (Antidiuretic hormone)

Too much: SIADH (Syndrome of inappropriate antidiuretic h

ormone secrection) Hyponatremia

Too less DI (Diabetes insipidus) Urine osmolarity Hypernatremia

Page 6: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Hypothalamus & Pituitary gland( 下視丘 & 腦下垂體 )PanhypopituitarismPituitary apoplexySheehan’s syndromeHypogonadism

Page 7: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Hypothalamus & Pituitary gland( 下視丘 & 腦下垂體 ) Eating disorder

Anorexia nervosa Bulimia Nausea Vomiting Acid regurgitation Abdominal pain Abdominal fullness Early satiety

Page 8: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Thyroid gland T3 T4 TSH Free T4

Page 9: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Thyroid gland Hyperthyroidism

Exophthalmos Palpitation Tachycardia Hand tremor Graves’ disease Thyroid storm Antithyroid drug Thyroidectomy

Page 10: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Thyroid gland Hypothyroidism

Hashimoto’s thyroiditis Autoimmune thyroiditis Autoantibody Myxedema coma Cretinism Thyroxine

Page 11: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Thyroid gland Goiter

Diffuse goiter Nodular goiter Multinodular goiter Thyroid cyst

Page 12: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Thyroid gland Thyroid sonography

=Thyroid echo Thyroid puncture Fine needle aspiration Thyroid scan

Page 13: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Thyroid gland Thyroid cancer (carcinoma)

Papillary cancer Follicular neoplasm

Follicular adenoma Follicular cancer

Medullary cancer Anaplastic cancer

Radioactive iodide I-131 (Iodide one-thirty-one)

Page 14: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Parathyroid gland Hyperparathyroidism

Hypercalcemia Hypophosphatemia

Hypoparathyroidism Hypocalcemia Hyperphosphatemia Chvostek’s sign Trausseau’s sign Tetany

Page 15: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Adrenal gland Cortex

Cushing syndrome Conn’s disease Addison’s disease

=Primary adrenal insufficiency Iatrogenic Cushing syndrome

Medulla Pheochromocytoma

Page 16: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

醫學術語新陳代謝

(Metabolism)

Page 17: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Pancreas Exocrine function Endocrine function

Page 18: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Pancreas B(eta) cell Islet cell Islet transplantation Pancreas transplantation Insulin Insulin resistence

Page 19: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes Mellitus Definition

Fasting sugar Postprandial sugar OGTT (oral glucose tolerance test) IFG (impaired fasting glucose) IGT (impaired glucose tolerance)

Page 20: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes Mellitus Symptoms

3PPolyuriaPolyphagiaPolydipsia

Body weight loss

Page 21: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes Mellitus Classification

T1DM T2DM Secondary DM GDM (Gestational DM)

Page 22: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes Mellitus Type 1 DM (T1DM, T1D)

=Insulin dependent diabetes =Juvenile onset diabetes

Type 2 DM (T2DM, T2D) =Non-insulin dependent diabetes =Adult onset diabetes

Page 23: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusAcute complication

HypoglycemiaCold sweatingPlpitationDizzinessComa

Page 24: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusAcute complication

HyperglycemiaDKA (Diabetic ketoacidosis)HHNK (Hyperglycemic hyperosmolar non

ketotic coma)HHS (Hyperglycemic hyperosmolar syndr

ome)

Page 25: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusChronic complication

MicroangiopathyDiabetic retinopathyDiabetic nephropathyDiabetic neuropathy

Page 26: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusChronic complication

MicroangiopathyDiabetic retinopathy

Background diabetic retinopathy Proliferative diabetic retinopathy Vitreous hemorrhage Blindness

Page 27: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusChronic complication

MicroangiopathyDiabetic nephropathy

Microproteinuria Macroproteinuria Nephrotic syndrome Uremia End stage renal disease Hemodialysis

Page 28: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusChronic complication

MicroangiopathyDiabetic neuropathy

Peripheral neuropathy Autonomic neuropathy Neurogenic bladder

Page 29: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes Mellitus Chronic complication

Macroangiopathy Cerebrovascular disease

Stroke Cerebral infarction Cerebral hemorrhage

Coronary artery disease Angina pectoris Unstable angina Acute myocardial infarction

Peripheral vascular disease Diabetic foot

Page 30: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Diabetes MellitusTreatment

Life style modificationDiet controlExercise

MedicationOHA (oral hypoglycemic agent)=OAD (oral antidiabetic agent)Insulin injection

Page 31: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Obesity Ideal body weight Overweight Obesity Morbid obesity

Page 32: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Obesity Body mass index (BMI) Body fat Waist circumference Hip circumference W/H ratio

Page 33: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Obesity Treatment

Life style modification Diet control Exercise

Medication Orlistat (Xenicol) Sibutramine (Reductil)

Surgery Bariatric surgery

Page 34: 醫學術語 內分泌系統 (Endocrine System). Hypothalamus & Pituitary gland ( 下視丘 & 腦下垂體 ) Growth hormone Too much: Before puberty: gigantism After puberty: acromegaly

Gout Gout Gouty arthritis Uric acid Hyperuricemia Tophi Podagra Purine