Medical Physiology

The Parathyroid Glands and Vitamin D

Calcium and Phosphate Balance Calcium plays a critical role in many cellular processes, including hormone secretion, muscle contraction, nerve conduction, exocytosis, and the activation and inactivation of many enzymes. As described in Chapter 3 , calcium also serves as an…

The Endocrine Pancreas

The islets of Langerhans are endocrine and paracrine tissue The pancreas contains two types of glands: (1) exocrine glands, which secrete digestive enzymes (see p. 882 ) and (see pp. 885–886 ) into the intestinal lumen; and (2) endocrine glands,…

The Adrenal Gland

The human adrenal glands, each weighing only ~4 g, are located above the upper pole of each kidney in the retroperitoneal space. They produce four principal hormones: cortisol, aldosterone, epinephrine (adrenaline), and nor­epinephrine. Each adrenal gland is composed of an inner…

The Thyroid Gland

The thyroid gland is located in the anterior neck, lying like a small bow tie across the front of the trachea. In adults, the normal thyroid weighs ~20 g. It is composed of left and right lobes and a small connecting…

Endocrine Regulation of Growth and Body Mass

Growth from the fertilized ovum to the adult is an exceedingly complex process involving both hyperplasia (an increase in the number of cells) and hypertrophy (an increase in the size of cells) as well as turnover of the cellular elements…

Organization of Endocrine Control

With the development of multicellular organisms that have specialized tissues and organs, two major systems evolved to communicate and coordinate body functions: 1 The nervous system integrates tissue functions by a network of cells and cell processes that constitute the…

Hepatobiliary Function

Overview of Liver Physiology After the skin, the liver and the brain are the largest organs in the human body. The liver weighs between 1200 and 1500 g, representing 2% to 5% of body weight in the adult and ~4% to…

Nutrient Digestion and Absorption

In general, the digestive-absorptive processes for most of the constituents of our diet are highly efficient. For example, normal adult intestine absorbs ~95% of dietary lipid. How­ever, we ingest most of the constituents of dietary food in a form that…

Intestinal Fluid and Electrolyte Movement

Functional Anatomy The small intestine and large intestine have many similarities in structure and function. In some cases, different regions of the intestinal tract carry out certain functions in much the same manner. In other cases, however, substantial heterogeneity exists…

Pancreatic and Salivary Glands

Overview of Exocrine Gland Physiology The pancreas and major salivary glands are compound exocrine glands The exocrine pancreas and major salivary glands are compound exocrine glands—specialized secretory organs that contain a branching ductular system through which they release their secretory…