. Chapter 7 Outline
Page 1 I. Objectives
Page 2 II. Clinical Case Study
Page 3
Page 4 III. Anatomy of the Adrenal Glands
Page 5
A. Functional Zonation
Page 6

IV. Regulation and Action of Adrenocorticoids

Page 7
A. Role of ACTH
Page 8
1. Diurnal Rhythm of ACTH Release
Page 9
2. Regulation of ACTH Release by Stress
Page 10
B. Adrenal Steroid Hormones in Blood
Page 11
C. Metabolism and Excretion of Adrenocortical Hormones
Page 12
D. Regulation of Glucocorticoid Secretion
Page 13
E. Biological Actions of Glucocorticoids
Page 14
1. Intermediary Metabolism
Page 15
2. Carbohydrate Metabolism
Page 16
3. Protein Metabolism
Page 17
4. Fat Metabolism
Page 18
5. Circulatory Actions
Page 19
6. Inflammatory and Immune Responses
Page 20
7. Cortisol Action in Inflammation
Page 21
8. CNS Effects
Page 22
9. Developmental Effects
Page 23
10. Features of Cortisol Deficiency
Page 24
11. Features of Cortisol Excess
Page 25
G. Regulation of Mineralocorticoid Secretion
Page 26
1. Minor Regulators of Aldosterone Secretion
Page 27
2. Aldosterone Action
Page 28
3. Aldosterone Escape
Page 29
4. Extrarenal Effects of Aldosterone
Page 30
H. Androgen Secretion by the Adrenal Cortex
Page 31
Page 32
1. Basic Steroidogenic Pathway
Page 33
2. Some Rules of Nomenclature for Steroids
Page 34
3. Steroid Hormone Biosynthesis
Page 35
4. Pregnenolone: The Common Precursor for Steroid Hormones
Page 36
5. Physiologically Important Adrenocortical Hormones: the Twenty-one Carbon Series
Page 37
6. Physiologically Important Adrenocortical Hormones: the Nineteen Carbon Series
Page 38
7. Physiologically Important Adrenocortical Hormones: the Eighteen Carbon Series
Page 39
J. Congenital Adrenal Hyperplasia
Page 40
1. Cholesterol Side-Chain Cleavage
Page 41
Page 42
Page 43
Page 44
Page 45
K. Adrenal Medulla: Introduction
Page 46
1. Biosynthesis of the Catecholamines
Page 47
2. Mechanism of Catecholamine Action
Page 48
3. Storage and Release of Epinephrine
Page 49
4. Metabolism of Catecholamines
Page 50
5. Physiological Actions of Medullary Hormones
Page 51
6. Regulation of Adrenal Medullary Function
Page 52 IV. References and Acknowledgements

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