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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)
              Endocrine physiology




        There are four ways to influence the activity of another.

                                      Along which nerve impulses are directed between particular cells
                1-  Nerve                                  along defined nerve fibers.


                                      All cells affect their immediate neighbors non-specifically by

                                         consuming O2 or metabolites from the interstitial fluid &
           2-  Consuming 02
                                         releasing CO2 or other products into it.
                                      Such changes are incidental to general metabolism


          3. release of specific     ♠  Into the surrounding interstitial fluid  have local effects
                chemicals                restricted to cells within a very small radius.
                                                          ♠  called paracrine actions.


              4. Endocrine           ►  In which cells affect other cells by releasing particular
                                         chemicals called hormones into the circulating blood.



            Endocrine system                         Endocrine glands = Ductless glands


            consists of glands         Groups of secretory cells  ➔ surrounded by capillaries  ➔
          [distinct gland]  ➔ no         diffusion of hormones (chemical messengers) from the

             direct anatomical           secretory cells into bloodstream.
                connections            Called Ductless: because hormones ➔ secreted and diffuse
                                         directly into the bloodstream



                                                      Hormone


                            Definition                                           Amount

         Substance secreted directly into the blood         present in only minute concentrations in
         by specialized cells (grouped into an              blood & when carried to their target cells 

         endocrine gland) in response to a specific         exert specific effects which always involve
         stimulus (neural or blood borne) & in              the regulation of pre-existing cellular
         amount which vary with the strength of the  reactions
         stimulus













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