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- BookLewis Landsberg, MD, Irving S. Cutter Professor of Medicine, dean emeritus, director, Northwestern Comprehensive Center on Obesity (NCCO), Northwestern University Feinberg School of Medicine, Chicago, IL.Contents:
Machine generated contents note: pt. I Fundamental Aspects of Catecholamine Biology
Introduction: Overview of the Sympathoadrenal System
Biosynthesis of Catecholamines
Catecholamine Storage and Release from Sympathetic Nerve Endings and Adrenal Medullary Chromaffin Cells
Regulation of Central Sympathoadrenal Outflow
The Peripheral Dopaminergic System
Metabolism and Termination of Action of Catecholamines
Adrenergic Receptors
Assessment of Sympathoadrenal Activity
pt. II Physiology of the Sympathoadrenal System
General and Unique Features of Regulation by the Sympathoadrenal System: Central Neural Control
Cardiovascular Effects of the Sympathoadrenal System
Metabolic Effects of the Sympathoadrenal System
Sympathetic Nervous System Effects on Heat Conservation and Heat Generation
Sympathoadrenal Effects on Visceral Smooth Muscle and Exocrine Glands
Sympathoadrenal Effects on Renal Function, Electrolytes, and Hormone Secretion
pt. III The Role of the Sympathoadrenal System in Physiologic Adaptation and the Pathophysiology of Disease States
Cold Exposure
Exercise and Physical Training
Dietary Intake: Fasting and Overfeeding
Hypoglycemia
Ketosis, Ketogenesis, and Ketoacidosis
Hypertension
Obesity
Hypoxia and Hypercarbia (Hypercapnia)
Congestive Heart Failure
Thyroid and Adrenal Hormones
Hypotension and Shock
pt. IV Pharmacology
Adrenergic Agonists
Adrenergic Antagonists
Drugs Affecting the Metabolism and the Inactivation of Catecholamines
pt. V Tumors of the Sympathoadrenal System
Pheochromocytoma
Neuroblastoma, Ganglioneuroblastoma, and Ganglioneuroma.Digital Access Ovid 2017 - ArticleBarnett EV.Am J Clin Pathol. 1977 Nov;68(5 Suppl):662-3.The value of clinical laboratory tests as aids in diagnosis and prognosis depends on their sensitivity, specificity, and accuracy. Few tests fulfill the desirable criteria for use as screening tests in the asymptomatic, normal population. In the symptomatic patient a test of high sensitivity for detecting disease has great clinical value since a negative result tends to exclude the index diagnosis for consideration at that point in time. A test of high specificity for a single disease invariably has decreased sensitivity but has diagnostic value when positive. Data on the indirect immunofluorescent antinuclear antibody test (FANA) provide criteria to justify its wide application as a clinical laboratory test. A negative FANA result essentially excludes active systemic lupus erythematosus (SLE). Quantitation by serum titration of the positive FANA and attention to the nuclear fluorescence patterns provide indices of specificity for diagnosis of the various FANA-positive autoimmune diseases. Similarly, negative results of indirect fluorescent antibody tests for antithyroid antibodies essentially exclude Hashimoto's thyroiditis, and a negative test for antimitochondrial antibodies in biliary cirrhosis tends to exclude the surgically amenable form due to biliary stones.