The absolute refractory period refers to a period during the action potential. This is the time during which another stimulus given to the neuron (no matter how strong) will not lead to a second action potential. The absolute refractory period starts immediately after the initiation of the action potential and lasts until after the peak of the action potential. Following this period, the relative refractory period begins.

Relative refractory period

Neuronal Action Potential - Refractory Periods

Refers to the ability of some cells to be electrically excited resulting in the generation of action potentials. Neurons, muscle cells (skeletal, cardiac, and smooth), and some endocrine cells (e.g., insulin-releasing pancreatic β cells) are excitable cells.

Resting Membrane Potential - Introduction

γ-Aminobutyric acid

γ-Aminobutyric acid

Not permeable. Not allowing the passage of substances. Impermeable refers to a property of a membrane or channel pore in preventing or restricting the passage of substances. For example, the lipid bilayer portion of biological membranes is highly impermeable to ions and large polar molecules.

See also permeable.

Permeable
Permeability
Permeant
Impermeant

Lipid Bilayer Permeability

Refers to cells that do not generate action potentials. With the exception of neurons, muscle cells, and some endocrine cells, all cells in the body are non-excitable.

Resting Membrane Potential - Introduction

Ouabain binds to and inhibits the transport activity of the Na⁺/K⁺/ATPase (i.e., sodium pump).

Ouabain is plant derived and belongs to the class of drugs referred to as cardiac glycosides. Similar to other cardiac glycosides, ouabain increase heart muscle contractility. However, ouabain is used only experimentally and not in humans (as for example digoxin is for the treatment of congestive heart failure).

There is some evidence that ouabain may be produced endogenously in humans.

Vanadate

Ouabain (Wikipedia)

Permeability refers to the ease with which molecules cross biological membranes. It may also refer to the ease with which ions or molecules pass through the pore of channel proteins.

Permeable
Impermeable
Permeant
Impermeant

Lipid Bilayer Permeability

Permeable refers to a property of a membrane or channel pore in allowing substances to pass through. For example, the lipid bilayer portion of biological membranes is highly permeable to fat-soluble molecules, but is not permeable to ions and large polar molecules.

See also impermeable.

Impermeable
Permeability
Permeant
Impermeant

Lipid Bilayer Permeability

GABA

GABA is an inhibitory amino acid neurotransmitter in the central and peripheral nervous systems. It is the most abundant inhibitory neurotransmitter in the nervous system. During embryonic development, GABA acts as an excitatory neurotransmitter at some central synapses. GABA is a classical neurotransmitter. Its action is exerted via the activation of GABA_A, GABA_B, and GABA_C receptors. GABA_A and GABA_C receptors are ligand-gated chloride channels, whereas GABA_B receptors are G protein coupled receptors. At GABAergic synapses, the action of GABA is terminated by GABA transporters (GAT), which transport GABA from the extracellular space in synaptic and extrasynaptic regions into neurons and glia.

The action potential is a rapid and reversible reversal of the electrical potential difference across the plasma membrane of excitable cells such as neurons, muscle cells and some endocrine cells. In a neuronal action potential, the membrane potential rapidly changes from its resting level of approximately -70 mV to around +50 mV and, subsequently, rapidly returns to the resting level again. The neuronal action potential forms an important basis for information processing, propagation, and transmission. In muscle cells, the action potential precedes, and is necessary to bring about, muscle contraction. Some endocrine cells also exhibit action potentials, where the excitation leads to hormone secretion.

The action potential is also referred to as the electrical impulse or nervous impulse.

Graded potential

Neuronal Action Potential

A process that requires oxygen (O₂); for example, aerobic metabolism.

All-or-nothing is usually used when describing the action potential. It refers to the well-known observation that an action potential always occurs in its full size (i.e., full magnitude of voltage change).

Many physiologists use all-or-nothing and all-or-none interchangeably.

Important Features of the Neuronal Action Potential

Absence of menstruation in sexually mature female individuals.

Amiloride inhibits epithelial Na⁺ channels (ENaC), and in doing so, it acts as a diuretic by inhibiting sodium reabsorption in the late distal convoluted tubules, connecting tubules, and collecting ducts in the kidneys.

Amiloride (Wikipedia)

Describes a condition in which there is an absence of oxygen supply to tissues.

Anoxemia
Hypoxia
Hypoxemia

The ability of a tissue or organ to regulate its own function without extrinsic neural or hormonal input.

For example, in the kidneys, autoregulation ensures relatively constant blood flow and pressure through the kidney tubules in order to maintain a fairly constant glomerular filtration rate (GFR).

BMI

The body mass index is measured by dividing body weight (in kilograms) by body height (in meters) squared (kg / m²). It is highly correlated with body composition, and higher BMI values are correlated with higher body fat content. The BMI value is used to classify one's weight in several categories including underweight, normal, overweight, and obese. The range of BMI values considered to be normal is 18.5 to 24.9. Higher BMI values are associated with an increased risk for diseases such as diabetes mellitus type II, hypertension, and cardiovascular disease.

Body Mass Index Calculator

Body mass index (Wikipedia)

Ca²⁺

Calcium (Ca²⁺) is a divalent cation. It plays an important role in physiological processes such as muscle contraction and synaptic transmission. Calcium is also an intracellular messenger.

The extracellular concentration of Ca²⁺ is about 2 mM. The intracellular concentration of Ca²⁺ is about 70 nM.

Refers to a conformational change of a channel protein by which the channel goes from the open state to the inactive state. The inactive state refers to a conformational state in which ions are not allowed to permeate the channel pore. Thus, with respect to ion permeability, the inactive state is similar to the close state of the channel. Ions cannot permeate the channel pore either in the closed or inactive state. However, the channel assumes very distinct and different conformations in the inactive state and closed state.

Neuronal Action Potential - Important Features of the Neuronal Action Potential

Refers to the concentration gradient of an ion or molecule. The concentration gradient may exist across a biological membrane, where the concentration is higher on one side of the membrane compared to the other side. Concentration gradient may also exist in a solution without an apparent barrier separating the area of higher concentration from the area of lower concentration. In both cases, the free energy that results from the concentration difference drives the movement of the ion/molcule from the area of higher concentration to the area of lower concentration. In free solution, the ion/molecule simply diffuses down its gradient. Movement across a biological membrane is more complicated and is a function of lipid solubility of the ion/molecule as well as the presence of channels or transport proteins that can allow the ion/molecule to cross the membrane (see Lipid Bilayer Permeability and Summary of Membrane Transport Processes).

Electrical gradient
Electrochemical gradient

CI⁻

The main anion (negatively charged ion) of the extracellular fluid.

Cloride (Cl⁻) plays an important role in several physiological processes such as the action potential of skeletal muscle cells, CO₂ transport in blood (via Cl⁻/bicarbonate exchange across the plasma membrane of red blood cells), and many other processes.

The extracellular concentration of Cl⁻ is about 110 mM. The intracellular concentration of Cl⁻ is about 10 mM.

Coiled, fluid-filled cavity within the bony labyrinth of the inner ear, where the hearing (auditory) structures of the inner ear are located. The cochlea contains the Organ of Corti.

Organ of Corti

Mental retardation, dwarfism, and abnormal bone formation caused by thyroid hormone deficiency during fetal development.

The first region (i.e., most proximal region) of the small intestine. Chyme leaving the stomach (through the pyloric valve) first enters the duodenum. The contents of the duodenum empty into the jejunum (middle region of the small intestine). In adult humans, the duodenum is about 25-38 cm (10-15 inches) long.

Jejunum
Ileum

In biological solutions, electrical gradient refers to the electrical potential that acts on an ion to drive the movement of the ion in one or another direction (see Resting Membrane Potential - Establishment of the Membrane Potential).

Chemical gradient
Electrochemical gradient

Refers to the balance of chemical and electrical gradients that act on an ion, particularly as it relates to the movement of an ion across a biological membrane (see Resting Membrane Potential - Establishment of the Membrane Potential and Resting Membrane Potential - Nernst Equilibrium Potential).

Chemical gradient
Electrical gradient

Electrophysiology is the study of the electrical properties of biological macromolecules, cells, tissues, and organs. Electrical signals such as voltage and/or current are generally measured. Examples include measuring changes in the membrane voltage of excitable cells (e.g., neurons, muscle cells, and some endocrine cells) during an action potential. The current carrried by ions as they permeate the pore of ion channels can also be measured - both at the single-channel level (single-channel current), as well as the macroscopic current resulting from the activity of a population of channels. As another example, electrical measurements may involve recording voltage changes at the surface of the skin that result from the activity of skeletal muscles (electromyogram, EMG), cardiac myocytes (electrocardiogram, ECG), or neurons in the brain (electroencephalogram, EEG).

Excretion refers to the elimination of waste substances from the body. The kidneys and lungs are mainly responsible for excreting metabolites and waste products.

Secretion

Excretion of glucose in urine. This is indicative of an abnormal condition such as hyperglycemia caused by diabetes mellitus.

Glutamate (Glu, E) is one of the standard twenty (20) amino acids used by cells to synthesize peptides, polypeptides, and proteins. It has a molecular weight of 147.13 g/mol. Its side chain has a pK_a of 4.07 and, therefore, glutamate has a net negative charge at physiological pH.

In the nervous system, glutamate is an excitatory amino acid neurotransmitter. In fact, glutamate is the most abundant excitatory neurotransmitter in the nervous system. Glutamate is a classical neurotransmitter. Its action is exerted via the activation of glutamate receptors (GluR), some of which are ligand-gated ion channels (ionotropic receptors), and some are G protein coupled receptors (GPCRs, metabotropic receptors). At glutamatergic synapses, the action of glutamate is terminated by glutamate transporters (EAAT, excitatory amino acid transporter), which transport glutamate from the extracellular space in synaptic and extrasynaptic regions into neurons and glia.

Goiter is an enlargement of the thyroid gland caused most commonly by iodine deficiency in the diet. Iodine deficiency leads to low levels of thyroid hormone production, and a reduction in thyroid hormone negative feedback on the hypothalamus and the anterior pituitary leads to a compensatory rise in the thyroid stimulating hormone (TSH). Enlargement of the thyroid gland is, therefore, caused by abnormally high circulating levels of TSH, which has a strong trophic effect on the thyroid gland.

A type of primary hypothyroidism, Hashimoto's disease is an autoimmune disorder, in which anti-thyroid antibodies destroy the ability of the thyroid gland to produce the thyroid hormones. Antibodies against thyroid peroxidase (TPO) and thyroglobulin (Tg) are often seen in this disorder.

Hashimoto's disease is also known as Hashimoto's thyroiditis.

Hypothyroidism
Primary hypothyroidism

Abnormal, unwanted, and excessive hair growth on the face and body. Particularly used to refer to women with such a condition.

Hirsute

A condition characterized by an inability to tolerate, or over-sensitivity to, sounds of moderate loudness encountered in daily life.

It is also spelled hyperacousis.

Hyperacusis (Wikipedia)

Condition in which the plasma glucose concentration is abnormally high. In general, a fasting plasma glucose concentration higher than 110 mg/dL, or a postprandial plasma glucose concentration higher than 180 mg/dL is considered abnormally high.

Normal, fasting glucose concentrations range from 70 to 110 mg/dL.

Hyperglycemic
Hypoglycemia
Hypoglycemic

An increase in the number of cells in a tissue. It is generally brought about through mitotic cell division of cells within a tissue.

It also refers to an enlargement of an organ or body part due to an increase in the number of cells within the organ or body part.

Hypertrophy

Hyperthyroidism refers to a pathophysiological condition in which the thyroid gland produces and releases abnormally high levels of the thyroid hormones (T₃ and T₄).

The symptoms of hyperthyroidism may include high metabolic rate, weight loss, nervousness, excess heat production, tachycardia, and tremor.

Two main forms of hyperthyroidism exist: (1) Primary hyperthyroidism, and (2) Secondary hyperthyroidism.

In primary hyperthyroidism, the thyroid gland produces high levels of the thyroid hormones, either as a result of a secretory tumor of the thyroid gland, or under the control of thyroid stimulating immunoglobulins (such as in Graves' disease).

Secondary hypothyroidism is caused by high levels of thyroid stimulating hormone (TSH) produced by the anterior pituitary gland. TSH then stimulates the thyroid gland to produce excessive amounts of the thyroid hormones.

Hypothyroidism
Euthyroidism

An increase in the size of a cell such as muscle. It is generally brought about through the addition of cellular components.

It also refers to an enlargement of an organ or body part due to an increase in the size of the cells within the organ or body part.

Hyperplasia

Condition in which the plasma glucose concentration is abnormally low. In general, a plasma glucose concentration lower than 70 mg/dL is considered abnormally low.

Normal, fasting glucose concentrations range from 70 to 110 mg/dL.

Hypoglycemic
Hyperglycemia
Hyperglycemic

Hypothyroidism refers to a pathophysiological condition in which the thyroid gland does not produce sufficient amounts of the thyroid hormones (underactive thyroid), leading to abnormally low levels of the thyroid hormones (T₃ and T₄).

The symptoms of hypothyroidism may include reduced metabolic rate, chronic fatigue, weight gain, myxedema, and depression.

Three main forms of hypothyroidism exist: (1) Primary hypothyroidism, (2) Secondary hypothyroidism, and (3) Tertiary hypothyroidism.

In primary hypothyroidism, the thyroid gland itself is incapable of producing normal levels of the thyroid hormones.

Secondary hypothyroidism is caused by low levels of thyroid stimulating hormone (TSH). TSH, produced by the anterior pituitary gland, is required to stimulate the thyroid gland to produce the thyroid hormones.

Tertiary hypothyroidism is caused by low levels of thyrotropin releasing hormone (TRH). TRH, produced by the hypothalamus, is required to stimulate the anterior pituitary gland to produce TSH which, in turn, is required to stimulate the thyroid gland to produce the thyroid hormones.

Primary hypothyroidism
Secondary hypothyroidism
Tertiary hypothyroidism

Hyperthyroidism
Euthyroidism

The last region (i.e., most distal region) of the small intestine. Ileum receives the contents of the jejunum and, in turn, the contents of ileum leave the small intestine by emptying into the cecum. In adult humans, the ileum is about 2-4 meters (about 6.5-13 feet) long.

Duodenum
Jejunum

Not permeant. Incapable of passing through or penetrating. Impermeant refers to the inability of a substance (e.g., ion or molecule) to cross (i.e., permeate or penetrate) a biological membrane or channel pore. For example, it can be said that ions are membrane impermeant.

See also permeant.

Permeant
Permeability
Permeable
Impermeable

Lipid Bilayer Permeability

A glycoprotein released by parietal cells (also know as oxyntic cells) located in the fundus region of the stomach. Intrinsic factor is required for vitamin B₁₂ absorption in the small intestine.

Refers to the ability of the thyroid gland to accumulate iodide (I⁻) against a steep electrochemical gradient. While the iodide concentration in plasma and interstitial fluid is approximately 300 nL, iodide concentration in the cytoplasm of thyroid follicular cells, as well as the lumen of thyroid follicles can be many folds higher. The protein that enables iodide transport into the thyroid gland against an electrochemical gradient is the Na⁺/iodide symporter (NIS), which is located in the basolateral membrane of thyroid follicular cells. Within the lumen of thyroid follicles, iodide is incorporated into the tyrosine residues of thyroglobulin during thyroid hormone biosynthesis, hence, allowing very high iodide concentrations in the colloid.

The middle region of the small intestine between the duodenum and the ileum. The jejunum receives the contents of the duodenum and, in turn, its contents empty into the ileum. In adult humans, the jejunum is about 2.5 meters (about 8 feet) long.

Duodenum
Ileum

The voltage difference across a cell plasma membrane.

The membrane potential is generally inside negative with respect to the outside, where the outside potential is generally set as the reference value. In electrically excitable cells, the value of the membrane potential can be positive (inside with respect to the outside) during electrical activity (i.e., during action potentials).

Resting membrane potential

Resting membrane potential

A condition associated with hypothyroidism (especially primary hypothyroidism) in adults. It is characterized by thick, course skin, skin swelling (edema), and decreased metabolic rate and mental activity.

Neurotoxins are chemical molecules that have an adverse effect on neuron function and, thus, disrupt the normal function of the nervous system. Neurotoxins could be small molecules or peptides and can be derived from a variety of invertebrate and vertebrate animals, as well as plant species.

The following is a short list of some examples of neurotoxins:

α-Bungarotoxin: A peptide neurotoxin that inhibits the nicotinic acetylcholine receptor.

Chlorotoxin: A peptide neurotoxin that inhibits chloride channels.

α-Conotoxin: A peptide neurotoxin that inhibits the nicotinic acetylcholine receptor.

δ-Conotoxin: A peptide neurotoxin that inhibits voltage-gated sodium channels.

w-Conotoxin: A peptide neurotoxin that inhibits N-type voltage-gated calcium channels.

Picrotoxin: Inhibits GABA_A receptor chloride channels.

Tetrodotoxin: Inhibitor of neuronal voltage-gated sodium channels.

Chemical messenger molecules released by neurons into the synaptic cleft.

Neurotransmitter molecules may be small molecules such as glutamate, γ-aminobutyric acid (GABA), acetylcholine, dopamine, norepinephrine, serotonin (5-hydroxytryptamine), and glycine. These are referred to as classic neurotransmitters. A neuron generally releases only one type of small classic neurotransmitter.

Neurotransmitters may also be peptide molecules, such as substance P, opioids, and somatostatin. These are referred to as neuropeptides.

Gas molecules, such as nitric oxide (NO), may also act as neurotransmitters.

Refers to an abnormally low volume of urine production. Generally, a urine production rate of less than 400 mL/day is referred to as oliguria.

Polyuria

Oliguria (Wikipedia)

Permeant refers to the ability of a substance (e.g., ion or molecule) to cross (i.e., permeate or penetrate) a biological membrane or channel pore. For example, it can be said that fat-soluble molecules are membrane permeant.

See also impermeant.

Impermeant
Permeability
Permeable
Impermeable

Lipid Bilayer Permeability

Plasma is the fluid portion of whole blood, which makes up about 40% to 60% of the total volume of whole blood. Plasma has a light yellow color and is generally obtained by separating the fluid portion from the blood formed elements through sedimentation or centrifugation. Plasma contains mostly water and, in addition, minerals, nutrients, proteins, hormones, and gases (oxygen and carbon dioxide). Unlike serum, in which fibrinogen and other clotting factors have been removed by coagulation, fibrinogen and other clotting factors remain present in plasma.

Plasma is one the main fluid compartments of the human body, making up nearly 10% of the total volume of body fluids. Plasma makes up the intravascular fluid compartment; itself a subcompartment of the extracellular fluid compartment.

Refers to an abnormally large volume of urine production. Generally, a urine production rate of higher than 2.5 L/day is referred to as polyuria.

Oliguria
Hypouresis

Polyuria (Wikipedia)

K⁺

The main cation (positively charged ion) of the intracellular fluid.

Potassium (K⁺) plays an important role in the action potential of neurons and muscle cells.

The extracellular concentration of K⁺ is about 4 mM. The intracellular concentration of K⁺ is about 150 mM.

Primary hypothyroidism is characterized by abnormally low levels of thyroid hormone (T₃ and T₄) production, where the defect is at the level of the thyroid gland itself.

In primary hypothyroidism, the circulating levels of the thyroid hormones are low, however, the levels of the thyroid stimulating hormone (TSH) are high due a lack of thyroid hormone negative feedback on the anterior pituitary.

Common causes of primary hypothyroidism include iodine deficiency (which leads to goiter), and Hashimoto's disease, in which autoimmune antibodies destroy the ability of the thyroid gland to produce the thyroid hormones.

Hypothyroidism
Secondary hypothyroidism
Tertiary hypothyroidism

Peptide hormone produced by the anterior pituitary gland. Prolactin is best known for its action in stimulating the mammary glands to produce milk (lactation).

Prolactin is known to be involved in many other physiological processes including enlargement of the mammary glands in preparation for milk production, sexual gratification, metabolism, regulation of the immune system, and others.

Prolactin (Wikipedia)

A period of rapid physical growth and change, brought about by hormonal changes, that culminates in sexual maturity. In most human girls and boys, it starts between the ages of 10 and 14 and it is complete by the age of 16 in most girls, and by the age of 17 in most boys.

Adrenarche
Menarche
Pubarche
Thelarche

See absolute refractory period and relative refractory period.

Absolute refractory period
Relative refractory period

Neuronal Action Potential - Refractory Periods

The relative refractory period refers to a period during the action potential. This is the time during which a stronger than normal stimulus is needed in order to elicit an action potential. The relative refractory period immediately follows the absolute refractory period.

Absolute refractory period

Neuronal Action Potential - Refractory Periods

The voltage difference across a cell plasma membrane in the resting or quiescent state. It is also simply referred to as the resting potential (V_rest). The value of the resting membrane potential varies from cell to cell. Depending on the cell type, it can range from −90 mV to −20 mV.

For example, V_rest is −90 mV in skeletal and cardiac muscle cells as well as in astrocytes. In a typical neuron, V_rest is approximately −70 mV. In many non-excitable cells, V_rest ranges from −60 to −50 mV. In photoreceptors, V_rest is about −20 mV.

Resting membrane potential

Secondary hypothyroidism is characterized by abnormally low levels of thyroid hormone (T₃ and T₄) production, where the defect is at the level of the anterior pituitary gland.

In secondary hypothyroidism, the anterior pituitary gland is unable to produce sufficient levels of the thyroid stimulating hormone (TSH) which, in turn, leads to insufficient stimulation of the thyroid gland to produce the thyroid hormones (T₃ and T₄).

Thus, in secondary hypothyroidism, the circulating levels of both TSH and the thyroid hormones (T₃, and T₄) are abnormally low

Hypothyroidism
Primary hypothyroidism
Tertiary hypothyroidism

Na⁺

The main cation (positively charged ion) of the extracellular fluid.

Sodium (Na⁺) plays an important role in several physiological processes such as the action potential of neurons and muscle cells, secondary active, sodium-coupled transport of ions, nutrients, neurotransmitters across the plasma membrane of cells, and many other processes.

The extracellular concentration of Na⁺ is about 145 mM. The intracellular concentration of Na⁺ is about 15 mM.

A rectangular signal waveform used in physiological studies to perturb (i.e., challenge) the system under study. The response of the system to the pulse is then studied carefully to learn about how the system responds to challenges.

Examples include pulses of voltage or current in electrophysiological experiments. Other examples include pulses of light, pressure, temperature, ligand, etc.

A square-wave pulse is defined by the amplitude and duration of the pulse, as well as by the frequency at which the pulse is applied to the system under study.

Neuronal Action Potential - Introduction

Square wave (Wikipedia)

Sub-threshold (or subthreshold) refers to a stimulus that is too small in magnitude to produce an action potential in excitable cells.

In general, a sub-threshold stimulus leads to the depolarization of the membrane, but the magnitude of the depolarization is not large enough to reach the threshold voltage. Therefore, sub-threshold stimuli do not elicit action potentials.

Threshold
Supra-threshold

Neuronal Action Potential - Introduction

Supra-threshold (or suprathreshold) refers to a stimulus that is large enough in magnitude to produce an action potential in excitable cells.

In general, a supra-threshold stimulus leads to the depolarization of the membrane, and the magnitude of the depolarization is larger than that necessary to simply reach the threshold voltage. Therefore, supra-threshold stimuli elicit action potentials.

Threshold
Sub-threshold

Neuronal Action Potential - Introduction

Synaptic pathology. Any pathophysiological condition that leads to abnormal function of synapses within the nervous system. The pathology may be due to pre-synaptic and/or post-synaptic mechanisms, or may involve glial cells surrounding synapses.

In humans, taste buds are the sensory receptor areas primarily on the tongue, but also in the throat, where taste receptor cells are located. In humans, there are approximately 10,000 taste buds in the oral cavity (tongue) and throat. A typical human taste bud contains about 50 taste receptor cells. Stimulation of taste receptor cells by tastants elicits the sense of taste (also referred to as gustation).

Tertiary hypothyroidism is characterized by abnormally low levels of thyroid hormone (T₃ and T₄) production, where the defect is at the level of the hypothalamus.

In tertiary hypothyroidism, the hypothalamus is unable to produce sufficient levels of thyrotropin release hormone (TRH). Low TRH levels lead to low production of the thyroid stimulating hormone (TSH) by the anterior pituitary gland which, in turn, leads to insufficient stimulation of the thyroid gland to produce the thyroid hormones (T₃ and T₄).

Thus, in tertiary hypothyroidism, the circulating levels of TRH, TSH, T₃, and T₄ are all abnormally low.

Hypothyroidism
Primary hypothyroidism
Secondary hypothyroidism

The membrane voltage that must be reached in an excitable cell (e.g., neuron or muscle cell) during a depolarization in order to generate an action potential. At the threshold voltage, voltage-gated channels become activated. Threshold is approximately −50 to −40 mV in most excitable cells.

Sub-threshold
Supra-threshold

Neuronal Action Potential - Introduction

The condition of hearing a sound in the absence of an external sound stimulus. The sound may be ringing, buzzing, whistling, or hissing. The sound may be soft, loud, low-pitched, or high-pitched. It may be heard in one ear or both ears (simultaneously or independent of one another).

Tinnitus (Wikipedia)

The part of the embryonic gonad that develops into the male reproductive ducts (epididymis, vas deferens, and seminal vesicles). In the female, this structure disappears because of the absence of anti-Müllerian hormone secreted by the Sertoli cells.

Dry mouth. Dryness in the mouth resulting from abnormally low levels of saliva production.