Hemoglobin is synthesized in proerythroblasts and reticulocytes through a process involving succinyl-CoA, glycine, protoporphyrin IX, iron, and globin chains. Each hemoglobin molecule binds four oxygen molecules and transports them throughout the body. Hemoglobin is then broken down, with iron recycled and bilirubin produced and excreted. Abnormal hemoglobins can cause conditions like sickle cell anemia. Jaundice results from high bilirubin levels causing a yellowish skin color.
Gluconeogenesis is the process by which glucose is synthesized from non-carbohydrate precursors like lactate, glycerol, and certain amino acids. It mainly takes place in the liver and kidneys. Key steps involve the conversion of pyruvate to oxaloacetate and regulation of enzymes like PEP carboxykinase and fructose-1,6-bisphosphatase. Gluconeogenesis is important for maintaining blood glucose levels during fasting or starvation when carbohydrate sources are limited.
There are three important ketone bodies - aceto-acetate, acetone, and β-hydroxybutyrate. Ketone body synthesis occurs in the liver from acetyl-CoA but their utilization occurs in other tissues like cardiac muscle and brain. Ketone bodies are produced during periods of fasting or starvation and act as an alternative fuel source. Increased ketone body production can lead to metabolic acidosis if the buffering system is overwhelmed by too many hydrogen ions being released.
This document discusses phospholipids and their subclasses. Phospholipids contain fatty acids, phosphoric acid, and nitrogenous bases or alcohols. The two main classes are glycerophospholipids, containing glycerol, and sphingophospholipids, containing sphingosine. Lecithin and cephalin are important glycerophospholipids. Phospholipids form cell membranes and regulate permeability. They also participate in fat absorption and transport and removal of cholesterol from the body. The document also briefly discusses glycolipids, lipoproteins, steroids like cholesterol, and their structure and functions.
The document summarizes the urea cycle, which occurs in the liver to convert ammonia into urea for excretion. It involves several steps spanning the mitochondria and cytosol. Carbamoyl phosphate synthetase activates ammonia and CO2 to initiate the cycle. Ornithine, aspartate, and several other compounds join the cycle through condensation reactions requiring ATP. Arginase produces urea and ornithine at the end of the cycle. The cycle is connected to the Krebs cycle and regulated by factors like dietary protein and N-acetyl glutamate. Deficiencies in cycle enzymes can cause diseases with high ammonia levels like hyperammonemia.
The document summarizes the regulation of glycogen metabolism. Key points include:
- Glycogen synthesis (glycogenesis) and breakdown (glycogenolysis) are reciprocally regulated through phosphorylation/dephosphorylation of glycogen synthase and glycogen phosphorylase enzymes by hormones like insulin and glucagon.
- Insulin promotes glycogenesis by stimulating dephosphorylation while glucagon promotes glycogenolysis by stimulating phosphorylation via the cAMP pathway.
- Regulation allows the storage of glucose as glycogen when blood glucose is high and the release of glucose from glycogen when blood glucose is low to maintain homeostasis.
Ketone bodies are produced when fatty acids are broken down in the liver. They serve as an alternative energy source for tissues when glucose is limited, such as during fasting or diabetes. Ketone bodies are synthesized in the liver through a series of reactions starting with acetyl CoA. Their production is regulated by substrate availability, fatty acid oxidation, ATP levels, and the enzyme HMG CoA synthase. Tissues such as the brain can use ketone bodies for energy through another series of reactions. Excessive ketone body production causes ketosis, characterized by ketonemia, ketonuria, and metabolic acidosis. Ketosis is managed by restoring carbohydrate metabolism and correcting electrolyte and acid-base imbalances.
This document describes experiments performed on frog skeletal muscle to study muscle physiology. It involves dissecting the gastrocnemius muscle and sciatic nerve of a frog. Simple muscle twitches are recorded in response to nerve stimulation. The effects of various factors like temperature, stimulus strength and frequency on the muscle contraction are investigated. Muscle fatigue is also studied. Determination of conduction velocity of the sciatic nerve is described. The document provides details of the procedures, appliances used, and observations made in these amphibian experiments.
Hemoglobin is synthesized in proerythroblasts and reticulocytes through a process involving succinyl-CoA, glycine, protoporphyrin IX, iron, and globin chains. Each hemoglobin molecule binds four oxygen molecules and transports them throughout the body. Hemoglobin is then broken down, with iron recycled and bilirubin produced and excreted. Abnormal hemoglobins can cause conditions like sickle cell anemia. Jaundice results from high bilirubin levels causing a yellowish skin color.
Gluconeogenesis is the process by which glucose is synthesized from non-carbohydrate precursors like lactate, glycerol, and certain amino acids. It mainly takes place in the liver and kidneys. Key steps involve the conversion of pyruvate to oxaloacetate and regulation of enzymes like PEP carboxykinase and fructose-1,6-bisphosphatase. Gluconeogenesis is important for maintaining blood glucose levels during fasting or starvation when carbohydrate sources are limited.
There are three important ketone bodies - aceto-acetate, acetone, and β-hydroxybutyrate. Ketone body synthesis occurs in the liver from acetyl-CoA but their utilization occurs in other tissues like cardiac muscle and brain. Ketone bodies are produced during periods of fasting or starvation and act as an alternative fuel source. Increased ketone body production can lead to metabolic acidosis if the buffering system is overwhelmed by too many hydrogen ions being released.
This document discusses phospholipids and their subclasses. Phospholipids contain fatty acids, phosphoric acid, and nitrogenous bases or alcohols. The two main classes are glycerophospholipids, containing glycerol, and sphingophospholipids, containing sphingosine. Lecithin and cephalin are important glycerophospholipids. Phospholipids form cell membranes and regulate permeability. They also participate in fat absorption and transport and removal of cholesterol from the body. The document also briefly discusses glycolipids, lipoproteins, steroids like cholesterol, and their structure and functions.
The document summarizes the urea cycle, which occurs in the liver to convert ammonia into urea for excretion. It involves several steps spanning the mitochondria and cytosol. Carbamoyl phosphate synthetase activates ammonia and CO2 to initiate the cycle. Ornithine, aspartate, and several other compounds join the cycle through condensation reactions requiring ATP. Arginase produces urea and ornithine at the end of the cycle. The cycle is connected to the Krebs cycle and regulated by factors like dietary protein and N-acetyl glutamate. Deficiencies in cycle enzymes can cause diseases with high ammonia levels like hyperammonemia.
The document summarizes the regulation of glycogen metabolism. Key points include:
- Glycogen synthesis (glycogenesis) and breakdown (glycogenolysis) are reciprocally regulated through phosphorylation/dephosphorylation of glycogen synthase and glycogen phosphorylase enzymes by hormones like insulin and glucagon.
- Insulin promotes glycogenesis by stimulating dephosphorylation while glucagon promotes glycogenolysis by stimulating phosphorylation via the cAMP pathway.
- Regulation allows the storage of glucose as glycogen when blood glucose is high and the release of glucose from glycogen when blood glucose is low to maintain homeostasis.
Ketone bodies are produced when fatty acids are broken down in the liver. They serve as an alternative energy source for tissues when glucose is limited, such as during fasting or diabetes. Ketone bodies are synthesized in the liver through a series of reactions starting with acetyl CoA. Their production is regulated by substrate availability, fatty acid oxidation, ATP levels, and the enzyme HMG CoA synthase. Tissues such as the brain can use ketone bodies for energy through another series of reactions. Excessive ketone body production causes ketosis, characterized by ketonemia, ketonuria, and metabolic acidosis. Ketosis is managed by restoring carbohydrate metabolism and correcting electrolyte and acid-base imbalances.
This document describes experiments performed on frog skeletal muscle to study muscle physiology. It involves dissecting the gastrocnemius muscle and sciatic nerve of a frog. Simple muscle twitches are recorded in response to nerve stimulation. The effects of various factors like temperature, stimulus strength and frequency on the muscle contraction are investigated. Muscle fatigue is also studied. Determination of conduction velocity of the sciatic nerve is described. The document provides details of the procedures, appliances used, and observations made in these amphibian experiments.
The document provides an overview of protein metabolism. It discusses the key topics of:
- Protein structure and functions in the body.
- The amino acid pool and how tissues draw from and contribute to it.
- The digestion of proteins in the body.
- The two phases of protein metabolism - anabolism and catabolism.
- The major catabolic pathways in the liver that break down amino acids including deamination, transamination, decarboxylation, and transmethylation.
- The ornithine or urea cycle, which occurs primarily in the liver and converts ammonia into urea for excretion from the body.
De novo synthesis of fatty acids (Biosynthesis of fatty acids)Ashok Katta
Â
Synthesis of fatty acids in the body. Detailed pathway for de novo synthesis of fatty acids in the body including its energetic and regulation. also cover Multienzyme complex
Reabsorption In Renal Tubule (The Guyton and Hall physiology)Maryam Fida
Â
Features of PCTPCT have high capacity of active & passive re-absorption.
This is due to special cellular features of epithelial cells.
They have increased no. of mitochondria due to high metabolic activity.
brush border on luminal (apical) side.
Brush border contains protein carrier molecules to transport Na+ by co-transport mechanism with other substances (a.acids, glucose etc).
Additional sodium is transported by COUNTER-TRANSPORT that reabsorb sodium while secreting hydrogen.
About 65 % of filtered load of Na+ & water is reabsorbed in PCT.
A lower % age of Cl- is also absorbed.
In 1st half of PC tubules, Na+ is re-absorbed by co-transport along with glucose, a.acids and other solutes.
In 2nd half of PC tubules, mainly Na+ is reabsorbed with Cl- and some of glucose + a.acids remain un-absorbed.
2nd half of PCT has high conc of Cl- (140 mEq/L) as compared to 1st half (105 mEq/L).
This document discusses gastric secretion and the physiology of stomach acid production. It covers the following key points:
1. The stomach lining contains various cell types that secrete substances like mucus, hydrochloric acid, and the enzyme pepsin. Parietal cells secrete hydrochloric acid through a mechanism involving hydrogen-potassium ATPase pumps.
2. Gastric acid secretion is regulated through neural and hormonal mechanisms in three phases: cephalic, gastric, and intestinal. The cephalic phase begins with eating cues, while the gastric phase responds to food in the stomach through gastrin and vagal stimulation.
3. Experiments like Pavlov's pouch and sham feeding helped
Cortisol- Synthesis, Regulation, Physiological actions, Disorders I Adrenal I...HM Learnings
Â
Cortisol- Synthesis, Regulation, Physiological actions, Disorders I Adrenal I Endocrine Physiology
This video will be about the following
1. Cortisol
2. Synthesis
3. Regulation
4. Mechanism of action
5. Physiological action
6. Clearance
7. Disorders
You can also watch the same topic on HM Learnings Youtube channel.
You can also follow HM Learnings on facebook, instagram and twitter for daily updates
This document discusses erythropoiesis, the process of red blood cell formation. It covers the sites of hematopoiesis, blood cell precursors, the stages of erythropoiesis from pronormoblast to reticulocyte, and the factors that regulate and are necessary for erythropoiesis. Key factors discussed include erythropoietin, which stimulates red blood cell production; vitamin B12 and folic acid, which are required for DNA synthesis and cell maturation; and intrinsic factor, which is needed for vitamin B12 absorption.
This document provides information on beta-oxidation of fatty acids. It discusses the three stages of beta-oxidation: activation of fatty acids in the cytosol, transport into mitochondria via carnitine shuttle, and beta-oxidation in the mitochondrial matrix. The four reactions of each beta-oxidation cycle are also described: oxidation, hydration, oxidation, and cleavage. Deficiencies in beta-oxidation can cause conditions like sudden infant death syndrome.
The main proteins involved in muscle contraction are actin, myosin, tropomyosin, and troponin. Actin forms thin filaments that interact with myosin heavy chain thick filaments through a sliding filament mechanism. Calcium ions released from the sarcoplasmic reticulum bind to troponin C, exposing actin binding sites and initiating muscle contraction. Muscle relaxation occurs when calcium ions are reabsorbed by the sarcoplasmic reticulum, causing troponin to cover the actin binding sites and inhibit the actin-myosin interaction. ATP hydrolysis provides the energy for myosin to pull on actin filaments through its power stroke, resulting in muscle shortening and force generation during each contraction
The countercurrent mechanism in the kidney produces a hyperosmotic renal medullary interstitium through three key processes: 1) the countercurrent multiplier effect of the thick ascending loop of Henle which repetitively reabsorbs sodium chloride, 2) active transport of ions from the collecting ducts into the medullary interstitium, and 3) facilitated diffusion of urea from the inner medullary collecting ducts into the medullary interstitium. This hyperosmotic interstitium is maintained by the countercurrent exchange function of the vasa recta blood vessels.
This document discusses fatty acid synthesis in the body. It begins by defining fatty acids and describing their roles in energy storage and as structural components of membranes. There are three systems for fatty acid synthesis: de novo synthesis in the cytoplasm, chain elongation in mitochondria, and chain elongation in microsomes. De novo synthesis occurs primarily in the liver and adipose tissues, starting from acetyl-CoA derived from glucose. This synthesis takes place in the cytoplasm and requires acetyl-CoA transport from mitochondria via citrate. The document then details the multi-step process of de novo fatty acid synthesis catalyzed by acetyl-CoA carboxylase and fatty acid synthase, and describes regulation of synthesis by products, hormones,
There are three main types of muscle tissue - skeletal, smooth, and cardiac. Muscle fibers are multinucleate cells formed from the fusion of individual embryonic muscle cells. Within each fiber are many parallel myofibrils composed of repeating sarcomere units. A sarcomere contains overlapping actin and myosin filaments. When an action potential reaches the neuromuscular junction, acetylcholine is released causing calcium ions to enter the fiber and allow the myosin heads to bind to actin, pulling the filaments together and contracting the muscle fiber. ATP provides energy to break the binding and reset the filaments for the next contraction.
ETC is the transfer of electrons from NADH and FADH2 to oxygen via electron carriers. This releases energy to drive ATP synthesis from ADP and Pi. Multiple protein complexes make up the electron transport chain, passing electrons from one complex to the next until reaching oxygen. As electrons are passed, protons are pumped from the mitochondrial matrix to the intermembrane space, building up a proton gradient used for ATP production.
1) The proximal tubule reabsorbs the majority of filtered sodium, water, chloride and nutrients like glucose and amino acids. Active transport mechanisms like primary active transport via sodium-potassium ATPase and secondary active transport power this reabsorption.
2) The distal tubule reabsorbs most remaining ions but is impermeable to water and urea, diluting the filtrate. Principal cells reabsorb sodium and water while intercalated cells secrete hydrogen ions.
3) Water permeability in the late distal tubule and collecting duct is controlled by antidiuretic hormone (ADH), allowing concentration or dilution of urine output to match the body's needs.
The document discusses protein and amino acid metabolism. It states that proteins are made of amino acids and perform many important functions in the body. Amino acids can be synthesized by the body or obtained through diet. They undergo breakdown and interconversion through various pathways including transamination, oxidative deamination, and the urea cycle to generate energy, synthesize other compounds, and regulate nitrogen balance in the body. Precise control of protein and amino acid metabolism is crucial for many physiological processes.
The shoulder joint is formed by the articulation of the glenoid cavity of the scapula and the head of the humerus. It is a ball and socket synovial joint that allows for polyaxial movement. The joint is strengthened by ligaments like the glenohumeral and coracohumeral ligaments, as well as the rotator cuff muscles. Injuries and conditions that can affect the shoulder joint include dislocations, bursitis, rotator cuff tears, and frozen shoulder.
ketogenesis and utilisation of ketone bodies.pptxManoharKumar81
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The document discusses ketone bodies, which are produced when fatty acids are broken down in excess. The three major ketone bodies are acetoacetate, acetone, and beta-hydroxybutyrate. Ketone bodies are an alternative energy source and are produced when glucose availability is limited, such as during starvation or uncontrolled diabetes. They are synthesized in the liver and can be used by tissues like the brain. Conditions that result in excessive ketone body production are called ketosis.
The document discusses the countercurrent multiplier mechanism in the kidney which allows it to concentrate urine. It describes how active transport of NaCl out of the thick ascending limb creates an osmotic gradient down the loop of Henle. As fluid moves through the thin descending limb, it becomes more concentrated due to water exiting into the hyperosmotic interstitium. The vasa recta help maintain this gradient by recycling urea and NaCl between the medulla and loop of Henle. Antidiuretic hormone regulates water reabsorption in collecting ducts to concentrate or dilute urine as needed. While the basic mechanism is understood, some aspects like solute transport in the thin descending limb and inner medulla remain unclear.
The document discusses several key properties and features of nerve fibers:
- Nerve fibers are excitable, conductive, and do not fatigue easily. They conduct all-or-none action potentials and exhibit phenomena like summation and accommodation.
- Nerve fibers have different conduction velocities depending on their type and diameter. Myelination allows for faster conduction.
- When injured, nerve fibers undergo Wallerian degeneration where the distal segment degrades over weeks and the soma attempts repair through axonal sprouting.
Project Based Learning (PBL) Acids and BasesDeepeshstha
Â
Project Based Learning (PBL) is a student-centered pedagogy where students explore learning standards themselves within a timeframe to achieve project goals. For a PBL on acids and bases, grade 10 students will identify acids and bases in everyday life, make an acid-base indicator using household substances, understand neutralization reactions and how they explain antacids, and investigate the uses of acids and bases. Students will conduct inquiry-based labs, work collaboratively, use media and technology for research and presentations, and apply their learning to real-life challenges like identifying acidic and basic substances. They will produce a final poster or presentation and receive feedback through self-reflection and a rubric. The instructor acts as a facilitator to
This document outlines an internet-based lesson and project for teaching students about acids, bases, and salts. The lesson objectives are for students to generate and interpret molecular representations of acid and base solutions, understand relative particle amounts to estimate strength and concentration, and use tools like pH meters to analyze solutions. Students will compare and contrast acids and bases of varying strength and concentration. Background provided explains previous lessons on testing household products. The lesson involves an interactive simulation and a project where students create educational videos about a household chemical for middle school or high school students. Rubrics are included to evaluate the videos.
The document provides an overview of protein metabolism. It discusses the key topics of:
- Protein structure and functions in the body.
- The amino acid pool and how tissues draw from and contribute to it.
- The digestion of proteins in the body.
- The two phases of protein metabolism - anabolism and catabolism.
- The major catabolic pathways in the liver that break down amino acids including deamination, transamination, decarboxylation, and transmethylation.
- The ornithine or urea cycle, which occurs primarily in the liver and converts ammonia into urea for excretion from the body.
De novo synthesis of fatty acids (Biosynthesis of fatty acids)Ashok Katta
Â
Synthesis of fatty acids in the body. Detailed pathway for de novo synthesis of fatty acids in the body including its energetic and regulation. also cover Multienzyme complex
Reabsorption In Renal Tubule (The Guyton and Hall physiology)Maryam Fida
Â
Features of PCTPCT have high capacity of active & passive re-absorption.
This is due to special cellular features of epithelial cells.
They have increased no. of mitochondria due to high metabolic activity.
brush border on luminal (apical) side.
Brush border contains protein carrier molecules to transport Na+ by co-transport mechanism with other substances (a.acids, glucose etc).
Additional sodium is transported by COUNTER-TRANSPORT that reabsorb sodium while secreting hydrogen.
About 65 % of filtered load of Na+ & water is reabsorbed in PCT.
A lower % age of Cl- is also absorbed.
In 1st half of PC tubules, Na+ is re-absorbed by co-transport along with glucose, a.acids and other solutes.
In 2nd half of PC tubules, mainly Na+ is reabsorbed with Cl- and some of glucose + a.acids remain un-absorbed.
2nd half of PCT has high conc of Cl- (140 mEq/L) as compared to 1st half (105 mEq/L).
This document discusses gastric secretion and the physiology of stomach acid production. It covers the following key points:
1. The stomach lining contains various cell types that secrete substances like mucus, hydrochloric acid, and the enzyme pepsin. Parietal cells secrete hydrochloric acid through a mechanism involving hydrogen-potassium ATPase pumps.
2. Gastric acid secretion is regulated through neural and hormonal mechanisms in three phases: cephalic, gastric, and intestinal. The cephalic phase begins with eating cues, while the gastric phase responds to food in the stomach through gastrin and vagal stimulation.
3. Experiments like Pavlov's pouch and sham feeding helped
Cortisol- Synthesis, Regulation, Physiological actions, Disorders I Adrenal I...HM Learnings
Â
Cortisol- Synthesis, Regulation, Physiological actions, Disorders I Adrenal I Endocrine Physiology
This video will be about the following
1. Cortisol
2. Synthesis
3. Regulation
4. Mechanism of action
5. Physiological action
6. Clearance
7. Disorders
You can also watch the same topic on HM Learnings Youtube channel.
You can also follow HM Learnings on facebook, instagram and twitter for daily updates
This document discusses erythropoiesis, the process of red blood cell formation. It covers the sites of hematopoiesis, blood cell precursors, the stages of erythropoiesis from pronormoblast to reticulocyte, and the factors that regulate and are necessary for erythropoiesis. Key factors discussed include erythropoietin, which stimulates red blood cell production; vitamin B12 and folic acid, which are required for DNA synthesis and cell maturation; and intrinsic factor, which is needed for vitamin B12 absorption.
This document provides information on beta-oxidation of fatty acids. It discusses the three stages of beta-oxidation: activation of fatty acids in the cytosol, transport into mitochondria via carnitine shuttle, and beta-oxidation in the mitochondrial matrix. The four reactions of each beta-oxidation cycle are also described: oxidation, hydration, oxidation, and cleavage. Deficiencies in beta-oxidation can cause conditions like sudden infant death syndrome.
The main proteins involved in muscle contraction are actin, myosin, tropomyosin, and troponin. Actin forms thin filaments that interact with myosin heavy chain thick filaments through a sliding filament mechanism. Calcium ions released from the sarcoplasmic reticulum bind to troponin C, exposing actin binding sites and initiating muscle contraction. Muscle relaxation occurs when calcium ions are reabsorbed by the sarcoplasmic reticulum, causing troponin to cover the actin binding sites and inhibit the actin-myosin interaction. ATP hydrolysis provides the energy for myosin to pull on actin filaments through its power stroke, resulting in muscle shortening and force generation during each contraction
The countercurrent mechanism in the kidney produces a hyperosmotic renal medullary interstitium through three key processes: 1) the countercurrent multiplier effect of the thick ascending loop of Henle which repetitively reabsorbs sodium chloride, 2) active transport of ions from the collecting ducts into the medullary interstitium, and 3) facilitated diffusion of urea from the inner medullary collecting ducts into the medullary interstitium. This hyperosmotic interstitium is maintained by the countercurrent exchange function of the vasa recta blood vessels.
This document discusses fatty acid synthesis in the body. It begins by defining fatty acids and describing their roles in energy storage and as structural components of membranes. There are three systems for fatty acid synthesis: de novo synthesis in the cytoplasm, chain elongation in mitochondria, and chain elongation in microsomes. De novo synthesis occurs primarily in the liver and adipose tissues, starting from acetyl-CoA derived from glucose. This synthesis takes place in the cytoplasm and requires acetyl-CoA transport from mitochondria via citrate. The document then details the multi-step process of de novo fatty acid synthesis catalyzed by acetyl-CoA carboxylase and fatty acid synthase, and describes regulation of synthesis by products, hormones,
There are three main types of muscle tissue - skeletal, smooth, and cardiac. Muscle fibers are multinucleate cells formed from the fusion of individual embryonic muscle cells. Within each fiber are many parallel myofibrils composed of repeating sarcomere units. A sarcomere contains overlapping actin and myosin filaments. When an action potential reaches the neuromuscular junction, acetylcholine is released causing calcium ions to enter the fiber and allow the myosin heads to bind to actin, pulling the filaments together and contracting the muscle fiber. ATP provides energy to break the binding and reset the filaments for the next contraction.
ETC is the transfer of electrons from NADH and FADH2 to oxygen via electron carriers. This releases energy to drive ATP synthesis from ADP and Pi. Multiple protein complexes make up the electron transport chain, passing electrons from one complex to the next until reaching oxygen. As electrons are passed, protons are pumped from the mitochondrial matrix to the intermembrane space, building up a proton gradient used for ATP production.
1) The proximal tubule reabsorbs the majority of filtered sodium, water, chloride and nutrients like glucose and amino acids. Active transport mechanisms like primary active transport via sodium-potassium ATPase and secondary active transport power this reabsorption.
2) The distal tubule reabsorbs most remaining ions but is impermeable to water and urea, diluting the filtrate. Principal cells reabsorb sodium and water while intercalated cells secrete hydrogen ions.
3) Water permeability in the late distal tubule and collecting duct is controlled by antidiuretic hormone (ADH), allowing concentration or dilution of urine output to match the body's needs.
The document discusses protein and amino acid metabolism. It states that proteins are made of amino acids and perform many important functions in the body. Amino acids can be synthesized by the body or obtained through diet. They undergo breakdown and interconversion through various pathways including transamination, oxidative deamination, and the urea cycle to generate energy, synthesize other compounds, and regulate nitrogen balance in the body. Precise control of protein and amino acid metabolism is crucial for many physiological processes.
The shoulder joint is formed by the articulation of the glenoid cavity of the scapula and the head of the humerus. It is a ball and socket synovial joint that allows for polyaxial movement. The joint is strengthened by ligaments like the glenohumeral and coracohumeral ligaments, as well as the rotator cuff muscles. Injuries and conditions that can affect the shoulder joint include dislocations, bursitis, rotator cuff tears, and frozen shoulder.
ketogenesis and utilisation of ketone bodies.pptxManoharKumar81
Â
The document discusses ketone bodies, which are produced when fatty acids are broken down in excess. The three major ketone bodies are acetoacetate, acetone, and beta-hydroxybutyrate. Ketone bodies are an alternative energy source and are produced when glucose availability is limited, such as during starvation or uncontrolled diabetes. They are synthesized in the liver and can be used by tissues like the brain. Conditions that result in excessive ketone body production are called ketosis.
The document discusses the countercurrent multiplier mechanism in the kidney which allows it to concentrate urine. It describes how active transport of NaCl out of the thick ascending limb creates an osmotic gradient down the loop of Henle. As fluid moves through the thin descending limb, it becomes more concentrated due to water exiting into the hyperosmotic interstitium. The vasa recta help maintain this gradient by recycling urea and NaCl between the medulla and loop of Henle. Antidiuretic hormone regulates water reabsorption in collecting ducts to concentrate or dilute urine as needed. While the basic mechanism is understood, some aspects like solute transport in the thin descending limb and inner medulla remain unclear.
The document discusses several key properties and features of nerve fibers:
- Nerve fibers are excitable, conductive, and do not fatigue easily. They conduct all-or-none action potentials and exhibit phenomena like summation and accommodation.
- Nerve fibers have different conduction velocities depending on their type and diameter. Myelination allows for faster conduction.
- When injured, nerve fibers undergo Wallerian degeneration where the distal segment degrades over weeks and the soma attempts repair through axonal sprouting.
Project Based Learning (PBL) Acids and BasesDeepeshstha
Â
Project Based Learning (PBL) is a student-centered pedagogy where students explore learning standards themselves within a timeframe to achieve project goals. For a PBL on acids and bases, grade 10 students will identify acids and bases in everyday life, make an acid-base indicator using household substances, understand neutralization reactions and how they explain antacids, and investigate the uses of acids and bases. Students will conduct inquiry-based labs, work collaboratively, use media and technology for research and presentations, and apply their learning to real-life challenges like identifying acidic and basic substances. They will produce a final poster or presentation and receive feedback through self-reflection and a rubric. The instructor acts as a facilitator to
This document outlines an internet-based lesson and project for teaching students about acids, bases, and salts. The lesson objectives are for students to generate and interpret molecular representations of acid and base solutions, understand relative particle amounts to estimate strength and concentration, and use tools like pH meters to analyze solutions. Students will compare and contrast acids and bases of varying strength and concentration. Background provided explains previous lessons on testing household products. The lesson involves an interactive simulation and a project where students create educational videos about a household chemical for middle school or high school students. Rubrics are included to evaluate the videos.
This document provides information about acids and bases, including:
1. Identifying properties of acids and bases such as tasting sour, feeling slippery, turning litmus paper red/blue, and reacting with metals to produce hydrogen gas.
2. Classifying common acids and bases such as HCl, NaOH, H2SO4 as acids or bases.
3. Identifying strong acids like HCl as strong acids and weak acids like HC2H3O2 as weak acids.
4. Noting that people store acids in glass containers rather than metal containers for safety reasons.
This document discusses acid-base homeostasis and imbalances. It begins by introducing acid-base homeostasis and how pH is maintained in the normal range. The three main mechanisms that regulate acid-base balance are then described: buffers, the respiratory system, and the renal system. The four primary acid-base imbalances - metabolic acidosis, respiratory acidosis, metabolic alkalosis, and respiratory alkalosis - are also outlined. Compensatory responses and clinical manifestations of each imbalance are summarized.
Reaction rates can be described by zero, first, or second order rate equations depending on the order of the reaction. The rate determining step is the step that appears in the rate equation. Nuclear substitution reactions can proceed by SN1 or SN2 mechanisms. The Arrhenius equation describes the temperature dependence of reaction rates. Heterogeneous catalysts increase reaction rates by providing an alternative reaction pathway with a lower activation energy. Changes in conditions such as concentration, temperature, and pressure can shift chemical equilibria by influencing the relative rates of the forward and reverse reactions.
It is fire extingusher in ball shape.This fire ball extinguisher can be thrown from 15 metres distance away from the fire it releases carbon dioxide cloud and cover about 64 sqft area.The reaction takes place in 3-5 secs after the plumger is pressed.This extinguisher will save lives of the many firemen who loose there lives due to these accidents.
Buffers resist changes in pH upon the addition of small amounts of acid or base. They work by providing conjugate acid-base pairs that absorb added H+ or OH- ions. Common buffer systems include acetic acid/sodium acetate and phosphoric acid/sodium phosphate. The Henderson-Hasselbalch equation relates a buffer's pH to the pKa of the acid/base pair and the concentrations of the components. Buffers have important applications in biological systems like blood and pharmaceutical products where a stable and precise pH is required.
Este documento describe las soluciones reguladoras, incluyendo su definición, ejemplos y aplicaciones. Explica que las soluciones reguladoras mantienen estable el pH a pesar de pequeñas adiciones de ácido o base. Describe los sistemas reguladores de la sangre, incluyendo el sistema fosfato dihidrogenado/fosfato hidrogenado y el sistema ácido carbónico/bicarbonato, que ayudan a mantener el pH sanguÃneo en 7.35.
1) El documento describe las reacciones de neutralización que ocurren entre ácidos y bases, incluyendo la formación de sales. 2) Explica que los antiácidos funcionan neutralizando el exceso de ácido en el estómago, mientras que los inhibidores de ácido reducen la producción de ácido. 3) Proporciona ejemplos de antiácidos comunes que contienen iones hidróxido, carbonato o bicarbonato para neutralizar los ácidos estomacales.
The body maintains tight regulation of arterial blood pH between 7.35-7.45 through acid-base balance mechanisms. It uses buffer systems, and respiratory and renal systems to neutralize acids and bases. The major buffer systems are bicarbonate, phosphate, and proteins, which maintain pH by donating or accepting hydrogen ions. Deviations outside the normal pH range can impair membrane and protein function and are not survivable. The lungs and kidneys work to restore pH through removing carbon dioxide and hydrogen ions respectively.
This document discusses acids, bases, pH, buffers, and the regulation of pH in the body. It defines acids and bases, describes pH and how it is measured. It explains the carbonic acid-bicarbonate buffer system, which is one of the most important buffer systems in the body. It also discusses how respiratory regulation and kidney regulation help maintain pH levels through increasing or decreasing ventilation and excreting acid and bases in the urine. The kidney regulates pH through reabsorbing bicarbonate and secreting hydrogen ions into the tubule, where they react with phosphate and ammonia to generate buffers without lowering urine pH.
This document discusses biological buffers and acid-base balance in the human body. It contains the following key points:
1) Buffers resist changes in pH when acids or bases are added. The major buffers in the body are bicarbonate and phosphate buffers.
2) The pH of blood and tissues is tightly regulated between 7.38-7.42. Acidosis occurs if pH falls below 7.38, while alkalosis occurs if pH rises above 7.42.
3) The body regulates pH through buffers, respiration, and kidney function. The respiratory system controls carbonic acid levels, while the kidneys regulate bicarbonate and excrete acids and ammonium ions.
This document discusses acid-base balance and imbalances in the body. It covers topics like pH, buffers that control acidity, and conditions that can cause acidosis or alkalosis. The three main ways the body controls acid levels are through buffer systems, respiratory mechanisms, and kidney excretion. Respiratory acidosis results from high blood CO2 levels, while respiratory alkalosis is from low CO2. Metabolic acidosis stems from bicarbonate deficits and metabolic alkalosis from bicarbonate excess. Diagnosis involves determining if pH is low or high and whether the cause is primarily respiratory or metabolic based on gas and bicarbonate levels.
This document provides an overview of arterial blood gas analysis. It discusses the physiology of acid-base status including the basics of pH, acids, bases and buffers. The key buffers that help regulate acid-base balance are the bicarbonate buffer system and protein buffers. Respiratory regulation is also important as carbon dioxide production is a major factor influencing hydrogen ion concentration and pH. The kidneys play an important role in excretion of acids and bases to help maintain homeostasis.
ACID BASE BALANCE AND RELATED DISORDERS(Dr.M PRIYANKA)MINDS MAHE
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This document discusses acid-base balance and related disorders. It covers topics such as acids and bases, strong vs weak acids, blood buffers, and mechanisms of acid-base regulation including respiratory, renal, and buffering systems. The key points are:
- The bicarbonate-carbonic acid buffer system is the most important blood buffer, accounting for 65% of buffering capacity. It is regulated by respiration and the kidneys.
- Respiratory regulation is the second line of defense, controlling the concentration of carbonic acid by regulating respiration and CO2 levels.
- Renal regulation is the third line of defense, maintaining acid-base balance by reabsorbing bicarbonate, ex
The document discusses acid-base balance and pH regulation in the blood. It explains that bicarbonate buffering and the roles of the lungs and kidneys are key to maintaining pH. The lungs regulate blood pH through controlling carbon dioxide levels, while the kidneys excrete excess hydrogen ions and help regenerate bicarbonate. Abnormal pH can lead to acidosis or alkalosis, which are stabilized through multiple compensatory mechanisms working together.
This document provides an overview of acid-base balance and homeostasis of blood pH. It discusses how the body regulates pH through three lines of defense: blood buffers, respiratory mechanisms, and renal mechanisms. The bicarbonate buffer system acts as the primary regulator of pH and works closely with the respiratory system to exhale out carbonic acid. When acids are added, the kidneys help regulate pH over the long-term by reabsorbing bicarbonate and excreting acids and ammonium ions. Imbalances can occur if these mechanisms fail, leading to acidosis with low pH or alkalosis with high pH. Precise regulation of blood pH is essential for enzyme activity and normal cellular functions.
acid_base_balane.pptx NOTES FOR NURSING STUDENTSsaranyaamu
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This document provides an overview of acid-base balance and homeostasis of blood pH. It discusses how blood pH is tightly regulated between 7.35-7.45 through three lines of defense: 1) blood buffer systems, 2) respiratory mechanisms, and 3) renal mechanisms. The bicarbonate buffer system acts as the primary regulator of pH through neutralizing acids. Conditions where blood pH moves outside the normal range result in acidosis or alkalosis. Precise regulation of pH is essential for normal enzyme function and metabolism.
Acid and base Balance by Dr. Tehmas (Part 1)Tehmas Ahmad
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Lecture of Biochemistry about Acid and Base Balance and Imbalance. 1st of 2 Lectures, delivered to students of 2nd professional MBBS students of Bannu Medical College, Bannu
This document discusses acid-base balance and the mechanisms that regulate blood pH homeostasis. It begins by defining pH and explaining why blood pH is tightly regulated within a narrow range. It then describes the various sources of acids and bases in the body from metabolic processes. The three main mechanisms that regulate blood pH are: 1) blood buffer systems that rapidly neutralize added acids or bases, 2) respiratory control that exhales volatile acids, and 3) renal control through bicarbonate reabsorption and acid excretion over hours. Imbalances can occur if these mechanisms fail, resulting in acidosis if pH decreases below 7.35 or alkalosis if it increases above 7.45.
This document discusses acid-base balance and the mechanisms that regulate blood pH homeostasis. It begins by defining pH and explaining why blood pH is tightly regulated. It then describes the various sources of acids and bases in the body from metabolic processes. The key mechanisms that regulate blood pH include buffer systems, respiratory regulation, and renal regulation. Buffers act quickly, respiration provides short-term regulation, and the kidneys provide long-term regulation. Imbalances can occur if these regulatory mechanisms fail, leading to acidosis or alkalosis conditions.
The document discusses acid-base balance and homeostasis of blood pH. It provides information on:
1) The mechanisms that regulate blood pH, including buffer systems, respiratory regulation, and renal regulation.
2) The four primary types of acid-base imbalances: respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis.
3) Respiratory acidosis, which occurs when too much carbonic acid accumulates in the blood due to inadequate lung expiration of carbon dioxide, such as in conditions that impair breathing.
This document discusses acid-base balance in the human body. It defines acids and bases, describing important physiological acids like carbonic acid and bicarbonate as the main base. It explains pH and the pH scale, noting that normal blood pH is 7.35-7.45. The Henderson-Hasselbach equation relates pH to acid and base concentrations. Maintaining acid-base balance involves regulating hydrogen and bicarbonate ions through various chemical and physiological processes to keep pH in a narrow range compatible with life.
Acid and Base gvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvSudipShrestha39
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This document discusses acid-base balance and imbalance in the human body. It covers:
1. The body tightly regulates pH levels and uses several mechanisms to do so, including buffer systems, respiration, and kidney function.
2. Respiratory acidosis occurs when carbon dioxide levels are too high, causing acid levels to rise. Metabolic acidosis happens when bicarbonate levels drop too low.
3. Diagnosis of acid-base imbalances involves determining if pH is too high or low, and whether the cause is respiratory (carbon dioxide levels) or metabolic (bicarbonate levels). Compensation occurs when the body responds to restore normal pH.
This document discusses biological buffers and acid-base balance in the human body. It covers:
1) Definitions of acids, bases, and pH. Buffers resist changes in pH when acids or bases are added.
2) The major buffer systems in the body are bicarbonate-carbonate and phosphate. Bicarbonate buffering is the most important for maintaining pH between 7.38-7.42.
3) The body regulates pH through buffers, respiration, and renal excretion of acids and bases. Respiration controls carbonic acid levels while the kidneys regulate bicarbonate.
This document discusses acids and bases in the body. It defines acids as hydrogen containing substances that dissociate to release H+ ions and bases as substances that accept H+ ions. The key physiological acids and bases are discussed including bicarbonate, phosphate, and proteins. The three main mechanisms that regulate blood pH - buffers, respiration, and the kidneys - are summarized. Respiration controls carbonic acid levels while the kidneys regulate bicarbonate reabsorption and acid excretion to maintain pH. Acid-base imbalances can cause metabolic acidosis or alkalosis and respiratory acidosis or alkalosis depending on primary disorder.
This document summarizes thalassemia, a hereditary blood disorder caused by reduced or absent production of hemoglobin A. It describes the main types (alpha and beta thalassemia), clinical features like anemia and jaundice, diagnostic testing, and management which includes lifelong blood transfusions and iron chelation therapy to prevent complications from iron overload. The most severe forms can be fatal without treatment while milder forms may cause few symptoms.
Suffocation is a general term used to indicate death due to lack of oxygen from either lack of oxygen in the breathable environment or obstruction of external air passages. Asphyxia is caused by lack of oxygen in respired air leading to hypoxaemia and hypercapnia. Smothering causes asphyxia through mechanical obstruction of the external airways (nose and mouth). Suicidal smothering often involves placing a plastic bag over the head in an attempt to cut off oxygen. Classic signs of asphyxia include petechial hemorrhages, cyanosis, congestion, and soft tissue swelling due to increased venous pressure and fluid leakage from blood vessels.
Road accidents typically cause gross musculoskeletal or organ damage, severe haemorrhaging, airway blockage from blood, or traumatic asphyxiation from chest crushing. Railway suicides often result in decapitation or extensive body disintegration from being struck by a fast-moving train. Toxicology screens should be performed to check for alcohol or drugs which may have contributed to suicidal behavior. Electrical injuries may also complicate cases where high-voltage train systems are involved.
Strangulation, hanging, suffocation, road/railway injuries, and electrocution are common methods of suicidal death. Strangulation causes asphyxia by compressing the neck and blocking blood flow and air passage to the brain. Hanging causes cerebral hypoxia by compressing the neck and jugular veins. Suffocation involves blocking external airways. Road/railway injuries typically cause severe trauma, hemorrhage or organ damage. Electrocution usually causes cardiac arrhythmias and ventricular fibrillation leading to cardiac arrest. Autopsies look for neck furrows, petechiae, internal injuries or electrical marks depending on the method.
Retinitis pigmentosa is a slow degenerative, hereditary disease of the retina that involves the rods and cones. It typically appears as a recessive trait due to consanguinity of the parents. Patients experience night blindness in childhood, tunnel vision or central visual loss in middle age, and complete blindness in advanced age. Physical examination shows black spots resembling bone corpuscles across the retina, extremely attenuated retinal blood vessels, and pale optic discs, indicating optic nerve atrophy. There is no specific treatment currently available, but cataract surgery and rehabilitation services can help manage complications.
This document discusses refractive errors of the eye, including emmetropia, myopia, and hypermetropia. Emmetropia is the normal optical condition where light focuses on the retina. Myopia, or near-sightedness, occurs when light focuses in front of the retina. Symptoms include indistinct distant vision. Hypermetropia, or far-sightedness, is when light focuses behind the retina, causing blurred near vision and eye strain. Both conditions are typically corrected with spectacles, while myopia can also be treated through surgical procedures like LASIK in some cases.
This document provides guidance on evaluating patients presenting with gradual loss of vision. It outlines taking a history to determine factors like onset, progression, associated symptoms and medical history. The physical exam involves assessing visual acuity, the red reflex, visual fields and optic nerve/macula. Common causes of gradual vision loss include glaucoma, refractive error, cataract, diabetic retinopathy and age-related macular degeneration. Treatment depends on the underlying cause but may involve prescription lenses, medical management or referral for further evaluation.
Glaucoma is a group of eye conditions that damage the optic nerve, often caused by an increase in intraocular pressure. The aqueous humour maintains pressure in the eye and normally flows through the anterior chamber, draining out of the eye. In glaucoma, the drainage pathways become blocked, increasing pressure and damaging the optic nerve. There are several types of glaucoma including open-angle glaucoma, the most common type caused by slow drainage blockage, and closed-angle glaucoma caused by physical blockage of drainage canals. Treatment aims to lower pressure through eye drops or surgery and slow progression of vision loss.
ELECTROCUTION (suicidal)
- The most common cause of death from electrocution is cardiac arrhythmias leading to ventricular fibrillation and cardiac arrest. Less commonly, respiratory arrest can occur if the current passes through the thorax, causing spasms or paralysis of intercostal muscles and the diaphragm.
- External signs include an areola of blanched skin at the contact points and possible "crocodile skin" lesions from sparking over several centimeters if voltages were in the kilovolt range. Internal autopsy findings are often absent or non-specific since the most common mode of death is cardiac arrhythmia.
Diabetic retinopathy is a complication of diabetes mellitus where changes occur in the retina. It is a leading cause of vision loss among working age adults in Malaysia. The risk of retinopathy rises with longer duration of diabetes and poor blood glucose control. Annual eye screening is recommended to detect early signs and plan treatment. Laser photocoagulation is commonly used to treat early stages while vitrectomy may be used for advanced proliferative cases with vitreous hemorrhage. Anti-VEGF drugs combined with laser can also treat diabetic macular edema.
Cataracts are a clouding of the lens of the eye that can cause gradual vision loss. They are usually caused by aging but can be caused by other factors like diabetes, smoking, or UV exposure. Cataracts are diagnosed based on a decrease in the red reflex seen during eye exams. They can be treated surgically through phacoemulsification to remove the clouded lens and replace it with an intraocular lens, improving vision. Age-related macular degeneration (AMD) is a disease of the macula that causes central vision loss. Dry AMD involves drusen buildup while wet AMD has abnormal blood vessel growth. Treatments include vitamins for dry AMD and anti-VEGF injections or photod
The document summarizes the three stages of swallowing (deglutition):
1) Buccal stage where the tongue retracts forcing the bolus into the oropharynx.
2) Pharyngeal stage is involuntary where the soft palate and larynx elevate to prevent food entering the nasal cavity and lungs. The bolus moves into the upper esophagus.
3) Esophageal stage where peristalsis propels the bolus through the esophagus and into the stomach over 8-20 seconds while the lower esophageal and stomach sphincters relax.
The document describes a case of a 26-year-old man presenting with facial swelling, lumps in his armpits, chest pain for 3 months, and weight loss over 6 months. Examination found nail clubbing and a chest X-ray showed abnormalities. Biopsy and scans confirmed stage IV lung cancer. Nail clubbing is associated with lung diseases and cancers and results from vascular changes and growth factors from the lungs. Different types of biopsies are used to diagnose cancers including needle, endoscopic, and surgical biopsies. The anatomy of the chest is also described including structures like the ribs, sternum, and thoracic skeleton that make up the rib cage.
Mr. Lim, a 47-year-old man, presented with abdominal pain and diarrhea. Endoscopy revealed a duodenal ulcer and CT scan showed a 3cm pancreatic head mass suspected to be a gastrinoma. Laboratory tests found highly elevated gastrin and basal gastric acid levels consistent with Zollinger-Ellison Syndrome. Further tests demonstrated increased gastrin response to secretin stimulation, confirming a gastrin-secreting pancreatic tumor as the cause of his symptoms. Complications of ZES include peptic ulcers, diarrhea from excess acid inactivating pancreatic enzymes, and potential malignant spread of gastrinomas. Omeprazole was prescribed to reduce gastric acid levels and treat his
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
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Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
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Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
CLASSIFICATION OF H1 ANTIHISTAMINICS-
FIRST GENERATION ANTIHISTAMINICS-
1)HIGHLY SEDATIVE-DIPHENHYDRAMINE,DIMENHYDRINATE,PROMETHAZINE,HYDROXYZINE 2)MODERATELY SEDATIVE- PHENARIMINE,CYPROHEPTADINE, MECLIZINE,CINNARIZINE
3)MILD SEDATIVE-CHLORPHENIRAMINE,DEXCHLORPHENIRAMINE
TRIPROLIDINE,CLEMASTINE
SECOND GENERATION ANTIHISTAMINICS-FEXOFENADINE,
LORATADINE,DESLORATADINE,CETIRIZINE,LEVOCETIRIZINE,
AZELASTINE,MIZOLASTINE,EBASTINE,RUPATADINE. Mechanism of action of 2nd generation antihistaminics-
These drugs competitively antagonize actions of
histamine at the H1 receptors.
Pharmacological actions-
Antagonism of histamine-The H1 antagonists effectively block histamine induced bronchoconstriction, contraction of intestinal and other smooth muscle and triple response especially wheal, flare and itch. Constriction of larger blood vessel by histamine is also antagonized.
2) Antiallergic actions-Many manifestations of immediate hypersensitivity (type I reactions)are suppressed. Urticaria, itching and angioedema are well controlled.3) CNS action-The older antihistamines produce variable degree of CNS depression.But in case of 2nd gen antihistaminics there is less CNS depressant property as these cross BBB to significantly lesser extent.
4) Anticholinergic action- many H1 blockers
in addition antagonize muscarinic actions of ACh. BUT IN 2ND gen histaminics there is Higher H1 selectivitiy : no anticholinergic side effects
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
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In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Allopurinol, a uric acid synthesis inhibitor acts by inhibiting Xanthine oxidase competitively as well as non- competitively, Whereas Oxypurinol is a non-competitive inhibitor of xanthine oxidase.
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
- Video recording of this lecture in English language: https://youtu.be/RvdYsTzgQq8
- Video recording of this lecture in Arabic language: https://youtu.be/ECILGWtgZko
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
1. 1
ACID AND BASE BALANCE AND
IMBALANCE
PROBLEM BASED LEARNING (PBL)
PREPARED BY: MUHAMMAD ARIFF B.
MAHDZUB
BACHELOR MEDICINE AND SURGERY (MBBS)
UNIVERSITY COLLEGE SHAHPUTRA, KUANTAN
2. 2
pH Review
• pH = - log [H+
]
• H+
is really a proton
• Range is from 0 - 14
• If [H+
] is high, the solution is acidic; pH < 7
• If [H+
] is low, the solution is basic or
alkaline ; pH > 7
5. 5
• Acids are H+
donors.
• Bases are H+
acceptors, or give up OH-
in
solution.
• Acids and bases can be:
–Strong – dissociate completely in
solution
• HCl, NaOH
–Weak – dissociate only partially in
solution
• Lactic acid, carbonic acid
6. 6
The Body and pH
• Homeostasis of pH is tightly controlled
• Extracellular fluid = 7.4
• Blood = 7.35 – 7.45
• < 6.8 or > 8.0 death occurs
• Acidosis (acidemia) below 7.35
• Alkalosis (alkalemia) above 7.45
8. 8
Small changes in pH can produce
major disturbances
• Most enzymes function only with narrow
pH ranges
• Acid-base balance can also affect
electrolytes (Na+
, K+
, Cl-
)
• Can also affect hormones
9. 9
The body produces more acids
than bases
• Acids take in with foods
• Acids produced by metabolism of lipids
and proteins
• Cellular metabolism produces CO2.
• CO2 + H20 ↔ H2CO3 ↔ H+
+ HCO3
-
10. 10
Control of Acids
1. Buffer systems
Take up H+ or release H+ as conditions
change
Buffer pairs – weak acid and a base
Exchange a strong acid or base for a
weak one
Results in a much smaller pH change
13. 13
Protein Buffers
• Includes hemoglobin, work in blood and ISF
• Carboxyl group gives up H+
• Amino Group accepts H+
• Side chains that can buffer H+
are present on
27 amino acids.
14. 14
2. Respiratory mechanisms
• Exhalation of carbon dioxide
• Powerful, but only works with volatile
acids
• Doesn’t affect fixed acids like lactic acid
• CO2 + H20 ↔ H2CO3 ↔ H+
+ HCO3
-
• Body pH can be adjusted by changing rate
and depth of breathing
15. 15
3. Kidney excretion
• Can eliminate large amounts of acid
• Can also excrete base
• Can conserve and produce bicarb ions
• Most effective regulator of pH
• If kidneys fail, pH balance fails
16. 16
Rates of correction
• Buffers function almost instantaneously
• Respiratory mechanisms take several
minutes to hours
• Renal mechanisms may take several
hours to days
19. 19
Acid-Base Imbalances
• pH< 7.35 acidosis
• pH > 7.45 alkalosis
• The body response to acid-base
imbalance is called compensation
• May be complete if brought back within
normal limits
• Partial compensation if range is still
outside norms.
20. 20
Compensation
• If underlying problem is metabolic,
hyperventilation or hypoventilation can
help : respiratory compensation.
• If problem is respiratory, renal
mechanisms can bring about metabolic
compensation.
21. 21
Acidosis
• Principal effect of acidosis is depression of the
CNS through ↓ in synaptic transmission.
• Generalized weakness
• Deranged CNS function the greatest threat
• Severe acidosis causes
–Disorientation
–coma
–death
22. 22
Alkalosis
• Alkalosis causes over excitability of the central
and peripheral nervous systems.
• Numbness
• Lightheadedness
• It can cause :
– Nervousness
– muscle spasms or tetany
– Convulsions
– Loss of consciousness
– Death