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PSVT
ADENOSINE
BB /VERAPAMIL( RECURRENCE)
VENT
1B—LIGNOCAINE
ATRIA
ADENOSINE/DIGOXIN/VERAPAMIL
WPW
FLECAINIDE
PLZ CHECK PFT LFT TFT
• PIGMENTATION
• PHOTOSENSITIVITY
• CORNEAL DEPOSIT (WHORLING)
• PULM FIBROSIS
• PERIPHERLA NEUROPATHY
• PSEUDOALCOHOLIC LIVER INJURY
• HYPOTHYROIDISM /HYPERTHYROIDISM
PURE AS GOLD
CUT --PYRIMIDINE
CYTARABINE
5 FLURO URACIL
capacitabine
Neutrophil chemotactic
factors:
C - C5a
I - IL-8
L - Leukotriene B4
Oncogenes. Gain of function
mutation in one allele -->
cancer.
K-ras: Kolon, panKreatic
H-ras: (Hematuria) - bladder
and kidney tumors
N-ras: melaNomas
Tumor suppressor genes:
DPC - Deleted in Pancreatic Cancer
DCC - Deleted in Colon Cancer
Psammoma bodies - laminated,
concentric, "rings on a tree"
spherical calcifications:
P - Papillary (adenocarcinoma of
thyroid)
S - Serous (cystadenoma of ovary)
M - Meningioma
M - Mesothelioma (asbestos
exposure)
Metastases to brain (# metastases = #
primary brain tumors):
Lung, Breast, Skin (melanoma), Kidney
(RCC), GI
Typically, multiple well-circumcribed
tumors at gray-white border
Metastases to liver (metastases
>> primary liver tumors):
Colon, Stomach, Pancreas,
Breast, Lung.
*Think breast & lung, plus what
is drained by portal venous
system to liver.
Metastases to bone (metastases >>
primary):
Prostate, Thyroid, Breast, Lung,
Kidney
Lung = Lytic (IL-1)
Prostate = blastic
Drugs with zero order elimination
P - Phenytoin
E - Ethanol
A - Aspirin (at high or toxic
concentrations)
• Therapeutic Index equation:
TI = LD50 / ED50
Safer drugs have higher TI's
• G-protein linked 2nd messengers:
q - alpha 1 - vasoconstriction --> inc BP
i - alpha 2 - dec sympathetic outflow
s - beta 1 - inc HR, contractility, renin, lipolysis
s - beta 2 - vaso-/bronchodilation, inc HR
q - M1 - CNS, ENS
i - M2 - dec HR, dec contractility of atria
q - M3 - peristalsis, gastric acid,
bronchoconstriction, miosis, accommodation
• G-protein linked 2nd messengers:
s - D1 - relaxes renal vascular sm muscle
i - D2 - modulates NT release, esp in brain
q - H1 - (nasal, bronchial mucus production)
s - H2 (gastric acid secretion)
q - V1 - vasopressin (sm m contraction)
s - V2 - vasopressin (inc H2O permeability
• Receptors that use the Gq pathway:
H1, alpha-1, V1, M1, M3
Gq -> phospholipase C -> -> IP3 (-> Ca++ from
ER) + DAG (-> Protein Kinase C)
• Receptors that use the Gi pathway:
M2, alpha-2, D2
Gi --> inhibition of Adenylate cyclase --> dec
cAMP --> dec protein kinase A
OP
• Hot as a hare (inc body temp)
Dry as a bone (dry mouth, skin)
Red as a beet (flushed skin)
Blind as a bat (cycloplegia, mydriasis)
Mad as a hatter (delirium)
Bloated as a toad (constipation, urinary
retention)
• low doses of epinephrine are selective for
beta-1 receptors -->
Pharmacology pj 2

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Pharmacology pj 2

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  • 114. PLZ CHECK PFT LFT TFT • PIGMENTATION • PHOTOSENSITIVITY • CORNEAL DEPOSIT (WHORLING) • PULM FIBROSIS • PERIPHERLA NEUROPATHY • PSEUDOALCOHOLIC LIVER INJURY • HYPOTHYROIDISM /HYPERTHYROIDISM
  • 115.
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  • 126.
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  • 128. Neutrophil chemotactic factors: C - C5a I - IL-8 L - Leukotriene B4
  • 129. Oncogenes. Gain of function mutation in one allele --> cancer. K-ras: Kolon, panKreatic H-ras: (Hematuria) - bladder and kidney tumors N-ras: melaNomas
  • 130. Tumor suppressor genes: DPC - Deleted in Pancreatic Cancer DCC - Deleted in Colon Cancer
  • 131. Psammoma bodies - laminated, concentric, "rings on a tree" spherical calcifications: P - Papillary (adenocarcinoma of thyroid) S - Serous (cystadenoma of ovary) M - Meningioma M - Mesothelioma (asbestos exposure)
  • 132. Metastases to brain (# metastases = # primary brain tumors): Lung, Breast, Skin (melanoma), Kidney (RCC), GI Typically, multiple well-circumcribed tumors at gray-white border
  • 133. Metastases to liver (metastases >> primary liver tumors): Colon, Stomach, Pancreas, Breast, Lung. *Think breast & lung, plus what is drained by portal venous system to liver.
  • 134. Metastases to bone (metastases >> primary): Prostate, Thyroid, Breast, Lung, Kidney Lung = Lytic (IL-1) Prostate = blastic
  • 135. Drugs with zero order elimination P - Phenytoin E - Ethanol A - Aspirin (at high or toxic concentrations)
  • 136. • Therapeutic Index equation: TI = LD50 / ED50 Safer drugs have higher TI's
  • 137. • G-protein linked 2nd messengers: q - alpha 1 - vasoconstriction --> inc BP i - alpha 2 - dec sympathetic outflow s - beta 1 - inc HR, contractility, renin, lipolysis s - beta 2 - vaso-/bronchodilation, inc HR q - M1 - CNS, ENS i - M2 - dec HR, dec contractility of atria q - M3 - peristalsis, gastric acid, bronchoconstriction, miosis, accommodation
  • 138. • G-protein linked 2nd messengers: s - D1 - relaxes renal vascular sm muscle i - D2 - modulates NT release, esp in brain q - H1 - (nasal, bronchial mucus production) s - H2 (gastric acid secretion) q - V1 - vasopressin (sm m contraction) s - V2 - vasopressin (inc H2O permeability
  • 139. • Receptors that use the Gq pathway: H1, alpha-1, V1, M1, M3 Gq -> phospholipase C -> -> IP3 (-> Ca++ from ER) + DAG (-> Protein Kinase C)
  • 140. • Receptors that use the Gi pathway: M2, alpha-2, D2 Gi --> inhibition of Adenylate cyclase --> dec cAMP --> dec protein kinase A
  • 141. OP • Hot as a hare (inc body temp) Dry as a bone (dry mouth, skin) Red as a beet (flushed skin) Blind as a bat (cycloplegia, mydriasis) Mad as a hatter (delirium) Bloated as a toad (constipation, urinary retention)
  • 142. • low doses of epinephrine are selective for beta-1 receptors -->