16th April Flashcards
Secondary peristalsis
Food, which doesn’t enter the stomach stimulates stretch receptors to cause peristalsiss
Mass movements
Waves migratory peristaltic waves along the entire colon to empty the organ prior to the next ingestion
Maltase
Glucose and glucose
Parietal cells secrete
HCl, Ca, Na, Mg and intrinsic factor
More easily absorbed, haem or non-haem iron
Haem
Non haem iron is _ and must be converted into _ for absorption
Fe3+ ferric, Fe2+ ferrous
Main regulator of iron storage
Hepcidin
Transferrin
Binds iron in serum
Hormone responsible for regulating ion exchange in the salivary glands
Aldosterone
Somatostatin
Inhibits pancreatic enzyme secretion, decreases gastrin and pepsinogen release, decreases insulin and glucagon secretion
Amount of bile produced per day
500-1500ml per day
Action of endothelin
Vasoconstriction and bronchoconstriction
Atrial de or re polarisation masked by QRS?
re
Troponin
Complex of 3 proteins involved in skeletal and cardiac muscle contraction
diagnosis of sarcoidosis
transbrachial lung biopsy
J wave
hypercalcaemia
st elevation and pr depression
pericarditis
HOLDS CVD RISK
Hypertension Obesity Lack of exercise Diabetes Smoking
What tends to be low when triglycerides are high
HDL cholesterol
More CVD events due to hypertriglyceridemia or hypercholesterolaemia
Hypercholestrolaemia
Exudate protein
> 30 extra
Transudate protein
<30 less
T1DM vomiting, not taking insulin, dehydrated, laboured breathing
Diabetic ketoacidosis
Pulmonary oedema
Alveolar bat's wings kerly B lines Cardiomegaly Dilated prominent upper lobe vessels pleural Effusion
Increased ACE and Ca
Sarcoidosis
Respiratory rhythm
Established in medulla
Respiratory epithelium
Psuedostratified Ciliated Columnar Epithelium with Goblet cells
Henry’s law
Volume of gas is proportional to partial pressure of gas in equilibrium with liquid
DIVE
Dorsal firing is inspiratory and ventral firing is expiratory
Dorsal medulla firing
Inspiration
Ventral medulla firing
Expiratory
Ventral medulla firing
Expiratory
Apneustic
Prolongs inspiration
Pneumotaxic
Inhibits inspiration
Qfever
Coxiella burnetti, sheep n al taht
Common pneumonia cause in CF
Staph aureus and pseudomonas aeruginosa
Hyperexpanded chest
COPD and chronic asthma
Postural flapping tremor
Acute CO2 retention
Stony dull percussion
Pleural effusion which you mostly get in pneumonia, TB and cancers
Why does exudative pleural effusion have higehr protein
Increased capillary permeability in inflammatory process
Exudative pleural effusion causes
Infections, malignancies, PE, autoimmune diseases
Transudative pleural effusion causes
CHF
Fine crepitations
Pulmonary oedema or fibrosis
Pleuritic chest pain
PE, pneumonia or pneumothorax
4 Cs of fibrosis
Clubbing, Cough, Cyanosis and Crackles
Wedge shaped infarct on chest radiograph
PE
Pleural mass with lobulated margin
Mesothelioma
Erythema nodosum
Sarcoidosis
Fever, nightsweats, haemoptysis, anorexia
TB
Swinging fever, copious foul-smelling sputum
Lung abscess
Parathyroid hormone PTH
Controls distribution of calcium and phosphate in the body
Adrenocorticotrophic hormone ACTH
Produced by pituitary gland in response to stress, controls corticosteroid secretion
Aspirin induced asthma
Samter’s triad
Samter’s triad
Asthma, salicylate sensitivity and nasal polyps
Boyle’s law
As gas volume increases, pressure decreases
Middle lobe auscultation
Rib 4 - 6 right
H pylori treatment
COMA
Clarithromycin, Omeprazole, Metronidazole/Amoxicillin
Diagnosis of C. diff
Stool antigen C diff
Treatment for TB
RIPE Rifampicin Isoniazid Pyrazinamide Ethambutol
Hernia test results
Direct reappears
Indirect doesn’t