Endocrine System and Disease - Calcium, Magnesium and Phosphate Homeostasis (50) Flashcards

1
Q

Calciums charge

A

Divalent cation Ca2+

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2
Q

Why is calcium physiologically important?

A

Muscle contraction, neuronal excitation, enzyme activity (Na/K ATPase, hexokinase), blood clotting

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3
Q

Why is calcium structurally important?

A

Key component of hydroxyapaptitde Ca10(PO4)6(OH)2

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4
Q

Phosphates charge

A

Monovalent anion PO4-

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5
Q

Why is phosphate physiologically important?

A

ATP, intracellular signalling, cellular metabolic process e.g. glycolysis

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6
Q

Why is phosphate structurally important?

A

Backbone of DNA, component of hydroxyapatite Ca10(PO4)6(OH)2, membrane phospholipids

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7
Q

Is prophate predominately intracellular or extracellular?

A

Intracellular

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8
Q

Magnesium charges

A

Divalent cation Mg2+

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9
Q

Why is magnesium physiologically important?

A

Cofactor for ATP, neuromuscular excitability, enzymatic function, regulates ion channels

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10
Q

Why is magnesium structurally important?

A

0.5-1% bone matrix

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11
Q

Is magnesium predominately intracellular or extracellular?

A

Intracellular

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12
Q

K+ EDTA contamination

A

Low Calcium, alkaline phosphate, high potassium

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13
Q

Homeostasis 4 key issues that could arise

A
  1. Intake
  2. Storage
  3. Excretion/loss
  4. Tissue redistribution
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14
Q

Calcium normal range

A

2.20-2.60 mmol/L

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15
Q

What are the two key controlling factors for calcium?

A
  1. PTH

2. Vit D and metabolites

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16
Q

Calcium homeostasis involves

A

GI uptake, renal clearance, bone

17
Q

Total Ca =

A

Ionised Ca (active) + Bound Ca (albumin) + complex Ca (calcium phosphate/citrate)

18
Q

Adjusted Ca=

A

Total Ca + (40 -Alb) x 0.025

19
Q

Why adjusted Ca?

A

Better diagnostic performance