final exam Flashcards
Intercellular space H20
Most total body water is in the cells
Extracellular space
B/w cells and bv
concentration of k/na inside cell & outside the cell
Less NA more K inside cell
more NA less K outside cell
Renin (RAAS)
Kidneys release in response to sensing low BP
Retains NA/H2O
ADH
Released by anterior pituitary in response to increased osmolarity and decrease BV
Concentrates urine
Acquired immunity memory/peptides/protection
specific/antibodies/lymphocyts & antibodies
Acute inflammation
Pain stimulated nerve endings, warmth (vasodiation) , redness (vasodialtion) , swelling vascular edema
IgG/IgA/IgM/IgE
Given to child from mother
In the body secretions
First to arrive during primary response
Allergic reaction response
LPS
Endotoxin stimulates inflammation
lab values
pH-7.35-7.45
CO 35-45
HCO3 20-24
Metabolic acidosis
Excessive acid build-up or bicarb loss due to lactic acid, ketoacidosis, or diarrhea Anion gap helps find underlying cause PH low Bicarb low CO2 normal
Metabolic alkalosis
loss of acid from blood
high pH
normal CO2
high bicarb
Components of blood
55% plasma (proteins, water, solutes)
45% formed elements (99% rbcs, platelets, wbcs)
NLMEB
Neutrophils 60% Lymphocytes 20% Monocytes 3 Esosinophils 2 basophils 1
Urethritis
When the urethra becomes inflammed by bacterial sti or trauma
Balantitis
Infection of the skin on the glands penis most common in diabetes mellitus
Phimosis
Skin is stuck over glands penis
Paraphimosis
Skin is stuck behind GP and is a medical emergency
Paraphimosis
Skin is stuck behind GP and is a medical emergency
Peyronies
Plaque build up due to trauma or family hx
causes curvature
Priapism
An unwanted erection lasting more than 4 hrs medical emergency
ED
Physical or pyschologic factors that impairs erection sexual function and sexual desire
BPH
symptoms similar to urethral compression
dx: digital rectal exams, PSA monitoring
Prostate cancer
Dx: digital exam and PSA test
confirm via bx
Chlamydia trachomatis
Intracellular gram neg bacteria, invades and destroys host cell, very hard to culture
Neisseria gonorrhea
Bacterium evades immune destruction but has a very strong neutrophilic response, damage tissue and cells leak out as pus
Liver function
Removes toxic substances, produces proteins, fights infection, produces most clotting factors, immunity against infection
Liver function
Removes toxic substances, produces proteins, fights infection, produces most clotting factors, immunity against infection
Gallbladder
Store and concentrate bile that isn’t being used
Bile function
Break down fats and drain liver waste products into duodenum
Pancreatic exocrine function
Secretion of digestive enzymes
carbs-amylase
fats- pancreatic lipase
proteins- trypsin
Bicarbonate secretion in pancreas
neutralizes chime in duodenum, stimulated by secretin
Hematemesis
Upper GI bleed, frank blood is active bleed,
coffee grounds mixed w. gastrin
Melena
Upper GI bleed (black or tarry stool)
Hemotochezia
BRBPR
Lower GI bleed
adhesions
when the looks of the loops of the intestines adhere to each others
Volvus
When the loop of intestine twists
Intussusception
when the bowl slips inside itself
Peptic ulcer disease
Chronic mucosal ulceration in the stomach and duodenum, theres an imbalance bw mucosal defense mechanisms and damaging forces
Gastric Ulcers
pain mmediately after eating, loss of weight, women
Duodenal ulcers
Pain after 2-5 hours, feels better after eating, weight gain is often seen here, most common in men
Pyloric stenosis
Fibrotic tissue is at the pyloric sphincter
early satiety is a sign
PUD can be the cause
Acute gastritis
inflammation of gastric mucousa, H pylori can be the cause of the non errosive one
Chronic gastritis
Defined as the presence of chronic mucosal inflammatory changes leading eventually to mucosal atrophy and intestinal metaplasia
IBD
Cause by inappropiate immune inflammation in the gastric mucosa it is an umbrella term that has crohns disease/ulcerative collitis
Chrons disease
Spots throughout the intestines
xray shows string
surgery for complications
crampy ab pain
Ulcerative colitis
spread throughout
xray shows thicker tube
surgey is curative
blood diahreea
Spacisticity
hyperexcitivity of stretch reflexes
Hypertonia
increased muscle tone
paratonia
resistance to passive movement
dystonia
increased involuntary muscle contraction
rigidity
tense firm muscles and constant involuntary muscle contraction