High Yield Flashcards
Laron Dwarves are known for have what mutation?
GH-R mutation
Pygmies are known for having what?
Lack of pubertal IGF-1 surge
Pakistani are known for having what mutations?
GHRH-R mutation
Increased levels of GH does what?
Increases gluconeogenesis, increases insulin resistance and mimics a diabetogenic state
What are the normal, prediabetes, and diabetic values for A1c?
5, 5.7-6.4, and 6.5 or higher
What are the normal, prediabetes, and diabetic values for Fasting glucose?
99 or lower, 100-125, and 126 or higher
What are the normal, prediabetes, and diabetic values for Oral glucose tolerance test?
139 or lower, 140-199, and 200 or higher
MEN1 is associated with tumors where?
Pancreas, pituitary, and parathyroid
MEN2a are associated with tumors where?
Parathyroid and pheochromocytoma
MEN2b are associated with what tumors?
MEN2b
Rathkes pouch forms what?
Anterior pituitary
Neural ectoderm (diencephalon) forms what?
Posterior lobe
Duplication of the ureters leads to what?
Ectopic placement leading to openings in the vagina
Multiple renal vessels leads to what?
Blocked ureters - hydronephrosis and increased hydrostatic pressure
ANF does what?
Afferent vasodilation
Acidosis does what to potassium?
inhibits uptake into cells possibly leading to hypokalemia
Increased serum osmolality does what to potassium?
Increased K+ exit from cells
What are some conditions that favor potassium secretion?
Apical - Increased fluid flow, pH, and Na Decreased - Cl
Basolateral - Increased ADH, aldosterone, potassium gradient and pH
How will the kidney react to a state of metabolic alkalosis?
Excrete bicarbonate to decrease pH
How will the kidney react to increase pCO2?
It will begin to excrete H+ ions
What is the normal progression of T2 DM?
Eventually the islet cells wear out and stop producing insulin
Acidosis has what effect on ammonium excretion?
Increased levels of ammonium excretion
Would you see acanthros nigrans on a patient with T1DM?
No
Would you see acanthros nigrans on a patient with T1DM?
No also no C-peptide
Environmental cause of nephrogenic DI?
Lithium
Pheochromocytoma can result in?
Increased calcitonin
Insufficient effect of ACTH on the adrenals
Hypoplasia
FENa <1%
Prerenal
FENa >4%
Postrenal
White blood cells in urine?
Drug induced interstitial nephritis
Hypercalcuria
Bartters
Hypercalcemia
Gittlemans
Acidosis does what to urine ammonium?
Increases it
Lesch-neyan
HGPRT deficiency