Lecture 5+6 Flashcards
The layers of the peritoneum?
innervation? pain type? embryo tissue type?
parietal peritoneum- Line the internal surface
somatopleure
innervated by somatic afferents
pain is well localized
visceral peritoneum: overlie the abdominal organs
splanchnopleure
innervated by visceral afferents
pain is poorly localized; discomfort
Ascites
excess fluid in the peritoneal cavity
Pneumoperitoneum
Abnormal presence of air/gas in the peritoneal cavity
generally due to a ruptured hollow viscus organ
Peritonitis
inflammation of the peritoneum
Intraperitoneal organs
have a mesentery
stomach liver spleen small intestine (1st part of duodenum) cecum and appendix transverse and sigmoid colon
Primarily Retroperitoneal
posterior body wall behind peritoneum
kidney ureter sympathetic trunks IVC aorta
Secondarily Retroperitoneal
pancreas duodenum (2nd,3rd,4th parts) ascending colon descending colon rectum
Pouch of Morison or hepatorenal recess
most likely space for pathological fluid accumulation in supine patient
Complex I: NADH dehydrogenase
will oxidize NADH and reduce coenzyme Q
bound riboflavin-5-phosphate and iron-sulfur clusters accept and release electrons
pumps 4 protons across the membrane
Complex II: Succinate-Q-Reductase
Will oxidize succinate and reduce CoQ
electrons come from succinate, FAO, or glycerol phosphate shuffle
bound FAD prosthetic group and iron-sulfur clusters
contains binding site for succinate and CoQ
Does not span membrane and does not translocate protons
Complex III: Cytochrome b-c1 complex
Will oxidize CoQ and reduce Cyt-c
spans the membrane
used to pump 4 protons across the membrane
flow of electrons will regenerate CoQ
Complex IV: Cytochrome C Oxidase
oxidize cytochrome c and reduces oxygen to water
O2 is the final electron acceptor
spans the membrane
movement of electrons, allows the movement of 2 protons across the membrane
What is the adenine nucleotide translocase?
what inhibits it?
unidirectional exchange of ATP for ADP (antiport)
atractyloside binds to the outward facing portion of the ANT and inhibits it
bongkrekic acid binds to the inward facing portion of the ANT and inhibits it
ETC will shit down
what do uncouplers do to oxidative phosphorylation?
destroy the proton gradient
decrease ATP synthesis, increase ETC and oxygen consumption
synthetic uncouplers or proton ionophores
lipid soluble act by destroying the proton gradient
examples:
DNP and ASA (aspirin)