other revision Flashcards
give an example of a water soluble hormone
peptides - TRH, LH, FSH
are water soluble hormones stored in vesicles or synthesised on demand?
stored in vesicles
what are the 3 phases of alcoholic liver disease?
fatty changes
alcoholic hepatitis
alcoholic cirrhosis
name a scoring system used as a prognostic tool in acute pancreatitis?
abbreviated glasgow scoring system
what points make up the glasgow scoring system?
PaO2 <8kPa age >55 neutrophils >10x10^9 calcium <2mmol/L raised urea >15mmol/L elevated enzymes albumin <32g/L sugar - serum glucose >15mmol/L
give 3 major features of MS plaque
inflammation
demyelination
axon loss
give 4 functions of the lower urinary tract
storage of urine
converts continuous process of excretion into intermittent, controlled and volitional process
prevents leakage of stored urine
allows rapid, low pressure voiding
what is the most likely cause of LUTS in men>50?
BPH
what anatomical structures make up the lower urinary tract?
bladder bladder neck prostate gland urethra urethral sphincter
LUTS: give 4 symptoms of stoarge problems
frequency
urgency
nocturia
LUTS: give 4 symptoms of voiding problems
straining
hesistancy
incomplete emptying
poor flow
give 2 side effects of tamulosin?
hypotension
retrograde ejaculation
what 7 things are reabsorbed in PCT
sodium chlorine potassium glucose water amino acids bicarbonate
give 3 causes of nocturnal polyuria
habitual
congestive heart failure
sleep aponea
what is the effect of macula densa cells when they detect raised NaCl?
AA constriction
describe the treatment for type 1 prostatitis
acute bacterial prostatitis
IV Abx - gentamycin, co-amoxiclav for 2 wks
describe tubuloglomerular feedback
macula densa cells of DCT lie between AA and EA
they detect NaCl and use this as indicator for GFR
how do alpha-1-blockers work in management of LUTS?
cause vasodilation - reduced resistance to bladder outflow
which cells are found in the collecting duct of the nephron?
principal cells
intercalated cells