In the UK and US, the main causes are gallstones and alcohol.
Use the mnemonic 'I GET SMASHED':
Idiopathic
Gallstones
Ethanol
Trauma
Steroids
Mumps / Malignancy
Autoimmune
Scorpion stings
Hypercalcaemia / Hypertriglyceridaemia / Hypothermia
ERCP
Drugs (including azathioprine, mesalazine, bendroflumethiazide, furosemide, steroids, sodium valproate)
On, on, on, they travelled and found Voldemort guarding very ancient horcruxes.
Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, hypoglossal.
On - Olfactory nerve (CN I)
On - Optic nerve (CN II)
On - Oculomotor nerve (CN III)
They - Trochlear nerve (CN IV)
Travelled - Trigeminal nerve (CN V)
And - Abducens nerve (CN VI)
Found - Facial nerve (CN VII)
Voldermort - Vestibulocochlear nerve (CN VIII)
Guarding - Glossopharyngeal nerve (CN IX)
Very - Vagus nerve (CN X)
Ancient - Accessory nerve (CN XI)
Horcruxes - Hypoglossal nerve (CN XII)
clearance = (urine concentration x urine volume passed over time) / plasma concentration
the only useful thing my prof ever taught me for the renal physiology portion of my physiology course is that clearance is calculated by the equation “pissing under the sun” ( C = UV/P)
So Long Till Pinky, Here Comes The Thumb
Scaphoid
Lunate
Triquetrum
Pisiform
Hamate
Capitate
Trapezoid
Trapezium
(going anti-clockwise in this diagram)
Ca^2+ and PO4^3+ form hydroxyapatite
Diffusible pool
~50% of plasma calcium is free/unbound ionic Ca2+ (physiologically important form)
~10% of plasma calcium is complexed with small molecular weight compounds (citrate, phosphate)
Non-diffusible pool
~40% of plasma calcium is bound to calcium-binding proteins and plasma proteins (albumin)
The body utilises plasma albumin-bound calcium as a circulating reserve
ACh acts on N2 receptors (ligand-gated Na+/K+ receptors)
Block Na+ channels that propagate nerve impulse - local anaesthetics (lidocaine), tetrodotoxin
Inhibit ACh release - tetanus toxin, botulinum toxin
Competitive antagonists - vecuronium
N2 agonists - suxamethonium
Flaccid paralysis
Only cleared by plasma cholinesterase
Reversible anticholinesterases - edrophonium, neostigmine, physostigmine
Block activity of AChE
Diagnose and treat myasthenia gravis and treat glaucoma respectively
Irreversible anticholinesterases - organophosphates (pesticides, nerve gases)
Long-lived flaccid paralysis
Treat with pralidoxime within 10 minutes - cleaves OP-AChE complex
Can - Citrate
I - Isocitrate
Keep - α-Ketoglutarate
Selling - Succinyl-CoA
Sex - Succinate
For - Fumarate
Money - Malate
Officer - Oxaloacetate
oh we are starting my favorite topic in biochemistry the tca cycle because whenever someone’s like :( it’s so hard to remember the intermediates :( i get to tell them about Can I Keep Selling Sex For Money Officer
The renin-angiotensin system that helps regulate the constriction of blood vessels and blood pressure.
SHIP
Sulfasalazine & Sulfonamide Hydralazine Isoniazid Procainamide & Phenytoin
This is by no means a definitive list (they are many!) but these are some of the most common causes.
"Haemosiderin staining" describes orange/red/brown skin hyperpigmentation caused by haemosiderin (an iron-containing pigment found in blood) leaking into the skin.
Causes:
Chronic venous insufficiency (in lower legs)
Skin inflammation
Trauma e.g. wound, fracture, surgery
Pigmented purpuric dermatoses
Haemochromatosis
Haemosiderin staining may be exacerbated by anticoagulant use as this increases extravasation (leakage) of red blood cells into the skin.
See an example here.
Furosemide (and other loop diuretics) Aminoglycosides Vancomycin Quinine Aspirin