Luteinizing hormone (LH)
LH
Looks like hCG
Showing posts with label Endocrinology. Show all posts
Showing posts with label Endocrinology. Show all posts
Diabetes insipidus (DI)
Diabetes insipidus (DI)
PEPINO
Poly-uria
Excessive thirst
Poly-dypsia
Increased Na+
No H2O - dehydration
Osmolality - plasma increased, urine decreased - DDx SIADH
PEPINO
Poly-uria
Excessive thirst
Poly-dypsia
Increased Na+
No H2O - dehydration
Osmolality - plasma increased, urine decreased - DDx SIADH
GIT HORMONES
GIT HORMONES:
FOOD-->
/G ASTRIN-->
/G ASTRIC Hcl-->
Zollinger-Ellison
CCK+SECRETIN->pancreas
FAT-->
C CK-->ENZYMES
C ONTRACTS GALLBLD
Hcl-->
/ S ECRETIN-->
/ S ECRETION HCO3-
FOOD-->
/G ASTRIN-->
/G ASTRIC Hcl-->
Zollinger-Ellison
CCK+SECRETIN->pancreas
FAT-->
C CK-->ENZYMES
C ONTRACTS GALLBLD
Hcl-->
/ S ECRETIN-->
/ S ECRETION HCO3-
Lipoproteins
APO-LPP~RECEPTORS
a
a--> SPEPhoresis
A CTIVATES LCAT
MOVES CHOL BACK IN
H DL
H EALTHY=NO APO b
b
b--> SPEP
B ED
B INDS--> LDL-RECEPTOR
C
C oFACTOR--> LPL
E
E XTRA UPTAKE OF REMNANTS
b--> ALL the REST
VL, I, L, -DL
a
a--> SPEPhoresis
A CTIVATES LCAT
MOVES CHOL BACK IN
H DL
H EALTHY=NO APO b
b
b--> SPEP
B ED
B INDS--> LDL-RECEPTOR
C
C oFACTOR--> LPL
E
E XTRA UPTAKE OF REMNANTS
b--> ALL the REST
VL, I, L, -DL
DM - insulin and glucagon
AFTER MEAL:
4\ + 1/INSULIN-->
GLU AA FFA-->BUILD UP
FASTING/EXERCISE:
4/E GLUGON GH CS
+1\--> OUT
4\ + 1/INSULIN-->
GLU AA FFA-->BUILD UP
FASTING/EXERCISE:
4/E GLUGON GH CS
+1\--> OUT
Cholesterol and gallstones
H DL--> NO APO B
H EALTHY
b
B ED--> the REST 3 LPP:
V, I, L DL
GALL-STONES=F
F AT
F ORTY
F EMALE
CHOLESTRL+MIXED=80%
PIGMENT 20%
C OMPLICATIONS
C HOLE-CYSTITIS
C HARCOT TRIAD
C OLIC= bmj F
bmj F:
b ILIARY COLIC
m URPHY Sx--> RUQ
j AUNDICE 20%
F EVER
S TONES GBL, PIGMENT
S PHERO-CYTOSIS
S PECTRIN
S ALINE TEST
o S MOTIC RESIST\
S PLEEN/ CHIME DDx
S EQUESTR-ATION
S MALLEST CAP.DIAMETR
S LUGGISH CIRCULATION
S TOPS RBC DESTRUCT
S URGICAL Tx
S WEDEN NORTH.EUR.
S HORTAGE LOSS
of MEMBRANE
DDx.
TARGET RBC
REDUNDANT MEMBRANE
DDx= HILLS
AD
DDx.
G6PD
M EDI-TERR-ENIANN
M ANY DRUGS
M ALARIA Tx
M ALE ONLY XR
H EALTHY
b
B ED--> the REST 3 LPP:
V, I, L DL
GALL-STONES=F
F AT
F ORTY
F EMALE
CHOLESTRL+MIXED=80%
PIGMENT 20%
C OMPLICATIONS
C HOLE-CYSTITIS
C HARCOT TRIAD
C OLIC= bmj F
bmj F:
b ILIARY COLIC
m URPHY Sx--> RUQ
j AUNDICE 20%
F EVER
S TONES GBL, PIGMENT
S PHERO-CYTOSIS
S PECTRIN
S ALINE TEST
o S MOTIC RESIST\
S PLEEN/ CHIME DDx
S EQUESTR-ATION
S MALLEST CAP.DIAMETR
S LUGGISH CIRCULATION
S TOPS RBC DESTRUCT
S URGICAL Tx
S WEDEN NORTH.EUR.
S HORTAGE LOSS
of MEMBRANE
DDx.
TARGET RBC
REDUNDANT MEMBRANE
DDx= HILLS
AD
DDx.
G6PD
M EDI-TERR-ENIANN
M ANY DRUGS
M ALARIA Tx
M ALE ONLY XR
ANTI-THYROID DRUGS
ANTI-THYROID DRUGS:
-THION-AMIDE S=C-N
\ORGANIFICTN<--C-MAZL P ER-OXIDASE\ P -S-URACIL\ P ERIPHERAL CONVERSION\ T4-->T3
P MN\ 0.1 %
-KI*30 NORM-->
\VASCUL. before SURGERY
TRANSIENTLY DD.
-131 I*--> PERMANENT
-bAR BLOCK= PROPRANL
-THION-AMIDE S=C-N
\ORGANIFICTN<--C-MAZL P ER-OXIDASE\ P -S-URACIL\ P ERIPHERAL CONVERSION\ T4-->T3
P MN\ 0.1 %
-KI*30 NORM-->
\VASCUL. before SURGERY
TRANSIENTLY DD.
-131 I*--> PERMANENT
-bAR BLOCK= PROPRANL
DM
SKEW-->NAME AFTER
TAIL: - +
^---- IDDM +-->DKA
---^ NDDM -
TAIL: - +
^---- IDDM +-->DKA
---^ NDDM -
MENO-PAUSE
MENO-PAUSE=
HAVOC:
H OT FLASH
A TROPHY-->
V AGINA
O STEO-POROSIS
C AD
HAVOC:
H OT FLASH
A TROPHY-->
V AGINA
O STEO-POROSIS
C AD
Calcium Metabolsim Drug
Ca2 DRUGS:
1. Vit.D--> PO
-ERGO-
-TRIOL-->CRF
2.SAL-CATONIN SC
+ETI-DRONATE
\OSTEO=CLASTS
\BONE RESORPTION
\SERUM Ca2
1. Vit.D--> PO
-ERGO-
-TRIOL-->CRF
2.SAL-CATONIN SC
+ETI-DRONATE
\OSTEO=CLASTS
\BONE RESORPTION
\SERUM Ca2
CONTRA-CEPTIVES
CONTRA-CEPTIVES:
1.CoC
ESTROGEN-->FSH decrease
PROGESTERN--> LH decrease=
NO OVULATION
L H-->OVU
L ation
2.PoP NON STOP
MUCUS change ONLY-DD. 1
3. MORNING AFTER PILL=
ESTROGEN ONLY
4.IMPLANT NOR-GESTREL~
PROGESTERON--> 5y!
ENDOMETRIAL&OVARIAN CA decrease
1.CoC
ESTROGEN-->FSH decrease
PROGESTERN--> LH decrease=
NO OVULATION
L H-->OVU
L ation
2.PoP NON STOP
MUCUS change ONLY-DD. 1
3. MORNING AFTER PILL=
ESTROGEN ONLY
4.IMPLANT NOR-GESTREL~
PROGESTERON--> 5y!
ENDOMETRIAL&OVARIAN CA decrease
GONADAL DRUGS
GONADAL DRUGS:
1. GnRH AGONIST=
LEUPROLIDE
GONADO-RELIN
-PULSE--> /FSH & LH
-CONTINUOUS-->FSH&LH decrease--> PROSTATIC CA
2.CLOMI-PHEN=
REMOVES ESTROGEN
FEED-BACK--> /FSH&LH-->
SO used in IVF
3. DANAZOL-->FSH&LH decrease
-->ENDO-METRIOSIS
4. MENO-TROPIN ~FSH
MENO-PAUSE WOMEN
UR INE
UR oFolin
~CLOMIPHEN USE+
hCG ~ LH
1. GnRH AGONIST=
LEUPROLIDE
GONADO-RELIN
-PULSE--> /FSH & LH
-CONTINUOUS-->FSH&LH decrease--> PROSTATIC CA
2.CLOMI-PHEN=
REMOVES ESTROGEN
FEED-BACK--> /FSH&LH-->
SO used in IVF
3. DANAZOL-->FSH&LH decrease
-->ENDO-METRIOSIS
4. MENO-TROPIN ~FSH
MENO-PAUSE WOMEN
UR INE
UR oFolin
~CLOMIPHEN USE+
hCG ~ LH
HERMA-PHRODITE
HERMA-PHRODITE:
TRUE=
OVARY+TESTIS
regardless
CHROMOSEMES &
GENITALIA
PSEUDO-HERMAPHR:
1 TYPE GONAD+
OPPOSITE
CHROMOSOM.&
2* SEXUAL CHARACTERISTICS
MALE HERM.=TESTIS
e.g. Testost. rec.defect
W.HERM.=OVARY
e.g. CAH
TRUE=
OVARY+TESTIS
regardless
CHROMOSEMES &
GENITALIA
PSEUDO-HERMAPHR:
1 TYPE GONAD+
OPPOSITE
CHROMOSOM.&
2* SEXUAL CHARACTERISTICS
MALE HERM.=TESTIS
e.g. Testost. rec.defect
W.HERM.=OVARY
e.g. CAH
CHOLESTEROL SYNTHESIS
CHOLESTEROL SYNTHESIS:
Ac.CoA + Ac.CoA=
Ac-ACETYLCoA
4C+
Ac.CoA=
OH-CH3-GLUTARYL-CoA
6C--->
HMG-CoA-RED-ase--->
MEVALONATE=6C--->
/ LONG---> SQUALENE--->
CYCLE---->
LANO-STEROL
4 FUSED RINGS---->
CHOLE-STEROL---->
----> BILE SALTS
--->CS
--->SEX HORMONES
---> Vit. D
Ac.CoA + Ac.CoA=
Ac-ACETYLCoA
4C+
Ac.CoA=
OH-CH3-GLUTARYL-CoA
6C--->
HMG-CoA-RED-ase--->
MEVALONATE=6C--->
/ LONG---> SQUALENE--->
CYCLE---->
LANO-STEROL
4 FUSED RINGS---->
CHOLE-STEROL---->
----> BILE SALTS
--->CS
--->SEX HORMONES
---> Vit. D
ORAL HYPOGLYCEMICS
S-UREA= GLIPIZID
/ S ECRETION b-CELLLS
BI-GUANIDINE
M ETH-FORMINE
M USCLE
/ Glu UPTAKE
/ S ECRETION b-CELLLS
BI-GUANIDINE
M ETH-FORMINE
M USCLE
/ Glu UPTAKE
APO-LP RECEPTORS
APO-LP RECEPTORS:
A --- HDL
a-ELECTROPHORESIS
B--- LDL
b-LPP
B ED
A --- HDL
a-ELECTROPHORESIS
B--- LDL
b-LPP
B ED
HEME SYNTHESIS and Porphyria
HEME SYNTHESIS:
KREBS
SUCC.CoA+
AA GLYCINE
AMINO-LEVULINIC
ACID = ALA+
ALA
PORPHO-BIL-GEN+
0 P-B-GENS
URO
COPRO
PROTO
+Fe2+ HEME
REGULATION:
ALA-SYNTHET-ase^-->
A IP
P
P BG/--> URINE
P ORT-WINE
P AIN ABDOMEN-->
P MH-->SURGERY SCARS
P SYCHOSIS
8 ENZYMES
7 DEFFECIVE=
PORHYR-IAS
CI: BARBITURATES
URO-->COPRO ENZ.\-->
PCTarda
KREBS
SUCC.CoA+
AA GLYCINE
AMINO-LEVULINIC
ACID = ALA+
ALA
PORPHO-BIL-GEN+
0 P-B-GENS
URO
COPRO
PROTO
+Fe2+ HEME
REGULATION:
ALA-SYNTHET-ase^-->
A IP
P
P BG/--> URINE
P ORT-WINE
P AIN ABDOMEN-->
P MH-->SURGERY SCARS
P SYCHOSIS
8 ENZYMES
7 DEFFECIVE=
PORHYR-IAS
CI: BARBITURATES
URO-->COPRO ENZ.\-->
PCTarda
MEN
MEN 1= 3P:
P ANCREAS~ Z.-EL. /Gastrn
P TH
P ITUITARY
M EN 2
M EDULLARY THYR. CA
PHEOCHROM. +
PTH
M EN 3 SAME 2+
M UCOSAL NEUROMA
P ANCREAS~ Z.-EL. /Gastrn
P TH
P ITUITARY
M EN 2
M EDULLARY THYR. CA
PHEOCHROM. +
PTH
M EN 3 SAME 2+
M UCOSAL NEUROMA
PHEOCHROMOCYTOMA
1O %
MALIGNANT
2- LATERAL
EXTRA - ADRENAL
Ca2+ -FY
CHILDREN
FAMILIAL MEN2
CLINIC = 5 P:
P RESSURE B/
P AIN HEADACHE
P ERSPIR.SWEAT
P ALPITATIONS
P ALLOR
MALIGNANT
2- LATERAL
EXTRA - ADRENAL
Ca2+ -FY
CHILDREN
FAMILIAL MEN2
CLINIC = 5 P:
P RESSURE B/
P AIN HEADACHE
P ERSPIR.SWEAT
P ALPITATIONS
P ALLOR
Erectile Dysfunction (ED) DDx: ENVY MP
E NDOCRINE - PROLACTN, DM
N EUROLOGIC - MS, ALS
Y UP! - ALCOHOL
M eds - beta-blocker, m-DOPA, SSRI
P SYCHOL - MDE, ANXIETY
EtOH:
*NEURO-PATHY
*HYPO-GONADISM
N EUROLOGIC - MS, ALS
Y UP! - ALCOHOL
M eds - beta-blocker, m-DOPA, SSRI
P SYCHOL - MDE, ANXIETY
EtOH:
*NEURO-PATHY
*HYPO-GONADISM
Men who use ED drugs have higher rates of STDs, particularly HIV infection - Ann Intern Med http://goo.gl/UH78
Related:
Related:
Labels:
Cardiology,
Endocrinology,
History,
Urology,
Vascular Medicine
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