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63 Cards in this Set

  • Front
  • Back

Hb

M: 13 - 18 g/dL


F: 11.5 - 16 g/dL

MCV

76 - 96 fL

Plt

150 - 400

WCC

4 - 11

pH

7.35 - 7.45

PaO2

10 - 13 kPa

PaCO2

4.7 - 6 kPa

Na

135 - 145 mmol/l

K

3.5 - 5 mmol/l

Anion gap


Formula, normal range


What it means, what ↑ means

(Na + K) - (Cl + HCO3)




14-18 mmol/l


Conc. of unmeasured anions in plasma - mostly albumin




↑ = metab. alk.


Caused by: ketoacidosis, uraemia, ↑lactate, toxins

Osmolarity


Formula, normal range, what ↑ + ↓ mean

2(Na + K) + Ur + Glucose




275-295


↑ = more particles


↓ = less particles, more fluid

ALT / AST

5 - 35 iu/L

ALP / GGT

30 - 150 iu/L

Fasting glucose

3.5 - 5.5 mmol/l


Ca

2.2 - 2.6

fT4

10.2 - 22 pmol/l

TSH

0.33 - 4.5 mU/l

fT3

3.2 - 6.5 pmol/l

Total prot

60 - 80 g/l

GHRH→

GHRH → GH → IGF1

GnRH→

GnRH → LH + FSH → Oestradiol + progesterone or testosterone

TRH→

TRH → TSH + prolactin

Dopamine→

↓prolactin

CRH→

CRH → ACTH → cortisol + aldosterone

Angiotensinogen→

angio I --(ACE)→ angio II→ aldosterone→ renin

Bacteria classification


Staph coag +ve

aureus


G+ve cocci (clusters)

Bacteria classification


Staph coag -ve

epidermis


G+ve cocci (clusters)



Bacteria classification


Strep

G+ve cocci (diplococci)

Bacteria classification


Enterococcus

G+ve cocci (chains)

Bacteria classification


Actinomyces

G +ve rods


(actors go back in the closet)

Bacteria classification


Baccillus

G +ve rods


(actors go back in the closet)

Bacteria classification


Clostridium

G +ve rods


(actors go back in the closet)

Bacteria classification


Listeria

G +ve rods

Bacteria classification


Diptheria

G +ve rods

Bacteria classification


Neisseria

G -ve cocci

Bacteria classification


Moraxella catarrhalis

G -ve cocci

Bacteria classification


Enterobacteriae

G -ve rods

Bacteria classification


H.influenza/ducreyi

G -ve coccobaccilli

Bacteria classification


Bordatella pertussis

G -ve coccobaccilli

Bacteria classification


Pseudomonas

G -ve coccobaccilli

Bacteria classification


Chlamydia

G -ve coccobaccilli

Bacteria classification + disease caused

Trepnema pallidum

G -ve spirochete


Syphillis

Bacteria classification

Leptospirosis

G -ve spirochete

Bacteria classification + disease caused

Borrelia

G -ve spirochete


Lyme disease

Primary hyperparathyroidism

↑Ca, ↓PO4, ↑PTH, ↑ALP




(↓PO4different from tertiary)




Vit D Normal

Secondary hyperparathyroidism

↓Ca, ↓PO4, ↑PTH, N/↑ALP




Vit D Normal

Tertiary hyperparathyroidism

↑Ca, ↑PO4, ↑PTH, ↑ALP




(↑PO4 different from primary)




Vit D Normal

Primary hypoparathyroidism

Ca, ↑PO4, ↓PTH, ↓ALP




Vit D Normal

Rickets / osteomalacia

↓Ca, ↓PO4, ↑PTH, vit D



Pagets

↑ALP




PTH, PO4, Ca, Vit D Normal

Osteoporosis

PTH, PO4, Ca, Vit D, ALP Normal

Hypersensitivity reaction type I

Immediate


IgE


Pre-existing Ab

Hypersensitivity reaction type II

Ab reacts w/ cellular Ag


NK, phagocyte, receptor activation block

Hypersensitivity reaction type III

Ab reacts with soluble Ag


Immune complex deposits in BVs




Complement activation, cyto + chemokines, ↑BV permeability

Hypersensitivity reaction type IV

Delayed


T cell mediated

Salmonella typhi + paratyphi

G -ve anaerobe rod

Klebsiella granulomatis

G -ve rod

Trichomonas vaginalis

Flagellated protozoa

Osmolality

Paritcles / kg solvent


MEASURED in lab

Osmolar gap

Osmolality - osmolarity


Normal <10

Pseudohypoparathyroidism

↓Ca, ↑PO4, ↑PTH, N ALP




↑ PO4 makes it different from 2 hyperparathy

Base excess in relation to acid/alk

If alk + base excess is LOW then NOT MET


If acid + base excess near 0 then NOT MET

Bulaemia
Acid/alk, urine
Purging = ↓H+ → alkalosis
↓ H+ → ↓K+ ∵ ↑K+ uptake into cells
(∵ same transporter)

∴ K+ reabsorbed in kidney
∴ H+ lost as exchanged for K+ in kidney ∴ PARADOXICAL ACIDURIA