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22 Cards in this Set

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What primary hormone is increased or decreased in Cushing's Syndrome?
↑ ACTH

* Leads to increase in?
Cortisol
What primary hormone is increased or decreased in Conn's Syndrome?
↑ Aldosterone

* Leads to what changes in the blood?
Increased Na+, decreased K+, decreased H+, increased HCO3-

Metabolic alkalosis
What primary hormone is increased or decreased in Addison's Disease (primary adrenal insufficiency)?
↓ Aldosterone (salt), ↓ Cortisol (sugar), ↓ Androgens (sex)

* Layer of adrenal cortex for each?
Aldosterone (zona granulosa)
Cortisol (zona fasciculata)
Androgens (zona reticularis)
What primary hormone is increased or decreased in Graves' Disease?
↑ TSH

* Leads to increase in?
T3 & T4
What is the function of MacConkey's agar?
Selects for Gram (+) lactose fermenters; turns pink

Crystal violet & bile salts inhibit Gram (-)
Name the 5 classes of medications used to treat glaucoma.
α-agonists
Muscarinic agonists
β-blockers
CA inhibitors
Prostaglandins ("prost")
Patient presents with: angiofibroma, ash-leaf spots, history of seizures, & mental retardation. Condition?
Tuberous sclerosis

* What neoplasms are they at risk for developing?
Astrocytoma
Angiomyolipoma
Cardia rhabdomyoma
What is the cause of achalasia & how is it diagnosed?
Loss of tone at the LES (in the myenteric plexus) leads to loss of relaxation; due to Chagas' or nerve damage (CREST)

Dx: Barium swallow
What are the leading causes of death in ages 15-24 yr?
Injuries
Homicide
Suicide
Cancer
Heart disease
What are the leading causes of death in ages 25-64?
Cancer
Heart disease
Injury
Suicide
Stroke
In which glomerular disease would you expect to see: anti-GBM antibodies on IF?
Good Pasture's
In which glomerular disease would you expect to see: Kimmelstiel-Wilson lesions on light microscope?
Diabetic nephropathy
In which glomerular disease would you expect to see: "Spike & Dome" appreance on EM?
Membranous glomerulonephritis
In which glomerular disease would you expect to see: "Tram Track" of subendothelial humps on EM?
Membranoproliferative Type I
In which glomerular disease would you expect to see: subepithelial humps on EM?
Acute glomerulonephritis (post-Strep)
What are the clinical uses for Metronidazole?
"GET GAP on the Metro"
Giardia
Entamoeba
Trichomonas
Gardnerella vaginalis
Anaerobes (Bacteriodes, Clostridium)
H. Pylori
What are the 2 most common complications after an MI?
Cardiac arrhythmias
Left ventricular failure & pulmonary edema
What is Dresslers' syndrome?
an auto-immune reaction that results in fibrinous pericarditis several weeks post-MI
What is the cause of Chronic Granulomatous Disease?
Lack of NADPH Oxidase results in ↓ ROS and absent respiratory burst by neutrophils

* What would labs show?
Negative Nitroblue tetrazolium dye reduction test
What are the consequences of CGD?
↑ susceptibility to catalase (+) organisms: S. aureus, E. coli, Aspergillus

* What is the treatment?
Tx: Bactrim & IFN-γ
What is the WAGR complex?
What you commonly see in Wilm's Tumor:

Wilm's Tumor
Aniridia (congenital lack of iris)
Genitourinary malformation
Retardation (mental/motor)
Wilm's tumor is a result of what mutation & is most common in what population?
Loss of tumor suppressor WT1 gene on Chromosome 11

Most common renal malignancy in kids 2-4 yrs