Goljan High Yield for Cell Injury USMLE 1
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ti s s u e h yp o xi a - i n a d e q u a te O 2 re a c h i n g ti s s u e s
list 5 causes of tissue hypoxia
Definition- decreased arterial blood flow to tissue and give 2 examples
1. i s h e mi a 2. h yp o xe mi a - l o w Pa O 2 3. p ro b l e ms wi th o xi d a ti ve p a th wa y i n mi to c h o n d ri a 4 u n c o u p l e s o x/p h o s i n mi to c h o n d ri a 5. AV s h u n ti n g
is chemia atheros cleros is like in MCC decreas ed cardiac output
h yp o xe mi a 1. re s p i ra to ry a c i d o s i s
def inition- low arterial partial pressure of O2. list 4 examples
2. ve ti l a ti o n p ro b l e ms l i k e i n a te l e c ta s i s (R D S, AR D S) 3. p e rfu s i o n p ro b l e ms - i n c re a s e s d e a d s p a c e p u l mo n a ry e mb o l u s 4. d i ffu s i o n - i n te rs ti ti a l fi b ro s i s i n l u n g s 5. a n e mi a 6 . CO p o iso n in g 7. me th e mo g l o b i n 8 . l e ft s h i ft o f O D C
how do CN and CO cause tissue hypoxia what do uncouplers do and list 4 examples
name 3 ways other than congenitally that a person can develop an AV shunt
inhibit complex 4 in miochondria so cause problems in ox/phos which decreases amount of AT P and causes t issue hypoxia
re n d e r i n n e r mi to c h o n d ri a l me mb ra n e p e rme a b l e to p ro to n s wh i c h d e c re a s e s ATP s yn th e s i s 1. a l c o h o l 2. s a l i c yl a te s 3. D N P 4. Va l i n o myc i n
1. AV fis tula from trauma 2. s pider angioma due to hyperes trinis m 3. mos aic bone in Paget's
list 3 main effects is there is a decrease in ATP in cell
1. cell mus t us e anaerobic glycolys is to generate ATP 2. impaired Na/K pump 3 ribos omes fall off RER
how is phosphofructokinas (PFK) activated
1. by low citrate 2. increase in AMP
Goljan High Yield for Cell Injury USMLE 1
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why is a decrease in intracellualr pH when there is a decrease in ATP
bc cell mus t us ed anaerobic glycolys is and the las t s tep is to convert pyruvate to lactate which is an acid this degenerates cell enz ymes an other proteins caus ing coagulative necros is and producing a large anion gap metabolic acidos is
what is the difference bwt O2 content, PaO2 and SaO2
O 2 co n te n t- to ta l a m o u n t o f O 2 ca r r i e d i n b l o o d P a O 2 - a m o u n t o f O 2 d i s s o l ve d i n p l a m s a S a O 2 - p e r ce n ta g e o f O 2 a ta ch e d to th e 4 h e m e g r o u p s i n Hb wi th i n RB C, n o r m a l r a n g e i s 9 4 -9 6 %