NEET MDS Lessons
Physiology
Principal heart sounds
1. S1: closure of AV valves;typically auscultated as a single sound
Clinical note: In certain circumstances, S1 may be accentuated. This occurs when the valve leaflets are “slammed” shut in early systole from a greater than normal distance because they have not had time to drift closer together. Three conditions that can result in an accentuated S1 are a shortened PR interval, mild mitral stenosis, and high cardiac-output states or tachycardia.
2. S2: closure of semilunar valves in early diastole , normally “split” during inspiration . S2: best appreciated in the 2nd or 3rd left intercostal space
Clinical note: Paradoxical or “reversed” splitting occurs when S2 splitting occurs with expiration and disappears on inspiration. Moreover, in paradoxical splitting, the pulmonic valve closes before the aortic valve, such that P2 precedes A2. The most common cause is left bundle branch block (LBBB). In LBBB, depolarization of the left ventricle is impaired, resulting in delayed left ventricular contraction and aortic valve closure.
3. S3: ventricular gallop, presence reflects volume-overloaded state
Clinical note: An S3 is usually caused by volume overload in congestive heart failure. It can also be associated with valvular disease, such as advanced mitral regurgitation, in which the “regurgitated” blood increases the rate of ventricular filling during early diastole.
4. S4: atrial gallop, S4: atrial contraction against a stiff ventricle, often heard after an acute myocardial infarction.
Clinical note: An S4 usually indicates decreased ventricular compliance (i.e., the ventricle does not relax as easily), which is commonly associated with ventricular hypertrophy or myocardial ischemia. An S4 is almost always present after an acute myocardial infarction. It is loudest at the apex with the patient in the left lateral decubitus position (lying on their left side).
Proteins:
- about 50 - 60% of the dry mass of a typical cell
- subunit is the amino acid & amino acids are linked by peptide bonds
- 2 functional categories = structural (proteins part of the structure of a cell like those in the cell membrane) & enzymes
Enzymes are catalysts. Enzymes bind temporarily to one or more of the reactants of the reaction they catalyze. In doing so, they lower the amount of activation energy needed and thus speed up the reaction
Function of Blood
- transport through the body of
- oxygen and carbon dioxide
- food molecules (glucose, lipids, amino acids)
- ions (e.g., Na+, Ca2+, HCO3−)
- wastes (e.g., urea)
- hormones
- heat
- defense of the body against infections and other foreign materials. All the WBCs participate in these defenses
The Stomach :
The wall of the stomach is lined with millions of gastric glands, which together secrete 400–800 ml of gastric juice at each meal. Three kinds of cells are found in the gastric glands
- parietal cells
- chief cells
- mucus-secreting cells
Parietal cells : secrete
Hydrochloric acid : Parietal cells contain a H+ ATPase. This transmembrane protein secretes H+ ions (protons) by active transport, using the energy of ATP.
Intrinsic factor: Intrinsic factor is a protein that binds ingested vitamin B12 and enables it to be absorbed by the intestine. A deficiency of intrinsic factor as a result of an autoimmune attack against parietal cells causes pernicious anemia.
Chief Cells : The chief cells synthesize and secrete pepsinogen, the precursor to the proteolytic enzyme pepsin.
Secretion by the gastric glands is stimulated by the hormone gastrin. Gastrin is released by endocrine cells in the stomach in response to the arrival of food.
- it's the individual pressure exerted independently by a particular gas within a mixture of gasses. The air we breath is a mixture of gasses: primarily nitrogen, oxygen, & carbon dioxide. So, the air you blow into a balloon creates pressure that causes the balloon to expand (& this pressure is generated as all the molecules of nitrogen, oxygen, & carbon dioxide move about & collide with the walls of the balloon). However, the total pressure generated by the air is due in part to nitrogen, in part to oxygen, & in part to carbon dioxide. That part of the total pressure generated by oxygen is the 'partial pressure' of oxygen, while that generated by carbon dioxide is the 'partial pressure' of carbon dioxide. A gas's partial pressure, therefore, is a measure of how much of that gas is present (e.g., in the blood or alveoli).
- the partial pressure exerted by each gas in a mixture equals the total pressure times the fractional composition of the gas in the mixture. So, given that total atmospheric pressure (at sea level) is about 760 mm Hg and, further, that air is about 21% oxygen, then the partial pressure of oxygen in the air is 0.21 times 760 mm Hg or 160 mm Hg.
Membrane Potential
- Membrane potentials will occur across cell membranes if
- 1) there is a concentration gradient of an ion
- 2) there is an open channel in the membrane so the ion can move from one side to the other
The Sodium Pump Sets Up Gradients of Na and K Across Cell Membranes
- All cells have the Na pump in their membranes
- Pumps 3 Nas out and 2 Ks in for each cycle
- Requires energy from ATP
- Uses about 30% of body's metabolic energy
- This is a form of active transport- can pump ions "uphill", from a low to a high concentration
- This produces concentration gradients of Na & K across the membrane
- Typical concentration gradients:
|
|
In mM/L |
Out mM/L |
Gradient orientation |
|
Na |
10 |
150 |
High outside |
|
K |
140 |
5 |
High inside |
- The ion gradients represent stored electrical energy (batteries) that can be tapped to do useful work
- The Na pump is of ancient origin, probably originally designed to protect cell from osmotic swelling
Inhibited by the arrow poisons ouabain and digitalis
The Body Regulates pH in Several Ways
- Buffers are weak acid mixtures (such as bicarbonate/CO2) which minimize pH change
- Buffer is always a mixture of 2 compounds
- One compound takes up H ions if there are too many (H acceptor)
- The second compound releases H ions if there are not enough (H donor)
- The strength of a buffer is given by the buffer capacity
- Buffer capacity is proportional to the buffer concentration and to a parameter known as the pK
- Mouth bacteria produce acids which attack teeth, producing caries (cavities). People with low buffer capacities in their saliva have more caries than those with high buffer capacities.
- Buffer is always a mixture of 2 compounds
- CO2 gas (a potential acid) is eliminated by the lungs
- Other acids and bases are eliminated by the kidneys