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Alcohol nourished this body
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Patient:
A 38 year landscaper is brought to theE.R. by his foreman.
Symptoms Shock
Severe pain in upper abdomen and back
Vomiting Shortness of breath
Muscle weakness/pain
Weight loss
Putty feces
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Urine:
- glucose +, protein+, tea colorBlood:
- glucose , free fatty acids, protein =
- amylase and lipase , CK+, myoglobine
- Hb =, leucos =; normal diff.
- CT: deviating structures of ductus
pancreaticus, local calcifications
Labs
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D.D.
Acute pancreatitis, Type 2 Diabetes Mellitus,
Rhabdomyolysis
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The pancreasEXO
ENDO
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Control of gastrointestinalsecretions
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TrypsinogenChymotrypsinogen
ProelastaseProprotease EProcarboxypeptidase BAmylaseLipaseColipaseRNAse
DNAseTrypsine inhibitor
Production ofpancreatic
enzymes
Boron & Boulpaep
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Plasma glucose con. Activates
Insulin release
( 5.6 mM)
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ActivityEpinephrine
Skeletal
muscle
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Diabetes
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Aminoacid ketoacid interaction
Aminoacid:
Alanine
Aspartate
Glutamate
-ketoacid:
Pyruvic acid
Oxaalacetate
-ketoglutarate
Important pairs:
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DermatomesAreas of cutaneous sensory innervation from aspinal segment
Boron & Boulpaep, Medical Physiology
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Literature Guyton; Textbook of Medical Physiology
Boron & Boulpaep; Medical Physiology Kumar; Pathological Basis of Disease
Stryer; Biochemistry Alberts; Molecular Biology of the Cell.
http://accessmedicine.com/features.aspx