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- May 24, 2008
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Few numbers that arent part of the lab values that we're expected to know for the exam. I thought of few but pls add/comment/modify if there are some hy ones just so there is a "need to know list". I'll add/substract to this first post depending on the consensus of them being HY or LY. cheers. Post-step1 ppl's contribution is most welcome and greatly appreciated.
1) cardiac chamber pressures
2) CVP = 3-5
3) PCWP = 12
4) MI diag.
- Troponin I - rise at 2, peak at 2 days, lasts 7 days
- CK-mb - rise at 6, peak at 12 hrs, lasts 24-36 hrs
- LDH1 - rise at 24, peak at 48 hrs, lasts 72 hrs
5) Inflammation
- Swelling = < 24 hrs
- Neutrophils = at 24 hrs, peak at 3 days
- Tcell/macrophage = at day 4, peak at 7
- Fibroblast = at day 7, peak at day 30, completion 3-6 mths
6) Normal AFI= 5-20, Polyhydramnios= > 20 AFI, Oligohydramnios= < 5 AFI
7) Nephritic = less than 3.5g/day, Nephrotic = more than 3.5g/day (maximum liver makes per day)
8) Plasma glucose = 2-4 hrs
9) Liver = lasts 24-28 hrs, beyond that proteolysis, lipolysis, ketogenesis
10) Glucose plasma concentration threshold - >200mg/dL (glucosuria can begin). Transport maximum - >300mg/dL
11) NADH = 2.5 ATP (used to be 3)
12) FADH = 1.5 ATP (used to be 2) - changes glycolysis & krebs net production
13) BMI < 17 - Anorexia
14) BMI > 25 - overweight
15) BMI > 30 - obese
16) BMI > 35 - morbidly obese
17) Erythropoiesis
- Yolk sac - begins at 4mth gestation
- Liver, spleen, flatbone - 6mth gestation
- Long bones - 8mth gestation
- Liver, spleen, flatbone - disappear at 1 yr of age.
18) Age of primary teeth falling out - 8yrs (ie. no replacment if 5yr old breaks one)
19) Hemoglobin F disappears by 6 mth of age
20) AIDS defining Tcell count = CD4 < 200 (or PCP infection) - start PCP prophylaxis. CD4 < 100 - start MAI prophylaxis.
21) leukemia's
- ALL = 0-15 yrs
- AML = 15-30 yrs
- CML = 30-50 yrs
- CLL = > 50 yrs
22) Cancer commonly seen in men = < 30 yrs or > 50 yrs
23) Cancer commonly seen in women = 30-50 yrs
24) Abcesses
- Day 1 to 3 = staph aureus
- Day 3 to 7 = Strep pyogenes
- After day 7 = Anaerobes (MC)
25) UC cancer risk - 10% at 10 yrs, then 1% increase per year
26) know HY diseases associated with chromosomes including translocations
27) Brain dead, comatose, sleep, pons lesion (Central pontine demyelinolysis) - Medulla breathes at 8-10 RR.
28) Membrane potential at rest = -90. K (-96) brought up by some Na (+65)
29) Na = +65, Cl = -90 (same as MP and freely moves), Mg and Ca = +120, K = -96
30) IQ in MR that requires 24hr care/instituitioned = IQ < 25.
1) cardiac chamber pressures
2) CVP = 3-5
3) PCWP = 12
4) MI diag.
- Troponin I - rise at 2, peak at 2 days, lasts 7 days
- CK-mb - rise at 6, peak at 12 hrs, lasts 24-36 hrs
- LDH1 - rise at 24, peak at 48 hrs, lasts 72 hrs
5) Inflammation
- Swelling = < 24 hrs
- Neutrophils = at 24 hrs, peak at 3 days
- Tcell/macrophage = at day 4, peak at 7
- Fibroblast = at day 7, peak at day 30, completion 3-6 mths
6) Normal AFI= 5-20, Polyhydramnios= > 20 AFI, Oligohydramnios= < 5 AFI
7) Nephritic = less than 3.5g/day, Nephrotic = more than 3.5g/day (maximum liver makes per day)
8) Plasma glucose = 2-4 hrs
9) Liver = lasts 24-28 hrs, beyond that proteolysis, lipolysis, ketogenesis
10) Glucose plasma concentration threshold - >200mg/dL (glucosuria can begin). Transport maximum - >300mg/dL
11) NADH = 2.5 ATP (used to be 3)
12) FADH = 1.5 ATP (used to be 2) - changes glycolysis & krebs net production
13) BMI < 17 - Anorexia
14) BMI > 25 - overweight
15) BMI > 30 - obese
16) BMI > 35 - morbidly obese
17) Erythropoiesis
- Yolk sac - begins at 4mth gestation
- Liver, spleen, flatbone - 6mth gestation
- Long bones - 8mth gestation
- Liver, spleen, flatbone - disappear at 1 yr of age.
18) Age of primary teeth falling out - 8yrs (ie. no replacment if 5yr old breaks one)
19) Hemoglobin F disappears by 6 mth of age
20) AIDS defining Tcell count = CD4 < 200 (or PCP infection) - start PCP prophylaxis. CD4 < 100 - start MAI prophylaxis.
21) leukemia's
- ALL = 0-15 yrs
- AML = 15-30 yrs
- CML = 30-50 yrs
- CLL = > 50 yrs
22) Cancer commonly seen in men = < 30 yrs or > 50 yrs
23) Cancer commonly seen in women = 30-50 yrs
24) Abcesses
- Day 1 to 3 = staph aureus
- Day 3 to 7 = Strep pyogenes
- After day 7 = Anaerobes (MC)
25) UC cancer risk - 10% at 10 yrs, then 1% increase per year
26) know HY diseases associated with chromosomes including translocations
27) Brain dead, comatose, sleep, pons lesion (Central pontine demyelinolysis) - Medulla breathes at 8-10 RR.
28) Membrane potential at rest = -90. K (-96) brought up by some Na (+65)
29) Na = +65, Cl = -90 (same as MP and freely moves), Mg and Ca = +120, K = -96
30) IQ in MR that requires 24hr care/instituitioned = IQ < 25.