- Joined
- Nov 20, 2006
- Messages
- 3,288
- Reaction score
- 42
04[21:58] <@BloodySurgeon> I will first explain how I will conduct the session
[21:58] <jim> i'm only watching not participating
03[21:58] * BloodySurgeon sets mode: +m
03[21:58] * BloodySurgeon sets mode: -m
04[21:58] <@BloodySurgeon> > then I will explain what I will go over
04[21:58] <@BloodySurgeon> > then I will begin
04[21:59] <@BloodySurgeon> > i will start going through some basic reviews
04[21:59] <@BloodySurgeon> > going through the topics from beginning to end
04[21:59] <@BloodySurgeon> > sometimes I will stop and try to connect different concepts
04[21:59] <@BloodySurgeon> > and other times I may ask a question
04[21:59] <@BloodySurgeon> > I will start by directing the questions to everyone
04[22:00] <@BloodySurgeon> > by I may decide later to direct the questions to individuals
04[22:00] <@BloodySurgeon> > such as: de_la_soul can you tell me what is the difference between a and b
04[22:01] <@BloodySurgeon> > Does everyone understand?
[22:01] <de_la_soul> yep
[22:01] <ezprey> yes
04[22:01] <@BloodySurgeon> > If you do not feel comfortable answering the questions
04[22:01] <@BloodySurgeon> > you may either pass or ask me now to not participate at all
[22:02] <jim> yep
04[22:02] <@BloodySurgeon> > ok. I will start today's lesson with digestion
04[22:02] <@BloodySurgeon> > I want you to first imagine that you just ate a delicious meal filled with proteins, fats, and sugar
04[22:03] <@BloodySurgeon> > as it enters your body from the oral cavity
[22:03] <jim> hahahhaa
[22:03] <jim> lol
04[22:03] <@BloodySurgeon> > your mouth produces salivary amylase also know as ptyalin
04[22:03] <@BloodySurgeon> > to digest the sugars
04[22:04] <@BloodySurgeon> > it will enter your esophagus
04[22:04] <@BloodySurgeon> > and your body has a defense mechanism to not allow these foods to enter your airway
04[22:05] <@BloodySurgeon> > A particular flaplike body
04[22:05] <@BloodySurgeon> > does anyone know the name of this part?
[22:05] <jim> epiglottis
04[22:05] <@BloodySurgeon> > correct
[22:05] <jim> I PWN THIS CHAT
[22:05] <jim> yo!
04[22:05] <@BloodySurgeon> > the epiglottis will prevent the food from entering your airway through th trachea
[22:06] <ezprey> are we allowed to ask questions while you're doing this?
04[22:06] <@BloodySurgeon> > your esophagus will use smooth muscles to squeeze the food down the line
04[22:06] <@BloodySurgeon> > Sure.
04[22:06] <@BloodySurgeon> > if it is relevant
04[22:06] <@BloodySurgeon> > Just say "Question" first
[22:06] <ezprey> okay, I don't have one right now, just asking
04[22:06] <@BloodySurgeon> > ok.
04[22:07] <@BloodySurgeon> > now the first valve that the food enters to the stomach is the lower esophageal sphincter
04[22:07] <@BloodySurgeon> > inside the stomach there are two types of glands
04[22:08] <@BloodySurgeon> > the gastric glands and the pyloric glands
04[22:08] <@BloodySurgeon> > the gastric glands are glands that responds to things in the environment
03[22:08] * Neuronix ([email protected]) has joined #mcat
03[22:08] * ChanServ sets mode: +o Neuronix
04[22:08] <@BloodySurgeon> > when you ordered the delicious meal
04[22:09] <@BloodySurgeon> > your body prepared itself for the incoming nutrition
04[22:09] <@BloodySurgeon> > the gastric glands are divided into three cells
04[22:09] <@BloodySurgeon> > the mucous cells
04[22:09] <@BloodySurgeon> > the chief cells
03[22:09] * KiwiBruin ([email protected]) has joined #mcat
03[22:09] * scalpel ([email protected]) has joined #mcat
[22:09] <KiwiBruin> hihi
04[22:09] <@BloodySurgeon> > and the parietal cells
04[22:10] <@BloodySurgeon> > as you would expect the mucous cells produce mucus
04[22:10] <@BloodySurgeon> > Can anyone explain why mucus is important in the stomach?
[22:10] <ezprey> to protect it from HCl
[22:10] <jim> it keeps the acid from destroying the layers
04[22:10] <@BloodySurgeon> > correct
[22:10] <ezprey> owned
[22:10] <ezprey> !
[22:10] <jim> DAMN U EZPREY!!!
[22:10] <jim> YOU WILL PAY
[22:10] <jim> sorry BS, i'll calm down
04[22:10] <@BloodySurgeon> > now the chief cells produces pepsinogen
04[22:11] <@BloodySurgeon> > that is a zymogen
04[22:11] <@BloodySurgeon> > anything that has an ending of -ogen
04[22:11] <@BloodySurgeon> > is a zymogen
[22:12] <jim> converts to pepsin
04[22:12] <@BloodySurgeon> > BlueElmo, what is a zymogen and why is it important for pepsinogen to be one
[22:12] <ezprey> he might not be here!
04[22:12] <@BloodySurgeon> > ok.
04[22:12] <@BloodySurgeon> > well the answer is obvious
[22:12] <jim> Pepsin is stored as pepsinogen so it will only be released when needed, and does not digest the body's own proteins in the stomach's lining.
04[22:12] <@BloodySurgeon> > it is the inactive form of pepsin
04[22:12] <@BloodySurgeon> > correct
[22:13] <jim> PWNED
04[22:13] <@BloodySurgeon> > now the parietal cells produce HCL
[22:13] <ezprey> he didn't direct the question at you
04[22:13] <@BloodySurgeon> > to lower the pH of the stomach
06[22:13] * jim sits down
04[22:13] <@BloodySurgeon> > making the environment acidic
03[22:13] * jim is now known as gunner
04[22:13] <@BloodySurgeon> > now there is also a feedback system for HCl
03[22:13] * gunner is now known as jimgunner
04[22:14] <@BloodySurgeon> > the pyloric glands
03[22:14] * ksmi117 ([email protected]) has joined #mcat
03[22:14] * ksmi117 ([email protected]) has left #mcat
04[22:14] <@BloodySurgeon> > the pyloric glands consist of G-cells
03[22:14] * BlueElmo ([email protected]) Quit (Client exited)
04[22:14] <@BloodySurgeon> > G-cells produce gastrin
04[22:14] <@BloodySurgeon> > that contracts the stomach and produce more HCl
04[22:15] <@BloodySurgeon> > the food is turned
04[22:15] <@BloodySurgeon> > and molded into a ball of "chyme"
04[22:15] <@BloodySurgeon> > it then enters the small intestine
04[22:15] <@BloodySurgeon> > Question to KiwiBruin
04[22:15] <@BloodySurgeon> > True or False: the duodenum is the major site of absorption
04[22:16] <@BloodySurgeon> > ok i will now move this question to the rest of the class
[22:16] <jimgunner> true!
04[22:16] <@BloodySurgeon> > false
[22:16] <KiwiBruin> sorry
04[22:16] <@BloodySurgeon> > it is the site of digestion
[22:16] <KiwiBruin> lag spike...
[22:16] <ezprey> haha
[22:16] <jimgunner> i am not worthy
04[22:16] <@BloodySurgeon> the ileum and jejunum is the major site of absorption
[22:16] <jimgunner> i am finished
03[22:17] * jimgunner is now known as jimsuicide
04[22:17] <@BloodySurgeon> > the chyme enters the duodenum through the pyloric sphincter
04[22:17] <@BloodySurgeon> > the enzymes in the stomach are most active at a pH near 2
04[22:18] <@BloodySurgeon> > however the enzymes in the small intestine works best at a pH much higher
04[22:18] <@BloodySurgeon> > therefore a base needs to be added
04[22:18] <@BloodySurgeon> > HCO3-
04[22:18] <@BloodySurgeon> > But where does it come from?
[22:19] <de_la_soul> pancreas?
[22:19] <ezprey> pancreas?
04[22:19] <@BloodySurgeon> > The pancreas is filled with lots of enzymes to help out with the digestion
04[22:19] <@BloodySurgeon> > Trypsinogen
04[22:19] <@BloodySurgeon> > chymotrysinogen
04[22:19] <@BloodySurgeon> > pancreatic amylase
03[22:19] * jimsuicide ([email protected]) has left #mcat
04[22:19] <@BloodySurgeon> > lipase
04[22:19] <@BloodySurgeon> > whatever you need to digest, the pancrease has it
04[22:19] <@BloodySurgeon> > that is why the duodenum has the major site of digestion
04[22:20] <@BloodySurgeon> > because the pancrease is close by to help
04[22:20] <@BloodySurgeon> > just below it
04[22:20] <@BloodySurgeon> > Question: Is the small intestine the first site for sugar digestion?
[22:21] <de_la_soul> no
04[22:21] <@BloodySurgeon> > correct, the mouth is
04[22:21] <@BloodySurgeon> > although the pancreas has a lot to offer
04[22:21] <@BloodySurgeon> > the dudenum produces many enzymes of its own
04[22:22] <@BloodySurgeon> > to name a few: maltase, lactase, sucrase
04[22:22] <@BloodySurgeon> > peptidase
04[22:22] <@BloodySurgeon> > yet how do the duodenum communicate with the pancreas?
[22:22] <ezprey> pancreatic duct?
04[22:22] <@BloodySurgeon> > if the duodenum is acidic, how does the pancreas know?
[22:23] <de_la_soul> exocrine glands
04[22:23] <@BloodySurgeon> > the duodenum produces secritin at low pH
04[22:23] <@BloodySurgeon> > secritin stimulates pancrease to release HCO3- along with other things
04[22:23] <@BloodySurgeon> > and as de la soul pointed out
04[22:24] <@BloodySurgeon> > the exocrine hormones go through the pancreatic duct
[22:24] <scalpel> that's not exocrine
04[22:24] <@BloodySurgeon> > what is the difference between exocrine and endocrine hormones?
[22:24] <scalpel> it's enteroendocrine
[22:24] <scalpel> oh wait
[22:24] <scalpel> sorry keep on going
[22:24] <de_la_soul> exocrine goes through blood stream
[22:24] <de_la_soul> endocrine through ducts
04[22:24] <@BloodySurgeon> > :_
[22:25] <scalpel> 😛
04[22:25] <@BloodySurgeon> > I think you have them reversed
[22:25] <de_la_soul> me?
[22:25] <de_la_soul> oh
[22:25] <de_la_soul> oops
04[22:25] <@BloodySurgeon> > endocrine hormones go through the blood
04[22:25] <@BloodySurgeon> > and exocrine goes through the ducts
[22:25] <de_la_soul> ok
04[22:25] <@BloodySurgeon> > Now duodenum also releases CCK
04[22:25] <@BloodySurgeon> > does anyone know what this is?
04[22:26] <@BloodySurgeon> > Cholecystokinin
04[22:26] <@BloodySurgeon> > It does several things
[22:26] <scalpel> biliary gland constriction
04[22:26] <@BloodySurgeon> > yes
[22:26] <scalpel> peristalsis down the bile duct?
04[22:26] <@BloodySurgeon> > correct
04[22:26] <@BloodySurgeon> > and also slows down motility of the food in the small intestine
04[22:27] <@BloodySurgeon> > why is this important?
[22:27] <de_la_soul> for greater absorption
[22:27] <de_la_soul> i think
04[22:27] <@BloodySurgeon> > correct
04[22:27] <@BloodySurgeon> > and digestion
04[22:27] <@BloodySurgeon> > give the body enough time to digest all the lipids before it goes to the rest of the small intestine
04[22:27] <@BloodySurgeon> > true or false: the gall bladder produces the bile
[22:28] <de_la_soul> false
[22:28] <de_la_soul> liver
04[22:28] <@BloodySurgeon> > correct the liver does
[22:28] <@Neuronix> favorite pimp question for when you get to med school
[22:28] <@Neuronix> what's the venous drainage of the gall bladder?
[22:28] <scalpel> hepatic vein
[22:28] <@Neuronix> further down from that
[22:28] <scalpel> central vein
[22:28] <@Neuronix> ?!?!
[22:28] <@Neuronix> further towards the gall bladder
[22:29] <scalpel> portal vein drains into the liver
[22:29] <scalpel> oh gall bladder
[22:29] <scalpel> misread the question
04[22:29] <@BloodySurgeon> > *cough*
[22:29] <@Neuronix> I know scalp 😛
04[22:29] <@BloodySurgeon> > do I have to DeVoice someone/
[22:29] <@Neuronix> You didn't set +m first 😛
03[22:29] * BloodySurgeon sets mode: +m
04[22:29] <@BloodySurgeon> > 🙂
04[22:30] <@BloodySurgeon> > ok.
[22:30] <@Neuronix> The answer is it's a trick question, there is no cystic vein as there as a cystic artery (gall bladder artery is the cystic artery)
[22:30] <@Neuronix> and it's just minor veins of the liver
[22:30] <@Neuronix> ok continue BS
04[22:30] <@BloodySurgeon> > now the liver is a very important organ
[22:30] <@Neuronix> When you get to third year you will thank me!
04[22:30] <@BloodySurgeon> > it can does much more than make bile
04[22:30] <@BloodySurgeon> > *do
04[22:30] <@BloodySurgeon> > it is the site for gluconeogenesis, glycogenolysis, glycogenesis
04[22:31] <@BloodySurgeon> > cholesterol, lipogenesis
04[22:31] <@BloodySurgeon> > urea cycle
04[22:31] <@BloodySurgeon> > coagulation factors
04[22:31] <@BloodySurgeon> > and an important topic i will discuss later
04[22:31] <@BloodySurgeon> > angiotensionogen
04[22:31] <@BloodySurgeon> (forgive my spellings if I have typos)
04[22:32] <@BloodySurgeon> biology has tough words
04[22:32] <@BloodySurgeon> What is the urea cycle?
04[22:32] <@BloodySurgeon> and where does it get its reactants from
05[22:32] -de_la_soul- gets rid of nitrogen
04[22:33] <@BloodySurgeon> correct
04[22:33] <@BloodySurgeon> but what does it make
04[22:33] <@BloodySurgeon> and where is the nitrogen from?
05[22:33] -de_la_soul- nitrogen from peptides...it makes urea
04[22:33] <@BloodySurgeon> correct
03[22:34] * Neuronix sets mode: -m
04[22:34] <@BloodySurgeon> say if you are not getting any peptides from the enviornment
04[22:34] <@BloodySurgeon> where is the nitrogen produced?
04[22:34] <@BloodySurgeon> its a bs question, but a question that can arise
04[22:34] <@BloodySurgeon> translation
[22:35] <de_la_soul> oh
04[22:35] <@BloodySurgeon> ok we can move on now
[22:35] <de_la_soul> heh trick q
04[22:35] <@BloodySurgeon> we left off with duodenum in the small intestine
04[22:35] <@BloodySurgeon> duodenum leads to jejunum
04[22:35] <@BloodySurgeon> then to ileum
04[22:35] <@BloodySurgeon> jejunum and ileum are the major site for absorption
04[22:36] <@BloodySurgeon> how do they absorp nutrients such as sugar?
04[22:36] <@BloodySurgeon> *absorb
[22:36] <de_la_soul> microvilli
04[22:36] <@BloodySurgeon> correct
04[22:37] <@BloodySurgeon> now we get into the large intestine
04[22:37] <@BloodySurgeon> what part of the large intestine does the ileum lead into
[22:37] <de_la_soul> not sure
[22:37] <de_la_soul> cecum?
04[22:37] <@BloodySurgeon> correct
04[22:38] <@BloodySurgeon> now from the cecum you can enter the colon or into the appendix
04[22:38] <@BloodySurgeon> the colon is divided into three parts
04[22:38] <@BloodySurgeon> the ascending colon
04[22:38] <@BloodySurgeon> the transverse colon
04[22:38] <@BloodySurgeon> the descending colon
04[22:38] <@BloodySurgeon> what is the major function of the large intestine
[22:38] <de_la_soul> absorb water, I think
04[22:39] <@BloodySurgeon> correct
04[22:39] <@BloodySurgeon> with
04[22:39] <@BloodySurgeon> water rarely goes alone
04[22:39] <@BloodySurgeon> what likes to accompany it
[22:39] <KiwiBruin> electrolytes?
04[22:39] <@BloodySurgeon> correct
04[22:39] <@BloodySurgeon> so hypothetically what will happen if the large intestine does not do its job
[22:40] <de_la_soul> umm
[22:40] <de_la_soul> blood pressure will drop
04[22:40] <@BloodySurgeon> think medically
04[22:40] <@BloodySurgeon> as a symptom
04[22:40] <@BloodySurgeon> you will get watery stool
[22:40] <de_la_soul> hypotension?
04[22:40] <@BloodySurgeon> what is watery stool?
[22:41] <KiwiBruin> diarrhea
04[22:41] <@BloodySurgeon> correct
04[22:41] <@BloodySurgeon> now lets look at the nephron
04[22:41] <@BloodySurgeon> the nephron can be divided into the corect
04[22:41] <@BloodySurgeon> *cortex
04[22:41] <@BloodySurgeon> or the upper and lower medulla
04[22:42] <@BloodySurgeon> for our purposes I will use medulla to refer to both
04[22:42] <@BloodySurgeon> upper and lower
04[22:43] <@BloodySurgeon> nutrients enter the nephron through the bowman's capsule
04[22:44] <@BloodySurgeon> from the afferant arteriole to the glomerulus to the bowman's capsule
04[22:44] <@BloodySurgeon> the capsule has a selective filter that does now allow large particles to enter through it
04[22:44] <@BloodySurgeon> the higher the blood pressure the more is filtrated inside
04[22:44] <@BloodySurgeon> the particles that are not filter leave through the efferent arteriole
04[22:45] <@BloodySurgeon> Question: what is albumin?
[22:45] <de_la_soul> carries proteins
[22:45] <de_la_soul> in the blood
[22:46] <de_la_soul> well it is a protein
04[22:46] <@BloodySurgeon> correct
[22:46] <de_la_soul> it transports something in the bloodstream :\
04[22:46] <@BloodySurgeon> does it enter the nephron?
[22:46] <de_la_soul> no
[22:46] <de_la_soul> too big
04[22:46] <@BloodySurgeon> what would happen if it did?
[22:46] <de_la_soul> get stuck somewhere?
04[22:46] <@BloodySurgeon> think of where it is located
[22:46] <de_la_soul> or clog it up
04[22:46] <@BloodySurgeon> think logically
04[22:47] <@BloodySurgeon> something big goes through a small opening
04[22:47] <@BloodySurgeon> what happens when it passes it
[22:47] <de_la_soul> ruptures
04[22:47] <@BloodySurgeon> close
[22:47] <de_la_soul> I dunno
04[22:47] <@BloodySurgeon> it tears larger openings
[22:47] <KiwiBruin> tears holes?
04[22:47] <@BloodySurgeon> consequently
04[22:47] <@BloodySurgeon> you will urinate blood
04[22:48] <@BloodySurgeon> now the pathways of the nephron are as follows
04[22:49] <@BloodySurgeon> proximal convuluted tubule --> descending convoluted tubule --> Loop of Henle --> Ascending convoluted tubule --> Distal convoluted tubule --> collecting duct
04[22:50] <@BloodySurgeon> ions that are important will be reabsorb back into the bloodstream if it is needed
04[22:50] <@BloodySurgeon> in the proximal tubule, sodium, chloride, water, aa, glucose, and Ca++ are sent back
04[22:51] <@BloodySurgeon> all are actively transported except for Cl- and water
04[22:51] <@BloodySurgeon> which are passively diffused
04[22:51] <@BloodySurgeon> It is very important that Ca++ is sent back
03[22:51] * scalpel ([email protected]) has left #mcat
04[22:52] <@BloodySurgeon> Where do you think the Ca++ come from
[22:52] <KiwiBruin> bones?
04[22:52] <@BloodySurgeon> correct
04[22:53] <@BloodySurgeon> bones are made from a complex of calcium and phosphate
04[22:53] <@BloodySurgeon> when PTH is released
04[22:53] <@BloodySurgeon> the calcium and phosphate is released into the bloodstream
04[22:54] <@BloodySurgeon> so why do you think the nephron reabsorbs Ca++ but not phosphate?
[22:54] <de_la_soul> maybe phosphate is more widely available
[22:54] <de_la_soul> from atp -> adp
04[22:55] <@BloodySurgeon> think of it like this
04[22:55] <@BloodySurgeon> why does the nephron want to seperate the too?
04[22:55] <@BloodySurgeon> why did the body produce PTH to begin with
04[22:55] <@BloodySurgeon> *two
[22:56] <de_la_soul> well to break down bone
04[22:56] <@BloodySurgeon> if the phosphate was sent back into the bloodstream then it will just complex back with ca++ and rebuild the bones
[22:56] <de_la_soul> oh i see
04[22:56] <@BloodySurgeon> the body is excreting the phosphate so it can use the ca++ for other means
[22:56] <KiwiBruin> Do we have to know what the other means are?
04[22:56] <@BloodySurgeon> yes
04[22:56] <@BloodySurgeon> where do we use ca++?
04[22:57] <@BloodySurgeon> (oh and dont be frighten if you dont know everything I ask)
04[22:57] <@BloodySurgeon> I am just trying to be as thorough as possible
04[22:57] <@BloodySurgeon> because it looks like you guys know your stuff
[22:57] <de_la_soul> i don't remember
[22:57] <de_la_soul> been a while since i studied this stuff
04[22:57] <@BloodySurgeon> I will help
04[22:58] <@BloodySurgeon> does neurons ring a bell?
[22:58] <de_la_soul> yeah
[22:58] <de_la_soul> sarcoplasm reticulum
04[22:58] <@BloodySurgeon> correct
04[22:59] <@BloodySurgeon> that is usually the reason why the body produces PTH
04[22:59] <@BloodySurgeon> (we wont have enough time to go through the endocrine system, but I will finish off the nephron)
04[22:59] <@BloodySurgeon> now at the descending convoluted tubule water is passive diffused
04[23:00] <@BloodySurgeon> does Na+Cl- follow?
[23:00] <de_la_soul> yes
04[23:00] <@BloodySurgeon> no
04[23:00] <@BloodySurgeon> the tubule does not allow it to diffuse at this location
04[23:01] <@BloodySurgeon> however at the ascending tubule it does
[23:01] <ezprey> it's only permeable to water
04[23:01] <@BloodySurgeon> correct
04[23:02] <@BloodySurgeon> now here is a question, which is simple if you memorized but diffucult to figure out
04[23:02] <@BloodySurgeon> why is the ascending tubule thick at the cortex but thin in the medulla
[23:03] <de_la_soul> thicker so passive diffusion can't occur?
[23:03] <KiwiBruin> thicker walls for active pumping of Na+?
04[23:03] <@BloodySurgeon> correct
[23:03] <ezprey> which one's corect?
04[23:03] <@BloodySurgeon> I dont have time to get into this
04[23:03] <@BloodySurgeon> kiwibruin
[23:03] <ezprey> why can't thin walls pump Na+?
04[23:04] <@BloodySurgeon> I dont have time to answer this
04[23:04] <@BloodySurgeon> but I will give you a site at the ense
04[23:04] <@BloodySurgeon> end
04[23:04] <@BloodySurgeon> now at the distal convoluted tuble
04[23:05] <@BloodySurgeon> Na+ is actively transported out and H+, K+ is actively transported in
04[23:05] <@BloodySurgeon> True or false: ADH allows Na+ AND H2O to leave the nephron
[23:06] <ezprey> true
[23:06] <ezprey> "always digging holes"
04[23:06] <@BloodySurgeon> incorrect
[23:06] <ezprey> ah the AND
[23:06] <ezprey> it's just Na+
[23:06] <KiwiBruin> aldosterone
04[23:06] <@BloodySurgeon> aldosterone
04[23:07] <@BloodySurgeon> aldosterone works at the distal tubule for active transport of Na+ and water follows
04[23:07] <@BloodySurgeon> ADH works at the collecting duct
04[23:07] <@BloodySurgeon> and only allows water to leave through aquaporins
04[23:07] <@BloodySurgeon> what is another difference between these two hormones?
[23:08] <KiwiBruin> one is a steriod
04[23:08] <@BloodySurgeon> correct
04[23:08] <@BloodySurgeon> which one?
[23:08] <de_la_soul> aldosterone
04[23:08] <@BloodySurgeon> correct
04[23:08] <@BloodySurgeon> where is it produced?
[23:08] <de_la_soul> adrenal cortex
[23:08] <de_la_soul> maybe
04[23:08] <@BloodySurgeon> correct
[23:08] <KiwiBruin> yes
04[23:09] <@BloodySurgeon> what stimulates the adrenal cortex and what creates aldosterone in the adrenal cortex
03[23:09] * @Neuronix ([email protected]) Quit (Ping timeout: 121 seconds)
04[23:09] <@BloodySurgeon> ACTH
04[23:10] <@BloodySurgeon> from the anterior pituitary
04[23:10] <@BloodySurgeon> think of ACth
04[23:10] <@BloodySurgeon> AC for adrenal cortex
04[23:10] <@BloodySurgeon> adrenocorticotropic hormone
04[23:10] <@BloodySurgeon> spelling could be off
04[23:10] <@BloodySurgeon> where is the adrenal glands located?
[23:10] <ezprey> above kidneys?
04[23:10] <@BloodySurgeon> correct
04[23:11] <@BloodySurgeon> so you know it should affect the kidneys
04[23:11] <@BloodySurgeon> it produces glucocorticoids
04[23:11] <@BloodySurgeon> mineral coricoids
04[23:11] <@BloodySurgeon> and sex hormones
[23:11] <KiwiBruin> not sure.
04[23:11] <@BloodySurgeon> what is an example of mineral and glucocorticoids
[23:11] <ezprey> cortisol
04[23:12] <@BloodySurgeon> and for glucocorticoids?
04[23:12] <@BloodySurgeon> sorry
04[23:12] <@BloodySurgeon> thats for glucocorticoids
04[23:12] <@BloodySurgeon> now for mineral corticoids
04[23:12] <@BloodySurgeon> aldosterone!
04[23:13] <@BloodySurgeon> last note then I will have to end the session
04[23:13] <@BloodySurgeon> every gland will only produce one type of hormone
04[23:13] <@BloodySurgeon> the pituitary will only produce peptide hormones
04[23:13] <@BloodySurgeon> andrenal coretex --> steroid
04[23:14] <@BloodySurgeon> andrenal medulla --> thyrosine
04[23:14] <@BloodySurgeon> Ok now this will conclude my review session
[21:58] <jim> i'm only watching not participating
03[21:58] * BloodySurgeon sets mode: +m
03[21:58] * BloodySurgeon sets mode: -m
04[21:58] <@BloodySurgeon> > then I will explain what I will go over
04[21:58] <@BloodySurgeon> > then I will begin
04[21:59] <@BloodySurgeon> > i will start going through some basic reviews
04[21:59] <@BloodySurgeon> > going through the topics from beginning to end
04[21:59] <@BloodySurgeon> > sometimes I will stop and try to connect different concepts
04[21:59] <@BloodySurgeon> > and other times I may ask a question
04[21:59] <@BloodySurgeon> > I will start by directing the questions to everyone
04[22:00] <@BloodySurgeon> > by I may decide later to direct the questions to individuals
04[22:00] <@BloodySurgeon> > such as: de_la_soul can you tell me what is the difference between a and b
04[22:01] <@BloodySurgeon> > Does everyone understand?
[22:01] <de_la_soul> yep
[22:01] <ezprey> yes
04[22:01] <@BloodySurgeon> > If you do not feel comfortable answering the questions
04[22:01] <@BloodySurgeon> > you may either pass or ask me now to not participate at all
[22:02] <jim> yep
04[22:02] <@BloodySurgeon> > ok. I will start today's lesson with digestion
04[22:02] <@BloodySurgeon> > I want you to first imagine that you just ate a delicious meal filled with proteins, fats, and sugar
04[22:03] <@BloodySurgeon> > as it enters your body from the oral cavity
[22:03] <jim> hahahhaa
[22:03] <jim> lol
04[22:03] <@BloodySurgeon> > your mouth produces salivary amylase also know as ptyalin
04[22:03] <@BloodySurgeon> > to digest the sugars
04[22:04] <@BloodySurgeon> > it will enter your esophagus
04[22:04] <@BloodySurgeon> > and your body has a defense mechanism to not allow these foods to enter your airway
04[22:05] <@BloodySurgeon> > A particular flaplike body
04[22:05] <@BloodySurgeon> > does anyone know the name of this part?
[22:05] <jim> epiglottis
04[22:05] <@BloodySurgeon> > correct
[22:05] <jim> I PWN THIS CHAT
[22:05] <jim> yo!
04[22:05] <@BloodySurgeon> > the epiglottis will prevent the food from entering your airway through th trachea
[22:06] <ezprey> are we allowed to ask questions while you're doing this?
04[22:06] <@BloodySurgeon> > your esophagus will use smooth muscles to squeeze the food down the line
04[22:06] <@BloodySurgeon> > Sure.
04[22:06] <@BloodySurgeon> > if it is relevant
04[22:06] <@BloodySurgeon> > Just say "Question" first
[22:06] <ezprey> okay, I don't have one right now, just asking
04[22:06] <@BloodySurgeon> > ok.
04[22:07] <@BloodySurgeon> > now the first valve that the food enters to the stomach is the lower esophageal sphincter
04[22:07] <@BloodySurgeon> > inside the stomach there are two types of glands
04[22:08] <@BloodySurgeon> > the gastric glands and the pyloric glands
04[22:08] <@BloodySurgeon> > the gastric glands are glands that responds to things in the environment
03[22:08] * Neuronix ([email protected]) has joined #mcat
03[22:08] * ChanServ sets mode: +o Neuronix
04[22:08] <@BloodySurgeon> > when you ordered the delicious meal
04[22:09] <@BloodySurgeon> > your body prepared itself for the incoming nutrition
04[22:09] <@BloodySurgeon> > the gastric glands are divided into three cells
04[22:09] <@BloodySurgeon> > the mucous cells
04[22:09] <@BloodySurgeon> > the chief cells
03[22:09] * KiwiBruin ([email protected]) has joined #mcat
03[22:09] * scalpel ([email protected]) has joined #mcat
[22:09] <KiwiBruin> hihi
04[22:09] <@BloodySurgeon> > and the parietal cells
04[22:10] <@BloodySurgeon> > as you would expect the mucous cells produce mucus
04[22:10] <@BloodySurgeon> > Can anyone explain why mucus is important in the stomach?
[22:10] <ezprey> to protect it from HCl
[22:10] <jim> it keeps the acid from destroying the layers
04[22:10] <@BloodySurgeon> > correct
[22:10] <ezprey> owned
[22:10] <ezprey> !
[22:10] <jim> DAMN U EZPREY!!!
[22:10] <jim> YOU WILL PAY
[22:10] <jim> sorry BS, i'll calm down
04[22:10] <@BloodySurgeon> > now the chief cells produces pepsinogen
04[22:11] <@BloodySurgeon> > that is a zymogen
04[22:11] <@BloodySurgeon> > anything that has an ending of -ogen
04[22:11] <@BloodySurgeon> > is a zymogen
[22:12] <jim> converts to pepsin
04[22:12] <@BloodySurgeon> > BlueElmo, what is a zymogen and why is it important for pepsinogen to be one
[22:12] <ezprey> he might not be here!
04[22:12] <@BloodySurgeon> > ok.
04[22:12] <@BloodySurgeon> > well the answer is obvious
[22:12] <jim> Pepsin is stored as pepsinogen so it will only be released when needed, and does not digest the body's own proteins in the stomach's lining.
04[22:12] <@BloodySurgeon> > it is the inactive form of pepsin
04[22:12] <@BloodySurgeon> > correct
[22:13] <jim> PWNED
04[22:13] <@BloodySurgeon> > now the parietal cells produce HCL
[22:13] <ezprey> he didn't direct the question at you
04[22:13] <@BloodySurgeon> > to lower the pH of the stomach
06[22:13] * jim sits down
04[22:13] <@BloodySurgeon> > making the environment acidic
03[22:13] * jim is now known as gunner
04[22:13] <@BloodySurgeon> > now there is also a feedback system for HCl
03[22:13] * gunner is now known as jimgunner
04[22:14] <@BloodySurgeon> > the pyloric glands
03[22:14] * ksmi117 ([email protected]) has joined #mcat
03[22:14] * ksmi117 ([email protected]) has left #mcat
04[22:14] <@BloodySurgeon> > the pyloric glands consist of G-cells
03[22:14] * BlueElmo ([email protected]) Quit (Client exited)
04[22:14] <@BloodySurgeon> > G-cells produce gastrin
04[22:14] <@BloodySurgeon> > that contracts the stomach and produce more HCl
04[22:15] <@BloodySurgeon> > the food is turned
04[22:15] <@BloodySurgeon> > and molded into a ball of "chyme"
04[22:15] <@BloodySurgeon> > it then enters the small intestine
04[22:15] <@BloodySurgeon> > Question to KiwiBruin
04[22:15] <@BloodySurgeon> > True or False: the duodenum is the major site of absorption
04[22:16] <@BloodySurgeon> > ok i will now move this question to the rest of the class
[22:16] <jimgunner> true!
04[22:16] <@BloodySurgeon> > false
[22:16] <KiwiBruin> sorry
04[22:16] <@BloodySurgeon> > it is the site of digestion
[22:16] <KiwiBruin> lag spike...
[22:16] <ezprey> haha
[22:16] <jimgunner> i am not worthy
04[22:16] <@BloodySurgeon> the ileum and jejunum is the major site of absorption
[22:16] <jimgunner> i am finished
03[22:17] * jimgunner is now known as jimsuicide
04[22:17] <@BloodySurgeon> > the chyme enters the duodenum through the pyloric sphincter
04[22:17] <@BloodySurgeon> > the enzymes in the stomach are most active at a pH near 2
04[22:18] <@BloodySurgeon> > however the enzymes in the small intestine works best at a pH much higher
04[22:18] <@BloodySurgeon> > therefore a base needs to be added
04[22:18] <@BloodySurgeon> > HCO3-
04[22:18] <@BloodySurgeon> > But where does it come from?
[22:19] <de_la_soul> pancreas?
[22:19] <ezprey> pancreas?
04[22:19] <@BloodySurgeon> > The pancreas is filled with lots of enzymes to help out with the digestion
04[22:19] <@BloodySurgeon> > Trypsinogen
04[22:19] <@BloodySurgeon> > chymotrysinogen
04[22:19] <@BloodySurgeon> > pancreatic amylase
03[22:19] * jimsuicide ([email protected]) has left #mcat
04[22:19] <@BloodySurgeon> > lipase
04[22:19] <@BloodySurgeon> > whatever you need to digest, the pancrease has it
04[22:19] <@BloodySurgeon> > that is why the duodenum has the major site of digestion
04[22:20] <@BloodySurgeon> > because the pancrease is close by to help
04[22:20] <@BloodySurgeon> > just below it
04[22:20] <@BloodySurgeon> > Question: Is the small intestine the first site for sugar digestion?
[22:21] <de_la_soul> no
04[22:21] <@BloodySurgeon> > correct, the mouth is
04[22:21] <@BloodySurgeon> > although the pancreas has a lot to offer
04[22:21] <@BloodySurgeon> > the dudenum produces many enzymes of its own
04[22:22] <@BloodySurgeon> > to name a few: maltase, lactase, sucrase
04[22:22] <@BloodySurgeon> > peptidase
04[22:22] <@BloodySurgeon> > yet how do the duodenum communicate with the pancreas?
[22:22] <ezprey> pancreatic duct?
04[22:22] <@BloodySurgeon> > if the duodenum is acidic, how does the pancreas know?
[22:23] <de_la_soul> exocrine glands
04[22:23] <@BloodySurgeon> > the duodenum produces secritin at low pH
04[22:23] <@BloodySurgeon> > secritin stimulates pancrease to release HCO3- along with other things
04[22:23] <@BloodySurgeon> > and as de la soul pointed out
04[22:24] <@BloodySurgeon> > the exocrine hormones go through the pancreatic duct
[22:24] <scalpel> that's not exocrine
04[22:24] <@BloodySurgeon> > what is the difference between exocrine and endocrine hormones?
[22:24] <scalpel> it's enteroendocrine
[22:24] <scalpel> oh wait
[22:24] <scalpel> sorry keep on going
[22:24] <de_la_soul> exocrine goes through blood stream
[22:24] <de_la_soul> endocrine through ducts
04[22:24] <@BloodySurgeon> > :_
[22:25] <scalpel> 😛
04[22:25] <@BloodySurgeon> > I think you have them reversed
[22:25] <de_la_soul> me?
[22:25] <de_la_soul> oh
[22:25] <de_la_soul> oops
04[22:25] <@BloodySurgeon> > endocrine hormones go through the blood
04[22:25] <@BloodySurgeon> > and exocrine goes through the ducts
[22:25] <de_la_soul> ok
04[22:25] <@BloodySurgeon> > Now duodenum also releases CCK
04[22:25] <@BloodySurgeon> > does anyone know what this is?
04[22:26] <@BloodySurgeon> > Cholecystokinin
04[22:26] <@BloodySurgeon> > It does several things
[22:26] <scalpel> biliary gland constriction
04[22:26] <@BloodySurgeon> > yes
[22:26] <scalpel> peristalsis down the bile duct?
04[22:26] <@BloodySurgeon> > correct
04[22:26] <@BloodySurgeon> > and also slows down motility of the food in the small intestine
04[22:27] <@BloodySurgeon> > why is this important?
[22:27] <de_la_soul> for greater absorption
[22:27] <de_la_soul> i think
04[22:27] <@BloodySurgeon> > correct
04[22:27] <@BloodySurgeon> > and digestion
04[22:27] <@BloodySurgeon> > give the body enough time to digest all the lipids before it goes to the rest of the small intestine
04[22:27] <@BloodySurgeon> > true or false: the gall bladder produces the bile
[22:28] <de_la_soul> false
[22:28] <de_la_soul> liver
04[22:28] <@BloodySurgeon> > correct the liver does
[22:28] <@Neuronix> favorite pimp question for when you get to med school
[22:28] <@Neuronix> what's the venous drainage of the gall bladder?
[22:28] <scalpel> hepatic vein
[22:28] <@Neuronix> further down from that
[22:28] <scalpel> central vein
[22:28] <@Neuronix> ?!?!
[22:28] <@Neuronix> further towards the gall bladder
[22:29] <scalpel> portal vein drains into the liver
[22:29] <scalpel> oh gall bladder
[22:29] <scalpel> misread the question
04[22:29] <@BloodySurgeon> > *cough*
[22:29] <@Neuronix> I know scalp 😛
04[22:29] <@BloodySurgeon> > do I have to DeVoice someone/
[22:29] <@Neuronix> You didn't set +m first 😛
03[22:29] * BloodySurgeon sets mode: +m
04[22:29] <@BloodySurgeon> > 🙂
04[22:30] <@BloodySurgeon> > ok.
[22:30] <@Neuronix> The answer is it's a trick question, there is no cystic vein as there as a cystic artery (gall bladder artery is the cystic artery)
[22:30] <@Neuronix> and it's just minor veins of the liver
[22:30] <@Neuronix> ok continue BS
04[22:30] <@BloodySurgeon> > now the liver is a very important organ
[22:30] <@Neuronix> When you get to third year you will thank me!
04[22:30] <@BloodySurgeon> > it can does much more than make bile
04[22:30] <@BloodySurgeon> > *do
04[22:30] <@BloodySurgeon> > it is the site for gluconeogenesis, glycogenolysis, glycogenesis
04[22:31] <@BloodySurgeon> > cholesterol, lipogenesis
04[22:31] <@BloodySurgeon> > urea cycle
04[22:31] <@BloodySurgeon> > coagulation factors
04[22:31] <@BloodySurgeon> > and an important topic i will discuss later
04[22:31] <@BloodySurgeon> > angiotensionogen
04[22:31] <@BloodySurgeon> (forgive my spellings if I have typos)
04[22:32] <@BloodySurgeon> biology has tough words
04[22:32] <@BloodySurgeon> What is the urea cycle?
04[22:32] <@BloodySurgeon> and where does it get its reactants from
05[22:32] -de_la_soul- gets rid of nitrogen
04[22:33] <@BloodySurgeon> correct
04[22:33] <@BloodySurgeon> but what does it make
04[22:33] <@BloodySurgeon> and where is the nitrogen from?
05[22:33] -de_la_soul- nitrogen from peptides...it makes urea
04[22:33] <@BloodySurgeon> correct
03[22:34] * Neuronix sets mode: -m
04[22:34] <@BloodySurgeon> say if you are not getting any peptides from the enviornment
04[22:34] <@BloodySurgeon> where is the nitrogen produced?
04[22:34] <@BloodySurgeon> its a bs question, but a question that can arise
04[22:34] <@BloodySurgeon> translation
[22:35] <de_la_soul> oh
04[22:35] <@BloodySurgeon> ok we can move on now
[22:35] <de_la_soul> heh trick q
04[22:35] <@BloodySurgeon> we left off with duodenum in the small intestine
04[22:35] <@BloodySurgeon> duodenum leads to jejunum
04[22:35] <@BloodySurgeon> then to ileum
04[22:35] <@BloodySurgeon> jejunum and ileum are the major site for absorption
04[22:36] <@BloodySurgeon> how do they absorp nutrients such as sugar?
04[22:36] <@BloodySurgeon> *absorb
[22:36] <de_la_soul> microvilli
04[22:36] <@BloodySurgeon> correct
04[22:37] <@BloodySurgeon> now we get into the large intestine
04[22:37] <@BloodySurgeon> what part of the large intestine does the ileum lead into
[22:37] <de_la_soul> not sure
[22:37] <de_la_soul> cecum?
04[22:37] <@BloodySurgeon> correct
04[22:38] <@BloodySurgeon> now from the cecum you can enter the colon or into the appendix
04[22:38] <@BloodySurgeon> the colon is divided into three parts
04[22:38] <@BloodySurgeon> the ascending colon
04[22:38] <@BloodySurgeon> the transverse colon
04[22:38] <@BloodySurgeon> the descending colon
04[22:38] <@BloodySurgeon> what is the major function of the large intestine
[22:38] <de_la_soul> absorb water, I think
04[22:39] <@BloodySurgeon> correct
04[22:39] <@BloodySurgeon> with
04[22:39] <@BloodySurgeon> water rarely goes alone
04[22:39] <@BloodySurgeon> what likes to accompany it
[22:39] <KiwiBruin> electrolytes?
04[22:39] <@BloodySurgeon> correct
04[22:39] <@BloodySurgeon> so hypothetically what will happen if the large intestine does not do its job
[22:40] <de_la_soul> umm
[22:40] <de_la_soul> blood pressure will drop
04[22:40] <@BloodySurgeon> think medically
04[22:40] <@BloodySurgeon> as a symptom
04[22:40] <@BloodySurgeon> you will get watery stool
[22:40] <de_la_soul> hypotension?
04[22:40] <@BloodySurgeon> what is watery stool?
[22:41] <KiwiBruin> diarrhea
04[22:41] <@BloodySurgeon> correct
04[22:41] <@BloodySurgeon> now lets look at the nephron
04[22:41] <@BloodySurgeon> the nephron can be divided into the corect
04[22:41] <@BloodySurgeon> *cortex
04[22:41] <@BloodySurgeon> or the upper and lower medulla
04[22:42] <@BloodySurgeon> for our purposes I will use medulla to refer to both
04[22:42] <@BloodySurgeon> upper and lower
04[22:43] <@BloodySurgeon> nutrients enter the nephron through the bowman's capsule
04[22:44] <@BloodySurgeon> from the afferant arteriole to the glomerulus to the bowman's capsule
04[22:44] <@BloodySurgeon> the capsule has a selective filter that does now allow large particles to enter through it
04[22:44] <@BloodySurgeon> the higher the blood pressure the more is filtrated inside
04[22:44] <@BloodySurgeon> the particles that are not filter leave through the efferent arteriole
04[22:45] <@BloodySurgeon> Question: what is albumin?
[22:45] <de_la_soul> carries proteins
[22:45] <de_la_soul> in the blood
[22:46] <de_la_soul> well it is a protein
04[22:46] <@BloodySurgeon> correct
[22:46] <de_la_soul> it transports something in the bloodstream :\
04[22:46] <@BloodySurgeon> does it enter the nephron?
[22:46] <de_la_soul> no
[22:46] <de_la_soul> too big
04[22:46] <@BloodySurgeon> what would happen if it did?
[22:46] <de_la_soul> get stuck somewhere?
04[22:46] <@BloodySurgeon> think of where it is located
[22:46] <de_la_soul> or clog it up
04[22:46] <@BloodySurgeon> think logically
04[22:47] <@BloodySurgeon> something big goes through a small opening
04[22:47] <@BloodySurgeon> what happens when it passes it
[22:47] <de_la_soul> ruptures
04[22:47] <@BloodySurgeon> close
[22:47] <de_la_soul> I dunno
04[22:47] <@BloodySurgeon> it tears larger openings
[22:47] <KiwiBruin> tears holes?
04[22:47] <@BloodySurgeon> consequently
04[22:47] <@BloodySurgeon> you will urinate blood
04[22:48] <@BloodySurgeon> now the pathways of the nephron are as follows
04[22:49] <@BloodySurgeon> proximal convuluted tubule --> descending convoluted tubule --> Loop of Henle --> Ascending convoluted tubule --> Distal convoluted tubule --> collecting duct
04[22:50] <@BloodySurgeon> ions that are important will be reabsorb back into the bloodstream if it is needed
04[22:50] <@BloodySurgeon> in the proximal tubule, sodium, chloride, water, aa, glucose, and Ca++ are sent back
04[22:51] <@BloodySurgeon> all are actively transported except for Cl- and water
04[22:51] <@BloodySurgeon> which are passively diffused
04[22:51] <@BloodySurgeon> It is very important that Ca++ is sent back
03[22:51] * scalpel ([email protected]) has left #mcat
04[22:52] <@BloodySurgeon> Where do you think the Ca++ come from
[22:52] <KiwiBruin> bones?
04[22:52] <@BloodySurgeon> correct
04[22:53] <@BloodySurgeon> bones are made from a complex of calcium and phosphate
04[22:53] <@BloodySurgeon> when PTH is released
04[22:53] <@BloodySurgeon> the calcium and phosphate is released into the bloodstream
04[22:54] <@BloodySurgeon> so why do you think the nephron reabsorbs Ca++ but not phosphate?
[22:54] <de_la_soul> maybe phosphate is more widely available
[22:54] <de_la_soul> from atp -> adp
04[22:55] <@BloodySurgeon> think of it like this
04[22:55] <@BloodySurgeon> why does the nephron want to seperate the too?
04[22:55] <@BloodySurgeon> why did the body produce PTH to begin with
04[22:55] <@BloodySurgeon> *two
[22:56] <de_la_soul> well to break down bone
04[22:56] <@BloodySurgeon> if the phosphate was sent back into the bloodstream then it will just complex back with ca++ and rebuild the bones
[22:56] <de_la_soul> oh i see
04[22:56] <@BloodySurgeon> the body is excreting the phosphate so it can use the ca++ for other means
[22:56] <KiwiBruin> Do we have to know what the other means are?
04[22:56] <@BloodySurgeon> yes
04[22:56] <@BloodySurgeon> where do we use ca++?
04[22:57] <@BloodySurgeon> (oh and dont be frighten if you dont know everything I ask)
04[22:57] <@BloodySurgeon> I am just trying to be as thorough as possible
04[22:57] <@BloodySurgeon> because it looks like you guys know your stuff
[22:57] <de_la_soul> i don't remember
[22:57] <de_la_soul> been a while since i studied this stuff
04[22:57] <@BloodySurgeon> I will help
04[22:58] <@BloodySurgeon> does neurons ring a bell?
[22:58] <de_la_soul> yeah
[22:58] <de_la_soul> sarcoplasm reticulum
04[22:58] <@BloodySurgeon> correct
04[22:59] <@BloodySurgeon> that is usually the reason why the body produces PTH
04[22:59] <@BloodySurgeon> (we wont have enough time to go through the endocrine system, but I will finish off the nephron)
04[22:59] <@BloodySurgeon> now at the descending convoluted tubule water is passive diffused
04[23:00] <@BloodySurgeon> does Na+Cl- follow?
[23:00] <de_la_soul> yes
04[23:00] <@BloodySurgeon> no
04[23:00] <@BloodySurgeon> the tubule does not allow it to diffuse at this location
04[23:01] <@BloodySurgeon> however at the ascending tubule it does
[23:01] <ezprey> it's only permeable to water
04[23:01] <@BloodySurgeon> correct
04[23:02] <@BloodySurgeon> now here is a question, which is simple if you memorized but diffucult to figure out
04[23:02] <@BloodySurgeon> why is the ascending tubule thick at the cortex but thin in the medulla
[23:03] <de_la_soul> thicker so passive diffusion can't occur?
[23:03] <KiwiBruin> thicker walls for active pumping of Na+?
04[23:03] <@BloodySurgeon> correct
[23:03] <ezprey> which one's corect?
04[23:03] <@BloodySurgeon> I dont have time to get into this
04[23:03] <@BloodySurgeon> kiwibruin
[23:03] <ezprey> why can't thin walls pump Na+?
04[23:04] <@BloodySurgeon> I dont have time to answer this
04[23:04] <@BloodySurgeon> but I will give you a site at the ense
04[23:04] <@BloodySurgeon> end
04[23:04] <@BloodySurgeon> now at the distal convoluted tuble
04[23:05] <@BloodySurgeon> Na+ is actively transported out and H+, K+ is actively transported in
04[23:05] <@BloodySurgeon> True or false: ADH allows Na+ AND H2O to leave the nephron
[23:06] <ezprey> true
[23:06] <ezprey> "always digging holes"
04[23:06] <@BloodySurgeon> incorrect
[23:06] <ezprey> ah the AND
[23:06] <ezprey> it's just Na+
[23:06] <KiwiBruin> aldosterone
04[23:06] <@BloodySurgeon> aldosterone
04[23:07] <@BloodySurgeon> aldosterone works at the distal tubule for active transport of Na+ and water follows
04[23:07] <@BloodySurgeon> ADH works at the collecting duct
04[23:07] <@BloodySurgeon> and only allows water to leave through aquaporins
04[23:07] <@BloodySurgeon> what is another difference between these two hormones?
[23:08] <KiwiBruin> one is a steriod
04[23:08] <@BloodySurgeon> correct
04[23:08] <@BloodySurgeon> which one?
[23:08] <de_la_soul> aldosterone
04[23:08] <@BloodySurgeon> correct
04[23:08] <@BloodySurgeon> where is it produced?
[23:08] <de_la_soul> adrenal cortex
[23:08] <de_la_soul> maybe
04[23:08] <@BloodySurgeon> correct
[23:08] <KiwiBruin> yes
04[23:09] <@BloodySurgeon> what stimulates the adrenal cortex and what creates aldosterone in the adrenal cortex
03[23:09] * @Neuronix ([email protected]) Quit (Ping timeout: 121 seconds)
04[23:09] <@BloodySurgeon> ACTH
04[23:10] <@BloodySurgeon> from the anterior pituitary
04[23:10] <@BloodySurgeon> think of ACth
04[23:10] <@BloodySurgeon> AC for adrenal cortex
04[23:10] <@BloodySurgeon> adrenocorticotropic hormone
04[23:10] <@BloodySurgeon> spelling could be off
04[23:10] <@BloodySurgeon> where is the adrenal glands located?
[23:10] <ezprey> above kidneys?
04[23:10] <@BloodySurgeon> correct
04[23:11] <@BloodySurgeon> so you know it should affect the kidneys
04[23:11] <@BloodySurgeon> it produces glucocorticoids
04[23:11] <@BloodySurgeon> mineral coricoids
04[23:11] <@BloodySurgeon> and sex hormones
[23:11] <KiwiBruin> not sure.
04[23:11] <@BloodySurgeon> what is an example of mineral and glucocorticoids
[23:11] <ezprey> cortisol
04[23:12] <@BloodySurgeon> and for glucocorticoids?
04[23:12] <@BloodySurgeon> sorry
04[23:12] <@BloodySurgeon> thats for glucocorticoids
04[23:12] <@BloodySurgeon> now for mineral corticoids
04[23:12] <@BloodySurgeon> aldosterone!
04[23:13] <@BloodySurgeon> last note then I will have to end the session
04[23:13] <@BloodySurgeon> every gland will only produce one type of hormone
04[23:13] <@BloodySurgeon> the pituitary will only produce peptide hormones
04[23:13] <@BloodySurgeon> andrenal coretex --> steroid
04[23:14] <@BloodySurgeon> andrenal medulla --> thyrosine
04[23:14] <@BloodySurgeon> Ok now this will conclude my review session
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