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Artery vs. Veinš©ø
š«Artery: carries oxygenated blood away from the heart
š”Arteries = Away from the heart
-Thick walls with muscle tissue
-NO valves
š«Vein: carries deoxygenated blood back to the heart
š”Veins = Visit the heart
-Thin walls
-Valves to prevent backflow
š”Vein = Valves
āļøExceptions
Pulmonary artery: carries deoxygenated blood from the heart to the lungs
Pulmonary vein: carries oxygenated blood from the lungs to the heart
Addisons vs Cushings: An overview for student nurses
Adrenal gland dysfunction manifests in contrasting conditions: addisons disease (adrenal insufficiency) and cushings syndrome (excess cortisol production)
Addisons disease is a condition of adrenal insufficiency, where the adrenal glands produce insufficient cortisol and / or aldosterone
Pathophysiology:
- Primary adrenal insufficiency: Damage or dysfunction of the adrenal glands leads to decreased production of cortisol and sometimes aldosterone
- Secondary adrenal insufficiency: inadequate ACTH production from the pituitary reduces adrenal stimulation
- Cortisol deficiency impairs stress response, metabolism, and inflammation control, while aldosterone deficiency affects sodium-potassium balance and blood pressure
Cushings syndrome is a condition caused by prolonged exposure to excess cortisol, either due to endogenous overproduction or exogenous steroid use.
Pathophysiology:
- Caused by excessive cortisol from:
- Exogenous steroids (most common)
- Endogenous overproduction e.g.
- Adrenal adenomas
- Pituitary adenomas
- Ectopic ACTH production
Memory tricks:
- Addisons we need to add steroids
- Cushings we have a cushion of steroids
- Types of Anemia -
š©øIron Deficiency Anemia
Patho: Low levels of iron in the body causes decreased hemoglobin & leads to a decrease in oxygen to tissues
S&S: Pallor, weakness & fatigue, SOB, tachycardia, small RBCs
š©øAplastic Anemia
Patho: Decreased production of new blood cells resulting from damage to bone marrow
S&S: Pallor, weakness & fatigue, frequent infections, easy bruising/bleeding
š©øPernicious Anemia
Patho: Decrease in RBCs due to vitamin B-12 malabsorption
S&S: Pallor, weakness & fatigue, SOB, GI issues (nausea, vomiting, diarrhea, constipation)
š©øSickle Cell Anemia
Patho: Low oxygen (causes RBCs to change shape) leads to sickle-shaped cells, causing clumping & blocking blood flow
S&S: PAIN, anemia S&S (fatigue, tachycardia, pallor), swelling of hands & feet, stroke, acute chest syndrome
ā
HORMONES PRODUCED BY OTHER ORGANS & TISSUES THAT CONTAIN ENDOCRINE CELLS & THEIR PRINCIPAL ACTIONS ā
š¬GASTROINTESTINAL TRACT
šµ Gastrin
Promotes secretion of gastric juice; increases movements of the stomach.
šµ Glucose-dependent insulinotropic peptide (GIP)
Stimulates release of insulin by pancreatic beta cells.
šµ Secretin
Stimulates secretion of pancreatic juice and bile.
šµ Cholecystokinin (CCK)
Stimulates secretion of pancreatic juice; regulates release of bile from gall bladder; causes feeling of fullness after eating.
š¬ PLACENTA
šµ Human chorionic gonadotropin (hCG)
Stimulates corpus luteum in ovary to continue production of oestrogens and progesterone to maintain pregnancy.
šµ Oestrogens and progesterone
Maintain pregnancy; help prepare mammary glands to secrete milk.
šµ Human chorionic somatomammotropin (hCS)
Stimulates development of mammary glands for lactation.
š¬ KIDNEYS
šµ Renin
Part of reaction sequence that raises blood pressure by bringing about vasoconstriction and secretion of aldosterone.
šµ Erythropoietin (EPO)
Increases rate of red blood cell formation.
šµ Calcitriol (active form of vitamin D)
Aids in absorption of dietary calcium and phosphorus.
š¬ HEART
šµ Atrial natriuretic peptide (ANP)
Decreases blood pressure.
š¬ ADIPOSE TISSUE
šµ Leptin
Suppresses appetite; may increase FSH and LH activity.
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Layers and Types of Skin Infections
š Reference: Netterās Infectious Diseases 2nd Edition
Hemoptysis, or coughing up blood, is a very worrisome and fatal sign that indicates a serious underlying cause. To help you remember these causes, think of the mnemonic BATTLE CAMP:
⢠B - Bronchitis/bronchiectasis
⢠A - Aspergilloma
⢠T - Tumor
⢠T - Tuberculosis
⢠L - Lung abscess
⢠E - Emboli
⢠C - Coagulopathy
⢠A - Autoimmune diseases/arteriovenous malformation
⢠M - Mitral stenosis
⢠P - Pneumonia
Common signs and symptoms:
- fever
- headache
-abdominal pain
- abdominal discomfort
- constipation
- alopecia
- disturb sleep
- sweating
-Shevering
-Weakness
- fatigue
- vomating
- nausia
- giddiness
