Medico Guides 1st Block (Module No 02) Physiology Guidelines

Prepared by:

                      Mahnoor (G14)

Compiled by:

                     Hafiz Muhammad Umair Noor (G12)

  • Guyton and Hall Textbook of Medical Physiology 14th Edition (Chapter numbers are mentioned according to this edition)
  • NIMS Blood Physiology (Only for Topic of Blood)
  • Jaypee Essentials of Medical Physiology 6th Edition

BLOOD PHYSIOLOGY

  • Anemia (v.v.v imp)
  • Etiological classification from Guyton
  • Morphological classification from NIMS (Pic is given here)
  • Effect of anemia: Make a flow chart of it. (Pic is given below)
  • Polycythemia (Guyton)
  • Secondary Polycythemia (Physiological) (For MCQs)
  • Polycythemia Vera (Pathological) (Do their comparison)
  • For effects of Anemia and Polycythemia make flowcharts (imp seq)
  • Immunity (Definition)
  • Types of immunity (pic is given below)
  • Innate immunity (Definition along with four points)
  • Acquired immunity (Definition)
  • Difference b/w humoral and cell mediated immunity
  • Concept of antigen and epitope
  • Pg 460-462 (read for concept and mcqs)
  • Antibody formation by plasma cells
  • Formation of memory cells enhances antibody response to subsequent antigen exposure (imp)
  • Figure 35.3
  • Nature of antibodies
  • Classes of antibodies
  • Mechanism of action of antibodies (direct and complement system) v imp
  • Fig 35.6 (imp for seq and mcqs)
  • Antigen presenting cells, major histocompatibility complex proteins (imp)
  • Different types of T cells (complete topic till pg 468 along with fig 35.8) imp for seq
  • Table 35.1 (types of T helper cells viva question) 
  • Tolerance of acquired immunity system to body own tissue (Def imp for viva)
  • Active and passive immunity (diff v imp)
  • Allergy and hypersensitivity (complete) imp
  • RH incompatibility (erythroblastosis fetalis) v.imp for viva and seq
  • Transfusion reactions from mismatched blood types 
  • Transplantation of tissues and organs (complete topic till page 476)
  • Transfusion reactions due to ⁠ABO incompatibility (jaypee chap 21 page 141-142 read from there)
  • Changes in stored blood (pic is shared in the group)
  • Hemostasis (Def)
  • Events in hemostasis (imp seq)
  • Characteristics of platelets
  • Vascular Constriction (Complete)
  • Formation of platelet plug(complete)
  • TABLE 37.1(Complete)
  • Mechanism of blood coagulation (Complete)
  • Fig 37.3 (imp)
  • Extrinsic and Intrinsic pathway (v.v.imp), difference btw them (along with figures)Anticoagulants for clinical use
  • Intravascular anticoagulants
  • Role of Calcium 
  • Blood coagulation test
  • Conditions that cause excessive bleeding (Hemophilia, Thrombocytopenia, Vitamin K) (vimp)
  • (Must do this chapter from Guyton)
  • Stimulus for Intrinsic pathway:
  • Internal damage
  • Glass contact
  • Blood trauma
  • Test tube coagulation 
  • Stimulus for Extrinsic pathway:
  • Surgery
  • Inflammation
  • Shave cut
  • Knife cut
  • Vitamin K dependent CF -> 2,7,9,10
  • Bleeding Time increase in >>> Thrombocytopenia
  • Clotting time increase in. >>> Hemophilia
  • Purpura (Tendency of spontaneous hemorrhage beneath skin, internal organs.

Types of Purpura:

Thrombocytopenic purpura

  • Multiple subcutaneous hemorrhage
  • Poor constriction of blood vessel
  • Dec platelet count
  • Clot retraction deficiency

Non-Thrombocytopenia 

  • Functionally defective platelet (Thrombasthenia)
  • Platelet count normal
  • Due to allergy
  • Infection

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