Medico Guides 5th Block (Module No 08) Physiology Guidelines

Prepared by:

                   Alisha Athar (G13)                  

Compiled by:

                   Hafiz Muhammad Umair Noor (G12)

Recommended Book:

  • Guyton and Hall Textbook of Medical Physiology 14th Edition (Chapter numbers are mentioned according to this edition)

ENDOCRINOLOGY

  • Endocrinology by Dr Ameena PDF has been shared, it’s better to do it from Guyton and PDF

EnR-P-001(a):

  • Chemical messengers
  • Chemical structure and synthesis of hormones
  • Table 75.1
  • Clearance of hormones
  • Mechanism of action of hormones
  • Receptors and activation
  • Down regulation of receptors
  • Fig # 75.4
  • Enzyme-linked hormone receptor
  • Table 75.2
  • Fig 75.5
  • Intracellular hormone receptors
  • Fig 75.6
  • Table 75.3
  • Table 75.4
  • Fig 75.7
  • Fig 75.8
  • Ca calmodulin system

EnR-P-001(b):

  • Names of anterior and posterior pituitary harmones
  • Cell types and hormones of pituitary with table 76.1
  • Fig 76.4
  • Table 76.2
  • Hypothalamic releasing and inhibitory harmones
  • Growth Hormone (imp)
  • Physiological functions
  • Metabolic effects (whole v imp read flowcharts from pdf)
  • Fig 76.6
  • Table 76.3( v imp)
  • Effect of GH on proteins
  • Effect of GH on Fats
  • Ketogenic effect v imp
  • Effect of GH on carbohydrates vvimp
  • Necessity of insulin and carbohydrates…
  • Effect of GH on cartilage and bones
  • Somatomedins (vvvvvvv imp)
  • Difference between GH and Somatomedins (from pdf shared)
  • Regulation of growth hormone secretion (read for concept. you can also read it from pdf)
  • Abnormalities of Growth Harmone secretion (complete blue boxes) v imp
  • Panhypopituitarism with causes and treatment
  • Sheehan syndrome from Google (imp)
  • Panhypopituitarism in childhood and dwarfism
  • Difference between Loran dwarfs and African pygmies
  • Gigantism (before adolescence)
  • Acromegaly (after adolescence) also do it from pdf
  • Posterior pituitary gland (give a read from pdf)
  • Physiological function of ADH
  • Fig 76.10
  • Vasoconstrictor effects of ADH
  • Oxytocin functions

EnR-P-002:

  • Synthesis and secretion of thyroid harmones
  • Steps for synthesis of thyroxine (all steps imp)
  • Fig 77.2 (vimp)
  • Difference between T3 and T4 (from pdf shared)
  • Transport of thyroxine
  • Physiological functions of thyroid hormones with fig 77.5 complete till page 948
  • Regulation of thyroid hormones (Imp)
  • TSH
  • Fig 77.7
  • Antithyroid substances all (Imp)
  • Diseases of thyroid (complete till the end of this chapter)
  • Hyperthyroidism (causes, symptoms, exophthalmos, diagnosis (Imp) treatment)
  • Hypothyroidism (causes, endemic, idiopathic, characteristics) (Imp)
  • Myxedema (Imp)
  • Diagnosis
  • Cretinism (Imp)
  • Difference between Cretinism and dwarfism ( in pdf shared)

EnR-P-003:

  • Names of adrenal hormones
  • Synthesis and Secretions of adrenocortical hormones
  • Mineralocorticoids imp
  • Glucocorticoids imp
  • Fig 78.2 (v v Imp)
  • Plasma bound hormones
  • Adrenocortical hormones are metabolized in liver
  • Functions of Mineralocorticoids (also read from pdf shared)
  • Mineralocorticoid deficiency causes renal NaCl wasting…
  • Apparent Mineralocorticoid Excess Syndrome (AME)
  • Renal and circulatory effects
  • Aldosterone escape imp
  • Excess aldosterone effects
  • Deficiency of aldosterone
  • Fig 78.4
  • Regulation of aldosterone secretion (v imp)
  • Function of glucocorticoids
  • Effects of cortisol on carbs, protein, fats
  • Adrenal diabetes
  • Cortisol prevents inflammation (Imp)
  • Anti inflammatory effects (seq)
  • Fig 78.7
  • Regulation of cortisol secretion
  • Fig 78.8
  • Circadian rhythm of glucocorticoids
  • Synthesis and secretion of ACTH (read for concept)
  • Adrenal androgens (complete till the end of chapter) v imp
  • Difference btw Cushing disease and Cushing syndrome (google)

EnR-P-004:

  • Physiological anatomy of the pancreas
  • Insulin synthesis and synthesis with Fig 79.2
  • Activation by insulin and effects with Fig 79.3
  • Effect of insulin on glucose ( all)
  • Insulin promotes liver storage and use of glucose
  • Glucose released from the liver between meals
  • Lack of insulin effect on the brain
  • Effect of insulin on fat synthesis and storage
  • Insulin deficiency causes lipolysis (Imp)
  • Effect of insulin on protein metabolism
  • Fig 79.7
  • Table 79.1 (v imp)
  • Factors that stimulate insulin secretion
  • Glucagon (complete)
  • Somatostatin in blue box (Imp)
  • Summary of glucose regulation
  • Importance of blood glucose regulation

EnR-P-005:

  • Diabetes mellitus (give a thorough read to whole topic as it is v important )
  • DM type 1 (cause dehydration, polyuria, metabolic acidosis, polyphagia… explanation given in pdf shared)
  • Treatment of DM type 1 (Imp)
  • Type 2DM (causes
  • Metabolic syndrome
  • Table 79.2
  • Table 79.3
  • Treatment of type 2DM
  • Insulinoma (Imp)
  • Hypoglycemia

Note: Do this chapter from Firdous. Extra topics to be done from Guyton are mentioned below.

EnR-P-006, 007

  • Osteolysis (rapid phase of Ca and phosphate mobilization)
  • Slow phase of bone resorption (activation of osteoclasts)
  • Fig 80.6 (read)
  • Fig 80.8( imp)
  • Fig 80.14
  • Summary of effects of parathyroid (Imp)
  • Do all clinicals from blue boxes (complete)
  • Difference btw rickets and tetany

EnR-P-008:

  • Adrenal medullary harmones and pheochromocytoma ( from google or lec slides)

REPRODUCTION AND LACTATION

Important Note:

  • It’s better to do it from Firdous physiology with Guyton
  • The whole topic of reproduction and lactation from Firdous
  • The topics which you’ve to do from Guyton are mentioned below.

(EnR-P-009 to 015)

  • Fig 81.3(total 74 days )
  • Capacitation( imp)
  • Acrosome reaction (imp)
  • Why does only one sperm enter the oocyte?
  • Estrogen production in male ( written in blue box) read
  • Basic intracellular mechanism of action of testosterone (read)
  • Fig 81.10 (read)
  • Fig 82.3
  • Fig 82.4 (concept)
  • Fig 82.6(imp)
  • Fig 82.7
  • Fig 82.8 imp
  • Fig 82.9 82.11 read
  • Menopause
  • Double Bohr effect (read once for concept) written in diffusion of oxygen through placenta
  • Response of mother’s body during pregnancy (in blue box)
  • Parturition
  • Oxytocin causes contraction of the uterus
  • Onset of labor (+ve feedback)
  • Fig 83.10

Leave a Comment