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What is the trademark of Conn's syndrome?
Hyperaldosteronism
Stimulated H-loss via H/K atpase
What is Type I renal tubular acidosis?
Inactive Na/H antiport (no angiotensin II)
What is Type II renal tubular acidosis?
inactive H-ATPase (lack of aldosterone)
What is Type IV renal tubular acidosis?
No NH
4
+
because of hyperkalemia and no aldosterone
Also, the enzymes to break down glutamate are shot
What state do volume contraction + Hypokalemia lead to?
Alkalosis
What pump is AngII in control of?
Na/H exchanger
What pumps is Aldo in charge of?
Na/K-ATPase = K secretion @ principal cells
H-ATPase = H secretion @ α intercalated cells
What buffer does hypokalemia help activate?
NH
4
+
What is hypocholoremia's role in alkalosis?
The person has activated Aldo so there is high Na reabsorption
The Cl- can't be reabsorbed from lumen
Negative lumen = K and H secretion
K and H secretion = hypokalemia and alkalosis
Is Conn's disease saline-resistant or saline-adaptive?
Saline-resistant
**due to tumor that performs hypersecretion of Aldo
Author
kepling
ID
77662
Card Set
Phys Acid/base.txt
Description
Phys Acid/base
Updated
2011-04-06T01:13:44Z
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