Jennifer Shared "Clinical Chemistry" - 75 Picmonics
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Clinical Chemistry
Enzyme Types
- Characteristics
- Lyases
- Hydrolases
- Transferases
- Isomerases
- Oxidoreductases
- Ligases
1 min
Competitive Inhibition
- Reversible Inhibition
- Constant Vmax
- Substrate Competes With Inhibitor For The Active Site
- Inhibition Increases Km
1 min
Non-Competitive Inhibition
- Characteristics
- Reversible Inhibition
- Substrate Freely Binds The Active Site
- Inhibitor Strongly Binds Allosteric Site
- Km Constant
- Enzyme Has Different Conformational Form
- Low Vmax
2 mins
Citric Acid Cycle (Krebs Cycle)
- Characteristics
- Acetyl-CoA + Oxaloacetate
- Citric Acid
- Isocitric Acid
- Produces NADH
- Alpha-Ketoglutaric Acid
- Produces NADH
- Succinyl CoA
- Produces GTP
- Succinate
- Produces FADH2
- Fumarate
- Uses Water
- Malate
- Produces NADH
- Oxaloacetate
4 mins
Urea Cycle
- Mitochondria
- N-Acetylglutamate
- Carbamoyl Phosphate Synthetase I
- NH3 + CO2
- Carbamoyl Phosphate
- Ornithine Transcarbamylase
- Citrulline
- Cytosol
- Aspartate
- Argininosuccinate
- Fumarate
- Arginine
- H2O to Urea
- Ornithine
3 mins
Fructose Metabolism
- Liver Fructose Metabolism
- Fructose
- Fructokinase
- Fructose-1-Phosphate
- Aldolase B
- DHAP
- Glyceraldehyde
- Glyceraldehyde-3-Phosphate
2 mins
Glycolysis
- Characteristics
- Glucose
- Hexokinase or Glucokinase
- Glucose-6-phosphate
- Fructose-6-phosphate
- Phosphofructokinase-1 (PFK-1)
- Fructose-1,6-bisphosphate
- Aldolase
- Glyceraldehyde-3-Phosphate
- 1,3-bisphosphoglycerate
- 3-phosphoglycerate
- 2-phosphoglycerate
- Phosphoenolpyruvate (PEP)
- Pyruvate Kinase
- Pyruvate
- Pyruvate Dehydrogenase
- Acetyl-CoA
4 mins
Gluconeogenesis
- OVERVIEW
- Produces Glucose from Non-Carbohydrate Substrates
- Upregulated by Glucagon and Cortisol
- PATHWAY
- Pyruvate
- Pyruvate Carboxylase
- Oxaloacetate
- Phosphoenolpyruvate (PEP) Carboxykinase
- Phosphoenolpyruvate (PEP)
- Fructose-1,6-bisphosphate
- Fructose-1,6-bisphosphatase
- Fructose-6-phosphate
- Glucose-6-phosphate
- Glucose 6-phosphatase
- Glucose
- Clinical Relevance
- Von Gierke Disease
4 mins
Lipoprotein Functions
- Chylomicron
- Carries Dietary TGs to Peripheral Tissues
- VLDL
- Carries Hepatic TGs to Peripheral Tissue
- IDL
- Carries TGs and Cholesterol to Liver
- LDL
- Carries Hepatic Cholesterol to Peripheral Tissues
- HDL
- Returns Excess Cholesterol from Peripheral Tissues to Liver
2 mins
Essential Fructosuria
- Autosomal Recessive
- Defect in fructokinase
- Fructose to fructose 1-P
- Benign
- Fructose appears in blood and urine
- Fructose does not enter cells
54 secs
Fructose Intolerance
- Pathophysiology
- Deficiency of Aldolase B
- Fructose 1-P To DHAP And GA
- Accumulation Of Fructose-1-Phosphate
- Inhibition Of Glycogenolysis
- Inhibition Of Gluconeogenesis
- Clinical Features
- Hypoglycemia
- Vomiting
- Jaundice
- Cirrhosis
- Autosomal Recessive
2 mins
Classic Galactosemia
- Pathophysiology
- Autosomal Recessive
- Galactose-1-phosphate uridyltransferase is Absent (GALT)
- Impaired Galactose-1-P to UDP-Galactose
- Galactitol Accumulation in Lens
- Signs and Symptoms
- Infantile Cataracts
- Failure to Thrive
- Hepatomegaly
- Jaundice
- Intellectual Disability
- Increased Risk E. Coli Sepsis
2 mins
Galactokinase Deficiency
- Autosomal Recessive
- Galactose to Galactose 1P
- Galactose Appears in Blood and Urine
- Benign
- Infantile Cataracts
- Failure to Develop a Social Smile
2 mins
Alkaptonuria
- Autosomal Recessive
- Deficiency of homogentisic acid oxidase
- In degradative pathway of tyrosine to fumarate
- Homogentisic acid harmful to cartilage
- Arthritis
- Dark Connective Tissue
- Urine turns black on standing
1 min
Hartnup Disease
- Pathophysiology
- Autosomal Recessive
- Neutral amino acids
- Defective Transporter
- Renal and Intestinal cells
- Signs and Symptoms
- Causes tryptophan excretion in urine
- Leads to Pellagra
- Diarrhea
- Dermatitis
- Dementia
2 mins
Phenylketonuria (PKU)
- Pathophysiology
- Decreased Phenylalanine Hydroxylase
- Decreased Tetrahydrobiopterin Cofactor
- Autosomal Recessive
- Tyrosine Becomes Essential
- Phenylalanine Found in Nutrasweet
- Symptoms
- Musty or Mousy Body Odor
- Growth Retardation
- Seizures
- Intellectual Disability
- Hypopigmentation
2 mins
Maternal Phenylketonuria
- Pathophysiology
- Lack of Proper Diet During Pregnancy; Like NutraSweet
- Signs and Symptoms
- Congenital Heart Defects
- Growth Retardation
- Intellectual Disability (Mental Retardation)
- Microcephaly
2 mins
Maple Syrup Urine Disease
- Pathophysiology
- Defect in alpha ketoacid dehydrogenase
- Blocked degradation of branched chain amino acids
- Leucine
- Isoleucine
- Valine
- Signs and Symptoms
- Seizures
- Intellectual Disability
1 min
Pyruvate Dehydrogenase Deficiency
- Characteristics
- X-Linked
- Acquired from Thiamine Deficiency
- Backup of Alanine and Pyruvate
- Symptoms and Complications
- Neurologic Defects
- Lactic Acidosis
- Interventions
- Ketogenic Nutrients
- Lysine and Leucine (Ketogenic Nutrients)
2 mins
Ornithine Transcarbamylase Deficiency
- Pathophysiology
- Most Common Urea Cycle Disorder
- X-Linked Recessive
- Signs and Symptoms
- Hyperammonemia
- Decreased BUN
- Carbamoyl Phosphate is Converted to Orotic Acid
- Pyrimidine Synthesis Pathway
- Evident in Babies
3 mins
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