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Vocabulary flashcards covering key terms from the lecture notes.
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Intracellular fluid (ICF)
Fluid inside cells; ~25 L in a 70 kg adult; ~2/3 of total body water; high in K+, Mg2+, phosphate, sulfate, and proteins.
Extracellular fluid (ECF)
Fluid outside cells; ~15 L; ~1/3 of total body water; high in Na+, Cl−, Ca2+, HCO3−, glucose, amino acids, lipids, O2, CO2, hormones, and enzymes.
Interstitial fluid
Part of the ECF that bathes cells in the tissue spaces; excess interstitial fluid = edema.
Transcellular fluid
Small, specialized subset of the ECF (e.g., CSF, bile, urine, synovial fluid); ~0.5 L.
Edema
Excess interstitial fluid causing swelling.
Homeostasis
Maintenance of constant conditions in the internal environment (ECF) by coordinated organ systems (Lungs, CVS, kidneys, GIT).
Negative feedback
Regulatory mechanism that opposes a change to stabilize the system (e.g., BP, blood glucose, temperature).
Positive feedback
Amplifies a change, leading to destabilization; examples include blood clotting, labor contractions, and some pathologic states.
Calcium homeostasis
Regulation of blood Ca2+ by calcitonin, parathyroid hormone (PTH), and vitamin D (calcitriol).
Calcitonin
Thyroid hormone that lowers blood Ca2+ by reducing bone resorption and increasing renal excretion.
Calcitriol (Vitamin D)
Active vitamin D that increases intestinal Ca2+ absorption and promotes bone mineralization.
PTH (Parathyroid hormone)
Hormone that raises Ca2+ levels by acting on bone, kidney, and intestine.
Antagonistic calcium control
Calcitonin lowers Ca2+ while PTH and vitamin D raise Ca2+.
Osteopenia
Lower-than-normal bone density; can progress to osteoporosis; linked to vitamin D and Ca2+ deficiency.
Osteoporosis
Weak, fragile bones due to decreased bone mineral density.
Normal fasting blood glucose
Typically 70–110 mg/dL (often cited 80–120 mg/dL).
Insulin
Hypoglycemic hormone; lowers blood glucose.
Glucagon
Hyperglycemic hormone; raises blood glucose.
Hyperglycemia
Elevated blood glucose; central feature of diabetes mellitus when insulin action is defective.
Hypoglycemia
Low blood glucose.
Osmolality
Concentration of osmotically active particles in a solution; normal range ~285–300 mosm/L.
pH
Acidity/alkalinity of body fluids; normal arterial blood pH ~7.35–7.45.
PCO2
Partial pressure of CO2 in blood; normal ~35–45 mmHg; helps regulate pH.
PO2
Partial pressure of O2 in blood; normal ~40–104 mmHg.
Sodium (Na+)
ECF cation; normal ~142 meq/L.
Potassium (K+)
ICF and ECF cation; normal ~4 meq/L.
Calcium (Ca2+)
Important for bone and metabolic functions; normal ~10 mg/dL (≈5 meq/L).
Chloride (Cl−)
ECF anion; normal ~103 meq/L.
Bicarbonate (HCO3−)
Primary serum buffer; normal ~27 meq/L.
Bilirubin
Bile pigment; normal ~0.5 mg/dL.
Creatinine
Renal function marker; normal ~0.6–1.5 mg/dL.
BUN
Blood urea nitrogen; normal ~8–25 mg/dL.
Uric acid
Purine breakdown product; normal women ~2.3–6.6 mg/dL, men ~3.6–8.5 mg/dL.
Blood pressure terms
Systolic ~120 mmHg (90–140); Diastolic ~80 mmHg (60–90); Pulse pressure ~40 mmHg; Mean BP ~96 mmHg.
RBC count
Red blood cells; ~4–6 million/mm3.
WBC count
White blood cells; ~4,000–11,000/mm3.
Hemoglobin (Hb)
Oxygen-carrying protein in blood; ~12–18 g/dL in females and ~14–20 g/dL in males.
Plasma membrane
Cell membrane with 55% proteins, 42% lipids (cholesterol ~13%, neutral fats ~4%), and 3% carbohydrates; functions include barrier, receptors, and signal transduction.
Glycocalyx
Carbohydrate-rich layer of glycoproteins and glycolipids on the cell surface; involved in blood group antigens, cell recognition, and immune reactions.
ABO and Rh antigens
Glycocalyx-based blood group antigens determining transfusion compatibility.
Nucleus
Control center of the cell; contains DNA; nucleolus makes rRNA.
Rough endoplasmic reticulum (RER)
ER with ribosomes; protein synthesis and export.
Smooth endoplasmic reticulum (SER)
ER without ribosomes; lipid synthesis, Ca2+ storage, glycogen storage, and detoxification.
Golgi apparatus
Organelle that modifies and packages proteins for secretion or delivery; forms lysosomes.
Lysosomes
Digest damaged organelles and bacteria; disorders include Tay-Sachs and Pompe disease.
Peroxisomes
Contain oxidases and catalase; detoxification of harmful substances.
Mitochondria
ATP production; contain DNA; capable of self-replication.
Membrane transport modes
Categories include diffusion, osmosis, facilitated diffusion, active transport, secondary active transport, co-transport, counter-transport, transcytosis, endocytosis, phagocytosis, pinocytosis, and exocytosis.
Simple diffusion
Passive movement of lipid-soluble substances down a concentration gradient.
Osmosis
Water movement across membranes through aquaporins driven by osmotic pressure.
Facilitated diffusion
Carrier-mediated, saturable transport (no ATP); e.g., glucose.
Active transport
Energy-dependent transport requiring ATP; examples include Na+/K+ ATPase, H+/K+ ATPase, Ca2+ ATPase.
Secondary active transport
Coupled transport (co-transport) using Na+ gradient to move substances like glucose or amino acids.
Counter-transport
Transport in which one ion moves in while another moves out (e.g., Na+/Ca2+, Na+/H+).
Transcytosis
Transport of substances across epithelial sheets (e.g., intestine, renal tubules) via vesicles.
Endocytosis
Cellular uptake of material; includes pinocytosis (drinking) and phagocytosis (eating); receptor-mediated endocytosis (RME) is a targeted form.
Exocytosis
Release of substances from a cell via vesicular fusion with the membrane.
Cystic fibrosis
Defective Cl− channel causing thick mucus, infections, and pancreatic insufficiency.
Intercellular communication modalities
Contact-dependent, endocrine, paracrine, synaptic, and autocrine signaling.
Clinical correlations: Graves’ disease
Autoantibodies bind thyroid receptors, affecting thyroid function.