Clinical Chemistry Blog Notes 10

DRUG TESTING

2009-09-05T22:43:00.000-07:00

DO YOU AGREE THAT DRUG TESTING SHOULD BE DONE AS A REQUIREMENT FOR ADMISSION TO SCHOOL? Why or Why not?

OF COURSE! Drug testing will help the school in order to determine those upcoming students if they are drug users or not. Drug test is a big help, especially for those students who want to take a medical course. They have to be strict, because these students will be future Medical Professionals someday.

On the other hand, if a student will get a positive result for drug testing, then, what action will the school be doing? Are they going to ACCEPT or REJECT those who are positive for drugs? If they accept, what are the next steps in order for the student to withdraw from that behavior? And if they will be rejecting then, they will be depriving the students from a much needed education.

Everybody needs a chance. I am not in a position to answer these kinds of questions popping in my mind right now, because I am not a school administrator (Maybe, someday. ☺).

Above all, the school administrator should know on how to make the school a clean environment or if possible, a drug-free school. Because the school is our second home. So if the school that we revolve in is not that good enough for us, then that would be the time for the school to do something, for the welfare and benefit of all.

Photo source: http://images.salon.com/mwt/feature/2002/06/28/boyd_interview/story.jpg

ANSWERS : HORMONE RECEPTOR

2009-09-05T22:19:00.000-07:00

i. IDENTIFICATION

1. Definite or specific hormone.

2. Start or initiator.

3. Hormone receptor.

4. Steroid hormone receptor and associated receptors.
5. Peptide hormone receptor.

6. Peptide hormone receptor

7. Calcitriol

8-10. Glucocorticoids, Androgens, Estrogen, Thyroid Hormone (T3), Calcitriol, Retinoids.

ii. CASE / ESSAY:

It prompts the activation or inhibition of genes.

POST QuiZzz - HORMONE RECEPTOR

2009-08-25T19:12:00.000-07:00

HORMONE RECEPTOR

i. IDENTIFICATION:

1. Hormone receptor is a protein on the surface of the cell that binds with ____________.

2. Hormone receptor is the _________ of the biophysical sign.

3. It prompts the activation or inhibition of genes.

4-5. Two types of hormone receptors:

6. These are often transmembrane proteins ________.

7. What is the active form of Vitamin D? __________.

8.-10. Give three receptors included in the Steroid Hormone Receptor:
____________
____________
____________

ii. CASE / ESSAY: (10 points)

Discuss briefly but concisely the main mechanism or process of a Hormone Receptor.

(E.g. It is used for releasing hormones needed by the body.)

HORMONE RECEPTOR

2009-08-18T08:24:00.000-07:00

A hormone receptor is a receptor protein on the facade of a cell that binds to a definite hormone. The hormone grounds various changes to take place in the cell. Binding of hormones to hormone receptors frequently generate the start of a biophysical sign that can direct to supplementary signal transduction pathways, or prompt the activation or inhibition of genes.

There are two types of Hormone Receptors:

◘ Steroid hormone receptors and associated receptors are normally soluble proteins that function during gene activation. Their response elements are DNA sequences that are bound by the multipart of the steroid bound to its receptor. The receptors themselves are zinc-finger proteins. These receptors include those for glucocorticoids, androgens, estrogen, thyroid hormone (T3), the active form of vitamin D which is the calcitriol, and the retinoids.

◘ Peptide hormone receptors are often transmembrane proteins. They are as well termed as sensory receptor, G-protein-coupled receptors, or ionotropic receptors. These receptors commonly function via intracellular second messengers, together with cyclic AMP, the calcium (Ca²⁺)-calmodulin system and the inositol 1,4,5-trisphosphate (IP3).

REFERENCE/s:
Principles of Human Anatomy and Physiology by G. Tortora
http://www.bio-balance.com/
http://en.wikipedia.org/wiki/Hormone_receptor

My Explosive Top Ten Blogs

2009-07-28T22:26:00.000-07:00

The Influential Blogger is on a Top Ten Emerging Influential Bloggers Contest. I'm voting for the following ten blogs:

1. Holly Jahangiri - It's All a Matter of Perspective: Mine: http://jahangiri.us/news/
- This blog is nice and informative. You will surely enjoy reading her articles!

2. Dr. Lorenzo Bernardino - Zorlone - http://zorlone.blogspot.com
- A blog known for lovely and inspiring poems!

3. Jan Geronimo- Writing to Exhale - http://writingtoexhale.com
- A blog where different ideas are posted. A blog about unique thoughts too.!

4. Roy dela Cruz-The Struggling Blogger-http://thestrugglingblogger.168center.com
- A creative writer and a business entrepreneur too.

5. Angel Cuala - Fatherbloggerdotcom - http://fatherblogger.com
- Father blogger who talks about life, family, SEO, blogging and many more.

6. Kelvin Servigon - Kelvinonian Ideas 2 - http://kelvinonian.com
- A youth oriented blog!

7. Irene - Lifelots - http://lifelots.blogspot.com
- An inspiring and motivating blog for young and old alike.

8. Bing - I Love/Hate America - http://www.ilovehateamerica.com
- A blog of different ideas and thoughts about life in the Big apple!

9. Luke - A Walk in the Dark - http://darkestshade.blogspot.com
- A blog about computers, arts and sciences!

10.Dee - Tales from the Mom Side - http://www.talesfromthemomeside.com
- Wonderful mommy blog!

The dignified and very generous prize givers:

They are Absolute Traders, My Brute Cheats, Business Summaries, Fitness Advantage Club, Events and Corporate Video, Events at Work, Dominguez Marketing Communications, Red Mobile, Budget hotel in Makati, Lucio C. Tan Group of Companies, and Blog4Reviews.com.

I hope you would also vote for these wonderful blogs! You will surely enjoy reading them. Thank you. Ü

Reproductive System ☺

2009-07-13T04:25:00.000-07:00

ANSWERS to GUIDE QUESTIONS

2009-06-30T05:41:00.000-07:00

1. LH is also known as:

Lutropin

2. Where is LH produced?

Anterior Pituitary Gland

3. Transcribe ICSH.

Interstitial Cell Stimulating Hormone

4. It acts in a negative feedback manner to suppress secretion of LH by the anterior pituitary gonadotrophs and to suppress secretion of GnRH by the hypothalamic neurosecretory cells.

Testosterone

5. It is triggered when there is an acute rise of LH for female.

Ovulation

6-7. Enumerate two interferring factors.

Either of these:
• Recently administered radioisotopes.
• Hemolysis of blood sample.
• Estrogen or oral contraceptives, testosterone.
• Several drugs affect test outcome.
• Pregnancy.

8. Give one abnormal finding for male.

Either:
• Low plasma LH values may indicate secondary gonadal dysfunction (of hypothalamic or pituitary origin).
• High values may indicate testicular failure (primary hypogonadism) or destruction.
• Congenital abscence of testes.

9. Give one abnormal finding for female.

Either:
• Absence of a mid-cycle peak in plasma LH levels may indicate anovulation.
• Decreased or low-normal plasma may indicate hypogonadism.
• High plasma LH levels may indicate congenital absence of ovaries.
• Ovarian failure associated with Stein-Leventhal syndrome.
• Ovarian dysgenesis.
• Menopause or early stage acromegaly

10. Reference value for Female (follicular).
1.37 to 9.9 mIU/L

II. CASES:(5 points each)

11-15.

A 9 year old girl named Lhalha went to the doctor with her mom a few days ago. They were wondering why at her young age, acne has started to appear on her face, neck, and even on her back. And they also noticed some unwanted excess hair growing on her body(e.g. in the face, in the arms and legs, etc.)

What is the probable reason/disease for Lhalha's case? Are the symptoms normal for her age? What are the treatments to be considered?

Disease: POLYCYSTIC OVARY SYNDROME.

The signs that Lhalha had been encountering are not normal at her age. Listed below are some treatments for Polycystic Ovary Syndrome:

•Lowering the levels of insulin by diet or medications.
•Treatment of fertility.
•Treatment of hirsutism and/or acne.
•Restoration of the regular menstruation.

16-20.

Kimo was happily married with her wife Shimie. But as time went by, their life had gone into something they have not expected.

Everytime they were having intercourse, Kimo didn't ejaculate. It even came to a point wherein Shimie really got mad because of Kimo's attitude toward their sex life. Kimo had apparently lost his libido.

What are the probable diseases or conditions associated with the above-mentioned symptoms? Justify your answer.

Disease: HYPOPITUITARISM.

The deficiency of anterior pituitary hormones are more common than the individual hormone deficiency. In this case, Kimo has deficiency in the LH, thus, he experienced the symptoms.

POST QUIZ!

2009-06-16T20:02:00.000-07:00

GOODLUCK and GIVE YOUR BEST SHOT!Ü

I. Identification:

________1. LH is also known as?

________2. Where does LH produced?
________3. Transcribe ICSH.

________4. It acts in a negative feedback manner to suppress secretion of LH by anterior pituitary gonadotrophs to suppress secretion of GnRH by hypothalamic neurosecretory cells.

________5. It is triggered when there is an acute rise of LH for female.

________6. Enumerate two
________7. interferring factors.

________8. Give one abnormal condition for male.

________9. Give one abnormal condition for female.

_______10. Reference value for Female (follicular).

II. CASES:(5 points each)

11-15.

A 9 year old girl named Lhalha went to the doctor with her mom a few days ago. They were wondering why at her young age, acne has started to appear on her face, neck, and even on her back. They also noticed some unwanted excess hair growth on her face, arms and legs.

What is the probable reason/disease for Lhalha's case? Are the physical symptoms normal for her age? What treatment options will you recommend?

16-20.

Kimo was happily married with her wife Shimie. But as time went by, their life went to something they have not expected.

Everytime they had an intercourse, Kimo wasn't able to perform as expected. He could not even ejaculate. It came to a point wherein Shimie really got mad because of Kimo's inability to satisfy her sexual needs. Kimo apparently lost his sexual libido.

What is the probable disease or condition Kimo has? Justify your answer.

Luteinizing Hormone

2009-06-01T03:58:00.000-07:00

Luteinizing Hormone a.k.a. Lutropin. It is a hormone that is produced by the anterior pituitary gland. They are under complex regulation by hypothalamic gonadotropin-releasing hormone and by gonadal sex hormones (estrogen and progesterone in females and testosterone in males). Luteinizing hormone acts on Leydig's (interstitial) cells of the gonads. For females, an acute rise of LH will trigger the ovulation, while for males, where LH had also been called Interstitial Cell Stimulating Hormone (ICSH), wherein it stimulates Leydig cell the production of testosterone which stimulates and maintains spermatogenesis. This steroid hormone is synthesized from cholesterol in the testes and is the principal androgen. It is lipid soluble and readily diffuses out of Leydig cell into the interstitial fluid and then into the blood. Testosterone acts in a negative feedback manner to suppress secretion of LH by anterior pituitary gonadotrophs and to suppress secretion of GnRH by hypothalamic neurosecretory cells. In some target cells, such as those in the prostate and seminal vesicles, the enzyme 5 alpha-reductase converts testosterone to another androgen called dihydrotestosterone (DHT).

Photo source: http://graphics8.nytimes.com/images/2007/08/01/health/adam/17228.jpg

Purpose for testing

○ To detect ovulation
○ To assess male or female infertility
○ To evaluate amenorrhea
○ To monitor therapy designed to induced ovulation

Reference values for LH:
♀Female

Follicular ------------------------- 1.37 to 9.9 mIU/L
Ovulatory peak ------------------ 6.17 to 17.2 mIU/L
Luteal ---------------------------- 1.09 to 9.2 mIU/L
Postmenopausal ----------------- 19.3 to 100.6 mIU/L
♂Male -------------------------- 1.42 to 15.4 mIU/L

Procedure and posttest care

♦ Perform a venipuncture, and collect the sample in a 7-ml clot-activator tube.
♦ Apply direct pressure to the venipuncture site until bleeding stops.
♦ If a hematoma develops at the venipuncture site, apply warm soaks.
♦ Instruct the patient that he/she may resume medications discontinued before tests as ordered.

Precautions

• Handle the sample gently to prevent hemolysis.
• If the patient is a female, indicate the phase of her menstrual cycle on the laboratory request. Make a note if the patient is menopausal.

Abnormal Findings

♀In women, absence of a mid-cycle peak in plasma LH levels may indicate anovulation. Decreased or low-normal plasma may indicate hypogonadism; these findings are commonly associated with amenorrhea. High plasma LH levels may indicate congenital absence of ovaries or ovarian failure associated with Stein-Leventhal syndrome (polycystic ovary syndrome), Turner's syndrome (ovarian dysgenesis), menopause or early stage acromegaly. Infertility can result from primary or secondary gonadal dysfunction.
♂In men, low plasma LH values may indicate secondary gonadal dysfunction (of hypothalamic or pituitary origin); high values may indicate testicular failure (primary hypogonadism) or destruction or congenital abscence of testes.

Interfering factors
◘ Recently administered radioisotopes.
◘ Hemolysis of blood sample.
◘ Estrogen or oral contraceptives, testosterone.
◘ Several drugs affect test outcome.
◘ Pregnancy.

References:

☺A Manual of Laboratory and Diagnostic Tests 7th Edition
by Frances Fischbach

☺Professional Guide to Diagnostic Tests

☺Clinical Chemistry Principles, Procedures, Correlations 5th Edition
by Michael L. Bishop, Edward P. Fody, Larry E. Schoeff

☺Principles of Anatomy and Physiology 10th Edition
by Gerard Tortora, Sandra Reynolds Grabowski

☺http://en.wikipedia.org

WELCOME!

2009-05-26T00:37:00.001-07:00

hi medtechs!
i'm MYRON.
welcome to
my blog!☺

Enjoy your stay and Happy blogging!