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Mini II Clinical Enzymology
N
21
Biology
Graduate
02/28/2010

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Term

Plasma Cholinesterase

 

b)dec levels?

Definition

found in plasma synthesized in liver.

Degrades anesthetics and cocaine

 

b) Hepatic Disease

Term

Organophosphates

b) clinical symptoms?

Definition

irrversible inhibitor of actelycholine esterase

dec aChestaerase

 

b) build up of acteylcholine

 

Atropine sulfate

Term
Increased synthesis of plasma cholinesterase
Definition

nephrotic syndrome

 

Rapidly growing cells : liver recovery

Term

Succinycl choline Drug

EFfects?

Definition

Used to check Cholinesterase levels

 

Used to check for scoline apnea

Term
Scoline Apnea
Definition

defic in Choline esterase enzyme

due to Allelic Variability


Term

Allelic variation of CHe enzyme

E1U

E1A

E1F

E1S

Definition

normal

 

resistant to inhib by dibucaine

resistant to inhib by floruide

 

silent

Term

Aspartate Transaminase AST

Which cells have [high]?

 

Definition

liver

kidney

cardiac and skeletal Musc

erythrocytes

Term
Reasons for elevated levels of AST
Definition

Normal in neonatal and hemolysis

 

High elevation:

mi

acute viral hepatitis

circulatory failure

Term
where is alanin transaminase found? ALT
Definition

Liver

Kidney

skeletal and cardiac muscle

Term
when would you see and increase in ALT?
Definition

circulatory failure andAcute viral Hepatitis

 

moderate incr:

liver cirrhosis

cholestatic jaundice

post heart surgery

skeltal muscle disease

Term
alkaline and acid phosphatases
Definition

peak activity at pH 10 or 5

 

they are attached to cell membrane which suggests activity in membrane transport

Term

Alkaline phosphate is found where?

B) When would you see physiological changes in alp

Definition

liver

bone

intestine

placenta

 

b) Normal Pregenancy, High fat meals, diseases which affect billiary tract, infancy and childhood

Term

Acid Phosphatase

a) where is found?

Definition

prostate, liver, erythrocytes, bone, platelets

it is a Postate Specific Antigen

TUMOR MARKER

Term

which LDH will you see in Acute MI?

 

Actute hepatits?

Definition

LDH1

 

LDH5

Term

CK enzymes seen in

Brain?

 

MI?

 

MD

Definition

BB

 

MB

 

MM

Term

Gama GT

where is it found?

 

higher in what sex?

Definition

liver kidney pancrease

 

males

 

NOT found in Bone

 

 

Term
when would you see and increase in G-GT
Definition

alcohol or drugs

 

anticonvulsants, phenobarbitone and alchohol induced proliferation of er

 

cholestatic liver disease and hepatocellular damage

Term
what lines the intrahepatic ducts?
Definition

G-GT

 

ALP

Term

Amylase

Where is it found?

 

when would you see acute increase?

Definition

pancrease and salivary glands

 

incresed in urine and serum during acute pancreatitis

Term
which enzymes would increase during an MI
Definition

TROPONIN I

LDH1

AST

CK MB

 

Myglobin

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