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Calmodulin (made up of 4 Ca2+ ions) – it activates adenylate cyclase and phosphodiesterase Calcium binds to a protein to form Troponin – found in cardiac muscle Cell communication Controls endocrine gland secretion Needed for blood coagulation |
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| (made up of 4 Ca2+ ions) – it activates adenylate cyclase and phosphodiesterase |
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Part of the cell membrane structure Energy Gene Replication |
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| Regulation of Calcium & Phosphate |
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Definition
Parathyroid Hormone Calcitronin Vitamin D |
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Opposite of PTH Produced by C-cell of PT gland Net effect: ↓ Ca2+ ↑ Phosphate Hypercalcemia: stimulates release Hypocalcemia: inhibits release |
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| Stimulates membrane transport of Ca2+ b/t cells |
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| Primary Hyperparathyroidism |
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| leads to hypercalcemia/hypophosphatemia → hypercalciuria → urolithiasis/nephrocalcinosis (kidney stones) |
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rare, genetic Leads to renal osteodystrophy (ROD) No renal excretion of phosphate |
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rare, genetic, X-linked Defect in renal absorption of phosphate ↑ excretion of phosphate in urine |
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| deficency in PTH caused by infection or parathyroidectomy |
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| PTH level is normal or high means that there is a receptor problem |
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| Effect of Hypercalcemia on Calcitronin |
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Definition
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| Effect of Hypocalcemia on Calcitronin |
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| cannot use because of chelation |
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| Citrate/Lactate and Calcium |
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Definition
can bind to free calcium to make ligands falsely decreased result for an ionized calcium test they are ok for total calcium tests |
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Definition
| favors disassociation of Ca2+ from ligands and proteins |
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Definition
| favor association of Ca2+ from free Ca2+ to proteins and ligands |
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Definition
| form Troponin – found in cardiac muscle |
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| Regulation of Calcium & Phosphate |
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