「SHolroydAtWeilCornellMedQatar/Endocrinology/VasopressinADH/EffectOfIncrease」の版間の差分

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{{Point|  With an increase of the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), the number of water channels increases .}}
{{Point|  With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), the number of water channels and water reabsorption increase.  These decrease plasma osmolarity and urine volume, and also increase urine osmolarity.}}


[[メディア:6-ADHcontrol-sweat.mp4|narrated video explanation]]
[[メディア:ADHeffectOfIncreaseEng.mp4|narrated video explanation]]


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[[ファイル:ADHbaseline-Eng.jpg|left|500px]]
[[ファイル:ADHbaseline-Eng.jpg|left|500px]]
[[メディア:ADHbaseline-Eng.mp4|video prior to the increase in vasopressin (ADH)]]<br>
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Prior to vasopressin (ADH) increasing (at baseline), we will make the assumption that the subject is in homeostasis with normal plasma and urine osmolarities (isotonic) and volumes.
[[メディア:ADHbaseline-Eng.mp4|video prior to an increase in vasopressin (ADH)]]<br>
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Prior to vasopressin (ADH) increasing (at baseline), we will make the assumption that the subject is in homeostasis with normal plasma and urine osmolarities (isotonic) and urine volume.
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[[ファイル:ADHEffectOfIncreasing-2Eng.jpg|left|500px]]
[[ファイル:ADHEffectOfIncreasing-2Eng.jpg|left|500px]]
[[メディア:ADHEffectOfIncreasing-2Eng.mp4|video just after the increase in vasopressin (ADH)]]<br>
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[[メディア:ADHEffectOfIncreasing-2Eng.mp4|video just after an increase in vasopressin (ADH)]]<br>
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Step 1: Suppose that the synthesis, secretion, and blood concentration of vasopressin (ADH) increases.<br>
Step 1: Suppose that the synthesis, secretion, and blood concentration of vasopressin (ADH) increases.<br>
Step 2: The water channel-promoting effect of vasopressin (ADH) is stimulated, this increases the number of water channels. This increases the reabsorption of water by the kidney.
Step 2: The water channel-increasing effect of vasopressin (ADH) becomes stronger, which increases the number of water channels. This increases the water reabsorption from the tubule.
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[[ファイル:ADHEffectOfIncreasing-3Eng.jpg|left|500px]]
[[ファイル:ADHEffectOfIncreasing-3Eng.jpg|left|500px]]
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[[メディア:ADHEffectOfIncreasing-3Eng.mp4|video showing the changes in plasma and urine after the increase in vasopressin (ADH)]]<br>
[[メディア:ADHEffectOfIncreasing-3Eng.mp4|video showing the changes in plasma and urine after the increase in vasopressin (ADH)]]<br>
Step 3: The ratio of Na<sup>+</sup> to water entering the plasma due to reabsorption decreases. This decreases plasma osmolarity (hypotonic). Because a lower ratio of Na<sup>+</sup> to water leaves the tubule due to reabsorption, the fluid remaining in the tubule has a higher osmolarity (hypertonic). Also, with an increase in water reabsorption, there is less water remaining in the tubule. Overall, the urine becomes more concentrated (hypertonic) and lower in volume.
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Step 3: With the increase in water reabsorption, diluted (hypotonic) solution enters the plasma. This decreases plasma osmolarity (diluted, hypotonic). Because diluted (hypotonic) solution leaves the tubule due to reabsorption, the fluid remaining in the tubule has an increased osmolarity (concentrated, hypertonic). Also, with the increase in water reabsorption, there is less water remaining in the tubule. Overall, the urine becomes concentrated and decreases in volume. <br style="clear:both;" />
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<GIFT>
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//LEVEL:3
//LEVEL:2
//RAND  
//RAND  
An increase of the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), causes the number of water channels in the kidney to {~=increase~decrease} .  
With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), the number of water channels in the tubule {~=increases~decreases} .  


//LEVEL:2  
//LEVEL:2  
//RAND  
//RAND  
An increase of the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), causes water reabsorption by the kidney to {~=increase~decrease}.
With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), water reabsorption from the tubule {~=increases~decreases}.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
An increase of the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), causes urine volume to {increase~=decrease}.  
With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), urine volume {increases~=decreases}.  


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
An increase of the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), causes urine osmolarity to {~=increase~decrease}.
With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), urine osmolarity {~=increases~decreases}.


//LEVEL:3
//LEVEL:2
//RAND  
//RAND  
An increase of the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), causes plasma osmolarity to {increase~=decrease}.
With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), plasma osmolarity {increases~=decreases}.


//LEVEL:3
//LEVEL:2
//RAND
//RAND
The effect of increasing in vasopressin (anti-diuretic hormone, ADH) is to {contract uterine smooth muscle ~=decrease plasma osmolarity }.
The effect of increase in vasopressin (anti-diuretic hormone, ADH) is {uterine smooth muscle contration~=a decrease in plasma osmolarity}.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
The effect of increasing in vasopressin (anti-diuretic hormone, ADH) is to {increase~=decrease} the plasma osmolarity .
The effect of increase in vasopressin (anti-diuretic hormone, ADH) is {an increase~=a decrease} in plasma osmolarity.
</GIFT>
</GIFT>

2020年3月30日 (月) 10:49時点における最新版

POINT!

narrated video explanation

ADHbaseline-Eng.jpg

Prior to vasopressin (ADH) increasing (at baseline), we will make the assumption that the subject is in homeostasis with normal plasma and urine osmolarities (isotonic) and urine volume.

ADHEffectOfIncreasing-2Eng.jpg

Step 1: Suppose that the synthesis, secretion, and blood concentration of vasopressin (ADH) increases.
Step 2: The water channel-increasing effect of vasopressin (ADH) becomes stronger, which increases the number of water channels. This increases the water reabsorption from the tubule.

ADHEffectOfIncreasing-3Eng.jpg

Step 3: With the increase in water reabsorption, diluted (hypotonic) solution enters the plasma. This decreases plasma osmolarity (diluted, hypotonic). Because diluted (hypotonic) solution leaves the tubule due to reabsorption, the fluid remaining in the tubule has an increased osmolarity (concentrated, hypertonic). Also, with the increase in water reabsorption, there is less water remaining in the tubule. Overall, the urine becomes concentrated and decreases in volume.

Challenge Quiz

1.

With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), the number of water channels in the tubule increases decreases .

2.

With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), water reabsorption from the tubule increases decreases .

3.

With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), urine volume increases decreases .

4.

With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), urine osmolarity increases decreases .

5.

With an increase in the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH), plasma osmolarity increases decreases .

6.

The effect of increase in vasopressin (anti-diuretic hormone, ADH) is uterine smooth muscle contration a decrease in plasma osmolarity .

7.

The effect of increase in vasopressin (anti-diuretic hormone, ADH) is an increase a decrease in plasma osmolarity.