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

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{{Point|When plasma osmolarity is increased by sweating, the negative feedback increases (the synthesis, secretion and blood concentration of) ADH.}}
{{Point|When plasma osmolarity is increased by sweating, the negative feedback increases (synthesis, secretion and blood concentration of) ADH.}}


[[メディア:6-ADHcontrol-sweat.mp4|narrated video explanation]]
[[メディア:6-ADHcontrol-sweat.mp4|narrated video explanation]]
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[[ファイル:ADHControlToSweating2Eng.jpg|left|500px]]
[[ファイル:ADHControlToSweating2Eng.jpg|left|500px]]
[[メディア:WaterDuringADHcontrol.mp4|video just after ADH increased responding to sweating]]<br>
[[メディア:WaterDuringADHcontrol.mp4|video just after ADH increased responding to sweating]]<br>
Steps 3 and 4:  With too little effect of ADH/water channels/reabsorption, the negative feedback increases (the synthesis, secretion, and blood concentration of) ADH.  The ADH-facilitating effect on the water channels will increase, increasing the number of water channels.  This increases the reabsorption of water by the kidney.
Steps 3 and 4:  With too little effect of ADH/water channels/reabsorption, the negative feedback increases (synthesis, secretion, and blood concentration of) ADH.  The ADH-facilitating effect on the water channels will increase, increasing the number of water channels.  This increases the reabsorption of water by the kidney.
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//LEVEL:2  
//LEVEL:2  
//RAND  
//RAND  
After sweating, negative feedback {~=increases~decreases} of ADH secretion.
After sweating, negative feedback {~=increases~decreases} (synthesis, secretion, and blood concentration of) ADH.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
After sweating, negative feedback {~=increase~decrease} of water channels in the kidney.  
After sweating, negative feedback {~=increases~decreases} water channels in the kidney.  


//LEVEL:2  
//LEVEL:2  
//RAND  
//RAND  
The negative feedback response to an increased sweating is a(n) {~=increase~decrease} in water reabsorption by the nephron.
After sweating, negative feedback {~=increases~decreases} water reabsorption by the nephron.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
The negative feedback response to an increased sweating is a(n) {increase~=decrease} in urine volume.  
After sweating, negative feedback {increases~=decreases} urine volume.  


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
The negative feedback response to an increased sweating is a(n) {~=increase~decrease} of urine osmolarity.
After sweating, negative feedback {~=increases~decreases} urine osmolarity.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
The negative feedback response to an increased sweating is a(n) {increase~=decrease} of plasma osmolarity.
After sweating, negative feedback {increases~=decreases} plasma osmolarity.


//LEVEL:3  
//LEVEL:3  
//RAND  
//RAND  
When you sweat the plasma osmolarity {decreases~=increases}.  This has the effect of {~=increasing~decreasing} (the synthesis, secretion, and blood concentration of) ADH.  This in turn {~=increases~decreases} the number of water channels by the nephron causing {~=increased~decreased} water reabsorption. Urine osmolarity will {~=increase~decrease} while volume will {increase~=decrease}.  This will {~=decrease~increase} plasma osmolarity, {~=returning to normal~separating from normal}.
When you sweat the plasma osmolarity {decreases~=increases}.  This has the effect of {~=increasing~decreasing} (synthesis, secretion, and blood concentration of) ADH.  This in turn {~=increases~decreases} the number of water channels causing {~=increased~decreased} water reabsorption. Urine osmolarity will {~=increase~decrease} while volume will {increase~=decrease}.  This will {~=decrease~increase} plasma osmolarity, {~=returning to normal~separating from normal}.
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2019年6月4日 (火) 13:25時点における版

POINT!

narrated video explanation

video prior to sweating
Prior to sweating, we assume our subject is in homeostasis with normal plasma and urine osmolarities and volumes.

ADHControlToSweating1Eng.jpg

video just after sweating
Steps 1 and 2: The subject sweated. Water will leave the plasma and its osmolarity will increase. Sweating will increase, and the ADH/water channels/reabsorption of water by the kidney will decrease plasma osmolarity, having the opposite effect. Thus, in this case with high plasma osmolarity, the effect of ADH/water channels/reabsorption would be too little.

ADHControlToSweating2Eng.jpg

video just after ADH increased responding to sweating
Steps 3 and 4: With too little effect of ADH/water channels/reabsorption, the negative feedback increases (synthesis, secretion, and blood concentration of) ADH. The ADH-facilitating effect on the water channels will increase, increasing the number of water channels. This increases the reabsorption of water by the kidney.

ADHControlToSweating3Eng.jpg

video showing the changes in plasma and urine after ADH increased responding to sweating
Step 5: The ratio of Na+ to water reabsorption by the kidney decreases. This means plasma osmolarity decreases. The increased plasma osmolarity from sweating will decrease returning to normal. Because a lower ratio of Na+ is reabsorbed, the fluid left in the tubule now has a higher osmolarity. The increase in the number of water channels increases water reabsorption so there is less water. Overall, the urine becomes more concentrated and low volume.

Challenge Quiz

1.

After sweating, negative feedback increases decreases (synthesis, secretion, and blood concentration of) ADH.

2.

After sweating, negative feedback increases decreases water channels in the kidney.

3.

After sweating, negative feedback increases decreases water reabsorption by the nephron.

4.

After sweating, negative feedback increases decreases urine volume.

5.

After sweating, negative feedback increases decreases urine osmolarity.

6.

After sweating, negative feedback increases decreases plasma osmolarity.

7.

When you sweat the plasma osmolarity decreases increases . This has the effect of increasing decreasing (synthesis, secretion, and blood concentration of) ADH. This in turn increases decreases the number of water channels causing increased decreased water reabsorption. Urine osmolarity will increase decrease while volume will increase decrease . This will decrease increase plasma osmolarity, returning to normal separating from normal .