Sunday, 3 February 2013

No, not the movie Ted


Came across this Ted Talk by chance. He mention some of the stuff I've discovered on my own, or have read about from earlier readings, but also incorporates the tiniest bit of new physiology I hadn't come across before. Of course, physiology is a giant box of blarg that he barely touches on (with the exception of cardiovascular physiology) and I wish there was more on this.



 Parts of his talk do seem gimmicky and oversimplified. Then again, packaging and simplifying is all anyone sells these days. Nonetheless, he message across to a lay audience. The biggest downside to this talk is that the presentation ends just when it starts to get interesting. Mentioning other methods of improving physiology would have also been nice, as far as improving upon my last post.




In other thoughts, I really feel as though my GI physio (secretin? CCK? VIP?) and reproductive physiology  (specifically hPL) isn't up to par. Similarly, there is a huge bucket of liver that I haven't touched with a 10-foot pole, including: cholesterol and bile synthesis/excretion/reabsorption, genetic pathologies (Dubin-Johnson, Rotor, etc) and lipid-lowering agents (High Yield). Oddly, I feel as though I understand respiratory physiology, but my performance on Uworld indicates otherwise. I'm hoping to take a good chunk of tomorrow just revisiting the material I've studied this week and trying to re-commit it to memory and do more practice questions.

Update: reviewing bile synthesis and excretion proved relatively painless. The only thing that I seem confused about is whether there is a biological reason for the reabsorption of urobilinogen into the portal vein via the enterohepatic circulation, or whether this is coincidental. I suspect this fact is taught for diagnostic purposes, to distinguish between causes of jaundice based on laboratory values of serum/urine Unconjugated bilirubin/Conjugated BR/urobilinogen and symptoms (pale stools/dark urine/etc).

Double Update (Dubdate!): I really need to review the whole ALT(Alanine Transaminase), AST (Aspartate Transaminase), ALP (Alkaline Phosphotase), and GGT (y-glutamyl transpeptidase)

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