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anatomy:skin and it's appendages

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The epidermis is the outermost layer of the skin , serving as a protective barrier between the body and the external environment. It is composed of several distinct layers, each with its own unique characteristics and functions. 1. ** Stratum Corneum: ** This is the outermost layer of the epidermis and is responsible for protecting the body against moisture loss and external elements. It consists of layers of flattened, dead skin cells that are constantly shed and replaced. The stratum corneum also plays a role in preventing the entry of harmful microorganisms. 2. ** Stratum Lucidum :** This layer is found in areas of the body with thick skin, such as the palms and soles of the feet. It consists of translucent, flattened cells that lack nuclei and other organelles . Its main function is to provide additional protection to the skin in areas subjected to friction and pressure. 3. ** Stratum Granulosum:* * In this layer, skin cells begin to lose their nuclei and other organell

pharmacology: sulphonamides

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Sulfonamides, also known as sulphonamides, are a class of synthetic antimicrobial agents that have been used as antibiotics to treat bacterial infections. These compounds are structural analogs of para-aminobenzoic acid (PABA), a precursor for the synthesis of folic acid in bacteria. Sulfonamides work by inhibiting an enzyme involved in folic acid synthesis, thereby interfering with bacterial growth and replication. Here's an overview of sulfonamides: **Mechanism of Action:** Sulfonamides competitively inhibit the enzyme dihydropteroate synthase, which is involved in the synthesis of folic acid, an essential precursor for the production of DNA, RNA, and proteins in bacteria. By blocking this enzyme, sulfonamides disrupt the bacterial folate synthesis pathway, leading to impaired growth and replication. **Clinical Uses:** Sulfonamides have historically been used to treat a variety of bacterial infections, including urinary tract infections, respiratory tract infections,

pharmacology: propionic acid derivatives NSAIDS

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Propionic acid derivatives are a class of nonsteroidal anti-inflammatory drugs (NSAIDs) commonly used to relieve pain, reduce inflammation, and manage various conditions such as arthritis, muscle pain, and menstrual cramps. These NSAIDs work by inhibiting enzymes called cyclooxygenases (COX) that play a role in the production of prostaglandins, which are responsible for causing pain, inflammation, and fever. Here are some examples of propionic acid derivative NSAIDs: **1. Ibuprofen:** Ibuprofen is one of the most widely used NSAIDs. It is available over-the-counter and in prescription strengths. It is commonly used for pain relief, fever reduction, and to manage conditions like osteoarthritis and rheumatoid arthritis. **2. Naproxen:** Naproxen is another propionic acid derivative NSAID available both over-the-counter and by prescription. It has a longer duration of action compared to some other NSAIDs, allowing for less frequent dosing. **3. Ketoprofen:** Ketoprofen is avai

NExt pharmacology: proton pump inhibitors

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Proton pump inhibitors (PPIs) are a class of medications commonly used to reduce the production of stomach acid. They are prescribed for various conditions related to excessive gastric acid secretion, such as gastroesophageal reflux disease (GERD), peptic ulcers, and conditions where high acid levels can cause damage to the esophagus, stomach, or duodenum. Here's an overview of proton pump inhibitors: **Mechanism of Action:** PPIs work by inhibiting the activity of the proton pump (H+/K+ ATPase) located on the surface of the acid-producing parietal cells in the stomach lining. This pump is responsible for the final step in the production of stomach acid. By blocking the proton pump, PPIs reduce the secretion of hydrochloric acid into the stomach, leading to decreased acidity. **Pharmacological Effects:** - **Reduction in Acid Production:** PPIs significantly reduce the amount of acid secreted by the stomach lining, resulting in a less acidic environment. - **Symptom Rel

NExt pharmacology: Alpha and beta blockers

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Selective beta blockers, also known as beta-1 blockers or cardioselective beta blockers, are a class of medications that specifically target and block beta-1 adrenergic receptors. These receptors are primarily found in the heart and are responsible for regulating heart rate and contractility. By selectively blocking these receptors, these medications primarily affect the cardiovascular system while minimizing effects on other organs. Here's an overview of selective beta blockers: **Mechanism of Action:** Selective beta blockers competitively block the binding of norepinephrine and epinephrine (adrenaline) to beta-1 adrenergic receptors. This reduces the effects of sympathetic nervous system stimulation, which normally increases heart rate and contractility. **Pharmacological Effects:** - **Heart Rate:** Selective beta blockers decrease heart rate by blocking the stimulatory effects of norepinephrine and epinephrine on the heart's beta-1 receptors. - **Contractility:

NExt medicine: peptic ulcer gastro intestinal disease

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A peptic ulcer is a sore or erosion that forms in the lining of the stomach, duodenum (the first part of the small intestine), or esophagus. These ulcers are typically caused by the imbalance between the protective factors of the stomach and the damaging effects of stomach acid and digestive enzymes. The two main types of peptic ulcers are gastric ulcers and duodenal ulcers. **Key Points about Peptic Ulcers:** **1. Causes:** - **Helicobacter pylori Infection:** This bacterium is a common cause of peptic ulcers. It weakens the protective mucus layer of the stomach and duodenum, making them susceptible to damage from stomach acid. - **Non-Steroidal Anti-Inflammatory Drugs (NSAIDs):** Long-term use of NSAIDs (such as aspirin, ibuprofen) can irritate the stomach lining and increase the risk of peptic ulcers. - **Stress:** Severe physical stress, like burns or major surgery, can lead to stress ulcers in the stomach lining. **2. Symptoms:** - Burning stomach pain (usually felt in

NExt medicine : thyroid disrorders

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"Disease of the thyroid" refers to a range of medical conditions that affect the thyroid gland, a small butterfly-shaped gland located in the front of the neck. The thyroid gland produces hormones that play a crucial role in regulating various bodily functions, including metabolism, energy production, and growth. Here are some common thyroid disorders: 1. **Hypothyroidism:** This condition occurs when the thyroid gland doesn't produce enough thyroid hormones. It can lead to symptoms like fatigue, weight gain, cold sensitivity, dry skin, and depression. 2. **Hyperthyroidism:** In contrast to hypothyroidism, hyperthyroidism occurs when the thyroid gland produces an excessive amount of thyroid hormones. Symptoms can include rapid heartbeat, weight loss, irritability, anxiety, and heat sensitivity. 3. **Graves' Disease:** This is an autoimmune disorder that causes hyperthyroidism. It's characterized by the overproduction of thyroid hormones and can lead to