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Kaplan Qbank USMLE



Author16 Posts
  #1

High sodium diet increase calcium loss in urine.
found this in one q but it was not explanation what is the mechanism.
any idea?


  #2

85% of Po4 is reabsorbed in PCT via Na+ Po4 cotransport So if that's happening shouldn't Ca2+ be going out in high Na+ diet, just a guess. Am sure there's more to it.







  #3

okay, lets try this:
a high Na diet will stimulate ANP secretion----> wich will increase diurez.& Na-uresis by inhibiting Na and H2O reabsor. in CD
If inhibit. Na/Cl. cotransporter in CD ----->Cl wont be reabsorbed inside the Cd tubular cell----> wont be reabsorbed in the interstitium blood thru the Cl channel on basolateral mb---> the net effect is decreased Ca reabsorb. from the lumen at this CD level----> therefore Ca -uria

  #4

Ok here goes ur ans. Ca2+ reabsorption is linked to Na+ reabsorption in Loop of henle hence, Increased Na+ diet should decrease the reabsorption of Na+ , hence Ca2+ too!?







  #5

and why would an incr in Na diet lead to a DECREASE in Na reabs??? i bc the pump is not TM saturable . I think most of Na should be reabs. in PT (2/3), so the more you have, more is reabs.. think of Thiazides .... and Ca- uria

  #6

meant to say CD ---thiazides-- ca-uria
However Na/K/Cl pump at the loop of henle is NOT Tm saturable for sure...

  #7

My 2 Cents

Renal calcium reabsorption is directly proportional to sodium reabsorption. When dietary sodium chloride is increased, the fractional reabsorption of sodium is decreased, leading to a parallel reduction in calcium reabsorption. Approximately 1 mmol calcium is excreted for every 100 mmol of sodium excreted. Calcium is reabsorbed 60% in the Proximal Tubule n so on till the Loop of Henle. Only PTH dictates the DCT reabsorption. Most of the Substances transported thru the Na Cotransporters While a Cl Ca Channel has been identified n implicated in this CAse (Dent's Disease).


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

and where exactlly did you search for these " 2cents" thoughts... b c is not true according with a Qs i found...
it says " Ca is usually reabs. in DCT. Theoretically , Cl- is reabs thru thiazide sensitive Na/Cl and transported from the cell thru the basolateral Cl chann.--> decreasing intracell. Cl- conc.Net effect is incr. activity of voltage depend, Ca chann.-----> incr. electical gradient for Ca rabs. from lumen. "
The Ca reabs in DCT is not ONLY PTH dictated.

  #9

lol Buddy lmao gringringrin

I didnt have to Search Anywhere buddy its in Ganong


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #10

Look Under Calcium Balance in Endocrine Section n in Renal Chapters

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #11

90% Ca is reabs. in PT an TAL.
NNL, your explanation is correct, just from the Basic science.


  #12

That's what i said in my way!!!!!!!!!!!







  #13

Yep, u were right , mytime
I like your "smiles", I downloaded them too, thanks.

  #14









  #15

lol nodnod

Mytime U r charged Right now !!!!!!!! Battery Full Charged Neend bhi Full Charged.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #16

dont know but cud it be bcos high sodium intake---->inc Na reabsorptn --->hence inc calcium(hypercalcemia)---> increase calcium --->inhibit PTH --> hence Hypocalcemia and inc calcium excreation...rolling eyes










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