Tuesday, January 14, 2014

LIVER & BILIARY TRACT 5 Synthesis protiens carbohydrates lipids


5.1 PROTEINS SYNTHESIS

As the hepatic cell is responsible of synthesis of
   -  albumin,alfa feta protein, cereloplasmin, ferritin and
      Transfenin
   -  fibrinogen
   -  prothrombin and other factors involved in blood clotting I,
      II, V, VII, IX, X, XI, XII, XIII

Estimation  of serum albumin is the most accurate  relfection  of
liver function.

*  Half life of albumin is more than 10 days
*  Flocculation and Turbidity Tests are dependant on albumin  and
   thus;
   - Cephalin flocculation
   - Thymol turbidity
   - Zinc   sulfate  turbidity  tests  are  reflections  of   the
     alteration in the albumin globulin ration in the serum

5.2 CARBOHYDRATES AND LIPIDS SYNTHESIS

Syntehsis of both phospholipid and cholesterol takes place in the
liver  and  the  latter  serves as an  indicator  for  the  lipid
metabolism

*  Biliary obstruction results in a rise in cholesterol

*  The other common effects of hepatic disease is a deficiency of
   glycogenesis with resultant hyperglycemia

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