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    This document discusses the biochemistry of urine and reviews the urogenital system. It begins by listing common urinary symptoms and conditions that doctors in Indonesia should be able to diagnose and treat at different competence levels. It then provides an overview of amino acid metabolism, including which amino acids are nutritionally essential or nonessential in humans. It also summarizes how the carbon skeletons from amino acid degradation are used for energy or biosynthesis and discusses blood pH regulation by the kidneys.

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    This document discusses the biochemistry of urine and reviews the urogenital system. It begins by listing common urinary symptoms and conditions that doctors in Indonesia should be able to diagnose and treat at different competence levels. It then provides an overview of amino acid metabolism, including which amino acids are nutritionally essential or nonessential in humans. It also summarizes how the carbon skeletons from amino acid degradation are used for energy or biosynthesis and discusses blood pH regulation by the kidneys.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    20 views20 pages

    Review Uro

    Uploaded by

    Ki Kyo
    This document discusses the biochemistry of urine and reviews the urogenital system. It begins by listing common urinary symptoms and conditions that doctors in Indonesia should be able to diagnose and treat at different competence levels. It then provides an overview of amino acid metabolism, including which amino acids are nutritionally essential or nonessential in humans. It also summarizes how the carbon skeletons from amino acid degradation are used for energy or biosynthesis and discusses blood pH regulation by the kidneys.

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    REVIEW UROGENITAL SYSTEM

    Biochemistry of urine
    Syahrijuita

    Biochemistry Department Medical Faculty Hasanuddin University 2013

    KOMPETENSI DOKTER INDONESIA 2012


    DAFTAR MASALAH KELUHAN/GEJALA 1.Nyeri pinggang 10.Pancaran kencing menurun 2.Sedikit kencing 11. Kencing bercabang 3.Sering kencing 12. Waktu kencing preputium 4. Tidak kencing melembung 5. Tidak bisa menahan kencing 13.Air kcg merah 6. Nyeri saat kencing 14.Air kcg campur udara 7.Kencing tidak puas 15. Air kcg campur tinja 8. kencing mengejan 16.Ejakulasi berdrh. 9.Akhir kencing menetes 17. Keluar drh dr sal.kcg 18.Perubahan warna kencing, dll

    Kompetensi Dokter Indonesia


    Tingkat Kemampuan 1 (Mengenal gejala klinis,mendiagnosis,rujuk) Tingkat Kemampuan 2 (Mampu mendiagnosis,rujuk,menindak ljt sesudahnya) Tingkat kemampuan 3 3a.Mendiagnosis, R/ pendahuluan,rujuk bukan kasus darurat

    Kompetensi Dokter Indonesia


    Tingkat Kemampuan 3b (Mendiagnosis, R/ pendahuluan,rujuk kasus gawat darurat )

    Tingkat Kemampuan 4a ( Mendiagnosis menangani sampai tuntas) 4b.Mahir setelah selesai internship/PKB

    Daftar Penyakit
    1. ISK 4a 2.Gonore 4a 3.Pielonefritis tanpa komplikasi 4a 4.Fimosis dan Parafimosis 4a 5. Ruptur uretra,kdg kencing & ginjal 3b 6.Torsio testis danPriapismus 3b 7.GNA,GNK,kolik renal & batu sal kemih 3a 8.Prostatitis dan chancroid 3a

    Daftar Penyakit
    9.Ca sel renal, Tu Wilms, AKI,PGK,sind nefrotik,ginjal polikistik simptomatik dan nekrosis Tubular akut 2 10.Hipospadia,Epispadia,kriptorkididmus& rectrctile testis,varikokel,hidrokel 2 10.Spermatokel,epdidimitis,Ca uroterial 2 11. Hiperplasia prostat jinak,Ca prostat & striktura uretra 2 12Ginjal tapal kuda,semioma,teratoma testis 1

    OVERVIEW OF AMINO ACID METABOLISM

    ENVIRONMENT

    ORGANISM

    Ingested protein
    1

    Biosynthesis 2 3

    Protein

    a AMINO ACIDS c
    Degradation (required) Nitrogen (ketogenic) Carbon skeletons (glucogenic) Used for pyruvate energy -ketoglutarate succinyl-CoA fumarate oxaloacetate

    b c
    Purines Pyrimidines Porphyrins

    Urea
    acetoacetate acetyl CoA

    Amino Acid Requirements of Humans -------------------------------------------------------------------Nutritionally Essential Nutritionally Nonessential -------------------------------------------------------------------Argininea Alanine Histidine Asparagine Isoleucine Aspartate Leucine Cysteine Lysine Glutamate Methionine Glutamine Phenylalanine Glycine Threonine Proline Tryptophan Serine Valine Tyrosine --------------------------------------------------------------------a Nutritionally semiessential. Synthesized at rates inadequate to support growth of children.

    FATE OF THE CARBON SKELETONS


    Carbon skeletons are used for energy.

    Glucogenic: TCA cycle intermediates or pyruvate (gluconeogensis)

    Ketogenic: acetyl CoA, acetoacetyl CoA, or acetoacetate

    Blood pH regulation
    Kidney Delayed regulation, takes hours - days Permanently fixed the acid base imbalances up to 100%, through excretion or reabsorption of HCO3 The more hydrogen excreted, the more HCO3 is produced

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