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REVISION OF BIOCHEMISTRY (GIT module)

(This power point is not originally from section of practical class. It is made to clarify all points that are emphasized by professors during revision class) *do not depend on this power point only. Read
the topics inside the book is recommended.

ESTIMATION OF FREE AND TOTAL ACIDITY IN A GASTRIC JUICE SAMPLE

GASTRIC JUICE TITRATION

X1 Definition of end point No of mls of 0.1 N NaOH in neutralize free acid in 5mL gastric juice Free acidity (free HCl) Topfer 3 No of mls of 0.1 N NaOH in neutralize free acid in 100mL gastric juice

X2 No of mls of 0.1 N NaOH in neutralize total acid in 5mL gastric juice Total Acidity (Free HCl + Combined HCl (end point)+ organic acid) Phenolphthalein 8 No of mls of 0.1 N NaOH in neutralize total acid in 100mL gastric juice

Acidity: Indicator pH

X1 x 100/5 =X1 x 20 =0.1N NaOH %

X2 x 100/5 =X2 x 20 =0.1N NaOH %

CHANGES OF pH
pH = 1 pH gastric juice pH =3 (free acidity) Topfer= salmon pink

pH=8 (total acidity) Phenolphthalein (pink)

Questions suggested
1. Definition of titration? ans: It is a process in which a quantitative determination of the substance occurs in a stepwise reaction up to the end point. 2. Types of titration ? (details in the book pg 102 -103) ans: 1. Acid-base titration 2. Precipitation titration 3. Oxidation-reduction titration

3. Definition of end point? ans: The point in a titration where physical change ( in the solution being titrated) manifests itself
4. Definition of alkaline tide? ans: The presence of an alkaline urine that often follows the ingestion of a meal due to the arrival of excess bicarbonates to blood during the process of HCl secretion by the stomach.

5. Fractional test meal?

a 15-30minutes after meal


Acidity falls to a lower level Why?
Dilution of gastric juice with saliva and tea Neutralizing of gastric juice by:- NaHCO3 of saliva - protein of meal - mucin in the stomach

b 30-90 minutes after meal


Acidity rises again and reaches maximum value after about 90minutes. Why?
Stimulation of the gastric glands by the meal

C- 90-150 minutes after meal


After 120min, acidity starts to decline gradually until the fasting level is nearly reached at the end of about 150min. Why?
Gastric secretion gets diminished Gastric contents are evacuated to the duodenum Gastric contents are neutralized by duodenal regurgitation.

CAUSES OF ABNORMAL CURVES


Hyperacidity (hyperchlorhydria) -why? duodenal ulcer - gall bladder disease Hypoacidity (hypochlorhydria)
Why? gastric carcinoma

Anacidity ( achlorhydria)
Why? prenicious anemia

SERUM AMYLASE

SITE OF PRODUCTION
Pancrease (the most) Salivary glands

CAUSES OF INCREASING SERUM AMYLASE?


Pancreas- pancreatitis - carcinoma Abdomen -gastritis -bile ducts problem (eg; obstruction) Salivary salivary prob (eg. Inflammation of salivary glands) Genitourinary problem

PRINCIPLE
Starch (sample) amylo dextrin (residual starch)
1-4 glucosidase (inside serum)

pale blue black colour


Iodine

The higher the enzymatic activity, the lower the intensity of colour, the lower the absorbance

Calculation
AB AS x 1480 AB = .u/L

THANK YOU AND ALL THE BEST ACErs!!


Do not despair, Allah is always with us ^_^

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