| sodium channel | <neurology, physiology> The protein responsible for electrical excitability of neurons. A transmembrane ion channel, containing an aqueous pore around 0.4nm diameter, with a negatively charged region internally (the selectivity filter) to block passage of anions. The channel is voltage gated: it opens in response to a small depolarisation of the cell (usually caused by an approaching action potential), by a multistep process. Around 1000 sodium ions pass in the next millisecond, before the channel spontaneously closes (an event with single step kinetics). The channel is then refractory to further depolarisations until returned to near the resting potential. There are around 100 channels per square micron in unmyelinated axons, in myelinated axons, they are concentrated at the nodes of Ranvier. The sodium channel is the target of many of the deadliest neurotoxins. (18 Nov 1997) |
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| delayed rectifier channel | <physiology> The potassium selective ion channels of axons, so called because they change the potassium conductance with a delay after a voltage step. The name is used to denote any axon like K channel. Various roles for example regulation of pacemaker potentials, generation of bursts of action potentials or generation of long plateaus on action potentials. (18 Nov 1997) |
| double-channel catheter | A catheter with two lumens, allowing irrigation and aspiration. Synonym: two-way catheter. (05 Mar 2000) |
| ion channel | <cell biology> A transmembrane pore that presents a hydrophilic channel for ions to cross a lipid bilayer down their electrochemical gradients. Some degree of ion specificity is usually observed and typically a million ions per second may flow. Channels may be permanently open, like the potassium leak channel or they may be voltage gated, like the sodium channel or ligand gated like the acetylcholine receptor. (27 Oct 1998) |
| ion channel gating | The opening and closing of ion channels due to a stimulus. The stimulus can be a change in membrane potential (voltage-gated), drugs or chemical transmitters (ligand-gated), or a mechanical deformation. Gating is thought to involve conformational changes of the ion channel which alters selective permeability. (12 Dec 1998) |
| transnexus channel | A hexagonal 15-20A |
| ligand-gated channel | A class of ion channel's whose ionic permeability is regulated by cell membrane receptors that respond to specific extracellular chemical signals. (05 Mar 2000) |
| ligand gated ion channel | A transmembrane ion channel whose permeability is increased by the binding of a specific ligand, typically a neurotransmitter at a chemical synapse. The permeability change is often drastic, such channels let through effectively no ions when shut, but allow passage at up to 10exp7 ions sexp 1 when a ligand is bound. Recently, the receptors for both acetylcholine and GABA have been found to share considerable sequence homology, implying that there may be a family of structurally related ligand gated ion channels. (18 Nov 1997) |
| Aaron's sign | <clinical sign> In acute appendicitis, a referred pain or feeling of distress in the epigastrium or precordial region on continuous firm pressure over McBurney's point. (05 Mar 2000) |
| Abadie's sign of tabes dorsalis | Insensibility to pressure over the tendo achillis. (05 Mar 2000) |
| Abrahams' sign | <clinical sign> An obsolete sign: Rales and other adventitious sounds, changes in the respiratory murmurs, and increase in the whispered sound can be heard on auscultation over the acromial end of the clavicle some time before they become audible at the apex; heard primarily in pulmonary tuberculosis affecting the apical portion of the lung, a dull-flat note, i.e., one between the normal dullness at the right apex and absolute flatness, heard on percussion in that region, indicating progress from incipient to advanced tuberculosis. (05 Mar 2000) |
| accessory sign | <clinical sign> A finding frequently but not consistently present in a disease. Synonym: assident sign. (05 Mar 2000) |
| Allis' sign | <clinical sign> In fracture of the neck of the femur, the trochanter rides up, relaxing the fascia lata, so that the finger can be sunk deeply between the great trochanter and the iliac crest. (05 Mar 2000) |
| Amoss' sign | <clinical sign> In painful flexion of the spine, it is necessary to support a sitting position by extending the arms behind the torso with the weight placed on the hands. (05 Mar 2000) |
| Anghelescu's sign | <clinical sign> In vertebral tuberculosis, painful or impossible flexion of the spine when the patient attempts to rest weight on the heels and occiput. (05 Mar 2000) |