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Health Science 2: Unit 2
Reminders…Anatomy-study of the form and structurePhysiology-why and how they workPathophysiology- study of how disease occurs
and the responses of living organisms to the disease process.
Cells…Cell membraneCytoplasm
(organelles)NucleusChromatin (genes,
genomes)Centrosome
MitochondriaGolgi apparatusEndoplasmic
reticulum VacuolesLysosomesPinocytic vesicles
Cell Reproduction…Mitosis
ProphaseMetaphaseAnaphaseTelophase
Tissue…When cells of the same type join together to
form a common purposeEpitheleal (skin, glands, mucus membranes)Connective (adipose, cartilage, blood, etc.)Nerve (neurons)Muscle (skeletal, cardiac, visceral/smooth)
Tissues60-99% water and various dissolved
substances
Dehydration…not enough
Edema…too much (swelling)
Organs and SystemsIntegumentarySkeletalMuscularNervousSpecial sensesCirculatory
LymphaticRespiratoryDigestiveUrinaryEndocrineReproductive
Two or more tissues joined together to perform a specific function (Organ)
Organs and other body parts joined together to perform a particular function (System)
Atoms/Ions>Molecules>Organelles>Cells> Tissues>Organs>Organ
Systems>Organism
Body PlanesTransverse planeSuperiorInferiorCranialCaudalMidsagittal plane,
medianFrontal/coronal
plane
VentralAnteriorDorsalPosteriorProximaldistal
Planes
CavitiesDorsalCranialSpinalVentralThoracicAbdominalPelvicOrbitalNasalBuccal
RegionsRUQLUQLLQRLQ(abdominal regions)
Abdominal Regions
Integumentary SystemSkin
Functions…protection, sensory, temperature regulation,storage,absorption,excretion,production(vit D)
Pigmentation…basic color (melanin by melanocytes)
ColoringAlbino…absence of pigmentsErythema…reddish (burns or congestion of
blood vessels)Jaundice…(yellowing, bile in blood due to
liver or gallbladder problemsCyanosis…bluish (insufficient oxygen)
Skin EruptionsMacules, flat spotsPapules, pimplesVesicles, chickenpox (fluid-filled)Pustules, acneCrusts, scabsWheals, itchy elevated (hives, insect bites)Ulcer, deep loss of skin tissue
Diseases/Abnormal ConditionsAcne Vulgaris…inflammation of sebaceous glands Cause: unknown, but probably hormonal Sx: papules, pustules, blackheads Tx: Vit A ointments, antibiotics, UV light
Athlete’s Foot•Fungal infection•Contagious•Sx: Skin itches, blisters, cracks•Tx: Anti-fungal, keep clean and dry
Skin Cancer•Basal Cell•Squamous Cell•Melanoma
Melanoma
Malignant Melanoma
DermatitisInflammation of the skinUsually an allergic
reaction to plants or detergents
Sx: dry skin, erythema, itching, edema, macular-papular rashes, scaling
Tx: eliminate the cause, anti-inflammotory oint, anti-histamines, steriods
EczemaNoncontagiousInflammatoryUsually caused by
allergen or irritantSx: dryness,
erythema, itching, vesicles, crusts, scaling.
Tx: remove the cause, corticosteriods
ImpetigoHighly contagiousCaused by
streptococci or staphylococci organisms
Sx: erythema, oozing, vesicles, pustules, yellow crust
Tx: wash with soap and water and kept dry, antibiotics
PsoriasisChronicNoncontagiousExacerbations/
remissionPossibly hereditarySx: thick red areas
covered with silver scales
Tx: coal/tar or cortisone, UV light, scale removal
Ringworm•Tineas•Highly contagious•Fungal•Sx: circular, itchy, red raised•Tx: anti-fungal meds
Verrucae•Warts•Cause by viral infection of the skin•Example: plantar warts•Sx: rough, hard, elevated•Tx: removed by electricity, liquid nitogen, acid, chemicals, or laser
CareersDermatologistAllergistPlastic Surgeon
Skeletal SystemBones206Functions:1.Framework2.Protection3.Levers4.Production of blood cells
(hemopoesis/hematopoesis)5.Storage (Ca, Phosporus, fats)
Careers Athletic TrainerChiropractorOrthopedistOrthoptistOsteophathic
physicianPhysiatrist
Radiologic Technologist
Sports Medicine Physician
PTPodiatristProsthetist
Diseases and Abnormal Conditions
Bursitis-sacs surrounding the joints
Arthritis1.Osteoarthritis2.Rheumatoid- 3 times
more common in women, usually between 35 to 45 y/o age
Rheumatoid Arthritis
FracturesGreenstick – bent, split, incomplete, common in children
FracturesSimple or closed
– Skin is not
broken
FracturesCompound or open- skin is broken, increased
risk of infectionImpacted – broken bone ends jam togetherComminuted – crushing, splintersSpiral – twisting of the bone, common in
skiing and skatingDepressed – pressed in, as in head injuries
(skull)Colles – break at distal end of radius,
catching oneself with forearm
Comminuted Fracture
Spiral Fracture
Colle’s Fracture
TreatmentsClosed Reduction-Positioning the bone in
correct alignment using traction, a cast, a splint
Open Reduction- surgical repair, pins, plates
Other DisordersDislocation – bone is forcibly displaced from a
joint, shoulders, fingers, knees, hipsSprain- tearing of ligaments at a joint, wrists
and ankles common, tx is RICEOsteomyelitisOsteoporosis – softening due to estrogen or
calcium defiency and sedentary lifestyle, tx is Fosamax and Citracal
CareersAthletic trainerChiropractorDoctor of
osteopathic medicineMassage therapistMyologistNeurologistOrthopedistPhysiatrist
PTPodiatristProsthetistRheumatologistSports medicine
physician
Ruptured DiskHerniated or slipped
discTx is laminectomy is
severe cases
Review Study handout given with muscle movements
and muscle locations
10 most important words (foldable)
Vertebra
Muscular SystemOver 600 musclesBundles of muscles fibers held together by
connective tissueAll have certain properties:Excitability (respond to stimulus)1.Contractibility (become short and thick =
movement)2.Extensibility (stretched)3.Elasticity (back to original shape)
Three Main Kinds of MuscleCardiac (heart)Visceral (internal organs)Skeletal
Skeletal is voluntaryCardiac and visceral is involuntary
Skeletal Muscle FunctionAttach to bones for voluntary movement
Heat and energy
Posture
protection
TendonsConnect bone to
muscleThe end that
does not move is called the origin.
The end that moves is called the insertion.
MovementsAdductionAbductionFlexionExtensionRotationCircumduction
TermsMuscle tone- state of readiness to act (partial
contraction)
Atrophy – shrink in size, loss of strength (lack of use)
Contracture – severe tightening of a flexor resulting in bending of a joint (like foot drop)
Foot Drop
Tx for Foot Drop
Foot Drop Splint
Disease/Abnormal ConditionsFibromyalgia (widespread pain in specific
muscle sites)Stiffness, numbness, tingling in arms or legsFatigue, sleep disturbances, headaches,
depressionCause unknown, but stress, weather, and
lack of physical fitnessTx: PT, massage, stress reduction, exercise
Muscular DystrophyGroup of inherited diseases that lead to
chronic, progressive muscle atrophy.Usually appears in early childhoodTotal disability and early deathDuchenne MD is most common (genetic
defect)1. Shows up by age 2 to 5 y/o age2. Wheelchair by age 9 to 123. Life expectancy late teens, early 20’s
Myasthenia GravisChronic condition, nerve impulses are not
transmitted properly.Leads to progressive muscle weakness and
paralysis.Respiratory muscles = fatal.Thought to be autoimmuneNo cure, only supportive
Muscle SpasmCrampsSudden, painful, involuntary contractionsUsually legs or feetMaybe result from overexertion, low
electrolyte levels, poor circulationUsually gentle pressure to relieve
StrainOverstretching or injury to muscle and/or
tendonMyalgiaSwellingLimited movementTx: rest, relaxants, pain meds, elevation,
hot/cold apps
Nervous SystemHighly complex
Enables the body to respond and adapt to changes internally and externally
Basic structural unit is the neuron, or nerve cell
NeuronDendrites, carry
impulses toward the cell body
Axon, carries impulses away from the cell body
Myelin Sheath, lipid covering (fat)
Synapses, spaces between
2 Main Divisions Central Nervous System- brain and spinal
cord (CNS)
Peripheral Nervous System- nerves (PNS)1. Somatic nervous system, carries messages
between the CNS and the body2. Autonomic nervous system- contains the
sympathetic and parasympathetic nervous systems, control involuntary functions
Central Nervous System, BrainBrain, mass of nervous
tissue protected by the skull
Parts1. Cerebrum2. Cerebellum3. Diencephalon4. Thalamus5. Hypothalamus6. Midbrain7. Pons8. Medulla
CNS, Spinal CordFrom medulla oblongata
to the first or second lumbar vertebrae
Surrounded by vertebrae
Afferent messages, to the brain
Efferent messages, from the brain to the nerves
Meninges, 3, cover and protect the brain
MeningesDura mater, thick,
tough, outer layerArachnoid membrane,
middle layer, weblike, thin, delicate
Pia mater, closely attached to the brain and spinal cord, contains blood vessels to nourish the nerves
Ventricles (still CNS)Four ventriclesContain cerebral spinal fluid (CSF)Shock absorber for protectionCarries nutrientsRemoves metabolic products and wastesProduced by choroid plexusesAfter circulating throughout the
subarachnoid spaces, it is absorbed through the dura mater and returned to the bloodstream through arachnoid villi.
Peripheral Nervous SystemSomatic and Autonomic Nervous Systems.Somatic:
1. 12 pairs of cranial nerves and their branches2. 31 pairs of spinal nerves and their branches
Autonomic:1. Sympathetic (fight or flight) ^ HR, BP, R,
decreases GI2. Parasympathetic (opposite)
Diseases and Abnormal ConditionsCarpal Tunnel
SyndromeMedian nerve
compressionTx:
antiinflammatories, splinting, surgery
Cerebral PalsyDisturbance in
involuntary muscle action
Caused by brain damage
Sx: exagerated reflexes, tense muscles, contractures
Tx: muscle relaxants, braces
Cerebrovascular Accident (CVA)Brain attack, stroke,
apoplexyBlood flow to brain
is impairedLack of oxygenDestruction of brain
tissueTx: TPA, directed
toward sx
EncephalitisInflammation of the
__________.Caused by a virus,
bacterium, chemical agent, or as a complication of measles, chicken pox, or mumps.
Mosquito bite
Sx: lethargy, extreme weakness, visual disturb., h/a, vomiting, stiff neck and back.
Tx: fluid, electrolytes, supportive
EpilepsySeizure syndromeAbnormal electrical
impulses in the neurons of the brain
Petit malGrand malSome have an aura
Types of Seizures
Generalized Seizures(Produced by the entire brain)
Symptoms
1. "Grand Mal" or Generalized tonic-clonic
Unconsciousness, convulsions, muscle rigidity
2. Absence Brief loss of consciousness
3. MyoclonicSporadic (isolated), jerking movements
4. Clonic Repetitive, jerking movements5. Tonic Muscle stiffness, rigidity6. Atonic Loss of muscle tone
HydrocephalusExcessive
accumulation of CSF in the ventricles and/or subarachnoid space
Usually congenitalAbnormally large
head with a prominent forehead, bulging eyes, irritability
Tx: shunt
MenengitisInflammation of the
meninges of the brain and/or spinal cord
Cause is bacteria, virus, fungus, or toxin
Sx: high fever, h/a, back and neck stiffness, n/v, delirium, convulsions, coma, death.
Multiple SclerosisChronic, progressive, disablingDegeneration of myelin sheath in CNSAges 20-40 usuallySx: diplopia (double vision), weakness,
fatique, poor coordination, tingling, numbness
Neuralgia_______ ________.
ParalysisUsually due to brain or spinal cord injuryHemiplegia, _____________.Paraplegia, ______________.Quadriplegia, ______________.No cure.PT, OT are sometimes helpful.
Parkinson’s DiseaseChronicDegeneration of brain cellsUsually of 50 y/o ageTremors, stiffness, rigidity, forward leaning
position, shuffling gait, difficulty in stopping, mood swings
No cureLevodopaSurgery, PT
ShinglesHerpes zoster, same
cause of chicken poxAcute inflammation
of nerve cells Usually thoracic
region, unilaterallyFluid filled vesciclesSevere pain, redness,
itching, abnormal skin sensations
Special SensesEyeEars
Tongue and sense of tasteNose and sense of smell
Skin and general senses
EyesSightReceives light rays and
transmits impulses from the rays to the optic nerve, and sent to brain
Lacrimal glands…tearsConjuctiva, lines the
eyelids and covers the front of the eye, protects and lubricates
Layers to the EyeSclera: tough c.t., white part of the eye, helps
with shape of the eye. Also muscles attached to sclera.
Cornea: circular, transparent part of the front of the sclera.
Choroid coat: many blood vesselsRetina: nerve cells (cones, rods), cones
interpret colors in light, and rods are for dim vision, grays and blacks
Other parts of the eye…Iris: colored part of the eyePupil: the opening in the center of the iris.Lens: circular, located behind the pupil and
suspended by ligaments. It refracts light so that it focuses on the retina.
Aqueous humor: clear fluid that fills the space between the cornea and the iris…helps to maintain forward curvature of the eyeball and refracts light.
Vitreous humor: jelly-like fills area behind the lens
Summary of vision…Light rays enter the eye, and pass through a
series of parts…Cornea, aqueous humor, pupil, lens, vitreous
humor.In the retina, the light rays (image) picked up
by the rods and cones, changed into nerve impulses, and transmitted to the brain by optic nerve to the occipital lobe of the brain.
Diseases/Disorders of the EyeAmblyopia- “lazy eye”Astigmatism- blurred
vision d/t abnormal curvature of cornea
Cataract-cloudy lensConjunctivitis- pink
eye, contagiousGlaucoma-increased
intraocular pressure d/t high amt of aqueous h.
Hyperopia- farsightedness
Macular Degeneration-disease of the macula, center of the retina, blindness
Myopia-nearsightednessPresbyopia-
farsightedness d/t agingStrabismus- crossed
eyes
EarsPinna or auricle- outer part that is visibleAuditory canal- cerumen/earwax by glandsTympanic membrane- eardrum, separates outer
from middle(vibrates when sound waves hit it)Middle ear- in temporal bone, contains 3 small
bones called ossicles (malleus, incus, stapes), transmit sound waves to the inner ear
Eustachian tube- connects middle ear to throatWho discovered this tube?
Eustachian Tube…Bartolomeo Eustachi
1500-1574
Italian
Ear Terms (continued)…Oval window – separates the middle ear from
the innerInner ear:1.Vestibule - entrance2.Cochlea – shaped like a snail’s shell3.Organ of Corti – receptor of sound waves,
sends to the auditory nerve to temporal lobe to cerebrum
4.Semicircular canals – have a liquid, balance, equilibrium
Diseases/AbnormalitiesHearing Loss Conductive or sensoryConductive – sound waves not conducted to
inner earSensory – damage to inner ear or auditory n.
Meniere’s DiseaseCollection of fluid in inner earVertigo (dizziness)Tinnitus (ringing in the ears)N/VBalance problemsFall tendenciesUsually meds can help
Otitis ExternaInflammation of the external auditory canalSwimmer’s earantibiotics
Otitis MediaInfection of the middle earSore throatCommon in childrenMyringotomy is sometimes the txEar tubes
OtosclerosisStapes becomes immobile, causing
conductive hearing loss.GradualTinnitusVertigoCan replace with artificial stapes.
Other sensory organsTongue
Nose- olfactory sense. More than 6,000 different smells
Skin - receptors
Skin Receptors
Tastebuds