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Fascia
thin layer of connective tissue that wraps/packs/insulates parts of the body
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Superficial vs Deep Fascia
- Superficial- loose connective tissue layer immediately below the skin containing fat, blood vessels, nerves, lymphatics.
- Deep- dense organized connective tissue layer around muscles + bones + blood vessels + nerves
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3 types of deep fascia
- Investing fascia - surrounds individual muscles
- Intermuscular Septa - divides muscles into groups/compartments with common function
- Retinaculum - really thick, holds tendons in place during joint movement
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Investing Fascia
sourrounds indiv. muscules and nuerovasc. bundles
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Intermuscular Septa
divide muscles into groups or compartments with common function
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Retinaculum
hold tendons in place during joint movement, really thick
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Bursa
closed sacs containing fluids, prevent friction and enable structures to move freely over one another
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Tendon
tough band of fibrous connective tissue, connects muscle to bone, capable of withstanding tension
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Ligament
fibrous connective tissue that connects bones to other bones, aka articular ligament
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3 Types of Ligaments
- Peritoneal (a fold of peritoneium or other membranes)
- Fetal Remnant (remnants of a fetal tubular structure)
- Periodontal Ligament
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3 Types of Muscles
Skeletal, Cardiac, Smooth
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Function of Muscles
movements, maintainence of body posture, production of heat
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2 Types of Skeletal Muscle Contraction
- Tonic contraction: slgiht contraction aka muscle tone, no movement/active resistance produced just gives the muscle firmness + assists with stability of joints + posture
- Phasic contraction
: two types- isometric contraction (muscle length remains same even tho muscle tension is above tonic levels)
- isotonic contraction - muscle length changes to produce movement -- concentric (muscle shortens for movement) + eccentric (muscle relaxes and lengthens)
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Prime Mover Muscle
aka agonist, responsible for producing a specific movement of the body
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Fixator Muscle
steadies the proximal parts of a limb through isometric contraction while movements are occuring in distal parts
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Synergist Muscle
complements action of prime mover (ex. may prevent movement of intervening joints)
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Antagonist Muscle
- opposes the action of prime mover
- as prime mover contracts, antagonist progessively relaxes > produces smooth movement
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Functions of Bones
support, movement, storage of minerals, blood cell formation
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5 Types of Bones + examples
- Long bones (femur, humerus)
- Short Bones (wrist, ankle)
- Flat Bones (skull, sternum)
- Irregular Bones (spine, pelvis, sphenoid, ethmoid)
- Sesamoid bones (found inside tendons, patella)
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Diaphysis
shaft of long bone
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Epiphysis + structure
- ends of long bone
- exterior is compact bone, interior is spongy bone
- articular cartilage covers joint surface and absorbs stress
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Epiphyseal Line
remnant of epiphyseal plate in adults (growth plate in the metaphysis at ends of long bone)
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Facet of long bone
Smooth flat area, usually covered with cartilage
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Foramen
passage through a bone
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Spine of long bone
thorn-like process
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Fossa of long bone
hollow or depressed area
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Malleolus of long bone
rounded process
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Trochlea of long bone
- spool-like articular process
- process that acts as a pulley
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Notch
indentation at edge of a bone
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Proturberance
projection of bone
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Trochanter of long bone
large blunt elevation
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Capitulum of long bone
small, round, articular head
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Condyle of long bone
rounded, knuckle-like articular area, usually in pairs
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Epicondyle of long bone
eminence superior to a condyle
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Groove of long bone
elongated depression
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Describe vasculature of bone
- nutrient arteries enter through nutrient foramina > divide into longitudinal branches
- Periosteal arteries supply compact bone of periosteum
- metaphyseal and epiphyseal arteries supply their areas
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Describe innervation of bone
- Periosteum is supplied by sensory nerves called periosteal nerves
- Vasomotor nerves supply blood vessels regulating blood flow
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Joint
the location/space between bones where they connect
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Function of Joints
allow movement, provide mechanical support
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3 types of Joints
- Fibrous (synarthroses) = immovable (ex. skull)
- Cartilaginous (amphiarthroses) = slightly movable (ex. vertebral joint)
- Synovial (diarthroses) = freely movable (ex. ball+socket, hinge)
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Types of Fibrous Joints (synarthroses)
- Sutures (between bones of skill)
- Syndesmosomes (found b/w long bones of body, like radius and ulna in arm, they are movable unlike other fibrous joints)
- Gomphosis (joint b/w root of a tooth and the sockets in the maxilla or mandible)
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Primary Cartilaginous Joints (ampharthroses) + ex.
allow for only a little movement, like in spine or ribs. Ex. growth plates b/w ossification centers in long bones
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Secondary Cartilaginous Joints (ampharthroses) + ex.
aka symphyses, fibrocartilaginous and hyaline joints usually occurring in the midline. Ex. manubriosternal joint, intervertebral discs, pubic symphysis
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Structure of Synovial Joints
- Outer fibrous capsule and inner synovial membrane
- synovial fluid present
- bursae - sacs of fluid
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6 Types of Synovial Joints
- 1. Plane jointÂ
- 2. Hinge Joint
- 3. Saddle Joint
- 4. Condyloid
- 5. Ball and Socket
- 6. Pivot Joint
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Function of Plane Joint + ex.
- Permit gliding or sliding movements, opposed surfaces of the bone are flat, small joints
- Ex. AC joint
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Function of Hinge Joint + ex.
- permits flexion & extension, movements that occur in sagittal plane only
- Ex. elbow joint, knee joint
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Function of Saddle Joint + ex.
- permit abduction, adduction, flexion, extension & circumduction. Allow movement in 2 planes, frontal & sagittal
- Ex. CMC of thumb
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Function of Condyloid Joint + ex.
- permit flexion & extension + abduction/adduction, circumduction is restricted. Movement in sagittal plane is greater/freer than in other plane.
- Ex. metacarpophalangeal joints
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Function of Ball and Socket Joint + ex.
- movement in multiple axes + planes
- Ex, hip, shoulder
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Function of Pivot Joint + ex.
- permit rotation around central axis, uniaxial, rounded process of bone rotates within a sleeve or ring
- Ex. atlantoaxial joint
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function of circulatory system?
transports fluids
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circulatory system made of what 2 systems?
cardiovasc + lymphatic
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3 types of blood vessels?
veins, arteries, capillaries
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which vessels deliver oxygen rich blood to capillaries?
arterioles
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3 coats/tunics most blood vessels have?
- tunica intima - single layer of epithelial cells = endothelium
- tunica media - mostly smooth muscle
- tunica externa - outer connective tissue layer/sheath
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difference between arteries and veins structurally?
- arteries - smooth muscle, so it can determine BP bc of its tone
- veins - no smooth muscle, thin walled
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what are the 4 conducting arteries?
- aorta
- braciacephalic trunk
- subclavian
- pulmonary trunk
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main purpose of distributing arteries?
walls are mostly smooth muscle so they are able to vasoconstrict and regulate the flow of blood
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main purpose of small arteries + arterioles?
- have thick muscular walls so the degree of tonus/firmness in the walls can determine blood pressure
- above normal tonus = hypertension
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communication b/w arteries is done through?
anastamoses
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advantage of thin walls of veins?
large capacity for expansion
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20% of blood found in the ______ & 80% found in the _______
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how does musculovenous pump work?
muscle of limb contracts > venous valves push blood toward the heart
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what are accompanying veins?
- when 2 or more smaller veins surround an artery within a common vascular sheath
- usually happens in the limbs
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What is an AVA?
arteriovenous anastamoses = when arteries and veins connect with each other
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where are AVAs usually found? what happens here?
- ex. fingers - direct connection b/w small arterioles and venules
- oxyg + deoxyg blood mix here but since blood flows from higher > lower BP, it is fine for oxyg blood to mix with deoxyg blood but NOT good the other way around
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what is arteriosclerosis? most common cause?
- hardening of arteries
- most common cause is atherosclerosis = fat blocking the arteries
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what does arteriosclerosis result in?
- ischemia
- when atheroma eventually bursts > blood clot/thrombus forms > can occlude the artery > can cause infarction
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purpose of Lymphatic System
- drains extra tissue fluid and returns fluid to heart
- removes waste products + debris
- major part of bodys defense system
- helps large molcules enter the blood (like hormones and lipids)
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right lymphatic duct drains from?
- RUQ
- right side of head + necl + thorax + right upper limb
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thoracic duct drains from?
rest of the body
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lymphatic ducts draining lower half of body merge in abdomen and form?
- cisterna chyli
- a dilated collecting sac
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right lymphatic duct dumps into?
right venous angle (right internal jugular + right subclavian veins)
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thoracic duct dumps into?
left venous angle (left internal jugular + left subclavian veins)
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NS is divided into + structures:
- CNS (brain and spinal cord)
- PNS (cranial nerves + spinal nerves)
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PNS is divided into:
- efferent division - send signals to muscles/glands
- afferent division - receive signals from sensory receptors
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Autonomic vs Somatic NS
- autonomic - involuntary, impusles from CNS > cardiac + smooth muscles + glands
- somatic - voluntary, impulses from CNS > skeletal muscles
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2 specialized types of neurons?
- sensory - pseudounipolar, peripheral process + central process
- multipolar motor - 2+ dendrites, 1 axons, most common, all motor neurons controlling skeletal muscle are multipolar
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peripheral vs central processes of pseudounipolar neurons
- peripheral - conduct impulses from organ > cell body
- central - from cell body > CNS
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what are neuroglia? 4 types?
- non-excitable cells that support + insulate + nourish the neurons
- oligodendroglia + astrocytes + ependymal cells + microglia
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tract
bundle of nerve fibers/axons in CNS that connect neighboring or distant nuclei of cerebral cortex
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where do nerve cell bodies vs tracts lie within the brain
- nerve cell bodies = gray matter (outside)
- tract systems = form white matter (inside)
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nerve fiber =
axon + its neurolemma + surrounding endoneurial connective tissue
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a nerve consists of:
- bundle of nerve fibers outside CNS
- connective tissue covering that surrounds and binds nerve fibers
- blood vessels that nourish nerve fibers + coverings
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3 layers of covering of a nerve:
- endoneurium- thin connective tissue, innermost, around neurilemma cells + axons
- perineurum- middle, dense connective tissue, encloses fascicle of nerve fibers
- epineurium - outer, thick connective tissue sheath, fatty tissue + blood vessels + lymphatics
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purpose of perineurium
provides effective barrier against penetration by foreign substances
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how many spinal nerves are there?
31 pairs
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Dermatome vs Myotome
- dermatome - portion of skin innervated by 1 spinal nerve
- myotome - group of muscles innervated by 1 spinal nerve
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end organ of ANS is?
- smooth muscle
- gland
- modified cardiac muscle
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what do sympathetic and parasymp NS innervate?
- symp - every cell in body, internal organs
- parasymp - only internal organs + head, NOT limbs
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sympathetic stimulation on eyes
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sympathetic stimulation on skin
- goosebumps
- vasoconstriction of skin, lips, fingers (turn blue)
- promotes sweating
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sympathetic stimulation on heart
- increases rate + strength of contraction
- inhibits effect of parasymp NS on coronary vessels > allows for dilation
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sympathetic stimulation on lungs
inhibits effect of parasymp NS > bronchodilation > reduced secretion > max air exchange allowed
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sympathetic stimulation on digestive tract
- inhibits peristlsis
- constricts blood vesselsn to digestive tract > to make blood available to skeletal muscle
- contracts internal anal sphincter to aid fecal incontinence
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sympathetic stimulation on liver + gallbladder
promotes breakdown of glyogen > glucose = increased energy
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sympathetic stimulation on urinary tract
- vasoconstriction of renal vessels > slows urine formation
- internal sphincter of bladder contracts > maintain urinary incontinence
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sympathetic stimulation on genital system
causes ejaculation + vasoconstriction > remission of erection
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parasympathetic stimuation to eyes
- constricts pupil (protects from bright light)
- contracts ciliary muscle > lens thickens for near vision
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parasympathetic stimulation on skin
no effect (doesnt reach it)
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parasympathetic stimulation on heart
- decreases rate + strength of contraction = conserves energy
- constricts coronary vessels bc less demand
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parasympathetic stimulation on lungs
- constricts bronchi = conserves energy
- promotes bronchial secretion
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parasympathetic stimulation on digestive tract
- stimulates peristalsis + secretion of digestive juices
- contracts retum
- inhibits internal anal sphincter > causes defecation
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parasympathetic stimulation on liver + gallbladder
- promotes building/conservation of glycogen
- increases secretion of bile
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parasympathetic stimulation on urinary tract
- inhibits contraction of internal sphincter
- contracts detrusor muscle of bladder wall > urination
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parasympathetic stimulation on genital system
produces engorgement = erection
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