deals with the aspects of the body’s structure and function as they relate to the practice of medicine
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what does clinical anatomy incorporate
the regional and systematic approaches
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what is the integumentary system
the skin
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what is the primary function of the integumentary system
protection. the skin protects internal structures/fluids, prevents the entry of disease causing organisms, and pigmentary protection from UV light
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what are the other functions of the integumentary systems
containment (of tissues/organs/fluids), heat regulation (through perspiration and insulation), sensation (by nerves and sensory endings), production and storage of Vitamin D, most of body’s fat storage
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what is the largest organ system
the integumentary system
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what are the three layers of the skin? superficial to deep?
epidermis, dermis, hypodermis
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characteristics of epidermis
keratinized epithelium (dead skin), avascular, usually 4-5 layers
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characteristics of dermis
loose and dense connective tissue with collagen and elastic fibers, vascular (if your skin bleeds its from here), specialized structures (hair follicles, nerves, glands, nerve receptors)
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characteristics of hypodermis
subcutaneous, connective and adipose (fat) tissue, vascular, and specialized structures (nerves, blood vessles, lymphatics)
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what is deep fascia
dense connective tissue that covers most of the body. deep to skin. covers whole body and connects to other things
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what is investing fascia
deep fascia that surrounds indivudual deep structures, such as around muscles
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what is a fascial compartment
surrounds grouped structures with similar functions, such as a muscle compartment
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what is intramuscular septa
thick fascia that separates compartments and attaches to bone
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what is retinaculum
thick fascia to hold tendons in place (think wrist, ankle)
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what is subserous fascia
between internal surface of musculoskeletal walla and serous membranes lining the body
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what is a bursa
a closed sac of serous membrane that are normally collapsed/closed. potential space in areas with friction. can fill with fluids and be bad
avascular connective tissue that is in areas of flexibility and movement. also covers weight bearing articular surfaces of bone
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what are the three types of cartilage
elastic, fibrous, hyaline
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how does cartilage get its nutrients due to no blood flow
diffusion
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characteristics of bone
“living”, highly vascular; provides support, protection, mechanical basis for movement, storage of calcium, new blood cells
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what are the two types of bones
compact and spongey (more porous). both are very dense and strong
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where is coastal cartilage located
ONLY in the ribs
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where is articular cartilage
joints
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what are skeletal articulations
joints
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what is a joint
a union or junction between two or more bones
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what do joints have
a vascular and nerve supply
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what is proprioception
articular nerves transmit sensory impulses from the joint which contribute to proprioception, providing awareness of movement and position of body parts
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how are joints classified
based on the manner or type of material by which the bones are united
aponeuroses (flat sheet of tendon for anchoring to skeleton or deep fascia)
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what are the two ends of the muscle
origin (proximal, fixed end where the muscle starts)
insertion (distal, movable end where the muscle ends. this is mobile and crosses a joint)
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what is the agonist function
this is the prime mover
example: bicep
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what is the synergist function
assists the agonist
example: biceps brachii
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what is the antagonist function
opposes the agonist and/or synergist
example: tricep
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what is the fixator function
stabilizes the proximal end for more efficient distal movement. core stability for peripheral mobility
example: rotator cuff
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what does the muscle do when it crosses a specific joint?
it will act on that joint
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nerve interaction with muscles
usually innervate functional groups of muscles that are within a common fascial compartment
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artery interactions with muscles
generally supply the structures they contact.
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what are the two parts of the circulatory system
cardiovascular and lymphatic
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what are the two parts of the cardiovascular system
heart and blood vessels
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what is the function of blood
carries nutrients, oxygen, and waste products to and from cells
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what two sub-systems does the heart divide the cardiovascular system into
pulmonary circulation (blood to and from lungs)
systemic circulation (blood to and from the body)
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what are the three types of blood vessels
arteries
veins
capillaries
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what do arteries do
carries oxygenated blood to organs of the body. under high pressure
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what do veins do
return deoxygenated blood from capillary beds to the heart. under low pressure. veins usually accompany named arteries
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what do capillaries do
\-connect arterioles and venules
\- allow exchange of extracellular fluid
\- arranged in capillary beds
\-the portal venous system links 2 capillary beds
ex- hepatic portal vein
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what does the lymphatic system do
drains surplus fluid from extracellular spaces to the bloodstream, plays a major part in immunity, and absorbs and transports dietary fat
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what does the lymphatic system consist of?
\-lymphatic plexuses (network of lymphatic capillaries)
\-lymphatic vessels (network of vessels with valves that follow arteries and veins)
\-lymph (fluid)
\-lymph nodes (filter lymph)
\-lymphocytes (immune system cells)
\-lymphoid organs (produce lymphocytes such as thymus, red bone marrow, spleen, tonsils, lymphoid nodules)
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what does the lymphatic system rely on
arteries/veins/muscles to push through since there is no pump
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what are the 2 major ducts for drainage
right lymphatic duct and thoracic duct
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what does the right lymphatic duct do
drains right upper quadrant into right venous angle (junction of right internal jugular and right subclavian veins)
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what does the thoracic duct do
drains remainder of the body into left venous angle (junction of left internal jugular and left subclavian veins)
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where does the majority of drainage go
the thoracic duct
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what is the function of the nervous system
allows the body to react to changes in the environment. controls the activities of other systems within the body
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what two parts is the nervous system ANATOMICALLY divided into
the central nervous system (CNS) and the peripheral nervous system (PNS)
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what makes up the CNS
the brain and spinal cord ONLY
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what makes up the PNS
12 pairs of cranial nerves and 31 pairs of spinal nerves. also the nerve fibers and their cell bodies outside the CNS
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what is the nervous system FUNCTIONALLY divided into
the somatic nervous system (SNS) and the autonomic (visceral) nervous system (ANS)
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what is the somatic nervous system (SNS)
provides sensory and motor innervation to all body parts except the viscera, smooth muscle and glands. controls primary voluntary activities.
skeletal muscles!!
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what is the autonomic nervous system (ANS)
controls primarily involuntary activities. provides sensory and motor to viscera, glands, smooth muscle, and cardiac muscle
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what are the two main cell types nervous tissue consists of
neurons and neuroglia
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what are neurons
\-a structural/functional unit
\-consists of a cell body with dendrites that carry signals to cell body and axons
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what are the two types of neurons
multipolar motor neurons and pseudounipolar sensory neurons
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what are multipolar motor neurons
several dendrites and one axon. super excitable and determines if something will get responded to
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what are pseudounipolar sensory neurons
double process from the cell body, called a peripheral process and a central process. the peripheral process comes in, and the central process leaves and goes to the CNS
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what are synapses
points of communication between neurons
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what are neuroglia
part of nervous tissue. non-neuronal, non-excitable supporting cell. such as muscle cells
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what do several axons together in the PNS make
a nerve
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what is the function of the CNS
integrates and coordinates higher mental functions
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parts of brain
\-outer cortex composed of gray matter which consist mainly of nerve cell bodies
\-inner cortex composed of white matter which consists mainly of axons forming tracts and ventricles, filled with CSF (cerebral spinal fluid)