Biology II

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  Chapter 1: Introduction to Human Body
  1. Anatomy-study of structures
  2. Physiology-study of function
  3. division of labor and specialization occurs
     a. bad-one thing can't do job of another
     b. good- one thing does it better than other
  4. Levels of Organization
     1. atom
     2. chemicals (molecules)-hydroxyapatite(bones made of), H20, and protein
     3. cell
     4. tissue
     5. organ
     6. system
     7. organism
  5. life processes
     1. metabolism-all processes with food & energy
         1. catabolism-tearing down
         2. anabolism-building
     2. responsiveness-ability to detect and respond to internal & external stimulus
     3. movement-whole, part, cell
     4. growth-size, complexity
     5. differentiation-division of labor, cell specialization
     6. reproduction-maintaining species
  6. homeostasis-dinamic equilibrium
     1. altering factors
         1. disease/infection           5. O2/altitude
         2. exertion                    6. electrolyte imbalance
         3. temp H/C                   7. stress
         4. poison
     2. nervous & endocrine system affect homestasis
  7. Feedback Systems (Loops)
     1. 3 parts
         1. control center (brain)-sets parameters, checks, alters conditions
         2. receptors-recieve stimuli & tells brain when parameters have changed
         3. effectors-recieve stimuli from control center, help return to normal
     2. Negative Feedback(good)-return deviations from norm to original
         stimulus->receptors send input->control center sends output->effectors->response
     3. Positive Feedback(bad)-increases deviation from norm (bad->worse)
         1. only positive is childbirth
  8. Disease and Homestasis
     1. localized or systematic
  9. Planes-imaginary surfaces to cut the body into
               used to explain where things are & relations to other things
     1. sagital-divides into right & left unequal planes
     2. midsagital-divides into equal right& left planes
     3. transverse-superior and inferior planes
     4. frontal-ventral & dorsal planes
     5. oblique-angular planes
  10. Body Cavities
     1. dorsal-brain and spinal cord
     2. ventral
         1. thoracic-2 pleural cavities(containing lungs), mediastinum(heart), thymus gland,
                      great vessels (aorta, veina cava)
         2. abdominopelvic
             1. abdominal-liver,gallbladder,stomach,spleen,pancreas,small intestine,part large
             2. pelvic-urinary bladder, internal reproductive, part of large intestine
 

  Chapter 3:The Cellular Level of Organization
  Cell-cell(plasma) membrane, cytosol, organelles, inclusions
  cell membrane-50% protein, 50%lipid
      50%lipid:75% phosophlipid->amphapathic, bilayer
                      outside->(head),polar,hydrophilic (attracts H20)
                      inside->(tail), non-polar, hydrophobic (fears H20)
                 5% glycolipid-cell glue (holds together), cell communication
                 20% cholesterol-white substance, cottage cheese consistency
                       LDL-low density lipoprotein-bad 1:3 ration
                       HDL-high density lipoprotien-good 3:1 ratio
                       adds strength, but reduces flexibility of plasma membrane
      50%protein:integral protein(go through plasma membrane)
                       1. produces channels-help substances enter & exit membrane
                       2. transporters-carry things through membrane
                       3. receptor sites-get things to attatch to membrane
                              1.neurotransmiters-causes body to do something
                              2.hormones-regulate body functions
                              3.nutrients
                 peripheral proteins-enymes (mostly all)->majority of protein->catalysts
    Electrochemical Gradient:electrical & chemical diff inside & outside cell
            extracellular fluid--Na+ cation, Cl- anion
            cytosol-K+ cation, (PO4)-3 anion for ATP, Neg Amino acids
            voltage difference inside & outside of cell=more neg outside, pos inside
       permeable-anything can pass through
    semi-permeable-choose what goes in & out (cell)
             passive processes-no outside energy is utilized
             diffusion-higher to lower concentration, stops equilibrium
               osmosis-diffusion of H20 through plasma membrane
             active processes-energy utlized
       regulate movement-size, must be lipid soluble, transporters, channels, charge
       Tonicity: solute-usually solid that dissolves in H2O
             solvent-usually liquid that dissolves solute
            isotonic-concentration H2O & ions equal in & out of cell (no net movement)
            hypotonic-lower solute, more solvent, more moving in (bursts)
               hypertonic-higher solute, lower solvent(H2O), more moving out (shrinks)
    Filtration: ex. Kidney-waste eliminated, useful separated out & recycled
         1.by gravity-heavy parts settle out
         2. by hydrostatic pressure-H2O exerts pressure, push out of blood into kidney
    Facilitated Diffusion: using transporter to carry through plama membrane
         if too big, lipid insoluable, glucose (most important) transported by integral proteins
     Active Process:requires energy(ATP) to get substance through plasma membrane
         primary active process:sodium pump-eliminates sodium, keep potassium in
         secondary active process:1.symport-Na & something else going in same direction (in)
                                    2.antiport-Na in draws Ca out (bad-need calcium)
    ***Clinical Application:digitalis-loxin, heart failure patients, decreases NA gradient,
         keeps in Ca,increases force of heart beat, extracted from Fox-Glove plant (N.Amer)
    Bulk Transport:get large things into cell
     Exocytosis-carrying stuff out->vessicle
    Endocytosis-carrying stuff in: 1.phagocytosis-pseudopods, invagination(infolding)
                                      2.pinocytosis-forms depression, collapses in around it
    ***Clinical Application:liposomes-phospholipid sac containing drugs, releases slowly
         balanced level in blood, evens tocicity, pataches, aerosols, creams
  Cytosol:sol (liqid)->gel (viscous-thicker)
     emulsion-supension of liquid in liquid     colloid-suspension of solid in liquid
     cell=colloidal emulsion-solids & liquids in liquid (H2O)->universal solvent
     75-90%- H2O
     10-25%-lipids, carbohydrates, proteins, inorganics
         some H2O soluable->fundamental-Glucose, Amino Acids
         nonH2O soluable->polysaccrides,complex carbohydrates,protein,lipid,glycogen(liver)
     cellular respiration-"E"-ATP,process of making glucose into ATP
         glycolisis, Kreb's Cycle, H+ transport/cytochrom system(most ATP)=55%efficient
  Organelles:
    prokaryotic-no organized nucleus,organelles
    eukaryotic-have membrane bound organelles, structures doing specific things,efficient
    nucleus-brain of cell, control center,responsible for production of everything, cell
             does not exist otherwise, covered by nuclear envelope (membrane), has nuclear
            pores(permits substances &mRNA to enter/exit), holds nucleolus,chromosomes
    nucleolus-very denst protein, DNA & RNA, producese ribosomes,rRNA
    **tRNAtranslation, mRNA=transcription, rRNA=bind mRNA to ribosome**
    chromosome-thread like hereditory carrying bodies (3 ft DNA), made of chromatin
    chromatin-DNA + protein (histone-causes double helix shape)
     chromatid- 1/2 chromosome
    centromere-holds chromatids together
    ribosome-protein factory, works in groups(polysomes-makes more), produced in nucleolus
         1.free ribosomes-not attatched to ER, intracellular proteins produced
         2.ER ribosomes-produces intercellular proteins, and those used by plasma membrane
    endoplasmic reticulum-"highways sytem," membrane bound channels (cisterns)
         1. rough ER-ribosomes attatched
         2. smooth ER-produces steroids, phospholipids, fatty acids, detoxifies ethanol,
                       pesticides, carcinogens
    Gogi Complex(Body,Apparatus)-in animal cells only, made of cisterns, sorts,packages,and
         delivers proteins & lipids to plasma membrane packaged in vessicles
    Lysosomes-suicide sac, membrane bound, produce enzymes(degrade protein),
                 autophagy-recycling, nutrients reused
    **Clinical Application-Autolysis-programmed destruction of cells**
    peroxisomes-contain enzymes to break down proteins, oxidizer-removes hydogen by
         combining & turning into water which is expelled,breakls down-formic acid(fire ants),
         alcohol, phenol, formaldehyde, blood toxins
    mitochondria-powerhouse of cell,forms energy(ATP),folds-cristae(increase surface area)
     cytoskeleton-made of microfilaments,microtubules,intermediate filaments
       microfilaments-made of actin (thin), myosin (thick)<-protein, psuedopods, contract..
       microtubules-made of tubulin-protein, thin cylinders, form parts of cell
             cillia,spindle fibers
       intermediate fibers-made of protein, helps give cell shape
     centrisome-dense body close to nucleus, contains centrioles(54 filaments)
         centriole-inside centrisome(27 filaments), produces miotic apparatus
  Cell Inclusion:
     1. no membrane
     2. mostly organic
     3. some have definate shape
     ex. melanin-pigment in skin, protects chromosomes from UV light (mutagen)melanocytes
     ex. glycogen-polysacchride, store energy, stored in liver,skeletel muscle, usterus, vagina
     ex. triclycerides-color&consistency of corn syrup, combines with fatty acids
  Gene Action:
     DNA-double helix of nitrogenous bases encoding genetic information
     RNA polymerase-catalyzes transcription (mRNA)
     mRNA-copy made by transcription,carries opp nucleotides, goes to ribosomes
     sense strand-strand serving as mRNA templete
     nonsense strand-not transcribed, complement to sense strand
     intron-part of DNA not coding for protein, located between exons
     exons-regions of DNA coding for protein
     processed mRNA-nRNA which has introns removed & exons rejoined
     transcription- process of genetic info of DNA copied to strand of mRNA
     nuclear pore-hole in nuclear membrane through which mRNA leaves
     ribosome-protein factory of cell w/two subunits
     polysome/polyribsome-line of ribosome funtion together as a unit
     rRNA-sythesized by DNA, makes up ribosome w/ribosomal protein
     complimentary-DNA comp to mRNA comp to tRNA (DNA & mRNA same-uracil)
     codon-3 nucleotides, specifies amino acid
     tRNA-binds to one of 20 amino acids, brings it to ribosomes
     start codon-sequence where translation will begin
     stop codon-sequence where translation will end
     translation-process where nucleotide sequence info froom mRNA specifies amino acids
     peptide bond-bond between two amino acids in protein
     polypeptide chain/protein-chain of amino acid
  Cell Division:
     Interphase-no active cell division occuring
         G1-cell grows to maturity
         S-DNA replication occurs (chromosomes copy)
         G2-organelles increase in number
     Mitosis-ongoing process from birth to death, cell division, binary fission
         prophase-nuclear membrane disappears,nucleolus disappears, cytoplasm goes from sol
                    to gel, mytotic apparatus forms(spindle fibers, aster, traction fibers)
                     centriole splits-halves go to poles, chromosome become short,fat,distinct
         metaphase-chromosomes lined up on equator, centromere (hook) splits
         anaphase-spindle fibers shorten pulling chromosomes to polls
         telophase-division of cytoplasm(cytokinesis), animal cell starts pinching off(clevage
                     furrow), rest is opposite of prophase
     Meiosis (Gametogensis):
         female:oogenesis, formation of ovum(egg)
             1.generalized ovarian cell (2N)-oogonial cell
             2.undergoes replication(4N)-primary oocyte
             3.divides into 2 (nuclear division=,cytoplasm not)-1st polar body,secondary oocyte
             4.secondary oocyte divides into 2 (nuc =,cyt not)-2nd polar body, ootid
             5.ootid matures into ovum (produces coverings around self)
         male:spermatogenesis, formation of sperm
             1.generalized testis cell (2N)-spermatagonial cell
             2.undergoes replication(4N)-primary spermatocyte
             3.divides into 2 (nuclear division=,cytoplasm =)-secondary spermatocytes
             4.secondary spermatocyte divides into 2 (nuc =,cyt =)-spermatid
             5.spermatid matures into sperm
                 acromsome-contains enzymes, penetrates egg covering
                 head-chromosomes
                 neck-contains cytoplasm for energy
                 tail-propel through female reproductive tract
  Abnormal Cell Division:
     malignant tumor-spreads
     beign tumor-stays where it is
     tumor caused by hyperplasia-excessively rapid cell division
     metastasis-little bits of tumor break off and spread
     causes of it: carcinogens-chemical/environmental agents
 

  Chapter 4: Tissues
  Tissue-group of cells with similar function
  Histology-study of tissues
  Biopsy-little tissue removed, sent to pathologist to see what was wrong

  Three Embryionic Layers-ectoderm, mesoderm, endoderm->make all of tissues

  Four Types of Tissues:
  1.) Epithelial Tissue-lines cavities, covers outside & organs, produces glands
  2.) Connective Tissue-connects, binds, covers, protects (ex. tendon, skeleton, fat)
  3.) Muscle Tissue-work,produces force,movement(ex.digestive system,pupil dilate)
                     1.)smooth    2.)skeletal    3.)cardiac
  4.) Nervous Tissue-recieve, interpret, and send impulses
  Extracellular Fluid-any body fluid outside of cell
     1.) interstitial fluid-between Plasma Membranes of cells
     2.) plasma-majority of extracellular fluid, lquid portion of blood
  Cell Junctions: how one cell joins another cell (plasma membranes)
     1.) tight junctions-little or no space betweem plasma membranes, little or no leakage
     2.) anchoring juctions-
             a.) adherens junctions-microfilaments of cytoskeleton-sew cells together
             b.) desmosomes-spot welds-hold cells together at selective spots (2 sides)
             c.) hemidesmosomes-same as desmosome but 1 side of cell
     3.) communicating junctions-almost entirely nervous tissue
             a.) space between nerves--gaps-->gap junctions
             b.) tibes between spaces made of protein
             c.) chemical bridges gap-->broken down stops gap bridge
  Epithelial Tissue: tight junctions, cells tightly packed together, forms sheets, avascular-no
     blood vessels, two sides: apical (to outside), basal (toward connective tissue underneath)
     rich in nerve, originates from all three germ layers, high regeneration rate
    Covering and Lining Epithelium:
         Arrangements:
             1.) simple: once cell thick, not very strong, can't take abuse,
                         function-filtration & absorbtion (ex. kidney & intestine)
             2.) stratified: many cells thick, can take abuse (ex. skin)
             3.) psuedostratified: appears stratified, only one cell thick because some cells
                         haven't migrated to surface giving stratified appearance
         Cell Shapes:
             1.) squamous-flat, scally-like cells
             2.) cuboidal- L=W (ex. liver cells)
             3.) columnar- L>W (ex. stomach lining)
             4.) transitional- changes shape
         Classification of Cell Types:
             1.) simple a.) squamous- ex. inner lining of heart(endocarditis), endothelium-
                     (blood vessel,capillaries,lymphatic vessel),mesothelium,serous membrane
             1.) simple b.) cuboidal-secretive(enzyme,persperation,mucus),absorbtion(ex.intest)
             1.) simple c.) columnar- 1.)nonciliated-no cillia(ex.stomach->anus,gallblader)
                    2.)cilliated-cillia (ex.respritory tract,central canal-spinal,fallopian tubules)
             1.) stratified a.) squamous- rapid regeneration(basal side), cells die & dry out
                     as moving outward->producing keratin(protective,water proof)
                     1.) keratinized-contain more keratin (ex.skin)
                     2.) nonkeratinized-(ex. tongue, epiglottis, mouth, vagina)
             2.) stratified b.) cuboidal-uncommon(ex.male urethra,sweat glands,ducts glands)
             2.) stratified c.) columnar-rare,secretive&protective(ex.male urethra,ducts of
                     glands, lines anal area, conjuctiva-covering of whites of eye)
             2.) stratified d.) transitional- two shapes 1.)cuboidal-relaxed
                     2.)squamous-stretched (ex. urinary bladder)
             3.) pseudostratified-(ex. male urethra,eustachian tube-ear pressure equalizer)
    Glandular Epithelium: one or many cells
         Types:
             1.) exocrine-have ducts(ex.sweat gland,gobblet cell,oil gland,milk gland,
                     digestive enzyme, milk gland, ear wax)
             2.) endocrine-ductless gland(ex.pitutary,thyroid,thymus,pineal,adrenal,pancreas)
         Functional Classification of Exocrine Glands:
             1.) holocrine gland-secretions are released from a cell when the cell dies (ex.oil)
             2.) merocrine gland-secretions released in vesicle w/cell not damaged (ex.salivary)
             3.) apocrine glands-secretions trapped in cell part that pinches off and is
                     released, cell rebuilds itself, not killed (ex.mammary gland)
  Matrix:
     Ground Substances: found between cells of connective tissues, made of protein
                           and polysaccride(chemicals:proteoglycan,glycoamin oglyan)
     Examples:
         1. Hyaluronic Acid-slippery,viscous substance, helps bind cells together, acts as
                 joint lubricant, helps to maintain shaoe of eyeball,help WBC go to infection
         2. Chondroitin Sulfate-found to rebuild cartilage,found in cartilage,bone,skin,BV,
                 jelly-like, not viscous, supportive & causes cells to adhere
         3. Dermatin Sulfate-found in skin,tendons,Blood Vessels, heart valves
         4. Keratin Sulfate-found in bone cartilage, cornea
  Connective Tissue: cells rarely tough, embedded in matrix, rich in nerves&blood cells
                     except cartilage, never on free surfaces->inside or covering something
                     except joint ends, originates from embryonic mesoderm
  ***Suffix-"Blast"-yound cell building cell(making or rebuilding)
             "Cyte"-old cell-maintain tissue (no building going on)
    Connective Tissue Types:
         1. fibroblasts-cells that produce the matrix
         2. macrophages-(histiocytes) are produced from monocytes (type of WBC)
         3. adipocytes-cells that store adipose tissue or fat
         4. plasma cells-small produced from "B" lymphocytes, produce immunity to diseases
             produces antibodies,most found in GI tract & brest milk
         5. leucocytes-WBC->engulf(phagocytosis)
         6. mast cells- found in White Blood Cells, produce histamines(function:vasodilators
             when infection or dilate blood vessels to get more blood to infected area
             produce very poor heparin-anticoagulent asprin
     Embryonic Connective Tissue: arises early in life
         zygote->embryo (0-2mths)->fetus (3mths-birth)
         1. mesenchyme-embryonic connective tissue found only in embryo stage
         2. Wharton's Jelly-star shaped cells,mucus connective tissue-persistant through life
     Mature Connective Tissue:
         1.Loose Connective Tissue:lots of cells, contains fibers forming loose network
             a.)Areolar-most common,contains all cell types(6 types),contains all fiber types
                 (3 kinds), and 4of6 ground substances, viscous CT because of it medicine
                 doesn' get dispersed easily within it or through it
  **hyaluronidase-enzymes makes viscous CT watery to allow substance to pass easily,
         produced by white blood cells, sperm**
  **Marfan's Disease-overproduction of CT, usually tall,overly long arms,fingers,toes, lower
         body out of proportion in length w/torso, weak aorta & heart valves**
             b.) Adipose tissue-stores energy,mechanical protection,insulation,support
                 1.)white-found in adults,1 vacuole in adipocyte(ex.between shoulder blades,
                     mediastinum area,around kidney)
                 2.)brown-infants,lots of small vacuoles, get a lot of energy a lot quicker,
                     lots of blood vessels, lot of mitochondria, chytochrome pigments,
                     thermoregulation (heat regulation)
             c.)reticular CT-connects smooth muscle cells together, forms organ skeleton
         2. Dense Connective Tissue:fewer cells,better defined patterns (better organized)
             a.) regular-lots of parallel fibers, provide great unidirectional strength
                 (ex.tendons,ligaments,aponeurosis,attatches two muscles together)
             b.) irregular-collagen fibers are not as well defined as in regular, fibers are
                 multidirectional (ex. skin, heart valves, peristium, perichondrium)
             c.) elastic-contains lots of elastic fibers, multibranched, expand & contract in
                 multiple directions for long periods of time (ex.repritory syst,circulatory sys)
         3. Cartilage: able to take stress, well defined network of collagen fibers
                         interspersed w/elastic fibers(in Chondroitin Sulfate), very little made
                         after reaching childhood, chrondroblasts-produce matrix(trapped in
                         lacuna-spaces in matrix) become chondrocytes(mature-maintance),
                         no nerves or blood vessels except in perichondrium(outer cover)
      types: a.)hyaline-most common,blueish-white,gives some support, main function-flexible
                         (ex.bone ends,connects ribs to sternum,nose,trachii,bronhii,embr.skel)
             b.)fibrocartilage-toughest,support,fuses things together (ex.intervertebral disks,
                         pubis symphysis, medial & lateral menisci)
             c.)elastic-contains elastic fibers(ex.ustachian tube,epiglotis,pinna of ear)
     growth:a.)interstitial-occurs in children&adolescents,begins at inside,works outward
             b.)appositional-occurs under perichrondrium(on outside), occurs in adults
         4. Bone Tissue: rigid,made of 2  mineral salts CaCO3 & Ca3(PO4)2
      types:a.)dense/compact bone-made of units(haversian/osteion), made of lamella
                         (concentric circles of osteon-rings of mature bone), little spaces
                         where cells are-lucunae,canaliculi-lateral channels,(ex. long bones)
             b.)spongy/cancellous-doesn't have osteons,looks like swiss cheese(lots of holes),
                         most blood cells formed, no bone chamber w/marrow, trabeculae-
                         lace work(small spaces-red marrow)(ex.ends of long bone,flatbones)
         5. Blood(Vascular Tissue)
             a.) plasma-liquid part of blood
             b.) erythrocytes-RBC,manufactured in bone marrow(have nucleus),exit(no nucleus)
                         does not stain, looks like doughnut from top,barbell from side
             c.) leucocytes-WBC, 5 types(different by shape of nucleus&cell contents)
                         lot less than red
             d.) thrombocytes-platelets, smallest of all blood cells, function-to clot blood
  Membranes:
     Epithelial Membranes:made of epithelial tissue & underlying connective tissue
         1. mucus membrane-line parts of body that open to outside world, function-protect
                     from pathogens, tight junctions, (ex.respri,digest,reproduc,urinary syst)
         2. serous membrane-lines cavities not opening to outside world,covers organs,
                     produces serous fluid(lubricate-reduce friction of moving things)
             a.) parietal-lines inner cavities
             b.) visceral-covers organs
         3. synovial membrane-lines high stress joints, produces synovial fluid-reduces friction
                     produced in Bursae sacs,(ex.fingers,toes,shoulder)
  Muscle Tissue:
         1. skeletal(striated,voluntary)-large multinucleated cells, controled, parallel fibers
         2. smooth(involuntary)-no concious control,cells spindle shaped,1 nucleus,parallel fib
         3. cardiac(striated involuntary)-netwok of fibers, sideways attatchment of cells by
                    intercalcated disks,autorhythmic-out of concious control, expand all direc
  Nervous Tissue:
         1. nerve cells->neurons, cell body-contains nucleus,dendrites-branched,axon-no bran
         2. function-receive, send, process stimulus
        3. other nerve cell-> neuroglia (produce chemicals-neurotransmiters)
  Tissue Repair:
         1. stem cells-undifferentiated cells that can become anything in anybody
         2. scab-dead cells, fibrinogen
         3. scar tissue-not same as tissue it replaced, produced by fibrosis,
                     adhesions-build up of abnormal scar tissue
  Vitamins: watersoluble (Vitamin C), oil soluable (Vitamin E)
 

  Chapter 5: Integumentary System (ex. skin,nails,hair,senasation,sweat glands)
  A. Skin Colors tell things about Health
     1. red-excessive heat,alcohol,emotions,allergies,carbon monoxide
     2. ashen(pale)-shock,frostbite,anemia
     3. yellow-jaundice
  B. Functions of Skin
     1. thermal regulation (hot-perspire)
     2. excretion (eliminate excess)
     3. protection from UV rays, mechanical protection
     4. sensation
     5. works as part of immune system
     6. 8-10% of blood stored
     7. production of vitamin D (1 hr sunlight per week)
  C. Amount of Skin
     1. 4.5-5 kilos of skin(11lbs)
     2. 2 sq meters of skin
     3. .5-4mm thick
  D. 3 parts of skin
     1. epidermis
     2. dermis
     3. subcutaneus layer(superficial fascia,hypodermis)-made of areolar CT, fat
  E. Epidermis
     1. stratified squamous epithlium
     2. four types of cells
         a. keratinized-90%, produce keratin(waterproof,protective substance), have a lot of
                         desmosomes(tightly attatch cells to each other)
         b. melanocytes-8%, produce melanin (transfered to keratinocytes for storage and
                         use-protect DNA from UV rays)
         c. Langerhans cell-produced in bone marrow,migrate to skin,help Tcells w/immunity
         d. Merkelcell-contain merkel disks, responsible for sensation
     3. callus-thickening of dead epidermis, originate from areas of stress & friction
     4. 5 layers of epidermis
         a. stratum basale-base layer,inner most,produces all new growth,one cell thick,
                             priduces some inward growth(ex.sweat gland,oil gland,hair)
                             looks cuboidal or columnar
         b. stratum spinosum-multisided appearance, 8-10 layers, spiny, very tightly packed
                             starting to collect melanin
         c. stratum granulosum- 3-5 layers thick, cell starting to die(structures breakdown)
                             keratohyalan produced(prescursor to keratin)
         d. stratum lucidum- 3-5 cell layers thick, cells are clear,flat,dead,only in areas
                             w/padding (ex. palms & soles)
         e. stratum corneum-25-30 cells thick, cells completely dead, shed continually,
                             replaced by cells underneath, contain lots of keratin,melanin
     5. keratinization-production of keratin increases as cells move outward
     6. Epidermal Growth Factor(EGF)-skin growth hormone
  F. Dermis-2nd(middle)layer, lot of collagen&elastic fibers, 3 types of cells(fibroblasts,
             macrophages, adipocytes), thicker on soles&palms, thinnest on eyelids,penis
             scrotum, rest uniform&equal, rich in blood vessels,nerves,glands,hair follicles,
             thicker on dorsal than ventral, two regions
     1.papilary region-outermost region,areolar CT,dermail papillae(ridges on surface), free
             nerve endings,corpuscles of touch-sensative to touch
     2.reticular region-inner region,much thicker,dense irregular CT,collagen&elastic fibers,
             adapost tissure,sweat glands ducts,oil glands,hair follicles,nerves,temp sensation
     3.striae-stretch marks,extend to far...tear in dermis
  **extensability-ability to stretch
  **elasticity-ability to stretch & return
  G. Hypodermis(Superficial fascia,subcutaneous layer)-attatch dermis to muscle/bone,
             Pacinian corpuscles-touch receptors
  H. Skin Color-
     1. melanin-produced by melanocyte,concentrated in melanosome,found in mucus linings,
             areola,penis,face,extremities, amino acid--tyrosine+enzyme--tyrosinase(amt
             determines color),albino-no tyrosinase produced by body,freckles-clusters of
             melanin filled cells,liver spots-freckles on hands(age), vitiligo-no pigment on part
             of body, cells in that area damaged easily by UV rays
     2. carotene-yellow,orange pigment,precursor to vitamin A(vision),asians-lot in strat corne
     3. hemoglobin-red pigment,brought to surface during blush,1 atom or iron-causes color,
  I. Epidermal Ridges-fingers,palms,toes,soles,ridges have holes for sweat glands,finger prints
  J. Hair-pilli,helps hermoregulation,protects from UV rays, sensative, lose 70-100 a day,
             replaced-slowed by age,chemotherapy treatments,diet deficiancies,blood loss,
             surgery,stress, made of keratinized cells,dead,distinctive,has DNA
     1. anatomy of hair--
         a. shaft-above skin        root-below skin
         b. layers-medulla-inner layer, 2-3 rows polyhedral cells,airspaces contain pigments
                    cortex-middle layer,made of elongated cells,contains pigments
                    cuticle-ouside, 1 cell thick, lots of keratin, cells overlap going upward
         c. follicle-contains two layers--external root sheat(epidermal-strat basale), internal
             root sheat(cellular, between external root sheat and hair)
         d. bulb-two parts--papillae of hair(blood vessels,melanocytes,areolarCT), matrix-
            (right super fiscial, germinal tissue-new growth)
         e. hair root plexus-nerve network
         f. arrector pilli muscle-smooth,involuntary muscles,help hair stand erect
     2. Color of Hair
         a. melanin-found in medula & cortex (amt determines color)
         b. gray-less melanin (tyrosinase-age lowers production)
         c. white-no pigment(only air in spaces)
         d. red/blond-modified melanin w/more iron & sulfur
  K. Glands-3 types
     1. subaceous(oil)gland-connect to hair follicles,some release to skin,lips,eyelids,glans
             penis,labia menora, none on palms,soles, size varies-small(extremities,trunk)
             large(face,neck,brests,upper chest),sebum-oil secretion produced(contains fat,
             cholestorol,protein,inorganic salts),pimples/boils/blackheads-blocked glands
     2.suderiferous(sweat)gland-empty on skin surface,two kinds--eccrine(most common,
             found everywhere except eardrum,glans penis,glans scultorus,labia menora, most
             on soles&palms), apocrine(found in pubic region,under armpit,areola surrounding
             nipple, more viscous sweat produced in times of stress/sexual excitement)
             sweat-water,urea,uric acid,lactic acid,NaCl,salts,amino acids,ammonia,sugar
     3. Ceruminous gland-waxy secretion cerumin(oils&waxes),to protect from pathogens,
             found on entire surface of external auditory meatus(bony channel)
  L. Nails-made out of highly keratinized cells,tightly packed,color-tells health, 1mm per wk.
     1. nail body-broad expanded part of nail-majority
     2. free edge-beyond fingers,toes
     3. nail root-under skin, produces new growth
     4. lunula-half moon(white)-no vascularization there, thick stratum basale
     5. epinychium-cuticle,made of stratum corneum,protects newly formed nail
     6. matrix-germinal tissue, produces new growth (fingers > toes, long fing > short fing)
  M. Wound Healing & Homestasis
     --abrasion-1st or 2nd degree burn
         -cells push upward to relpace lost cells
     --deep wound-through dermis
         -cells of strat.basale break free of basement membrane, move to wound&grow inward
           to touch(contact inhibition stops), push upward to replace lost cells, 4 steps
          1. inflammatory phase-bleed(good-platlets clot, bad-pathogens)
           2. migratory phase-clot turns to scab,lateral migration, collage produced by
             unorganized fibroblasts, blood vessel repair
           3. proliferative phase-repid epidermal cell division under scab
           4. maturation phase-collagen organizes, tissues specialize, scab falls off
     --scar tissue formation-Fibrosis-replacing regular tissue w/scar tissue
         -not functioning tissue,dependent on what kind of tissue produces repair,
             hypertrophic scar-remains within wound area, keloid scar-grows outside wound
             area, adhesions-tearing of scar tissue
  N. Thermoregulation
     --37.75 C-ideal world normal body temp
     --negative feedback mechanism returns deviation to norm
  O. Aging
     1.) eye-lense shape    2.)skin-fibroblasts decrease(collagen&elastic fibers break down)
     3.) melanocytes decrease-gray hair    4.)immunity drops w/age
     5.) hair/nail growth rate slows         6.)less subcutaneous fat-cold easier
 

  Chapter 6: Bone Tissue
  A. Physiology of Bone-support,mineral homeostasis,protection,movement,RBC produce,Energy
  B. Anatomy of Long Bone(6)-
     1. diaphysis-shaft, yellow marrow stored
     2. epiphses-ends, red marrow found
     3. medullary canal-hollow in center, where marrow is found in diaphsis
     4. articular cartilage-hyaline,blueish white,reduce friction between socket & joint
     5. metaphysis- between 1 & 2, osgood slaters disese, growth plates
     6. endosteum- inner lining of #5, contains osteoproginator cells
     7. perisoteum-outercovering of bone, 2 layers--fibrous(contain blood vessels,lymphatic
             vessels,nerves,dense irregularCT), osteogenic-contains blood vessels, elastic
             fibers, bone cells), new bone tissue produced
  C. Histology-
     1. ostenoprogenator cells-originate from mesenchyme(produces all CT), unspecialized,
             become osteoblasts, found in endosteum,inner perisoteum,blood vessels channels
     2. osteoblasts-form bone cells,produce collagen&bone components,become osteocyte
     3. osteocyte-mature bone, no matrix, cell division
     4. osteoclasts-produced from monocytes(WBC), bone remodeling, reabsorb, break down
  D. Matrix of Bone-made mostly of collagen and mineral salts
     1.tricalcium phosphate [Ca3(PO4)2).(OH)2] hydoxyapatite-most common
     2.calcium carbonate CaCO3 -primary salt in clam shell
     3.magnesium hydroxide Mg(OH)2
     4.sulfates and fluorides
  E. Compact(Dense) Bone-strong and supportive,hard,made of units(osteons-run length of
             bone,concentric circles of lamella), spaces between osteons(lacunae-contain
             osteocytes),channels radiate from lacunae laterally in all directions(cancaliculi),
             center of osteon(Haversion Canal-contain BV),BV run laterally between osteons
             (Volkman's canal), compact bone regions between osteons(interstitial lamella),
            only found in diaphysis(long bones-humerous,radius,fibula,tibia,femor,ulna)
  F. Spony(Cancellous Bone)-contains no osteons,very porous,trabeculae-sponge,lacy looking,
             contains reb bone marrow, direct exchange of nutrient and wastes(contact
             w/circulatory system,found in short bones,irregular bones,flat bones,ends of long
  G. Hemopoiesis-process of blood cell formation
  H. Process of Bone Formation-(ossification, mineralization, calcification)
                    mesehchyme->CT->catilage->bone
     1.Intramembranous-bone will form in or on CT membrane
         ex. fontanel(soft spot on skull),mandible,clavicle,flat bones--spongy bone
         a.mesenchyme cells become vascular->osteoproginator cells
         b.osteoproginator cells become osteoblasts(secrete/form matrix(trabeculae)
         c.periosteum formed from vascularized mesenchyme
         d.mineralization(minerals laid down making bone hard)
         e.remodeling themselves
     2.Endochondral-replace cartilage w/bone
         a. no skeleton
         b. migration of mesenchyme cells->form mesenchyme model of bone
         c. hyaline cartilage model
             mesenchyme cells vascularized->chondroblasts->catilage matrix
             chondroblasts store glycogen->enzymes metabolize
             hypertrophy(increase size)->burst->change pH->cause ossifiation process
             interstitial growth-length(inside)    appositional growth-width(outside)
         primary ossicfication center-all primary bone cell types and BV
         diaphysis/epiphysis/epiphyseal plate(growth plate-length)
         articular catilage
  I. Physiology of Bone Growth
     1.Zone of Resting Cartilage-not dividing,closest to epiphysis,scattered
     2.Zone of Proliferating Cartilage-stacks,tightly packed,rapidly dividing on diaphysis side
     3.Zone of Hypertrophic Cartilage-increase in size, mature
     4.Zone of Calcified Cartilage-gets hard
     epiphysial line-all that is left after growth in length stops
  J. Bone Remodeling
     1. every nine mths = new skelton
     2. occurs as normal process at all times-repair of broken bones,repair of damaged bones
     3. osteoporosis-bones become brittle and thin
     4. osteomalcia-bone matrix/remodeling to rapidly w/o mineral salts, bones soft, rubbery,
                     Paget's Disease
     5. need calcium & phosphous, vitamin D (calcitriol-active), C, A, B12
     6. anabolic steroids cause shoe stature and various problems
  K. Fracture & Repair of Bone
     1. closed fracture-doesn't penetrate skin
     2. open fracture-bone breaks through skin,more serious- dangers-infection,damage other
                         muscles,tendons,nerves
     3. open reduction-doesn't require surgery opening to fix bones,clean fracture,ends cracked
     4. closed reduction-requires surgical opening to repair bone ends, smashed bone w/pieces
     5. symptoms of bone break-discoloration,edema(swelling),pain, deformity
     6. damage has occured to BV,nerves,bone cells,perosteium
     7. 4 steps to repair fracture
         a. Fractured Hematoma Stage (6-8hrs)-clot forms
         b. Procallus-Cartilage Model (3-4 wks)-massive infusion of capillaries, osteoproginator
                 cell produces chondroblasts, fibroblast produce collagen (weld bone ends together),
                 form lump around wound
         c. Bony Callus (3-4 mths)-osteoblasts produced, spongy boen produced to replace cartilage
         d. Remodeling (9 mths)
  L. Bone's Role in Calcium Homeostasis
     1. bones have 500-1000 times more concentration of calcium than body
     2. body is reservior for calcium in skeleton--take when needed
     3. low calium->respritory arrest    high calcium->cardiac arrest
     4. PTH-parathyroid hormone-necessary for maintaince of calcium homeostasis, recovers&
             recycles calcium from urine, eliminates phosporus with urine, helps in production of
             calcitriol (active vitamin D)
     5. Thyroid Gland-produces calcitonin hormone->inhibits osteoclast production,encourage deposit
             Calcium in bone
  ***Clinical Application:pulsating electromagnetic fields(PEMFs)-send electric current->osteoblast grows,
                         divide mending of bone if doesnt normally heal ***
  M. Exercise & Bone
     1. puts stress on skeleton, caise skeleton to strengthen(builds bone)
     2. encourages calcitonin production
  N. Aging:
     1. men start to lose bone mass around age 60
     2. women start around age 30, increase 40-45, 1/3 gone by age 70
 

  Chapter 7: The Skeletal System:The Axial Skeleton
  1.) consists of cranium, face, and vertebral column
  2.) bone shapes & origins
     1.)long= lenth > width    2.)short= length = width    3.)irregular=dont fit elsewhere
     4.)flat= 2 thin layers of dense bone w/spongy bone between
     5.)sesmoid-unique,forms completely within a tendon(ex.patella)
     6.)suteral(Wormian)-unique,grow between sutures, (ex fontanel)
  3.) surface features of bone (pg. 167)
     1.)condyles-large, round, articular surface (found in joints)
     2.)depressions-recesses in bone where other bone may slide into
     3.)groove-area where BV or nerve will lie
     4.)openings
  4.) 206 bones in adult skeleton
     1.) axial-80 bones
     2.) appendicular-126 bones
  5.) suture- binds things together, pattern distinct in each person, 4 main in skull
     1.) coronal=F-2P    2.) sagittal=P-P    3.) lamboid=2P-O    4.) squamosal=P-T
  6.) Bones of Cranium
     1.) frontal (1)-forms anterior part of cranium (frontal squama-forehead), anterior
                      part of floor of cranium,superior part of eye orbit, metopic
                      stuture-where 2 frontal bones dont completely bond, supraorbital
                      margin-sunshade, mechanical protection, supraorbital notch(foramen)
                      -opening for BV, nerves to exit face, ffrontal sinus-canvity in bone to
                      lighten-aid in sound___, thick bone,
     2.) parietal (2)-superior part of cranium, all main sutures attatch to parietal, bumpy
     3.) temporal (2)-inferior sides of cranium, part of floor of cranium, lenoid fossa-
                      depression on ventral side of bone, mandible articulates, zygomatic
                      arch-attatchment of muscles(zygomatic process of temporal bone
                      temporal process of zygomatic bone), carotid/jugular foramen-
                      openings for carotid artery/jugular vein to enter/leave, TMJ-
                      temporal mandibular joint-mandible doesnt ride right-headache,
                      mastoid process-neck muscles attatch, mastoiditis-inflamation on
                      bone, styloid process-tongue&neck muscles attatch, not dense,
                      thinnest, air fills cells
     4.) occipital (1)-posterior part of cranium,base of cranium,foramen magnum-hole
                       through ventral side of bone-exit of medulla, occipital condyle-
                       large rounded articular surface where craium meets C1, external
                       occipital protuberence-connects ligamentum nuche from C7
     5.) sphenoid (1)-center(inferior medial) of skull, batwing bone, all bones of cranium
                       fuse to this, very thin, sphenoid sinus-bellow eye level, sterogoid
                       process-jaw muscles attatch,optic foramen-optic nerve brain to eye
     6.) ethmoid (1)-smallest bone, forms middle of the floor of cranium mostly on
                       anterior end, between orbits, forms part of medial wall of orbit,
                       superior part of nasal septum(divides nasal cavity), part of roof of
                       nasal passage, ethmoid sinus-lots of cells giving porosity, superior
                       & middle nasal concha(waves in nasal septum)-trap pathogens/disease
  7.) Sinuses
     1.)Frontal    2.) Ethmoid    3.) Sphenoid    4.) Maxillary
  8.) Facial Bones (14)
     1.) nasal (2)-produce superior & middle part of face
     2.) maxilla (2)-upper jaw bones, form anterior 3/4 of hard palate, articulates w/all
                      facial bones except mandible, produces part of floor of orbit,
                      maxillary sinus, part of lateral wall of nasal cavity
     3.) zygomatic (2)-cheek bones, part of lateral wall & floor of orbit, zygomatic arch
     4.) mandible (1)-lower jaw, 3 parts..1.)body-U,horizontal structure, alveolar process
                        -where teeth sockets are, mental forameen-opening through which
                        mental nerve exits(controls face&lip sensation), 2.) Ramus-vertical
                        sides, condylar process-articulates w/glenoid fossa(open/close mouth)
                        coronoid process-site of muscle attatchment, 3.) angle-body meets
                        ramus, mandibular foramen-trigeminal nerve(controls sensation/speech)
     5.) lacrimal (2)-form part of medial wall/posterior wall of orbit, lateral wall of nasal
                       cavity, small, lacrimal foramen-opening through which lacrimal duct
                       passes--tear duct
     6.) palatine (2)-posterior 1/4 of hard palate, part of floor of orbit, part of floor &
                       lateral wall of nasal cavity
     7.) inferior nasal concha (2)-part of lateral wall of nasal cavity, very thin
     8.) Vomer (1)- long thin triangle, forms posterior & inferior septum
  9.) Hyoid Bone- does not articulate w/any other bone in body, site of neck muscle
                   attatchment, primary support for tongue, strangulation fracture
  10.) Orbit (7)-C:frontal,sphenoid,ethmoid, F:lacrimal,palatine,zygomatic,maxillary
  11.) Vertebral Column-protects spinal cord, support, site for rib attatchments,
                          intervertebral foramina(at least 1 pair)-openings between vertebra
                          where nerves exit, vertebral foramen-spinal cord through center
             Infant: 7 cervical    12 thoracic    5 lumbar    5 sacral    4 coccyx
             Adult:  7 cervical    12 thoracic    5 lumbar    1 sacral    1 coccyx
         1.) diameter of vertebral foramen decreases from head to foot
         2.) thickness of vertebrae increases from head to foot (weight barring)
         3.) vertebral column- 2/5 height female=61 cm    male =71 cm
         4.) intervertebral disks-shock absorber/cushioning
         5.) 2 Parts: centrum(body)-anterior side, size increase more inferior (weight)
                       verterbral(neural)arch-openinf for spinal cord(vertebral foramen)
         6.) curves- 3 mths-cervical, 6mths-lumbar.....shock absorber
         7.) 4 bones:2 lamina(posterior), 2 pedicles (anterior)...make neural arch
         8.) 7 processes on vertebrae (except C1)
             1.) 2 superior articular processes-articulates w/vertebra above it
             2.) 2 inferior articular processes-articulates w/vertebra below it
             3.) 2 transverse processes-point laterally,muscle attatchment-stomach/pelvis
             4.) spinus process-point posteriorly, muscle attatchment
  12.) Cervical Vertebrae-vertebrae on most superior part, smallest body, >neural arch
         C1-atlas,no body, largest lateral processes, occipital condyle-holds up head
         C2-axis,slightly larger, has spinus process, bifid(Y shape)-muscle attatchment
             on both sides of neck, body(dens)-limits range of motion
         C3-C6-body gets bigger,arches smaller,processes get bigger
         C7-spinous process(cervical prominence),ligmentum nuche attatches
  13.) Thoracic Verterbrae (T1-T12)
         larger bodies, smaller foramina, transverse processes more substantial, spinous
         processes longer/flatter/points inferiorly(restricts movement),demifacets-ribs art.
  14.) Lumbar Vertebrae (L1-L5)
         largest body, smaller foramina, wider/larger transverse processes, wider/broader/
         larger spinous processes, spinal tap-removes cerebral fluid(between L3-L4,L4-L5)
         find pathogens/antigens from pathogenic disease
  15.) Sacral Vertebrae (S1-S5)
         sacrum, triangular shaped bone, anterior side->sacral ridges->show where vertebra
         fused, sacral formina-where transverse processes fuse together, sacral canal-
         continous w/spinal cord, sacral hiatus-inferior side, epidural(anesthetic)
  16.) Coccyx (Co1-Co5)
         triangular shaped, age 20-30 fuse, protect rectum & urogenital organs
  17.) Sternum-(thorax)--3 pieces
         1.) manubrium-superior part, sternal angle-divides manubrium & body, sternal notch-
                 (jugular notch)-superior side of manubrium, clavicular notch-clavival artic.
                 w/sternum, ribs attatch
         2.) body-ribs attatch
         3.) xiphoid process-end of sternum
  18.) Ribs
         12 pairs, 1-7 increase in length, 8-12  decrease in length, intercostal cartilage
         connects sternum to ribs, 1-7 reibs connect to sternum by intercostal cartilage,
         8-10 ribs connect to cartillage which is attatched to intercostal cartilage to
         sternum, 11-12 not connected to sternum(free=floating ribs), 2 thin layers of
         compact bone w/spongy bone in the middle,sternal puncture-take marrow, analyze
         body-various sizes, costal groove-BV&nerves run down length of body, tubercle-
         body meets neck, articular surface-meets demifacet of vertebra, superior &
         inferior articular facets- V-shaped, end of neck
  19.) Intercostal Spaces-covered by external & internal intercostals, lots of nerves&BV
 

  Chapter 8: The Appendicular Skeleton
  I. 4 Parts
     A. Pectoral Girdle (Shoulder Girdle)
         1. main function-attatchment of arm to body
         2. clavicle-collar bone, s-shaped bone, most likely to break bone in center, most
                     commonly broken bone in body, proximal end(sternal end)=sternal
                     extremity-rounded, articulates w/sternum, meets sternum at
                     sternoclavicular joint, costal tuberosity-ligament attatchment point,distal
                     end-flat articular surface=acromial extremeity, atriculates w/acromium
                     process of scapula, joint between acromium process & scapula-
                     acromioclavicular joint
         3. scapula-wing bone,shoulder blade,between rips 2 & 7,triangular shaped bone,flat
                     broad, body-borad expansive part, spine-superior, runs medial to lateral,
                    muscle attatchment, acromium process-lateral end of spine, glenoid cavity-
                     lateral side of scapula, atricualtes w/humerous, coracoid process-hook
                     shaped, muscle attatchment, supra & infra spinous fossa for supra & infra
                     spinatus muscles-flattened areas to which muscles attatch on dorsal side,
                     subscapular fossa-for subscapularis-anterior side, scapular notch-suprascap
                     nerves run thru
     B. Arm (Upper Extremity)
         1. 60 bones, 2 humerous, 2 radius, 2 ulna, 16 carpal, 10 metacarpal, 28 phlanges
         2. humerous-longest bone in arm, proximally articulates w/scapula, distally articualtes
                       w/radius & ulna, head-large rounded articular surface, anatomical neck-
                       directly distal to head, epiphyseal growth plate, greater & lesser tubercle-
                       muscles override, ligaments attatch, intertubecular sulcus-bicep tendon runs
                       thru, surgical neck-most likely to break, body(shaft)-long portion, deltoid
                       tuberosity-deltoid bone attatches, distal end=epicondyles(muscle attatch),
                       posterior-olccranon fossa-ulna meets humerous(limits motion), anterior-
                       radial fossa-radius meets hum(bent),coranoid fossa-ulna meets hum(bent)
                       between medial epicondyle & trochlea--ulnar nerve rides
         3. ulna-proximal end= posterior-olecronon process fits into olecronon fossa(limit),
                     articular surface-trochlea of humerous, anerior-articulation w/radius
                     distal end=sytloid process(muscle), wrist/carpal articulate w/ulna fibrocart
         4. radius-head=antriculates w/capitulum, ulnar notch, anterior-radial tuberosity(bicep)
                     distal=articulates w/ carpals (fibrocartilage)
         5. carpals-proximal row:scaphoid, lunate, triquetrum,pisiform
                     distal:trapezium, trapezoid, capitate, hamate
         6. metacarpals-1,2,3,4,5
         7. phalages-phalanx, 14 perhand
     C. Pelvis (2 hip bones)-
         1. each has three parts--meet at socket (acetabulum)
         2. ilium-superior, largest, iliac crest-superior side, anterior/superior/inferior/posterior
                     iliac spine(muscle), greater sciatic notch-sciatic nerve off vertebrae to leg
                     iliac fossa-anterior side (muscle), articular surface(sacrum-ilium)
         2. ishium-inferior posterior, 3 parts-superior ramus,inerfior ramus,ishial tuberosity
                     (betweem rami), ishial spine-points posterior, muscle attatch, lesser sciatic
                     notch-inferior to ishial spine, form part bony circle w/obturator foramen mid
         3. pubis-inferior anterior, superior&inferior ramus meet at pubic crest, forms obturator
                     foramen, pubic symphysis-touch fibrocartilage, ine from superior pubic crest
                     to S1-above line=greater false pelveis, below=lesser true pelvis, above=part of
                     abdomen, uterus during preg, pelvic brim-circumfrence of line=pelvic inlet,
                     pelvic outlet-bottom of pubic symphysis to Co4,
         4. female--greater pubic arch
     D. Lower Extremity (leg)
         1. 60 bones-2 femurs 2 patellas 2 tibia 2 fibula 14 tarsal 10 metatarsal 28 phalange
        2. femur-proximal-head articulates w/acetabulum of hipbone, hole in head for nerve,
                     neck-most likelt to break, greater trochanter-sup/lat, lesser-post/inferior
                     (muscle), shaft-curved, linea aspera-ridge,post muscle attatch, distal=
                     medial/lateral epicondyle-muscle attatchment, medial/lateral condyle-artic
                     w/tibia, intercondylar fossa-patella side up/down, ACL/PCL cruciate ligaments
         3. Patella-sesmoid bone, completely enclosed in tendons, triangular shape-base/apex/2
                     articular surfaces ride between condyles help leverage quadracep muscle
         4. Tibia-largest bone in lower leg, weight baring bone in lower leg, medial/lateral
                     condyles on proximal end, articulate w/ femue, tibial tuberosity-patellar
                     ligament attatch, distal:medial malleolus-inside shin bone, ligament attatch,
                     tibia articulates w/talus, fibular notch-lateral side, fibula articulare w/tibia
         5. Fibula-non-weight baring bone in lower leg, proximal end artic w/tibia, inferior to
                     lateral condyle, distal end:articulates w/ tibia and talus
         6. Tarsus-ankle-calcaneous, talus, cuboid, navicular, cuniforms(lateral,intermediate,medial)
                     achilles tendon attatches to calcaneous
         7. Metatarsals- 1,2,3,4,5
         8. Phalanges-14 per foot hallux(big toe)
         9. Arches-longitudinal(medial,lateral), transverse
 

  Chapter 10: Muscle Tissue
  -40% -50% by weight = muscle
  -three kinds-skeletal(voluntary,striated), smooth(involuntary), cardiac(straited involuntary)
     skeletal-cylindrical, multinucleated cells, striped
     smooth-long thin at each end, single nucleus
     cardiac-fibers form network, single nucleus, cross connected cells (autorythmic)
  -functions-motion, thermoregulation (85% body heat generated by muscle), help regulate
     volume of organ, stabalization of position
  -traits-excitability(producing electrical impulses-action potentials--neurotransmitter hormones)
        -contractibility-tightening (shorter and thicker)
        -extensibility-stretching (150% of normal before destroyed)
        -elasticity-returning to pre-contraction length/shape
  -BV & Nerves-bring oxygen and ATP, myoglobin-stores oxygen (more=darker)
  -coverings-superficial fascia/subcutaneous layer/hypodermis-directly under epidermis&dermis,
                 made of areolar CT and fat
            -deep fascia-under superfiscial, made oof dense irreg CT, packaging--holds muscles
                 together, seperates muscles, BV & nerves & lymphocytes
                 1.)epimysium-outermost, covers entire muscle
                 2.)perimysium-covers muscle bundle
                 3.)endomysium-covers muscle fiber(cell)
  -Tendon(enxtensions of coverings that contain collagen)-Aponeurosis-broad, flat,skin-bone-mus
         -Galia aponeurotica-frontalis to occipitalis muscles
         -synovial tendons(tendon sheats)-fluid similar to that produced by bursae
  -Motor Unit-control of muscles, consists of nore neuron and the fibers it controls (~150)
  -Neuromuscular Junction-neuron-nerve cell,dentrite,body&axon,impulses pass only one way,
     sensory-go to brain, motor-from brain, motor end plate-indentation in fiber membra, axon
     comes but doesnt touch fiber, impulse foes to axon terminal(bulb at end of axon), sapce
     called synaptic cleft, synaptic vessicles in axon terminals produce substance to bridge gap to
     pass impulse to muscle fibers--neurotransmitter called acetylcholine[ACh], acetylcholinesterase
     breaks synaptic bridge
  -Microscopic Anatomy
     -muscle fiber--cell    -muscle fibril-parts(units) of fiber    -myofilaments-parts of fibrils
     -sarcolemma-outer living covering of muscle fibers    -sarcolplasm-cytoplams of muscle cell
     -sarcoplasmic reticulum-ER of muscle cell
  -Types of Myofilaments
     -thick-myosin    -thin-actin    -elastic-titin,attatch thick myofilamennts to m line
  -Sarcomere-functional unit of contraction in muscle
     -z disk-boundries between sarcomere    -I band-only thin myofilamnets
     -H zone-only thick myofilaments         -A band-both thick and thin filaments
  -Sliding Filament Mechanism
  -Sarcoplasmic Reticulum-series of parallel to transport, most important--transports calcium
     (increase=contraction, decrease=extension), calcium from skeleton->blood->SR(active process)
  -ATP to ADP liberated energy--process of hydrolysis
  -Relaxation-ACh broken down by acetylcholinesterase
  -Rigor Mortis
  -Muscle Tone-continual small contractions
     1.) body rounded w/good muscle tone
     2.) hypertonia-having good tone (rigid-normal reflex, spastic-exaggerated reflex)
     3.) hypotonia-muscles are flasccid (flabby) - flat body muscles
  -Muscle Metabolism
     1.) ATP source of energy from muscle fiber (2-3 sec)
     2.) creatine phosphate-liberate-goes to ADP to make more ATP (15 sec)
     3.) glycogen -lactic acid process-starts w/glycogen->glucose->10 steps of glycolsis->
         2ATP, 2 Pyruvic acid--anerobic (not efficient)
     4.) pyruvic acid->mitochondria w/oxygen->ATP +lactic acid(most)
         80% lactic acid produced sent to heart,kidney,liver to get ATP (30-40sec)
     5.) Aerobic system-Calvin cycle/Hydrogen transport cycle/electron transport-ATP produced
         and lost of oxygen(from blood/myoglobin)-prolonged activity(>10min, 90%aerobic)
  -Maximum oxygen uptake--amt oxygen used peak excer, condition of body,enviro,age,hered,sex
     1.) oxygen debt    2.) recovery oxygen consumption
  -Muscle Fatigue causes
     1.) low ATP    2.) strength of contraction decreases    3.) rate of contraction decreases
  -Homeostasis of Body Temp
     1.) smooth muscle of BV dilate, more blood to surface, heat lost by radiation/evaporation
     2.) cool down, BV constrict, less blood at surface, heat conserved in core
  -Adjusting Muscle tension
     1.) twitch contraction-mygram records muscle contraction--4 parts
         a. latent phase-no contraction occurs(Calcium leaks from SR to myofil) 2 millisec
         b. contraction phase-fibers contract 10-100 millisec
         c. Recovery/Relaxation phase- 10-100 millisec, calcium goes into SR
         d. refractory phase-time between relaxation and latent phase, under normal conditions, no
             contraction can occur (superthreshold stimulus)
  -Rebuild Muscle
     1.) Rebuild ATP    2.)lactic acid converted back to pyruvic acid    3.) produce glycogen
     4.) produce myoglobin    5.) produce creatine phosphate
  -Tetanus-dependant on calcium
     1.) incomplete-20-30 stimulations per sec-> some relaxation of fiber
     2.) complete- 80-100 stimulation per sec-> no relaxation of fiber
  -staircase effect (treppe)
     1.) similar stimuli-each stimuli adds calcium to cel (warm up-increase efficiency of muscle)
  -length of muscle fiber
     1.) best when fully contracted
     2.) stretch more than 175% of optimum lendth--will never contract (no over lap)
  -Active Tension/Passive Tension
     1.) active-muscle fibers    2.) passive-stretching of tendon
     3.) recuritment- # motor neurons working depends on amt of work to be done
  -isotonic exercise-move constant load through range of motion, shortening of muscle
     1.) concentric-contracting, pulls on bone
     2.) eccentric-ralxing, returning to flattened postition
  -isometric-under tension, but no shortening of muscle fiber
  -Anerobic/ Aerobic training
     1.) aerobic-builds endurance    2. anerobic-builds strength --interval training
  -types of skeletal muscle fibers
     red cells contain lots of myoglobin, lots of mitochondria, lots of capillaries
     white cells-few mitochondria, capillaries
     1.) fast twitch/fast oxidative/fatigue resistant-don't need fast energy (ex. leg muscles), lots of
         myoglobin, lots of mitochondria, capillaries, aerobic
     2.) slow twitch/clow oxidative/fatigu resistant-require constant energy, work hard all the time
         but not fast (ex. postral muscle of back and neck)
     3.) fast twitch/fast gylcolytic/fatigable-tire easily (ex. arm), low myo, mintochon,capil, anerob
     all muscle made of all three types (higher concentration of one type)
  -Cardiac Muscle (straited, involuntary)
     1.) intercalcated disks-connect fibers on laterals-strength in all direc, network of fibers
     2.) autorhythmic-entire heart muscle contracts at one time
  -Smooth Muscle
     1.) thick, thin, intermidiate fibers(unorganized) 10-15 times more thin than thick
     2.) visceral-single unit (ex. small BV, hollow organs)
     3.) multi-unit (ex. large BV, bronchiolles, iris)
     4.) arrector pilli-hair stand on end
 

  Chapter 13: The Nervous System
  I. Coverings (Meninges, meninx) of spinal cord and spinal nerves
     1. Dura Matter-outermost, dense irreg CT, ends at S2, protective, avascular,btw brain/cranium
     2. Epidural Space-between cranium & dura matter, filled w/fat, CT, acts as shock absorber
     3. Arachnoid- middle, fibers look like spider web, made primarily of elastic fibers (some
         collagen), avascular
     4. Subdural Space-btw. dura matter & arachnoid, interstitial fluid(extracellular fluid)-
         mostly plasma--water
     5. Pia Matter-inner most, vascular, gives spinal cord nutrients, removes waste, made mostly
         of collagen, very tight to brain
     6. Subarachnoid Space-btw. atachnoid and pia matter, cerebral spinal fluid (CSF)-lubricant
         moving through nervous system, indicator of brain's health
  ** Spinal Tap- L3/4 or L4/5 up to subarachnoid space, to check CSF**
  II. Denticulate Ligaments- anchor spinal cord
     1. outgrowths of pia matter
  III. External Features of Spinal Cord
     1. btw 4/5 yrs--length is complete (ave 42-46 cm long)
    2. stops at L2
     3. 2 cm diameter (dorsoventrally flattened)
     4. thickenings--cervical enlargement-bwt C4/T1, controls upper extremity
                           --lumbar enlargement-btw T9/T12, controols lower appendages
                           --concus medullaris-btw L1/L2, end os sspinal cord, cone shaped, pointed
     5. filum terminal-outgrowth of pia matter, anchor spinal cord to coccyx
     6. cauda equina-nerves at inferior end of spinal cord
  IV. Internal Anatomy of Spinal Cord
     1. posterior/anterior horns--gray matter
     2. anterior/posterior nerve root-becomes spinal nerve (31 pairs)
     3. Intervetebral Foramen- nerves exit vertebrae, meninges stop
     4. central canal- all the way to 4th ventricle of brain--CSF collects
     5. lateral horn--only in thoracic , lumbar, sacral regions, gray matter
     6. anterior medial fissure/posterior medial sulcus
  V. Gray Matter
     1. contains bodies of neurons, unmyelinated axons/dendrites(sensory nerves), *myelin-
         protective covering of nerves,* association(processing) nerve, neuroglia(glial cells),
         integrates/interprets/processes information
  VI. White Matter
     1. white commisure-connects two anterior white lobes into one
     2. posterior white lobes, lateral white lobes
    3. sensory(left) to brain(ascending), motor(right) from brain(decending)
     4. surrounds gray matter
     5. columns-either sensory or motor
     6. broken into regions called tracts
     7. conducts impulses
     8. sensory tracts-
         a. Spinothalmic Tracts-anterior left, responsible for temp,pain,general touch, to thalmus
         b. Fasciculus gracilus & cuneatus-posterior column tracts, propreoception (knowing where
             muscles,tendons,joints are), discriminating touch(knowing minute diff btw sim. objects)
             pressure sensation, vibration
     9. motor tracts
         a. Pyramidal Tracts-anterior & lateral corticospinal, corticobulbar---skeletal muscle funct
         b. Extrapyramidal-vestibulospinal,technospinal,rubrospinal---posture,equilibrium,
             autonomic body functions, vision to muscle function
  VII. Reflexes-stimulus does not go to brain, only to spinal cord
     1. must contain one sensory and one motor nerve
     2. somatic-skeletal muscle, controlable
     3. visceral-involuntary,digestive,respiration,BV diamter, urination, heart rate,defecation
     4. Relex Arc
         a. receptor---ex. eyes, pain
         b. sensory neuron--receptor to spinal cord
         c. association neurons--interpret,integrate
         d. motor neuron- spinal cord to effector
         e. effector---ex. muscle, gland
         f. monosynaptic reflex arc-2 neurons(1sensor/1motor),1 synapes, few,no association neurons
         g. polysynaptic reflex arc- 3 or more neurons, 2 or more synapses, most in body
         h. ipsilateral reflex arc-affects only one side of spinal cord
         i. contralateral reflex arc-affects both sides of spinal cord
     5. Patellar reflex-ipsilateral, stretch reflex arc, resulting in muscle contraction, exaggerated= MS
         underactive= spinal cord damage
     6. reciprocal inervation-every action has equal and opp reaction ==> smooth contractions
     7. stretch reflex- helps to prevent over stretching
     8. tendon reflex- prevents excess tension(leads to tearing), tendon organ-btw tendon/muscle,
         sense tendon on tendon, send out signals which inhibit motor neuron signal to tendon/musc
     9. flexor(withdrawl) reflex-ipsilateral,polysynaptic, intersegmental(more than one part of SC)
     10. crossed extensor reflex arc-contralateral, polysynaptic, intersegmental
  VIII. Spinal Nerves-31 pairs, 8 cervical,12 thoracic, 5 lumbar, 5 sacral, 1 cpccygeal
     1. mixed nerve-sensory and motor nerve together
     2. coverings of nerve-under myelin (fatty substance)
         a. epineurium-of entire nerve
         b. perineurium-of one fascicle
         c. endoneurium-of one neuron
     3. exit at intervetebral foramina then split into dorsal ramus(responsible for control of deep
         muscles/skin on back of body), ventral ramus(larger, controls upper and lower extrem
         skin/muscle on ventral side, laterals of trunk), meningeal branch(goes back through
         intervetebral foramen into SC, controls BV,ligaments,SC, vertebrae it enters, meninges
         in region) and rami communicantes(part of autonomic nervous system, controls BV,
         arrector pilli muscles
  IX. plexuses-networks, interchanges of nerves, 4 responsible for most peripheral nerves
     1. cervical (C1/C5)    2. brachial (C5/T1)    3. lumbar (L1/L4)    4. sacral (L4/S4)
  X. Dermatome-picture telling which nerve control what part of body
 

  Chapter 14: The Brain and Cranial Nerves
  I. CNS- brain, cranial nerves (off-shoots of brain)
  II. Brain Development/principle parts
     1. 4 wk embryo
     2. prosencephalon-for brain
         a. diencephalon-thalmus, hypothalmus (glandular parts)
         b. telencephalon- cerebrum
     3. mesencephalon-mid brain (doesn't change from formation)
     4. rhombencephalon-hind brain
         a. myelencephalon-medualla
         b. metencephalon-pons, cerebellum
  III. Protection and Coverings (meninges)
     1. dura matter-outer most     \
     2. arachnoid                        -  continuous with spinal meningess
     3. pia matter-inner most       /
  IV. Cerebral Spinal Fluid (CSF)
     1. bathes spinal cord and brain
     2. travels in subarachnoid space
     3. 4 ventricles (1&2 btw.cerebral hemis,3 btw 1/2s of thalmus,4 btw brain stem,cerebellum)
     4. almost clear, slightly yellow liquid (80-150 ml)
     5. contains glucose, lactic acid, urea, proteins, cations (Na, Ca, K, Mg) anions (Cl, HNO3),
                       lymphocytes (WBC- eat foreign)
     6. functions- supplies nutrients, removes wastes, determines health of SC/brain, mechanical
                         protection, chemical protection (optimum function of brain/SC)
     7. production- choroid plexuses--capillaries lining ventricles, produces from blood plasma
                         extremely tight cell juctions, selective in letting things in to CSF (barrior)
     8. Pathway- 1/2 vent->3 vent-> 4 vent->down posterior side of SC->up anterior side->anterior/
                         frontal lobe of brain->arachnoid villi (CSF reabosrbed)--20mL/hr...480mL/day
     10. hydrocephalus-obstruction interfereing w/drainage of CSF
  V. Blood Supply
     1. BV rich
     2. 2% total body weight
     3. 20% of oxygen at rest
     4. high brain usage increases oxygen need
     5. lysosomes- burst prematurely in low oxygen environ...enzymes destroy brain cells
     6. brain cells cant store glucose (need steady supply)
     7. absorbtion--
         a. rapid- lipid soluble (caffine, heroine, cocaine, nicotine, most anesthetics)
                       water soluble (water, oxygen, carbon dioxide, cerbon monoxide)
         b. slow- urea, creatine, most ions
         c. not abosorbed- protein (too big for tight junctions), antibiotics-carrier glucose
     8. Blood Brain Barrior-tight junctions (very selective)...liposomes(drug carriers)
     9. Circumventricular Organs- BV which line 3/4 ventricle--lack BBB
         a. make up parts of Hypothalmus, pineal gland, pituitary gland
         b. monitor the chemical balance of blood
     10. nervous and endocrine systems help maintain
  VI. Brain Stem: Anatomy and Physiology (most inferior)
     1. Medulla Oblungata
         a. connected directly to SC, developed from myelencephalon, superior to foramen magnum
              3cm long
         b. pyramids- "knees" motor tracts of spinal cord (fasciculus) become nucleus gracilus &
                             nucleus cuneatus (continuous)
         c. functions-cardiovascular center (regulates rate & force of heart beat), respritory center
                             (regulates rate, force, rhythm of breathing)-dependent on metabolism,
                             swallowing, coughing, sneezing, vomitting, hiccuping
         d. Cranial nerves (12 pairs)
             12. hypoglossal nerve--tongue
             11. accessory nerve--head/shoulder motion
             10. vagus nerve--all abdominal/thoracic organs
             9. glossopharangeal nerve- swallowing, salivation, taste
             8. vestibulocochlear-hearing, equilibrium
         e. olive-lateral, connected medulla to cerebellum by inferior cerebellar peduncles, functions:
                     posture, equilibrium, precise voluntary movements
         f. vestibular nuclear complex
     2. Pons
         a. superior to medulla, level with cerebellum, 2.5 cm long
         b. function: act as bridge btw SC, brain, parts of brain
         c. middle cerebellar peduncles connect pons to cerebellum
             1. transverse fibers- connect left/right halves of cerebellum
             2. longitudinal fibers- transfers sensory and motor impulses SC to/from cerebral cortex
         d. cranial nerves
             8. vestibular of vestibulocochlear nerve- equilibrium
             7. facial nerve- taste, salivation, facial expressions
             6. abducans nerve- eyeball movement
             5. trigeminal nerve- chewing, jaw, head, face sensation (parts)
         e. apaneustic and pneumotaxic-respiratory function
     3. Reticular Function
         a. part of medulla, pons, midbrain, white & gray matter, sensory & motor
         b. function- skeletal muscle function, muscle tone, act as early warning to cerbral cortex
     4. Mid brain
         a. derived from mesencephalon, superior to pons, 2.5 cm long
         b. cerebral peduncles--contain sensory/motor tracts, transmit impulses to/from Cereb Cort
         c. superior cerebellar peduncles--connect midbrain to cerebellum
         d. tectum (dorsal midbrain) lobes (corpraquadragemina)
             1. 2 superior colliquli --affect head/neck movement (respond to visual stimuli)
             2. 2 inferior colliquli --affect head/neck movement (respond to auditory stimuli)
         e. substantia nigra- highly pigmented, responsible subconsious skeletal muscle action
         f. red nuclei (bodies)- rich in hemoglobin (red), high Fe content, origin  rubrospinal tract
         g. cranial nerves
             4. trochlear-some eyeball movements
             3. occulomotor-some eyeball movements, pupil size, shape of lens
         h. medial lemniscus-found in midbrain, medull, pons, transmits impulses for discriminating
                 touch, proprioception, vibration, pressure, from medulla to thalmus
  VII. Diencephalon- fore brain
     1. thalmus
         a. 4/5 of diencephalon, 3cm long, last part of brain to have evolved
         b. mostly gray matter, some white
         c. intermediate mass connects right/left halves
         d. relay station-stimuli from SC, medulla, pons, cerebellum, mid brain to cerebral cortex
         e. crude determination of temp, pain, pressure
         f. sensory & motor receptors
             1. medial geniculate nucleus (region)--hearing
             2. lateral geniculate nucleus--vision
             3. venteral posterior geniculate nucleus--taste,somatic sensations (skin, muscle input)
             4.ventral/lateral nulceus--control of voluntary muscle, arousal
             5. anterior nucleus--emotions, memory
     2. hypothalmus
         a. 1/5 diencephalon, inferior to thalmus, no BBB (pathogens can enter)
         b. relay station-regulates homeostasis
         c. regions--
             1. mammillary-smell
             2. tuberal-regulates hormone production, controls itself, pituitary gland
             3. supraoptic-transports pituitary hormones oxytocin(contract), antidiuretic(conserve)
             4. preoptic-autonomic region
         d. functions--controls/integrates ANS, controls rage/anger, regulates body temp/food needs
                             thirst center, regulate/maintain waking state/sleep patterns
  VIII. Cerebrum (Telencephalon)
     1. largest part, 2-4mm gray matter, rest-white cerebral matter
     2. functions-critical thinking, writing speech, creativity, calculating ability, memoryy, planning
     3. folds--more surface area...gyrus(gyri)-bumps.....sulcus-valley,groove.....fissure-deep
     4. corpus callosum-connects left/right hemispheres
     5. falx cerebri-extension of dura matter, runs btw left/right hemispheres
     6. lobes-frontal, parietal, temporal, occipital (visible), insula (inside)
         a. central sulcus- divides frontal and parietal lobes
         b. precentral gyrus- frontal, largest single primary motor area
         c. post centarl gyrus- parietal, responsible for somatic function(skin,muscle,joints,organ)
         d. lateral central sulcus- divides frontal/temporal bones
         e. parietooccipital sulus- divides parietal/occipital lobes
         f. transverse fissure- seperates cerebellum & cerebrum
     7. white matter-mostly myelinated axons
         a. association fibers-transmit impulses, various gyri, one hemis
         b. commissural fibers- carry impulse, similar gyri, diff hemis
         c. projection fibers- cerebral cortex to spinal cord
     8. basal ganglia-input/output to/from cerebral cortex, thalmus, hypothalmus
     9. Lymbic System-all emotional aspects of life controlled, survival instincts, pleasure, pain,
             memory, anger, rage, sorrow, fear, docility, sexual feeling
     10. Brain Injuries
         a. concusion-no blood loss/unconsciousness, can be memory loss, brain hits cranium
         b. contusion-brushing, mild blood loss, memory loss (min/hrs/days)
         c. laceration-tear, massive blood loss building up pressure (leak out ears, etc)
     11. Functional Area of Brain-
         a. sensory-
             1. primary somatorsensory-parietal,postcentral gyrus, recieves stimuli from skin, muscle,
                 joints, organs
             2. primary visual region- occipital region, sight
             3. primary auditory region- temporal region, rhythm, pitch, tone
             4. primary gustatory region- parietal region, taste
             5. primary olfactory region- temporal region, smell
         b. motor
             1. primary motor region-precentral gyrus, skilled, detailed, fine muscle
             2. language areas-anything converts speech, written word into thought, speech
         c. association areas (processing areas-connect motor/sensroy)
             1. somatosensory accessory- parietal, stores past experiences, integrate, compares exper
             2. visual association- occipital, helps evaluate visual info through past experiences
             3. auditory association- temporal, interpretes past experience through sound
             4. gnostic association- interprets sensory from taste, smell, thalmus, brain stem
 

  Chapter 16: The Special Senses
  Olfactory Sense, Gustatory Sense, Vision, Hearing, Equilibrium

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