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45 Cards in this Set

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Regulatory T-cell markers


Memory T-cell markers

Regulatory = CD25, FOXP3


Memory = CD45RO, CCR7


Both = CD4+

Roles of PGE2

GI and kidney function


Vasodilation


Uterine contraction


Chemotaxis

Roles of PGD2

Bronchoconstriction


Anti-platelet aggregation

Roles of PGF2

Bronchoconstriction


Uterine contraction

Roles of PGI2

Vasodilation


Anti-platelet aggregation


Renal, epithelial and CNS functions

Role of IL-6

Increased cytokine release

Role of INFy

Priming agent

Role of IL-12

Activates NK cells

Role of IL-1B

PG production (vasodilation + inflammation)


Activates lymphocytes


Apoptosis

Roles of leukotrienes

Bronchoconstriction


Vascular permeability


Chemotaxis

Roles of thrombin

Mobilise P selectins


Produces PGs, PAF and NO


Produces chemokines


Expresses CAM


Stimulates COX-2

PPP N CCC

Where is the sensory component of pain processed?

Lateral pain system:


- S1 + S2


- Lateral thalamic nuclei

Where are the affective and cognitive-evaluative components of pain processed?

Medial pain system:


- ACC


- Medial thalamic nuclei


- Insula

Sartorius (attachment sites)

ASIS - superomedial tibia

Rectus femoris (attachments)

AIIS - tibial tuberosity (via patellar tendon)

Gracilis (attachments)

Body and inferior ramus of pubis - superomedial tibia

Semitendinosus and semimembranosus (attachments)

Ischial tuberosity - superomedial tibia / medial condyle of tibia (respectively)

Biceps femoris (attachments)

L: Ischial tuberosity


S: Linea aspera and lateral supracondylar line


- head of fibula

Gastronemius

L: lateral condyle of femur


M: popliteal surface of femur


- calcaneus (via calcaneal tendon)

Actions and innervation of gluteus maximus

Hip extension + lateral rotation


Inferior gluteal n.

Actions and innervation of gluteus medius and gluteus maximus

Abduction


Superior gluteal n.

Actions and innervation of TFL

Hip flexion


Superior gluteal n.

Pain classified by nature

Nociceptive: somatic + visceral


Non-nociceptive: neuropathic + sympathetic

Actions and innervation of piriformis

Lateral rotation


Branches of anterior rami of S1, S2

Actions and innervation of superior gemelli and obturator internus

Lateral rotation


N. to obturator internus

Actions and innervation of inferior gemelli and quadratus femoris

Lateral rotation


N. to quadratus femoris

Cause of hip drop

Damage to superior gluteal n.

Terminators of inflammation

Lipoxin


Resolvins, protectins


Anti-inflammatory cytokines (IL-10, TGF-b)


ACh (inhibits TNF production)

Local effects of macrophages in response to TNFa and IL-1

More receptors on endothelium


More chemokines


More WBC activation



Clotting



More fibroblasts (more collagen)

How long does it take for neutrophils to be replaced by macrophages?

2-4 days

Innervation of hamstrings

Semitendinosus, semimembranosus and long head of BF = tibial n.



Short head of BF = common fibular n.

Blood supply of hamstrings

Inferior gluteal and perforating branches of profunda femoris a.

Action, innervation and blood supply of medial thigh

Adduction (+obturatur externus causes lateral rotation)



Obturator a. and n.

Hip flexors

Psoas major


Iliacus


Pectinus


Sartorius


Rectus femoris

Knee extensors

Vastus lateralis


Vastus intermedius


Vastus medialis

Innervation and blood supply of anterior thigh

Femoral n.



Femoral a. (+pectineus supplied by anterior branch of obturator a.)

Innervation and blood supply of posterior leg

Tibial n.



Posterior tibial a.

Innervation and blood supply of anterior leg

Deep fibular n.



Anterior tibial a.

Innervation and blood supply of lateral leg

Superficial fibular n.



Fibular a.

Origin of gluteal and obturator arteries

Internal iliac

Branches of profunda femoris

Medial circumflex femoral a.



Lateral circumflex femoral a.



Perforating branches

Venous drainage of lower limb (cutaneous)

Great saphenous runs medially into femoral v.



Small saphenous runs laterally into popliteal v.

Lymphatic drainage of lower limb


Popliteal to deep inguinal



Superficial inguinal to external iliac (+ some deep inguinal)

Spinal roots of femoral, obturator, superior/inferior gluteal and sciatic n.

What do PT, APTT and bleeding time measure?

PT = extrinsic pathway


APTT = intrinsic pathway


bleeding time = platelet function