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57 Cards in this Set
- Front
- Back
Epidermal Layers (outer to inner)
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Corneum
Lucidum Granulosum Spinosum Basalis Californians Like Girls in String Bikinis |
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Cell junction preventing diffusion across paracellular space
composed of claudins and occludins |
Zona Occludens (tight junction)
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Surrounds perimeter just below zona occludens; cadherins connect to actin
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Zona Adherens (intermediate junction)
CADherins are Ca-dependent ADhesion molecules |
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Small discrete sites of attachment; cadherins connect to intermeidate filaments
contain keratin, desmoplakin |
Macula Adherens (desmosome)
paracellular |
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Site of Pemphigus Vulgaris
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Macula Adherens
autoantibodies |
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Allows adjacent cells to communicate for electric and metabolic functions, connecting with a central channel
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Gap Junctions
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Connects cells to underlying ECM
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Hemidesmosomes
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Sites of Bullous Pemphigoid
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Hemidesmosomes
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Autoantibodies to Hemidesmosomes @ Basolateral surface
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Bullous Pemphigoid
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Autoantibodies to desmosomes on paracellular surface
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Pemphigus vulgaris
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maintains integrity of basement membrane; binds to laminin in BM
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Integrin (Basolateral membrane)
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Unhappy Triad of Knee Injury (O'Donahues?)
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ACL
MCL LATERAL meniscus |
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site of attachment of ACL on tibia
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Anterior
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Site of attachment of PCL on tibia
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Posterior
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abnormal passive abduction of knee indicates
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torn MCL
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Landmark for pudendal nerve block (to relieve pain of delivery)
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Ischial spine
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Landmark for appendix
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McBurney's point
2/3 of the way from umbilicus to ASIS |
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Landmark for Lumbar Puncture
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Iliac Crest
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Muscles of the Rotator Cuff
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Supraspinatus
Infraspinatus teres MINOR Subscapularis SItS (small t for minor) |
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Function of Supraspinatus
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abducts arm initially before deltoid
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most common rotator cuff injury
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Supraspinatus
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Infraspinatus function
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laterally rotates arm; pitching injury
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Teres minor function
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adducts and laterally rotates arm
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Subscapularis function
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Medially rotates and adducts arm
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Attach breasts to pectoral region
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Coopers Ligaments
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Abduction of shoulder sequence
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Supraspinatus
Deltoid Serratus Anterior Trapezius |
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Most powerful arm flexor
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Brachialis
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function of biceps brachii at full arm extension
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flexor
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function of biceps brachii @ 90 degrees
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most powerful supinator
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Site in Brachial Plexus of Erb's Palsy
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Upper Trunk (C5/C6)
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Site in brachial plexus of Klumpke's Palsy
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Lower Trunk (C8/T1)
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Site in brachial injury of wrist drop
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Posterior Chord
or Radial Nerve |
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Cervical nerves associated with Long Thoracic
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C5-C7
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Osteocalcin/ALP are good indicators of
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Bone formation
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Which bone cells have high levels of ALP
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Osteoblasts
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Degrading enzymes found in Osteoclasts
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Acids for inorganic (acid phosphatase)
Proteases for organic (collagenases) |
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Color comparision of young and old cartilage
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Young cartilage appears pink, old cartilage appears blue
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Ossification which occurs in longitudinal bones
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Endochondral Ossification
off HYALINE cartilage model @ epiphyseal plates |
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Osteoblasts derived from
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Mesenchymal stem cells
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Area of increased osteoblasts @ fracture
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Callous
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Type of bone formation in flat bones (skull, face, ribs, etc)
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Membranous Ossification
no cartilage model |
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Failure of longitudinal bone growth (endochondral ossification) resulting in short limbs with normally sized torso
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Achondroplasia
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Inheritance and pathogenesis of Achondroplasia
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Autosomal Dominant
constitutive activation of FGFR3 resulting in inactivation of chondrocyte proliferation |
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Most common bone disorder in US resulting in crush fractures, loss of height, kyphosis
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Osteoporosis
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Type 1 postmenopausal Osteoporosis mechanism
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↑ bone resoprtion due to ↓ estrogen levels
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Type 2 Senile Osteoporosis mechanism
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affects men and women > 70 years of age
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Treatment of Osteoporosis
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Estrogen (SERMs)
Bisphosphonates Calcitonin pulsatile PTH if severe |
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Possible causes of Secondary (early) Osteoporosis
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Turners
Estrogen ↓ ↓ Exercise ↓Nutrition Cushings, steroids Thyrotoxicosis |
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failure of normal bone resorption resulting in thickened dense ones which are prone to fracture
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Osteopetrosis (Marble Bone Disease)
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Mechanism of Osteopetrosis?
Lab Values? |
Defective function of osteoclasts
→Carbonic Anhydrase II defects possible normal Ca/PO/ALP |
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Common effects of Osteopetrosis
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Erlenmeyer Flask bones (flare out)
CN impingement + defects *Anemia, thrombocytopenia, infection from ↓marrow space |
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defective mineralization/calcifaction of osteoid resulting in soft bones resulting from Vitamin D deficiency
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Osteomalacia/Rickets
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Lab findings in Rickets/Osteomalacia
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↓Calcium
↑PTH ↓serum phosphate |
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Clinical findings in Rickets/Osteomalacia
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*Bowed legs
Pectus Carinatum Knobs @ Costovertebral joints |
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Blue Sclera
+/- fractures deafness *discolored teeth |
Osteogenesis Imperfecta
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Pathogenesis of Osteogenesis Imperfecta
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no collagen type I
Type 1 is AD, childhood fractures Type 2 is AR, stillborn with crumpled bones |
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Abnormal bone architecture caused by ↑ in both osteoblast and osteoclast activity
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Paget's Disease
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