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166 Cards in this Set
- Front
- Back
ANS efferent fibers
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have their cell bodies in the spinal cord, and they
reach the sympathetic ganglia on both sides of the vertebral column. |
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ANS sympathetic system
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prepares and mobilizes the body in emergency cases
e.g.: during exercise, fear… Fight or Flight |
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sympathetic stimulation
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increased heart rate, constriction of the arterioles of the skin and intestine,
(but, dilatation of those of the skeletal muscle), which raises the blood pressure, sympathetic stimulation leads to dilation of the pupils, sphincters close, hair stands and sweating occurs. |
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parasympathetic system
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conserves and stores the energy
e.g.: during sleep |
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parasympathetic stimulation
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Decrease in heart rate, pupil constriction, increased peristalsis, increased
glandular activity, sphincters open, bladder wall is contracted. |
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Synapses between neurons are made
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in the autonomic ganglia.
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Parasympathetic ganglia are located
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in or near the effector organs.
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Sympathetic ganglia are located
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in the paravertebral chain.
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preganglionic neurons of the sympathetic nervous system originate
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in spinal cord segments T1-L3, or the thoracolumbar region.
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Preganglionic neurons of the parasympathetic nervous system originate
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in the nuclei of cranial nerves and in spinal cord segments S2-S4, or the craniosacral region.
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Adrenal Medulla
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is a specialized ganglion of the sympathetic nervous system.
-Preganglionic fibers synapse directly on chromaffin cells in the adrenal medulla. -The chromaffin cells secrete epinephrine (80%) and norepinephrine (20%) into the circulation. |
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Pheochromocytoma
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is a tumor of the adrenal medulla that secretes excessive amounts of catecholamines and with increased excretion of 3-methoxy-4-hydroxymandelic acid (VMA).
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Postganglionic neurons of both divisions have their cell bodies
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in the autonomic ganglia and synapse on effector organs (heart, blood vessels, sweat glands
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Sympathetic: (thoraco-lumbar)
Origin |
cell bodies lie the lateral horn
of the T1- L2/3 spinal cord. |
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Parasympathetic: (cranio-sacral)
Origin: |
CN III, CN VII, CNIX and CN X
and S1, S2, S3 (pelvic splanchnic nerve). |
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Adrenergic neurons release
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norepinephrine as the neurotransmitter.
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Cholinergic neurons
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whether in the sympathetic or parasympathetic nervous system, release acetylcholine (Ach) as the neurotransmitter.
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Peptidergic neurons
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in the parasympathetic nervous system release peptides such as vasoactive inhibitory peptide and substance P.
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alpha 1 receptors
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-are located on vascular smooth muscle of the skin and splanchnic regions, the gastrointestinal (GI) and bladder sphincters, and the radial muscle of the iris.
-produce excitation (contraction ,constriction). Are equally sensitive to norepinephrine and epinephrine. However, only norepinephrine released from adrenergic neurons is present in high enough concentration to activate alpha 1 receptors. |
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alpha 1 mechanism of action
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G protein alpha stimulator, Phospholipase C, formation of inositol 1,4,5-triphospate (IP3) and increase in intracellular (Ca+).
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alpha 2 receptors
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are located in presynaptic nerve terminals, platelets. Fat cells, and the walls of the GI tract.
-often produce inhibition (relaxation or dilation). |
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alpha 2 mechanism of action
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G protein alpha inhibitor, inhibition of adenylate cyclase and decrease in cyclic adenosine monophosphate (CAMP).
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beta 1 receptors
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are located in the sinoatrial (SA) node, atrioventricular (AV) node, and ventricular muscle of the heart.
-produce excitation (increased heart rate, increased conduction velocity, increased contractility). -are sensitive to both norepinephrine and epinephrine, and are more sensitive than alpha1 receptors. |
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beta 1 mechanism of action
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activation G protein alpha stimulator, activation of adenylate cyclase and increase in cAMP.
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Beta 2 receptors
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-are located on vascular smooth muscle of skeletal muscle, bronchial smooth muscle, and in the walls of the GI tract and bladder.
-produce relaxation (dilation of vascular smooth muscle, dilation of bronchioles, relaxation of the bladder wall.) -are more sensitive to epinephrine than to norepinephrine. -are more sensitive to epinephrine than the alpha 1 receptors. |
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Beta 2 receptors mechanism of action
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activation G protein alpha stimulator, activation of adenylate cyclase and increase in cAMP.
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nicotinic receptors
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are located in the autonomic ganglia of the sympathetic and parasympathetic nervous systems, at the neuromuscular junction, and in the adrenal medulla. The receptors at these are similar, but not identical.
-are activated by Ach or nicotine. -produce excitation. -are blocked by ganglionic blockers in the autonomic ganglia, but not at the neuromuscular junction. |
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nicotinic mechanism of action
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Ach binds to alpha subunits of the nicotinic Ach receptor, The nicotinic Ach receptors are also ion channels for Na+ and K+.
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muscarinic receptors
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are located in the heart, smooth muscle, and glands.
-are inhibitory in the heart (decreased heart rate, decreased conduction velocity in AV node). -are excitatory in smooth muscle and glands (increased GI motility, increased secretion). -are activated by Ach and muscarine. -are blocked by atropine. |
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muscarinic mechanism of action
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Heart SA node: inhibition of adenylate cyclase, which leads to opening of K+ channels, slowing of the rate of spontaneous Phase 4 depolarization, and decreased heart rate
2. Smooth muscle and glands: formation of IP3 and increase in intracellular (Ca2+). |
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ANS brain centers
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Medulla
-Vasomotor center -Respiratory center -Swallowing, coughing, and vomiting centers 2. Pons -Pneumotaxic center 3. Midbrain -Micturition center 4. Hypothalamus -Temperature regulation center -Thirst and food intake regulatory centers |
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Preganglionic release
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ACH
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Postganglionic release
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Parasympathetic: Ach
Sympathatic: Norepinephrine (NA) |
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The enviromental signals that can be detected
include |
mechanical force, light, sounds, chemicals, and temperature.
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Mechanoreceptors
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respond to mechanical stimulus
-Pacinian corpuscles -joint receptors -Stretch receptors in muscle -Hair cells in auditory and vestibular systems -Baroreceptors in carotid sinus |
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photoreceptors
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-Rods and cones of the retina
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chemoreceptors
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Olfactory receptors
-Taste receptors -Osmoreceptors -Carotid body O2 receptors |
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Extremes of temperature and pain
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Nociceptors
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a-alpha
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large alpha-motoneuronsConduction velocity: fastest
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a-beta
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Touch, pressureConduction velocity: Medium
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a-gamma
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gamma-motoneurons to muscle spindles (intrafusal fibers)Conduction velocity: Medium
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A-delta
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Touch, pressure, temperature, and painConduction velocity: Medium
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B conduction velocity
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preganglionic autonomic fibersConduction velocity: Medium
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C conduction velocity
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Slow pain, postganglionic autonomic fibers Conduction velocity: Slowest
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Receptive field
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is an area of the body that, when stimulated, changes the firing rate of a sensory neuron. If the firing rate of the sensory neuron is increased, the receptive field is excitatory. If the firing rate of the sensory neuron is *decreased, the receptive field is inhibitory.
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Steps in sensory transduction
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Stimulus arrives at the sensory receptor.( photon of light on the retina, a molecule of NaCl on the tongue).B. Ion channels are opened in the sensory receptor, allowing current to flow.Usually the current is inward, which is depolarization of the receptor.C. The change in membrane potential produced by the stimulus is the receptor potential, or generator potential.
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tonic receptors
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are slow adapting (muscle spindle, pressure, slow pain)-respond repetitively to a prolonged stimulus.
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Phasic receptors
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rapidly adapting (pacinian corpucle, light touch)-show a decline in action potential frequency with time in response to a constant stimulus.
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First order neurons
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are the primary afferent neurons that receive the transduced signal and send the information to the CNS. Cell bodies of the primary afferent neurons are in dorsal root or spinal cord ganglia.
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second order neurons
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are located in the spinal cord or brain stem.-receive information from one or more primary afferent neurons in relay nuclei and transmit it to the thalamus.-Axons of second-order neurons usually cross the midline in a relay nucleus in the spinal cord before they ascend to the thalamus. Therefore, sensory information originating on one side of the body ascends to the contralateral thalamus.
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Third order neuron
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are located in the relay nuclei of the thalamus. From there, encoded sensory information ascends to the cerebral cortex.
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Fourth order neurons
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are located in the appropriate sensory area of the cerebral cortex.The information received results in a conscious perception of the stimulus.
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Somatosensory system
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The somatosensory system processes information about touch, pain and temperature.
Mechanoreceptors (for touch)2. Thermoreceptors (temperature)3. nociceptors (pain) |
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dorsal column system
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From the medulla the second-order neurons cross the midline and ascend to the contralateral thalamus, where they synapse on third-order neurons. Third-order neurons ascend to the somatosensory cortex, where they synapse on fourth-order neurons.
processes sensations of fine touch, pressure, two-point discrimination, vibration |
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anterolateral system
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processes sensations of temperature, pain, and light touch.-consists primarily of group of fibers, which enter the spinal cord and terminate in the dorsal horn.-second-order neurons cross the midline to the anterolateral quadrant of the spinal cord and second to the contralateral thalamus, where they synapse on third-order neurons.-Third-order neurons ascend to the somatosensory cortex, where they synapse on fourth-order neurons.
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Destruction of the thalamic nuclei results in
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loss of sensation on the contralateral side of the body.
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Fast pain
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is carried by group A-delta fibers. It has a rapid onset and offset, and is localized.
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slow pain
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is carried by C fibers. It is characterized as aching, burning, or throbbing that is poorly localized.
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Neurotransmitter for nocireceptors
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substance P
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Cranial nerve VII
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the facial nerve, carries taste sensations from the anterior two thirds of the tongue and soft palate.
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Cranial nerve IX
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the glossopharyngeal nerve carries taste sensations from the posterior one third of the tongue.
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3.Also a branch of the vagus nerve
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carries some taste sensations from the back of the oral cavity (i.e. pharynx and epiglottis).
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Dendritic endings of these nerves are located around the taste buds and relay sensations of touch and temperature.
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Taste sensations are passed to the medulla oblongata, where the neurons synapse with second-order neurons that project to the thalamus, from here, third-order neurons project to the area of the postcentral gyrus of the cerebral cortex that is devoted to sensations from the tongue.
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Salt
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An ion channel in the taste cell wall allows Na+ ions to enter the cell. This on its own depolarizes the cell, and opens voltage-regulated Ca2+ gates, flooding the cell with ions and leading to neurotransmitter release.
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sour
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Sour taste signals the presence of acidic compounds (H+ ions in solution). There are three different receptor proteins at work in sour taste. The first is a simple ion channel which allows hydrogen ions to flow directly into the cell.
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bitter
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Bitter compounds act through structures in the taste cell walls called G-protein coupled receptors (GPCR’s). When the bitter compound activates the GPCR, it in turn releases gustducin, the G-protein it was coupled to.
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sweet
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Like bitter tastes, sweet taste transduction involves GPCR’s.
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Ageusia
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(Loss of taste):You may lose your sense of taste if the facial nerve is damaged.
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Hypogeusia
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decreased taste sensitivity)
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Hypergeusia
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increased taste sensitivity)
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sore tongue
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It is usually caused by some form of trauma, such as biting your tongue, or eating piping-hot or highly acidic food or drink. If your top and bottom teeth don’t fit neatly together, tongue trauma is more likely. Some people may experience a sore tongue from grinding their teeth (bruxism). Disorders such as diabetes, anemia, some types of vitamin deficiency and certain skin diseases can include a sore tongue among the range of symptoms.
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glossodynia
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A condition characterized by a burning sensation on the tongue.
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Benign migratory glossitis
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This condition is characterized by irregular and inflamed patches on the tongue surface that often have white borders. The tongue may be generally swollen, red and sore. Another name for this condition is geographic tongue. The cause of benign migratory glossitis is unknown.
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Receptor cells
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are located in the olfactory epithelium.-are true neurons that conduct action potentials into the CNS.
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olfactory
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sensory PP a
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Anosmia
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Anosmia is the lack of olfaction, or a loss of the sense of smell.
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Phantosmia
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Phantosmia is the phenomenon of smelling odors that aren't really present.
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Dysosmia
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When things smell differently than they should.
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sclera
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The outer layer of the eye is the sclera, which is a tough white fibrous layer that maintains, protects and supports the shape of the eye. The front of the sclera is transparent and is called the cornea. The cornea refracts light rays and acts like the outer window of the eye.
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The eye can distinguish two qualities of light:
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its brightness-its wavelength, for human, the wavelengths between 400 and 750 nanometers are called visible light.
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choroid
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The middle thin layer of the eye is the choroid, it is the vascular layer of the eye lying between the retina and the sclera. The choroid provides oxygen and nourishment to the outer layers of the retina. It also contains a nonreflective pigment that acts as a light shield and prevents light from scattering.
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retina
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The third or the inner layer of the eye is call the retina. The retina lays over the back two thirds of the choroid coat, which is located in the posterior compartment. The compartment is filled with vitreous humor which is a clear, gelatinous material.
Contains rods + cones |
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rod cells
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are very sensitive to light and do not see color, that is why when we are in a darkened room we see only shades of gray.
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cone cells
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are sensitive to different wavelengths of light, and that is how we are able to tell different colors. It is a lack of cones sensitive to red, blue, or green light that causes individuals to have deficiencies in color vision or various kinds of color blindness.
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At the center of the retina is the optic disc
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sometimes known as "the blind spot" because it lacks photoreceptors. It is where the optic nerve leaves the eye and takes the nerve impulses to the brain.
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fovea centralis
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The fovea is a pit that has the highest visual acuity and is responsible for our sharp central vision - there are no rods in the fovea.
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layers of the retina
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. Pigment epithelial cell-absorb stray light and prevent scatter of light.2. Receptor cells are rods and cones 3. Bipolar cells. The receptor cells (rods and cones) synapse on bipolar cells, which synapse on the ganglion cells.4. Horizontal cells 5. Amacrine cells for circuits with the bipolar cells. 6. Ganglion cells are the output cells of the retina. (*Axons of ganglion cells form the optic nerve).
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color blindness
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is the inability to perceive differences between some or all colors that other people can distinguish. It is most often of genetic nature, but may also occur because of eye, nerve, or brain damage, or due to exposure to certain chemicals.
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Night blindness
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may exist from birth, or be caused by injury or malnutrition (for example, a lack of vitamin A). The most common cause of nyctalopia is retinitis pigmentosa, a disorder in which the rod cells in the retina gradually lose their ability to respond to the light.
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Glaucoma
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(Intracranial pressure)
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Visual agnosia
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is the inability of the brain to make sense of or make use of some part of otherwise normal visual stimulus, and is typified by the inability to recognize familiar objects or faces.
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Emmetropia
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normal. Light focuses on the retina
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hypertropia
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farsighted. light focuses behind the retina and is corrected with a convex lens.
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myopia
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nearsighted. Light focuses in front of the retina and is corrected with a biconcave lens.
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Astigmatism
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Curvature of the lens is not uniform and is corrected with a cylindric lens.
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outer ear
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Auricle, Ear Canal, Surface of Ear Drum)
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the middle ear
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is air-filled.The middle ear includes most of the ear drum (tympanic membrane) and the 3 ear bones ossicles: malleus (or hammer), incus (or anvil), and stapes (or stirrup). The opening of the Eustachian tube is also within the middle ear.
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Inner ear
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is fluid-filled.(Cochlea, Vestibule, and Semi-Circular Canals, and a series of ducts called the membranous labyrinth. The fluid outside the ducts is perilymph; the fluid inside the ducts is endolymph.
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Structure of the cochlea: three tubular canals
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The scala vestibuli and scala tympani contain perilymph, which has a high Na+.B. The scala media contains endolymph, which has a high K+. –The scala media is bordered by the basilar membrane, which is the site of the organ of Corti.
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The organ of corti
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The organ of Corti is located on the basilar membrane. -It contains the receptor cells for auditory stimuli. Cilia protrude from the hair cells and are embedded in the tectorial membrane. -Inner hair cells are arranged in single rows and are few in number.
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Steps in auditory transduction
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by the organ of Corti sensory pp b slide 16
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The base of the basilar membrane
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(near the oval and round windows) is narrow and stiff. It responds best to high frequencies.
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The apex of the basilar membrane
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(near the helicotrema) is wide and compliant. It responds best to low frequencies.
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sound waves
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Frequency is measured in hertz (Hz).
-Intensity is measured in decibels (dB) |
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Otitis Media
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An inflammation of the middle ear segment. It is usually associated with a buildup of fluid and frequently causes an earache
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Streptococcus pneumoniae and Haemophilus influenzae are
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the most common bacterial causes of otitis media. As well as being caused by Streptococcus pneumoniae and Haemophilus influenzae it can also be caused by the common cold.
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Vestibular system
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detects angular and linear acceleration of the head.-reflex adjustments of the head, eyes, and postural muscles provide a stable visual image and steady posture.
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nystagmus
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-An initial rotation of the head causes the eyes to move slowly in the opposite direction to maintain visual fixation. When the limit of eye movements reaches, the eyes rapidly snap back (nystagmus), then move slowly again.-The direction of the nystagmus is defined as the direction of the fast (rapid eye) movement. Therefore, the nystagmus occurs in the same direction as the head rotation
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post rotary nystagmus
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occurs in the opposite direction of the head rotation.
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vertigo
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dizziness. Vertigo is usually associated with a problem in the inner ear balance mechanisms (vestibular system), in the brain, or with the nerve connections between these two organs.
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What happens if the person turns the head to the right side.
Vestibular system |
sensory pp B
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neurons
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transmit electrical signals, found in grey matter of CNS and ganglia
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neuroglial cells
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support cells): nonexcitable, surround and wrap neurons
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Characteristics of Neurons
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Conduct electrical impulses along the plasma membrane
Produce nerve impulse Produce action potential Longevity: can live and function for a lifetime Do not divide: fetal neurons lose their ability to undergo mitosis High metabolic rate: require abundant oxygen and glucose |
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There are two types of supporting cells in the peripheral nervous system:
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Schwann cells and satellite cells
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Schwann cells
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which form myelin sheaths around peripheral axons.
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satellite cells
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or ganglionic gliocytes, which support neuron cells bodies within the ganglia of the PNS.
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There are four types of supporting cells, called neuroglial cells, in the central nervous system.
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Oligodendrocytes, Microglia, astrocytes, ependymal
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Oligodendrocytes
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which form myelin sheaths around axons of the CNS.
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microglia
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which migrate through the CNS and phagocytose foreign and degenerated material.
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astrocytes
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which help to regulate external environment of neurons in the CNS
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ependymal
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cells, which line the ventricles of the brain and the central canal of the spinal cord.
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Gliosis and glial scar
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Gliosis is hyperplasia and hypertrophy of astrocytes that occur in reaction to CNS injury.
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Oligodendrocytes: respond to injury
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by expanding and vacuolation of their cytoplasm.
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Tumors of Neuroglia (glioma):
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Account for about 50% of intracranial tumors. Astrocytomas and glioblastomas are tumors of astrocytes. Gliomas apart from ependymomas are very invasive and grow large with minimal effect on neighboring neurons.
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Multiple sclerosis (Demyelinating diseases of the CNS
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an unknown disease, occurs between ages of 20-40 year, demyelination in CNS, usually starts with optic nerve, spinal cord and cerebellum. Axonal degeneration as a result of demyelination and/or early in the course of the disease is part of the disability.
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Myelin sheath in PNS and CNS
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the nervous system pp slide 12
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CSF=Blood
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Na+
Cl- HCO3- Osmolarity |
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CSF< blood
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K+
Ca2+ Glucose Cholestrol* Protein* |
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CSF> blood
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Mg2+
Creatinine |
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synapses
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are the sites where two
neurons come into close proximity. The term also implies to the nerve-muscle contact as well. |
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various forms of synapses
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Axodendritic, axosomatic and axoaxonic.
The first two are the most common forms. Axons can have a terminal expansion or a series of expansions called bouton de passage which make several contacts as they pass through a dendritic tree. |
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types of synapses
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Chemical (most common)
2- Electrical |
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chemical synapses
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involve the neurotransmitters
released from a pre-synaptic neuron that becomes attached to a protein (receptor) at post-synaptic membrane. Chemical synapses are unidirectional. |
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electrical synapses
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Most synapses in the nervous system are of chemical type with neurotransmitter, but in electrical synapses, there is no chemical
transmitters. These synapses are Gap junctions formed by specialized channels called Connexons. These are found in a group of neurons performing an identical function. These are bidirectional. |
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Parkinsons could be treated
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to some extent by neurotransmitters.
Dopamine can not cross the BBB. L-dopa can cross BBB. |
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Phenothiazines
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block Dopamine receptors postsynaptically.
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serotonin
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a master neurotransmitter, is manufactured from tryptophan. It is found all over the body and is necessary to modulate the levels of the stress hormones.
PP slide 27 |
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dopamine
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In the brain, dopamine functions as a neurotransmitter, activating the five types of dopamine receptor - D1, D2, D3, D4 and D5, and their variants.
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Insufficient dopamine biosynthesis in the dopaminergic neurons can cause
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Parkinson's disease (in which a person loses the ability to execute smooth, controlled movements).
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abnormally high dopamine
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action apparently leading to these conditions (schizophrenia).
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Functions of muscle tissue
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movement Joint stabilization Heat generation
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skeletal muscle tissue
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packaged into skeletal muscles
Makes up 40% of body weight. Cells are striated |
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cardiac muscle tissue
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occurs only in the walls of the heart
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smooth muscle tissue
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in the walls of hollow organs. Cells lack striations
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skeletal muscle
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Has a nerve and a blood supply.
neuromuscular junction: Where nerve contacts the muscle Origin on bone is at less movable attachment Insertion is on more movable attachment Origin and insertions are by tendon or aponeurosis |
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motor unit
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Motor unit recruitment is the progressive activation of a muscle by successive recruitment of contractile units (motor units) to accomplish increasing gradations of contractile strength.
A motor unit consists of one motor neuron and all of the muscle fibers it contracts. |
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sarcomere
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Is the basic unit of contraction of skeletal muscle from one Z line to the next
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z disc
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boundaries of each sarcomere
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thin actin filaments
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extend from Z disc toward the center of the sarcomere
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thick myosin filaments
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located in the center of the sarcomere
Overlap inner ends of the thin filaments contain ATPase enzymes |
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A bands
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full length of the thick filament, includes inner end of thin filaments
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H zone
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center part of A band where no thin filaments occur
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M line
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in center of H zone, contains tiny rods that hold thick filaments together
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I band
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region with only thin filaments, lies within two adjacent sarcomeres
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muscle contraction
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when a nerve cell stimulates a muscle fiber, it sets up an impulse in the
Sarcolemma that signals the Sarcoplasmic reticulum to release Calcium ions. Released Ca++ diffuses through cytoplasm and triggers the sliding filament mechanism. Impulses further conducted by t tubules |
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Sliding filament theory:
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Myosin heads attach to actin
in the thin filaments Then pivot to pull thin filaments inward toward the center of the sarcomere Contraction mechanism is activated by binding of Ca++ to the thin filaments and powered by ATP. |
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Tn C (troponin C)
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binds to calcium, initiates muscle contraction
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Tn T (troponin T),
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binds troponin complex to tropomyosin
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Tn I (troponin inhibitor),
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inhibits actin binding to myosin heads in resting muscle
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types of muscle fibers
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extrafusal, and intrafusal
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extrafusal
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make up the bulk of muscle.
-are innervated by alpha-motoneurons. -provide the force for muscle contraction. |
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intrafusal
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are smaller than extrafusal muscle fibers.
-are innervated by gamma-motoneurons. -are encapsulated in sheaths to form muscle spindles. -run in parallel with extrafusal fibers. But not for entire length of the muscle. |
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muscular dystrophy
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A group of inherited muscle degenerating disease appearing in childhood.
The affected muscles enlarge with fat and connective tissue but the muscle fibers actually degenerate |
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Duchenne muscular dystrophy
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Sex-linked recessive inherited disease, males are most exclusively affected,
1/3500 boys, diagnosed between age 2-10, muscle weakens, first pelvic muscles affected, then muscles of shoulder and head, rarely live over 20 years. Fibers lack a submembrane protein called dystrophin. |
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myotonic dystrophy
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Myotonic dystrophy is an inherited disorder in which the muscles contract but have decreasing power to relax. With this condition, the muscles also become weak and waste away. Myotonic dystrophy can cause mental deficiency, hair loss and cataracts.
Onset of this rare disorder commonly occurs during young adulthood. However, it can occur at any age and is extremely variable in degree of severity. The myotonic dystrophy gene, found on chromosome 19, codes for a protein kinase that is found in skeletal muscle, where it likely plays a regulatory role. |