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Exam 2 Focused Review: Anatomy & Physiology (Chapters 5-10)

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Skin and Its Layers

Structure and Function of Skin Layers

The skin is composed of multiple layers, each with distinct functions and characteristics. Understanding these layers is essential for recognizing their roles in protection, sensation, and homeostasis.

  • Epidermis: The outermost layer, providing a barrier against pathogens and water loss.

  • Papillary Layer: The upper region of the dermis, containing capillaries and sensory receptors.

  • Reticular Layer: The deeper dermal layer, rich in collagen fibers for strength and elasticity.

  • Hypodermis: Also known as the subcutaneous layer, composed mainly of adipose tissue for insulation and energy storage.

Importance and Function: Each layer contributes to the skin's protective, sensory, and regulatory functions.

Accessory Structures of the Skin

Glands and Receptors

The skin contains specialized structures that aid in its function.

  • Tactile Receptors: Sensory receptors that detect touch, pressure, and vibration.

  • Sebaceous Glands: Produce sebum, an oily substance that lubricates and protects the skin.

  • Eccrine and Apocrine Glands: Sweat glands involved in thermoregulation and scent production.

Burns and Skin Damage

Assessment and Classification

Burns are classified by depth and extent, with the "rule of nines" used to estimate the percentage of body surface area affected.

  • Rule of Nines: Divides the body into sections, each representing 9% (or multiples thereof) of the total body surface area.

Skeletal System Overview

Functions and Structure

The skeletal system provides support, protection, and movement. It consists of bones, cartilage, and connective tissues.

  • Functions: Support, protection of organs, movement, mineral storage, blood cell production.

  • Axial Skeleton: Includes the skull, vertebral column, and thoracic cage.

  • Appendicular Skeleton: Includes the limbs and girdles.

Bone Composition

Bones are composed of organic and inorganic matrices, contributing to their strength and flexibility.

  • Organic Matrix: Mainly collagen fibers, providing flexibility.

  • Inorganic Matrix: Primarily hydroxyapatite (calcium phosphate), providing hardness.

Types of Bone Tissue

  • Spongy (Cancellous) Bone: Porous, found at the ends of long bones and inside flat bones.

  • Compact Bone: Dense, forms the outer layer of bones.

Bone Cells

  • Osteocytes: Mature bone cells maintaining bone tissue.

  • Osteoblasts: Cells responsible for bone formation.

  • Osteoclasts: Cells involved in bone resorption.

Parts of a Long Bone

  • Epiphysis: The ends of the bone.

  • Diaphysis: The shaft of the bone.

  • Metaphysis: The region between epiphysis and diaphysis.

  • Epiphyseal Line: Remnant of the growth plate.

Bone Markings

  • Tuberosity, Foramen, Epicondyle: Surface features for muscle attachment and passage of nerves/vessels.

Growth and Development of Bones

Types of Bone Growth

  • Appositional Growth: Increase in bone thickness.

  • Interstitial Growth: Increase in bone length.

Joints and Movement

Classification and Function

Joints, or articulations, are classified by their structure and the type of movement they allow.

  • Synovial Joints: Freely movable joints with a synovial cavity.

  • Types of Synovial Joints: Plane, hinge, pivot, condyloid, saddle, ball-and-socket.

Types of Movement

  • Flexion: Decreasing the angle between bones.

  • Extension: Increasing the angle between bones.

  • Hyperextension: Extension beyond the normal range.

  • Abduction: Movement away from the midline.

  • Adduction: Movement toward the midline.

  • Circumduction: Circular movement combining flexion, extension, abduction, and adduction.

  • Rotation: Movement around a longitudinal axis.

Muscle Tissue and Contraction

Types of Muscle Tissue

  • Skeletal Muscle: Voluntary, striated muscle attached to bones.

  • Cardiac Muscle: Involuntary, striated muscle found in the heart.

  • Smooth Muscle: Involuntary, non-striated muscle found in walls of organs.

Muscle Contraction: Sliding Filament Theory

Muscle contraction occurs through the interaction of actin and myosin filaments.

  • Stages: Excitation, contraction, relaxation.

  • Excitation-Contraction Coupling: The process linking muscle fiber stimulation to contraction.

Sliding Filament Theory: Myosin heads bind to actin, pulling the filaments past each other to shorten the muscle.

Equation:

Muscle Organization

  • Epimysium: Surrounds the entire muscle.

  • Perimysium: Surrounds muscle fascicles.

  • Endomysium: Surrounds individual muscle fibers.

Muscle Fiber Types

  • SO (Slow Oxidative): Fatigue-resistant, used for endurance.

  • FG (Fast Glycolytic): Fatigue quickly, used for rapid, powerful movements.

  • FOG (Fast Oxidative-Glycolytic): Intermediate properties.

Muscle Actions

  • Prime Movers (Agonists): Muscles primarily responsible for movement.

  • Antagonists: Muscles that oppose the action of prime movers.

  • Synergists: Muscles that assist prime movers.

  • Fixators: Muscles that stabilize the origin of the prime mover.

Table: Types of Synovial Joints and Movements

Joint Type

Example

Movement

Hinge

Elbow

Flexion/Extension

Ball-and-Socket

Shoulder

Flexion, Extension, Abduction, Adduction, Rotation, Circumduction

Pivot

Atlas/Axis (neck)

Rotation

Plane

Intercarpal joints

Gliding

Condyloid

Wrist

Flexion, Extension, Abduction, Adduction

Saddle

Thumb (carpometacarpal joint)

Flexion, Extension, Abduction, Adduction, Circumduction

Additional info:

  • Some details, such as the equation for muscle force and the table of joint types, were inferred for completeness and academic context.

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