anat Flashcards

1
Q

what does the skeletal system consist of

A
  1. bones
  2. cartilage
  3. joints
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2
Q

how many bones are there in a human adult

A

around 206

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3
Q

what are the categorisation of skeletons in the human body

A
  1. AXIAL skeleton (80 bones)
    - skull (29)
    - vertebral column (26)
    - thorax [ribs & sternum] (25)
  2. APPENDICULAR skeleton (126)
    - Pectoral girdle & upper limbs (64)
    - Pelvic girdle & lower limbs (62)
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4
Q

Types of bones

A
  • Long
  • Short
  • Flat
  • Irregular
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5
Q

Functions of bones

A
  • Support
  • Movement
  • Protection
  • Blood formation (bone marrow)
  • Electrolyte balance (in blood)
  • Acid-base balance
  • Storage of energy
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6
Q

Composition of bones

A
  1. BONE TISSUE
  2. PERIOSTEUM: fibrous outer & osteogenic underneath layer (not on articular cartilage)
  3. ENDOSTEUM: covering the yellow bone marrow
    *lines MARROW CAVITY (holding red/yellow bone marrow)
  4. Articular cartilage: covers ends of bones
  5. Blood vessels
  6. Nerves

*BONE MARROW (in centre of bone):
- Yellow: fat tissue (MAY redifferentiate to RED marrow at stress)
- Red [in FLAT, IRREGULAR bones and ENDS of adult femur/humerus: Hematopoietic

Segments of a (long) bone (end -> middle): EPIphysis -> METAphysis -> DIAphysis (shaft)
*growth place for children

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7
Q

Composition of Bone tissue

A

*bone tissue: MAIN component of bones

HARD connective tissue composition:
1. Cells
- Osteocytes (trapped in lacunae/space within BONE MATRIX): bone maintenance, remodeling, mechano-sensing
- Osteoclasts: bone resorption & remodeling, dissolves bone matrix (related to WBCs)
- Osteoblasts: generate NEW bone matrix & osteocytes

  1. Mineralised matrix
    - ORGANIC: protein fibers (primarily collagen) & other materials
    - Inorganic: hydroxypatite (specialised crystals) Ca2+ salts, Mg2+, Na+, K+, F-, SO42-, CO32-, OH-)
  2. Compact bone tissue *osteon (structural unit)
    > found at OUTER layer of bones (+ shafts/diaphysis of long bones)
  3. Spongy bone tissue
    > found in INTERIOR of skull bones, vertebrae, sternum, pelvis (+ ends of long bones)
    *resembles sponge due to cavities between trabeculae (beams/plates of bone); cavities contain BONE MARROW

*OSTEOPOROSIS (porous bone): bone has too much RESORPTION and/or too little bone formation -> Ca2+/ PO43-/ Vit D/ diet/ Hormones/ exercise/ therapeutics

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8
Q

important bones of the body

A

Cranium -> skull
Mandible -> jaw

clavicle -> collarbone
scapula -> shoulder blade
sternum -> central chest bone
rib
vertebrae -> lower back (spinal cord)

humerus -> upper arm
ulna -> lower/ INNER arm (smaller)
radius -> lower/OUTER arm (bigger)

hip bone
femur -> upper thigh
patella -> knee cap
tibia -> calf/ INNER (bigger)
fibula -> calf/ OUTER (thinner)

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9
Q

Cartilage composition, location, features, types

A

Composition: made of TOUGH cartilaginous connective tissue

Location: in articulating ENDS of bones, thorax, nose, trachea, outer ear, larynx *structures not related to bone directly

Cells involved: chondrocytes (in lacunae, arise from perichondrium) - secrete cartilage matrix
- in lacunae, extracellular matrix

*EXTRACELLULAR MATRIX
> collagen/elastic fibers
> ground substances: H2O, glycosaminoglycans (chondoitin sulfates, keratan sulfate, hyaluronic acid etc), proteoglycans

*almost always covered by PERICHONDRIUM
** NO BLEED VESSELS/ NERVE (except in perichondrium)

Types:
1. Elastic cartilage (elastic fibers in matrix)
2. FIBROcartilage (COLLAGEN fibers in ground substance)
3. HYALINE cartilage (associated with perichondrium)

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10
Q

Muscle tissue features, types

A

Mainly composed of SPECIALISED cells -> MUSCLE FIBERS

  • Contracts/ shortens with force
  • Moves human body, organs, pumps blood

Types:
1. SKELETAL muscle tissue: Striated, Voluntary
2. CARDIAC muscle tissue: Striated, INVOLUNTARY
3. Smooth muscle tissue: non-striated, INVOLUNTARY

function: regulates all movements of human body (muscle contraction)
*except: cilia, flagellum, ameboid movement (some WBCs)

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11
Q

Skeletal muscle tissue features

A
  • Elongated
  • Cylindrical
  • UNBRANCHED
  • Striated muscle fibers
  • Plasma membrane -> sarcolemma
  • Cytoplasm -> Sarcoplasm (contents: myofibrils/ myofilaments, mitochondria, Golgi complex, ER/ sarcoplasmic reticulum)
  • MULTI-NUCLEI: FLATTENED (near periphery beanth sarcolemma)

How muscles are formed (->: bundling): myofilaments -> myofibrils -> muscle fibers (cells) -> fasicles -> muscle fibers

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12
Q

Sacromere components/ feature

A

SARCOMERE: contractile unit of myofibril
I band (light) -> Z line(disc)
A band (dark) -> M line, H zone

made of thin & thick myofilaments
THIN: mainly made of ACTIN (attached to Z line), TROPOMYOSIN, TROPONIN [ATT]
THICK: mainly made of MYOSIN (attached to M line)

  • as muscle contrcts -> filaments on thick & thin (within A band) interact with one another

*Myofibril: formed by a bundle of thick & thin filaments

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13
Q

Terminology (skeletal muscle): Origin, Insertion, Action, Agonist, Synergist, Antagonist

A

Origin: muscle attachment that remains STATIONARY while the muscle contracts

Insertion: Muscle attachment that MOVES while the muscle contracts

Action: specific MOVEMENT (eg. flexion, extension) produced by a muscle contraction

Agonist: muscle(s) responsible for producing a particular movement

Synergist: muscle(s) ASSISTING agonist in performing the particular movement

Antagonist: muscle(s) OPPOSING the action of agonist - to control (eg. speed/ smoothness of movement)

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14
Q

impt muscles in human body

A

Face
Buccinator (around cheek) - for blowing/ smiling
Masseter (jaw) - for chewing

Neck
Sternocleidomastoid (from skull to chest, diagonal) - for bending/ tilting neck

[Chest] Pectoralis major
[Stomach] Rectus abdominus

Arm
deltoid* -> shoulder
biceps brachii
Triceps brachii

Leg
Gluteus maximus*
Adductor longus -> hip/thigh
Biceps femoris -> back of upper thigh
Quadriceps femoris -> above knee cap, front
Tibialis anterior -> front of calf
Gastrocnemius -> calf

*deltoid/ gluteus maximus - used for IM injection
> Gluteus: at upper outer corner - AVOID sciatic nerve (biggest nerve of body)

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15
Q

Functions of skeletal muscles

A
  1. Produce movements (skeletal muscles act on joints & bones)
    eg. walking, pinching, respiration, facial expression (subtle)
  2. Maintain posture, position & stability
    eg. sitting, standing steady
  3. Support & protect
    - Abdominal wall - protects internal organs
    - Pelvic diaphragm - protects pelvic organs (from prolapse)
  4. Guards entrances/ exits
    - Sphincters - enable voluntary control of swallowing, micturition (urination), defecation & parturition
  5. Maintain body temperature
    - Chemical energy converted to heat during muscle contraction & shivering
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16
Q

Joint definition, types

A

joint: SPECIALISED site of contact/ reunion between 2 or more bones
- actively moved by CONTRACTION/ shortening of skeletal muscles that stretch across

Types
1. Fibrous (eg. suture between skull bones)
2. Cartilaginous (eg. symphysis pubis - plate btw hip bones anteriorly)
3. Synovial *with synovial cavity (eg. shoulder, knee joints) ** MOST MOBILE
> Major components:
- Joint capsule (surrounds 2 knee bones, connective tissue)
- Synovial membrane (just beneath joint capsule)
- Joint cavity
- Articular cartilage *HYALINE (between bones)
> Major TYPES
1) Ball-and-socket joint (eg. shoulder, hip)
2) Hinge joint (eg. elbow, knee)
3) Pivot joint (eg. radioulnar joint - neck, wrist)
4) Planar joint *flat (eg. intercarpal joint)

*shoulder joint - movements of bone: Adduction // Abduction // Extension // Flexion // Medial rotation // Lateral rotation // Circumduction

*Knee joint (2 types)
1. Hinge: between femur & tibia
2. Gliding: between femur & patella (behind knee cap)
> Major components:
- Bones: Femur, tibia, patella
- Articular catilage
- Synovial membrane
- Joint capsule
- Joint cavity
*- Menisci & ligaments (increases fitting between bones)
> Movements: Flexion // Extension (quadriceps femoris contracts) // (possibility of) slight rotation & gliding *while flexed

~ Osteoarthritis: joint space narrowing // sclerosis of subchondral bone // osteophyte formation // eventual cystic changes in adjacent bone
^joint pain
^ use of chondroitin sulfates/ hyaluronic acid/ glucosamine as dietary supplements -> increase cartilage

17
Q

blood components, characteristics

A

with anticoagulant + centrifuged (bottom -> top):
- RBCs (42- 47%)
- Buffy coat: leukocytes + platelets (1%)
- Plasma: water [~92%], proteins [~7%] (albumins, globulins, fibrinogen, regulatory proteins), other solutes [~1%] (electrolytes, organic nutrients, organic wastes)

*no anticoagulant -> coagulation (bottom -> top)
- Blood clot: fibrin-containing network trapping blood cells
- Serum: protein-rich fluid (albumin, immunoglobulins, other components) WITHOUT fibrinogen (converted to fibrin/ used for clotting)

Characteristics:
- Volume in adult: 5-6L (M) // 4-5L (F)
- pH: 7.35 - 7.45 (slightly alkaline)
- Color: scarlet/ bright red (oxygenated) -> deep/ dark red (deoxygenated)

18
Q

Types of blood cells, features, functions

A
  1. Erythrocytes (RBCs): transport oxygen + part of CO2
    - [M] 4.5-6.3 x 10^6 per uL // [F] 4.2-5.5 x 10^6 per uL
    - Generated in RED bone marrow, lifespan ~3-4months -> worn-out RBCs removed by macrophages/ destroyed in liver & spleen
    - Appearance: Biconcave disc (diameter 6-8um, ~2um thick at rim) -> LARGE surface area for O2 entry/exit + allow RBC to bend, flex in small capillaries; [Mature] NO nucleus & organelles
    - Hemoglobin-containing (red, [M] 14-18g/dl, [F] 12-16g/dl, [infant] 14-20g/dl] -> binds to O2 & part of CO2

**Sickle cell anemia: point mutation of Hb beta chain -> HbS
- HbS polymerise & aggregates when de-oxygenated ‘sickled erythrocytes’
- Increased blood viscosity & shortened RBC lifespan -> anemia, anoxia
- HbS carrier: resistant to malaria

  1. Leucocytes (WBCs): defense & immune systems -> remove pathogens + toxins, abnormal/damaged cells
    - contains nuclei + various organelles (vs RBCs)
    - 6000-9000/uL blood
    - Migrates to other tissues - Body WBCs mostly found in connective & lymphoid tissues
    - Originates from BONE MARROW STEM CELLS, lifespan mostly a few days
    - Granulocytes vs Agranulocytes: visible granules (neutrophils, basophils, eosinophils) vs NO visible granules under LM (lymphocytes, monocytes)
  2. Thrombocytes (platelets): Blood clotting
19
Q

Neutrophils characteristics

A

Neutrophil - Polymorphonuclear leukocyte

  • 50-70% of circulating WBCs (stay in bloodstream ~10h)
  • 12-15um (diameter)
  • Nucleus: segmented (3-5 lobes connected by fine strands)
  • Cytoplasm: packed with pale (“neutral colored”) granules containing bactericidal compounds
  • HIGHLY MOBILE & generally the 1st WBC to arrive @ site of acute inflammation/ phagocytosis; specialised in attacking & digesting bacteria that have been ‘marked’ for destruction
20
Q

Eosinophil characteristics (size/color/features, lifespan, function)

A
  • 2-4% of circulating WBCs
  • Size similar to neutrophils
  • Reddish-orange
  • Usually bilobed nucleus
  • Survive for minutes to days, move to tissues after a few hours
  • Function: phagocytise antibody-coated bacteria, protozoa, cellular debris
    *main method of attack: exocytosis of toxic compounds onto surfaces of target
  • IMPORTANT defenders against LARGE, MULTICELLUALR parasites (number increases dramatically in parasitic infeciton)
21
Q

Basophil characteristics (feature, appearance, location)

A
  • <1% of circulating WBCs
  • contain deep purple/ blue basophilic granules
  • Usually bilobed nucleus (often obscured by granules)
  • Migrate to injury sites & discharge contents of granules (eg. histamine, heparin) -> enhance local inflammation initiated by mast cells + attract other WBCs

*involved in INFLAMMATORY reactions during immune response + in acute & chronic ALLERGIC reactions (anaphylaxis, asthma)

22
Q

Monocyte characteristics (appearance, lifespan, function)

A
  • 2-8% of circulating WBCs
  • 13-25um in diameter (almost 2x RBC)
  • Nucleus: LARGE, eccentrically placed, tends to be oval/ kidney-shaped
  • Lifespan: stays in circulation for ~24h before entering other tissues to become macrophages (aggressive phagocyte)

FUNCTIONS
- Generate TISSUE MACROPHAGES
- Phagocytise & digest protozoa, virus & aged cells (might not be effectively dealt with by neutrophils)
- Antigen presentation

23
Q

Lymphocyte characteristics (appearance, location)

A
  • 20-30% of circulating leukocytes

*T & B lymphocytes CANNOT be differentiated on blood smear (typical lymphocytes: thin halo of cytoplasm around a relatively large nucleus)

  • Slightly larger than RBCs
  • Continuously migrate from blood to other tissues & back to blood
  • Lymphocytes in blood stream only a fraction of body’s total lymphocytes; most lymphocytes found in other connective tissue + in lymphatic organs
24
Q

platelets (thrombocytes) characteristics (appearance, lifespan, levels/range, LM features, functions)

A
  • Appearance: flattened disk-like cell fragments (~1-4um) [produced from shedding of megakaryocytes]
  • Part of blood clotting system to stop hemorrhage
  • Lifespan: circulate for ~9-12d before being removed by splenic phagocytes (continuously being replaced)

LM features:
- Non-nucleated cell fragments
- Varying in size (1-4um)
- Purple stained & granular appearance on blood smear

Functions
1) Adhere to collagenous tissue @ margin of vascular damage to form temporary patch (platelet plug)
2) Release chemicals/factors inducing platelet aggregation
3) Promote blood clot (thrombus) formation, retraction, or removal (at a later stage)
4) Secrete factors involved in vascular repair

25
Q

Red bone marrow features (composition, function, other info)

A

Composition: meshwork of vascular sinuses + highly branched FIBROBLASTS with interstices packed with hematopoietic cells

Function:
> Production of billions of RBCs, WBCs & platelets daily (hematopoetic cells)
> Site of removal for worn-out RBCs (together with spleen & liver)

*as age increases:
- Hematopoiesis becomes restricted to mainly flat/ irregular bones (eg. sternum, vertebrae, hip bones, ribs) -> marrow in shafts of long bones progressively replaced by fat tissue (yellow bone marrow)

*T lymphocyte maturation:
immature T lymphocytes from red bone marrow migrate to THYMUS to further differentiate & mature.