Anatomy Basics Flashcards
Types of junctions
Adherence, desmosomes, hemidesmosomes, tight junctions and gal junctions
Difference between desmosomes and hemidesmosomes
Hemidesmosomes attack cell to basement membrane while desmosomes attach 1 epithelia to another
Components of extra cellular matrix
Collagen, elastin, adhesive proteins Glycosaminoglycans (forms large hydrated gel)
Layers of the skin
Epidermis, dermis, superficial fascia, deep fascia, serous membrane
2 types of tissue in bone and basic structure
Compact bone: external surface of bones, osteon form the structural unit. Can usually only resist force coming from one direction. Trabecular bone: deep bone, lighter structure with holes but much stronger and can resist force coming from many directions
Isotonic and isometric muscle contraction
Isotonic: muscle changes length during contraction Isometric: muscle doesn’t change length during contraction (e.g. postural muscle)
Motor unit
Sum of all motor end plates innervated by a motor neuron
Role of astrocytes
Maintenance of BBB, structure, growth, scar tissue
Oligodendrocytes role
Myelination
Microglia role
Immune help
Ependymal cells
Line chambers and passage of CSF and produce it
Vertebral levels of sympathetic nervous system
T1-L2
Sympathetic pathway from spinal chord to effector organ
Spinal chord, then they synapse in ganglion in paravertebral trunk. Lost ganglionic neuron to effector 2 types don’t pass by paravertebral trunk: some go to collateral ganglia (unpaired) then to visceral effectors and adrenal medulla has a direct sympathetic fiber with no synapse. It releases neurotransmitters in the blood
Parasympathetic from spinal chord to effector organ and vertebral level
Vertebral level: cranial nerve (vagus, 9th, 7th, 3rd), S2 to S4 Spinal chord: synapse at ganglion close to effector organ: effector organ
Paracrine vs autocrine release of hormones
• Paracrine - Hormones released locally (act on nearby cells) • Autocrine - hormones released locally (act on itself)
3 types of hormones and what they are
- Proteins/ peptides ◦ Can be small peptides (e.g. ADH) ◦ Can be polypeptides (e.g. insulin) ◦ Can be glycoproteins - polypeptides bound to a carbohydrate (e.g. LH). ◦ First synthesised as preprohormones, then proteolytic enzymes cleave them to form prohormones ◦ Water soluble, so have short half lives. ◦ Made in hypothalamus, pituitiary, parathyroid, GI tract and pancreas. 2. Steroids ◦ Structure is 3 6-carbon rings, 1 5-carbon ring. Derived from cholesterol ◦ Fat soluble, transported by proteins like albumin. ◦ Made in mitochondria/ SER. ◦ not stored so release is dependent on synthesis. ◦ produced in adrenal gland and sex organs. (sex hormones and adrenal cortex hormones) 3. Amines ◦ A type of hormone that comes from tyrosine, can be made into 2 main types: ◦ thyroid hormone ‣ lipid soluble, long half life, produced and stored in thyroid gland. ◦ catecholamines ‣ Water soluble so can’t cross membrane, short half life, stored intracellularly in granules (e.g. adrenaline)
How steroid hormones bind to receptors and action
- Hormone enters cell 2. Binds to cytoplasmic or nuclear receptor 3. Hormone-receptor complex moves to nucleus 4. Dimerization: 2 hormone-receptor complexes bind to HRE (hormone response element) of DNA, causing transcription.
How water-soluble hormones bind to receptors and action mechanism
- Binds to one of 3 receptors: A. Monomeric: single unit crosses membrane B. Multimeric: 2 or more crosses membrane (e.g. insulin receptor) C. 7 membrane spanning domain: beta adrenergic for e.g. 2. Binding of hormone causes change in receptor conformation 3. Causes change intracellularly: signaling cascade.
How hormones are released in the anterior lobe of the pituitary gland
Hormones are produced in hypothalamus and are released to the anterior pituitary by the pituitary portal system.
Role of hormones in anterior lobe of pituitary
Hormones produced by this lobe are responsible for regulating endocrine glands downstream in the body (e.g. thyroid). Only 1, prolactin, is not responsible for regulating a downstream hormone.
How hormones are released in the posterior lobe of the pituitary gland (including nuclei).
Hormones are sent from the supraoptic and paraventricular nucleus, travel through the axon and are sent to the bloodstream.
2 mechanisms of control of hormone secretion of pituitary gland.
Hypothalamic hypophysiotrophic hormone secretion Negative feedback from dowstream hormones.
Mesentery
A double fold of the peritoneum which connects the intestines to the abdominal wall.
Difference between Intra peritoneal and retro peritoneal
Intra: completely surrounded by peritoneum Retro: covered partly by the peritoneum
Omentum
A fold in the peritoneum
Attachment of the lesser omentum
Lesser curvature of the stomach and the liver
Attachment of the greater omentum
Greater curvature of the stomach and transverse colon
Intraperitoneal organs
Stomach, half of proximal duodenum, jejunum, ilium, caecum, appendix, transverse colon, sigmoid colon rectum, liver, spleen, pancreas
Retroperitoneal organs
Lower half of duodenum, ascending colon, descending colon, rectum (middle third), pancreas tail, kidneys, adrenal gland, IVC
Define ascites and possible causes
Abnormal fluid buildup in abdomen. Liver scarring
3 layers of mucosa (innermost layer of gut wall)
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Epithelium
Lamina Propria
Muscularis Mucosa
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Components inside submucosa (middle layer of gut wall)
Connective tissue loose, neurovasculature, glands
Layers of Muscularis Externa (3 outermost of gut wall)
Outer longitudinal, inner circular
Outermost layer of the gut wall
Adventitia or serosa (connective tissue/ peritoneum containing neurovasculature)
Where the superior mesenteric vein/ artery pass in relation to the stomach
Under the pylorus of the stomach, above pancreas and duodenum.
Parasympathetic and sympathetic innervation of stomach
Parasympathetic: vagus nerve (anterior supply from left vagus, posterior vagal trunk from right vagus)
Sympathetic: T6-T9
Location of spleen (rib and left/ right)
9th to 11th left ribs
Ligament between two lobes of the liver
Falciform ligament
3 veins that drain into the hepatic portal vein
Inferior mesenteric (hindgut)
Superior mesenteric (midgut)
Splenic (forgut)
Entry of bile into duodenum
Sphincter of oddi/ greater duodenal papilla.
4 parts of the pancreas
Tail, body, neck, head
End of midgut/ start of hindgut
2/3 of the way along transverse colon
End of foregut
Duodenal papilla
Name of folds in the intestines
Plicae circularis
Connections of suspension ligament
Between the duodenojujunal flexure and the diaphragm/Celiac artery
Difference between jejunum and ileum
Ileum has no plicae circularis, has more fat and has Peyer’s patches on its walls. Also more plexuses and shorter vasa recta
Pathway of bile from mesentery of small intestines to thoracic duct
Mesentery nodes to preaortic nodes to cisterns Chyli (paraaortic) and then thoracic duct
ADD PUCTURE OF LAREB INTESTINE AND LABEL TENIAE COLI, HAUSTRA, EPIPLOIC APPENDAGES
Ya
Region of pain of the appendix
McBurney’s Point
2/3 down between umbilical chord and asis.
Pathway of food from stomach
Duodenum to jejunum to ileum to caecum to ascending colon to transverse colon to descending colon to sigmoid colon to rectum to anal canal
Sympathetic Innervation to foregut, midgut and hindgut
Midgut: greater splanchic nerve (t5 to T9)
hindgut: lesser splanchic nerve (T10 to T11) and partly least splanchic nerve T12):
Parasympathetic innervation intestines
Vagus nerve
Branches of the abdominal aorta
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What superior mesenteric artery supplies and inferior mesenteric artery
Superior: ascending colon, caecum, transverse colon, illeum and jejunum
inferior: descending colon, sigmoid colon, part of rectum
Branches of superior mesenteric artery
6
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Branches of inf mesenteric artery
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Branches of the celiac trunk
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Inguinal canal boundaries and contents
Contents in males: spermatic cord, 3 arteries (testicular), 3 nerves (genitofemoral, ilioinguinal), 3 fascias
Females: round ligament of the uterus, genital branch of genitofemoral nerve, ilioinguinal nerve
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Ureter passes over or under these structures on it’s way to the baldder
External illiacs
Obliterated umbilical artery
Vas deferens
External illiacs -> over
Umbilical artery -> over
Vas deferens -> under
2 types of erectile tissue in men and women
Men and female: corpus cavernosa
Men: corpus spongiosum
Female: bulbs of vestibule
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Muscle of the bladder and arterial supply
Detrusor muscle. Superior and inferior vesicular arteries.
Lymphatic drainage of the: kidneys, upper/middle/lower ureters, pelvic ureter and bladder
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Effects of the somatic, parasympathetic (S2-S4) and sympathetic (T10-L2) on the detrusor muscle and spincters
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3 parts of the pubic bone
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difference between male and female pelvis bone
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3 parts of the levantor ani muscle and what it is
Levantor ani (3 parts) makes up the pelvic floor. 3 parts: puborectalis, pubococcygeous, iliococcygeus, coccygeus,
2 triangles in the perineum and their contents
Anal triangle: anal aperture, anal sphincters, ischioanal fossae, pudendal nerve.
Urogenital triangle: urethra, urthral sphincters, vagina, bulbourethral glands, muscles of the reproductive organs
Layers of the urogenital triangle
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Episiotomy
surgical incision through the perineum to aid in childbirth and prevent uncontrollable tearing of the perineum
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Neurovascular supply of the perineum
Internal pudendal artery and pudendal nerve (S2 to S4)