Anatomy-Midterm Flashcards

1
Q

Gross anatomy

A

Studying the internal organs

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2
Q

Surface anatomy

A

Studying the surface

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3
Q

Developmental anatomy (embryology)

A

Studying prenatal development. Also studying congenital anomalies

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4
Q

Microscopic anatomy

A

Studying structures at the microscopic level. Two types:

1) Histology: studying tissue
2) Cytology: studying cells

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5
Q

Radiological anatomy

A

Studying structures with the help of x-rays, CT scans, MRI, and other medical imaging techniques

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6
Q

Surgical anatomy

A

Helps surgeons in making correct incisions

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7
Q

Supine position

A

Laying on your back, facing up

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8
Q

Prone position

A

Laying on your stomach, facing down

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9
Q

Lithotomy poistion

A

Birth position or disability

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10
Q

Median plane (median saggital plane)

A

Cuts through the middle of the body and divides it into left and right halves

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11
Q

Saggital planes

A

Planes parallel to the median plane

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12
Q

Horizontal (axial or transverse) plane

A

Planes going horizontally

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13
Q

Coronal plane

A

Perpendicular to the median plane and divides the body into anterior and posterior

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14
Q

Oblique planes

A

Irregular planes

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15
Q

Superior (cranial)

A

Closer to the head

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16
Q

Inferior (caudal)

A

Closer to the feet

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17
Q

Anterior (ventral)

A

Closer to the front

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18
Q

Posterior (dorsal)

A

Closer to the back

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19
Q

Medial

A

Closer to the median plane

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20
Q

Lateral

A

Farther from the median plane

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21
Q

Proximal

A

Closer to the trunk/point of origin

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22
Q

Distal

A

Farther from the trunk/point of origin

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23
Q

Exterior

A

Outside

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24
Q

Interior

A

Inside

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25
Superficial
Nearer to the surface
26
Deep
Farther from the surface
27
Central
Closer to the center (for spherical structures)
28
Peripheral
Farther from the center (for spherical structures)
29
Ipsilateral
Same side
30
Contralateral
Different sides
31
Parietal
Outside covering of a body covering
32
Visceral
Inside covering of a body cavity
33
Evagination
Outward bulging of a body of a wall
34
Invagination
Inward bulging of a body of a wall
35
Flexion
Bending to decrease the angle
36
Extension
Extending to increase the angle
37
Abduction
Moving away from the median plane
38
Adduction
Moving towards the median plane
39
Rotation
Rotating across the longitudinal axis
40
Medial rotation
Rotating inwards
41
Lateral rotation
Rotating outward
42
Circumduction
Circular movement combining abduction, adduction, flexion, and extension
43
Eversion
Raising the lateral border of the foot
44
Inversion
Rotating the medial part of the foot
45
Pronation
Rotating your forearm so that your plan is facing down
46
Supination
Rotating your forearm so that your palm is facing up
47
Protrusion
Moving anteriorly
48
Retraction
Moving posteriorly
49
Origin
End of a muscle that is fixed and shows less movement
50
Insertion
End of a muscle that is fixed and shows more movement
51
Belly
Fleshy, contractile portion
52
Tendon
Fibrous, non-contractile part of muscle
53
Aponeurosis
Connective tissue that connects bone to skin/muscle
54
Raphe
Fibrous brand mad of aponeurosis
55
Arteries
Carry oxygenated blood away from the heart
56
Vessels
Carry deoxygenated blood to the heart
57
Arterioles
Small arteries that branch out
58
Venules
Small veins that branch out
59
Capillaries
Connect arterioles and venules
60
Primordial germ cells
Primitive gametes; derived from the epiblast in the second week of development and move into the wall of the yolk sac
61
Spermatogonium/oogonium
Mitotically active cells
62
Primary spermatocyte/oocyte
Prepares to go take meiosis
63
Secondary spermatocyte/oocyte
Completed meiosis I and goes into meiosis II
64
Spermatid/egg
Completes meiosis II
65
Sertoli cells
Large pale cells surrounding the sperm. Derived from the epithelium of the gland. Acts under FSH and like female granulosa cells
66
Leydig cells
Outside the seminiferous tubules. Produces testosterone to help in sperm post-development. Acts under LH. Like female thecal cells
67
Myoid cells
Outside the seminiferous tubules. Helps in pushing the sperm out
68
Acrosomes
Vesicle containing hydrolytic enzymes
69
Middle piece
Contains mitochondria to help the sperm move
70
Neck
Contains centrioles forming microtubules
71
Principal piece
Longest piece of the tail
72
End piece
Terminal end of the term
73
Aneuploidy
Any derivation from 46 chromosomes
74
Aneuploidy of genome
Attaining a set of 23 chromosome (triploidy, tetraploidy)
75
Aneuploidy of a chromosome
Gaining one or losing one chromosome. Two types: 1) Hypodiploid: 45 chromosomes 2) Hyperdiploid: 47 chromosomes
76
Cri-du-chat syndrome
Loss of 5p arm
77
Turner syndrome
XO in females. Females are infertile, have a short neck, and height
78
Trisomy 21 (Down’s syndrome)
Gain extra chromosome 21. Leads to mental retardation, flat face, short neck
79
Klinefelter syndrome
XXY or XXXY in males. They are infertile, have testicular atrophy, and have breasts
80
Follicular cells
Become granulosa cells and surround the ovum
81
Stromal cells
Become thecal cells
82
Primordial follicle
Ovum surrounded by follicular cells and outside of the ovum, there are stromal cells
83
Early primary follicle
Follicular cells become cuboidal but are still unilaminar. Zone pellucida begins to appear
84
Late primary follicle
Follicular cells become multilaminar. Zona pellucida forms. Stromal cells differentiate into theca interna and theca externa
85
Secondary/antral follicle
Ovum gets bigger due to division of granulosa cells. Cavities begin to appear called antrum. Corona radiate and cumulus oopholus begin to form
86
Graafian follicle
Mature follicle that has everything
87
Corpus leuteum
When ovulation occurs (ovum and granulosa cells leave ovary), some granulosa cells and theca interns form a yellow structure which secretes progesterone under the influence of LH to prepare the endometrium for implantation
88
Corpus albicans
If fertilization doesn’t occur, corpus leuteum degrades to become corpus albicans
89
For fertilization, need intercourse...
1) 3 days before ovulation | 2) 24 hours after ovulation
90
Sperm viability in female tract
24-72 hours
91
Egg viability
12-24 hours
92
Capacitation
Sperm maturation in the Fallopian tubes. Interactions between the epithelial of the Fallopian tube and sperm. Removes proteins and seminal plasma proteins acquired through epididymal and ejaculatory phases. This is to expose molecules that will help in egg penetration
93
Beta proteins
Find and bind to receptors on the egg membrane
94
Alpha proteins
Tells beta proteins to go
95
Fast stop to polyspermy
When the sperm and egg membranes fuse, causes depolarization of the membrane which stops any other sperm from binding to egg receptors. Also, sodium ions enter the cell
96
Slow stop to polyspermy
When the membranes fuse, calcium ions leave the egg,s cytoplasm, causing cortical granules to fuse with the eggs membrane and empty contents that destroy the eggs sperm receptors
97
Acrosomal process
Actin filaments elongate to start making their way to the eggs receptors
98
Acrosomal reaction
Occurs after the hydrolytic enzymes penetrate the zona pellucida
99
Pronuclei
When egg and sperm nuclei are swollen and come closer to each other
100
Blastomeres
First cleavage (2 cells)
101
Morula
16 cell stage (72 hours old)
102
Blastocyst
Hollow filled with embryoblast and trophoblast
103
Trophoblast
Makes the placenta and chorion. Differentiates into: 1) Syncytiotrophoblast: membranes are fused together; outer layer 2) Cytotrophoblast: inner layer; membranes aren’t fused together
104
Placenta
Comes in the third month and starts secreting estrogen and progesterone
105
hCG
Secreted by the trophoblasts to tell the corpus leuteum to continue secreting estrogen and progesterone
106
Most common ectopic pregnancy...
In fallopian tubes
107
Epithileoid tissue
Has no apical surface. Found in the interstitial fluid of Leydig cells and leutin cells of the ovary
108
Endothelial
Lines the blood vessels and the lymphatic vessels
109
Endocardium
Lines the ventricles and the atrium
110
Myothelium
Lines the walls and covers the outer surfaces of the closed body cavities (pericardial, peritoneum, pleural)
111
Simple squamous cells
Height is less than the width. Nucleus is flat. Found in the alveoli of the lungs, loop of Henle, Bowman’s capsule, endothelium, and myothelium
112
Simple cuboidal cells
Height and width are the same. Nucleus is located in the middle. Found in the surface of the ovary, thyroid follicles, and ducts of glands
113
Simple columnar cells
Height is greater than the width. Nucleus is elongated and closer to the bottom. Cells are either pyramidal or low columnar. Found in the bronchules, uterine tubes, and ductules of the testes
114
Non-ciliated columnar cells
Found in the GI tract (from the stomach to the rectum) and gallbladder
115
Pseudo-stratified non-ciliated cells
Found in the auditory tube, vas deferens, and male urethra
116
Pseudo-stratified ciliated cells
Found in the upper respiratory tract (trachea and large bronchi)
117
Stratified squamous non-keratinized
Basal layer is low cuboidal or columnar. Superficial layer is squamous. Found in the lining of the mouth, esophagus, vagina, cornea, anal canal
118
Stratified squamous keratinized
Superficial layer has non-living cells that have keratin in their cytoplasm. Tough and water resistant. Found in the skin
119
Stratified cuboidal cells
Found in the ducts of the sweat glands
120
Stratified columnar cells
Basal layer has polyhedral cells. Superficial layer has columnar cells. Found in the ducts of large glands and the conjunctiva of the eye
121
Transitional epithelium (urothelium)
Basal layer are cuboidal or columnar. Middle layer is polyhedral or pear-shaped. Superficial layer is umbrella-shaped. Found in the renal pelvis, ureter, and urinary bladder
122
Specialization of the lateral surface
- Zona occludens - Zona addherins - Macula occludens - Gap junctions
123
Basal lamina
Composed of type IV collagen, proteoglycan (heparin sulfate), laminin (glycoprotein that binds to basal lamina), and entacidin (glycoprotein associated with laminin). Has two parts: lamina lucida and lamina densa
124
Reticular lamina
Composed of collagen type III fibers and is below the basal lamina
125
Hemidesmosomes
Located on the inner surface of the basal lamina in cells that are exposed to stress (stratifies squamous)
126
Metaplasia
One mature epithelium changes into another epithelial cell due to an abnormal stimuli or inflammation
127
In smokers...
Pseudostratified changed to stratified squamous
128
Uterine infections...
Simple columnar changes to stratified squamous
129
GERD...
Stratified squamous changes to simple columnar
130
Exocrine glands
Have a duct that carries secretion to the outside surface or lumen if the viscera
131
Endocrine glands
Don’t have a duct and secretions are carried through the circulatory system
132
Simple(unbranched glands)
Ducts don’t branch but secretory portion can. Three types: tubular, alveolar, and tuboalveolar
133
Compound (branched)
Ducts branch
134
Merocrine
Molecules are secreted by exocytosis Examples: pancreatic acinar cells, salivary glands
135
Apocrine
Apical surface of the cell is lost and cytoplasm disintegrates to release molecule Example: mammary gland, ciliary body of the eyelid
136
Holocrine
Whole cell is secreted and disintegrated to release molecules Examples: tarsal (mboidium) region of eyelid, sebaceous gland of hair follicles
137
Serous cells
Apex is lumen. Nucleus is round/oval. Lots of ER, golgi, and secretory granules. Is eosophilic due to immature and mature secretory granules
138
Mucous cells
Basal nucleus that is flat. Basal surface includes ER, Golgi, and nucleus. Apical surface has secretory granules. Has a greater lumen than serous cells. Does not take in the H&E stain due to mucous cytoplasm Rough ER and golgi have enzymes called glycosyltransferases that add sugar to polypeptide. Examples: sublingual salivary glands, glands of respiratory , genital tract
139
Mixed glands
Has both serine and mucous components. Serous cells at the end form crescent cells called serous demunles
140
Goblet cells
Unicellular glands that have a basal nucleus with an ER surrounding it. Golgi is above it and secretory granules are on top containing mucin. Mucin will hydrate to become mucus that will line the lumen Example: small intestine, large intestine, and respiratory epithelium
141
Myoepithelial cells
Found between the basal lamina and the epithelium cells. Star-shaped and processes tough acinal portion. Helps in contracting the secretions into the duct. Have myosin and actin
142
Absorption
Concentrating bike and absorbing water and ions. Goes from lumen to the cell. Microvilli help absorb nutrients. Example: intestine and gallbladder
143
Secretion
Lose water from interstitial fluid. Goes from cell to lumen Example: choroid plexus, salivary gland, ciliary body
144
Microvilli
Finger-like projections of cytoplasm that help in absorption and contraction. Contains myosin I, myosin II and actin filaments Example: intestine and kidney
145
Villin
Located at the tip of the microvilli and anchors the actin filaments
146
Terminal web
Horizontal layer of actin filaments that are located under the base of the microvilli. Stabilized by spectrin
147
Spectrin
Anchors the terminal web to the apical membrane of the cell in microvilli
148
Cilia
Hair-like projections of the cytoplasm
149
Basal body of cillia...
Contains 9 triplets of microtubules Is thin and dark-staining
150
Inner core of cilia
Contains 9 doublets of microtubules surrounding a pair of microtubules in the center. Microtubules have A and B subunits Have arms that extend from the A subunit and form cross-bridges with the B subunit
151
Dyenin
Protein that is in the arms of microtubules
152
Nexin
Links microtubules together
153
Stereocillia
Long microvilli that have thick and thin regions. The thick regions have cytoplasmic bridges in between them. There’s is no villin Example: male reproductive tract (vas deferens and ductule deferens) and hair receptors of the ear
154
Erzin
Plasma protein that attaches actin bundles to apical region of the cytoplasm in sterocillia
155
Flagellum
Long cillia that is found only in the male sperm cell
156
Tight junction (zonula occludens)
Fusion of some plasma proteins of adjacent cells on their lateral side. Leads to things passing between apical and lateral regions
157
Belt desmosomes (zonula adherens)
Connect actin filaments from one cell to the other cell
158
Desmosomes (maculae occludens)
Main junction for cells to bind to each other. Scattered across the cell membrane.
159
Circular plaque
On the membranes of each cell
160
Cadherins
Link the adjacent plaques. Can zip up the space
161
Intermediate filaments
Can bind to the plaques and helps relieve the tension on either side
162
Gap junctions (nexus)
Form channels between adjacent cells.
163
Connexons
Protein that helps form the channels to help ions and other small substances cross the membrane
164
Lamina lucidin
Contains laminin
165
Lamina densa
Contains type IV collagen and heparin sulfate
166
Attaching proteins
Help connect the basal lamina to the lamina retucularis. Contains type VII collagen
167
Lamina reticularis
Contains type III collagen
168
Type IV collagen
Form a meshwork of procollagen that helps in structure and filtration of the basal lamina
169
Type VII collagen
Attaches the lamina reticularis to the basal lamina
170
Hematoxylin and eosin
Simple staining technique Hematoxylin: basic stain (positive charge) that stains blue Eosin: acidic stain (negative charge) that stains pink
171
Silver staining
Uses silver and stains proteins (type III collagen) and DNA
172
Toulidine blue
Has a property called metachromasia which is staining tissues in different shades of a color Stains blue in solution but red in mast cell granules
173
Giemsa/ Wright stain
Stains for blood and bone marrow. Smears are a mixture of basic (methylene blue) and acidic (eosin)
174
Osmium tetroxide
Stain lipids
175
Sudan III & IV
Used instead of oil red o since it gives a darker red color
176
Amniotic cavity
Forms in the second week. Trophoblast and embryoblast separate and form a cavity in between. Roof is amnion and floor is epiblast. Amniotic fluid is deceived from maternal blood and fetal urine
177
Developing sinusoids
9th day: holes form in the syncytiotrophoblast called lacunae 12th day: holes fuse to form a membrane called the lacunae network. Maternal capillaries in the endometrium dilate and seep into the network
178
Yolk sac
Happen at 8th day if development. Hypoblast cells migrate ventrally (downward) and form extraceolomic membrane Yolk sac is hypoblast + extracoelomic membrane Yolk sac supplies early nutrients, contain n primordial germ cells, source of blood cells, shock absorber
179
Extraceolomic cavity
12th day of development. Fuses to form a large singular cavity
180
Chorion
Formed by two trophoblasts and extra embryonic mesoderm. Protects the embryo and produces hCG. Connecting stalk connects embryoblast to trophoblast
181
Gastrulation
Forming three layers of cells. Epiblast will migrate medially to the primitive streak and go ventrally (inwards) to displace the hypoblast to form endoderm. Will then go in between endodermis and epiblast to form mesoderm and finally replace itself to form ectoderm. Process goes causally to cranially
182
Ectoderm
Forms epidermis and nervous system
183
Endoderm
Epithelial lining of GI tract, resp tract, etc
184
Mesoderm
Everything else (bones, body cavities, CT)
185
Notochord
Forms on 16th day. Induces tissues to become vertebral bodies and induces neurulation
186
Oophoryngeal membrane
Forms at the cranial end of the disc. Will dissolve to form the tract connecting the mouth to the GI tract and pharynx
187
Cloacal membrane
Forms at the caudal end if the disc. Will form the opening of the anus, the urinary tract, and reproductive tracts
188
Allantois
When cloacal membrane forms, the wall of the yolk sac will form the allantois. In most animals, the allantois is responsible for gas exchange and waste removal. But placenta does this in humans
189
Neurulation
Notochord will induce formation of the neural plate. Neural plate will elevate to form neural folds. Neural folds will fuse to form neural tube Neural tube forms the brain and spinal chord
190
Neural crest cells
Slip under during development of neural tube. Forms autonomic nervous ganglia, spinal + cranial nerves&ganglia, adrenal mediated skeletal muscular components of the head
191
Head divides into 3 compartments:
- Prosencephalon (forebrain) - Mesoncephalon (midbrain) - Rhomboncephalon (hindbrain)
192
Somites
Develop in the third week. Forms between the mesoderm next to the notochord and neural tube and forms paired longitudinal columns of paraxial mesoderm. These are segmented into paired, cube-shaped somites Number of somites can be corresponded to the age of the embryo
193
Forming blood vessels
Happens in third week. Spaces develop in the blood islands to form , lumen of blood vessel. Pluripotent stem cells develop into blood cells
194
Heart forms and begins to beat by...
3rd week
195
Chorionic villi
Finger like-projection on chorion. Blood vessels of chronic villin connect to the embryonic stalk by connecting stalk (umbilical chord)
196
Placenta develops in...
3rd week
197
Primitive node
Swelling at one end of the primitive streak. Is the first and central structure in determining the cranio-caudal axis. - Determines growth of the notochord cranially by HNF-beta 3 - Determines growth of the primitive streak caudally by nodal - Determines body axis by goosecoid - Induces cells to become motile and migrate by T gene
198
Prechordal plate
Also establishes cranial aspect by lim-1
199
Anetero-posterior axis
Established by anterior visceral endoderm cells. Express genes for head formation. These include OTX2, LIM 1, and HESX1
200
Left-right body axis
Established through the primitive mode and steak which secret FGF8. Also establishes the expression of nodal. Nodal accumulates in the left side of the node
201
When neural plate is induced...
FGF8 induces the expression of Lim-1 and LEFTY-2. Both genes regulate the expression of the transcription factor PITX2 which establishes left-sidedness
202
LEFTY-1
Expressed on the left side of the ventral side of the neural tube
203
Midline barrier
Accomplished by sonic hedgehog (shh) which make sure that left side genes don’t go on the right and vice versa
204
Snail
Regulates genes required for right-sidedness
205
Cranial dysgenesis (sirenomelia)
Caudal defect resulting from insufficient mesoderm formation. Also due to T gene. Leads to fused lower limbs and renal agenesis. Is teratogenic and genetic
206
Holoprosencephaly
Prechordal plate and anterior ectoderm fail to secrete shh and other factors needed for induction and early development of the forebrain. - Cranial defect - Neuronal and craniofacial cell death - Small forebrain and fused ventricles - Teratogenic
207
Conjoined twins
May be due to underexpression of goosecoid
208
Connective tissue
Most abundant tissue in our body. Has ground substance, cells, and fibers. Divided into: - CT proper (loose and dense) - Fluid CT blood - Supportive CT bone and cartilage
209
Function of CT
- Connect epithelial to basal lamina - Provide structure - Store energy - Transports materials
210
Cells in CT
- Fibroblast - Macrophages - Mesenchymal cells - Microphages - Lymphocytes - Adipocytes - Mast cells
211
Fibroblast
All CT comes from here. Secrete proteins and hyaluronon. Produce fibers and ground substance Has unbranched cytoplasm, small nucleus, and little rER and no Golgi. This makes it inactive
212
Macrophages
Part of immune system and eat up pathogens
213
Adipocytes
Cells with large fat droplets
214
Mesenchymal cells
Stem cells that respond to infection and injury. Differentiates into different CT tissue types
215
Melanocytes
Store the brown pigment melanin
216
Mast cells
Stimulate inflammation after an injury. Secrete histamine and heparin. Basophils are mast cells in the blood
217
Lymphocytes
Cells of the lymphatic system (ex: plasma cells)
218
Microphages
Respond to signals sent by macrophages and mast cells. Ex: neutrophils and eosinophils
219
Collagenous fiber
Made of collagen and is strong. Found mostly in dense CT. Is unbranched. Fresh fibers are colorless but when ores their in late numbers, looks white Ex: tendons and ligaments
220
Reticular fiber
Thin collagen fibers. Highly branched. Forms a mesh-work. Supports organs (spleen, liver, kidney)
221
Elastic fibers
Made of elastin. Fibers branch. Ex: aortic wall, vocal chords, air passages
222
Mesenchyme tissue
Gives rise to all CT. Is embryonic in origin. Has semi fluid ground substance with reticular fibers. Has an oval nucleus, prominent nucleolus, and little cytoplasm
223
Mucous tissue (Wharton’s jelly)
Found only in the umbilical chord. Has star-shaped cells. Very few cells. Ground substance is made if hyaluronic acid.
224
Fibroblasts
Elongated cells with branched cytoplasm, large nucleus with prominent nucleolus, and lots of rER and Golgi
225
Adipocytes
Nucleus is pushed towards the end of the cell due to the fat droplet. Two types: unliocular and multilocular
226
Unilocular (white fat)
In adults. Stores fat. Most common fat. Found in abdomen, butt, stomach, thighs, omentry (between stomach) and mesentry (posterior of abdomen) One large fat droplet.
227
Multilocular (brown fat)
In kids. Has multiple fat droplets. Breaks down fat and produces energy. Has a lot of mitochondria
228
Areolar CT
Loose CT. Least specialized and has a lot of elastin fibers (stretching). Found in capillary beds and blood vessels. Has all three fibers (black=elastin, pink=collagen). Cells are mostly fibroblasts
229
Reticular tissue
Loose CT. Network of fibers and cells that hold up vital organs.
230
Dense regular
Fibers go in one direction and fibroblasts are in between them. It’s white when I stained due to presence of collagen. Forms tendon
231
Dense irregular
Fibers go in all different directions. This helps them in holding up force from all sides. Ex: white if the eyeball, dermis of the skin
232
Elastic CT
Branching elastic fibers and fibroblasts. Can stretch and still goes back to its shape. Ex: lung tissue, vocal chords, ligament between vertebrae
233
Collage type I
They are large fibrils. Found in the bones, dentin, dermis, cornea. Two also alpha chains are similar and one is different. Synthesizes from fibroblasts and osteoblasts
234
Collagen type II
Small fibrils that are very thin. All three alpha chains are identical. Found in cartilage (hyaline and elastic). Synthesizes from chondroblasts
235
Collagen type III
Small fibrils. Found in the lamina reticularis and reticular fibers. Synthesizes from fibroblasts, reticular cells, smooth muscle cells, and hepatocytes
236
Collagen type IV
Sheetlike. Found in the basal lamina (lamina densa). Synthesized from epithelial cells, Schwann cells, and muscle cells
237
Collagen type VII
Sheetlike network. In the anchoring fibrils. Synthesizes from epidermal cells
238
Collagen synthesis
Synthesizes from fibroblasts, osteoblasts, chondroblasts, and odontoblasts. Made up of glycine, proline, and hydroxyproline.
239
Tropocollagen
The main protein subunit of collagen. Each molecule is made up of 3 alpha chains intertwined in a right handed helix. Length=280nm Width= 1.5nm One turn= 8.6nm Every three amino acids is glycine. The others are proline, hydroxyproline, and hydroxylysine
240
Fibrils
Bundles of fibers
241
Fibrils
Bundles of tropocollagen
242
Have two regions in collagen
1) Gap regions: gaps and is light | 2) Overlapping regions: no gaps and is dark
243
Reticular CT
Has reticular fibers that are synthesized from reticular cells. Has collagen type III. Does not stain with H&E. Stains with silver slats (agyrophilic)
244
Elastic fibers
Synthesis of elastin is similar to that of collagen. Is yellow on gross tissue. Stains with eosin but not well. Stains with: - Orscein: black - Resorcin-fuschin: purple - Wigert’s: black-purple
245
Elastic fiber amino acids
Desmosine and isodesmosine
246
Ground substance
Supports fibers and cells. Determines consistency. Contains: - Chondroitin sulphate: jelly-like substance providing support - Adhesion proteins (fibronectin): binds collagen to ground substance - Hyaluronic acid: thick viscous and slippery
247
Glucosaminoglycans (GAGs)
Linear polysaccharide that forms disaccharide units. Forms proteoglycan
248
Proteoglycan
Anchors itself to hyaluronic acid
249
Osteogenesis imperfecta
Deficiency in collagen type I. Can easily fracture bones doing simple movements. Also leads to a blue sclera, hearing problems, bruising, nose bleeds, and spine issues. Peak year if fractures: 0-15 yrs
250
Ehler Donlos syndrome (EDS)
Deficiency in collagen type III. Is a polygenetic (caused by more than one gene). Skin is very stretchy and fragile. Joints are hypremovable
251
Alport’s syndrome (hereditary nephritis)
Deficiency in collagen type IV. Leads to hematuria since lamina densa is not secure. Characterized by glomerulonephritis. Can lead to hearing loss and affect eyes
252
Kindler’s syndrome
Rare genetic skin condition. Leads to blistering and scarring of tissue. Leads to changes in appearance of the skin (poilkilodrema)
253
Axial bones
80 bones and include the head, thoracic cage (ribs and sternum), and vertebrae (sacrum)
254
Appendicular bones
126 bones and include the pectoral girdle (scapula and clavicle), upper and lower limbs, and pelvic girdle
255
Compact bone
Dense and strong bone that has a Haversian canal
256
Spongy/cancellous bones
Has spaces in between bone marrow
257
Long bones
Height is greater than the width. Has diapahysis and epiphysis. Has articulated cartilage in epiphysis that is full of hyaline cartilage. Ex: femur, tibia, ulna, metacarpals, metatarsals
258
Short bones
Cuboidal in shape. Has a thin layer of compact with spongy bone. Ex: carpals and tarsals
259
Diaphysis
Long shaft that. Has two membranes: - Periosteum: outer - Endostium: inner
260
Epiphysis
At the extremities of the diaphysis. Covered with articulous cartilage.
261
Metaphysis
Between the end of the diaphysis and the epiphyseal line
262
Epiphyseal plate
Have this in kids since their bones need to grow
263
Epiphyseal line
Have this is adults since their bones have finished growing
264
Flat bones
Flat and elongated. Thin layer of spongy in between two layers of compact bone. Helps in muscle attachment Ex: sternum, bones of the skull, scapula
265
Sesamoid bones
Short bones embedded in a tendon. Ex: patella
266
Irregular bones
Ex: coccyx, sacrum, lower bones of the skull, vertebrae
267
Membranous formation of bones
Membrane becomes ossified over time Ex: skull bones
268
Catiligenous formation of bones
Cartilage became ossified over time Ex: long bones
269
Nutrient artery
Runs through the nutrient foremen and supplies blood to the whole medula, metaphysis, and 2/3 of cortex Fuses with the epiphyseal, metaphysial, and periostial arteries
270
Periosteal arteries
Goes through the periosteum and enters the volkmann’s canal. Supplies the last third of the cortex
271
Epiphyseal arteries
Located on the non-articular surface of bone. Has numerous foramina but most of them are for exiting
272
Metaphysial arteries
Further reinforces the nutrient artery
273
Synchondrosis (fibrous joints)
Have little to no movement. Has collagen fibers in between them. Ex: sutures (between skull), gomphoses (between mandible and teeth), and syndemoses (between bones)
274
Drainage of blood
- By veins that run parallel to the arteries | - By veins that leave the cortical periosteum through muscle insertions
275
Amphiarthosis (collagen joints)
Has some movement (more than fibrous). Divided into: - Synchondrosis - Symphysis
276
Synchondrosis
Primary cartilaginous joints. Has hyaline cartilage Ex: first vertebrae connecting to the sternum
277
Symphysis
Secondary cartiligenous joint. Has fibrocartilage. Ex: pubis
278
Synosteosis
2 bones are joined together Ex: joined the bones in the cranial part
279
Diarthrosis (synovial joints)
Most movable joint. Has a synovial capsule surrounding the joint, inner portion of the capsule has a synovial membrane which secretes synovial fluid. Types of synovial joints: - Ball and socket - Gliding - Hinge - Pivot - Elipsoid - Saddle
280
Tendon
Connects muscle to bone
281
Ligament
Connects bone to bone
282
Ball and socket
Allows for flexion, extension, abduction, adduction, internal, and external rotation Ex: shoulder and hip
283
Gliding
Bones glide past each other Ex: intercarpal joints
284
Hinge
Flexion and extension Ex: elbow and knee
285
Pivot
One bone rotates around the other Ex: neck
286
Saddle
Flexion, extension, abduction, adduction, circumduction Ex: thumb
287
Elipsoid
Flexion, extension, abduction, adduction, circumduction Ex: in wrists
288
Red blood cells
Biconcave disks that have no nucleus and no organelles. Carries oxygen to tissues and carbon dioxide to lungs. Have a lifespan of 120 days. 90% are phagocytozed but the rest break down intravascularly
289
White blood cells
Defend the body against foreign objects. Divided into granulocytes and agranulocytes
290
Neutrophils
Have a diameter of 10-15 micrometers. Have a lifespan of 2-3 days. Have a multilobed nuclei. Make of 40-75% of WBC Have three granules: - Specific granules - Azurophilic granules - Tertiary granules Stain dark blue to purple. First line of defense
291
Eosiniophils
Size is similar to neutrophils. Make up 2-5% of WBCs. Have a bi-lobed nuclei. Lifespan of 8-12 days Have two granules: -Specific elongated granules -Azurophilic granules Granules in cytoplasm are red/orange Respond to allergens, inflammation, and infection
292
Basophils
Make up 0-5% of WBCs. Have a bi-lobed nucleus that is obscured by the granules. Captures basic stain Have two granules: - Specific - Non-specific Respond to allergens
293
Lymphocytes
Two types: - B cells: plasma cells and antibodies - T cells: directly attack cells Three sizes: small (same size as RBC), medium, and large Have Azurophilic granules. Nucleus is spherical
294
Monocytes
Large, kidney-shaped nucleus. Stains dark blue to purple. Have Azurophilic granules. Acts as macrophages. Have large amounts of lysosomal enzymes
295
Platelets
Not cells!!! Broken pieces of magakaryocytes. Clots blood by forming a fibrin mesh work to trap blood cells
296
Thoracic cage
An osteo-cartiligenous cage that has a narrow inlet and a wide outlet. Contains the lungs, heart, trachea, esophagus, lymph nodes and great vessels Boundaries: - Anteriorly: sternum and costal cartilage - Posteriorly: vertebrae - Laterally: ribs and costal cartilage
297
Thoracic inlet
Narrow downward sloping forward opening. Communicates with the head and neck. Boundaries: - Anteriorly: manubrium of sternum - Posteriorly: T1 veterbrae - Laterally: 1st rib and costal cartilage
298
Thoracic outlet
Closed by the diaphragm at the bottom. Opens into the peritoneal cavity Bounded by: - Anteriorly: costal cartilages of ribs 7-10 - Posteriorly: T12 - Laterally: 11th and 12th rib Structure that open into the outlet: - Inferior vena cava at T8 - Esophagus at T10 - Aorta, azygous veins, and thoracic duct at T12
299
Ribs
12 ribs in total. Divided into: - True ribs: ribs 1-7; connect to the sternum directly - Vertebrochondral ribs: ribs 8-10; connect indirectly to the sternum with the costal cartilage binding to rib 7 - Floating ribs: don’t attach to the sternum First ribs attach to the sternum using a synchondral joint Ribs 2-7 joins to the sternum by synovial joints
300
Sternum
Contains the manubrium, body, and xiphoid process
301
Manubrium
Thickest part of the three bones. Contains T3 and T4. Inferior part of the manubrium has the jugular, suprasternal notch, or fossa jugularis sternalis. This is in between the two clavicular notches
302
Body
Contains T5-T9
303
Sternal angle
Also known as the angle of Louis or manibriosternal joint. This is a synarthrosis joint
304
Xiphoid process
Smalles bone that is curved and pointy. Has T9. Becomes ossified at age 40
305
Xiphesternal joint
Between the xiphoid process and body
306
Thoracic wall
Has three main parts: - External muscle: used for inspiration - Internal muscle: used for expiration - Innermost intercostal muscle: used for expiration
307
Endothoracic fascia
Sepeartes the Skelton from the muscles
308
Diaphragm
Separates the thoracic viscera from the abdominal one
309
Body cavities
Dorsal: - Cranial - Vertebral Ventral: - Thoracic - Abdominal - Pelvic
310
Thoracic cavity
Contains the pleural cavities and mediastinum (contains the pericardium)
311
Pleural cavities
Houses one lung. A pleura is a serous membrane that folds inward to make two membranes Visceral pleural: lines the lung Parietal pleura: touches the abdominal cavity but is separated by endothoracic fascia Pleural space: in between the visceral and parietal layers
312
Mediastinum
Middle of the lungs. Includes all the thoracic viscera except the lungs. Bounded by: - Anteriorly: sternum - Posteriorly: vertebrae - Laterally: pleurae Divided into: - Superior mediastinum - Inferior mediastinum: anterior, middle, and posterior
313
Superior mediastinum
Bounded by: - Superiorly: thoracic inlet - Inferiorly: transverse thoracic plane - Anteriorly: manubrium - Posteriorly: T1 to T4 - Laterally: pleura Structures in the superior mediastinum: - Esophagus (posterior) and trachea (anterior) - Arteries: brachiocephalic arteries, common cartons arteries, arch of the aorta, and subclavian arteries - Veins: brachiocephalic veins and superior vena cava - Thymus, lymph nodes, and thoracic duct - Nerves: phrenic nerves, vague nerves, recurrent laryngeal nerves, sympathetic trunk
314
Anterior mediastinum
In front of the heart Contains: -Thymus, lymph nodes, and fat
315
Middle mediastinum
Contains the heart, aorta, trachea, main bronchi, and lymph nodes
316
Posterior mediastinum
Behind the heart Contains the thoracic duct, descending aorta, esophagus, azygous veins
317
Heat
About the size of your fist. Located a little to the left. Hidden by the lungs
318
Pericardium
Made up of: - Fibrous outer covering made of CT - Myothelial layer made up of visceral and parietal Function: - Anchors+protects heart - Makes her extra blood doesn’t get into the heart - Friction-free surface - Makes sure infecting substances fro nearby places don’t get in
319
Heart wall
- Epicardium: visceral layer - Myocardium: makes up bulk of the heart; made of cardiac muscle tissue - Endocardium: inside
320
Apex
Made from the infrolateral part of the left ventricle
321
Base
Formed by the left atrium and less from the right one. Bounded by T6 to T9. Bounded inferiorly by coronary sulcus Pulmonary artery goes into left atrium and vena cava goes in right one
322
Transverse thoracic plane
Horizontal plane that divides the inferior from the superior. Between the plane of Louis and IV of T4 and T5
323
Embryonic period
Weeks 3-8 Period of organogenesis and external body structures form
324
Neural folds
Develop at the end the 3rd week and fuse at the 5th somite. Cranial pore closes on day 25 and caudal pore closes on day 27
325
Neural crest cells
Formed from the edges of the neural folds and goes from cranial-caudal Can go two ways: - Ventrally to be part of the mesoderm - Dorsally to be melanocytes in the ectoderm Structures derived: dorsal root ganglion, odontoblasts, melanocytes, Schwann and glial cells
326
Derivatives of the ectoderm
Hair, nails, epidermis, nervous system
327
Otic and lens placode
Develop on day 28 by thickening of the ectoderm. - Otic will go on ear - Lens will go on eye on week 5
328
Paraxial mesoderm
Thickens around the notochord and formed on day 19. Forms cranial-caudal Gives rise to somites which forms the axial skeleton - Day 20 see some in the occipital region - Day 35: see 42-44 pairs Scelrotomes give rise to the vertebral column Dorsolateral, have dermamyotome - Dermatome: forms skin of back - Myotome: muscles
329
Intermediate mesoderm
Urogential system
330
Lateral plate mesoderm
Towards the end. Cavity between them divides it into somatic and splanchnic layer
331
Somatic (parietal) layer
Lateral and ventral body wall and forms a serous membrane lining the intra-embryonic cavity
332
Splancnic (visceral)layer
Lines the gut
333
Endoderm derivatives
- Forms the roof of the yolk sac - GI system is the main derivative - Forms foregut, hindgut, and midgut - Cranial end is separated from the stuodenum (depression between brain and heart) by buccopharyngeal membrane (breaks at 4th week) - At caudal end, cloacal membrane separates the hindgut from the exterior (breaks at 7th week) - Midgut remains in connection with yolk sac (vitielline duct connects midgut to yolk sac) -Endoderm derivatives: epithelium of urinary bladder and urethra, primitive gut, allantois
334
Fetal period
Weeks 9-38 Maturation of the tissues and organs Length increases rapidly within the 3rd to 5th month Head growth slows down compared to the rest of the body
335
Third month changes
- Eyes become human like - Eyes and ears go their normal position - Upper limbs reach their relative length but not the lower limbs - External genitalia develop - Muscular activity
336
Fourth and fifth month
- Muscular activity by the baby - Fetus is lined with lanugo hair - Reaches length of 15 cm
337
Secondary half of intrauterine life
- Mothers skin is lined by vernix caseoca which is a wax to easily deliver the baby - Baby born at 6 months won’t survive but a baby born at 7 months has a 90% chance of surviving (has weight of 1.1 kg) - Normal birth weight: 3-3.4 kg - CRL= 36 cm - CHL= 50 cm
338
Time of birth
Hard to predict since irregular menses and implantation bleeding makes it difficult to determine
339
Abdominal cavity
Extends from the diaphragm to the pelivis (iliac crest) Supported by lumbar vertebrae Posteriorly and muscular wall anterolaterally
340
Nerves of abdominal cavity
Lateral cutaneous nerves: first supply the thoracic cavity and then supply the abdominal cavity (under T7, 8, and 9 Lumbar nerves: main supply of abdominal cavity nerves Innervated by autonomic nervous system Sympathetic: preganglionic fibers come from lower thoracic (T5-T12) and L1-2. Relay in the sympathetic ganglion and reach organs through plexus on arterial wall Parasympathetic: preganglionic parasympathetic fibers come from the vagus nerve and pelvic splanchnic nerves (S1,2,3). Postganglionoc are located on the wall of the viscera
341
Veins of abdominal cavity
Subcutaneous veins: lie on the surface of the skin Deep veins: run with the arteries and nerves. In portal hypertension, they dilate to drain into the femoral we in inferiorly and the auxiliary vein superiorly
342
Arteries of abdominal cavity
Internal thoracic artery: extends from the thorax and divides into the superior epigastric artery Femoral artery will branch off and give the inferior epigastric artery
343
Anterolateral muscles of abdominal wall
- External oblique - Internal oblique - Rectus abdominum - Transverse oblique Innervated by the lower intercostal nerves and the first and second lumbar nerves
344
External oblique
Extends from the lower rib to the iliac crest. Interdigitates with the serratous anterior muscle. Aponeurosis of it gives rise to anterior part of the rectus sheath
345
Internal oblique
Extends from the iliac and thaoracolumbar fascia to the lower ribs Aponeurosis of it bibles rise to anterior part of rectus sheath
346
Transverse abdominus
Extends from thoracolumbar fascia+iliac crest to the lower ribs Aponeurosis of it gives rise to posterior part if the rectus sheath
347
Rectus abdominus
Is anterior but not lateral like the others. Is divided into 3 or 4 smaller units which helps the muscles achieve a good function Enclosed by rectus sheath Provides support for the paramedical abdominal incision not mot good since there are no bones to support it
348
Rectus sheath
Formed by aponeurosis of all three muscle layers Above arcuate line: - External and anterior internal make up anterior part of sheath - Transverse and posterior internal make up posterior part of the sheath Below arcuate line: -All three muscle sheets make up the anterior layer
349
Posterior muscles of the abdomen
- Psoas major: extends from transverse processes of the lumbar to the lesser trochanter of the femur - Psoas minor: muscle on top of Psoas major - Quadratus lumborum: extends from 12th rib to iliac crest
350
Inguinal canal
Located in the lower part of the abdominal wall. Allows the spermatic chord to enter the abdomen (site for inguinal hernia)
351
Thoracolumbar fascia
Covers the quodratus lumborum Internal and transverse oblique are derived from here
352
Upper right quadrant organs
Liver, half of the transverse colon, gallbladder
353
Upper left organs
Stomach, pancreases half of the transverse colon
354
Lower right quadrant organs
Cecum, ascending colon, appendix
355
Lower left quadrant
Rectum, descending colon, sigmoid colon
356
Periteneol cavity
Space between the parietal and viscera peritoneum which is full of fluid to allow movement Divided into greater sac and lesser sac
357
In ascite...
Have more fluid than normal
358
Greater sac
Has subdiaphragmatic and subhepatic parts Subhepatic part is divided into supracolic and infracolic Supracolic has parabolic gutters at the sides of the descending and ascending colon
359
Lesser sac
Located behind the stomach
360
Peritoneal folds
- Greater omentum - Lesser omentum - Mesentry
361
Greater omentum
From greater curvature of the stomach to the duodenum. Comes down like an apron over the small intestine
362
Lesser omentum
Lesser curvature of the stomach to the liver
363
Mesentry
Suspends the small intestine and holds it by the posterior part
364
Reteroperitoneal organs
Behind the peritoneum Ex: pancreas, ascending and descending colon, kidneys
365
Subperitoneal organs
Below the peritoneum Ex: urinary bladder
366
Infraperitineal organs
In the peritoneum Ex: stomach, spleen, transverse colon
367
Referred pain
Sympathetic fibers in abdominal wall are same fibers in viscera so pain in the organs will seem like there’s pain in the abdominal wall Ex: - Stomach pain will be felt in the umbilicus in T10 - Appendix lain is filth in the inguinal region
368
Function of placenta
- Exchange of metabolites and get rid of waste - Defense: baby gets IgG antibodies - Production of hormones: hCG, estradiol, HPL
369
HPL (human placental lactogen/ somatomammotropin)
Acts like a growth hormone. Secreted by syncytiotrophoblast
370
Chorion
Surrounds the entire embryo and has chorionic villi. Formed by the trophoblast and syncytiotrophoblast
371
Amnion
Encloses the embryo.
372
Yolk sac
- Transfers nutrients from 2nd-3rd week - Blood islands develop to make blood cells from 3rd-6th week - Primordial germ cells appear in the wall of yolk sac by 3rd week
373
Allantois
Forms the urachus which connects the urinary bladder to the umblilcus. By birth, it should close on its own. If it doesn’t, then need surgery to close it to prevent infection
374
Amniotic fluid
In the amniotic cavity Purpose: - Helps allow symmetrical growth of fetus - Allows fetus to swim - Cushions embryo
375
Placenta
Developed from chorion (embryonic side) and decidua basalis (mother’s side)
376
Endometrium
Has 3 parts: - Decidua basalis: between the blastocyst and trophoblast - Decidua capsularis: endometrium surrounding the embryo - Decidua parietalis: rest of the endometrium
377
Chorionic villi
Formed from the chorion and project into the endometrium
378
Primary chorionic villi
Cytotrophoblast projecting into syncytiotrophoblast
379
Secondary chorionic villi
Cytotrophoblast that has connective tissue by 3rd week
380
Tertiary chorionic villi
In the connective tissue, mesenchymal cells differentiate into blood vessels that helps in the circulation of fetal blood in 3rd week
381
Umbilical chord
Has two umbilical arteries and one umbilical vein. Arteries and veins have the opposite function
382
Chorionic plate
Embryonic part of the placenta.
383
Hofbaeur cells
Important for macrophages and xenophobic cells
384
Monozygotic twins
Fertilized egg split in two. Has two amnions, one chorion, and one placenta If the egg splits before 2 weeks, has one amnion, one chorion, and one placenta
385
Dizygotic twins
Two eggs that were fertilized. Have two amnions, two chorions, and two placentas If a monozygotic twin splits, it can also act like a dizygotic twin If two embryos are very close to each other, share a chorion and placenta but not the amnion
386
Placenta preview
Embryo implants in a way that the placenta grows into organs causing problems for both the mother and the baby
387
Placenta accreta
A little in to the myometrium
388
Placenta increta
A little more into the myometrium
389
Placenta percretta
In the whole endometrium
390
Sacrum
Fusion of 5 sacrum vertebrae
391
Coccyx
Formed by 2-3 coccygeal vertebrae
392
Hip bones
Made up of three parts: - Ilium - Ischium - Pubis
393
Sacroiliac joint
Connect the sacrum to the ilium. Is a synovial joint
394
Sacrociccyx joint
Connects the sacrum to the coccyx Secondary cartiligenous joint
395
Pubic symphysis
Connects the pubeces on both sides. Secondary cartilegenous joint
396
Sacrospinous ligament
Goes from the sacrum to the spinous part of the sacrum. Forms the greater sciatic notch which is the entrance to the gluteal region&leave back of the thigh
397
Sacrotuberous ligament
Goes from the sacrum to the tuberosity of the sacrum. Forms the lesser sciatic notch. Vessels pass first through the gluteal and then the perineum
398
Obturator foramen
Covered by the obturaror membrane, allowing a small hole to appear (obturator canal). Canal allows the obturator nerves, arteries, and veins to pass through
399
Pelvic cavity
Has two parts: - Lesser pelivis (true pelvis) - Greater pelivis (false pelvis)
400
Lesser pelvis (true pelvis)
Below the pelvic brim (inlet) Houses all the pelvic viscera
401
Greater pelvis (false pelvis)
Above the pelvic brim (inlet). Houses the abdominal viscera
402
Anterior wall of pelvis
Pubic bone
403
Lateral wall
Ilium, ischium, obturator membrane, and obturator internus
404
Posterior wall
Sacrum, coccyx, piriformis muscle
405
Pelvic diaphragm
Leavator ani - Puborectalis - Pubococcygeous - Ilioccygeous Coccygeous
406
Urogential hiatus
Space between the left and right puborectalis. Vagina and urethra pass through this to reach the perinium
407
Subpubic angle
Angle between the pubis
408
Female pelvic organs
Anterior to posterior: urinary bladder, uterus+vagina, sigmoid colon, rectum Ovaries located in the ovarian fossa Uterine tubes stretch laterally from uterus
409
Rectouterine pouch (females)
Pouch between rectum and uterus
410
Vesicouterine pouch
Pouch between the urinary bladder and the uterus
411
Male pelvic organs
Anterior to posterior: urinary bladder, prostate gland, seminal vesicle, ductus deferens (vas deferens), sigmoid colon + rectum
412
Rectovesical pouch (males)
Between the urinary bladder and the rectum
413
Abdominal aorta
Divides into left and right common iliac artery
414
Common iliac artery
Divides into internal and external arteries
415
External iliac arteries
Enters front of the thigh and leaves as the femoral artery
416
Internal iliac artery
Divided into anterior and posterior
417
Posterior internal iliac arteries
Supplies the sacrum and gluteal regions
418
Anterior internal iliac artery
Supplies the urinary bladder, uterus (females), vagina (females)
419
Pedendal arteries
Branch of anterior division. Supply sciatic notch, perineal, and inferior gluteal region
420
Lumbosacral trunk
Arises from the lumbosacral plexus to join with the sacral nerves to form the sacral plexus
421
Sacral plexus
Gives rise to several branches which exit the pelvic cavity to supply the gluteal, posterior thigh, and perineal region
422
Pelvic splanchnic nerves
Are parasympathetic fibers that come from S2-4 & join the inferior hypogastric plexus
423
Perinium
Below the pelvic diaphragm Rectum passes through it to form the anal canal Urethra enters it Vagina passes through it Divided into anterior urogenital triangle and posterior anal triangle by the ischial tuberosities
424
Posterior anal triangle
Has the anus which is surrounded by external sphincter muscle and ischioanal fossa
425
Anterior urogential triangle
Females: contains urethra and vagina Makes: contains penis and urethra
426
Teratology
Study of birth defects. Most common is multifactorial Minor anomalies like ear defects can be an indicator of a very serious disease
427
Malformations
Occurs during organogenesis (3rd week-8th week) 3rd and 4th week are the most sensitive to teratogens
428
Disruptions
Morphological alterations of already formed structures
429
Deformations
Result from mechanical forces that mold a part of the fetus
430
Syndrome
Group of anomalies occurring together that have a specific cause
431
Association
Non-random appearance of defects but don’t know the cause
432
Infectious agents
- Rubella - Cytomegalovirus - Herpes simplex - Toxoplasmosis - Syphilis
433
Rubella
Heart defects, cataracts, glaucoma, hearing loss, tooth abnormalities
434
Cytomegalovirus
Microcephalic, visual impairment, fetal death, and intellectual disability
435
Toxoplasmosis (protozoan)
Hydrocephalus, cerebral calcification, microphthalmia
436
Herpes simplex
Microcephaly, retinal dysplasia, microphthalmia
437
Syphilis
Intellectual disability and hearing loss
438
Physical agents
- X-rays - Hyperthermia - Radiation
439
X-rays
Microcephalic, spina bifida, intellectual disability
440
Hyperthermia
Anencephaly, spina bifida, intellectual disability
441
Thalidomide (antinausea drug)
Limb defects
442
Valporic acid (antiepilpetic drug)
Neural tube defects, heart+craniofacial+limb defects
443
Androgenic agents
Can turn female genitalia into male
444
DES (synthetic estrogen)
Vagina+uterus defects+fallopian tube, vaginal cancer, malformed testes
445
Oral contraceptives
A lot safer now
446
Cortisone
Cleft palates, orofacial cleft
447
Hormones causing defects
- Andrigenic agents - DES - Oral contraceptives - Cortisone
448
Maternal disease
- Dibates | - Phenylketonuria
449
Maternal diabetes
Excess glucose goes to baby and triggered baby’s pancreas to form insulin so when fetus is born, has a higher weight than normal Heart+neural tube defects
450
Phenylketonuria
Intellectual disability, microcephaly
451
Nutritional deficiency
- Folic acid - Zinc - Iron - Iodide
452
Folic acid
Takes to prevent neural tube defects
453
Iodide
Prevent cretinism
454
Zinc
Prevent premature birth
455
Iron
Prevent low birth weight
456
Male-mediated tertatogens
Exposure to smoking and alcohol leads to deformed +bad sperm
457
Sacrococcygeal teratoma
Remnants of the primitive strake stay in the sacrococcygeal region and leads to tumors forming there
458
Holoprosencephaly
Small forebrain, fused ventricles, eyes are close to each other Caused by drinking alcohol
459
Caudal dysgenesis (sirenomelia)
Lower limb defects, fused urogential system Associated with maternal diabetes
460
Prenatal diagnosis
- Ultrasonography - Maternal screening - Amniocentesis - Chorionic villus sampling - Cordocentesis - Karyotyping
461
Ultrasonography
Can begin seeing fetus at 6 weeks. Can show neural tube defects, heart defects. Can’t show Down’s syndrome Can see CRL+CHL
462
Maternal screening
- Alpha ferroprotein: produces by fetal liver and increases during second trimester and decreases by week 30. Low levels=downs syndrome, trisomy 18, sex chromosomal abnormalities - Unconjugated estradiol: low=downs syndrome - hCG: decreases after week 16. If high, then molar pregnancy - Inhibin a: detesting trisomy 21, 18, and other chromosomal abnormalities
463
Amniocentesis
Performed at weeks 15,17,20. Take a bit of a bit of fluid for testing. Can’t see Down’s syndrome
464
Chorionic villi sampling
Performed at weeks 8,10,12. Test for chromosomal abnormalities (not Down’s syndrome)
465
Umbilical chord sampling (cordocentesis)
Blood withdrawn from umbilical chord. Performed when all other methods can’t detect disease. Can detect Down’s syndrome
466
Karyotyping
Looking at all the chromosomes to see chromosomal defects
467
Fetal medical treatment
Adding hormones to fetus to treat inborn errors of metabolism
468
Fetal surgery
Open uterus to repair spina bifida and diaphragmatic hernia
469
Stem cell transplantation
Adding stem cells to fetus before week 18 (before baby develops immune response)
470
Cord cell banking
Keeping chord cells in a bank since they have a lot of mesenchymal cells