BECOM Exam #5 (Week 1) Flashcards
Long vs. short axon
Long axon: stimulus -> CNS (TOUCH and SMELL)
- Somatic sensation (touch, pain, etc.)
- Visceral sensation
- Olfaction
Short axon: stimulus -> signal synapses primary afferent neurons’ peripheral processes -> CNS
- Gustation (taste)
- Photoreception
- Hair cells of inner ear
Conscious proprioception (kinesthesia)
Joint position and movements – including direction and velocity
Nonconscious proprioception
Muscle spindles and golgi tendon organs (proprioception)
Pain: nociceptors (fast vs. slow)
- type of pain
- fibers
- neurotransmitters
Fast pain: sharp, localized
-myelinated Aδ fibers (glutamate)
Slow pain: dull, burning, diffused
-unmyelinated C fibers (substance P)
FUNCTION Mechanoreceptor Meissner corpuscles Merkel discs Hair follicle receptors Ruffini endings Pacinian corpuscles Muscle spindles
Meissner corpuscles (tactile shapes/surfaces) Merkel discs (tactile indentations) Hair follicle receptors (tactile in hairy skin) Ruffini endings (stretching and shapes) Pacinian corpuscles (vibrations) Muscle spindles (proprioception)
Aδ mechanical vs C-polymodal (nociceptor)
- type of pain
- temp
Aδ mechanical: encapsulated/sheathed and detect discrete nocicept stimuli (pinprick)
-fast/acute pain
-cold
C-polymodal: free nerve ending that detect tissue damage)
-chronic pain
-heat
dorsal column (medial lemniscus system) mediates what? and cell body location
Tactile sensation and conscious proprioception
-cell bodies: dorsal root ganglia
Meissner’s, Pacinian, or joint receptor (dorsal column (medial lemniscus system)) pathway
primary neuron runs to dorsal root gang -> gracillis or cuneatus (decussation) -> VPL of thalamus -> sensory motor cortex
-same side of the body up through the spinal cord and crosses over at medulla
non conscious propreception pathway (posterior spinocerebellar tract)
muscle spindles and Golgi tendons enter and run to cerebellum without crossing (inferior peduncle)
- proprioception
- do not cross
non conscious propreception pathway (anterior spinocerebellar tract)
Golgi tendons enter and cross at level on the spinal cord and run up to pons where it crosses again and continues to cerebellum (superior peduncle)
- Proprioception including skin stretch sensation
- crosses twice
Cerebellar ataxia
Form of uncoordinated gait disturbance due in part because of the cerebellum not processing proprioceptive stimulus appropriately
Friedreich’s or spinocerebellar ataxia
Inherited neurodegenerative disease particularly affecting SPINOCEREBRAL tracts (proprioceptive tracts)
Symptoms: near total lack of upper limb coordination and reeling, wide-based gait
Special sensation with longest Axon
smell (olfactory)
Neospinothalamic tract
enters at spinal cord level and synapse with 1. substantial gelantinosa or 2. nucleus proprius -> crosses to lateral finiculus continues and synapsis at VPL of thalamus -> sensory cortex
Anterolateral cordotomy
a lesioning the spinalthalamic tract in order to stop pain transmission
Hyperalgesia and chemicals involved
enhancement of pain sensation (abnormally increased sensitivity to pain)
- Either activate nociceptors themselves
- Lower nociceptor threshold
- Histamine, Substance P, Serotonin, Bradykinin increase ones sensitivity to pain
Allodynia
pain occurs after repetitive but typically non-painful stimulation
-ex. sunburn, sore throat
Causalgia
Burning sensation caused by increased sympathetic efferent activity after peripheral nerve injury
Paresthesia
Pricking, tingling, numbness, tingling, burning of skin with no apparent cause
-caused by nerve compression or PVD (peripheral nerve disease)
Meralgia paresthetica
compression of the lateral cutaneous nerve of the thigh causing numbness, tingling down the outside of the thigh
Tonic receptors
slow/non adaptive receptors (continue stimulation)
-proprioception, chemoreceptors, nociceptors, Golgi tendon apparatus, baroreceptors, receptors in vestibular apparatus (position)
Phasic (rate) receptors
fast adapting (loss of stimulation)
- Display on/off response (feel hat when 1st put on and when taken off but not while wearing)
- pacinian corpuscles most fast adapting
Lateral inhibition
Strongest neuron not only sends stimulus but also inhibits the surrounding weak stimuluses (via interneurons - neurons between neurons)
-allows brain to localize stimulus
First intention vs second intention wound healing
First Intention -> results in thin scar
- Simplest type of cutaneous wound repair
- Healing of a clean, uninfected surgical incision
- Approximated by surgical sutures
Second Intention -> substantial scar
- Excisional wounds
- Repair process is more complicated
- Create large defects on the skin surface
- Extensive loss of cells and tissue
anterolateral (spinothalamic) pathway transmits
pain thermal crude touch tickle/itch sexual sensation -very little point discrimination
Pain neurotransmitters
neurotransmitters:
- substance P (C fibers)
- glutamate: activation of AMPA/NMDA (A delta)
Fast pain conduction route (anterolateral tract)
1st order: terminates in dorsal horn (lamina marginalis)
2nd order: crosses at lamina marginalis and ascend to thalamus and
Slow pain conduction route (paleospinothalamic pathway)
1st order: terminates in substantia gelatinosa (laminae II and III) in dorsal horn
2nd order: 1/4 to thalamus the rest terminate widely in the brainstem (reticular nuclei -> reticular activating system, tectum of midbrain, periaqueductal grey)
Pain suppression neurotransmitters
- encephalin (pre- and post-synaptic inhibition of type C and Ad fibers)
- serotonin
methanol stimulate
capsaicin (chilli)
TRPM8
TRPV1 (Ca2+ influx)
-(mild activator), adenosine, bradykinin, piperine, camphor, some venoms and jellyfish extract
MECHANISM
Prostaglandin
Anesthetics
Opiates
Prostaglandin: enhances/facilitate pain transmission
Anesthetics: blocks Na+ channels -> pain no AP
Opiates: inhibit at synapses via pre/post synaptic inhibition
Normal BMI
18.5-25
Marasmus
low protein and low carbohydrate intake leading to emaciation
Kwashiorkor
Calorie deprivation may be nearly adequate, but protein deprivation is severe
- distended abdomen bc depletion of visceral protein
- edema bc low albumin level = low oncotic pressure
- fatty liver due to sparing of subcutaneous fat
Cachexia
is loss of weight, muscle atrophy, fatigue, weakness and significant loss of appetite in someone who is not actively trying to lose weight
- PEM caused by advanced cancer, AIDs
- PIF and proinflammatory cytokines cause skeletal muscle breakdown via NF-κB activation of ubiquitin proteasome pathway
Anorexia nervosa vs. bulimia
Anorexia nervosa: self-induced starvation that can lead to arrhythmiaandsudden death
Bulimia: binging on food and then induced vomiting (frequent vomiting leads to electrolyte imbalances)
Folic Acid (B9)
Megaloblastic anemia: bc enough protein but cells cannot divide
Cobolamin (B12)
- pernicious anemia: B12 malabsorption due to def. in parietal cells that release intrinsic factor
- neurologic dysfunction
- megaloblastic anemi: needed for folate to function properly
Pyridoxine (B6)
Coenzyme especially for amino acid metabolism
- active compound is pyridoxal phosphate (PLP)
- microcytic anemia
- ONLY water soluble vitamin with sufficient toxicity -> sensory neuropathy
Thiamine (B1)
Function in decarboxylation reactions related to the TCA cycle
- Wernicke-Korsakoff syndrome: memory loss and loss of balance due
- Beriberi: wet = cardiovascular, dry = nervous system
Niacin (B3)
Coenzymes in oxidation reduction reactions
-Pellagra: triple D (dermatitis, dementia, diarrhea)
Riboflavin (B2)
Biotin (B7)
Pantothenic acid (B5)
Riboflavin (B2): coenzymes of oxidation reduction reactions
Biotin (B7): coenzyme of carboxylation reactions
Pantothenic acid (B5): functions to transfer acyl groups
Vitamin A (retinol) and too much?
Maintenance of normal vision: synthesis of rhodopsin (night vision) and photopsins (color vision)
-buildup of keratin debris in small opaque plaques(Bitot spots)
Cell growth and differentiation: orderly differentiation of mucosal epithelium (def. causes epithelia metaplasia and keratinization)
Hypervitaminosis A: toxic level may produce liver cirrhosis
-synthetic retinoids in pregnancy should be avoided because of teratogenic effects
Vitamin D
maintain plasma calcium by absorption from intestines and kidneys
- Deficiency causes bone demineralization (rickets in children and osteomalacia in adults)
- Excess causes hypercalcemia and renal stones
Vitamin C
antioxidant and hydroxylation of collagen:Inadequately hydroxylated fibroblast procollagen cannot acquire stable helical configuration (in blood vessels, predisposes to hemorrhages)
- Def.: scurvy
- Toxicity: iron overload (inc absorption of iron)
Vitamin K
Vitamin E
Vitamin K: coenzyme for clotting factors
Vitamin E: deficiency is rare and may present with red blood cells sensitivity to oxidative stress (antioxidant)
Pear shape vs apple shape
Pear shape: lower risk of metabolic disease
Apple shape: excess central abdominal fat has an increased risk of morbidity and mortality
POMC/CART vs. NPY/AgRP
POMC/CART: promote energy expenditure and weight loss via MSH hormone -> TRH and CRH
-leptin activates (secreted by adipocytes to dec appetite)
NPY/AgRP: promote food intake and weight gain via Y1/5 receptor -> MHC and orexin
- gherlin activates (released by stomach to inc appetite)
- pYY, leptin, amylin inhibit (causes satiety)
Adiponectin
fat burning molecules that direct fatty acids to liver for B oxidation and decrease glucose production
Contraction of ciliary muscles results in
decreased tension on suspensory ligament and, in turn, allows the lens to increase its thickness, thereby focusing light rays from a NEAR object onto retina
constrictor vs dilator muscles of the iris (control)
constrictor: parasympathetic control
dilator: sympathetic control