Exam 2 Flashcards
Basal cell carcinoma
Type of cancer
Slow-growing skin cancer that starts in stratum basale
Least lethal
Squamous cell carcinoma
Type of cancer
Starts in stratum spinosum
Melanoma
Type of cancer
Starts in melanocyte
May start looking like a mole
Will often metastasize
Most lethal
Epiphyseal growth plate mechanism
Fused = no more growth
Unfused = Continued growth
Cartilage: contains chondroblasts
Proliferation: hyperplasia (increase in cell number)
Hypertrophy: increased cell size
Calcification: cells are filled with hydroxyapatite (HA) Ca10(PO4)6(OH)2 and then apoptosis leaves the HA
Ossification: new diaphysis
Bone growth goes from ossification to calcification and up to create new diaphysis
Interstium
Space between cells (fluid in space is interstitial fluid)
Hydroxyapatite
Inorganic matrix
Ca10(PO4)6(OH)2
Compression strength
Bone
Material’s ability to resist forces that compress it or reduce its size
Hydroxyapatite
Softer bone = dehydration (brittle)
Bone decays when buried in dirt, so loses organic component = brittle bone
Tensile strength
Bone
Material’s ability to resist forces that stretch or elongate it
Collagen
Sulfuric acid will make HA leak out = bone will bend
Osteoblasts
Organic matrix
Induce formation of inorganic matrix
Form new bone
Remodel existing bone
Osteocytes
Lacunae within bone stabilize and maintain bone matrix
Osteoclasts
Periosteum
Endosteum reabsorb calcified bone matrix
What happens to blood Ca++ levels when osteoblasts or osteoclasts are active?
Osteoblasts: blood Ca++ levels decrease
Osteoclasts: blood Ca++ levels increase
Hormones involved with blood remodeling
Calcitonin, Parathyroid Hormone (PTH), Calcitriol (Activated Vitamin D), Estrogen
Hormones that elevate blood calcium
Parathyroid Hormone (PTH), and Calcitriol
Hormones that lower blood calcium
Calcitonin
Inhibits osteoclasts and stimulates osteoblasts
How to recognize an osteoclast
Osteoclasts have a ruffled border that connects with the bone and works to break the bone apart by secreting hydrochloric acid
Multinucleated
What acid do osteoclasts secrete
Hydrochloric acid
Microscopic bone anatomy
Know what lamellae, lacunae (spaces), canaliculi, osteon, periosteum, osteon of compact bone, trabeculae of spongy bone, haversian canal, volkmanns canal looks like in a bone
https://training.seer.cancer.gov/images/anatomy/skeletal/bone_tissue.jpg
Is human skull fused at parturition? Why or why not? What is partruition
No
Babies have a soft spot on top of their head (fontanelle) to help them go through the birth canal
Parturition: True labor
Chondroblasts
Form cartilage and chondrocytes
Descended from mesenchyme
Specialized cells in the perichondrium that actively produces the extracellular matrix components of cartilage and form it
5 regions of epiphyseal growth plate and characteristics (in order from shaft to plate)
Cartilage: Comes from chondroblasts
Proliferation: Hyperplasia
Hypertrophy: Cell size gets bigger
Calcification: Hydroxyapatite left behind after apoptosis; cell itself is gone, but HA is left
Ossification: New diaphysis
Hypertrophy vs. Hyperplasia vs. Atrophy
Hypertrophy: Cell size gets bigger
Hyperplasia: Number of cells in the area grow
Atrophy: Decrease in size of organ or tissue due to disuse or less use
Synovial fluid
Has high levels of hyaluronic acid allowing for free movement
Arthritis
Joint inflammation, typically from less articular cartilage due to wear and tear
NSAIDS can manage symptoms
Modified ball and socket joint
Condyloid synovial joint
Allows for flexion, extension, abduction, and adduction
Radiocarpal joint (wrist)
Anatomical points for reference
Olecranon, popliteal, anterior crest of tibia, nuchal, calcaneal
Olecranon: Back of elbow
Popliteal: Back of knee
Anterior crest of tibia: Shin bone
Nuchal: Back of neck
Calcaneal: Heel of foot
Osteogenesis Imperfecta
Known as brittle bone disease
Autosomal (non-sex) dominant (one parent to child)
19 genes involved
There are 28 types of collagen, but OI causes lack of collagen type I
Causative genes are COL1A1 and COL1A2
COVID 19 and our defense
Inflammation
Can become overzealous and lead to an increase in fluid concentration in the lungs (pneumonia)
Collagen helix
Triple helix
Carpal tunnel syndrome
Caused by pressure on the median nerve
Symptoms: Numbness, tingling, weakness in hand and arm
Neuropathy = Nerves are agitated
Carpal tunnel
Narrow passageway surrounded by bones and ligaments on palm side of hand; contains 9 tendons
Osteoporosis
Disease that develops when the bone mineral density and bone mass decreases (weak bones)
Most likely in menopausal women because estrogen levels have fallen
Estrogen
Prevents apoptosis of osteoblasts
Decreases likelihood of osteoporosis
Sclera changes
Change in the color of sclera can indicate disease
Sclera will be yellow if someone has jaundice
Sclera of eye will be blue if someone has osteogenesis imperfecta
Tommy John Surgery
Surgical graft
Ulnar collateral ligament in the medial elbow is replaced by either a tendon from patients body (gracilis and palmaris longus) or one from a deceased donor
Super common among collegiate and professional athletes that deal with throwing (baseball)
Turf toe
Ligament sprain of the big toe joint that occurs on turf surfaces
Causes tenderness and swelling around the hallux joint
Scientific name for big toe
Hallux
AC joint
Acromioclavicular Joint
Acromion of scapula and lateral end of clavicle
Injury to this is a separated shoulder (torn ligaments)
GH joint
Glenohumeral Joint
Humerus and glenoid fossa
Injury to this is a dislocated shoulder
High ankle sprain
Caused by external rotation and hyperdorsiflexion; Stretching and twisting of syndesmotic ligaments that connect tibia and fibula of lower leg
Long time to heal because high ankle ligaments have heavier load to lift
Non-weight bearing bone of lower leg
Fibula
Transverse
Broken bone
Perpendicular to medullary cavity
Linear
Broken bone
Parallel to medullary cavity
Oblique non-displaced
Broken bone
At an angle
Oblique displaced
Broken bone
At an angle
Cut clean in half
Spiral
Broken bone
Lower part of body is planted and upper body twists wrong
Greenstick
Broken bone
Typically with the very young
Bone bends before it breaks
Comminuted
Broken bone
In pieces
Compound
Broken bone
Penetrated through the skin
Blunt force trauma
Leads to a fracture and/or contusion
Depression Fracture
Located in cranium
Most often seen in forensics due to malicious intent
Bone fragment dislodged towards brain
Perfect impression from impact
Muscles of rotator cuff
Group of muscles and tendons that stabilize human shoulder and allow its range of motion
Arise from scapula and connect to head of humerus
Supraspinatus, infraspinatus, subscapularis, teres minor
Rotator cuff stabilizes
Glenohumeral joint
Tendonitis
Inflammation of tendon sheaths typically caused by overuse
Tendinopathy
General term for degeneration of a tendon in any joint
Ex: Rotator cuff
Tear of the tendon
An injury due to soft tissue that connects muscles to joints
Can happen suddenly, typically due to overuse/overstretching
Caused by muscle’s inability to absorb shock, load, or force
Bruise
Contusion
Most common cause being capillaries damaged by trauma, causing localized bleeding extravasates (leakage of blood, lymph fluid) into the surrounding interstitial tissue
Separated shoulder vs dislocated shoulder
Separated shoulder: Injury to the Acromioclavicular joint
Dislocated shoulder: Trauma to the Glenohumeral joint
Scar
Around a wound
When macrophages signal fibroblast activity to add collagen and other elements of the extracellular matrix
Epidermal Growth Factor (EGF) not sufficient in healing these wounds
Why does a bruise change color
Indicates hemoglobin (protein in red blood cells) has begun to break down
Most bruises occur close enough to the epidermis such that bleeding causes a visible discoloration
Blanching of skin
Skin has a whitish appearance caused by diminished blood flow to region
Can capillaries be damaged
Yes
Often causes contusion