Final Exam Prep Flashcards
Which muscles are involved with eye movement?
6 skeletal muscles (control them voluntarily):
1.lateral rectus
2.medial rectus
3.inferior rectus
4. superior rectus
5. superior oblique
6. inferior oblique
Lateral rectus
Controlled by abducens VI: Moves eye laterally, abducts the eye
Medial rectus
Controlled by oculomotor (III). Moves eye medially
called rectus because….
They go straight back
inferior rectus
controlled by: oculomotor (III)
moves eye down
all eye muscles except the ____ move back to the common tendinous ring
inferior oblique
Cornea
can be transplanted without fear of rejection because it has no blood vessels
superior rectus
controlled by oculomotor (III): moves eye up
all cranial nerves involved in eye movement move through…
superior orbital fissure:
cranial nerves that go through this structure are:
oculomotor iii
trochlear iv
abducens vi
and ophthalmic division of v
superior oblique
controlled by trochlear iv: depresses eye and turns it laterally
innervates an eye muscle that loops through a pulley-shaped ligament in orbit
inferior oblique
controlled by oculomotor iii: moves the eye up and laterally
CN5
Trigeminal
stimulates the lacrimal gland, mucous membranes, and the submaxillary and sublingual glands. Provides sensory innervation to the face.
Largest cranial nerve
decubitus ulcer
pressure sores, result from skin breakdown. common in older patients with fragile skin. Its common in areas of bony processes, ischial tuberosities, greater trochanter, sacrum. This is why we do turns every 2 hours. if peron isnt moved, can get skin breakdown. very careful with diabetic patients who have less skin sensitivity
stages of decubitus ulcers
- skin is unbroken, but inflamed and red
- skin is broken down to epidermis or dermis
- ulcer extends to subcutaneous fat layer. gets down pretty deep. infections can spread easily
4.Ulcer spreads down to muscle or bone
Third degree burn
1.caused by a burn that spreads below the follicles,
- burns all the way through the dermis below the follicles.
3.no more progenitor stem cells left.
4.may need skin graft.
5.also called a full thickness burn
Basal cell carcinoma
1.cancer in the basal cells.
2.least likely to metastasize.
3.least malignant, slow growing.
4.Fully cured by surgical excision in 99% of cases
basal cell carcinoma occurs in
the basal cell layer of the epidermis. Stratum basale. caused by UV radiation. Most common (80% of skin cancers)
describe basal cell carcinoma
stratum basale cells proliferate, invading dermis and subcutaneous tissue.
appearance of basal cell carcinoma
most often on sun exposed areas of the face. look like shiny dome-shaped nodules that develop a central ulcer with a pearly beaded edge.
Squamous cell carcinoma
1.second most common type of skin cancer.
2.comes from keratinocytes of the stratum spinosum. likely to grow rapidly and metastasize.
- if caught early and removed surgically or by radiation therapy, the chance of complete cure is good
4.keratinocytes break through basal layer of the epidermis, doesnt have basement membrane cap
appearance of squamous cell carcinoma
scaly, reddened papule, (small rounded elevation). most often on head (scalp, ears, lower lip) and hands
why is basal cell carcinoma unlikely to metastasize?
basal cells have built-in ability to make fibers and proteins tend to seal themselves off
Why is it bad for keratinocytes and other epidermal cells to break into the dermis?
cancerous epidermal cells lose their positional information. They grow out of control and enter the bloodstream.
melanoma
cancer or melanocytes. most dangerous skin cancer. highly metastatic and resistant to chemotherapy. Accounts for 1% of skin cancers