GOA Flashcards
Functions of the skin
Protection
Insulation
Receptors
Aids in homeostasis
Thermoregulation
Excretion of waste
Synthesis of vit. D
Oil secretion
Cosmesis
most superficial layer of the epidermis
Corneum
layer of the epidermis that contains keratin and is water-proof
corneum
A thin layer of the epidermis that resists pressure
Lucidum
Where can lucidum be found in the body?
palms
soles
What does stratum granulosum do?
Water and heat retention
Layer of the epidermis containing the Langerhan’s cells
Spinosum
Layer of the epidermis containing the most melanocytes
Basale
Cells responsible for immune response
Langerhans’s cells
where in the dermis can the receptors be found?
papillary region
How much of the dermis does the papillary region make up for?
one-third
this layer provides strength and extensibility to the dermis
Reticular region
receptors responsible for pain, touch, pressure, and temperature
Free-nerve endings
receptors responsible for light touch
Merkel’s disc
receptors responsible for discriminative touch
Meissner’s corpuscle
receptors responsible for heat
Ruffini’s endings
receptors responsible for cold
Krause-end bulb
receptors responsible for vibration and pressure
Pacinian corpuscle
Functions of the subcutaneous tissue
Support
Insulation
Cushion
Source/storage of energy
course, thick, long, and pigmented hair
Terminal hair
where can terminal hair be found?
scalp, eyelash, eyebrow, pubic area
fine, short, and unpigmented hair
vellus hair
where can vellus hair be found?
Arms, chest, cheeks
another name for eccrine glands
Herocrin glands
function of eccrine glands
thermoregulation
where can apocrine glands be found?
Axilla
Genital area
when are apocrine glands activated?
stress
These are modified apocrine glands that produces ear wax
Ceruminous glands
These are modified apocrine glands that produce milk
Mammary glands
burn that only affects the epidermis
1st-degree/Superficial
S/Sx of 1st-degree burn
no blisters
pink or red in color
A type of burn that affects the receptors
Superficial-partial thickness burn
S/Sx of superficial-partial thickness burn
bright red in color
intact blisters
moderate edema
painful
A type of burn that affects the epidermis and the whole dermis
Deep-partial thickness burn
S/Sx of deep-partial thickness burns
not painful
waxy red/white
broken blisters
Range of damage in full-thickness burn
epidermis to hypodermis
A type of burn that burns through the hypodermis and includes muscle damage
Subdermal/4th degree burn
burn assessment tool for chronic patients
Lund & Browder
burn assessment tool for emergency
Rule of Nines
Injuries in the skin and underlying tissue due to prolonged pressure on the skin
pressure ulcer
a stage of pressure ulcer presenting with blood-filled blisters that are maroon or purple in color
Suspected deep tissue injury
S/Sx of stage 1 pressure ulcer
intact skin
redness
non-blanchable
S/Sx of stage 2 pressure ulcer
possiblity of partial-thickness skin loss
skin abrasion
shallow crater
S/Sx of stage 3 pressure ulcer
full-thickness skin loss
deep crater
S/Sx of stage 4 pressure ulcer
similar to stage 3 but includes muscle damage
S/Sx of unstageable pressure ulcer
covered in slough or eschar
Moist, soft, and often loosely adherent, indicating ongoing inflammatory response and tissue repair.
slough
Dry, firm, and firmly adherent, signifying the end stage of tissue necrosis and non-viable tissue
Eschar
What is the treatment for pressure ulcer
debridement
Dagger bone
Sternum
Vertebral landmark of xiphoid process
T10
Vertebral landmark of superior border of scapula
T1
Vertebral landmark of inferior angle of scapula
T7
True ribs
1st seven pairs
False ribs
8
9
10
Floating ribs
11
12
How are the true ribs attached to the sternum?
Through costal cartilages
Atypical rib
1st rib
shape of typical ribs
Superior: round
Inferior: sharp and thin
Cause of thoracic outlet syndrome
impingement of the 1st cervical rib or pressure over the subclavian artery
these provides attachment from ribs to the sternum
Costal cartilages
this action of the ribs increases the antero-posterior diameter of the ribs
Pump-handle (up and down action)
Ribs that do pump-handle
1-6
this action of the ribs increases the lateral diameter of the ribs
Bucket-handle
Ribs that do bucket-handle
7-10
this action of the ribs does not increase the diameter
Caliper motion
ribs that do the caliper motion
11-12
Inflammation of the costal cartillages
Costochondritis/Tietze’s syndrome
posterior boundary of the thoracic outlet
T1 vertebra
lateral boundary of the thoracic outlet
medial border of the first rib and costal cartilage
anterior boundary of the thoracic outlet
superior border of the manubrium
tent-shaped fibrous sheet on the upper part of the lungs
Suprapleural membrane
Where does the suprapleural membrane attach to?
laterally to the medial border of the 1st rib and costal cartilage
Function of the suprapleural membrane
protects the cervical pleura
helps resist changes in intrathoracic pressure
where is the heart located?
in the mediastinum
What is the orientation of the heart?
Oriented to the left with the right side more anterior
Outside covering of the heart
epicardium
heart muscle
myocardium
Innermost covering of the heart
Endocardium
Area where the heartbeat can be heart the loudest
Point of Maximal Impulse/Apex/LV
Borders of the heart
Right: RA, SVC, IVC
Inferior: LV, RV
Left: LV, L auricle
Superior: RA, LA, R auricles
only vein that carries oxygenated blood
Pulmonary vein
Only artery that carries deoxygenated blood
Pulmonary artery
Groove between the RA and right auricle
Sulcus terminalis
Ridge inside the sulcus terminalis
Crista terminalis
This roughens the RA
Musculi pectinati
This is a vein that carries deoxygenated blood from the upper half of the body
Superior Vena Cava
This is a vein that carries deoxygenated blood from the lower half of the body
Inferior Vena Cava
This vein drains blood from the heart wall
Coronary sinus
Where is the coronary sinus located?
Inside the RA between IVC and and AV auricle
It is the junction where the RV forms as a funnel
Infundibulum
This part of the heart is the ridge to the RV and makes the heart look like a sponge
Trabeculae Carneae
What does the trabeculae carneae do?
Increase contractility
Aid in blood flow
Heart strings
Chordae Tendineae
Functions of the chordae tendineae
prevent inversion or prolapse of valves
How thick is the LV?
3x thicker than the RV because it pumps blood to the system
How high is the intraventricular pressure in LV?
6 times than RV
Papillary muscles in the RV
Anterior
Posterior
Septal
largest and most prominent papillary muscle in the RV
anterior
smallest papillary muscle in the RV
septal
Papillary muscles in the LV
anterior
posterior
Primary pacemaker of the heart
SA node
range of HR when the SA node is active
60-100 bpm
What does the SA node do?
Controls the beating of the heart and initiates depolarization
This node is the passageway of signals
AV node
another name for AV node
Junctional node
most common site of heart block
AV node
This is when the heart cannot contract properly due to the poor signals
Heart block
Another name for AV bundle
Bundle of His
Location of the bundle of his
IV septum
What nerve group supplies the cardiac plexus?
Autonomic Nervous System
What is the nerve supply of the cervical and upper thoracic portion of the trunk
Sympathetic
Large veins of the thorax
Brachiocephalic
SVC
Azygos
IVC
Pulmonary
Large arteries of the thorax
Ascending aorta
Arch of the aorta
Descending Thoracic Aorta
Pulmonic artery
Branches of the arch of aorta
Brachiocephalic
L Common Carotid
L subclavian
Descending aorta
Branches of the brachiocephalic artery
R Common Carotid
R Subclavian
Branches of the R Common Carotid artery
R Ext. Carotid
R Int. Carotid
Branches of the R Subclavian
Axillary artery
Vertebral artery
Branch of the axillary artery
Brachial artery
Branches of the brachial artery
Radial artery
Ulnar artery
Branch of the Vertebral artery
Basilar artery
Branch of the Basilar artery
PCA
Branches of the descending aorta
Posterior intercostal artery
Subcostal artery
Thoracic aorta
Branches of the thoracic aorta
Abdominal aorta
Common Iliac artery
Branches of the Common Iliac artery
External Iliac artery
Interna Iliac artery
Branch of the Internal Iliac artery
Lumbosacral plexus
Branch of the External Iliac Artery
Femoral artery
Branch of the Femoral artery
Popliteal artery
Branches of the Popliteal artery
Anterior Tibial artery
Posterior Tibial Artery
Primary muscle for respiration
Diaphragm
Shape of the diaphragm
Dome-shaped
What happens to the diaphragm during inspiration?
Flattens
What happens to the diaphragm during expiration?
Recoils back to dome shape