MSS Anatomy & Physiology Flashcards
What are the layers of epidermis from surface to base?
- Stratum Corneum (keratin)
- Stratum Lucidum
- Stratum Granulosum
- Stratum Spinosum (spines= desmosomes)
- Stratum Basale (stem cell site)
- “Californians Like Girls in String Bikinis”
What do Sebaceous glands secrete?
Holocrine sec of sebum
What do Eccrine glands secrete?
Sweat
What do Apocrine glands secrete?
Milky viscous fluid
Where are Apocine glands found?
Axillae, genitalia, & areola
When do apocrine glands become functional?
Puberty
What causes apocrine glands to be malodorous?
Bacterial action
What are sebaceous glands assoc w/?
Hair follicles
Where are eccrine glands found?
Throughout the body
What is a tight junction?
Zona occludens- prevents paracellular movement of solutes, composed of claudins & occluidins
What is adherens junction?
zonula adherens- below tight junction, forms “belt” connecting actin cytoskeletons of adjacent cells with CADherins (Ca2+ dependent adhesion proteins)
What does loss of E-cadherin promote?
Metastasis
What is a desmosome?
Macula adherens- structural support via keratin interactions
What do auto-Ab to desmosomes cause?
Pemphigus vulgaris
What is a gap junction?
Channel proteins called connexons permit electrical & chemical communication b/w cells
What is a Hemidesmosome?
Connects keratin in basal cells to underyling BM
What do auto-Ab’s to Hemidesmosome cause?
Bullous pemphigoid
What are Integrins?
Mem proteins that maintain inegrity of BM by binding to laminin in BM
What causes the unhappy triad/knee injury?
Common injury in contact sports→ lateral force applied to a planted leg
What is involved in the unhappy triad knee injury?
Tear of ACL, MCL, & meniscus (classically medially bc MC lateral)
What is the tx for unhappy triad?
Often requires surgical ACL reconstruction
What does a positive drawer sign indicate?
ACL tear
What does an ABN passive ABDuction of the knee indicate?
MCL tear
How do you perform the Anterior/Posterior Drawer tests?
The patient should be supine with the hips flexed to 45 degrees, the knees flexed to 90 degrees and the feet flat on table. The examiner sits on the patient’s feet and grasps the patient’s tibia and pulls it forward (anterior drawer test) or backward (posterior drawer test). If the tibia pulls forward or backward more than normal, the test is considered positive