Anatomy Introduction and Cells

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    Anatomy and Physiology Introduction

    (Marieb 5th Edition)

    Anatomy

    To cut (tomy) and ana (apart).

    Study of the shape and structure of the body & body parts and their relation to one another.

    Studies of Anatomy

    1. Gross Anatomy

    Study oflarge, easily observable body structures.

    Ex. Our own body; heart, bones

    2. Microscopic Anatomy

    Study ofvery small body structures seen through a microscope

    Ex. Cells and tissues

    Physiology

    nature (Physio); study of (ology)

    Study how the body and its parts work or function.

    Studies of Physiology

    1. Neurophysiology - workings of nervous system.2. Cardiac physiology workings of the heart.

    Relationship of Anatomy and Physiology are always related

    Structure determines what functions can occur; therefore if the structure changes, the function

    must also change.

    Ex. Lungs cant pump blood like the heart. But because the walls of their air sacs are very thin,

    gaseous exchange happens.

    Layers of Structural Organization

    1. Chemical Level Atoms (tiny building blocks of matter) combine to form Molecules (Organic and Inorganic

    Molecules)

    2. Cellular Level

    Cells, basic or smallest unit of life are made up of molecules

    3. Tissue Level

    Group of similar cells that has a common function.

    4 Tissues: Epithelial, Connective, Smooth Muscle, and Nervous Tissue.

    4. Organ Level

    Different types of tissues that perform together with one or more common functions.

    Ex. Stomach

    5. Organ System Level

    Group of Organswith a common function or set of functions.

    Must have an Integration of Organ System for an organism to survive.

    6. Organism Level (Highest Level)

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    Human Organism is a complex of organ systems that are mutually dependent on one

    another (11 Organ Systems)

    The 11 Organ Systems

    1. Integumentary Systema. Structure: Skin, hair, nails, sweat glands.b. Functions:

    Receives stimuli (changes in the environment; temperature, pressure, and pain)

    Protection against pathogens (disease causing microorganism from environment) andchemicals

    Protection against injury on deeper tissues.

    Regulates body temperature

    Prevents water loss

    Excretes salts and urea in perspiration

    Synthesize Vitamin D (from UV Rays)

    2. Skeletal System

    a. Structure: 206 Bones, Cartilages, Joints, Ligamentsb. Functions:

    Protects and support the body

    Provides Framework to allow movement

    Protects internal organs (skull protects the brain)

    Produces RBCs(Hematopoiesis)within the cavities

    Storage of minerals and fats (calcium deposits on the hard substance of bones)

    3. Muscular System

    a. Structure: Skeletal Muscle, Cardiac Muscle, and Smooth Muscleb. Functions:

    To contract or shorten = Produce Body movements

    Maintains posture and brings facial expression

    Produces body heat

    Protection (contain nerves)

    4. Lymphatic / Circulatory / Immune System (Defense System)

    a. Structure: Lymphatic Vessels, Lymph Nodes, Spleen, Tonsils, Thoracic Ductb. Functions:

    Removes foreign substances from the blood and lymph

    Combats diseases (Vitamin C boosts up immune system)

    Regulates tissue fluid balance

    Absorb fats from GI tract

    Lymphatic Vessels returns fluid leaked from the blood and blood vessels for

    continuous blood circulation.

    Lymph Nodescleans blood; protects WBCs

    5. Respiratory System

    a. Structure: Nose, Lungs, Pharynx / Throat, Larynx / Voice Box, Trachea, Bronchial Tubes

    b. Function: Gaseous exchange (Oxygen in; Carbon Dioxide out)

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    6. Digestive System

    a. Structure: Mouth / Oral Cavity, Esophagus, Stomach, SI, LI, Rectum, Liver, Pancreasb. Functions

    Breakdown of food, absorption of nutrients and elimination of wastes through the anus

    as feces or stool to reclaim water.

    Liver produces bile that helps to break down fats

    Pancreas delivers digestive enzymes to SI

    7. Nervous System (Fast Acting Control System)

    a. Structure: CNS (Brain and Spinal Cord), Nerves, Sensory Receptorb. Functions

    Major regulatory system that responds to stimuli; reaction is direct to the organ

    Sensory Receptors detects stimulus and sends info thru nerve impulses to CNS. CNS

    responds by activating appropriate muscles and glands

    8. Endocrine System (Major Metabolic System; Slow Acting System)a. Structure: Glands (Pituitary Gland, Pineal Gland, Thyroid Gland, Hypothalamus, Thymus Gland,

    Adrenal Gland, Pancreas, Testis, Ovary

    b. Functions:

    Major regulatory system; secrete HORMONES to regulate target organs.

    Growth and Sexual Development

    Metabolism

    Reproduction

    Regulates Water and Minerals

    9. Cardiovascular System

    a. Structure: Heart, Blood Vessels, Bloodb. Functions

    Transporting Fluid, Blood transports O2, nutrients, wastes, hormones

    Blood Pump, Heart

    Cleans Immune System

    Regulates Body Temp

    WBCs protects body from foreign invaders (bacteria, tumor, toxins)

    10. Urinary Systema. Structure: Kidney, Ureter, Urinary Bladder, Urethra

    b. Functions

    Excretes Nitrogen wastes eliminated thru Urine.

    Maintains Water and Salt Balance

    Regulates Electrolyte and Acid Base balance (Blood Ph)

    Production of RBCs

    11. Reproductive System (Organ of Copulation)

    a. Structures in Men: Seminal vesicles, prostate gland, vas deferens, penis, testis, scrotumb. Functions

    Production of offspring

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    Production of Male Sex Hormone(Testosterone)

    Testis produces sperm cells

    a. Structures in Women: Mammary glands (breasts), uterine tubes, ovary, uterus, vaginab. Functions:

    Produce Oocytes(Largest Cell; Site of Fertilization)

    Fetal Development(Uterus)

    Production of Female Sex Hormone (Estrogen)

    Life Processes of Humans to Sustain Life

    Humans must maintain its boundaries, move, respond to stimuli, digest nutrients, carry

    metabolism, reproduce it self and grow.

    1. Movement

    2. Responsiveness or Irritability

    3. Digestion of Food

    4. Excretion of Wastes

    5. Metabolism sum of all chemical reactions in the bodya. Catabolism provides the energy needed to sustain life by breaking down food.

    b. Anabolism uses the energy from catabolism to make various substances that formbody structures and enable them to function.

    6. Reproduction

    7. Growthand Development

    8. Respiration and Circulation

    9. Absorption

    Interrelationship of Organ Systems

    Integumentary System protects body from external environment. The GI and Respiratory System, in

    contact with the external environment, take in nutrients and O2, which are transported by the blood

    to all cells. Elimination of metabolic wastes is accomplished by Urinary and Respiratory System.

    Environmental Factors for Maintenance of Life and Survival Needs

    1. Food / Nutrients2. Water3. Oxygen releases energy from food for metabolic processes.4. Body Temperature and Heat

    Product of Metabolic Reactions

    Normal BT: 36.5 37.5 C

    Both High and Low Temperature is dangerous

    a. Temp Body proteins break down.

    b. Temp Metabolic reactions becomes slower; results in Hypothermia5. Atmospheric Pressure or Levels of O2

    Necessary for Breathing during Gaseous Exchange.

    High Altitudes Places = O2

    Homeostasis

    Dynamic State of Equilibrium (bodys ability to maintain stable internal condition and respond

    appropriately to stimulus)

    Ex. Maintenance of V/S, Adequate Nutrients, and Wastes must not accumulate.

    Homeostatic Imbalance

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    Abnormal Condition,organs becomes less efficientand internal condition becomes less stable

    Risk for Illness

    Produce changes associated with aging.

    Homeostatic Control Mechanisms

    Used to maintain stable internal condition accomplished by Nervous and Endocrine System.

    3 Elements of Components of Control System

    Variable - factors that are regulated in Homeostasis (V/S, Blood Glucose Level, Electrolytes)

    1. Stimuli environmental changes (temperature, pressure, pain); imbalance in variables.

    2. Sensory Receptors detects and responds to stimuliINPUT: Info flows from receptor to the control center along Affarent Pathaway to 2nd Element.

    3. Control Center CNS (Brain and Spinal Cord) analyzes the changes and receives informationand gives appropriate action by activating the 3rd element

    OUPUT: Info flows from control center to 3rd element along Efferent Pathway to 3rd element

    4. Effector response or feedback to stimulus.

    Types of Response or Feedback

    1. Negative Feedback (Most Common Feedback) Reduce or Stop initial stimulus.

    Deviation (difference) from the set point to resist changes

    Function: Regulates V/S, Blood Glucose Levels, Electrolytes

    2. Positive Feedback(Rarer in the body) Original Disturbance from the original value.

    Control infrequent events that occur explosively and dont require continuous adjustments.

    Ex. Birth of Baby, Blood Clotting, Loss of Blood

    Ex. Accident BP due to blood loss (detected by receptor) needed to BP to Heart Rate

    (POSITIVE FEEDBACK CONSTANTLY BP)

    Anatomical Positions (Standard Position)

    1. Body is Erect and Standing Still

    2. Face is facing forward

    3. Arms are lying on the sides

    4. Palms are facing forward

    5. Thumb pointing outwardly

    6. Feet is parallel

    Directional Terms

    Explains exactly where one body structure is related to another.

    Regional Terms (Anterior and Posterior Body Regions)

    Body Planes or Body Sections

    A section or cutis made through the body or organ along an imaginary line (PLANE) to look at

    internal structures.

    1. Sagittal Section

    Longitudinal Cut that separates left and right parts

    Midsagittal or Median Planecut made at the middle of the body; left = right

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    2. Frontal or Coronal Section

    Lengthwise Cut that separates posterior and anterior parts

    3. Transverse or Cross Section

    Horizontal Cut that separates superior and inferiorparts

    Body Cavities or Trunk Cavities

    Lines and sets the organs.

    1. Posterior / Dorsal Body Cavity Small and well protected by the bone

    Continuous (No Separation)

    a. Cranial Cavity space inside skull; protects the brain.b. Spinal Cavity protects spinal cord, which is protected by the vertebrae; extends from cranial

    to the end of vertebral column.

    2. Anterior / Ventral Body Cavity Larger and less protected

    Separated (thoracic and abdomen is separated by the Diaphragm)

    a. Thoracic Cavity

    Contains and lungs; protected by the rib cage

    b. Abdominopelvic Cavity

    Contains Digestive, Urinary, and Reproductive organs.

    a. Superior Abdominal Cavity (stomach, liver, intestines)b. Inferior Pelvic Cavity (reproductive organs, bladder, rectum)

    Cells (Chapter 2)

    Cell is the Basic Unit of Life

    Composed of CHON(Protein is the major building material),small amounts of Na, K, Fe, and60% Water

    Humans have 75 trillion cells and belong to Prokaryotic type.

    Bathed in Extracelullar orInterstitial Fluid.

    Different in size & shape (often reflects the function of the cell)

    The 3 Main Regions of a Generalized Cell

    1. Nucleus

    2. Cytoplasm

    3. Plasma or Cell Membrane

    Nucleus Location:Often near center of the cellsurrounded by cytoplasm

    Control Center of the Cell

    Contains genetic material (DNA), a blueprint that carries instructions for protein synthesis.

    Site of Ribosome and Messenger of RNA Synthesis

    Directs cell activity and necessary for cell reproduction

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    3 Parts of Nucleus

    1. Nuclear Membrane or Envelope

    Double barrier membranewithfluid filledspace within called Nucleoplasm

    Where nucleoli and chromatin are suspended and nuclear pores penetrate.

    Selectively Permeable because of its large pores.

    2. Nucleoli / Nucleolus Ribosomal Subunit Assembly

    Site of Ribosomal RNA Synthesis

    3. Chromatin

    When cell is not dividing, its DNA is combined with Protein and forms chromatin.

    When cell is dividing to form 2 daughter cells,chromatin forms Chromosomes.

    Plasma Membrane or Cell Membrane

    Outermost component of cell; encloses cell and supports cell contents. Boundary between intracellular and extracellular substances.

    Selective barrierto the movement of substances into and out of the cell.

    Lipid Bilayer containing Proteins

    1. Phospholipidsa. Polar Heads (Hydrophilic or Water Loving)

    b. Non Polar Tails (Hydrophobic or Water Hating or Fearing)

    c. Bimolecular Lipid Layer Containing Proteins (Glycoproteins or Sugar Proteins).

    2. Cholesterol

    Has Stabilizing effect and helps keep the membrane fluid.

    Specializations of Plasma Membrane

    Displayed by epithelial cells that form linings of hollow organs (ex. Small Intestine)

    1. Microvilli

    Location: Extensions of cell surface with many on each cell.

    cells surface area for more absorption

    2. Membrane Junctionsa. Tight Junctions

    Impermeable; bind cells together to prevent substances go inside out the cell.

    Ex. In SI, it prevents digestive enzymes to leak into bloodstream

    b. Anchoring Junctions or Desmosomes

    Prevent cells from being pulled apart or mechanical stress (ex. Skin Cells)

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    3. Gap Junctions

    Location: and between embryonic cells

    Allow Communication; nutrients and ions can pass from one cell to another; neighboring

    cells are connected by CONNEXONS.

    Cytoplasm Location: Outside nucleus and inside plasma membrane.

    Factory Area of Cell; Site of Most Cellular Activities

    3 Major Elements of Cytoplasm

    1. Cytosol

    Intracellular fluid that suspends other elements and dissolved substances

    2. Inclusions

    Stored or Inactive materials of cytoplasm

    Ex. Nutrients, Fat droplets, glycogen granules, melanin, mucus, crystals

    3. Cytoplasmic Organelles Metabolic machinery of the cell; Little Organs

    a. Mitochondria (Powerhouse of Cell)

    Major Site of ATP Synthesis

    Site of Aerobic Respiration

    Abundant in: Liver and muscle cells

    b. Ribosomes

    Major Site of Protein Synthesis

    Made up of Proteins and 1 variety of RNA called Ribosomal RNA.

    c. Endoplasmic Reticulum (Network within the cell)

    Network of channels that carries proteins from one part of cell to another.

    2 Types:

    1. Rough ER

    Many Ribosomes; Site of Protein Synthesis

    Abundant in: Pancreas

    2. Smooth ER

    Little Ribosomes; Site of Lipid / Cholesterol / Steroid Synthesis

    Fat metabolism

    Detoxification of drugs.

    Abundant in: Liver, Male testes for the male hormone testosterone

    d. Golgi Apparatus (Traffic Director)

    Modifies protein structure and packages protein in secretory vesicles

    e. Secretory Vesicles

    Contains materials produced in the cell and formed by Golgi apparatus

    Secreted by Exocytosis

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    f. Lymosomes (Cells Demolition Site)

    Lymosomal Enzymes digests damaged cells and foreign substances (contains WBC)

    Homeostatic Imbalance (LYMOSOMAL RUPTURE) self digestion of cell; damaged

    and deprived of 02; excessive amounts of Vitamin A is present.

    g. Peroxisomes (Peroxide Bodies)

    Oxidase enzymes detoxify Free Radicals (highly reactive chemicals that mix up protein and

    nucleic acids)

    h. Cytoskeleton (Cells Bones and Muscles)

    For cellular support and motion.

    Determines cells shape, supports other organelles, and for intracellular transport and

    movement.

    a. Intermediate Filaments

    Helps form Demosomes

    b. Microfilaments (Actin and Myosin) Involved in Cell Motility

    Produce changes in cell shape

    c. Microtubules

    Determines the overall shape of cell

    Distribution of organelles.

    Supports cytoplasm

    Assists in cell division

    Forms component of cilia and flagella

    i. Centriole

    Location:Close to the Nucleus

    Directs the formation ofMITOTIC SPINDLE during cell division

    Form the bases of cilia and flagella

    h. Cilia (Eyelashes)

    Location: On the cell surface with many on each cell

    Moves cell substances away

    Ex. Ciliated Cells of Respiratory System moves mucus away from lungs.

    i. Flagella

    Location:On sperm cell with one per cell

    Flagellum or Tail propels sperm cells.

    Cell Diversity / Types of Cells

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    1. CONNECT BODY PARTSa. Fibroblast

    Shape:Elongated

    Function:Makes the protein building blocks of fibers.

    b. Erythrocyte (RBC)

    Shape: concave disk

    Function:Carries O2 into the blood.

    2. COVER AND LINE BODY ORGANS

    a. Epithelial Cell

    Shape: Hexagonal (allows cells to pack together in sheets)

    Function:Many intermediate filaments that resist tearing when epithelium is pulled

    apart.

    3. MOVE BODY ORGANS AND PARTS

    a. Skeletal Muscle and Smooth Muscle Cell

    Shape: Elongated

    Function:Produce movement of bones and muscles; change size of internal organs.

    4. STORES NUTRIENTS

    a. Fat Cell

    Shape: Huge Spherical

    Produced by fat droplet in its cytoplasm

    5. FIGHTS DISEASES

    a. Macrophages (Phagocytic cell)

    Has Pseudopods orLong Feet to reach infection sites

    Has Lysosomes

    6. GATHERS INFORMATION AND CONTROLS BODY FUNCTIONS

    a. Nerve Cell or Neuron

    Receives and transmits information to body structures (CNS).

    7. REPRODUCTION

    a. Oocytes (female egg cell; largest cell)

    b. Sperm (male egg cell)

    Shape: Long and Stream Lined built for swimming to the egg for fertilization

    Its flagellum propels the sperm.

    Various Types of Mixtures

    1. Solution Homogeneous mixture of 2 or more components

    Solvent + Solute

    Ex. Air is a mixture of gases; alcohol is a mixture of alcohol and water

    2. Solvent (Dissolving Medium)

    Substances present in largest amount in a solution.

    Ex. Water is the universal solvent of the body

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    3. Solutes

    Substances present in smaller amounts in a solution.

    Ex. Rock of Salt

    2 Types of Fluid

    1. Intracellular Fluid (Inside the Cell)

    Nuceloplasm and Cytosol

    Includes small amounts of gases, nutrients, and saltsthat are dissolved in water.

    2. Extracellular or Interstitial Fluid (Outside the Cell; Watery)

    Bathes the cells.

    Includes nutrients, hormones, neurotransmitters, salts, and waste products.

    Homeostatic Imbalance

    Cell is Damaged / Died = membrane is PERMEABLE to almost everything (Ex. Severe Burns)

    Selectively Permeable Barrier that allows some substances to pass into cell while excluding others.

    Transport System (Movement of Substances / Molecules across Plasma Membrane)

    1. Passive Transport

    Movement of substances across the membrane without ATP from the cell.

    a. Diffusion

    Movement of substances across membrane where they are MORE CONCENTRATED

    (numerous)to a LESS CONCENTRATED (fewer) because of KINETIC ENERGY.

    Speed of diffusion is affected b

    1. Size of molecules (the smaller the faster)

    2. Temperature (the warmer the faster) Molecules will move passively by diffusion if they :

    1. Molecules are small enough to pass into membrane pores.

    2. Molecules can be dissolved in the fat portion of membrane (Lipid Soluble) Types of Diffusion

    1. Simple Diffusion

    Unassisted diffusion of substances across the membrane.

    Moves Lipid Soluble Substances (Fats, ADEK,O2, CD)

    Moves Small Ions (Chloride Ions)

    2. Facilitated Diffusion

    Moves Large, Lipid Insoluble (GLUCOSE) substances w/c requires protein carrier.

    b. Osmosis Diffusion of Water through a selectively permeable membrane.

    Osmotic Pressure

    Solute concentration of a solution

    Determines whether cells lose or gain water.

    Ability of Osmosis to lift a volume of water.

    1. Hypertonic Solutions

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    More solutes (and less water) than do cells.

    Cells lose water by osmosis and burst or crenate.

    2. Hypotonic Solutions

    Fewer solutes (and more water) than do cells.

    Cells swell and may rupture (lyse) as water rushes in by osmosis.

    3. Isotonic Solutions Solute = Solvent

    No changes in cell size and shape.

    c. Filtration

    Movement of substances across membrane from an area of High Hydrostatic Pressure to an

    area of Lower Fluid Pressure exerted by blood. (Pressure Gradient)

    Ex. Kidney Filtration

    2. Active Transport

    Movement of substances across membrane with the use of ATP from the cell.

    Substances are large to pass into pores

    Substances cant be dissolved in the fat portion of membrane (Lipid Insoluble)

    Concentration: Lower to Higher

    a. Solute Pumping

    Movement of substances across membrane against a concentration gradient by protein carriers

    called Solute Pumps

    Transport of Amino Acids, Sugars, and Ions

    Ex. Sodium Potassium Pump- move sodium ions out and potassium ions into the cell for

    normal transmission of nerve impulses

    b. Bulk Transport

    Substances that cannot move across the membrane are transported with the use of ATP

    OUT of or INTO cells.

    1. Exocytosis (Out of the Cell)

    Moves substances out of the cell (hormones, mucus, and eject wastes)

    Secretory Vesicle fuses with membrane, ruptures, and eject its contents outside cell.

    2. Endocytosis (Into the Cell)

    Moves substances into the cell.

    Uses ATP that engulfs extra cellular substances by enclosing them in secretory vesicles.

    a. Phagocytosis (Cell Eating) Uptake of Solids

    Ex. WBCs and Phagocytes act as scavengers to protect body from foreign invaders.

    b. Pinocytosis / Bulk Phase Endocytosis (Cell Drinking)

    Uptake of fluids or liquids

    Ex. Cells for absorption (Cells that forms lining of SI and Kidney Tubule Cells)

    Cell Life Cycle Phases (Interphase and Cell Division)

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    Series of changes a cell goes through from the time it is formed until it divides.

    1. Interphase or Metabolic Phase

    Longest phase; cell grows and carries normal metabolic activities.

    DNA Replication occurs at the end of this period.

    DNA Replication DNA is composed of building blocks called NUCLEOTIDES, each consisting of Deoxyribose

    Sugar, Phosphate Group, and Nitrogen containing base

    DNA Replication begins as DNA HELIX COILS and SEPARATES into 2 NUCLEOTIDE

    STRANDS. Each Nucleotide strand serves as TEMPLATE (set of instructions) for BUILDING

    NEW NUCLEOTIDE STRAND. ***

    Nucleotides join in a complementary way:

    * Adenine (A) - Thymine (T)

    *Guanine (G) - Cytosine (C)

    The order of the Nucleotides on the template determines the order one the new strand .

    Ex. TACTGC sequence on a template strand will bond to new nucleotides w/ order of ATGACG.

    2. Cell Division Produce cells for growth and repair process

    Events of Cell Division

    1. Mitosis

    Division of Nucleus that results the formation of 2 daughter nuclei with exactly the same

    genes as mother nucleus.

    Begins after the DNA Replication

    Stages of Mitosis

    1. Prophase

    1st Chromatin coil and shorten andChromosomesappear.Each chromosome is made up of 2 strandscalledChromatid, held together by Centromere.

    2ndCentrioles separate from each other and move toward opposite sides of the cell, directing formation

    ofMitotic Spindle orSpindle Fibers which provides scaffolding for attachment and movement ofchromosomes during the end of mitosis.3rdNuclear envelope and nucleoli are broken down and disappeared4th Chromosomes attached to Mitotic Spindle by their centromeres.

    2. Metaphase1stChromosomes gather and become aligned at the center of mitotic spindle.

    3. Anaphase

    1st Chromosomes begin to move toward opposite ends of the cell.2nd When chromosome movement ends Anaphase period is over.

    4. Telophase

    1stChromosomes at the opposite end of the cell uncurl to become chromatin again.2nd Mitotic Spindle spindle breaks down and disappears

    3rd Nuclear envelope forms around each chromatin and nucleoli appear in each of the daughter nuclei.

    2. Cytokinesis - Division of cytoplasm; begins during late anaphase and completes during Telophase.

    Role of DNA in Protein Synthesis

    DNA: in Nucleus; serves as the master blueprint for Protein Synthesis.

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    GENE is a DNA segment that carries instructions for building 1 protein. Proteins are the key

    substances for all aspects of cell life.

    DNAs information is encoded in the sequence of bases in the nucleotide strands. Each

    sequence of 3 bases (triplet) specifies one Amino Acid in the protein. (Example. A DNA sequence

    of AAA specifies an amino acid called PHENYLALANINE, while CCT is GLYCINE.) Variations in

    the arrangements of A, C, T, and G in each gene allow cells to make different kinds of protein)

    Role of RNA in Protein Synthesis

    RNA: In Cytoplasm

    RNAacts as a messenger to achieve DNAs task of specifying the structure of Proteins to be built

    at Ribosomes.

    3 Varieties of RNA

    a. Transfer RNA (tRNA)

    Transports Amino Acids to Ribosomes

    b. Ribosomal RNA (rRRNA)

    Forms part of the Ribosomal structure and coordinates protein building process.

    c. Messenger RNA (mRNA)

    Carries instructions for Protein Synthesis from DNA gene to Ribosomes.

    2 Major Phases of Protein Synthesis

    1. Transcription

    Transfer of info from DNAs based sequence into complementary base sequence of mRNA.

    Site: Nucleus

    Involves DNA and mRNA.

    Each 3 base sequence specifying a particular Amino Acid is called TRIPLET. The

    corresponding 3 base sequences on mRNA are called CODONS. The form is different but

    the same information is conveyed. (If the partial sequence of DNA Triplets is AAT CGT

    TCG, the related codons on mRNA would be UUA GCA AGC)

    2. Translation

    Nucleic acids (base sequence) are translated into proteins (amino acid sequence).

    Site: Cytoplasm.

    Involves 3 Varieties of RNA (tRNa, rRRNA, mRNA)

    Events in Translation (see picture)

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    BODY TISSUES

    TissuesGroup of cells that is similar in structures and function.The 4 Primary Body Tissues

    1. Epithelial Tissue orEpithelium (covering)

    2. Connective Tissue (support)3. Nervous Tissue (control)

    4. Muscle Tissue (movement)

    Epithelial Tissue or Epithelium

    Lining , covering, and glandular tissue of the body.

    Acts as a boundary that separates us from the external environment.

    Functions of Epithelial Tissue

    1. Protection protects skin against pathogens and chemicals; lining of respiratory tract contains ciliathat sweeps dust and debris from lungs; lines digestive tract such as stomach and small intestine

    2. Absorption absorbs nutrients from food.

    3. Filtration filters kidney4. Secretion (Glandular Tissue) secrets perspiration and oil, digestive enzymes, mucus

    Special Characteristics Epithelial Tissue

    Fit closely together to form continuous sheets.

    Has one free surface or edge called Apical Surface.

    Lower surface rests on a basement membrane

    Avascular (No Blood Supply)

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    Regenerates themselves easily if well nourished.

    Classification of Epithelial Tissue according to Cell Shape

    1. Squamous Cells (thin and flattened)2. Cuboidal Cells (cube shape)

    3. Columnar Cells (column shape)

    Classification of Epithelial Tissue according to Cell Layers or Arrangement

    1. Simple Epithelium

    Single layer of Cellsresting on a basement membrane

    Functions: Absorption, Secretion, and Filtration.

    a. Simple Squamous Epithelium

    Gaseous exchange in the Lungs.

    Filtration occurs in the Kidneys

    Forms Serous Membranes that lines Ventral Body Cavities (Thoracic and Abdominoplevic)

    b. Simple Cuboidal Epithelium

    Common in glands and ducts(Salivary Glands and Pancreas)

    Forms walls in Kidney Tubules

    Covers surface of Ovaries

    c. Simple Columnar Epithelium

    Has Goblet Cells that secretes mucus to trap dust and debris

    Forms Mucous Membranes that lines external cavities (entire digestive tract from stomach to

    anus, respiratory, excretory, and reproductive tract)

    d. Pseudostratified (Ciliated) Columnar Epithelium

    Gives a pseudo or false impression that its stratified.

    Lines Respiratory Tract (Has Goblet Cells; Cilia propels mucus away from lungs)

    2. Stratified Epithelium Contains 2 or more cell layers; at the free edge

    Function:Protection

    o Stratified Squamous Epithelium (Most Common Stratified Epithelium)

    Found in sites that receives abuse or frictionEx. Mouth, Throat, Esophagus, Epidermis

    o Stratified Cuboidal Epithelium

    Found in Ducts of Large Glands

    LinesMammary Glands, Sweat Glands, Salivary Glands, Pancreas

    o Stratified Columnar Epithelia

    Found in Ducts of Large Glands

    Found in Vas Deferens, Parts of Male Urethra, Parts of Pharynx

    o Transitional Epithelium / Highly Modified Stratified Squamous Epithelium

    Lines Urinary System

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    Has ability to slide past one another and change cell shape (Allowsuterine wall to stretch as

    a greater volume of urine flows; allows more urine to be storedin the urinary bladder)

    Glandular Epithelium

    Gland consists of 1 or more cells that secrete a particular product called Secretion.

    a. Endocrine Gland Ductless Gland; Ductless = Blood

    Secrete Hormones (Thyroid Gland, Adrenal Gland, Pituitary Gland)

    b. Exocrine Gland

    Empty their secretions through their ducts in epithelial surface .

    Ex. Sweat and oil glands, liver, and pancreas

    Connective Tissues

    * The most abundant of all Tissues.

    Functions

    1. Main Function: Connects Body Parts / Binds body tissues.2. Protection

    3. Support

    Common Characteristics of Connective Tissues

    1. Variations in Blood Supply

    Mostly Vascular except Tendons and Ligaments have a poor blood supply. Cartilages are

    Avascular. All these structures heal slowly when injured

    2. Extracellular Matrix

    Non living substance found outside the cells that contains ground substance and fibers.

    Because of this, connective tissues are able to withstand stretching and other abuses such asabrasions that no other tissue could endure.

    Types of Connective Tissues

    1. Bone or Osseous Tissue

    Most hard connective tissue; protects and supports body organs (ex. Skull protects the brain)

    Composed of bone cells sitting in cavities called Lacunae and surrounded by hard matrix

    that contains Calcium Salts and Collagen Fibers.

    2. Cartilage

    Less hard and more flexible than bone.

    a. Hyaline Cartilage

    Most abundant type of cartilage and has abundant collagen fibers

    Found in larynx (voice box), attaches ribs to the breastbone, and covers the ends of bones

    where they form joints.

    Ex. Skeleton of Fetus, but by time the baby is born most of this cartilage is replaced by bone.

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    b. Fibrocartilage

    Between vertebrae of the spinal column

    c. Elastic Cartilage

    Found where elasticity is desired; Supports External Ear

    3. Dense Connective Tissue

    Have collagen fibers as its main matrix.

    b. Tendons attach skeletal muscles to bones

    c. Ligaments connect bones to bones at jointsd. Epidermis

    4. Loose Connective Tissue

    Softer and has fewer fibers than all other tissues except blood.

    a. Areolar Tissue

    Universal Packaging Tissue; helps hold internal organs together in their proper

    positions.

    Act as a sponge when theres edema

    Contains Phagoctyes

    b. Adipose Tissue (Fat)

    Forms subcutaneous tissue beneath the skin, where it insulates body and protects it from

    temperature extremes.

    Protects some organs individually (Kidneys, eye balls in their sockets, hips, breast)

    c. Reticular Tissue

    Consist of reticular fibers

    Forms the stroma mattress

    Supports Lymphocytes in Lymphoid Organs such as Lymph Nodes, Spleen and BoneMarrow.

    5. Vascular Tissue or Blood

    Consists of blood cells surrounding by a non living fluid matrix calledBLOOD PLASMA.

    TRANSPORTING FLUID for nutrients, respiratory gases, wastes, etc

    MUSCLE TISSUE

    1. Skeletal Muscle

    Location: Attached to bones or for some facial muscles to skin

    Cell Shape and Appearance: Long, cylindrical, and multinucleate; With very obvious

    Striations

    Regulation of Contraction: Voluntarily (consciously)

    Function: Movement

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    2. Cardiac Muscle

    Location: Heart

    Function: Blood Pump

    Cell Shape and Appearance: Branching chains of cells; Uninucleate; With Striations

    Regulation of Contraction: Involuntary, Has a pacemaker; controlled by Nervous System

    3. Smooth Muscle or Visceral Muscle

    Location: Hollow Visceral Organs (Stomach, bladder, uterus, blood vessels)

    Function: When they contract, the cavity of an organ becomes smaller (constricts) or

    enlargen (dilates) so that substances are propelled through an organ. (Ex. Persistalis a wave

    like motion that keeps food moving through the small intestine)

    Cell Shape and Appearance: Fusiform or Spindle Shape, Uninucleate, No Striations

    Regulation of Contraction: Involuntary controlled by Nervous System

    Nervous TissueNeuron Cells

    Receives and conduct nerve impulses from one part of the body to another

    Major Functions: Irritability and Conductivity

    Tissue Repair (Wound Healing)

    Stimulates the ff:

    a. Inflammation

    Generalized body response that attempts to prevent further injury.

    b. Immune Response

    Extremely specific and mount a vigorous attack against recognized foreign invaders.

    Tissue Repair or Wound Healing occurs in 2 Ways:

    1. Regeneration

    Replacement of destroyed tissue by the same kind of cells.

    2. Fibrosis

    Repair by dense (fibrous) connective tissue by the formation of scar tissue

    Series of Events in Tissue Repair

    1. Capillaries becomes permeable

    Clotting proteins seeps into the injured area to form a clot which stops the loss of blood and holds

    the edges of the wound to prevent bacteria from spreading. When clot is exposed to air, it dries

    quickly and hardens, forming a SCAB

    2. Granulation Tissue Forms

    Pink tissue composed of new capillaries grows into the damaged area; fragile and bleed when scab

    is picked from the wound; contains phagocytes that eventually dispose blood clot and connectivetissue cells (fibroblasts) that produce collagen fibers (scar tissue) to permanently bridge the

    3. Surface Epithelium Regenerates

    Granulation tissue detaches; final result is a fully regenerated surface epithelium that covers

    underlying are of fibrosis (the scar)

    Body Membranes

    Functions

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    Covers body surfaces

    Lines Body Cavities

    Forms protective (often) lubricating sheets around the organs

    2 Major Body Membranes

    1. Epithelial Membrane

    2. Connective Membrane

    Epithelial Membranes

    1. Cutaneous Membrane

    The Skin; Dry Membrane

    Composed of keratinizing squamous epithelium (epidermis) underlain by dense fibrous

    connective tissue.

    Function: Protects and Covers Body Surfaces

    2. Mucous Membrane

    Composed ofepithelial tissue resting on areolar connective tissue calledLamina Propria.

    Wet or Moist; Secretes protective lubricating mucus.

    Function:Line body cavities open to the exterior (respiratory tract mucosa of mouth, mucosaof nasal cavity, mucosa of esophagus, mucosa of lung bronchi; digestive tract; urinary tract;

    reproductive tract)

    3. Serous Membranes

    Composed ofsimple suamous epithelial tissue resting on areolar connective tissue.

    Function:Lines body cavities closed to exterior.

    2 Pairs of Serous Membranes:

    a. Parietal Layer lines ventral cavities (abdominopelvic & thoracic); folds itself to formvisceral layer

    b. Visceral Layer covers outside of the organs of ventral cavities* Separated by Serous Fluid secreted by both; allows organs to slide with each other w/o

    friction.

    Peritoneum

    a. Parietal Peritonium lines abdominoplevic cavitgyb. Visceral Peritonium covers abdominopelvic cavity organs

    Pleura

    a. Parietal Pleura lines thorax

    b. Visceral Pleura covers lungs

    Pericardium covers the heart

    Connective Tissue Membrane

    1. Synovial Membranes

    Composed ofareolar connective tissue and no epithelial tissues.

    Function:Lines the joint cavities (ex. Bursae and Tendons)

    Secretes Synovial Fluid that lubricates the end of bones during muscle activity.

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    Integumentary System (Skin)

    Integument = covering

    Functions of the Skin1. Protects deeper tissues from

    a. Mechanical Damage (bumps)

    contains keratinthat toughens cells

    contains pressure receptors that alerts Nervous System from possible damage

    Skin should be intact.

    b. Chemical Damage (acids and bases)

    Contains keratin and pain receptors that alert Nervous System from possible damage.

    c. Bacterial Damage (pathogens)

    Has unbroken surface and acid mantle(Skin secretions are acidic thus inhibit bacteria).

    Phagocytes ingest foreign invaders and pathogens.

    d. Ultraviolet Radiation

    Melanocytes cellsproduce Melaninfor protection against sunlight.e. Thermal (Heat or Cold) Damage

    Contains heat / cold / pain receptors. (Cutaneous Sensory Receptors)

    f. Desiccation (drying out)

    Contains waterproofing substances (Lamena Granules)

    2. Aids in Heat Loss or Heat Retention (Regulates Body Temperature)

    Heat Loss by activating sweat glands; allowing blood to flush into skin capillaries.

    Heat Retention not allowing blood flush into capillaries.

    3. Aids in Excretion of Salts and Nitrogen Waste Materials (Urea and Uric Acid)

    Contained in perspiration by sweat glands

    4. Synthesizes Vitamin D

    Modified Cholesterol molecules in skin converted to Vitamin D by sunlight.

    Stimulates Calcium and Phosphate absorption.

    Structures of the Skin

    1. Epidermis

    2. Dermis

    Epidermis

    The more superficial part of the skin is formed of Stratified Squamous Keratinizing Epithelium

    and is Avascular. Composed ofKeratinocytes Cells which produces Keratin, a fibrous protein that makes epidermis

    a tough protective layer.

    Keratinization cells change shape and chemical composition

    Epidermis is composed of 5 Layers called Strata

    1. Stratum Corneum

    Superficial or Outermost Layer of Epidermis is 20 to 30 layers thick. The dead cell

    remnants, are filled with keratin, are referred to as Cornified or Horny Cells.

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    Keratin allows the layer to be tough and protect deeper cells from external environment, water

    loss, and biological, chemical, and physical assaults.

    Cells are dead and flakes off and is replaced by Cell Division in Stratum Basale Cells.

    Indeed, we have a NEW EPIDERMIS every 25 45 days.

    2. Stratum Lucidum in thick skin and no hairs (palms of hand and soles of feet)

    3. Stratum Granulosum4. Stratum Spinosum

    5th Stratum Basale / Germinativum

    Deepest Layer that lies closest to the dermis

    Contains Epidermal Cells that receive adequate nutrients and oxygen (blood supply) from

    dermis and undergo Mitosis (Cell Division). The daughter cells move away from dermis and

    become part of Stratum Spinosum and Stratum Granulosum wherein they keratinized and

    finally die, forming Stratum Lucidum, this layer occurs only where skin is thick and has no hair

    (palms of the hand and soles of the feet). Because of Keratin and distance from the Dermis,

    Stratum Lucidum and Superficial Epidermal Cells dooms because of inadequate nutrients and

    oxygen.

    Melanin

    Skin Pigment that changes in color from yellow brown blackproduced by MelanocytesCells in Stratum Basale.

    When skin is exposed to sunlight, Melanocytes are stimulated to produce more Melanin, and

    tanning occurs.

    Stratum Basale cells phagocytize (eat) the pigmentand as it accumulates within them, melanin

    forms a protective pigment over the superficial side of their nuclei, that shields their genetic

    material (DNA) from the damaging effects of the Sun.

    Freckles and Moles are seen where melanin is concentrated in one spot.

    Homeostatic Imbalance due to Overexposure to Sun

    Depresses immune system (ex. Persons with Herpes Simplex or Cold Sore are more likely to have

    an eruption after sunbathing)

    Alters DNA Skin Cells and may lead to Cancer. Black people seldom have skin cancer.

    Dermis

    Helps to hold the body together.

    Made of Dense (Fibrous) Connective Tissue and Varies in Thickness (ex. Thick on Palms of the

    Hands and Soles of feet)

    Abundant with Blood Supply that Maintains Homeostasis of Body Temperature.

    a. When BT is , capillaries of dermis becomes dilated or swollen, with heated blood andbecomes reddened and warmed that allows body heat to radiate in surface.

    b. If environment is cool and body heat must be conserved, the blood bypasses the dermis

    capillaries temporarily, allowing internal BT to stay

    2 Major Regions of Dermis

    1. Papillary Layer

    Upper dermal region that have fingerlike projections from its superior surface called Dermal

    Papillae, whichcontains:

    a. Capillaries that furnish nutrients to epidermis.

    b. Pain Receptors (Free Nerve Endings)

    c. Touch Receptors (soft touch) called MEISNERRS CORPUSCLES.

    On the palms of the hands and soles of the feet, the papillae are arranged in definite patterns

    that increase friction and enhance gripping ability of the fingers and feet.

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    Ridges of fingertips are provided with sweat pores and leaves films of sweat called

    FINGERPRINTS.

    2. Reticular Layer

    Deepest Skin Layer that contains blood vessels, sweat, oil glands, and DEEP PRESSURE

    RECEPTORS called PACINIAN CORPUSCLES.

    Contains Phagocytes

    Contains Collagen Fibers for the toughness of dermis and helps skin hydrated.

    Contains Elastic Fibers that give elasticity of the skin.

    As we age, the number of collagen fibers and elastic fibers decreases and the subcutaneous

    tissue loses fat. As a result the skin becomes less elastic and begins to sag and wrinkle.

    Homeostatic Imbalance

    Decubitus Ulcers or Bed Sores

    Occur in bedridden patients who are not turned regularly or dragged or pulled across the bed repeatedly.

    The weight of the body puts pressure on bony projections. Because this restricts blood supply and skin

    becomes pale or blanched. The skin reddens when pressure is released, but if not, the cells die and smallcracks or breaks in the skin appear at compressed sites. Permanent damage to the superficial blood vessels

    and tissue eventually results in degeneration and ulceration of theskin.

    3 Pigments that Contributes to Skin Color

    1. Amount and kind (yellow, reddish brown, and black) of Melanin in Epidermis.

    People who produce a lot of melanin have brown toned skin.

    In Caucasians (light toned skin), who have less melanin, the crimson color of Oxygen rich

    hemoglobin in the dermal blood supply flushes gives skin a rosy glow.

    2. Amount of Carotene (Orange yellow pigment found in carrots and other orange, deep yellow, or leafygreen vegetables)

    3. Amount of Oxygen bound to Hemoglobin (pigment in RBC) in the dermal blood vessels.

    Homeostatic Imbalance

    1. Cyanosis Hemoglobin is poorly oxygenated, blood and skin becomes bluish (Caucasians)

    Common during failure and severe breathing disorders .

    In Black People, skin doesnt appear cyanotic because of melanin

    Apparent in nail beds and mucous membranes.

    2. Erythema or Redness

    Reddened Skin signifies blushing, fever, hypertension, inflammation or allergy.

    3. Pallor or Blanching

    Signifies Emotional Stress, Anemia, Low BP, or Impaired blood flow into the area.

    2. Jaundice or Yellow Cast

    Abnormal Yellow Skin Tone that Signifies Liver Disorder which in excess bile pigments are

    absorbed in the blood.

    3. Bruises or Black & Blue Marks

    Sites where blood has escaped from the circulation and clotted in tissue spaces.

    HEMATOMASare clotted blood mass.

    Signifies Vitamin C deficiency orHemophilia (Bleeders Disease)

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    Appendages of the Skin

    1. Cutaneous Glands

    2. Hair

    3. Hair Follicles4. Nails

    Cutaneos Glands

    Exocrine Glands that release their secretions to the skin surface via ducts.

    1. Sebaceous (Oil) Glands

    Found all over the skinexcept Palms of Hands and Soles of feet

    Active when Male Sex Hormones (Progesterone) are produced in amounts (both sexes)

    during adolescence

    Produces SEBUM

    a. Keeps the Skin Soft and Moistb. Prevents Hair Brittle

    c. Contains chemicals that kill bacteria..

    Homeostatic Imbalance

    1. Whitehead when sebaceous gland becomes blocked by sebum.

    2. Blackhead if the material oxidizes, dies, and darkens

    3. Acneinfection of sebaceous glands accompanied by pimples.

    4. Seborrhea cradle cap in infants; over activity of sebaceous glands. Begins on the scalp asPink, raised lesion that gradually form a yellow to brown crust that sloughs off as oily dandruff.

    Careful washing to remove excessive oil.

    2. Sweat Glands or Sudoriferous (Sudor = Sweat)

    a. Eccrine Sweat Gland

    Numerous and found all over the body. Produce SWEAT (water, salts, vitamin C, metabolic wastes (ammonia, urea, and uric

    acid), and lactic acid that attracts mosquitos

    Acidic from PH 4 6 that inhibits growth of bacteria

    Bodys heat regulating system . They are supplied with nerve endings that cause them to

    secrete sweat when temperature is high.

    b. Apocrine Sweat Gland

    Confined in Axillary and Genitals

    Their ducts empty into hair follicles.

    Secretions contain fatty acids and proteins and all the substances present in eccrine .

    Produces Body Odor when bacteria lives on skin and uses its fats as a source for their

    growth.

    Functions during puberty under the influence of ANDROGENS.

    Activated by nerve fibers during pain and stress and sexual foreplay.

    Hair and Hair Follicles

    Functions:

    1. Guards head against bumps

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    2. Shields eyes via eyelashes

    3. Keeps out foreign substances out of Respiratory Tract via nose hairs

    4. Provides insulation in cold weather

    Hair

    Produced by HAIR FOLLICLE.

    Part of the hair enclosed in the follicle is ROOT

    Part projecting from the surface of the scalp or skin is SHAFT. The Bulk of the Shaft is dead

    material and entirely Protein.

    Formed by the division of the Stratum Basale in the growth zone called HAIR BULB MATRIX

    located at the inferior end of follicle.

    Each hair consists of central core called MEDULLA surrounded by CORTEX which is enclosed

    by CUTICLE.

    The arrangement ofCUTICLE helps keep the hair apart and keep them from matting. It is the

    most heavily Keratinized Region that provides strength and helps keep inner layers compact.

    Because it is subject to abrasion, it tends to wear away at the tip of the shaft allowing keratin in

    the inner hair regions to frizz out called SPLIT ENDS

    Hair Pigment is made by MELANOCYTES in the Hair Bulb and varying types of Melanin

    (Yellow, Rust, Brown, and Black) combine to produce all varieties of hair color.

    Comes in variety of sizes and shapes.

    a. If Hair shaft is oval, Hair is SMOOTH and SILKY and the person has WAVY HAIR.

    b. If Hair Shaft is flat and Ribbonlike, Hair is CURLY or KINKY.c. If Hair Shaft is Round, Hair is Straight and Coarse.

    Hair Follicles

    1. Inner Epidermal Sheath composed of epithelial tissue and forms the hair.

    2. Outer Dermal Sheath dermal connective tissue; supplies blood vessels to the epidermal portionand reinforces it. Its papilla provides the blood supply to the matrix in hair bulb.

    Arrector Pilli Muscle small band of smooth muscle cells; when these muscles contract if we are

    cold or frightened, this hair is pulled upright and produces GOOSEBUMPS.

    Nails

    Each nail has a FREE EDGE, BODY and ROOT

    Borders of nails are overlapped by skin folds called NAIL FOLDS.

    CUTICLE is the thick proximal nail fold.

    Stratum Basale of the epidermis extends beneath the nail as the NAIL BED. Its thickened

    proximal area is NAIL MATRIX which is responsible for NAIL GROWTH. As the nail cells are

    produced by the nail matrix, they become keratinized and die.

    Nails PINK in color because of the rich blood supply of the dermis.

    LUNULA is the white crescent .

    When the Oxygen is low, NAIL BED becomes CYANOTIC.

    Homeostatic Imbalance (Allergies and Infections)3. Athletes Foot or Tinea Pedis

    Itchy, red, and peeling condition between toes that results in fungal infection.

    4. Boils and Carbuncles

    Inflammation of Hair Follicles and Sebaceous Glands

    Common on the Dorsal Neck

    Caused by Bacterial Infection (often Staphylococcus Aureus)

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    5. Cold Sores or Fever Blisters

    Small fluid filled blisters that itch and sting caused by HERPES SIMPLEX infection.

    The virus localizes in a cutaneous nerve when it remains dormant until activated by

    emotional upset, fever, UV Radiation.

    Occurs usually around the LIPS and Mucosa of the Mouth

    5. Contact Dermatitis Itching, redness, and swelling of the skin, progressing to blistering caused by exposure of

    skin to chemicals (ex. Poison Ivy)

    6. Impetigo

    Pink, water filled, raised lesions that develop a yellow crust and eventually rupture.

    Commonly around the mouth and nose

    Caused by Staph

    Common in Elementary School Aged Children

    7. Psoriasis

    Chronic condition characterized by reduced epidermal lesions covered with dry, silvery

    scales

    Maybe disfiguring when severe. Cause is UNKNOWN but hereditary in some.

    Attacks triggered by TRAUMA, INFECTION, HORMONAL CHANGES and STRESS.

    BURNS

    Tissue damage and cell death caused by:

    a. Intense Heat

    b. Electricity

    c. UV Radiation (Sunburn)

    d. Chemicals (Acids)

    When skin is burned, 2 life threatening problems result:

    c. Loss Of Body Fluids that contains proteins and electrolytes

    d. Dehydration and Electrolyte Imbalance follows and can lead to Shutdown of Kidneys andCirculatory Shock (inadequate circulation of blood caused by Low Blood Volume)

    To save the patient, lost fluids must be replaced ASAP.

    The volume of fluid lost can be estimated by determining the how much body surface is burned

    (extent of burns) using the RULE OF NINES. This method divcides the body in 11 areas, each

    accounting 9% of the total body surface area surrounding face area, plus surrounding the

    genitals 1%.

    INFECTION is the most important threat and the LEADING CAUSE OF DEATH in burn

    victims

    Burned Skin is STERILE for 24 hours but after that, pathogens invade areas and multiply in the

    destroyed skin

    IMMUNE SYSTEM BECOMES DEPRESSED within 1 2 days after SEVERE burn injury

    Burns are classified according to their severity (depth)

    1. 1st degree burn

    2. 2nd degree burn

    3. 3rd degree burn

    A. PARTIAL THICKNESS BURNS

    1st Degree Burn

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    Epidermis is damaged (area becomes RED and SWOLLEN)

    Are not usually serious and generally heal 2 3 days without any special attention.

    Ex. SUNBURN

    2nd Degree Burns

    Epidermis and Upper Region of Dermis is damaged. (area becomes RED,

    PAINFUL, and with BLISTERS) Regeneration can occur because of the epithelial cells are present.

    B. FULL THICKNESS BURNS

    3rd Degree Burn

    Destroy the entire thickness of the skin

    Burned area appears BLANCHED (gray white) and BLACKNED

    Since the nerve endings are destroyed it is NOT PAJNFUL

    REGENERATION IS IMPOSSIBLE.

    Treatment is SKIN GRAFTING to cover exposed tissues

    In General, Burns are considered CRITICAL if:

    1. 25% OF THE BODY HAS 2ND DEGREE BURNS2. Over 10% of the BODY HAS 3rd DEGREE BURN

    3. 3Rd DEGREE BURNS on FACE, HANDS, or FEET.

    Facial Burns are dangerous because of the possibility of burned Respiratory Passageways which can

    swell and cause SUFFOCATION.

    Joint Injuries are troublesome because the scar tissue that forms can severely limit JOINT

    MOBILITY.

    SKIN CANCER

    Most skin tumors are BENIGN and doesnt spread (metastasize) to other body areas. (ex. WART, a

    neoplasm)

    Basal Cell Carcinoma

    1. Least Malignant and Most Common Skin Cancer

    2. Cells of the Stratum Basale altered so they cant form Keratin.

    3. Cancer Lesions occurs most often on SUN EXPOSED AREAS of the FACE and appear as shiny,dome shaped nodules that later develop a central ulcer with a pearly beaded edge.

    4. Slow Growing and Metastasis seldom occurs before noticed.

    5. Full Cure is the rule in 99 percent of cases where the lesion is removed surgically.

    Squamous Cell Carcinoma

    Arises from the Stratum Spinosum

    Lesions appear as scaly, reddened papule that gradually forms and shallow ulcer with a

    firm raised border.

    Appears on SCALP, EARS, DORSUM OF HANDS, and LOWER LIP. Grows rapidly and metastasize to adjacent Lymph Nodes if not removed.

    SUN INDUCED

    If caught early and removed surgically or by radiation, the chance of cure is high.

    Malignant Melanoma

    CANCER OF MELANOCYTES

    Appears as spreading brown to black patch that metastasizes rapidly to surrounding lymph

    node and blood vessels.

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    ABCD RULE TO RECOGNIZE MELANOMA

    a. ASSYMETRY 2 SIDES OF PIGMENTED MOLE DOESNT MATCH

    b. BORDER IRREGULARITY BORDERS OF LESIONS ARE NOT SMOOTH BUT WITH

    INDENTATIONS

    c. COLOR DIFFERENT COLORS (BLACKS, BROWNS, TANS, AND SOMETIMESREDS)

    d. DIAMETER SPOT LARGER THAN 6MM SIZE OF PENCIL ERASER.Treatmeant is wide surgical incision along with immunotherapy.

    ALOPECIA Baldness or Thinning of Hair

    MALE PATTERN BALDNESS men become obviously bald

    CAUSES OF HAIR LOSS and GRAYING OF HAIR

    1. Anxiety

    3. Protein deficiency diet

    4. Chemotherapy

    5. Radiation

    6. Excessive Vitamin A Intake

    7. Ringworm

    Baldness and Graying of Hair occurs with AGING.