-
The branch
of anatomy that deals with the skeletal muscular system
Myology
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Skeletal muscle comprises what percent of the total body weight of the human body?
40 to 50
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The specific function of skeletal muscle is
the production of voluntary movement, contractility
-
The production of voluntary movement
Contractility
-
Basic property of skeletal muscle which allows an individual to produce movement
Contractility
-
Each skeletal muscles is considered a(n)
organ (composed of all tissue types)
-
Functions of the skeletal muscle
- Movement
- Stability
- Communication
- Control of Body Openings and Passages
- Heat Production
-
Muscle function that enables us to move from place to place (locomotion)
Movement
-
Muscle function that moves air in and out of lungs (respiration)
Movement
-
Muscle function that moves body contents during digestion (chewing, swallowing, getting the food to your mouth, sphincter)
Movement
-
Muscle function that maintains posture
Stability
-
Muscle function that holds articulated bones in place
Stability
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Muscle function that is responsible for speech
Communication
-
Muscle function that is responsible for facial expression
Communication
-
Muscle function that is responsible for writing
Communication
-
Number one use of the upper extremities
Manual dexterity
-
Muscle function responsible for sphincter muscles around eyelids, pupils, mouth, urethral and anal orifices
Control of Body Openings and Passages
-
Muscle function responsible for admission of light, food and drink, control elimination of waste
Control of Body Openings and Passages
-
Skeletal muscles produce as much as what percentage of our body heat
85%
-
System by means of which body movements occur
Musculoskeletal
-
Muscular system works with what systems for sources of energy and
- Respiratory
- Digestive
- Circulatory
-
Muscular system depends on integumentary system for
- Protection
- Elimination of heat produced by muscular contractions (sweat)
-
Muscular system depends on __________ for the stimuli, without which a muscle would be unable to
contract
nervous system
-
The basic structural unit of a muscle is the
muscle fiber (cell)
-
the number of fibers found within a muscle will depend on
the size of the muscle
-
Muscle fibers are grouped into bundles known as
fasciculi
-
Muscle fibers and fasciculi are bound together by
connective tissue
-
Function of Connective Investment of Muscle
Connects muscle to bone or other structures
Provides a route through which nerves and blood vessels reach the muscle fibers
- Provide a non-contractile framework which allows the contraction of a muscle fiber to be
- transmitted to bone
-
Each skeletal muscle has how many layers of connective tissue
3
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The delicate connective tissue sheath which surrounds each individual muscle fiber
and connects it to adjacent muscle fibers
Endomysium
-
A more dense layer which surrounds each fasciculi and divides the muscle into a
series of separate compartment
Perimysium
-
The dense layer of connective tissue which surrounds the entire muscle and
separates the muscle from surrounding tissue, organs and other muscles. The epimysium is continuous with deep fascia
in the area and will continue as the tendon
of the muscle
Epimysium
-
muscle fibers are long or short?
Long
-
Muscle fibers have how many nuclii?
More than one
-
Where are the nuclei located in a muscle fiber?
Round the periphery
-
Contractile unit of the muscle fiber
Myofilament
-
Each muscle fiber is contained within a tough, specialized membrane known as the
sarcolemma
-
Exercise may increase muscle size up to an average of about
25%
-
Adult muscles may be as much as ____ the diameter that they were at birth
10x
-
Under most circumstances the increase in the size of a muscle is due to an increase in the
size of
The individual fibers
-
The type of increase in the size of a muscle, which is due to an increase in the size of each individual muscle fiber
Hypertrophy
-
An increase in the size of a muscle due to an actual increase in the number of muscle fibers.
Hyperplasia
-
This method involves subjecting the muscle fibers to high resistance exercise which induce injury to the individual fibers, which is then followed by a regenerative process
Hyperplasia
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The cytoplasm of a muscle fiber
Sarcoplasm
-
Muscles being classified as either red (dark) or white (light) is based on
the amount of sarcoplasm within the majority of fibers found in the respective muscle
-
Are found in muscles where long, sustained or continuous contraction are required (dark or light?)
Dark (Type 1)
-
Are associated with endurance activities (dark or light?)
Dark (Type 1)
-
Are associated with relatively higher levels of continuous metabolic activity (aerobic metabolism) (light or dark?)
Dark (Type 1)
-
Higher levels of continuous metabolic activity
Aerobic metabolism
-
Extensive capillary beds
Type 1 (dark)
-
Slow Twitch
Type 1 (dark)
-
Fatigue Resistant
Type 1 (dark)
-
Numerous Mitochondria
Type 1 (dark)
-
More sarcoplasm does what to the color of a muscle?
More myoglobin turns the muscle darker (or redder)
-
More fatty acid/less glycogen
Type 1 (dark)
-
Atrophy with immobilization
Type 1 (dark)
-
Fewer capillary beds
Type 2 (light)
-
Fast twitch
Type 2 (light)
-
Fatigues easier
Type 2 (light)
-
Less mitochondria
Type 2 (light)
-
More glycogen/less fatty acids
Type 2 (light)
-
Atrophy with aging
Type 2 (light)
-
Sprinter would have light or dark muscle?
Light
-
Marathon runner would have dark or light muscle?
Dark
-
Are found in muscles are used for quick, more powerful activities and thus related to speed
and strength (i.e. sprinting, weightlifting, etc.) (light or dark?)
Light (Type 2)
-
Are associated with anaerobic metabolism(light or dark?)
Light (Type 2)
-
Anaerobic and aerobic metabolism refer to
the amount of oxygen used for ATP production
-
An elaborate, tubular network which functions to store and transport calcium ions to the myofibrils
Sarcoplasmic Reticulum
-
Tubular invaginations of the sarcolemma which
allow electrical impulses (nerve impulses) to enter the muscle fiber and make their way to the myofibrils.
Transverse Tubules (T-System)
-
a red protein pigment which found in the sarcoplasm of the fiber
Myoglobin
-
Stores the needed oxygen that the fibers need to utilize for its metabolism
Myoglobin
-
Stores the needed oxygen that the fibers need to utilize for its metabolism
Myoglobin
-
Producing ATP anaerobically, you use more
glycogen
-
Producing ATP aerobically, you use more
fatty acids
-
Contract faster than type I but slower than type II
Intermediate fibers
-
Have a greater resistance to fatigue but histologically resemble Type II
Intermediate fibers
-
Difference in myoglobin and hemoglobin is found in the
tertiary structure of the protein molecule
-
Myoglobin has a greater affinity for ______ than hemoglobin
Oxygen
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Contracting proteins of myofilaments
-
Contractile filament found mainly in the I-Bands
Actin
-
Contractile filament found mainly in the A-Band
Myocin
-
Prevent nondiscrimanatory bonding of actin and myocin
Regulatory proteins (tripomyocin, troponin)
-
Allows the system to operate, by allowing myosin to interact with actin
ATP
-
Requires more or less ATP to relax a muscle as it does to contract a muscle?
Same amount
-
How does ATP provide energy?
ATP breaks down into ADP and a free phosphate ion.
-
The movement of a muscle is the result of the continuous breakdown and reconstitution of
ATP
-
Muscles use two general metabolic methods to provide ATP...
One works aerobically and the other anaerobically
-
-
Released calcium binds with
Troponin molecules on the actin filaments
-
Aerobic pathways take place in the
mitochondria
-
2 cells that can produce ATP anaerobically
Muscle cells, nervous cells
-
Type 1 or Type 2 fibers have more mitochondria?
Type 1
-
The more efficient way to produce ATP in a muscle fiber
Aerobically
-
The fastest way to produce ATP
Anaerobically
-
How does aerobic pathway provide energy for the muscle?
The pathway creates more energy than is needed for the production of ATP and excess energy is released as heat and contributes to keeping the body at its most efficient temperature
-
What is needed to produce ATP in the aerobic pathway?
Fatty acids
-
Fatty acids are stored in the body's fat cells as
Triglycerides
-
What happens to triglycerides during exercise?
Released into the blood
-
Anaerobic pathway depends on what two substances to produce ATP
Creatine phosphate and glycogen
-
First substance used by the pathway and allows the muscle to contract immediately
Creatine phosphate
-
Always a small amount stored in the muscle fibers
Creatine phosphate
-
Second substance used by the anaerobic pathway
Glycogen
-
How is ATP produced by glycogen
By process of glycolysis
-
Where is glycogen stored
In either muscle fibers or liver cells
-
One by-product of glycogen that bogs down the body quickly
Lactic acid
-
Exercise: Phase 1
- Lasts for a few minutes
- Creatine phosphate and glycogen are primary fuel sources
- As much as 20% of the total glycogen that is stored in a muscle may be utilized during this time
-
Exercise: Phase 2
- Shift in the metabolism to more efficient aerobic metabolism
- Uses fatty acids to produce ATP
-
Exercise: Phase 3
- Exercise intensifies
- Muscle fibers go back to anaerobic production of ATP/utilization of the rest of the stored glycogen
- Lactic acid accumulates within the fibers
-
Ergogenic methods to increase muscle function and size
- Glycogen/Carbohydrate loading
- Caffeine
- Blood doping
- Anabolic steroids
-
A dietary manipulation used to increase the store of glycogen in muscle fibers
Glycogen/Carbohydrate loading
-
If ingested an hour or so before an event, this may help an athlete burn fatty acids more efficiently
Caffeine
-
May increase calcium permeability
Caffeine
-
-
Side effects of Glycogen Loading
- Mental acuity decreased/impaired judgement
- Light-headed, dizzy, lethargic
- Gain of water wait
-
A procedure to increase the oxygen carrying capacity of red blood cells
Blood doping/induced erythrocythemia
-
Risks of blood doping
- Rashes and fevers
- Acute hemolysis (breakdown of red blood cells)
- Transmission of viruses
- Fluid overload which can lead to kidney damage and intravascular clotting of blood
-
EPO
Naturally occurring hormone (erythropoeitin)
-
EPO is a naturally occurring hormone produced in the
Kidneys
-
EPO travels from the kidneys to the
bone marrow to produce red blood cells
-
Synthetic forms of EPO were developed for what use?
Patients with certain types of anemia
-
What happens when people with normal levels of RBC's take synthetic EPO?
Blood thickens to a dangerously high level, can lead to possible cardiac problems and death.
-
Synthetic forms of the male hormone testosterone
Anabolic steroids
-
Why were synthetic forms of the male hormone testosterone developed
To try to separate the anabolic effect of the hormone from it's androgenic effect
-
Anabolic refers to
the stimulation of protein synthesis and thus induction of growth
-
Androgenic refers to
the development of secondary sexual characteristics
-
What schedule drug is an anabolic steroid?
Schedule III
-
How do natural and synthetic forms of testosterone differ?
- Natural testosterone is rapidly metabolized and cleared from the liver
- Synthetic forms prevent metabolic degradation and thus prolong or enhance its effect on the tissue
-
Type of AS that is injected and have few side effects, but detectible for months
Oil based
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Type of AS that is usually taken in pill form, more side effects, cleared from the system in weeks
Water based
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Pyramiding
A procedure where the AS user starts with a low dosage then raises to a peak and then begins to taper down the amount being taken
-
Stacking
An AS user using more than one type of steroid (both water and oil based)
-
How much AS is typically taken in a 6-8 week course
Up to 500x the amount used for therapeutic treatment
-
Short term side effects of AS
- headaches, dizziness, nausea
- acne, especially on the back
- shrinkage of the testicles
- increased aggressivemenss
- gynecomastia
- tendon damage
-
Gynecomastia
development of breast tissue in men
-
Why does tendon damage occur as a side effect of AS?
- Muscles get bigger, tendons don't, so they have trouble supporting the larger muscles
- Possibly AS inhibit the formation of collagen, the main constituent of tendons and ligaments
-
Long term side effects of using AS
- cardiovascular system
- digestive system (especially liver)
- reproductive system (especially prostate, testes)
- endocrine system
-
Short term side effects of AS in women specifically:
- increased size of clitoris
- decrease size of mammary glands
- development of facial hair
- deepening of the voice
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Side effects of AS on adolescents during puberty
Closing of the growth plate, resulting in small stature
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Physiological effect of anabolic steroid
- Increases secretion of growth hormone
- Activates protein synthesis and prevents protein breakdown
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Reasons a doctor would prescribe an AS
- Low testosterone level production
- To improve mood, alleviate depression
- Lack of appetite in patients who are chronically ill (AS enhance appetite and increase body weight and muscle mass)
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Chemical composition of muscle: 75%
Water
-
Chemical composition of muscle: 20%
Protein (mostly myocin)
-
Chemical composition of muscle: 5%
Other stuff, not water or protein
-
Organ that has a higher protein content than water
Eye (lens) - 35%
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Nerve fibers enter and leave a muscle via
the connective tissue components of the muscle
-
Transmit impulses from the CNS to each individual muscle fiber, the result of which is a motor response
Motor/Efferent nerves
-
A single motor NEURON and the group of muscles it supplies is called
A Motor Unit
-
Are a motor unit and fasciculi the same thing?
NOPE!
-
Smallest part of the muscle which can contract independently
Motor unit
-
The strength of the muscle contraction depends on
the number of motor units being activated or recruited the same time
-
The size of the motor unit is an indication of
how much fine control that the muscle carries out
-
Muscles that carry out precision type of activities contain motor units with
fewer fibers
-
Muscles that carry out less precise activities contain motor units with
more fibers
-
Where does the motor unit BEGIN?
The motor neuron (grey matter of the spinal cord)
-
Anatomy of the motor unit
Motor neuron (CNS, PNS), neuromuscular junction, muscle fiber (sarcolemma)
-
The most common neuromuscular junction disorder
Myasthenia Gravis (autoimmune disorder)
-
How does Myasthenia Gravis effect the body?
Abnormal antibodies, which damage and destroy the ACH receptor sites on the sarcolemma of the muscles.
-
The motor unit begins in the
CNS
-
The pre-synaptic portion of the moto unit is the
Nerve fiber ending
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Muscles that carry out precision type activity compared to those that carry out non-precision type activity have motor units with
Fewer nerve fibers
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Ane xample of a drug that is able to compete with ACH molecules in binding to the ACH receptor sites
Nicotine
-
NIcotines actions are much more what than ACH?
Prolonged
-
Snake venoms contain these two things
Cytotoxins and neurotoxins
-
How does neurotoxin from snake venom kill you?
Prevents ACH from binding to theACH receptor sites, no action potential occurs
-
Antivenom for snake venom is aimed mostly at the
Neurotoxin
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Examples of organophosphates
Parathion and malathion, found in insecticides
-
What do organophosphates do in the body?
Inactivate ACHe (ACH can no loner be rapidly degraded, resulting in an accumulation of ACH at the postsynaptic portion of the junction)
-
Botulin toxin is the toxin that is released from
The bacteria known as clostridium botullnum, which causes a severe type of food poisonin known as botulism
-
Botulin toxin works by
Bloking the release from ACH from the presynaptic portion of hte neuromuscular junction
-
Botlin toxin usually affects what first?
Themuslces supplied by the cranial nerves but can progres to affect the limb and respiratory muscles
-
All the muscle fibers of a single motor unit have the same
Histochemical composition (either type 1 or type 2)
-
Mortality rate of botulism
60%
-
Are muscle fibers of a single motor unit bound together in the same place in the muscle?
No, they are considerably scattered throughout the width and length of a muscle
-
Convey to the CNS afferent/sensory impulses which originate within the muscle as a result of a contraction
Sensory nerve Fibers
-
In addition to coordination of muscle function, sensory nerve fiberfs are also involved with
- Pain
- Proprioception - by which we are made aware of the orientation of the body and its parts
-
By which we are made aware of the orientation of the body and its parts
Proprioception
-
Proproiceptors are a category of
Sense organs that are found within the musculoskeletal system
-
Fluid filled sac which contain specialized muscle fibers known as intrafusal muscle fibers
Muscle spindles
-
Intrafusal muscle fibers are so named to distinguish them from
extrafusal muscle fibers (fibers outside the muscle fiber)
-
Intrafusal and extrafusal muscle fibers differ by
The existance of efferent and afferent nerve fibers (only intrafusal has both - extrafusal only has efferent)******
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The end of the muscle which attaches to the part of the skeletal system that doesn't move when the muscle contracts (anchor)
Origin
-
The end of muscle attached to the bone that moves
Insertion
-
Bones connected to muscles by
tendon
-
The part of the muscle that is between the tendon or origin and tendon of insertion is called
The belly of the muscle
-
Tendons are composed of
Collagen fibers
-
The arrangement of collagen fibers fo the tendon give muscles an important charactaristic -
Tensile strength
-
The load necessary to rupture a given material when pulled in the direction of its lenth and allows muscles to withstand considerable amounts of pressure
Tensile strength
-
Five advantages tendons give to muscle
- Tensile strenth
- Improved leverage by concentrating the force of a muscle in a small area
- Economize space and maintain limb conformity
- Acts as a damping tissue to absorb shock andh limit potential damage to bone and tissue
- Flexible, so that they can bend at joints
-
Sharpey's fibers function
Collagen fibers that penetrate deeply into the cortical portion of the bone
-
Traction injury
Injury caused by pulling beyond the tensile strength
-
Avulsion fracture
Fragment of bone pulled out with the collagen fibers (traction injury)
-
Innervation to the tendon is always
Sensory or afferent
-
Innervation of a tendon serves the purpose of
Proprioception (telling the brain how much pressure is pulling on the tendon, etc)
-
Lubricating devices that develop between the tendon and anotherh structure (skin, bone, another tendon, etc)
Bursa
-
Function of bursa
Limit friction and thus inflammation of the tendon (lubricating device)
-
Anatomically the bursa is
A sac of connectieve tissues that is filled with synovial fluid
-
Epimysium
Deep fascia around skeletal muscle
-
Intermuscular septum
Where the epimysium of one muscle meets the epimysium of another muscle
-
Thickened band of deep fascia which is found at joints and functions to bind down tendons and nerves that cross the joint
Retinaculum
-
Muscle where the fibers run approximately the whole length of the muscle, parallel to the axis
Strap/fusiform/parallel muscle
-
Muscle where the fibers are running diagonally
Pennate muscles
-
Pennate muscle fibers are typically type 2 or type 1?
Type 1
-
Parallel muscle fibers are typically type 2 or type 1?
Type 2
-
Musce in which the tendon lies in the center of the muscle and fibers pass to it form each side
biPennate
-
The muscle or muscles which are most repsonsible for carrying out a particular movement
Prime mover/agonist
-
Assist the prime movers in performing the action by giving more force for a movement, stabilizing a joint which the movers pass over but do not move, or keep the bone of origin of the mover steady
Synergists/fixator
-
The muscle thath produces the oposit effect from the agonist
Antagonist
-
Rciprocal innervation
When a muscle contracts, its antagonists automatically relax.
-
Co-Reflex phenomenon
In a newborn, both the agonists and antagonists contract at the same time (also seen in individuals with sensory nerve damage)
-
No account of the role of muscles would be complete without considering the influence of
Gravity (some movements are assisted by it, others have to contend against it)
-
Six things that can cause atrophy of hte skeletal muscle
- Pathology of the CNS
- Pathology of the PNS
- Pathology to the neuromuscular junction
- Pathology to the individual muscle fibers
- Injury to any of the above components
- Prolonged immobilization of the joints or chronic joint disorders
-
The arm goes from the
shoulder to the elbow
-
The forearm goes from the
Shoulder to the wrist
-
The S shaped bone situated in the anterior aspect of th eneck
Clavicle
-
In females, the clavicle is generall
Shorter, thinner, less curved and smoother
-
In those who work out their upper body or do considerable amounts of manual labor, the clavicle is
Thicker, more curved, and it's features are more prominent
-
Clavicle is a transitional bone between
The axial and appendicular skeleton and shows charactaristics of both
-
The clavicle is only present in those vertebrae that use
Their hands for manual dexterity (humans, monkeys)
-
The clavicle in quadruped animals, if the clavicle is present it is
Rudimentary and suspended in muscle and not articulated with the scapula and sternum
-
What is the function of the clavicle in primates?
- Transmit forces from the upper extremity to the axial skeleton
- Acts as a brace, holding the arm free from the trunk (enhances our manual dexterity)
-
*****add arm anatomy (shoulder girdle, arm, forearm, etc)
*********
-
*********add pathology (guillan barr, etc)
*****
-
The process of which the embryonic connective tissues is replaced by bone cells
Ossification
-
-
How many ways can ossification occur?
2
-
Intramembranous ossification is
When bone cells replace a primitive type of connective tissue known as mesenchyme
-
Endochondral ossification is
When bone cells replace a very well developed type of connective tissue known as hyaline cartilage
-
Primary ossification center begins
Very early in development, in the center of the bone
-
Secondary ossification centers are located
At the ends of bones (growth plates)
-
When do secondary ossification centers show up?
After birth, some not until you are a teen
-
First bone to undergo ossification in the fetus
Clavicle
-
Clavicle has how many ossification centers, where do they appear and when, type of ossification?
Two primary ossification centers, appear near the center of the bone around the 5th or 6th week of development, intramembranous ossification
-
Secondary ossification centers of the clavicle when and where, what type of ossification?
Around 17 years of age near the sternal age of the bone, endrochondral ossification
-
This bone is oen of the last to finish its ossification, with the secondary classification fusing at about 25 years of age
Clavicle, sternal end fuses last
-
Fractures of the clavicle typically occur in what part of the bone?
First lateral third of the bone, near the first curvature, which is the weakest part of the bone
-
Cleidocranial dysostosis is
- Bad development of the skull and clavicle
- Defective ossification, typically clavicle is missing or abdormally formed
- Also typically bilaterally
- Pt tends to be shorter in stature
- Causes some deformities in skull bones and teeth
- Happens in both males and females
-
Inferior angle of scapula falls at which vertebra?
T7
-
Scapula is found between
Ribs 2 and 7, between T1 and T7
-
How many ossification centers of scapula?
1 primary, 6 secondary
-
Ossification of scapula is
Endochondral
-
Acromion process has how many secondary ossification centers?
2
-
Corocoid process has how many ossification centers?
2
-
Medial border of scapula has how many secondary ossification centers?
1
-
Inferior angle of the scapula has how many ossification centers?
1
-
Clinical arm runs from
Acromion process to distal end of humerus
-
An undescended scapula brought about by attachment to cervical vertebrae by either bone, cartilageg or fibrous attachment
Sprengel's deformity
-
Failure of the acromion process to fuse with the rest of the bone
Os acromidae (growth plate never ossifies)
-
Paired, cutaneous sweat glands which are foundin both sexes, but are rudimentary and functionless in males
Mammary gland
-
In females, mammary glands have become
Specialized to secrete milk and undergo monthly changes
-
Primary functions of mammary glands
- Provide nourishment to the infant
- Protection against certain types of idsease in infants (immune benefits)
-
What is usually dislocated with a fracture of hte clavicle?
Joints are usually not dislocated with this type of fracture
-
The scapula undergoes what form of ossification?
Endochondral
-
What has occurred with the condition known as os acromidae?
The acromion process of the scapula has not fused with the rest of the bone.
-
Subdivisions of mammary gland lobes
Lobules
-
Subdivision of lobules of mammary glands
Alveoli
-
Reproductive development of mammary glands: at puberty -
Mammary glandsn increase rapidly in size
-
Preproductive developmentn of the mammary gland: At each menstrual period
Tendn to enlarge slightly and exhibit tenderness
-
Reproductive development of the mammary gland: At each pregnancy
- Become enlarged and functional, attaining their greattest development during lactation.
- After lactation, they return to normal size
-
Reproductive development of the mammary gland: Menopause
Undergo atrophy
-
Hormone secreted by the ovaries and placenta and promotes the growth of the duct system of the mammary glands
Estrogen
-
Hormone secreted by the ovaries and placenta, promotes the growth of secretory cells in mammary glands
Progesterone
-
Hormone secreted by the anterior pituitary, promotes the production of milk after birth
Prolactin
-
Hormone secreted by the posterior pituitary promotes the release of milk
Oxytocin
-
The first secretions from the functional mammary glands
Colostrum
-
A creamy white to yellowish fluid which begins to be secreted during the last weeks of pregnancy and continues for the first week of breast feeding
Colostrum
-
Colostrum is especially rich in
Immunoglobulins and lactoferrin to impart immune function
-
Besides immunoglobulins and lactoferrin, what else is in colostrum to help the infant?
Growth factors that affect the infants gastrointestinal tract
-
Type of milk present from day 6-15
Transitional milk
-
How does transitional milk differ from colostrum?
Fewer immunoglobulins, but higher amounts of lactose and fat
-
Mature milk composition
- 88% water
- 7% lactose
- 4% fat
- 1% protein
-
Describe the blood/lymph supply to the mammary glands
- Highly vascular
- Extensive lymphatic supply
-
Why is breast cancer so easily metastesized?
Because of the lymphatic drainage supply
-
Two developmental anomalies of the mammary gland
- Inverted nipple (retracted nipple)
- Supernumerary nipples
-
Cause of a retracted or inverted nipple if it is not congenital
Underlying carcinoma pulling on the lactiferous ducts
-
Extra nipples which may or may not be associated with mammary gland tissue
Supernumerary nipples
-
Tumor variety found in breast cancer
Adenocarcinoma
-
Two important factors that are thought to increase the risk of breast cancer
- Family history
- Never having a child/having your first child after the age of 35
-
Differences between benign tumors of chronic cystic metastesis and malignant tumors
- Benign tumors are tender, malignant tumors typically are not
- Otherwise hard to tell apart, mammography, ultrasound and biopsy (needle aspiration) needed to differentiate
-
What is galactorrhea
Nipple discharge not associated with pregnancy or nursing
-
Causes of galactorrhea
Underlying pathology, medication, hormonal abnormalities, breast cancer, or simply elevated hormone levels due to puberty
-
Enlargement and development of breast tissue in males
Gynecomastia
-
Largest and longest bone on the upper extremity
Humerus
-
Humerus consists of a shaft and
Two distinct ends
-
Number of secondary ossification centers in the humerus
7
-
What nerve and blood vessels would be most likely to be damaged with a fracture to the surgical neck of hte humerus?
- Axillary nerve
- Circumflex humeral arteries
-
Fractures at the distal end of the humerus may damage the
Median and ulnar nerves and brachial blood vessels
-
Fractures of the shaft of the humerus may damage the
Radial nerve
-
Avulsion fractures of the greater tubercle of the humerous are common with
Falls on the wrist, arm
-
Pectoralis minor is involved wiht the protraction of the
scapula
-
Pectoralis minor's effect on rib cage
Elevates, helps with forced inspiration
-
A unilateral condition in which both the pectoralis major and minor are missing
Poland Syndrome
-
Symptoms of Poland syndrom
- Atrophied mammary glands
- Absence of several ribs
- Smaller hand on affected side, possible webbing on fingers
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Actions of the subclavian muscle
- Pulls the clavicle medially (stabilizes the sternoclavicular joint, especially when hanging by your hands)
- Protective cushion between a fractured clavicle and underlying blood vessels
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