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Chapter 5 CNM Human Anatomy and Physiology Review

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Question
Answer
Anatomy   Structural Composition  
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Physiology   Function  
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Anatomic Position   Standing erect, Arms at the side, Eyes and palms facing forward  
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Prone   Lying face down, Hand palm down  
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Pronation   The act of turning face or palm down  
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Supine   Lying on the back, face up  
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Supination   The act of turning face or palm up  
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What are the four body planes discussed in class?   Frontal, Sagittal, Midsaggittal, Transverse  
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Frontal means what?   Vertical front and back portions  
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Saggittal means what?   Vertical right and left portions  
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Midsaggittal means what?   Equal vertical right and left portions  
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Transverse means what?   Horizontal upper and lower portions  
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What are some directional terms?   Anterior (Ventral), External (Superficial), Meidal, Proximal, Superior (cranial), Posterior (dorsal), Internal (deep), Lateral, Distal, Inferior (Caudal).  
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Anterior (Ventral)   Pertaining to or referring to the front of the body; also call ventral  
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External (Superficial)   On or near the surface of the body; also called superficial  
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Medial   Toward the midline or middle  
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Proximal   Nearest to the center of the body or point of attachment  
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Superior (Cranial)   Higher, above or toward the head; also called cranial  
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Posterior (Dorsal)   Refers to the back; also called dorsal  
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Internal (Deep)   Within or near the center fo the body; also called deep  
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Lateral   Toward the side  
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Distal   Farthest from the center of the body, origin, or point of attachment  
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Inferior (Caudal)   Beneath, lower, or away from the head; also called caudal  
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What are the two body cavities?   Dorsal and ventral  
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What are the two Dorsal cavities   Cranial and Spinal  
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What are the three ventral cavities   Thoracic & abdominal & Pelvic  
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Homeostasis   Balanced or steady state  
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What are the two types of Metabolism   Catabolism and Anabolism  
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Catabolism   Complex to simple  
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Anabolism   Simple to complex  
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Cells   Basic structural units of all life  
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Tissue   Groups of similar cells working together  
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Organs   Structure of tissues that function together  
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What are the 10 body system discussed in class?   Skeletal, Muscular, Reproductive, Digestive, Endocrine, Nervous, Urinary, Integumentary, Repiratory, Circulatory  
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Skeletal System Function (5)   Support; Protection (EX: The skull protects the brain, and the ribs protect the heart and lungs; Movement and Leverage; Hemopoiesis(Blood cell formation); Calcium Storage  
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Skeletal System structures   1. Bones(Flat bones[Rib and skull], Irregular bones[Vertebrae-backbone], Long Bones[Femur-leg bone], Short bones [Carpals-wrist bones] 2.Joints 3. Connective Tissue (Cartilage)  
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Key point to skeletal system is what?   Bones important to phlebotomy are the calcaneus (heel bone) and phalanx (finger) bone)  
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Skeletal System Disorder (7)   Arthritis, Bursitis, Gout, Osteomyelitis, Osteochondritis, Osteoporosis, Rickets, Tumors.  
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Arthritis   Joint Inflammation  
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Bursitis   Inflammation of the Bursa (Fluid filled sac)  
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Gout   Joint Disorder due to faulty uric acid metabolism  
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Osteomyelitis   Bone inflammation  
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Osteochondritis   Inflammation of the bone and cartilage  
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Osteoporosis   Loss of Bone density  
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Rickets   Abnormal bone formation due to lack of vitamin D  
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Tumors   Abnormal bone growth  
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Skeletal System Tests (8)   Alkaline Phosphatase (ALP); Calcium (Ca++); CBC; ESR; Phosphorus; Synovial fluid analysis; Uric Acid; Vitamin D.  
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Muscular System Functions   Movement, Posture, Heat Production, Organ function, Blood circulation  
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What are the Muscular System Structue (Muscle Types)   Skeletal, Viseral, Cardiac  
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The Muscular System Structure classified by?   Location, Microscopic structure, Nervous Cotrol  
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Classify Skeletal Muscle   Location - attached to bones; Microscopic structure - Striated (layered or banded; Nervous - Voluntary (Conscious).  
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Classify Viseral Muscle   Location - Line arteries, veins, and organs; Microscopic structure - Nonstriated (smooth); Nervous Control-Involuntary (unconscious).  
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Classify Cardiac Muscle   Location - Forms the wall of the heart; Microscopic structure - Special interwoven striated; Nervous Control - involuntary (unconscious).  
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What are the four Muscular System Disroders discussed in class?   Atrophy; Muscular dystrophy; Myalgia; Tendinitis  
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Atrophy   Wasting  
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Muscular dystrophy   Genetic muscle-wasting disease  
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Myalgia   Muscle Pain  
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Tendinitis   Tendon inflammation  
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Muscular System Test (7)   Autoimmune antibodies; Creatine phosphokinase (CPK/CK); Lactic Acid; Lactic Dehydrogenase (LDH); Myoglobin; Electromyograph.y; Biopsy  
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Integumentary System Function (5)   Protection (integument means covering or skin); Temperature regulation; Elimination of wastes; Reception of stimuli; Vitamin D manufacture  
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Integumentary System Structures Two catagory and subcatgory to the two.   Skin (Layers of the skin)= Epidermis, Dermis and Subcutaneous; and Associated structures = Oil and sweat glands, hair and nails, Blood vessels, Nerves and sensory organs.  
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Integumentary System Structures - Skin (Layers of the skin) Epidermis   Outermost &thinnest skin layer; Made of epithelial cells (stratified [layered]& keratinized[hardened]; Contains stratum germinativum, only layer with living cells, only layer where mitosis occurs,produces malanin; Described as avascular(no blood vessals)  
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Integumentary System Structures - Skin (Layers of the skin)Dermis (Corium or true skin)   Inner, thickest layer of the skin - made up of elastic, fibrous connective tissue; Dermal structures - Papillary Dermis {Junction of the dermis &epidermis; elevations &depressions (papillae) form fingerprints; Blood &lymph vessels; Glands &hair follicle}  
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Integumentary System Structures - Skin (Layers of the skin)Subcutaneous (under the skin)   Connective tissue and Adipose tissue; Connects skin to muscles and bone  
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Major Structure of the skin (5)   Arrector Pili, Hair Follicles, Nails, Sebaceous Glands, Sudoriferous glands  
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Arrector Pili   Tiny muscles attached to hair follicles; Cause "goose bumps"  
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Hair Follicles   Sheath from which hair develops  
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Nails   Nonliving Keratin material  
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Sebaceous Glands   Oil glands attached to hair follicles; Secrete sebum to help lubricate the skin  
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Sudoriferous Glands   Sweat Glands  
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Integumentary System Disorder (10)   Acne, Caner, Dermatitis, Fungal Infections, Herpes, Impetigo, Keloid, Pedicuious, Pruritis, Psoriasis  
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Acne   Inflamed Oil Glands  
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Cancer   Basal cell, squamous, or melanoma,  
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Fungal Infection   i.e., tinea and ringworms  
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Herpes   Cold sores  
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Impetigo   Staph or Strep infection  
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Keloid   Fibrous Scar tissue  
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Pediculous   Lice  
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Pruritus   Itching  
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Psoriasis   Chronic Skin disease  
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Integumentary Systems tests   Biopsy, Microbial Culture, Skin scraping for fungal culture, Skin scraping for KOH (potassium hydroxide) perparation, Tissue cultures  
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Integumentary Systems tests   Biopsy, Microbial Culture, Skin scraping for fungal culture, Skin scraping for KOH (potassium hydroxide) preparation, Tissue cultures  
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What is the function of the Nervous System?   Controls and coordinates body system activities (Electrical impulses and chemeical subtances)  
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What is the fundamental unit of the Nervous system?   Neuron  
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What are the functional divisions of the Nervous System?   Somatic and Autonomic  
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What are the structural divisions of the Nervous system?   Central Nervous System (CNS) and Peripheral Nervous System (PNS)  
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Central Nervous System (CNS)   1. Command Center (Interprets information and Dictates Response). 2. Consists of brain and spinal cord [(Enclosed/protected by fluid CSF - Fluid obtained through lumbar puncture) and (Space covered by meninges)]  
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Peripheral Nervous System   Connects CNS to every part of the body; Functional Division = Sensory (Afferent) Nerves and Motor (Efferent) Nerves  
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Sensory (Afferent) Nerves Impulse goes to or from?   Carry impulses to CNS  
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Motor (Efferent) Nerves Impulse goes to or from?   Carry impulses from CNS  
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Motor (Efferent) Nerves - What are the two divisions?   Somatic (voluntary) nervous system and Autonomic (involuntary) nervous system (ANS)  
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What are the nine Nervous System Disorders discussed in lecture?   Amyotrophic Lateral Sclerosis (ALS), Encephalitis, Epilepsy,Hydrocephalus, Meningitis, Multiple Sclerosis (MS), Neuralgia, Parkinson's Disease, Shingles  
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Amyotrophic Lateral Sclerosis (ALS)   Motor Nerve Disorder  
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Encephalitis   Brain Inflammation  
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Epilepsy   Seizure Disorder  
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Hydrocephalus   CSF building in the brain  
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Meningitis   Inflammation of meninges  
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Multiple Sclerosis (MS)   Myelin Sheath disorder  
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Neuralgia   Nerve pain  
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Parkinson's Disease   Nervous Disorder  
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Shingles   Herpes along a nerve  
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Nervous System Tests   Acetycholine; Cholinesterase; Dilantin; Electroencephalogram (EEG); Serotonin; CSF analysis (Cell count, Glucose, Protein, Culture)  
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Endocrine System Structures secretes hormones that affect what (6)?   Metabolism, Growth and development, Reproduction, Personality, Reaction to stress, Resistance to disease.  
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Endocrine System Structures (Glands)   Pituitary, Thyroid, Pineal, Adrenal  
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Endocrine System Structures [Organs and structures with endocrine function (3)]   Ovaries, Testes, Islet of Langerhans-in pancreas  
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Pituitary Gland (Master Gland)   Master Gland; Located in the brain; Secretes hormones that control other glands. These hormones include Adrenocorticotropic hormone (ACTH), Antidiuretic hormone(ADH),Follicle-Stimulating hormone(FSH),Growth Hormone (GH),Thyroid-stimulating hormone (TSH).  
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Adrenocorticotropic hormone (ACTH)   Stimulates the adrenal glands  
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Antidiuretic hormone (ADH)   Decreases urine production  
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Follicle-Stimulating hormone(FSH)   Affects the ovaries  
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Growth Hormone (GH)   Regulates growth  
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Thyroid-stimulating hormone (TSH)   Stimulates the hormone  
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Pineal   Located behind the pituitary; Function not fully understood; Secretes melatonin = Inhibited by light/enhanced by dark and plays role in diurnal rhythms.  
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Thyroid   Located in the throat near the larynx, Hormones production required iodine, Secretes (Calcitonin, Triiodothyronine (T3), Thyroxine (T4)  
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Calcitonin   Regulates calcium levels  
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Triiodothyronine (T3)   Increases metabolic rate  
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Thyroxine (T4)   Increase metabolic rate  
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Parathyroids (4)   Located behind the thyroid (2 on each side), Secretes parathyroid hormones (PTH)  
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Parathyroid hormone (PTH)   Regulates calcium and phosphorus metabolism  
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Thymus   Located in the chest behind the sternum; Secretes thymosin  
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Thymosin   Required for maturation of T lymphocytes and development of immunity  
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Adrenals (2)   One located on top of each kidney; Secrete Epinephrine and Norepinephrine, Cortisol, Aldosterone.  
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Epinephrine and Norepinephrine   Also called adrenaline and noradrenaline; Increase blood pressure, heart activity, glucose; Called "fight or flight" hormones; Helps kidneys regulates sodium and potassium  
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Cortisol   Suppresses inflammation  
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Aldosterone    
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Islet of Langerhans in the pancreas   Secretes insulin and glucagon (regulates glucose levels)  
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Testes   Secretes Testosterone (Controls male reproductive system and development of male sexual characteristics)  
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Ovaries   Secretes estrogen (Controls female reproductive system and development of female characteristics); Secretes Progesterone (Prepares the body for pregnacy)  
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Heart   B-type Natriuetic peptide (BNP)  
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Stomach Lining   Secretes a digestive hormone  
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Placenta   Secretes hormone that affect pregnacy; Cells that form the placenta secrete HCG  
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Kidneys   Secretes renin to increase blood pressure; secretes erythropoietin to increase RBC  
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Endocrine System Disorders   Hypersecretion (Overproduction of hormone); Hyposecretion (Underproduction of hormone; ofen related to benigh tumors  
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Pituitary Disorders (4)   Acromegaly, Diabetes Insipidus, Dwarfism, Gigantism  
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Acromegaly   Overgrowth of bones in hands, face and feet from excess GH in adulthood  
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Diabetes Insipidus   Increased thirst and urine production from too little ADH (also called vasopressin)  
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Vosopressin   ADH  
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Gigantism   Excessive growth from excess GH  
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Thyroid Disorders   Congenital hypothyroidism, Cretinism, Goiter, Hyperthyroidism (Graves disease), Hypothyroidism, Myxedema (hypothyroid syndrome)  
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Congenital hypothyroidism   Low thyroid acitivity in a new born  
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Cretinism   Abnormal development in untreated hypthyroidism  
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Goiter   Enlarged thyroid gland  
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Hyperthyroidism (Graves disease)   Condition resulting from hypersecretion of the thyroid  
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Hypothyroidism   Condition resulting from decreased thyroid secretion  
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Myxedema(hypothyroid syndrome)   Condition resulting from decreased thyroid functioning  
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Parathyroid Disorders   Hypersecretion Disorders (kidney stones, Bone destruction); Hyposecretion Disorders (Muscle spasms, Convulsions)  
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Adrenal Disorders   Addison's disease, Aldosteronism and Cushing Syndrome  
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Pancreatic Disorder   Diabetes Mellitus,Diabetes Mellitus type I(Insulin Depenedent), Diabetes Mellitus type II (non-insulin dependent), Hyperinsulinism, Hypoglycemia  
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Diabetes Mellitus   Result from insuling deficiency  
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Diabetes Mellitus type I(Insulin Depenedent)   Results from inability to produce insulin  
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Diabetes Mellitus type II (non-insulin dependent   Results form too little insulin or impaired insulin use  
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Hyperinsulinism   Exessive insulin secretions or insulin overdose  
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Hypoglycemia   Low blood sugar from hyperinsulinism  
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Endocrine System Tests (12)   Adrenocorticotropic hormone(ACTH), Aldosterone, Antidiuretic hormone(ADH), Cortisol, Erythropoietin, Glucagon, Glucose Tolerance Test(GTT), Glycosylated hemoglobin(HgbA1C), Growth hormone, Insulin level, Plasma Renin, Thyroid function studies  
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Thyroid function studies   T3, T4,TSH,FT3,FT4  
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Digestive Systems Functions   Take in food, Break it down to a form that can be absorbed, Eliminate waste products of digestion  
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Digestive Systems Structures -Gastrointestinal (GI) tract   Mouth, Pharynx, Throat, Esophagus, Stomach, Small and Large intestine  
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Digestive Systems Structures - Accessory Organs   Lips, Teeth, Tongue, Salivary glands, Liver, Pancreas, Gallbladder  
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Liver   Glycogen storage, Protein catabolism, Detoxification, Secrete bile  
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Gallbladder   Concentrating and store bile (for the metabolism of cholestorol)  
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Pancreas   Secrete insulin, Secrete glucagon, produce digestive enzyme (Amylase, Lipase, Trypsin)  
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Digestive System Disorders   Appendicitis, Cholecystitis, Colitis, Diverticulosis, Gastritis, Gastroenteritis, Hepatitis, Pancreatitis, Peritonitis,Ulcer  
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Appendicitis   Inflamed appendix  
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Cholecystitis   Inflamed gallbladder  
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Colitis   Colon inflammation  
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Diverticulosis   Pouches colon wall  
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Gastritis   Inflamed stomach lining  
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Gastroenteritis   Inflamed intestinal tract  
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Hepatitis   Inflamed Liver  
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Pancreatitis   Inflamed pancreas  
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Peritonitis   Inflamed lining of the abdominal cavity  
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Ulcer   Open sore or lesion  
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Digestive System Tests-Gastrointestinal   Fecal fat (feces); Gastric analysis (gastric contents); Occult blood (feces); Ova and parasite (feces); Serum gastrin analysis (blood); Stool analysis (feces)  
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Digestive System Tests-Accessory organs   Ammonia (AMM);Amylase (AMY); Bilirubin (BILI);Carcinoembryonic (CEA); Carotene; Cholesterol(CHOL); CBC; Glucose(GLU); Glucose Tolerance (GTT); Lipase (LIP); Triglycerides (TRIG)  
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Reproductive Systems Functions   Produce gametes or sex cells (Female gametes (ova or eggs), Male gametes (Sperm); Manufacture hormone that regulate the reproductive process.  
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Reproductive System Structure Female   Ovaries, Fallopian tubes, Uterus, Cervix, Vagina, Vulva  
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Reproductive System Structure Male   Testes, Seminal Vesicles, Prostate, Epididymis,Vas deferens, Seminal ducts, Urethra, Penis, Spermatic cords, Scrotum  
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Reproductive System Disorders   Cervical Cancer, Infertility, Ovarian cancer, Overian cyst, Prostate cancer, Sexually transmitted disease (STDS), Uterine cancer  
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Cervical Cancer   Cancer of the cervix  
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Infertility   Lower than normal ability to reproduce  
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Ovarian cancer   Cancer of the ovaries  
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Overian cyst   Usually nonmalignant growth on an ovary  
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Prostate cancer   Cancer of the prostate gland  
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Sexually transmitted disease (STDS)   Syphillis, Gonorrhea, Genital herpes  
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Uterine cancer   Cancer of the uterus  
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Reproductive System Tests   Acid Phosphatase, Estrogen, Follicle-stimulating Hormone(FSH),Human chorionic gonadotropin(HCG),Luteinizing hormone(LH),Microbiological cultures,PAP smear,Prostate specific antigen(PSA),Rapid plasma reagin(RPR),Testosterone,Viral tissue studies.  
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Acid Phosphatase   prostate cancer  
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Urinary System Functions (3)   Filters and eliminate waste from the blood, Help regulate body fluids (Maintain water and electrolyte balance),Create and eliminate urine.  
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Urinary System Structures (5)   Two kidneys, Two ureters, Urinary bladder, Urethra  
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Kidney Structures   Nephron and Gomerulus  
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Nephron   Fundamental unit of kidney (Over a million per kidney)  
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Glomerulus   Structure within the nephron (Tuft of capillaries that filter the blood)  
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Urinary System Disorders   Renal failure, Nephritis, Uremia, Kidney stones, Cystitis, Urinary Tract Infection (UTI)  
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Renal failure   Several impairment of renal function  
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Nephritis   Inflammation of the kidney  
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Uremia   Building of toxic waste in the blood from impaired kidney function.  
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Kidney stones   Solid formation of crystallized urinary salts  
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Cystitis   Bladder inflammation  
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Urinary Tract Infection (UTI)   Infection involving the urinary system  
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Urinary System Tests   Albumin(ALB), Ammonnia(AMM), Blood Urea Nitrogen(BUN), Blood Creatinine(Creat), Creatinine clearance, Electrolytes(ELEC), Osmolality(OSMO), Urinalysis(UA), Urine Culture &sensitivity(C&S),Intravenous Pyelography,Renal Biopsy,Nuclear magnetic resource(NMR)  
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Repiratory System Functions   Exchange of gases between the blood and air (Delivers oxygen (O2) to the cells and removes carbon dioxide (CO2) from the cells; Functions with the circulatory system (External repiration and Internal respiration)  
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External repiration   O2 from the air enters teh bloodstream in the lungs; CO2 leaves the bloodstream and enters the cells  
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Internal respiration   O2 leaves the bloodstream and enters the cells; CO2 from the cells enters the bloodstream  
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Repiratory System Functions - Gas Exchange Transport   Normal External Respiration, Oxygen and Carbon Dioxide Transport, Partial Pressure of Oxygen and Carbon Dioxide  
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Normal External Respiration   O2 and CO2 diffuse through the walls of alveoli (go from area of higher concentration to lower); O2 goes into the oxygen poor capillaries; CO2 goes from capillaries into CO2 poor alveoli.  
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Oxygen and Carbon Dioxide Transport   Hemoglobin and O2 bind to create oxyhemoglobin; Hemoglobin bound to CO2 is carbaminohemoglobin (20% is carried as carbaminohemoglobin and 70% of CO2 is transported as bicarbonate ion (HCO3) and this is what is tested in your serum or plasma)  
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Partial Pressure of Oxygen and Carbon Dioxide   1. Pressure exerted by one gas in a mixture (partial pressure of oxygen is PO2 and partial pressure of carbon dioxide is PCO2). 2. O2 combines with Hgb in the lungs where PO2 is increased and is released in the tissues where PO2 is decreased.  
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Partial Pressure of Oxygen and Carbon Dioxide (Continued)   3. CO2 combines with Hgb in the tissues with PCO2 is released in the lungs where PCO2 is decreased.  
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Acid-Base (pH) Balance - Acidosis   Increased CO2 causes decreased pH; Body responds by increasing respiration (Hyperventilation)  
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Acid-Base (pH) Balance - Alkalosis   Decreased CO2 caused by hyperventilation; Decreased CO2 causes increased pH  
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Respiratory System Structures provide what?   Continuous pathway (tract) for the flow of air to and from the lungs  
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Respiratory System Structures   Nose, Pharynx, Epiglottis, Larynx, Lungs, Trachea, Alveoli  
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Nose   Warms, moistens, and filters incoming air  
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Pharynx   Passageway for both food and air; Connects with the esophagus and the larynx  
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Epiglottis   Covers opening of larynx during swallowing  
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Lower Trachea   Branchs into two Bronchi  
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Bronchi   Divides into two main branches in the lungs (Branches divide into smaller and smaller branches until they reach the terminal bronchioles)  
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Lungs   Right has three lobes and left has two lobes  
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Terminal Bronchioles   Branch into respiratory bronchioles  
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Respiratory Bronchioles   Attach to alveolar ducts; Have a cup shaped outpouching called alveoli  
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Alveolar Ducts   Also have alveoli; Ends of ducts clustered into alveolar sacs  
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Alveoli   Single layer of epithelium covered by thin membrane; Alveolar walls are coated with surfactant (Helps keep them from collapsing)  
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Repiratory System Disorders   Apnea, Asthma, Bronchitis, Pulmonary edema, Dyspnea, Emphysema, Hypoxia, IRDS, Pleurisy, Pnemonia, Pulmonary edema, Tuberculosis (TB), Respiratory Syncytial Virus (RSV), Rhinitis, Tonsillitis, URI  
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Apnea   Temporary stoppage of breathing  
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Asthma   Difficulty breathing caused by bronchi spasms or swelling  
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Bronchitis   Inflammation of the bronchial membrane  
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Pulmonary edema   Fluid in the lungs  
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Dyspnea   Labored breathing  
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Emphysema   Chronic obstructive pulmonary disease (COPD)  
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Hypoxia   Oxygen deficiency  
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IRDS   Infant respiratory distress syndrome (due to lack of surfactant)  
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Pleurisy   Inflammation of the pleural membrane  
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Pnemonia   Lung inflammation  
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Pulmonary edema   Fluid in the lung  
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Tuberculosis (TB)   Infectious respiratory disease caused by Mycobacterium tuberculosis  
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Respiratory Syncytial Virus (RSV)   Major cause of infant & child respiratory distress  
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Rhinitis   Inflamed nasal membranes  
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Tonsillitis   Inflamed tonsils  
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URI   Upper Respiratory Infection  
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Respiratory System Tests   Acid-fast bacillus (TB) culture/smear, Arterial blood gases (ABGs), Capillary blood gases (CBG), Complete Blood Count (CBC), Electrolytes (ELEC), Drug level, Microbial culture, Pleuracentesis, Skin test (PPD or TB), Sputum cultures, Bronchial washings  
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