Muscular system anatomy and physiology

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Muscular system anatomy and physiology

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Nervous system anatomy and physiology
Sympathetic nervous system
Parasympathetic nervous system
Central nervous system histology
Peripheral nervous system histology
Cardiac muscle histology
Respiratory system anatomy and physiology
Introduction to the immune system
Innate immune system
Seizures and epilepsy
Migraine
Alzheimer disease
Vascular dementia
Frontotemporal dementia
Dementia with Lewy bodies
Kluver-Bucy syndrome
Multiple sclerosis
Neurogenic bladder
Brown-Sequard Syndrome
Parkinson disease
Acoustic neuroma (schwannoma)
Spinal muscular atrophy
Myasthenia gravis
Sciatica
Carpal tunnel syndrome
Horner syndrome
Pediatric brain tumors
Eustachian tube dysfunction
Cardiovascular system anatomy and physiology
Glaucoma
Anatomy and physiology of the ear
Anatomy and physiology of the eye
Adrenergic receptors
Cholinergic receptors
Pyramidal and extrapyramidal tracts
Basal ganglia: Direct and indirect pathway of movement
Muscle spindles and golgi tendon organs
Cerebellum
Somatosensory receptors
Optic pathways and visual fields
Vestibular transduction
Olfactory transduction and pathways
Somatosensory pathways
Photoreception
Auditory transduction and pathways
Vestibulo-ocular reflex and nystagmus
Taste and the tongue
Body temperature regulation (thermoregulation)
Breathing cycle and regulation
Action potentials in myocytes
Action potentials in pacemaker cells
Cardiac excitation-contraction coupling
Excitability and refractory periods
Cardiac conduction system
Cardiac conduction velocity
ECG basics
ECG intervals
ECG axis
ECG rate and rhythm
ECG QRS transition
ECG normal sinus rhythm
ECG cardiac hypertrophy and enlargement
ECG cardiac infarction and ischemia
Adrenocorticotropic hormone
Oxytocin and prolactin
Growth hormone and somatostatin
Antidiuretic hormone
Insulin
Glucagon
Testosterone
Estrogen and progesterone
Gastrointestinal system anatomy and physiology
Anatomy and physiology of the teeth
Liver anatomy and physiology
Enteric nervous system
Gastric motility
Esophageal motility
Chewing and swallowing
Fats and lipids
Carbohydrates and sugars
Proteins
Pancreatic secretion
Prebiotics and probiotics
Bile secretion and enterohepatic circulation
Blood components
Blood groups and transfusions
Platelet plug formation (primary hemostasis)
Role of Vitamin K in coagulation
Coagulation (secondary hemostasis)
Clot retraction and fibrinolysis
Cytokines
Complement system
T-cell development
MHC class I and MHC class II molecules
T-cell activation
B-cell development
B-cell activation, differentiation, and contraction
Cell-mediated immunity of CD4 cells
Cell-mediated immunity of natural killer and CD8 cells
Somatic hypermutation and affinity maturation
Antibody classes
VDJ rearrangement
Contracting the immune response and peripheral tolerance
B- and T-cell memory
Skin anatomy and physiology
Wound healing
Hair, skin and nails
Skeletal system anatomy and physiology
Cartilage structure and growth
Bone remodeling and repair
Fibrous, cartilage, and synovial joints
Muscular system anatomy and physiology
Neuromuscular junction and motor unit
Slow twitch and fast twitch muscle fibers
Muscle contraction
Sliding filament model of muscle contraction
Brachial plexus
Neuron action potential
Cerebral circulation
Ascending and descending spinal tracts
Renal system anatomy and physiology
Hydration
Movement of water between body compartments
Body fluid compartments
Renal clearance
Regulation of renal blood flow
Glomerular filtration
Measuring renal plasma flow and renal blood flow
Tubular reabsorption of glucose
Tubular secretion of PAH
Urea recycling
Proximal convoluted tubule
Distal convoluted tubule
Loop of Henle
Renin-angiotensin-aldosterone system
Sodium homeostasis
Phosphate, calcium and magnesium homeostasis
Potassium homeostasis
Osmoregulation
Kidney countercurrent multiplication
Erythropoietin
Physiologic pH and buffers
The role of the kidney in acid-base balance
Buffering and Henderson-Hasselbalch equation
Acid-base map and compensatory mechanisms
Respiratory acidosis
Plasma anion gap
Metabolic acidosis
Respiratory alkalosis
Metabolic alkalosis
Anatomy and physiology of the male reproductive system
Puberty and Tanner staging
Anatomy and physiology of the female reproductive system
Menopause
Pregnancy
Stages of labor
Breastfeeding
Lung volumes and capacities
Anatomic and physiologic dead space
Alveolar surface tension and surfactant
Ventilation
Regulation of pulmonary blood flow
Ventilation-perfusion ratios and V/Q mismatch
Pulmonary shunts
Zones of pulmonary blood flow
Diffusion-limited and perfusion-limited gas exchange
Airflow, pressure, and resistance
Gas exchange in the lungs, blood and tissues
Alveolar gas equation
Oxygen binding capacity and oxygen content
Oxygen-hemoglobin dissociation curve
Carbon dioxide transport in blood
Muscle weakness: Clinical
Bone histology
Skeletal muscle histology
Cartilage histology
Gout and pseudogout: Pathology review
Glucocorticoids
Non-steroidal anti-inflammatory drugs
Opioid agonists, mixed agonist-antagonists and partial agonists
Antigout medications
Prostate gland histology
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Testis, ductus deferens, and seminal vesicle histology
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Fallopian tube and uterus histology
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Menstrual cycle
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Androgens and antiandrogens
Adrenergic antagonists: Alpha blockers
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Hyperthyroidism medications
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Insulins
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Hypoglycemics: Insulin secretagogues
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Mineralocorticoids and mineralocorticoid antagonists
Blood histology
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Lymph node histology
Thymus histology
Skin histology
Ureter, bladder and urethra histology
Kidney histology
Nasal cavity and larynx histology
Bronchioles and alveoli histology
Trachea and bronchi histology
Introduction to biostatistics
Probability
Types of data
Mean, median, and mode
Standard error of the mean (Central limit theorem)
Range, variance, and standard deviation
Normal distribution and z-scores
Paired t-test
Hypothesis testing: One-tailed and two-tailed tests
Two-way ANOVA
Correlation
Linear regression
Two-sample t-test
One-way ANOVA
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Methods of regression analysis
Logistic regression
Type I and type II errors
Sensitivity and specificity
Test precision and accuracy
Positive and negative predictive value
Incidence and prevalence
Odds ratio
Mortality rates and case-fatality
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Sample size
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Information bias
Interaction
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Confounding
Prevention
Control of blood flow circulation
Cardiac and vascular function curves
Altering cardiac and vascular function curves
Baroreceptors
Laminar flow and Reynolds number
Resistance to blood flow
Pressures in the cardiovascular system
Blood pressure, blood flow, and resistance
Compliance of blood vessels
Microcirculation and Starling forces
Measuring cardiac output (Fick principle)
Cardiac contractility
Cardiac preload
Law of Laplace
Stroke volume, ejection fraction, and cardiac output
Frank-Starling relationship
Cardiac afterload
Cardiac cycle
Pressure-volume loops
Physiological changes during exercise
Cardiac work
Changes in pressure-volume loops
Chemoreceptors
Endocrine system anatomy and physiology
Synthesis of adrenocortical hormones
Cortisol
Vitamin D
Adrenal insufficiency: Pathology review
Adrenal masses: Pathology review
Hyperthyroidism: Pathology review
Hypothyroidism: Pathology review
Thyroid nodules and thyroid cancer: Pathology review
Parathyroid disorders and calcium imbalance: Pathology review
Diabetes mellitus: Pathology review
Cushing syndrome and Cushing disease: Pathology review
Pituitary tumors: Pathology review
Hypopituitarism: Pathology review
Diabetes insipidus and SIADH: Pathology review
Multiple endocrine neoplasia: Pathology review
Congenital gastrointestinal disorders: Pathology review
Esophageal disorders: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Malabsorption syndromes: Pathology review
Diverticular disease: Pathology review
Appendicitis: Pathology review
Gastrointestinal bleeding: Pathology review
Colorectal polyps and cancer: Pathology review
Pancreatitis: Pathology review
Jaundice: Pathology review
Viral hepatitis: Pathology review
Cirrhosis: Pathology review
Microcytic anemia: Pathology review
Non-hemolytic normocytic anemia: Pathology review
Intrinsic hemolytic normocytic anemia: Pathology review
Extrinsic hemolytic normocytic anemia: Pathology review
Macrocytic anemia: Pathology review
Coagulation disorders: Pathology review
Platelet disorders: Pathology review
Mixed platelet and coagulation disorders: Pathology review
Thrombosis syndromes (hypercoagulability): Pathology review
Lymphomas: Pathology review
Leukemias: Pathology review
Plasma cell disorders: Pathology review
Myeloproliferative disorders: Pathology review
Immunodeficiencies: Combined T-cell and B-cell disorders: Pathology review
Immunodeficiencies: Phagocyte and complement dysfunction: Pathology review
Pigmentation skin disorders: Pathology review
Acneiform skin disorders: Pathology review
Papulosquamous and inflammatory skin disorders: Pathology review
Vesiculobullous and desquamating skin disorders: Pathology review
Skin cancer: Pathology review
Back pain: Pathology review
Rheumatoid arthritis and osteoarthritis: Pathology review
Seronegative and septic arthritis: Pathology review
Systemic lupus erythematosus (SLE): Pathology review
Scleroderma: Pathology review
Sjogren syndrome: Pathology review
Bone disorders: Pathology review
Bone tumors: Pathology review
Myalgias and myositis: Pathology review
Neuromuscular junction disorders: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Vitamin B12 deficiency
Friedreich ataxia
Syringomyelia
Charcot-Marie-Tooth disease
Guillain-Barre syndrome
Lambert-Eaton myasthenic syndrome
Congenital neurological disorders: Pathology review
Headaches: Pathology review
Seizures: Pathology review
Cerebral vascular disease: Pathology review
Traumatic brain injury: Pathology review
Spinal cord disorders: Pathology review
Dementia: Pathology review
Central nervous system infections: Pathology review
Movement disorders: Pathology review
Demyelinating disorders: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Neurocutaneous disorders: Pathology review

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Muscular system anatomy and physiology

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The muscular system is made up of three types of muscle tissue: skeletal, smooth, and cardiac muscle tissue.

They differ in terms of their location, cell structure, and innervation. But they also share some characteristics: they’re all excitable, meaning that the cells react to a stimulus, they all contract--meaning that the cells will shorten, they all have extensibility--meaning that the cells can be stretched, and they’re all elastic--meaning that they can recoil or bounce back to their original length.

Let’s start with skeletal muscles. Skeletal muscles usually attach to bones, but in some cases, they attach to the skin, like the muscles in our face that control facial expression.

Skeletal muscles are voluntary muscles, meaning that they can be controlled consciously, but some skeletal muscles are also controlled subconsciously.

Your diaphragm, for example, you can contract consciously when you take a big breath, but it also continues to contract and relax without conscious effort when you’re fast asleep or thinking about other things.

Skeletal muscles help you maintain your posture and stabilize joints, and because skeletal muscles use up a lot of energy as they contract and relax, they also generate a lot of heat as a byproduct. That’s why we shiver to stay warm when it’s really cold.

Now let’s take a look at the biceps brachii, a skeletal muscle in your upper arm. Like most muscles there’s the belly of the muscle and the muscle tendons.

The muscle belly is the part that contracts and it’s wrapped in a layer of connective tissue called the epimysium.

Now let’s take a look at the cross-section of the muscle belly, there are thin layers of connective tissue called the perimysium that separate the muscle into fascicles.

Each muscle fascicle consists of a bundle of muscle fibers, and each muscle fiber is a muscle cell, or myocyte.

Every myocyte is surrounded by a smaller connective tissue sheath called the endomysium.

Together, the endomysium, perimysium and epimysium, bundle together thousands of muscle fibers which give the muscle structure and strength - similar to how it’s easy to snap a single twig, but hard to break a big bundle of sticks.

Together these three layers of connective tissue extend beyond the muscle belly, and become the tough cord-like tendon which attach the muscle to the bone.

When a tendon attaches to a bone that’s not moving it’s called an origin, and when a tendon attaches to a bone that’s moving it’s called an insertion.

Now, let’s zoom in and look at a single myocyte. Myocytes are long cylindrical cells with multiple nuclei located just below the cell membrane which is called the sarcolemma.

The sarcolemma is unique because it makes these tiny tunnels that project downwards from the surface into the center of the muscle fiber. These tunnels are called transverse tubules, or T tubules.

The cytoplasm of a myocyte is called sarcoplasm, and it contains smooth endoplasmic reticulum which is called sarcoplasmic reticulum.

The sarcoplasmic reticulum stores lots of calcium and runs parallel to the T tubules.

Now, the sarcoplasm is filled with stacks of long filaments called myofibrils.

Each myofibril has thin actin filaments, and thick myosin filaments that don’t extend through the entire length of the myocyte, but instead they’re arranged into shorter segments called sarcomeres.

Each myocyte is made up of hundreds sarcomeres, and under a microscope, the thick myosin filaments look dark, while the thin actin filaments look light. This is why skeletal muscles look striated or striped.

Okay - so when we want to move, a motor signal is sent from the brain, down the spinal cord and then travels through a motor neuron.

The motor neuron releases the neurotransmitter acetylcholine onto the sarcolemma which has acetylcholine receptors. This causes rapid shifts in ions to occur across the sarcolemma and down the T tubules, which brings some calcium into the myocyte.

Key Takeaways

The muscular system is composed of specialized cells called muscle fibers, which contain contractile proteins that enable them to contract and relax. The main types of muscle tissue are: skeletal, cardiac and smooth muscles.

Skeletal muscles are voluntary muscles attached to bones, which enable movement of the skeleton, and maintain body temperature by generating heat. The cardiac muscle is present only in the heart and is responsible for cardiac contraction that pumps blood throughout the body. Smooth muscles lie mainly in the walls of hollow viscera, such as the stomach and intestines, where they help to propel substances through these organs.

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "MHC composition and enzyme-histochemical and physiological properties of a novel fast-twitch motor unit type" American Journal of Physiology-Cell Physiology (1991)
  6. "Exercise induced increases in muscle fiber number" European Journal of Applied Physiology and Occupational Physiology (1986)
  7. "Enzyme activity and fiber composition in skeletal muscle of untrained and trained men" J Appl Physiol (1972)