MEDICAL PHYSIOLOGY

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MEDICAL PHYSIOLOGY/b>

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Topic One: The human Cell

The Cell 

Basic living unit of the body. 

Body contains on average 100 trillion cells of which 25% are RBCs. 

All these cells have basic characteristics that are alike but differ in adaptation to their specific functions. 

Specialized Cells of the Human Body

Although there are specialized cells - both in structure and function - within the body, all cells have similarities in their structural organization and metabolic needs (such as maintaining energy levels via conversion of carbohydrate to ATP and using genes to create and maintain proteins).

Here are some of the different types of specialized cells within the human body.

  • Nerve Cells: Also called neurons, these cells are in the nervous system and function to process and transmit information (it is hypothesized). They are the core components of the brain, spinal cord, and peripheral nerves. They use chemical synapses that can evoke electrical signals, called action potentials, to relay signals throughout the body.
  • Epithelial cells: Functions of epithelial cells include secretion, absorption, protection, transcellular transport, sensation detection, and selective permeability. Epithelium lines both the outside (skin) and the inside cavities and lumen of bodies.
  • Exocrine cells: These cells secrete products through ducts, such as mucus, sweat, or digestive enzymes. The products of these cells go directly to the target organ through the ducts. For example, the bile from the gallbladder is carried directly into the duodenum via the bile duct.
  • Endocrine cells: These cells are similar to exocrine cells, but secrete their products directly into the bloodstream instead of through a duct. Endocrine cells are found throughout the body but are concentrated in hormone-secreting glands such as the pituitary. The products of the endocrine cells go throughout the body in the bloodstream but act on specific organs by receptors on the cells of the target organs. For example, the hormone estrogen acts specifically on the uterus and breasts of females because there are estrogen receptors in the cells of these target organs.
  • Blood Cells: The most common types of blood cells are:
    • red blood cells (erythrocytes). The main function of red blood cells is to collect oxygen in the lungs and deliver it through the blood to the body tissues. Gas exchange is carried out by simple diffusion.
    • various types of white blood cells (leukocytes). They are produced in the bone marrow and help the body to fight infectious disease and foreign objects in the immune system. White cells are found in the circulatory system, lymphatic system, spleen, and other body tissues.

Major parts of a cell: Nucleus and cytoplasm.


 Cell’s chemical composition 

Substances making up the cell(protoplasm) are composed of five basic substances: ?

Water 

Proteins 

Carbohydrates 

Lipids 

Ions

A cell is made up of an organelles which is  defined as well defined part of a cell or is one of several different types of membrane-enclosed bodies in the cell, each performing a unique function.

The physical structure of the cell

 

 Endoplasmic reticulum:

o    Structure

§  3D mesh of tubular structures and sheets

§  All throughout the cytosol

§  "Rough" ER is covered in ribosomes, whereas "smooth" ER is not.

o    Function

§  Folding and modification of proteins 

§  Synthesis of phospholipids and steroids

§  Storage of calcium ions in the ER lumen  (sarcoplasmic reticulum)

·         Golgi apparatus

o    Structure:

§  Stacked membraeous cisternae which shed vescicles for transport 

o    Function:

§  Post-translation modification of proteins, including glycosylation, phosphorylation and polymerisation 

§  Prepare proteins for exocytosis

§  Synthesis of glycolipids and sphingomyelin

·         Mitochondria

o    Structure

§  Outer membrane with pores and inner membrane without pores

§  Two separate compartments: intermembrane space or "outer compartment" and matrix space or inner compartment

§  Organisation of the inner membrane into cristae (a comb of many folds) which increases its surface area

o    Function

§  ATP synthesis functions, eg. oxidative phosphorylation

§  Regulatory and synthetic functions (eg, haem synthesis, calcium ion storage, urea cycle, haem and steroid synthesis)

§  Heat production

§  CO2 production

§  Production of reactive oxygen species

§  Apoptosis

·         Lysosome

o    Structure

§  Membrane-bound compartment in the cell, the last member of the endocytic pathway - equivalent to vacuoles of protozoa

§  Usually have acidic internal pH and contain degradative enzymes

o    Function

§  Terminal destination for endocytosed material

main function is degradation and catabolism

 Nucleus

Outer and inner nuclear membrane with nuclear pores

§  Nucleoplasm separated into heterochromatin and euchromatin

 A nucleolus create RNA and ribosomes

o  Function

§  Concentrates and maintains the genetic contents of the cell, which include the regulation of gene expression and replication.

Control Centre of the cell containing DNA.

DNA: 

  1. Determines characteristics of cells 
  2. controls and promotes reproduction-DNA- Genetic system control 
  3. controls day to day function of all body cells e.g reactions taking place in the cytoplasm(DNA-RNA mechanisms)

DNA structure

Functions of a cell

ü  It provides structure for the body

ü  take in nutrients from food

ü  Convert those nutrients into energy.

ü  Carry out specialized functions.

Cells also contain the body’s hereditary material and can make copies of themselve

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Topic 1: Tissues

•      Tissues are groups of similar cells that have a common function. A tissue must contain two different types of cells.

•      The four basic tissue types in humans include epithelium, connective, muscle, and nervous tissue.

•      Each tissue has a characteristic role within the human body which we will discuss later. Connective tissue is made up of cells that form the body’s structure, e.g. bone and cartilage.

•      Epithelial tissue is made up of cells that line inner and outer body surfaces, such as the skin and the lining of the digestive tract.

Epithelial tissue protects the body and its internal organs, secretes substances such as hormones, and absorbs substances such as nutrients.

•      Muscle tissue is made up of cells that have the unique ability to contract, or become shorter. Muscles attached to bones enable the body to move.

•      Nervous tissue is made up of neurons, or nerve cells, that carry electrical messages.

•       Nervous tissue makes up the brain and the nerves that connect the brain to all parts of the body.

•      Organ level– an organ is a structure composed of at least two different tissue types that perform a specific function within the body.

Examples include the brain, stomach, and liver. Complex functions begin to emerge at this level.

Organ system level.

•      Organ system level– One or more organs work in unison to accomplish a common purpose.

•       For instance, the heart and blood vessels work together and circulate blood throughout the body to provide oxygen and nutrients to cells.

•      Besides the cardiovascular system, the other organ systems of the body are the integumentary, skeletal, nervous, muscular, endocrine etc.

•      Your body has 12 organ systems . The  organ systems do not work alone in the body.

•      They must all be able to work together.

•      For example, one of the most important functions of organ systems is to provide cells with oxygen and nutrients and to remove toxic waste products such as carbon dioxide.

 Organismal level is the highest level of organization. It is the sum total of all structural levels working together. In short, it is the human being (or organism) as a whole

Summary

Cell physiology is the biological study of the activities that take place in a cell to keep it alive. The term physiology refers to normal functions in a living organism.a cell consists of three parts: the cell membrane, the nucleus, and between the two, the cytoplasm. ... Tissue is a group of cells that have similar structure and that function together as a unit. Primary types of body tissues include epithelial, connective, muscular, and nervous tissues

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Topic 2: :Homeostasis

•Homeostasis is a key concept in understanding how our body works. It means keeping things constant.
•comes from two Greek words: 'homeo,' meaning 'similar,' and 'stasis,' meaning 'stable.'
The process by which a stable internal environment is maintained despite changes in the external environment.

•Homeostatic regulation involves three parts or mechanisms: 1) the receptor, 2) the control center and 3) the effector.
•The receptor receives information that something in the environment is changing.
The control center or integration center receives and processes information from the receptor

•the effector responds to the commands of the control center by either opposing or enhancing the stimulus.
For example, in regulating body temperature there are temperature receptors in the skin, which communicate information to the brain, which is the control center, and the effector is our blood vessels and sweat glands in our skin

body variables

•blood sugar  3.5 -6.3 mmol. 
•-body temperature 35.4-37.4
•-blood pressure   -120/80 mmhg  
• oxygen levels 90-98%

These variables must stay within certain ranges.

Changes in the external environment can cause these variables to change.

•Body cells work best if they have the correct
•Temperature
•Water levels
•Glucose concentration
•Your body has mechanisms to keep the cells in a constant environment.
components for homeostatic control

Monitor
•detects a change in variable
Co-ordinating Centre
•receives a message from the monitor.  directs a response via a regulator.
•Regulator
•carries out the response initiated by the coordinating centre
Hypothalamus as a coordinating Centre
•Part of the brain
•Often serves as the  coordinating centre:
•Receives messages from monitors
•Initiates a hormonal/nervous response
         




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Topic 2: :Homeostatic control mechanism

How is dynamic equilibrium maintained?
Feedback systems
•Negative feedback
•Positive feedback
             Negative feedback: 
Response triggered by changed conditions which serves to reverse the change.
•E.g., Body temperature increases à Skin blood vessels dilate à Body temperature decreases
                                        




positive feedback
•Positive feedback: The response triggered by changing conditions serves to move the variable even further away from its steady state

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