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BIO 4210/5210

Advanced Physiology

I. Introduction

A.   The Basis for Physiology

1.    The Metabolic Machine

a.    What is Metabolism?

b.    What is a machine?

c.     What are the components?

i. The biochemical categories

ii. Enzymes

d.    How are they arranged?

i.  …as parts of membranes

ii. …within compartments

iii. …free

e.  Water

2.    Transport

a.    Bulk

i.  Endocytosis

ii. Exocytosis

b.    Molecular

c.     Diffusion

i.  Definition

ii. Net Diffusion

iii. Factors

d.    Water

e.    Ions

3.    Resting Potential

a.    Introduction

b.    Charge Gradient Development

i. Na-K Pump

ii. Role of Potassium

(a). Pumping

(b). Diffusion

(c). Balance

(d). Nernst Equation

iii. Role of Sodium

(a). Pumping

(b). Forces

(c). Membrane Permeability

4.    Action Potential

a.    Definition

b.    Voltage Gates

i.  Description

ii. Na+ Voltage Gates

c.     AP Events

d.    Recording: Oscilloscope

i.  Description

ii. Use

e.    Myelin

i. Definition

ii. Role of Nodes

iii.De-myelinating Disease

5.    Synapses

a.    Types

i.  Electrical

ii. Chemical

b.    Myoneural Junction

i. Initiation

ii. ACH in Cleft

iii.Receptors

iv. ACH Degradation

v. Choline Re-use

c.     Neuronal Synapses

i.   Physical Nature

ii.  Termination of Action

iii. Role of Axon Hillock

d.    Neuronal Integration

i.    EPSP vs. IPSP

ii.   Synapse Types

(a). One-to-one

(b). One-to-many

(c). Many-to-one

iii.  Summation

(a). Spatial

(b). Temporal

iv.  Modulation of Activity

(a). Facilitation

(b). Post-tetantic Potentiation

(c). Long-term Potentiation

e.    Neurotransmitters

i.    Acetylcholine

ii.   Biogenic Amines

iii.  Amino Acids

iv.  Neuroactive Peptides

II. The Nervous System

A.   Introduction to the Nervous System

1.    Components

a.    Purpose

b.    In General

c.     Microscopic

2.    Divisions

a.    Peripheral Nervous System

i.    Components

(a). Sensory Components

(b). Somatic Motor Components

(c). Autonomic Motor Components

b.    Central Nervous System

i.    Actions

ii.   Parts

iii.  Environment Control

(a). Blood-Brain Barrier

(b). Cerebrospinal Fluid

          Location

          Function

          Formation

          Volume

          Composition

B.   The Peripheral N.S.

1.    Sensory Components

a.    Types of Receptors

b.    Funcional Considerations

i.   Transduction

ii.  Adaptation

iii. Receptive Fields

iv. Coding of Stimuli

(a). Modality

(b). Spatial Location

(c). Intensity

c.     Conduction Velocity

2.    Motor Components

a.    Motor Neurons

b.    Motor Nuclei

c.     Motor Units

d.    “Final Common Pathway”

e.    Gamma Motoneurons

C.   Somatosensory Components

1.    Pathways

a.    First Order: Primary Afferents

b.    Second Order

c.     Third Order

d.    Fourth Order

2.    Receptors

a.    Cutaneous

i.  Mechanoreceptors

ii. Thermoreceptors

iii. Nociceptors

b.    Muscle/Joint/Viseral

i.   Muscle

ii.  Joints

iii. Viscera

D.   Spinal Motor Function

1.    Cord Transection

a.    Result: Spinal Shock

i.  Initial Events

ii. Later Events

2.    Decerebration

a.    Meaning

b.    Results

3.    Role of Muscle Sensory Receptors

a.    Muscle Spindle

i.   Description

ii.  Fiber Types

iii. Sensory Nerves

iv. Motor Supply

v.  Operation

(a). Extrafusal Contraction

(b). Stretch of Whole Muscle

(c). Static vs. Dynamic Responses

(d). Gamma Efferents

4.    Golgi Tendon Apparatus

a.    Construction

b.    Signal

5.    Spinal Reflexes

a.    Definition

b.    Types

i.   Myotatic (Stretch) Reflex

ii.  Inverse Myotatic Reflex

iii. Flexion Reflex

E.   Voluntary Motor Control

1.    Introduction

a.    Initiation of Movement

b.    General Process

c.     Other Requirements

2.    Cortical Motor Areas

a.    Primary Motor Cortex

b.    Premotor Area

c.     Supplementary Motor Cortex

d.    Frontal Eye Fields

3.    Output of Motor Areas

a.    Direct

b.    Indirect

4.    Sensory Feedback

5.    Role of Cerebellum

a.    Input

b.    Ouput

c.     Motor Learning

d.    Damage

i.   Dysmetria

ii.  Decomposition of Movement

iii. Intention Tremor

iv. Balance Failure

v.  Pendular Knee Jerk

6.    Role of Basal Ganglia

a.    Identity

b.    Function

c.     Results of Damage

i.   Dyskinesias

ii.  Increased Tone

iii. Bradykinesia

F.    Cerebral Cortex: Higher Functions

1.    Introduction

a.    Size

b.    Lobes

i.   Frontal

ii.  Parietal

iii. Occipital

iv. Temporal

c.     Phylogenetic Origins of Cortex

d.    Architecture and Function

2.    The Electroencephalogram (EEG)

a.    Description

b.    Evoked Potentials

i.   Description

ii.  Signal Averaging

iii. Usefulness

c.     Patterns

d.    Sleep

i.   Circadian Rhythms

ii.  And EEG

(a). Awake

(b). Falling Asleep

(c). Characteristics of Stage 4

(d). REM Sleep

iii. Sleep Mechanism

3.    Language and Cerebral Dominance

a.    Dominant Hemisphere

b.    Areas Involved

4.    Interhemispheric Transfer

a.    Description

b.    Experiments

5.    Learning

a.    Definition

b.    Experiments

i.   Habituation

ii.  Long-term Habituation

iii. Short-term Sensitization

6.    Memory

a.    Introduction

b.    Loss

c.    Location

 

The Respiratory System

A.   Introduction

1.    Respiration

a.    Definition

b.    Involved Gases

c.    Transport

2.    Lungs

a.    Function

b.    Processes

3.    Oxygen Transport

a.    Movement

b.    Amount

i.  Dissolved

ii. Hemoglobin

B.   Structural Basis

1.    Exchange with Environment

a.    Pressure Development

b.    Lung Expansion

c.     Air Flow

2.    Blood-Alveolar Exchange

a.    Alveolar Surface Area

b. Capillaries

3.    Airways

a.    Bronchi

b.    Bronchioles

c.     Blood Supply

d.    Innervation

4.    Pulmonary Circulation

a.    Regulation

b.    Capillary Volume

i.   Size

ii.  Cap. Length

iii. Compression

C.   Working With Gases

1.    Pressure

a.    Description

b.    Factors

c.    Gas Mixtures

D.   Lung Volumes

a.    Volumes

b.    Capacities

c.     Dead Space

d.    Purpose of FRC

e.    Alveolar Ventilation

f.       Respiratory Exchange Ratio

i.   Definition

ii.  Factors

iii. At Rest

g.    Fick Principle

Purpose

Logic

Formula

E.   Mechanical Properties

1.    Statics

a.    Lungs

Terms

Compliance Measurement

Pressure-Volume Curve

Deflation Curve

Hysteresis

     Fluid-filled Lung

     Surface Tension

     Hemispheres

     “Stabilization”

     The Solution

     Sighing/Yawning

b.    The Chest Wall

Elastic Recoil at FRC

F. Airflow

1. Pressure

a.    Factors

i. Elastic Resistance

ii. Airway Resistance

2. Resistance

a.    General Factors

b.    Poiseuille’s Law

c.     Turbulence

d.    Upper vs. Lower Airways

i. Major Source

ii. Disease

3. Dynamic Airway Compression

a.    Inspiration

b.    Expiration

c.     Forced Expiration

d.    COPD

4. Neurohumoral Regulation

a.    Parasympathetic

i. Vagus

ii. Stimulation

b.    Sympathetic

i. Innervation

ii. Diffusion

c.     Direct-Acting Substances

i. Constrictors

ii. Dilators

d.    Dynamics

5. Work of Breathing

a.    Definitions

i. Work

ii. Units

iii. Power

b.    One Breath

c.     Cost

i. Muscles

ii. Efficiency

iii. Further Loss

G. Blood Flow

1. Pressure/Resistance

a.    Pressure

i. Basic Idea

ii. Values

iii. Low Cap Pressure

b.    Resistance

i. Amount

ii. Reasons

c.     Pressure-Flow Curves

i. Data

ii. Normal Example

(a). Curved Line

(b). Exercise

(c). Hypoxia

2. Blood Flow

a.    Measurement

b.    Right-to-Left Shunt

i. Meaning

ii. Normal

iii. Abnormal

iv. Result

v. Estimate

c.     Flow Distribution

i. Gravity

ii. Lungs

(a). Height

(b). Bottom

(c). Top

(d). Edema

d.    Regulation of Flow

i. Resistance Distribution

ii. Passive Regulation

iii. Active Regulation

e.    Bronchial Circulation

i. Purpose

ii. Amount

iii. Bronchial Veins

3. Ventilation-Perfusion Ratio

a.    Idea

b.    At Rest

c.     Extremes

d.    Graph of Alveolar Gases

H. Gas Transport

1. Oxygen Transport

a.    Difficulty

i. Dissolved

ii. Solution to Problem

b.    Oxy-hemoglobin Dissociation Curve

i. Appearance

ii. Sigmoid Shape

iii. Factors affecting location

c.     Myoglobin

i. Description

ii. Curve

d.    Carbon Monoxide

2. Oxygen Diffusion

a.    Lungs

i. Factors

ii. Time

b.    Tissues

i. Factors

ii. Path Length

3. Carbon Dioxide Transport

a.    Forms

b.    Carbonic Anhydrase

I. Control of Breathing

1. Central Organization

a.    Systems

i. Metabolic System

ii. Behavioral Control System

b.    Anatomic Locations

i. Pneumotaxic Center

ii. Nucleus tractus solitarius

iii. Nucleus retroambiguus

c.     Functional Model

d.    Chemoreceptors

i. Carbon Dioxide

(a). Monitors

(b). Nature

ii. Oxygen

(a). Monitor

(b). Nature

e.    Lung Receptors

i. Stretch Receptors

ii. Irritant Receptors

iii. Unmyelinated C Fibers

 

Circulation

 

A. The Heart as a Pump

1. Cardiac Muscle Physiology

a. Introduction

i. Cell Types

¨ Atrial/Ventricular Muscle

¨ Excitatory/Conductive Fibers

ii. Physiologic Anatomy

¨ Cells

¨ Discs

¨ Syncitium

b. Action Potentials

i. Skeletal Muscle

ii. Cardiac Muscle

¨ Gates

¨ K+ Permeability

c. Conduction Velocity

i. Atrial/Ventricular Muscle

ii. Conducting Fibers

d. Refractory Period

i. Meaning

ii. Ventricle

iii. Relative RP

e. Contraction

i. Skeletal Muscle

ii. Cardiac Muscle

2. The Cardiac Cycle

a. Sequence of Events

b. ECG-Pressure Relationships

i. P-wave

ii. QRS Complex

iii. T-wave

c. Atrial Pumping

i. Venous Flow

ii. Atrial Contraction

iii. Atrial “Waves”

d. Ventricular Pumping

i. Filling

ii. Emptying

¨ Isovolumic Contraction

¨ Ejection

¨ Isovolumic Relaxation

iii. Volumes

¨ End-diastolic

¨ Stroke Volume

¨ End-systolic

¨ Ejection Fraction

e. Valves

i. AV Valves

¨ Description

¨ Closure

¨ Backflow

ii. SL Valves

¨ Description

¨ Closure

¨ Diameter

f. Work

i. Components

¨ Volume-Pressure Work

¨ Kinetic Energy Work

ii. Volume-Pressure Curve

¨ Axes

¨ Lines

¨ Observations

¨ Volume-Pressure Diagram

¨ Work Output

iii. Energy

¨ Substrate

¨ Factors of Consumption

3. Regulation of Pumping

a. Intrinsic Regulation

i. Venous Return

ii. Stretch

iii. Amount

iv. Frank-Starling Law

b. Autonomic Control

i. Amounts

ii. Sympathetic Stimulation

iii. Parasympathetic Stimulation

B. Excitation

1. Excitatory/Conductive System

a. Sino-Atrial Node

i. Description

ii. Rhythmicity

¨ AP of Nodal Fibers

¨ Self-Excitation

b. Internodal/Interatrial Pathways

i. Direct

ii. Interatrial

iii. Internodal

c. Atrio-Ventricular Node

i. Location

ii. Impulse Pathway

iii. Slowness

d. Purkinje Fibers

i. Description

ii. Speed

iii. Conduction Time

e. Backward Transmission

f. Ventricular Muscle

2. Control of Excitation

a. Pacemakers

i. Normal: SA Node

¨ Others

¨ Dominance

ii. Ectopic

b. Synchronous Contraction

c. Role of Autonomic N.S.

i. Parasympathetic

ii. Sympathetic

C. Circulation

1. Component Overview

a. Arteries

b. Arterioles

c. Capillaries

d. Veins

2. Volumes

a. Systemic Circulation

b. Heart

c. Pulmonary Circulation

3. Areas

a. Total Cross-Sectional Area

b. Velocity of Flow

4. Pressures

5. Circulatory Principles

a. Tissue Blood Flow

b. Cardiac Output

c. Arterial Pressure

6. Ohm’s Law

a. Statement

b. Flow

i. Units

ii. Nature

¨ Laminar Flow

¨ Turbulent Flow

c. Pressure

i. Meaning

ii. Measurement

d. Resistance

i. Description

¨ Meaning

¨ Units

ii. Circulatory Resistance

¨ Peripheral Circulation

¨ Pulmonary Circulation

iii. Conductance

¨ Definition

e. Poiseuille’s Law

i. Meaning

ii. Formula

iii. Radius

iv. Viscosity

¨ Plasma

¨ Whole Blood

¨ PCV vs. Viscosity

f. Pressure & Resistance

i. Pressure and Flow

     ii. Result

BIO 4210/5210

BIO4220/5220

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