Beruflich Dokumente
Kultur Dokumente
2014
Abdominal pain
Harry, a 51-year-old painter and decorator, collapsed at work with severe pain in his right upper quadrant. In hospital, the
doctor localized the pain to the right hypochondriac region, and noted that the abdominal wall muscles were very tense.
1. Explain how the abdomen is divided into quadrants.
1. The abdomen is divided into quadrants by a line drawn
down the midline of the body (median sagittal line) and by
Reveal answer:
a horizontal (axial) line drawn through the umbilicus.
2. Based on the normal contents of the right upper
2. The right upper quadrant contains the following organs,
quadrant, which organ(s) might be diseased and therefore which might be causing the pain: liver, gallbladder, right
causing Harry's pain?
kidney, duodenum, ascending colon, transverse colon, and
small intestine.
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3. Explain the location of the right hypochondrium (what
3. The abdomen can be divided into nine regions by four
are the lines that form the boundaries of the region?).
lines. Two midclavicular (sagittal) lines (one left and one
right) pass vertically down and are intersected by two
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horizontal lines. The upper horizontal line, the subcostal
line, is level with the lower border of the costal margin at
the tenth costal cartilage. The lower horizontal line, the
intertubercular line, is positioned at the level of the
tubercles of the iliac crest of the hip bone.
4. Which of Harry's body systems is detecting the problem 4. The nervous system is detecting the problem via
in his right upper quadrant?
peripheral nerves and the central nervous system. The
problem is interpreted as pain.
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5. Explain how the body system that you name in answer 5. The functionality of the nervous system can be split into
to question 4 is functioning such that Harry is experiencing three main stages:
pain and tensing his abdominal wall muscles (there are
several stages to consider).
(i) Sensory function: changes in the internal environment
have been detected, encoded into electrical impulses, and
Reveal answer:
transmitted along the nerves to the spinal cord and brain
where they are perceived as pain.
(ii) Integrative function: electrical impulses have been
processed by the central nervous system and conscious
and/or unconscious decisions are made in response to the
pain stimulus.
(iii) Motor function: effectors have been activated to induce
tensing of the muscles of the abdominal wall in an attempt
to protect the area.
Aging
Arthur, an 89-year-old man, went to see his doctor with a number of complaints. His doctor told him that the problems he
was complaining of were just normal physical presentations associated with aging.
1. State three of the common physical presentations of
1. Any of the following can commonly be associated with
aging.
aging: reduced hearing, visual deterioration, loss of skin
elasticity, joint stiffening, reduced lung elasticity, and
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reduced immune system efficiency.
2. What happens to cellular components with aging?
2. Cellular components, such as proteins, lipids, and
nucleic acids are progressively damaged with age. Such
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damage increases with age and can eventually interfere
with the normal functions of the cell.
3. State one of the speculated causes of aging.
3. Aging may be caused by free radical damage to cells
and tissues, or by telomere shortening (erosion) and the
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associated shortening of chromosomes with each cell
division.
4. Aging occurs in all parts, cells, tissues, organs and
systems of the body.
5. Aging will reduce the efficiency of Arthur's immune
system, thus leaving him more vulnerable to infection by
bacterial, viral, or fungal pathogens.
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5. Why can excess scratching of the skin lead to an
infection?
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Structural organization
Three patients were being examined in hospital by their doctors. The patients had the following disorders at the following
structural levels of their bodies: Joe had an infected tissue, Wendy had a tumor in an organ, and Harriet had a disorder
affecting a body system.
1. What is a tissue?
1. A tissue is a collection of cells that share a similar
function. The cells found within a simple tissue are
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generally similar (e.g. an epithelium).
2. What are the four basic types of tissue in the body?
2. The four basic tissue types are epithelial, connective,
muscular, and nervous.
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3. What is an organ?
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4. Give examples of some possible locations of an organbased problem.
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5. What is a system?
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6. Give examples of two body systems.
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