- •English for medical students
- •Preface
- •Medicine as a science. Branches of medicine
- •Branches of medicine
- •Basic sciences
- •Diagnostic specialties
- •Clinical disciplines
- •Human organism human anatomy
- •The cell
- •Properties of cells:
- •Cell membrane: a cell's protective coat
- •Cytoskeleton: a cell's scaffold
- •Genetic material
- •Organelles
- •Cell nucleus (a cell's information center)
- •Ribosomes (the protein production machine)
- •Mitochondria and Chloroplasts (the power generators)
- •Endoplasmic reticulum and Golgi apparatus (macromolecule managers)
- •Lysosomes and Peroxisomes (the cellular digestive system)
- •Centrioles
- •Vacuoles
- •The tissue
- •Human organ systems
- •The anatomical position
- •Relative directions
- •Median and sagittal plane
- •Coronal plane
- •Transverse plane
- •Special cases
- •Body cavities
- •Digestive system
- •Introduction
- •Ingestion
- •Digestion: stomach
- •Digestion and absorption: small intestine
- •Absorption: large intestine
- •Answer the questions
- •Ulcerative colitis
- •Urinary system
- •Introduction
- •Kidneys: location and structure
- •Kidneys: function
- •Urine production
- •Answer the questions
- •Cystitis
- •Reproductive system
- •Introduction
- •Male reproductive organs
- •Female reproductive organs
- •Development of sex cells
- •Answer the questions
- •Vaginismus
- •Prostatitis
- •Nervous system
- •Introduction
- •Cns: neurons, brain, spinal cord
- •Pns: somatic (voluntary) nervous system, autonomic (involuntary) nervous system
- •Sense organs
- •Answer the questions
- •Ischemic stroke
- •Immediate treatment
- •Cardiovascular system
- •Introduction
- •Components of blood
- •How blood clots
- •How red blood cells carry oxygen
- •Blood pressure
- •The heart (the pump)
- •Answer the questions
- •Mitral stenosis
- •Respiratory system
- •Introduction
- •Lungs and air passages
- •Gas exchange
- •Respiration
- •Answer the questions
- •Lymphatic system
- •Introduction
- •Capillary hydrostatic pressure: fluid diffusion and reabsorption
- •Lymph vessels
- •Lymph organs: nodes, nodules, spleen, thymus gland, tonsils
- •Answer the questions
- •Lymphadenitis and lymphangitis
- •Skeletal system
- •Introduction
- •Axial skeleton
- •Appendicular skeleton
- •Ossification and reconstruction
- •Bone marrow
- •Answer the questions
- •Osteoarthritis
- •Muscular system
- •Introduction
- •Cardiac muscle
- •Smooth muscle
- •Skeletal muscle
- •Muscle fibers and exercise
- •Answer the questions
- •Myasthenia gravis
- •Skin (integumentary system)
- •Introduction
- •Skin: epidermal layers
- •Skin: dermal layers
- •Sudoriferous (sweat) and sebaceous (oil) glands
- •Hair and nails
- •Skin color
- •Answer the questions
- •Endocrine system
- •Introduction
- •Glands and neural components
- •Homeostatic feedback mechanisms
- •Pituitary gland
- •Thyroid gland
- •Adrenal glands
- •Ovaries and testes
- •Answer the questions
- •Type 1 diabetes
- •Insulin
- •Vascular disease
- •I. What is cancer?
- •II. Terminology of cancer
- •III. History of oncology
- •IV. Oncological diseases
- •1. Laryngeal cancer
- •Symptoms:
- •Diagnosis:
- •Treatment:
- •2. Lung cancer
- •Causes:
- •Symptoms:
- •Diagnosis:
- •Treatment:
- •3. Colon cancer
- •Causes, incidence, and risk factors:
- •Symptoms:
- •Signs and tests:
- •Treatment:
- •4. Brain tumor
- •Causes, incidence, and risk factors:
- •Symptoms:
- •Signs and tests:
- •Treatment :
- •Wilhelm Conrad Roentgen
- •I. Diagnostic radiology
- •II. Therapeutic radiology
- •III. Interventional radiology
- •Answer the questions
- •Pharmacology
- •For the gastrointestinal tract or digestive system
- •For the cardiovascular system
- •For the central nervous system
- •For musculo-skeletal disorders
- •Why we need vitamins
- •Vitamin deficiencies
- •Analgesics
- •Paracetamol and nsaiDs
- •Opiates and morphinomimetics
- •Combinations
- •Topical or systemic
- •Psychotropic agents
- •Addiction
- •Antibiotics
- •Side effects
- •Antibiotic resistance
- •Vaccines
- •Origin of vaccines
- •Developing immunity
- •Potential for adverse side effects in general
- •Answer the questions
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 1
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 2
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 3
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 4
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 5
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 6
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 7
- •I. Learn new combining forms and their meanings
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- •V. Write test 8
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 9
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 10
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 11
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 12
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 13
- •I. Learn new combining forms and their meanings
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- •V. Write test 14
- •I. Learn new combining forms and their meanings
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- •V. Write test 15
- •I. Learn new combining forms and their meanings
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- •V. Write test 16
- •I. Learn new combining forms and their meanings
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- •V. Write test 17
- •I. Learn new combining forms and their meanings
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- •IV. Get ready for the test
- •V. Write test 18
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
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- •IV. Get ready for the test
- •V. Write test 19
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 20
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
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- •IV. Get ready for the test
- •V. Write test 21
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
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- •IV. Get ready for the test
- •V. Write test 22
- •I. Learn new combining forms and their meanings
- •II. Do basic exercises
- •III. Do additional exercises
- •IV. Get ready for the test
- •V. Write test 23
Skin: dermal layers
The dermis, called "true skin, " is the layer beneath the epidermis. Its major parts are collagen (a protein that adds strength), reticular fibers (thin protein fibers that add support), and elastic fibers (a protein that adds flexibility). The dermis has two layers: the papillary layer, which has loose connective tissue, and the reticular layer, which has dense connective tissue. These layers are so closely associated that they are difficult to differentiate.
The papillary layer lies directly beneath the epidermis and connects to it via papillae (finger-like projections). Some papillae contain capillaries that nourish the epidermis; others contain Meissner's corpuscles, sensory touch receptors. A double row of papillae in finger pads produces the ridged fingerprints on fingertips. Similar patterns in the ridged fingerprints on fingertips are on palms of the hands and soles of the feet. Fingerprints and footprints keep skin from tearing and aid in gripping objects.
The reticular layer of the dermis contains criss-crossing collagen fibers that form a strong elastic network. This network forms a pattern called cleavage (Langer's) lines. Surgical incisions that are made parallel to cleavage lines heal faster and with less scarring than those made perpendicular. Parallel incisions disrupt collagen fibers less and require less scar tissue (cells that aid in healing) to close up a wound.
The reticular layer also contains Pacinian corpuscles, sensory receptors for deep pressure. This layer contains sweat glands, lymph vessels, smooth muscle, and hair follicles, described in the discussion on hair follicles later in this overview.
The hypodermis (subcutaneous layer) lies beneath the dermis. Loose connective tissue such as adipose tissue (fat) insulates the body, conserving heat. It also contains blood vessels, lymph vessels, and the bases of hair follicles and sweat glands. The fat distribution in this layer gives the female form its characteristic curves.
Sudoriferous (sweat) and sebaceous (oil) glands
Skin produces associated structures such as sudoriferous (sweat) glands and sebaceous (oil) glands. It also produces fingernails, hair, and sensory receptors that enable humans to feel pressure, temperature, and pain.
Both groups of sudoriferous glands (sweat glands) are in most of the body: eccrine glands are coiled ducts deep in the skin that connect to the surface; apocrine glands are in armpits, areolae of nipples, and the genital region. Eccrine glands secrete sweat, a mixture of 99 percent water and 1 percent salts and fats. In warm conditions with low humidity, perspiration (secretion of sweat) and evaporation cool the body.
Apocrine glands, which become active at puberty, are larger, deeper, and produce thicker secretions than eccrine glands. The apocrine glands secretions contain pheromones, substances that enable olfactory (sense of smell) communication with other members of the species. This communication provokes certain behavioral responses such as sexual arousal. Unlike eccrine glands that respond to heat, apocrine glands respond to stress and sexual activity by secreting sweat with a characteristic odor. This odor differs from body odor that results from bacteria decomposing skin secretions on the skin.
Ceruminous glands are modified apocrine glands in the external ear canal lining. They secrete cerumen (earwax), a sticky substance that is thought to repel foreign material.
Mammary glands in female breasts are modified apocrine glands. These glands are adapted to secrete milk instead of sweat.
Sebaceous glands (oil glands) are all over the body except on the palms of hands and soles of feet. The glands empty via ducts into the bases of hair follicles and secrete sebum (a mixture of fats, waxes, and hydrocarbons). Sebum keeps hair moist and prevents skin from drying. Sebaceous glands are numerous on the face and scalp. During puberty, increased sex hormone levels in the blood may produce excessive sebum. This over secretion plugs the gland and hair follicle, producing a skin disorder called acne.