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Welcome to the Bone Yard!! |
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Main Functions of the Skelatal System: |
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-Provide body support -Attachment for muscles (movement) -Protection of internal structures (brain, spinal cord, chest & abdominal organs) -Communication (Ossicles in ear) -Mineral Storage (calcium and phosphorus - Blood Cell Production |
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Three types of Bone cells: |
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1)Osteocytes 2)Osteoblasts 3)Osteoclasts |
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former osteoblasts that trapped themselves They stay dormant till a major event (fracture) Found in the chambers of bone |
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-form bone from calcium, magnesium and phosphorus in blood -Built up around a protein core allowing for flexibility |
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-Dissolve bone to maintain blood calcium levels and restructure |
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How is this "give and take" process balanced? |
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-It be balanced by the influence of hormones(estrogen, IGF-1, PTH) -nutrients -weight stress |
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How is the activity of osteoblasts and osteoclasts regulated? |
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-Regulated by levels of Ca availability -Signaling molecules in cells (when they need they fix they hollar!) |
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What is the focus of most new therapies for bone loss? |
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-the signaling molecules in cells that affect the activity of osteoclasts and osteoblasts |
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Bone and calcium metabolism |
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1. Spongy portion 2.compact (dense) casing |
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what is the name of the spongy portion? |
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Shaft of long bones are tubes filled with ________ |
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Marrow is the tissue that produces our red blood cells, some white blood cells, and platelets. Platelets are a blood cell too! |
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1. Red Marrow- Produces Blood cells (only found in some places) 2. Yellow Marrow-stores fat molecules - can be converted into red marrow when there is a need. after need is fulfilled it is then turn into yellow again. YAY! |
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What are some other interesting tidbits about marrow? |
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Definition
-Storehouse for Ca, P, and Mg (confusing since this isn't bone) -built around collagen and cores and blood vessels |
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As we age, Osteoblasts tend to _____ there bone output leading to a net _______ in bone mass> |
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Decreasing bone mass begins in _____ ______, speeds up with loss of ________. |
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early adulthood, hormones |
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Which bone tissue is affected first from age-related bone mass loss? |
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Trabecular bone!! What is trabecular bone again? .... .... .... .... .... .... IT'S THE SPONGY PORTION!!! |
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As we age, columns in ________ _____ become poorly ________, do not function as well together |
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Cortical Bone, Integrated |
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Loss of bone and its density. ->24 million affected and 80% females |
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Osteoporosis affects over ___% of females over _____ |
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Two types of Osteoporosis. |
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1) Type I- Post menopausal-affects trabecular>cortical 2)Type II-Senile -affects cortical>trabecular |
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What are the two bones are most suspect to the effects of osteoporosis? |
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Definition
Hip fractures and Vertebral crush |
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Why is the hip and vertebrae at the most risk? |
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The upper part of femur and vertebrae are mostly trabecular; therefore, these bones lose mass earlier and faster. |
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________ promotes bone production and slows its loss |
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Estrogen
I'm not a retarded fish frog...I'm a woman! |
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This is one of the treatments for osteoporosis? |
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postmenopausal hormone replacement therapy |
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___ also plays a big role in bone production and degradation |
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Calcium uptake depends on _________ __ |
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Vitamin D is needed to make _______ ____________ ________ for the intestine |
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Vitamin D is made from ______ via ____ ____ |
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What are the risk factors for Osteoporosis? |
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-Genetic Link to bone strength -excess protein, sodium, caffeine, alcohol, smoking or excess fiber in diet (increases calcium excretion), sodas? |
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What can you do to prevent/treat Osteoporosis? |
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Definition
-Weight bearing exercises -Hip replacement -Biphosphonates -Got Milk? |
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How do weight-bearing exercises help stop bone loss? |
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they slow calcium loss and can increase bone production |
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Why is Hip replacement so important? |
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Need to get back on feet quickly helps avoid falls |
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Drugs that help build bones. |
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Effects of aging on Joints |
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-collagen becomes cross-linked (less flexible) -collagen becomes shorter(range of motion) -less blood gets to joints, includes vertebrae -vertebral disk degeneration or herniation -arthritis |
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inflammation of the joint The most common disease in the elderly |
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Degenerative Joint disease- chronic/progressive diseas -caused by injury, joint overuse and obesity -cartilage can't cushion so bones begin to degrade |
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Who does osteoarthritis affect and where? |
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Definition
affects 75% of over 75-more in women -Fingers, vertebra, hips and knees -can also cause bone spurs or swellings |
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Treatments for osteoarthritis? |
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-weight loss and low-impact exercises +anti-inflammatory drugs (cox-2 inhibitors, NSAID's and Steroids) +Joint replacement |
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What is Rheumatoid Arthritis? |
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-inflammatory condition of appendages or back that can occur at any age, -women 2x more than men -affects wrists, hands, ankles, and feet -cause unknown (possibly viral) -autoimmune |
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How can autoimmune cause Rheumatoid arthritis? |
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Joints come under attack by immune system and synovial fluid and cartilage are degraded, -FREE RADICALS |
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-hanging flap of tissue -In Rheumatoid Arthritis, it forms in joint and is scar tissue. -causes calcification and fusion -leads to pain in joints and loss in mobility |
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What is a major cause of loss of mobility in joints? |
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Pain. It makes it hurt to move joints thus you don't move them and you lose them. |
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Treatments for Rheumatoid Arthritis |
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+Anti-inflammatory drugs +Chondroitin?? +exercise +New therapy attacks B-cells to break autoimmune cycle +anti-inflammatory corticosteroids used for serous cases. |
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Make food small so that digestive enzymes can work |
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-lubricates the upper GI tract letting food flow -contains enzymes that begin to carbohydrate break down to simple sugars -contains Bactericidal enzymes |
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