23 year old patient with tetanus

Background info

Anatomy

Physiology

Nervous System

Neuron

Nerve cell

axon

dendrites

axon terminals

axon hillock

myelin sheath

Muscular System

Muscle cell

myofibril

sarcomere

sarcolemma

Nervous System: sensory integration, transmits signals throughout the body. Motor control.

Dendrites: receive signals from other neurons through neurotransmitters

Axon: carries the signal down the neuron

Axon Terminals: when receiving a signal, release neurotransmitters

Myelin Sheath: make it so the signal goes faster in axon by reducing the amount the signal has to depolarize again.

Axon Hillock: place where signal becomes an action potential on the axon. Summation occurs here.

Muscular System: Moves the body and produces heat

Muscle types

Cardiac Muscle

Sarcolemma: plasma membrane that is semipermeable, decides what goes in muscle cells

Myofibril: Contracts the muscle cell through the sliding filament mechanism

Sarcomere: contractile unit of a muscle cell. Made up of two proteins called actin and myosin.

actin

myosin

troponin

tropomyosin

sarcoplasm

Sarcoplasm: cytoplasm of the muscle cell, has many mitochondria and more than one nucleus. Location of myofibrils

Smooth Muscle

Skeletal Muscle

Muscle types

Cardiac Muscle: Striated. Involuntary. Located in walls of the heart. Pumps blood

Smooth Muscle: Non-striated. Involuntary. Located in the walls of organs. Helps movement of substances

Skeletal Muscle: Striated. Voluntary. Located around bones. Creates motion, posture, and heat production

sarcoplasmic reticulum

Sarcoplasmic Reticulum: Stores calcium

T-Tubules

T-Tubules: fold in around the sarcolemma of each myofibril so that the charge can change everywhere to contract

Functional Classification

Sensory

Motor

Integrating

Functional Classification

Sensory: collect info from receptors

Motor: send directions for the right response

Integrating: process the info and predict the right response

Structural Classification

Unipolar: one projection off the cell body

Bipolar: two projections off the cell body

Multipolar: more than two projections off the cell body

Structural Classification

Unipolar

Bipolar

Multipolar

Excitation-Contraction Coupling

Neurotransmitters: Acetylcholine

Cells: neurons

Ion Channels

Voltage-Gated CA+

Chemically-Gated NA+

Voltage-Gated NA+

Voltage-Gated K+

Summation

No Summation: One slow firing presynaptic neuron that causes EPSPs far apart in time

Temporal Summation:One rapidly firing presynaptic neuron that causes EPSPs close in time

Spatial Summation: more than one presynaptic neuron fires at the same time. EPSPs are generated at different locations on the neuron.

Postsynaptic Potentials

Excitatory: Neurotransmitters that open channels that depolarize the membrane. Include Voltage-Gated NA+ Channels.

Inhibitory: Neurotransmitters that open channels that hyperpolarize the membrane. Include Voltage-Gated K+ and Cl- Channels

Clostridium Tetani

Clostridium Tetani

Spores enter the body through a deep cut with low oxygen to breed in. Create a toxin called tetanospasmin which travels to the spine and gets in the way of nerve signals from interneurons to motor neurons. This blocks the signals for relaxation of muscles, causing more muscle contractions.

Upstream Causes

Direct Cause

Tetanus toxin binds to the Peripheral Nervous System and travels alons axons and synapses to reach the Central Nervous System where it gets in presynaptic inhibitory motor nerve endings. There it blocks the two neurotransmitters Glycine and Gamma-aminobutyric acid from being released, which causes the muscles to not get signals to relax and thus muscle contractions result.

Indirect Cause

Contact with a needle that broke the skin introduced the bacterium Clostridium Tetani into the body.

Downstream Causes

Skeletal Muscular System

Jaw cramping

Involuntary muscle spasms

Digestive System

Stomach muscle spasms

Muscle Stiffness

Trouble Swallowing

Nervous System

Seizures (jerking, staring)

Headache

Fever and sweats

Cardiovascular System

Blood Pressure changes

Fast heart rate