A skinny, 22 year-old male visits the local medical clinic complaining of severe cramping in his calves, thighs, buttocks, back, and shoulders, as well as increased fatigue. He tells you that for the last 3 weeks he has been trying very hard to get into shape. He is doing a new, intense weight-training program for at least an hour most days, and running treadmill for 45 minutes four days per week. He says that despite his intense workout regimen he seems to be losing, not gaining, muscle mass...

specific factors contributing to paitents...

If paitent continues to follow workout regimen and diet...

background

excitation-contraction coupling

fuels and other compunds needed

anatomy of a muscle

factors that contribute to fatigue

muscle (organ)

fascicle (portion of muscle)

cramping pain

muscle loss

fatigue

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pros

cons

pros

cons

pros

cons

how might his current problems start affecting other systems

heart could be pumping to quickly causing heart problems

not enough nutients needed to properly regulate systems

cause too much stress on a system and it give out or shut down for a time

if he keeps this diet he isnt getting all the nutients to keep him strong and healthy

health problems will rise

could put too much stress on body and other systems could shut down or be affected

muscle fiber (cell)

fascicle

muscle fiber

nucleus

muscle

tendon

epimysium

consists of hundreds and thousands of muscle cells

nerves

blood vessels

muscle is connected to the tendon

tendon is connected to bbone

fascicle

perimysium

discrete bundle of muscle cells

seperate from rest of muscle

by connective sheath

elongated multinuculate cell

surrounds the whole fascicle

endomysium

sarcolemma

myofibril

part of a muscle fiber

surrounds the mucle fiber

muscle fiber plasma membrane

densely packed, rodlike elements

single muscle fiber can contain 1000s

80% of muscle cell volume

features

myofiliments

sarcomeres

striations

molecular compostions of myofilaments

bands

bands cont..

light

dark

A band

H zone

I band

M line

information

steps

step 1

step 2

then are coupled to sliding of myofilaments(contraction)

AP prolongated along sarcolemma and down T tubules

events which transmit AP along sarcolemma(excitation)

voltage sensitive protiens within tubules stimulate Ca+ release from SR

Ca+ release leads to contraction

AP brief ends before contraction seen

transmission of AP causes the voltage sensitive tubulue protiens to change shape

Action potential prolongates along sarcolemma and down T tubules

shape change then opens the Ca+ release channelsin terminal of SR allowing Ca+ to flow into cytosol

fatigue

can lead up to

mental health

health/diets

life factors

hydration

lack of sleep

diets

stress

physical work

ATP

characterisitcs of muscle

power overall movement of contraction

bodys biochemical way to store engry

contractibility

extensibility

excitibility

elasticity

ability to recieve and respond to stimuli

ability to shorten forcibly when stimulated

ability to be stretched

ability to recoil to resting state

skips meals to try and reduce body fats

avoids sporta drinks so isnt getting some of those needed chemicals into body

drinks atleast a gallon of water daily

has adapted a vegan diet which isnt letting him get proper nutients for amount of workouts he does

working out with different techniques if the first doesnt work

doing weight training program at least an hour a day not over working himself with program

will feel worse then he does at the moment