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ST110 Concorde Career College, Portland Define the term sense. Describe the functions of the sensory system. List and identify the structures of the sensory system and describe the function of each. Describe the mechanism by which the sensory system helps to maintain homeostasis. Describe common diseases, disorders, and conditions of the sensory system including signs and symptoms, diagnosis, and available treatment options. Demonstrate knowledge of medical terminology related to the sensory system verbally and in the written form. Sense The terms sense is defined as the perception of any stimulus. From the Latin: sentio - to feel or perceive Special senses - localized in a special sense organ Vision Hearing and Equilibrium Gustation Olfaction General senses - widely distributed throughout the body Touch, pressure, temperature, proprioception, pain Nervous system component that detects a stimulus that results in experience of a sensation. May be a/an: Free dendrite of a sensory neuron (pain receptor) End-organ (modified ending) found on the end of an afferent neuron (touch and temperature receptors) Special cell associated with an afferent neuron (rods and cones of the eye) Sensory Thermoreceptors (temperature - skin) Photoreceptors (light - retina) Chemoreceptors (chemicals - tongue, nose) Mechanical - respond to movement Stretch (skin, muscle - proprioception) Pressure (skin) Vibration (hearing, balance) Orbit Eyelids Eyelashes and eyebrow Conjunctiva Lacrimal apparatus Frontal Sphenoid Ethmoid Maxilla Malar (zygoma) Lacrimal Palate Protect the anterior one third of the eyeball Blinking - lubrication ▪ Levator palpebrae ▪ Blephar/o Help keep foreign matter out of the eyes Thin membrane that lines the eyelid and covers the anterior portion of the eyeball Tears lubricate the eye and wash away foreign objects Tears contain an enzyme that protects the eye from infection Tunics (coats) of the Eye Outer - sclera Middle - choroid Inner - retina Pathway of Light Rays and Refraction Cornea Aqueous humor Lens Vitreous humor Fovea centralis Sharpest vision Optic disk or “blind spot” No receptors Rods - function in dim light (dark adaptation) Cones - function in bright light (color and sharp images) Three types - red, green, blue The color blindness test consists of a set of five charts. Each chart shows a number in one color on a different background color. People with normal color vision will have no problem seeing the numbers on the charts, but people with color blindness will see only random colored dots. Seventy-five percent of color blind people have poor green perception. Of the remaining, 24% have poor red perception, and 1% are affected by a rare tritan type. Superior oblique Inferior oblique Superior rectus Inferior rectus Lateral rectus Medial rectus (not shown) Iris Ciliary Body Accommodation Adaptation of the lense to facilitate focus Convergence/Divergence Emmetropia 20/20 Snellen Chart 1st number-distance from the chart (20ft) 2nd number- deviation from the norm based on ability to read chart Myopia nearsightedness Hyperopia farsightedness A. Papilledema B. Deep retinal hemorrhages C. Neovascularization D. Cotton wool spots Increase IOP Loss of vision/blindness Dry eye Keratitis Iritis Conjunctivitis Corneal transplant “cross eyed” “wall eyed” External Middle Inner Pinna (auricle) Meatus External auditory canal (contains ceruminous glands) Tympanic membrane Tympanic membrane Ossicles Malleus (hammer) Incus (anvil) Stapes (stirrup) Oval window Eustachian tube Mastoid sinus Bony labyrinth - contains perilymph Vestibule Semicircular canals Cochlea Membranous labyrinth - contains endolymph Air Conduction- sound waves enter the ear through the pinna and travel down the auditory canal and strike the TM between the outer and middle ear Bone Conduction- bones vibrate and send Sensorineural Conduction- sound vibrations reach inner ear Organ of Corti Cochlear branch of the vestibulocochlear nerve Vestibular apparatus Vestibular branch of the vestibulocochlear nerve Impacted cerumen Otalgia Otitis Otorrhagia Eustachitis Mastoiditis Myringitis Otosclerosis Otitis Media Otitis Media Labryinthitis Meniere’s Syndrome Tinnitus Vertigo Otoplasty Mastoidectomy Myringotomy Stapedectomy Deafness Conductive Hearing Loss Noise-Induced Hearing Loss Sensorineural Loss Presbycusis Tongue Taste buds Fissures Sweet (c) Sour (d) Salty (e) Bitter (f) Cranial nerves VII (facial) and IX (glossopharyngeal) Taste bud-modified epithelial cells that function as receptors Contain microvilli Smell Olfactory epithelium Olfactory bulb Olfactory nerve Temporal lobe Taste is affected by olfaction Chemoreceptors-sense smells and taste Nociceptors-pain Thermoreceptorstemperature Mechanoreceptors Changes in pressure/ movement Photoreceptors- in eyes, respond to light energy Sensations- Feelings that occur when the brain receives sensory impulse from PNS. Perceptions-conscious awareness of sensation after interpretation. Involve the receptors associated with skin, muscles, joints and visceral organs. Touch- tactile receptors located in the skin or just beneath it. Pressure- stimulation of receptors in deeper tissue Touch and Pressure Free ends of sensory nerve fibers Meissner’s corpuscles Pacinian corpuscles Touch Tactile corpuscles Dermis Lips Tip of tongue Receptors for deep touch Located subcutaneously, near the joints, muscles, and other deep tissues Are active even when the skin is anesthetized resulting in a consciousness of pressure sensation Thermal- perceptions of degrees of warmth and coolness Temperature- free nerve endings located beneath skin Heat receptors Cold receptors Receptors are free nerve endings in the skin Separate receptors for heat and cold Hypothalamus initiates internal responses according to the temperature of the blood passing through the brain Pain- free nerve endings that are stimulated when tissues are damaged. Acute Chronic Occurs very rapidly Not felt in deeper tissues Sharp/stabbing pain Slower onset Builds slowly in intensity (sec. or min.) AKA referred pain Pg 194 fig 9-1 Sensations of lengthening and stretching muscles Golgi tendon organs Muscle spindles Position Receptors located in muscles, tendons, and joints Relay information concerning location of body parts to one another Information processed in the cerebellum