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Merocrine (mer′o˘-krin) glands are those that secrete a wa- structure cheap 1mg estrace fast delivery, there are two types of exocrine glands, unicellular and tery substance through the cell membrane of the secretory multicellular glands. Unicellular glands are single-celled glands, such as goblet glands are of this type. Apocrine (ap′o˘-krin) glands are those in which the secre- occur within most epithelial tissues. Goblet cells are found tion accumulates on the surface of the secretory cell; then, in the epithelial linings of the respiratory and digestive sys- a portion of the cell, along with the secretion, is pinched tems. The mucus secretion of these cells lubricates and pro- off to be discharged. Histology © The McGraw−Hill Anatomy, Sixth Edition of the Body Companies, 2001 88 Unit 3 Microscopic Structure of the Body Duct Secretory cells Simple tubular Simple Simple Simple acinar Simple branched tubular coiled tubular branched acinar Compound tubular Compound acinar Compound tubuloacinar FIGURE 4. The ducts of the simple glands either do not branch or have few branches, whereas those of the compound glands have multiple branches. Secretion Disintegrating cell and its contents discharged with secretion Intact cell New cell Pinched-off portion of cell discharged with secretion Merocrine gland Apocrine gland Holocrine gland FIGURE 4. Histology © The McGraw−Hill Anatomy, Sixth Edition of the Body Companies, 2001 Chapter 4 Histology 89 TABLE 4. Unicellular Lubricate and protect Goblet cells of digestive, respiratory, urinary, and reproductive systems II. Multicellular Protect, cool body, lubricate, aid in digestion, maintain Sweat glands, digestive glands, liver, mammary glands, body homeostasis sebaceous glands A. Branched tubular Protect, aid in digestion Uterine glands, gastric glands 3. Acinar Provide additive for spermatozoa Seminal vesicles of male reproductive system 5. Tubular Lubricate urethra of male, assist body digestion Bulbourethral glands of male reproductive system, liver 2. Acinar Provide nourishment for infant, aid in digestion Mammary glands, salivary glands (sublingual and submandibular) 3.

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Tear of the plantar plate often occurs at the stronger dis- Discontinuity of the ligaments is appreciated in the acute tal insertion of the plate and is frequently associated with phase of the injury while thickening and irregularity may chronic metatarsophalangeal synovitis cheap 1mg estrace amex. Zanetti Suggested Reading Karasick D, Schweitzer ME (1998) Disorders of the hallux sesamoid complex: MR features. Skeletal Radiol 27:411-418 Abreu MR, Chung CB, Mendes L, Mohana-Borges A, Trudell D, Kier R (1994) Magnetic resonance imaging of plantar fasciitis and Resnick D (2003) Plantar calcaneal enthesophytes: new obser- other causes of heel pain. MRI Clin North Am 2:97-107 vations regarding sites of origin based on radiographic, MR Kinoshita M, Okuda R, Morikawa J, Abe M (2003) Tarsal tunnel imaging, anatomic, and paleopathologic analysis. Foot Ankle Radiol 32(1):13-21 Intl 24(2):132-136 Ashman CJ, Klecker RJ, Yu JS (2001) Forefoot pain involving the Kim DH, Ryu S, Tiel RL, Kline DG (2003) Surgical management metatarsal region: differential diagnosis with MR imaging. Am J Roentgenol 176:1137- the talus treated with autologous bone grafting. J Bone Joint 1143 Surg 86(4):521-526 Beltran J (1994) Sinus tarsi syndrome. MRI Clin North Am 2:59-65 Kramer J, Stiglbauer R, Engel A, Prayer L, Imhof H (1992) MR Bencardino, J MD, Rosenberg, ZS MD, Delfault, E (1999) MR contrast arthrography (MRA) in osteochondrosis dissecans. MR Clin Comput Assist Tomogr 16:254-260 North Am 7(1):131-148 Lee JK, Yao L (1988) Stress fractures: MR imaging. Radiology Berkowitz JF, Kier R, Rudicel S (1991) Plantar fasciitis: MR imag- 169:217-220 ing. Radiology 179:665-667 Lektrakul N, Chung CB, Lai Ym, Theodorou DJ, Yu J, Haghighi P, Biasca N, Zanetti M, Zollinger H (1999) Outcomes after partial Trudell D, Resnick D (2001) Tarsal sinus: arthrographic, MR neurectomy of Morton’s neuroma related to preoperative case imaging, MR arthrographic, and pathologic findings in cadav- histories, clinical findings, and findings on magnetic reso- ers and retrospective study data in patients with sinus tarsi syn- nance imaging scans. Radiology 219:802-810 Boss AP, Hintermann B (2002) Anatomical study of the medial an- Magee TH, Hinson GW (1998) Usefulness of MR imaging in the kle ligament complex. Am J Roentgenol 170:1227- Breitenseher MJ, Jaller J, Kukla C et al (1997) MRI of the sinus 1230 tarsi in acute ankle sprain injuries. J Comput Assist Tomogr Taylor JA, Sartoris DJ Juang GS et al (1993) Painful conditions af- 21:274-279 fecting the first metatarsal sesamoid bones. RadioGraphics Brown KW, Morrison WB, Schweitzer ME, Parellada JA, Nothnagel 13:817-830 H (2004) MRI findings associated with distal tibiofibular syn- Miller TT, Staron RB, Feldman F et al (1995) The symptomatic ac- desmosis injury.

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Although • Self-awareness they are able to comprehend order estrace 1mg without prescription, they may • Problem solving and decision making have difficulty expressing thoughts in • Information processing and concept speech and writing because of difficulty formation putting words and sentences together log- • Judgment ically. Speech may be labored, slow, and/or difficult to Memory encompasses the ability to understand, and small connecting words, store and retrieve information. Memory and increased verbal output, but with for both new and old information may be reduced information content, so that affected. Immediate memory lasts only sec- Wernicke’s aphasia are typically unaware onds or minutes unless converted in- of their communication difficulties. An example In some instances individuals may ex- of immediate memory is remember- perience global aphasia, in which there ing a phone number long enough to is severe difficulty communicating because dial the number, but then not com- of both the inability to use language (to mitting it to memory for later use. Short-term memory lasts from min- to wipe the same spot on a counter until utes to hours, but it is then lost if not someone intervenes. An Individuals with brain damage may be example of short-term memory may unable to remember skills that were once be learning facts for a test but not very familiar. For instance, they may be committing the facts to long-term unable to complete simple daily tasks, memory for continued use. Long-term memory is memories that to remember the steps involved or are stored and are able to be retrieved because, after completing the first steps of in the future, whether after weeks or the task, they forget their original goal. Memory problems can be the most lim- iting of all of the potential cognitive con- A variety of memory problems may be sequences of brain damage because they experienced after brain damage. Some affect the individual’s ability to learn, individuals may be able to remember facts store, and retrieve information. The abil- but are unable to remember how to do ity to profit from experience is often specific tasks. Consequently, individuals may be able to remember the names and may continue to make the same mistakes birthdates of family members but be un- over and over, since the ability to apply able to remember how to operate a wash- what was learned from past experience is ing machine. The ability to gener- retrograde amnesia in which they are alize from one situation to another may unable to remember things that occurred also be impaired. For example, an ments may have forgotten their own per- individual who has learned a skill in a sonal history so they do not recognize rehabilitation setting may be unable family members, or they may not be able to perform that skill in his or her own to remember what type of work they had home.