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Nervous System and Senses
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4 Cataract (KAT-ah-rakt) literally means a dashing-down or steep waterfall that creates a cloudy mist of spray In human eyes, this weird metaphor is employed to describe a progressive opacity (oh-PASS-uhtee) or condition of (-ity) darkness (opac) of the lens In healthy people, the lens is described as the crystalline (KRIS-tah-lin) lens This is because it is clear and transparent like a diamond or other crystal Such clarity lets light rays easily pass through the lens and then come to a focus, a visual image upon the retina in back of the eye However, in some people (usually older people), an ophthalmoscope (ahf-THAL-muh-skohp) or instrument used to examine the eye can reveal something very interesting A cataract or cloudy waterfall like image may be seen within the dilated (DIE-lay-ted) pupil In other words, a cataract is an abnormally cloudy lens (View Figure 119) Cataracts may partially result from many years of lens exposure to ultraviolet (UV) radiation in sunlight These rays may progressively
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Cataract (cloudy waterfall) visible behind dilated pupil
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CATARACT = "a dashing-down or steep waterfall" (creates cloudy mist of spray)
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Fig 119 A cataract seen behind the pupil
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PART 5
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Our Body Senses
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cross-link the proteins within the crystalline lens, thereby turning the lens opaque (dark) and cloudy If not removed, cataracts can result in blindness [Health hint: Wear sunglasses with UV protection!] 5 Finally, there may be errors in refraction (re-FRAK-shun) Refraction is the process of breaking or bending rays of light entering the eye Two very common types of refractive (re-FRAK-tiv) errors are myopia (my-OH-pea-uh) and hyperopia (high-per-OH-pea-uh) Myopia is a condition (-ia) of nearsightedness (myop) The myopic (my-AHPBik) person is said to be nearsighted because the eyeball is too long Therefore, light rays from distant objects come to a focus in front of the retina, rather than directly on it (Study Figure 1110, A) Hyperopia is a condition of (-ia) light rays focusing beyond (hyper-) the retina of the eye (op) The hyperopic (high-per-OH-pik) or farsighted individual has an eyeball that is too short As a result, light rays come to a focus in back of the retina rather than directly on it (Study Figure 1110, B)
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Visual focus point
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(B) Hyperopia
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Normal eyeball
(A) Myopia
Fig 1110 Errors in seeing Baby Heinie: Myopia versus hyperopia (A) Myopia
( nearsightedness ): Eyeball too long; inverted image comes to focus in front of retina (B) Hyperopia ( farsightedness ): Eyeball too short; inverted image comes to focus beyond (in back of) retina
Nervous System and Senses
Summarizing, we have:
EYE BALL TOO LONG LIGHT RAYS COME TO FOCUS IN FRONT OF RETINA MYOPIA (NEARSIGHTEDNESS)
While EYEBALL TOO SHORT LIGHT RAYS COME TO FOCUS BEHIND RETINA HYPEROPIA (FARSIGHTEDNESS)
Auditory dynamics and disorders
Just as the eyes and brain create vision, the ears and brain also create audition (aw-DIH-shun) This is the process of (-ion) hearing (audit) Figure 1111 provides a brief overview of the normal auditory (AW-dih-tor-ee) sequence Sound waves pass through the auricle (OR-ih-kul, little ear ) on
Fig 1111 The auditory nerve and hearing
PART 5
Our Body Senses
the side of the head They enter the external auditory canal and vibrate the tympanum (tim-PAN-um) the eardrum present These vibrations in turn set into motion the three auditory ossicles (AHS-ih-kls) or tiny hearing bones of the middle ear cavity The mallet -like malleus (MAL-ee-us) pushes upon the at-topped, anvil -like incus (ING-kus) The incus then pushes upon the stapes (STAY-peez) or stirrup The stapes pumps against the oval window in the cochlea (KAHK-lee-ah) The cochlea is literally a bony snail shell (cochle) present (-a) within the inner ear Its tiny auditory receptors, the hair cells, are bent by the pressure of the inner ear uid, as the result of the pumping of the stapes Action potentials (nerve impulses) are then created They travel to the primary auditory area of the brain via the auditory (hearing) nerve This is where the brain rst hears sounds But it takes the auditory association area of the cerebrum to put these sounds into the meaningful patterns we interpret as language such as the sounds creating or own name! A very common auditory problem is acute otitis (oh-TIE-tis) media (MEEdee-uh) This is a sudden (acute) in ammation of (-itis) the middle (medi) ear (ot) cavity Consider what can happen following an upper respiratory infection, such as acute coryza A variety of pathogenic bacteria can travel into the middle ear cavity from the nose (especially if you blow it too hard!) Streptococci, staphylococci, and other types of pathogenic cocci lodge in the mucous pertaining to (-ous) slime (muc) membrane that lines the middle ear cavity The in ammatory process creates a tissue edema (swelling) The buildup of uid bulges out the tympanic (tim-PAN-ik) referring to (-ic) eardrum (tympan) membrane This bulging irritates local sensory nerves The result is otalgia (oh-TAL-juh) that is, ear (ot) pain (-algia) Other typical symptoms include a feeling of fullness in the ear This can contribute to anacusia (an-ah-KYOO-see-ah), a condition (-ia) without (ana-) hearing (cus) This may be accompanied by fever, chills, and a suppuration (sup-yuh-RAYshun) Suppuration is literally a process of (-tion) forming pus (suppur) The pus is then discharged through the external ear (auricle)
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