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Chapter 1 An Introduction to Anatomy and Physiology Lecture Presentation by Lee Ann Frederick University of Texas at Arlington © 2015 Pearson Education, Inc. An Introduction to Studying the Human Body • Learning Outcomes • 1-1 Explain the importance of studying anatomy and physiology. • 1-2 Define anatomy and physiology, describe the origins of anatomical and physiological terms, and explain the significance of Terminologia Anatomica (International Anatomical Terminology). • 1-3 Explain the relationship between anatomy and physiology, and describe various specialties of each discipline. © 2015 Pearson Education, Inc. • Learning Outcomes (continued) • 1-4 Identify the major levels of organization in organisms, from the simplest to the most complex, and identify major components of each organ system. • 1-5 Explain the concept of homeostasis. • 1-6 Describe how negative feedback and positive feedback are involved in homeostatic regulation, and explain the significance of homeostasis. • 1-7 Use anatomical terms to describe body regions, body sections, and relative positions. • 1-8 Identify the major body cavities and their subdivisions, and describe the functions of each. © 2015 Pearson Education, Inc. Anatomy and Physiology Directly Affect Your Life • Anatomy • Is the study of structures of the body • Oldest medical science: 1600 BCE • Physiology • Is the study of how anatomical structures in living organisms perform their vital functions • Individual and cooperative • Biochemical, Genetic, etc… © 2015 Pearson Education, Inc. Relationships between Anatomy and Physiology • Gross anatomy, or macroscopic anatomy, examines large, visible structures without the use of a microscope • This is subdivided into: • • • • Surface anatomy: specific surfaces of the body Regional anatomy: specific regions of the body Systemic anatomy: specific organ systems of the body Comparative anatomy: anatomical differences between different species • Developmental anatomy: structural changes from conception to death (egg through terminal adult form) © 2015 Pearson Education, Inc. • Microscopic anatomy examines cells and molecules not visible to the naked eye, necessitating the use of resolving equipment (a.k.a. microscopes) • This is subdivided into: • Histology: study of tissues and their structures • Light microscopes can view tissues • Cytology: study of cells and their structures • Light microscopes can view cells • Electron microscopes view inside the cells © 2015 Pearson Education, Inc. • Physiology is a broad study of function and is subdivided into several classes • Cell physiology: studies processes within and between cells • Organ physiology: studies functions of specific organs • Systemic physiology: studies functions of an organ system • Pathological physiology: studies the effects of diseases © 2015 Pearson Education, Inc. Levels of Organization 1. Atoms 2. 3. 4. 5. 6. 7. 8. © 2015 Pearson Education, Inc. Molecules Organelles Cells Tissues Organs Organ System Organism Example of the Levels of Organization… Cellular Level Chemical Level Protein filaments Atoms in combination Complex protein molecule Organism Organ system Tissue Cardiac muscle tissue Organ The heart The cardiovascular system © 2015 Pearson Education, Inc. Heart muscle cell A cursory look at the major Organ Systems • Integumentary System • Major Organs • • • • Skin Hair Sweat glands Nails • Functions • Protects against environmental hazards • Helps regulate body temperature • Provides sensory information © 2015 Pearson Education, Inc. • Skeletal System • Major Organs • • • • Bones Cartilages Associated ligaments Bone marrow • Functions • Provides support and protection for other tissues • Stores calcium and other minerals • Forms blood cells © 2015 Pearson Education, Inc. • Muscular System • Major Organs • Skeletal muscles and associated tendons • Functions • Provides movement • Provides protection and support for other tissues • Generates heat that maintains body temperature © 2015 Pearson Education, Inc. • Nervous System • Major Organs • • • • Brain Spinal cord Peripheral nerves Sense organs • Functions • Directs immediate responses to stimuli • Coordinates or moderates activities of other organ systems • Provides and interprets sensory information about external conditions © 2015 Pearson Education, Inc. • Endocrine System • Major Organs • • • • Pituitary gland • Thyroid gland Pancreas • Adrenal glands Gonads Endocrine tissues in other systems • Functions • Directs long-term changes in the activities of other organ systems • Adjusts metabolic activity and energy use by the body • Controls many structural and functional changes during development © 2015 Pearson Education, Inc. • Cardiovascular System • Major Organs • Heart • Blood • Blood vessels • Functions • Distributes blood cells, water, and dissolved materials including nutrients, waste products, oxygen, and carbon dioxide • Distributes heat and assists in control of body temperature © 2015 Pearson Education, Inc. • Lymphatic System • Major Organs • • • • • Spleen Thymus Lymphatic vessels Lymph nodes Tonsils • Functions • Defends against infection and disease • Returns tissue fluids to the bloodstream © 2015 Pearson Education, Inc. • Respiratory System • Major Organs • • • • • • • Nasal cavities Sinuses Larynx Trachea Bronchi Lungs Alveoli • Functions © 2015 Pearson Education, Inc. • Delivers air to alveoli (sites in lungs where gas exchange occurs) • Provides oxygen to bloodstream • Removes carbon dioxide from bloodstream • Produces sounds for communication • Digestive System • Major Organs • • • • • • • • • Teeth Tongue Pharynx Esophagus Stomach Small and Large intestines Liver Gallbladder Pancreas • Functions © 2015 Pearson Education, Inc. • • • • Processes and digests food Absorbs and conserves water Absorbs nutrients Stores energy reserves • Urinary System • Major Organs • • • • Kidneys Ureters Urinary bladder Urethra • Functions • Excretes waste products from the blood • Controls water balance by regulating volume of urine produced • Stores urine prior to voluntary elimination • Regulates blood ion concentrations and pH © 2015 Pearson Education, Inc. • Reproductive System (Male or Female) © 2015 Pearson Education, Inc. The following is a list of several levels of organization that make up the human body. Put them in order from smallest to largest. 1) tissue 3) organ 5) system 2) cell 4) organelle a. 1, 3, 4, 2, 5 b. 4, 1, 2, 5, 3 c. 5, 3, 1, 2, 4 d. 4, 2, 1, 3, 5 The following is a list of several levels of organization that make up the human body. Put them in order from smallest to largest. 1) tissue 3) organ 5) system 2) cell 4) organelle a. 1, 3, 4, 2, 5 b. 4, 1, 2, 5, 3 c. 5, 3, 1, 2, 4 d. 4, 2, 1, 3, 5 What is NOT true of the lymphatic system? a. defends against infection b. includes the liver and the pancreas c. returns fluids to the bloodstream d. includes the tonsils and the thymus What is NOT true of the lymphatic system? a. defends against infection b. includes the liver and the pancreas c. returns fluids to the bloodstream d. includes the tonsils and the thymus Homeostasis •Homeostasis is the ability of the body to maintain a stable internal environment despite changing external conditions •Organ systems respond to external and internal changes to keep body parameters within physiological limits (involving the nervous and endocrine systems) •Two examples: •Blood glucose levels are kept within narrow range 70-110mg/dl. What hormones control blood glucose levels? •Body temperature is maintained 37oC. These are just set points with a range! (95% rule) © 2015 Pearson Education, Inc. • Homeostasis is regulated by a feedback mechanism, involving three components • Receptor, which senses changes in the internal and external environment (receives the stimulus) • Control Center, which evaluates the input and sends out instructions (executive branch) • Effector, which makes the required changes (operational discipline) Failure of homeostasis results in death! © 2015 Pearson Education, Inc. Negative and Positive Feedback • Negative feedback opposes variations from normal; it tends toward the normal range • Homeostatic mechanism • Slows down the process • Positive feedback exaggerates variations from normal; it tends toward the extreme point • Move away from homeostasis • Speeds up the process Let’s look at a couple of examples… © 2015 Pearson Education, Inc. Negative Feedback: Control of Body Temperature. RECEPTORS Temperature sensors in skin and hypothalamus Normal temperature disturbed Information affects CONTROL CENTER STIMULUS: Body temperature rises HOMEOSTASIS RESPONSE: Increased heat loss, body temperature drops Normal temperature restored EFFECTORS • Sweat glands in skin increase secretion • Blood vessels in skin dilate Sends commands to a Events in the regulation of body temperature, which are comparable to those shown in Figure 1–2. A control center in the brain (the hypothalamus) functions as a thermostat with a set point of 37C. If body temperature exceeds 37.2C, heat loss is increased through enhanced blood flow to the skin and increased sweating. © 2015 Pearson Education, Inc. Body temperature (C) Thermoregulatory center in brain Normal body temperature Vessels dilate, sweating increases 37.2 Set point 37 36.7 Vessels constrict, sweating decreases Normal range Time b The thermoregulatory center keeps body temperature fluctuating within an acceptable range, usually between 36.7C and 37.2C. Positive Feedback: Blood Clotting. Clotting accelerates Positive feedback loop Chemicals Damaged cells in the blood vessel wall release chemicals that begin the clotting process. © 2015 Pearson Education, Inc. The chemicals start chain reactions in which cells, cell fragments, and soluble proteins in the blood begin to form a clot. Chemicals Blood clot As clotting continues, each step releases chemicals that further accelerate the process. This escalating process is a positive feedback loop that ends with the formation of a blood clot, which patches the vessel wall and stops the bleeding. Positive Feedback: Childbirth and Oxytocin. © 2015 Pearson Education, Inc. The Roles of Organ Systems in Homeostatic Regulation. © 2015 Pearson Education, Inc. Most examples of extrinsic regulation of organ systems in the human body will be controlled via ________. a. negative feedback b. positive feedback c. autoregulation d. homeostasis © 2015 Pearson Education, Inc. Most examples of extrinsic regulation of organ systems in the human body will be controlled via ________. a. negative feedback b. positive feedback c. autoregulation d. homeostasis © 2015 Pearson Education, Inc. Anatomical Terminology • Superficial anatomy provides anatomical landmarks; references to palpable structures that we can touch and see • The commonly accepted anatomical position is with the hands at the sides, palms facing forward, with the feet next to each other • Supine: lying down, face up • Prone: lying down, face down © 2015 Pearson Education, Inc. Figure 1-5a Anatomical Landmarks (Part 1 of 2). Frontal or forehead Nasal or nose Ocular, orbital or eye Cranial or skull Cephalic or head Facial or face Oral or mouth Mental or chin Buccal or cheek Cervical or neck Thoracic or thorax, chest Axillary or armpit Mammary or breast Brachial or arm Abdominal (abdomen) Umbilical or navel Antecubital or front of elbow a Anterior view © 2015 Pearson Education, Inc. Otic or ear Trunk Figure 1-5a Anatomical Landmarks (Part 2 of 2). Antebrachial or forearm Pelvic (pelvis) Trunk Carpal or wrist Palmar or palm Manual or hand Digits Pollex or thumb (phalanges) or fingers (digital or phalangeal) Inguinal or groin Pubic (pubis) Patellar or kneecap Femoral or thigh Crural or leg Tarsal or ankle Digits (phalanges) or toes (digital or phalangeal) Hallux or great toe Pedal or foot a Anterior view © 2015 Pearson Education, Inc. Figure 1-5b Anatomical Landmarks (Part 1 of 2). Cephalic or head Acromial or shoulder Dorsal or back Cervical or neck Olecranal or back of elbow Upper limb b Posterior view © 2015 Pearson Education, Inc. Figure 1-5b Anatomical Landmarks (Part 2 of 2). Lumbar or loin Upper limb Gluteal or buttock Lower limb Popliteal or back of knee Sural or calf Calcaneal or heal of foot Plantar or sole of foot b Posterior view © 2015 Pearson Education, Inc. • There are also Anatomical Regions • An example is the abdominopelvis, which contains: • Four Abdominopelvic quadrants • Nine Abdominopelvic regions © 2015 Pearson Education, Inc. Abdominopelvic Quadrants Right Upper Quadrant (RUQ) Left Upper Quadrant (LUQ) Right Lower Quadrant (RLQ) Left Lower Quadrant (LLQ) a Abdominopelvic quadrants. The four abdominopelvic quadrants are formed by two perpendicular lines that intersect at the navel. The terms for these quadrants, or their abbreviations, are most often used in clinical discussions. © 2015 Pearson Education, Inc. Abdominopelvic Regions. Right hypochondriac region Right lumbar region Right inguinal region Epigastric region Left hypochondriac region Umbilical region Left lumbar region Hypogastric (pubic) region Left inguinal region b Abdominopelvic regions. The nine abdominopelvic regions provide more precise regional descriptions. © 2015 Pearson Education, Inc. Abdominopelvic Quadrants and Regions. Liver Gallbladder Stomach Spleen Large intestine Small intestine Appendix Urinary bladder c Anatomical relationships. The relationship between the abdominopelvic quadrants and regions and the locations of the internal organs are shown here. © 2015 Pearson Education, Inc. • There are also Anatomical directions • These are reference terms based on a subject • Ipsilateral means the structures are on the same side of the body. • Contralateral means the structures are on opposite sides of the body. • Intermediate means one structure is between two other structures • Proximal is close to a pivot point; distal is far from the pivot point © 2015 Pearson Education, Inc. Directional References. Superior: Above; at a higher level (in the human body, toward the head) Right Superior The head is superior to the knee. Cranial or Cephalic Toward the head Left The cranial, or cephalic, border of the pelvis is superior to the thigh. Proximal Toward an attached base The shoulder is proximal to the wrist. Lateral Medial Away from the midline Toward the midline Posterior or Dorsal Anterior or Ventral Posterior: The back surface Anterior: The front surface Ventral: The belly side. (equivalent to anterior when referring to the human body) The umbilicus (navel) is on the anterior (or ventral) surface of the trunk. Dorsal: The back. (equivalent to posterior when referring to the human body) The scapula (shoulder blade) is located posterior to the rib cage. Proximal Caudal Distal Toward the tail; (coccyx in humans) The hips are caudal to the waist. Away from an attached base The fingers are distal to the wrist. OTHER DIRECTIONAL TERMS Superficial Distal At, near, or relatively close to the body surface The skin is superficial to underlying structures. Deep Toward the interior of the body; farther from the surface a Anterior view Inferior: Below; at a lower level; toward the feet © 2015 Pearson Education, Inc. The bone of the thigh is deep to the surrounding skeletal muscles. The knee is inferior to the hip. b Lateral view Inferior • And there are Anatomical Planes and Sections • A Plane is a three-dimensional axis (x, y, z graph) • A Section is a slice that is parallel to a plane • This is used to visualize the internal organization and structure • It is important in different radiological techniques • MRI • PET • CT © 2015 Pearson Education, Inc. Sagittal divides the body or an organ into left and right sides • Midsagittal: • Runs through the midline. • Produces equal right and left halves. • Parasagittal: • Runs away from the midline. • Produces unequal right and left portions. • Frontal or Coronal • Divides the body into anterior and posterior portions • Transverse or Horizontal • Divides the body into superior and inferior portions Summary of Sectional Planes. Sagittal plane Frontal or coronal plane Plane is oriented parallel to long axis Plane is oriented parallel to long axis A sagittal section separates right and left portions. You examine a sagittal section, but you section sagittally. A frontal, or coronal, section separates anterior and posterior portions of the body. Coronal usually refers to sections passing through the skull. In a midsagittal section, the plane passes through the midline. It separates the body into equal right and left sides. Directional term: frontally or coronally Midsagittal plane A parasagittal section misses the midline. It separates the body into unequal right and left sides. Directional term: sagittally Transverse, or horizontal, plane Plane is oriented perpendicular to long axis Frontal plane Transverse plane (inferior view) A transverse, or cross, section separates superior and inferior portions of the body. Directional term: transversely or horizontally © 2015 Pearson Education, Inc. Body Cavities • There are two essential functions of body cavities 1. They protect organs from accidental shocks 2. They permit changes in the size and shape of internal organs (i.e. heart, lungs, etc…) • The main example is the ventral body cavity, which is termed the Coelom • It is composed of the thoracic cavity and the abdominopelvic cavity • These cavities are separated by the diaphragm • Another example is the dorsal body cavity, which contains the cavities of the brain and spinal cord © 2015 Pearson Education, Inc. Relationships among the Subdivisions of the Body Cavities of the Trunk. DORSAL VENTRAL Cranial cavity Pleural cavity Pericardial cavity Thoracic cavity Vertebral cavity Diaphragm Peritoneal cavity Abdominal cavity Abdominopelvic cavity Pelvic cavity A lateral view showing the body cavities of the trunk. The muscular diaphragm subdivides them into a superior thoracic cavity and an inferior abdominopelvic cavity. Four adult true body cavities are shown Only one of the two pleural thoracic cavities can be shown in a sagittal section! © 2015 Pearson Education, Inc. For now, let’s focus on the ventral body cavity © 2015 Pearson Education, Inc. Relationships among the Subdivisions of the Ventral Body Cavity Ventral Body Cavity • Provides protection • Allows organ movement • Linings prevent friction Subdivides during development into Abdominopelvic Cavity Thoracic Cavity Surrounded by the chest wall and the diaphragm Peritoneal Cavity Right Pleural Cavity Surrounds right lung Mediastinum trachea, esophagus, thymus and major vessels, and also… Pericardial cavity Surrounds heart © 2015 Pearson Education, Inc. Left Pleural Cavity Surrounds left lung Extends throughout the abdominal cavity and into the superior portion of the pelvic cavity Abdominal Cavity Contains many digestive glands and organs Pelvic Cavity Contains the urinary bladder, reproductive organs, the end of the digestive tract and the rectum Ventral body cavity divisions You can see two pleural cavities the the thorax in a coronal section THORACIC CAVITY Right lung in right pleural cavity Left lung in left pleural cavity Spine VENTRAL BODY CAVITY Mediastinum ABDOMINOPELVIC CAVITY Diaphragm THORACIC CAVITY The abdominal cavity contains many digestive glands and organs Retroperitoneal area* Diaphragm ABDOMINOPELVIC CAVITY The pelvic cavity contains the urinary bladder, reproductive organs, and the last portion of the digestive tract *The retroperitoneal space is an area posterior to the peritoneum and anterior to the muscular body wall. It contains the pancreas, kidneys, ureters, and parts of the digestive tract © 2015 Pearson Education, Inc. •Serous membranes line ventral body cavities and secrete serous fluid into the cavity • They consist of two continuous layers separated by a cavity • The visceral layer is an inner layer that covers the organ surface • The parietal layer is an opposing outer layer that covers inner surface of body wall or chamber • The cavity is the potential space between the visceral and parietal layers • This cavity is filled with serous fluid (lubricant) • Allows for smooth movement of the surrounded organ (i.e. heart, lung, digestive tract, etc…) © 2015 Pearson Education, Inc. Examples of Serous Membranes in Ventral Cavity •Pericardium: Surrounds the heart • Visceral pericardium • Parietal pericardium •Pleura : Surrounds each lung • Visceral pleura • Parietal pleura •Peritoneum: Surrounds most of abdominopelvic cavity • Visceral peritoneum • Parietal peritoneum © 2015 Pearson Education, Inc. Relationships among the Subdivisions of the Body Cavities of the Trunk. Visceral pericardium Heart Pericardial cavity Parietal pericardium Air space Balloon b The heart projects into the pericardial cavity like a fist pushed into a balloon. The attachment site, corresponding to the wrist of the hand, lies at the connection between the heart and major blood vessels. The width of the pericardial cavity is exaggerated here; normally the visceral and parietal layers are separated only by a thin layer of pericardial fluid. © 2015 Pearson Education, Inc. Relationships among the Subdivisions of the Body Cavities of the Trunk. ANTERIOR Pericardial cavity Parietal pleura (outside) Pleural cavity (space) Heart Right lung Left lung Visceral pleura (inside) Mediastinum Spinal cord POSTERIOR c A transverse section through the thoracic cavity, showing the central location of the pericardial cavity. The mediastinum and pericardial cavity lie between the two pleural cavities. Note that this transverse or crosssectional view is oriented as though the observer were standing at the subject’s feet and looking toward the subject’s head. This inferior view of a transverse section is the standard presentation for clinical images. Unless otherwise noted, transverse or cross-sectional views in this text use this same orientation (see Spotlight Figure 1-10). © 2015 Pearson Education, Inc. Supplemental Material (look over it yourselves) © 2015 Pearson Education, Inc. Medical Diagnosis and Imaging Techniques Diagnosis is the identification of disease or disorder: • Consultation • • Medical or familial history of disease Symptoms (subjective changes) or signs (measurable or observable changes) • Physical examination • • Vital signs: temperature, pulse, blood pressure, breathing Palpation (feel) and Auscultation (listen) • Laboratory tests • urine, blood or biopsy • Explorative Surgery • Medical Imaging • • • • • • Radiography Computed Tomography Scanning (CT Scan)A ngiogram & Digital Subtraction Angiography (DSA) Positron Emission Tomography (PET) Magnetic Resonance Imaging (MRI) Ultrasound © 2015 Pearson Education, Inc. Radiography • Uses X-rays ─ penetrate soft tissues and darken photographic film ─ Dense tissues absorb X-rays so film remains white • Radiograph: picture that results; also called an Xray • Radiopaque/contrast agents allow hollow organs to be visualized • Major use is osteology, chest examination, mammography, dentistry Disadvantages • Radiation exposure • Poor resolution of soft tissues and denser structures block less dense structures • Conventional X-rays flatten 3-D structures into 2-D images © 2015 Pearson Education, Inc. Computed Tomography (CT) • Uses X-rays • Patient moved through cylindrical machine • Thin images can be viewed singly or the computer can stack them to give a three dimensional picture • Sharper image than simple radiography • Useful for soft tissue scanning, identification of tumors, aneurysms, cerebral hemorrhages, kidney stones, trauma Disadvantages: Radiation exposure © 2015 Pearson Education, Inc. Angiogram • Uses X-rays in conjunction with injected contrast medium to produces image of blood vessels • Digital Subtraction Angiography (DSA): Images of vessel taken before and after injection of contrast medium and analyzed by computer • Used for diagnosis of aneurisms, atherosclerosis, blocked arteries Disadvantages: Radiation exposure © 2015 Pearson Education, Inc. Positron Emission Tomography (PET) • Assesses metabolic state of tissues • Patient injected with radioactive isotopes including glucose • Emitted Positrons collide with electrons giving off Gamma rays that are detected by sensor • Analyzed by computer • Used to access active brain areas when performing tasks, oncology, heart damage • Disadvantages: Cost, messy radioactive tracers, patient discomfort. © 2015 Pearson Education, Inc. Cancerous throat tissue A Technician monitoring the output of a PET scanner © 2015 Pearson Education, Inc. Magnetic Resonance Imaging (MRI) • Patient placed in cylindrical chamber surrounded by electromagnets ─ Body subjected to strong magnetic field which aligns hydrogen atoms, followed by brief pulse of radiowaves to knock out of alignment ─ When magnetic field removed, electrons realign giving off energy. ─ Detected by sensors and analyzed by computers ─ Amount and rate of energy given off depends on tissue type. • Functional MRI (fMRI): used to visualize active areas of the brain • Better than CT scans for soft tissue. Excellent contrast between normal/abnormal tissue. Disadvantages • Cost, Cannot use on patient with metal in their body, limited use for mostly soft tissues, patient discomfort. © 2015 Pearson Education, Inc. Sonography (Ultrasound) • Uses handheld device that uses highfrequency sound waves and detects echo back from internal organs • Avoids harmful x rays • Used in obstetrics, cardiology • 2nd most commonly used of the techniques Disadvantages • Image quality, limited use © 2015 Pearson Education, Inc.