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INTRODUCTORY ANATOMY PAN 201 BY OKOKO I.E. Dept. Of Anatomy FBMS-CMUL IDI-ARABA-LAGOS. INTRODUCTION • This is a 2 credit hour course that is going to run from now till the end of the semester • The course is intended to provide an introduction to human anatomy for the part one Pharmacy students. 2 INTRODUCTION • The structure and organization of the course is based on a systemic approach to the study of the body. • Thus, basic concepts and essential details will be presented in a systemic manner. 3 INTRODUCTION • Functional aspects of human anatomy are integrated with structure. The clinical importance of anatomical relationships will be introduced wherever appropriate • Students are advised to come to lectures prepared by having read the “HUMAN ANATOMY HANDBOOK” and other appropriate learning resource 4 Evaluation and Grading • Students will be evaluated through the following media: • Workbook-20% • Attendance-5% • In course Examination-10% • Final Examination- 65% • Examinations will be multiple choice question exam format. • For each correct response, one mark is awarded(+1) and for each incorrect response,half mark (-1/2) is deducted, if no response is indicated, no mark(0) is awarded or deducted. 5 SPECIFIC OBJECTIVES At the end of this lecture, the students should be able to: • Explain the various parts of anatomy. • Describe the different approaches in the study of anatomy. • Describe the main terms of positions and directions. • Describe the main planes of reference in the human body. • List the major organs in the body and state their functions. 6 INTRODUCTION • Human Anatomy is the study of the structure and organization of the human body. • Oldest basic medical sciences. • First studied in Egypt (500 BC) • The word anatomy is derived from • Greek and means “to cut up” or “to cut open.” • Anatomists examine the relationships among parts of the body along with the structure of individual organs. 7 VARIOUS PARTS OF ANATOMY • Topographical or gross anatomy (which includes surface anatomy, living anatomy, neuroanatomy, endoscopic and imaging anatomy) • Microscopic anatomy (Histology) • Embryology 8 • Gross anatomy: study of the structures of the human body that are visible to the naked eyes- also called macroscopic anatomy. • Embryology: study of the formation of life, i.e. the various stages of its intrauterine development from the fertilized ovum up to the period when it assumes an independent existence. • Histology: Is a Greek word & it is the microscopic study of the structure, composition, and function of tissue in the human body. 9 APPROACHES TO STUDYING ANATOMY Regional (topographical) anatomy considers the human body as organized into major parts or segments a main body, consisting of the head, neck, and trunk (subdivided into thorax, abdomen, back, and pelvis/perineum), and paired upper limbs and lower limbs. 10 11 Systemic Anatomy • Sees the body as organized into organ system • It is the study of the body's organ systems that work together to carry out complex functions. 12 Other approaches –Surface anatomy -provides information about structures that may be observed or palpated beneath the skin –Radiographic, sectional, and endoscopic anatomy allows appreciation of structures in the living, as they are affected by muscle tone, body fluids and pressures, and gravity 13 • Clinical anatomy: emphasizes application of anatomical knowledge to the practice of medicine, dentistry, and the allied health sciences. 14 Anatomical position The international standard anatomical position is the position that provides reference point for describing the structures of the human body. - All anatomical descriptions are expressed in relation to the anatomical position to ensure that descriptions are not ambiguous. 15 ANATOMICAL POSITION 16 Anatomical Position • For descriptive purposes, the anatomical position refers to the body position as if the person were standing upright • with the head, gaze (eyes), and toes directed anteriorly (forward), • arms adjacent to the sides with the palms facing anteriorly and the thumbs pointing away from the body • and lower limbs close together with the feet parallel. 17 The Frankfurts plane aurico-orbital plane was established at the World Congress in Anthropology in Frankfurt, Germany in 1884, and decreed as the anatomical position of the human skull. A position in which the lower margins of the orbits ,the orbitales, and the upper margins of the external auditory meatus ,the poria, all lie in the same horizontal plane. 18 Anatomical Terminology A plane is an imaginary surface that slices the body into specific sections. The four major anatomical planes of reference: • Median • Sagittal • Coronal/Frontal • Transverse 19 20 Anatomical Planes • Median • Sagittal • Frontal/Coronal • Transverse 21 MEDIAN PLANE • The median planevertical plane passing longitudinally through the body, divides the body into right and left halves 22 SAGITTAL PLANE A plane that is parallel to the median plane but either to the left or the right of it 23 FRONTAL (CORONAL) PLANE A vertical plane that divides the body into anterior (front) and posterior (back) parts. 24 TRANSVERSE PLANE Also called cross-sectional planes or horizontal planes are horizontal planes passing thro the body at right angles to the median & frontal planes, dividing the body into superior (upper) & inferior (lower) parts E.g. horizontal plane thru the umbilicus 25 • Radiologists refer to transverse planes as transaxial, which is commonly shortened to axial planes 26 Relative and Directional Terms • Relative to front (bellyside) or back (backside) of the body Anterior and posterior - Towards the front of the body, or towards the rear of the body respectively. Also referred to as ventral and dorsal respectively. 27 Relative to the head or tail of the body Superior = Toward the head or above • Inferior = Toward feet not head • Caudal = At the rear or tail end • Cranial = At the head end • 28 Relative and Directional Terms Deep / Superficial: describing positions relative to the surface of the body Deep = On the inside, underneath another structure. The hypodermis is deep to the dermis Superficial = On the outside. The epidermis is superficial to the dermis 29 Diagram showing the main terms of position and direction and the main planes of reference in the human body. 30 Relative to the midline or center of the body • Medial (closer to midline) / Lateral (further from midline): For describing two structures relative to the midline of the body. -The radius is lateral to the ulna. - The ulna is medial to the radius. 31 Proximal (closer to origin) / Distal (further from origin): • For describing positions relative to attachment points or starting points: -The stomach is proximal to the colon. -The metacarpals are distal to the carpals 32 Relative and Directional Terms • Intermediate (between related structures): • For describing relative positions of counted structures. • The 3 metacarpal is intermediate to metacarpals 2 and 4. 33 Directional Terms • Contralateral (opposite side of body) • Ipsilateral (same side of the body) • The liver is largely contralateral to the spleen. • The gall bladder is ipsilateral to the liver. 34 35 Terms of movement • These terms describe movements of the limbs and other parts of the body; Most movements are defined in relationship to the anatomical position, with movements occurring within, and around axes aligned with, specific anatomical planes. Most movements take place at joints, where two or more bones or cartilages articulate with one another. 36 Terms of movement • Abduction and adduction movements generally occur in a frontal plane around an anteroposterior axis - In abduction of the digits (fingers or toes), the term means spreading them apart -Adduction of the digits is the opposite—bringing the spread fingers or toes together • Flexion and extension movements generally occur in sagittal planes around a transverse axis 37 Terms of movement • Circumduction is a circular movement that involves sequential flexion, abduction, extension, and adduction (or in the opposite order) in such a way that the distal end of the part moves in a circle • Circumduction can occur at any joint at which all the above-mentioned movements are possible (e.g., the shoulder and hip joints). 38 Terms of movement • Rotation involves turning or revolving a part of the body around its longitudinal axis, such as turning one's head to face sideways • Medial rotation (internal rotation) brings the anterior surface of a limb closer to the median plane, • Lateral rotation (external rotation) takes the anterior surface away from the median plane. 39 40 ORGAN SYSTEM AND FUNCTION Integumentary system (dermatology) consists of the skin (L. integumentum, a covering) and its appendages—hair, nails, and sweat glands, • Provides protection from environmental hazards, regulates body temperature, site of cutaneous receptors, synthesizes vitamin D, prevents water loss. 41 Skeletal system (osteology) • Consists of bones and cartilages; • Provides our basic shape and support for the body and is what the muscular system acts on to produce movement. • Protects vital organs such as the heart, lungs, and pelvic organs • Site of blood cell production(Site of hematopoeisis) • Stores calcium & phosphorus 42 Muscular System Locomotion, support, heat production 43 Nervous System (neurology) • consists of the central nervous system (brain and spinal cord) • the peripheral nervous system (nerves and ganglia, together with their motor and sensory endings). • The nervous system controls and coordinates the functions of the organ systems, enabling the body's responses to activities within its environment. • Controls body movement, responds to sensory stimuli responsible for consciousness, intelligence & memory. 44 Endocrine System (endocrinology) • Consist of glands & cell clusters that secrete hormones, some of which regulate body & cellular growth, chemical levels in the body & reproductive functions. • Directs long-term changes in the activities of the other organ systems • Hypothalamus, pituitary, thyroid, adrenal glands 45 Cardiovascular System • Consists of heart, blood & blood vessels. • Heart pumps blood through vessels to distribute hormones, nutrients & gases, & to pick up waste products. 46 Lymphatic System Consists of lymph vessels, Tonsils, cervical lymph nodes Lymph " is the interstitial fluid transported through lymph vessels. Serves as a defence against infections and diseases Transports & filters lymph, & initiates immune response. 47 Respiratory System • Responsible for exchange of gases (oxygen and carbon dioxide) between blood and the air in the lungs • Lungs, trachea, nose, pharynx 48 Digestive System • Processing of food and absorption of nutrients, minerals, vitamins and water. • Stomach. liver, small intestines 49 Urinary System • The urinary system (urology) consists of the kidneys, ureters, urinary bladder, and urethra • Filters blood to remove waste products,excess water and salts, concentrates them into urine & expels them from the body. 50 Reproductive System • Production of sex cells (sperm & oocytes, ) sex hormones (testosterone, estrogen & progesterone) • Facilitates fertilization & development of embryo . 51