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Anatomy & Physiology I Chapter 1 Anatomy: The study of form (structure) Subdivisions: Gross Anatomy - study of structures that can be seen with the naked eye Neuroanatomy – study of nervous system structure Microscopic Anatomy – study of structures that are too small to see with the naked eye Cytology – study of cells Histology – study of tissues Physiology: The study of function at many levels Subdivisions are based on organ systems neurophysiology (physiology of nervous system) endocrinology (physiology of hormones) pathophysiology (mechanisms of disease) The Human Body All living things are organized. Atoms Molecules Organelles Cells Tissue Organ Organ System Organism Atoms Molecule 1 Chemical level Atoms combine to form molecules. Atoms Molecule 1 Chemical level Atoms combine to form molecules. Organelle Smooth muscle cell 2 Cellular level Cells are made up of molecules. Atoms Molecule 1 Chemical level Atoms combine to form molecules. Organelle Smooth muscle cell 2 Cellular level Cells are made up of molecules. Smooth muscle tissue 3 Tissue level Tissues consist of similar types of cells. Atoms Molecule 1 Chemical level Atoms combine to form molecules. Organelle Smooth muscle cell 2 Cellular level Cells are made up of molecules. Smooth muscle tissue 3 Tissue level Tissues consist of similar types of cells. Blood vessel (organ) Smooth muscle tissue Connective tissue Epithelial tissue 4 Organ level Organs are made up of different types of tissues. Atoms Organelle Smooth muscle cell Molecule 1 Chemical level Atoms combine to form molecules. Cardiovascular system Heart Blood vessels 2 Cellular level Cells are made up of molecules. Smooth muscle tissue 3 Tissue level Tissues consist of similar types of cells. Blood vessel (organ) Smooth muscle tissue Connective tissue Epithelial tissue 4 Organ level Organs are made up of different types of tissues. 5 Organ system level Organ systems consist of different organs that work together closely. Atoms Organelle Smooth muscle cell Molecule 1 Chemical level Atoms combine to form molecules. Cardiovascular system Heart Blood vessels 2 Cellular level Cells are made up of molecules. Smooth muscle tissue 3 Tissue level Tissues consist of similar types of cells. Blood vessel (organ) Smooth muscle tissue Connective tissue Epithelial tissue 4 Organ level Organs are made up of different types of tissues. 6 Organismal level The human organism is made up of many organ systems. 5 Organ system level Organ systems consist of different organs that work together closely. Atoms – the smallest units (building blocks) of matter. Molecules – make up organelles and other cellular components macromolecules – proteins, carbohydrates, fats, DNA Organelles – microscopic structures in a cell that carry out its individual functions Cells – smallest unit of life Cells The smallest units of an organism that carry out all the basic functions of life Perform all activities necessary to maintain life Metabolism, digestion, assimilation, excretion, reproduction Tissues A mass of similar cells and cell products that form discrete region of an organ and performs a specific function Four Tissue Classes Epithelial: covers and protects Connective: binds and supports other tissues Muscle: movement Nervous: connects sensory structures to motor structures Organs Structure composed of two or more tissue types that work together to carry out a particular function Cells integrated into tissues Serve a common function Examples Brain Heart Lungs Pancreas An Organ System is a group of organs Protection, support, and movement Integumentary - Skeletal - Muscular Coordination and control Nervous - Endocrine Circulation Cardiovascular - Lymphatic Nutrition and fluid balance Respiratory - Digestive - Urinary Production of offspring Reproductive The Human Body Hair Skin Nails (a) Integumentary System Forms the external body covering, and protects deeper tissues from injury. Synthesizes vitamin D, and houses cutaneous (pain, pressure, etc.) receptors and sweat and oil glands. Bones Joint (b) Skeletal System Protects and supports body organs, and provides a framework the muscles use to cause movement. Blood cells are formed within bones. Bones store minerals. Skeletal muscles (c) Muscular System Allows manipulation of the environment, locomotion, and facial expression. Maintains posture, and produces heat. Brain Spinal cord Nerves (d) Nervous System As the fast-acting control system of the body, it responds to internal and external changes by activating appropriate muscles and glands. Pineal gland Pituitary gland Thyroid gland Thymus Adrenal gland Pancreas Testis Ovary (e) Endocrine System Glands secrete hormones that regulate processes such as growth, reproduction, and nutrient use (metabolism) by body cells. Heart Blood vessels (f) Cardiovascular System Blood vessels transport blood, which carries oxygen, carbon dioxide, nutrients, wastes, etc. The heart pumps blood. Red bone marrow Thymus Lymphatic vessels Thoracic duct Spleen Lymph nodes (g) Lymphatic System/Immunity Picks up fluid leaked from blood vessels and returns it to blood. Disposes of debris in the lymphatic stream. Houses white blood cells (lymphocytes) involved in immunity. The immune response mounts the attack against foreign substances within the body. Nasal cavity Pharynx Larynx Trachea Bronchus Lung (h) Respiratory System Keeps blood constantly supplied with oxygen and removes carbon dioxide. The gaseous exchanges occur through the walls of the air sacs of the lungs. Oral cavity Esophagus Liver Stomach Small intestine Large intestine Rectum Anus (i) Digestive System Breaks down food into absorbable units that enter the blood for distribution to body cells. Indigestible foodstuffs are eliminated as feces. Kidney Ureter Urinary bladder Urethra (j) Urinary System Eliminates nitrogenous wastes from the body. Regulates water, electrolyte and acid-base balance of the blood. Mammary glands (in breasts) Prostate gland Ovary Penis Testis Scrotum Ductus deferens Uterus Vagina Uterine tube (l) Female Reproductive System (k) Male Reproductive System Overall function is production of offspring. Testes produce sperm and male sex hormone, and male ducts and glands aid in delivery of sperm to the female reproductive tract. Ovaries produce eggs and female sex hormones. The remaining female structures serve as sites for fertilization and development of the fetus. Mammary glands of female breasts produce milk to nourish the newborn. All cells depend on organ systems to meet their survival needs Organ systems work cooperatively to perform necessary life functions Digestive system Takes in nutrients, breaks them down, and eliminates unabsorbed matter (feces) Food Respiratory system Takes in oxygen and eliminates carbon dioxide O2 CO2 Cardiovascular system Via the blood, distributes oxygen and nutrients to all body cells and delivers wastes and carbon dioxide to disposal organs Blood CO2 O2 Heart Nutrients Interstitial fluid Urinary system Eliminates nitrogenous wastes and excess ions Nutrients and wastes pass between blood and cells via the interstitial fluid Feces Integumentary system Protects the body as a whole from the external environment Urine Metabolism and Its Regulation All the life-sustaining chemical reactions that occur within body cells Types of metabolism Anabolism – reactions that build (synthesize) larger, more complex structures from simpler substances. Similar to building a pearl necklace from individual pearls. In cells, anabolic reactions require ATP for energy. Catabolism – reactions that breakdown larger, more complex substances to simpler substance. Similar to removing each individual pearl from a pearl necklace Catabolic reactions, like glycolysis, release energy. This energy can be used in cells to make ATP. stable internal conditions regardless of external conditions fluctuates within limited range around a set point Homeostatic Control Mechanisms – Mechanisms that help to maintain homeostasis The body has hundreds of homeostatic mechanisms, including mechanisms to control: Body temperature, blood sugar, blood pH, water balance, blood pressure, electrolyte balance, etc. When these mechanisms don’t work normally, the result can be disease, dysfunction or death. Involve continuous monitoring and regulation of many factors (variables) Nervous and endocrine systems accomplish the communication via nerve impulses and hormones Usually involves negative feedback loop Negative feedback loops have 3 components Receptor Control Center Effector Body senses a change and activates mechanisms to reverse it The response reduces or shuts off the original stimulus Examples: Regulation of body temperature and blood pressure (two nervous system mechanism) Regulation of blood volume by ADH (an endocrine mechanism) 1. Receptor (sensor) Monitors the environment and responds to stimuli (changes in controlled variables) Reports changes to the control center 2. Control center Determines the set point at which the variable is maintained Receives input from receptor when variable is out of range Determines appropriate response; delivers instructions to the appropriate effector 3. Effector Receives signal (command) from control center Provides the means to respond Response acts to reduce or enhance the stimulus (feedback) 1 Stimulus produces change in variable. BALANCE 2 Receptor detects change. Receptor 1 Stimulus produces change in variable. BALANCE 3 Input: Information sent along afferent pathway to control center. 2 Receptor detects change. Receptor Control Center Afferent pathway 1 Stimulus produces change in variable. BALANCE 3 Input: Information sent along afferent pathway to control center. 2 Receptor detects change. Receptor 4 Output: Control Center Afferent Efferent pathway pathway 1 Stimulus produces change in variable. BALANCE Information sent along efferent pathway to effector. Effector 3 Input: Information sent along afferent pathway to control center. 2 Receptor detects change. Receptor 4 Output: Control Center Afferent Efferent pathway pathway 1 Stimulus produces change in variable. BALANCE Information sent along efferent pathway to effector. Effector 5 Response of effector feeds back to reduce the effect of stimulus and returns variable to homeostatic level. Control Center (thermoregulatory center in brain) Information sent along the afferent pathway to control center Afferent pathway Information sent along the efferent pathway to effectors Efferent pathway Receptors Temperature-sensitive cells in skin and brain Effectors Sweat glands Sweat glands activated Response Evaporation of sweat Body temperature falls; stimulus ends Stimulus Body temperature rises BALANCE Stimulus Response Body temperature rises; stimulus ends Body temperature falls Receptors Temperature-sensitive cells in skin and brain Effectors Skeletal muscles Shivering begins Efferent pathway Information sent along the efferent pathway to effectors Afferent pathway Control Center (thermoregulatory center in brain) Information sent along the afferent pathway to control center Sitting up in bed causes a drop in blood pressure in the head and upper thorax Receptors in the arteries near the heart alert the control center in the brainstem Control center in the brain sends nerve signals to the heart (effector) The effector (the heart) receives a command signal to increases the heart rate. This returns the blood pressure to normal Failure of this to feedback loop may produce dizziness in the elderly Person rises from bed Blood pressure rises to normal; homeostasis is restored Blood drains from upper body, creating homeostatic imbalance Cardiac center accelerates heartbeat Baroreceptors above heart respond to drop in blood pressure Baroreceptors send signals to cardiac center of brainstem Receptors sense decreased blood volume (as occurs with dehydration) Control center in hypothalamus stimulates pituitary gland to release antidiuretic hormone (ADH) ADH causes the kidneys (effectors) to return more water to the blood The response enhances or exaggerates the original stimulus May exhibit a cascade or amplifying effect Usually controls infrequent events e.g.: Enhancement of labor contractions by oxytocin Platelet plug formation and blood clotting Self-amplifying cycle leads to greater change in the same direction feedback loop is repeated – change produces more change Normal way of producing rapid changes occurs with childbirth, blood clotting, protein digestion, fever, and generation of nerve signals 3 Brain stimulates pituitary gland to secrete oxytocin 2 Nerve impulses from cervix Transmitted to brain 4 Oxytocin stimulates uterine contractions and pushes fetus toward cervix 1 Head of fetus pushes against cervix 1 Break or tear occurs in blood vessel wall. Positive feedback cycle is initiated. 1 Break or tear occurs in blood vessel wall. Positive feedback cycle is initiated. 2 Platelets adhere to site and release chemicals. 1 Break or tear occurs in blood vessel wall. Positive feedback cycle is initiated. 3 Released chemicals attract more platelets. 2 Platelets Positive feedback loop adhere to site and release chemicals. 1 Break or tear occurs in blood vessel wall. Positive feedback cycle is initiated. 3 Released chemicals attract more platelets. 2 Platelets Positive feedback loop adhere to site and release chemicals (clotting factors). Feedback cycle ends when plug is formed. 4 Platelet plug forms. Fever > 104 degrees F metabolic rate increases body produces heat even faster body temperature continues to rise further increasing metabolic rate Cycle continues to reinforce itself Becomes fatal at 113 degrees F Disturbance of homeostasis Increases risk of disease Contributes to changes associated with aging May allow destructive positive feedback mechanisms to take over (e.g., heart failure) Anatomical Position - Standard frame of reference for anatomical descriptions & dissection Anatomical Divisions – The two fundamental divisions of the human body (axial & appendicular) Body Regions – Regional terms designate specific areas Directions - Consistent terms are used to designate position and direction to avoid inaccuracy. Planes - implies an imaginary flat surface passing through the body Cavities - Internally, the body is divided into spaces, or cavities, that contain organs. Standard anatomical body position: Person stands erect face & eyes facing forward Feet flat on floor, slightly apart Arms at sides Palms face forward (forearms in supine position) When supinated palms face forward or upward radius & ulna are parallel When pronated palms face rearward or downward radius & ulna are crossed supine prone Axial region = head, neck & trunk thoracic region = trunk above diaphragm abdominal region = trunk below diaphragm divided into 4 quadrants / 9 regions by tic-tac-toe grid Appendicular region = upper & lower limbs upper limb - arm (brachial region), forearm (antebrachial region), wrist (carpal region), hand (manual region), fingers (digits) lower limb - thigh (femoral region), leg (crural region), ankle (tarsal region), foot (pedal region), toes (digits) Cephalic Frontal Orbital Nasal Oral Mental Cervical Thoracic Axillary Mammary Sternal Abdominal Umbilical Pelvic Inguinal (groin) Pubic (genital) Thorax Abdomen Back (Dorsum) Upper limb Acromial Brachial (arm) Antecubital Antebrachial (forearm) Carpal (wrist) Manus (hand) Palmar Pollex Digital Lower limb Coxal (hip) Femoral (thigh) Patellar Crural (leg) Fibular or peroneal Pedal (foot) Tarsal (ankle) Metatarsal Digital Hallux Upper limb Acromial Brachial (arm) Olecranal Antebrachial (forearm) Manus (hand) Cephalic Otic Occipital (back of head) Cervical Nuchal (back of neck) Back (dorsal) Scapular Metacarpal Vertebral Digital Lumbar Sacral Lower limb Femoral (thigh) Gluteal Popliteal Perineal (between anus and external genitalia) Sural (calf) Fibular or peroneal Pedal (foot) Calcaneal Plantar Thorax Abdomen Back (Dorsum) Plane: Flat surface along which body or structure is cut for anatomical study Sagittal plane Divides body vertically into right and left parts Produces a sagittal section Midsagittal (median) plane Lies on midline Parasagittal plane Not on midline Plane implies an imaginary flat surface passing through the body Sagittal plane divides body into right and left regions midsagittal (median) plane divides body or organ into equal halves parasagittal plane divides body into unequal parts Frontal (coronal) plane divides body into anterior & posterior portions Transverse (horizontal) plane divides the body into superior & inferior portions Section implies actual cut or slice to reveal internal anatomy Frontal plane Median (midsagittal) plane Transverse plane (a) Frontal section (through torso) (b) Transverse section (through torso, inferior view) Pancreas (c) Median section (midsagittal) Aorta Spleen Left and Liver Heart Spleen right lungs Stomach Arm Liver Spinal cord Body wall Subcutaneous fat layer Intestines Rectum Vertebral column Dorsal cavity Protects nervous system Two subdivisions: Cranial cavity Encases brain Vertebral cavity Encases spinal cord Ventral cavity Houses internal organs (viscera) Two subdivisions (separated by diaphragm): Thoracic cavity Abdominopelvic cavity Cranial cavity Cranial cavity (contains brain) Dorsal body cavity Dorsal body cavity Ventral body cavity Vertebral cavity Superior mediastinum Pleural cavity Pericardial cavity within the mediastinum Diaphragm Thoracic cavity (contains heart and lungs) Vertebral cavity (contains spinal cord) (a) Lateral view Ventral body cavity (thoracic and Abdomino- abdominopelvic pelvic cavities) cavity Abdominal cavity (contains digestive viscera) Pelvic cavity (contains urinary bladder, reproductive organs, and rectum) (b) Anterior view Thoracic cavity subdivisions: Two pleural cavities Each houses a lung Mediastinum Contains pericardial cavity Surrounds thoracic organs Pericardial cavity Encloses heart Abdominopelvic cavity subdivisions: Abdominal cavity Contains stomach, intestines, spleen, and liver Pelvic cavity Contains urinary bladder, reproductive organs, and rectum Cranial cavity Cranial cavity (contains brain) Dorsal body cavity Dorsal body cavity Ventral body cavity Vertebral cavity Superior mediastinum Pleural cavity Pericardial cavity within the mediastinum Diaphragm Thoracic cavity (contains heart and lungs) Vertebral cavity (contains spinal cord) (a) Lateral view Ventral body cavity (thoracic and Abdomino- abdominopelvic pelvic cavities) cavity Abdominal cavity (contains digestive viscera) Pelvic cavity (contains urinary bladder, reproductive organs, and rectum) (b) Anterior view Thin, double-layered membrane separated by serous fluid Parietal serosa lines internal body walls Visceral serosa covers the internal organs Outer balloon wall (comparable to parietal serosa) Air (comparable to serous cavity) Inner balloon wall (comparable to visceral serosa) Heart Parietal pericardium Pericardial space with serous fluid Visceral pericardium (b) The serosae associated with the heart. Abdominopelvic Quadrants Divisions used primarily by medical personnel Right upper quadrant (RUQ) Left upper quadrant (LUQ) Right lower quadrant (RLQ) Left lower quadrant (LLQ) Abdominopelvic Regions Nine divisions used primarily by anatomists Right Epigastric hypochondriac region region Right lumbar region Umbilical region Right iliac Hypogastric (inguinal) (pubic) region region Left hypochondriac region Left lumbar region Left iliac (inguinal) region (a) Nine regions delineated by four planes Liver Diaphragm Gallbladder Stomach Ascending colon of large intestine Transverse colon of large intestine Small intestine Descending colon of large intestine Cecum Appendix Initial part of sigmoid colon Urinary bladder (b) Anterior view of the nine regions showing the superficial organs