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Anatomy & Physiology What is Anatomy & Physiology? • Anatomy –Is the study of structure What is Anatomy & Physiology? • Anatomy –Subdivisions of anatomy • Gross anatomy • Microanatomy • Cellular • Histology • Systemic anatomy • Regional anatomy What is Anatomy & Physiology? • Physiology –Is the study of function –Structure determines function –Function usually determines location Anatomical Position Anatomical Terminology • Directional Terms Superior aka cranial: above Inferior aka caudal: below Proximal: towards the attachment of a limb Distal: toward the fingers or toes Anatomical Terminology • Directional Terms Anterior: toward/from the front Posteror: toward/from the back Peripheral: toward the outer wall or surface Anatomical Terminology • Directional Terms Inversion: turning inward Eversion: turning outward Abduction: moving away from the midline Adduction: moving toward the midline Anatomical Terminology • Directional Terms Supination: turning a body part upward Pronation: turning a body part downward Caudal: toward the tailbone Cranial: toward the head Anatomical Terminology • Directional Terms Afferent: carrying toward the center Efferent: carrying away from the center Parietal: outer wall of body cavity Visceral: inner cover of structure or belly side Anatomical Terminology • Directional Terms Superficial: toward the surface Deep: Away from the surface Anatomical Planes • Sagittal Plane divides the body into a right and a left half • mid sagittal • parasagittal Anatomical Planes • Frontal or Coronal divides the body into a front and a back Anatomical Planes • Transverse or horizontal divides the body into upper and lower portions Anatomical Terminology • Planes Paramedian Median or mid-sagittal CHECK YOUR UNDERSTANDING Classify each plane illustrated below: mid-sagittal frontal horizontal Hierarchy of Organization • Cells • Tissues • Organs • Organ Systems Organ System Overview 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Integumentary System Skeletal System Muscular System Nervous System Endocrine System Cardiovascular System Lymphatic System Respiratory System Digestive System Urinary System Reproductive System Life Processes • • • • • • metabolism responsiveness movement growth Differentiation Reproduction Homeostasis • Maintenance of a stable internal environment = a dynamic state of equilibrium • Homeostasis must be maintained for normal body functioning and to sustain life • Homeostatic imbalance – a disturbance in homeostasis resulting in disease Maintaining Homeostasis • The body communicates through neural and hormonal control systems • Receptor • Responds to changes in the environment (stimuli) • Sends information to control center Maintaining Homeostasis • Control center • Determines set point • Analyzes information • Determines appropriate response • Effector • Provides a means for response to the stimulus Organ Systems Integumentary System Function: Protection, synthesizes vitamin D, forms external body covering Organs/Components: Epidermis and Dermis Finger/toe nails Hair Sweat glands Organ Systems Skeletal System Function: provide support for the body, to protect delicate internal organs and to provide attachment sites for the organs, site for RBC formation, stores minerals. Organs/Components: Bones, cartilage, joints Organ Systems Muscular System Function: provide support, heat, and movement. Maintains posture. Organs/Components: skeletal muscle, cardiac muscle, smooth muscle, tendons Organ Systems Circulatory System Function: transport nutrients, gases (such as oxygen and CO2), hormones and wastes through the body. Organs: Heart, blood vessels and blood Organ Systems Lymphatic System Function: returns fluids to blood vessels, disposes of debris, involved in immunity Organs: lymph nodes, lymph vessels, Organ Systems Nervous System Function: activates muscles & glands, responds to internal & external stimuli, directs behavior and movement along with the endocrine system, controls physiological processes, Organs: Brain, spinal cord and peripheral nerves. Respiratory System Function: provide gas exchange between the blood and the environment for the organs. Organs: Nose, trachea and lungs. bronchi Digestive System Function: breakdown and absorb nutrients that are necessary for growth and maintenance Organs: Mouth, esophagus, stomach, small and large intestines Excretory/Urinary System Function: filter out cellular wastes ie. nitrogen & ammonia, toxins and excess water from the circulatory system, maintains acid-base balance, regulation of materials ie. electrolytes Organs: Kidneys, ureters, bladder and urethra Endocrine System Function: relay chemical messages through the body and in conjunction with the nervous system, these chemical messages help control physiological processes ie. Growth metabolism, reproduction Organs: hypothalamus, pituitary, thyroid, ovaries/testies, and adrenal glands Reproductive System Function: manufacture cells that allow reproduction of offspring Organs: ovaries, oviducts, uterus, vagina and mammary glands testes, seminal vesicles and penis Positions • Many medical procedures and therapies require that a patient assume a certain position. • Position terms include: – Sitting (most common position) used for auscultation of the heart and lungs; for taking blood pressure, and for portions of a neurological examination. – Fowler’s & Modified Fowler’s: is used for exam of the heart and lungs, to promote respiration in patients who have shortness of breath, and for exam of the feet and lower legs. Positions Continued: – Supine (on your back) The supine position is used for exams of the anterior body surfaces, breast exams, xrays, and some surgical procedures – Prone (on your stomach) This position is used for examination of the posterior of the body surfaces and for some operations. – Trendelenburg’s: May be used to prevent and treat shock, for radiologic exams and procedures, and for some types of surgery. – Modified Trendelenburg’s: Used to prevent and treat shock in trauma patients, for radiologic exams, or during some operations. Positions Continued: – Knee to Chest: Used for rectal exams, artificial insemination, and some surgical procedures. In some cases, the exam table may be contoured to aid positioning and to support the patient. – Sims: AKA the Left Lateral Position, it may be used for administering rectal suppositories and enemas and for certain exams and surgical procedures – Dorsal Recumbent: used for exam of the abdomen, occasionally for vaginal or rectal exams, and for some surgical procedures. – Lithotomy: used for pelvic exams in females, rectal exams, some operations, and sometimes in childbirth. Fowler’s & Modified Fowler’s Knee to Chest & Sims Anatomical Terminology Directional Terms Cranial: towards the head Caudal: towards the feet/buttocks Medial: towards the middle Lateral: towards or from the side Anatomical Terminology Directional Terms Palmar: toward or on the palm of the hand Plantar: toward or on the soles of the feet Anatomical Terminology Regional Terms a. b. c. d. e. f. g. Abdominal Antecubital Axillary Brachial Buccal Carpal Cervical Anatomical Terminology Regional Terms h. Digital i. Femoral j. Inguinal k. Nasal l. Oral m. Orbital n. Patellar Anatomical Terminology Regional Terms o. p. q. r. Pubic Tarsal Thoracic Umbilical Anatomical Terminology Regional Terms s. t. u. v. Cephalic Dorsum Gluteus Lumbar Anatomical Terminology Regional Terms w. Popiteal x. Sural y. Calcaneus ABDOMINOPELVIC QUADRANTS Right Upper Quadrant (RUQ) Left Upper Quadrant (LUQ) Right Lower Quadrant (RLQ) Left Lower Quadrant (LLQ) Anatomical Terminology Abdominopelvic Regions Abdominopelvic Quadrants Body Cavities Cranial Cavity Dorsal Spinal Thoracic Pericardial Abdominal Pelvic Abdominopelvic Ventral Abdominopelvic Major Organs HOMEOSTASIS • Is maintaining the internal environment within physiological limits –Internal environment refers to the extracellular fluids (EFC) –Includes lymph, plasma and interstitial fluid • The maintenance of homeostasis results in health HOMEOSTASIS • And Stress –Homeostatic mechanisms attempt to counteract the effects of the stress and bring the condition back to normal HOMEOSTASIS • Homeostasis is regulated by the nervous system and endocrine systems HOMEOSTASIS • And Feedback Systems (Loops) – a cycle of events in which information about the status of a condition is continually monitored and fed back (reported) to a central control region. – Any stress that changes a controlled condition is called a stimulus. HOMEOSTASIS • And Feedback Systems (Loops) –three basic components • The control center • The receptor • The effector HOMEOSTASIS • And Feedback Systems (Loops) – Negative Feedback Systems a. Shuts off, reduces or reverses the original stimuls b. Tend to maintain conditions that require frequent fine tuning – Positive Feedback Systems a. enhances the original stimulus b. this only occurs in blood clotting & birth of a baby. HOMEOSTASIS •And Disease – Disease a. any change from a state of health, characterized by symptoms & signs b. Local vs. systemic disease • Homeostasis And Disease – Symptoms vs. Symptoms a. Symptoms are subjective changes in body functions that are not apparent to an observer b. Signs are objective changes that a clinician can observe and measure What is Anatomy & Physiology? • Anatomy – Is the study of structure – Subdivisions of anatomy • surface anatomy • gross anatomy • systemic anatomy • regional anatomy • radiographic anatomy • developmental anatomy • embryology • cytology • pathological anatomy THE CHEMISTRY OF LIFE CH 2 I. Atoms and molecules A. Atoms are the smallest stable units of matter. 1. Nucleus • Protons • Neutrons 2. Electron cloud • Electrons 3. Atoms are electrically neutral # protons = # electrons I. Atoms and molecules B. Elements Element= A substance that is made of only one kind of atom 1. Contain atoms with the same number of protons • Called “atomic number” • Differ in number of electrons and neutrons 2. 92 naturally occurring 3. Principle elements of human body O, C, H, N, Ca, P II. Chemical bonding A. Ionic bonds 1.Form when one atom gives up an e- and another atom gains that e• cations • anions 2. Properties of Ionic Compounds • readily dissolve in water • dissociate in water into their cations and anions. II. Chemical bonding B. Covalent bonds 1.Form when two atoms share electrons, forming a molecule •Form a molecule •Diatomic mc: H2, 02, N2 2. Kinds of covalent bonds •Nonpolar Covalent bonds •Polar Covalent bonds 3. Properties of Covalent Cmpds strong bonds II. Chemical bonding C. Hydrogen bonds 1. Form between two adjacent polar mc containing H and O, N, or F • Ex: between water mc 2. Properties of Covalent Cmpds • Very weak • Important in determining the shape of large biological mc such as protein and DNA • Important in determining characteristics of water II. Chemical bonding D. States of Matter 1. Are determined by the amount of bonding that occurs between mc • Solid Liquid Gas 2. Properties of Covalent Cmpds • Water is the only substance that can occur in all three states within temperature ranges consistent with life Solid Liquid Gas III. Chemical reactions A. Fundamental Concepts 1. Metabolism 2. Reactants 2. Products 3. Chemical reaction 4. Energy • Potential Energy • Kinetic Energy • Law of Conservation of Matter and Energy III. Chemical reactions B. Types of reactions 1. Decomposition • • • • AB A + B Catabolic processes Exergonic Hydrolysis III. Chemical reactions B. Types of reactions 2. Synthesis • • • • A + B AB Anabolic processes Endergonic Dehydration Synthesis III. Chemical reactions B. Types of reactions 3. Exchange • AB + CD AD + CB • Decomposition and synthesis may be paired. III. Chemical reactions C. Reversible reactions 1. Reactants become products while products become reactants • A + B AB • Continues until equilibrium is reached 2. Very important to biological systems ATP ADP + P III. Chemical reactions D. Enzymes and Chemical reactions 1. Enzymes are important reaction catalysts in metabolic systems • Speed up the reaction • Allow the reaction to occur at lower than normal temperatures • Lower the activation energy 2. Are not altered or used up by the reaction IV. Inorganic compounds A. Generally Concepts 1. Don’t contain both C & H 2. Important organic cmpds in the human body • • • • CO2 O2 H2O inorganic acids, bases, and salts IV. Inorganic compounds B. Water 1. Excellent solvent because it is polar. Solute + solvent = solution IV. Inorganic compounds B. Water 2. Forms a reaction medium, particularly in hydrolysis reactions which break down larger molecules. IV. Inorganic compounds B. Water 3. High heat capacity and thus water stays in a liquid form over a broad range of temps. 4. Water is an important reactant in some types of chemical reactions. IV. Inorganic compounds B. Water 4. Water carries heat with it when it evaporates - thus water helps stabilize body temperature. 5. Effective lubricant in joints and within body cavities and thus serves a protective function. IV. Inorganic compounds C. Aqueous solutions and electrolytes 1. Electrolytes • Water soluble inorganic cmpds • Are capable of conducting an electric current 2. Electrolytes and the electrical activity they can generate are the basis for • nerve impulses • muscle action IV. Inorganic compounds C. Aqueous solutions and electrolytes 3. Homeostasis of electrolytes in body fluids • kidneys (rid body of excess ions) • digestive (absorb ions from diet) • skeletal (store and release ions) 4. Hydrophilic and Hydrophobic Mc IV. Inorganic compounds D. Colloids and suspensions 1. Colloids – are solutions in which large and complex organic mc are dispersed – mc stay in solution indefinitely – Example: proteins 2. Suspensions – Contain large particles that will settle out if left undisturbed – Example: blood IV. Inorganic compounds E. Acids/Bases / Salts and pH IV. Inorganic compounds E. Acids/Bases / Salts and pH 1. Acids –Are substances which form H+ ions when in solution (the stronger the acid the more H+ ions it contains) IV. Inorganic compounds E. Acids/Bases / Salts and pH 1. Acids - can break bonds, denature proteins, and disrupt cell and tissue functions IV. Inorganic compounds E. Acids/Bases / Salts and pH 1. Acids The lower the • pH 7 pH the • Examples: stronger the – Carbonic acid acid – HCl IV. Inorganic compounds E. Acids/Bases / Salts and pH 2. Bases • Are substances which form OH- ions when in solution (the stronger the base the more OH- ions it contains) • pH 7 (the stronger the base the higher the pH) Normal pH of blood is 7.35 IV. Inorganic compounds E. Acids/Bases / Salts and pH 2. Bases – Strong bases are very damaging to cell processes – Example: NH4OH IV. Inorganic compounds E. Acids/Bases / Salts and pH 3. Salts • Contain a cation other than H and an anion other than OH • dissociate in water • Are strong electrolytes • pH = 7 IV. Inorganic compounds E. Acids/Bases / Salts and pH 3. Salts • Importance in the body: – provide ions for transport of substances into and out of cells – function in muscle contraction – function in nerve impulse conduction IV. Inorganic compounds E. Acids/Bases / Salts and pH 4. Changes in the acid-base balance are resisted by – extracellular and intracellular chemical buffers – respiratory regulation – renal regulation IV. Inorganic compounds E. Acids/Bases / Salts and pH 5. Buffers • compounds help stabilize the pH of a solution by turning a strong acid or base into a weaker one • usually consist of a weak acid and its related salt • Example: – bicarbonate ion buffers the blood V. Organic compounds A. General 1. Long-chain molecules • Always contain C and H • Usually contain O 2. Linked by covalent bonds 3. Many are soluble in water 4. Classes of Organic Cmpds • • • • Carbohydrates Lipids Proteins Nucleic acids V. Organic compounds A. Carbohydrates 1. Contain C H O in a near 1:2:1 ratio 2. Most important function: Primary energy source for the cell V. Organic compounds A. Carbohydrates 3. Kinds • Monosaccharides – Simple sugars – 3-7 carbons in length – Example: Glucose (C6H12O6) • Disaccharides –Double sugars –Example: Lactose, sucrose • Polysaccharides –Most complex sugars –Example: Starch Glycogen V. Organic compounds B. Lipids 1. Contain C H O in very large numbers 2. Include Fats, oils and waxes 3. Common examples – triglycerides – steroids – phospholipids V. Organic compounds B. Lipids 5. Insoluble in water 4. Importance • long term energy storage • structural component of cell membranes (phospholipids) B. Lipids 5. Kinds – Fatty Acids: • saturated C have only single bonds • unsaturated C have 1 or more double bonds. polyunsaturated double bonds occur at multiple sites V. Organic compounds B. Lipids 5. Kinds – Eicosanoids: • Have short C chains • Prostaglandins – local hormones • Leukotrienes – coordinate response to injury or disease B. Lipids 5. Kinds – Glycerides • composed of fatty acids and glycerol • Function Energy source Insulation Protection B. Lipids 5. Kinds – Steroids lg lipid mc examples: cholesterol, testoterone, estrogen - Function Stabilize cell membrane Sex hormones Regulate metabolism and mineral balance Formation of bile B. Lipids 5. Kinds – Phospholipd structural lipids that help form and maintain cell membranes polar head - hydrophilic nonpolar tail- hydrophobic V. Organic compounds C. Proteins Examples: Keratin, hemoglobin 1. Basics – the most abundant organic components in the body – contain carbon, hydrogen, oxygen and nitrogen. – If made of more than 30 amino acids it is called a polypeptide C. Proteins Made from amino acids (20 exist) held together by peptide bonds V. Organic compounds C. Proteins 2. Functions Support, movement, transport, buffers, regulate reactions, coordination, control, defense 3. Structure Primary, Secondary, Tertiary, Quatranary Primary Structure: Order of the amino acid sequence Peptide bonds Secondary Structure: the tendency of the polypeptide to coil or pleat due to H-bonding between Rgroups Tertiary Structure: Describes the overall shape of a protein; Shape determines function Quaternary Structure: Proteins formed from one or more polypeptides V. Organic compounds C. Proteins 4. Shape Determines function Small changes in pH, temperature, ionic composition can denature a protein (affects protein structure) & cause it not to function properly 5. Enzymes • Biological catalysts • Speed up a reaction without being used up in the reaction V. Organic compounds C. Proteins 5. Enzymes • Biological catalysts • Speed up a reaction without being used up in the reaction Lock and Key Model of Enzyme Action V. Organic compounds C. Proteins 5. Enzymes • lower the needed activation energy Induced Fit Model of Enzyme Action V. Organic compounds C. Proteins 5. Enzymes • Some poisons bond permanently to an enzyme Model of How Some Poisons Work V. Organic compounds C. Proteins 6. Glycoproteins • Protein + carbohydrate • Important in cell recognition V. Organic compounds C. Proteins 6. Glycoproteins • Function As enzymes As antibodies As hormones As cell membrane components To secrete mucins which absorb water to form mucus V. Organic compounds D. Nucleic Acids 1. lg organic mc that have C, H, O, N and P 2. Function store and process information 3. Structure made of nucleotides Phosphate, sugar, base (adenine, guanine, cytosine, thymine, uracil) linked by dehydration synthesis V. Organic compounds D. Nucleic Acids 3. Structure • made of nucleotides V. Organic compounds D. Nucleic Acids 4. Kinds • DNA Important in inheritance Codes for and directs the synthesis of proteins Regulates cell metabolism Found in nucleus Double stranded Sugar is Deoxyribose Bases are A G C T Able to self replicate DNA STRUCTURE V. Organic compounds D. Nucleic Acids 4. Kinds • RNA comes in several forms (mRNA, tRNA, rRNA) that cooperate to manufacture proteins Single stranded Found in nucleus and cytoplasm Bases are U A G C Sugar is ribose V. Organic compounds E. High Energy Compounds 1. Energy currency cells is ATP • ATP made of 3 phosphate groups attached to an adenosine (composed of adenine and ribose) E. High Energy Compounds 2. Energy is stored when P is added to ADP (energonic) E. High Energy Compounds 2. Energy is released when P is added to ADP (exergonic) E. High Energy Compounds 3. Another form, called cyclic-AMP is used as an intracellular signal.