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Copyright © John Wiley & Sons, Inc. All rights reserved.
Chapter 1
An Introduction to the
Human Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
Anatomy and Physiology
◆ Human Anatomy is the study of body structure.
• Word is derived from the Greek and means “to cut” or “cutting
backwards” (putting things together
from slices).
◆ Human Physiology is the science of body
functions.
• Including the study of homeostasis
(keeping the organs systems of
the body in balance)
Copyright © John Wiley & Sons, Inc. All rights reserved.
Anatomy and Physiology
◆ Structure and function of the body are closely related:
Structure mirrors function
▪ Bones of the skull
are heavy and secure to
protect brain function.
▪ The thin air sacs of the
lungs permit movement
of gases from the lungs to the blood.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Levels of Organization
◆ In this course, we will
study Anatomy and
Physiology by starting with
the most basic level of
organization (atoms) and
“working our way up”.
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ The chemical level of organization is discussed in Chapter 2:
▪ Atoms
▪ Inorganic Molecules (inorganic chemistry)
▪ Organic Molecules (organic chemistry)
Levels of Organization
Copyright © John Wiley & Sons, Inc. All rights reserved.
Levels of Organization
◆ The Cell is next in complexity, in fact many billions of times
more complex than molecules.
▪ Cells are the basic structural and functional units of an
organism .
Copyright © John Wiley & Sons, Inc. All rights reserved.
Levels of Organization
◆ Tissues are groups of cells that work together to perform a
similar function.
◆ While there are many different types of cells, they all work to
form 4 basic types of tissues:
▪ Epithelium
▪ Connective Tissue
▪ Muscle
▪ Nerves
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Organs are structures composed of two or more different
types of tissues (all but the simplest of organs have all 4
basic tissues represented.)
▪ Organs have specific functions
and recognizable shapes.
Levels of Organization
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ An organ system consists of related organs with a common
function. For instance, the Digestive system handles all
aspects of taking in and breaking down food, absorbing
nutrients, and eliminating wastes.
▪ It includes all the organs of the mouth,
esophagus, stomach, intestines, liver,
gallbladder, and pancreas.
▪ There are 11 organ systems in
the body.
Levels of Organization
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ An organism consists of a collection of organ systems.
▪ Six important life processes:
• Metabolism
• Responsiveness
• Movement
• Growth
• Differentiation
• Reproduction
◆ In health, all parts of the body must be functioning together
in a process called homeostasis.
Levels of Organization
Copyright © John Wiley & Sons, Inc. All rights reserved.
Essential Life Processes
◆ Metabolism is the sum of all the catabolic (breaking
down) and anabolic (building up) chemical processes that
occur in the body.
◆ Responsiveness is the body’s ability to detect and respond
to changes which might represent an opportunity… or a
threat!
▪ Decrease in body temperature
▪ Responding to sound
▪ Nerve (electrical signals) and muscle cells (contracting)
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Movement is any motion, including movement of tiny
subcellular structures, or movement inside cells or organs.
▪ Leg muscles move the body from one place to another.
◆ Growth involves an increase in body size due to an
increase in existing cells, number of cells, or both.
▪ In bone growth, materials between cells increase.
Essential Life Processes
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Differentiation is the development of a cell from an
unspecialized to specialized state. Cells have specialized
structures and functions that differ from precursor cells.
▪ Stem cells give rise to cells that undergo differentiation.
◆ Reproduction is the formation of new cells (growth, repair,
or replacement) or the production of a new individual.
Essential Life Processes
Copyright © John Wiley & Sons, Inc. All rights reserved.
Homeostasis
◆ A condition of equilibrium (balance) in the body’s internal
environment. It is a dynamic condition meant to keep body
functions in the narrow range compatible with maintaining
life.
▪ Blood glucose levels range between 70 and 110 mg of
glucose/dL of blood.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Homeostasis
◆ Body fluids are defined as dilute, watery solutions
containing dissolved chemicals inside or outside of the cell.
Maintaining the volume and composition of body fluids is
important.
▪ Intracellular Fluid (ICF) is the fluid within cells
▪ Extracellular Fluid (ECF) is the fluid outside cells
• Interstitial fluid is ECF between cells and tissues
Copyright © John Wiley & Sons, Inc. All rights reserved.
Homeostasis
◆ Some important body fluids:
▪ Blood Plasma is the ECF within blood vessels.
▪ Lymph is the ECF within lymphatic vessels.
▪ Cerebrospinal fluid (CSF) is the ECF in the brain and
spinal cord.
▪ Synovial fluid is the ECF in joints.
▪ Aqueous humor is the ECF in eyes.
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Cellular function depends on the regulation of the
composition of the interstitial fluid.
▪ Composition of interstitial fluid changes as substances
move between plasma and the interstitial fluid.
▪ Movement back and forth across capillary walls provides
nutrients (glucose, oxygen, ions) to tissue cells and
removes waste (carbon dioxide).
Homeostasis
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Control of homeostasis is constantly being challenged by:
▪ Physical insults such as intense heat or lack of oxygen
▪ Changes in the internal environment such as a drop in
blood glucose due to lack of food
▪ Physiological stress such as demands of work or school
◆ Disruptions are mild if balance is quickly restored.
◆ Intense disruptions are often prolonged and result in disease
(poisoning or severe infections) or death.
Homeostasis
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Cycle of events:
▪ Body is monitored and re-monitored.
▪ Each monitored variable is termed
a controlled condition.
◆ Three basic components:
▪ Receptor
▪ Control center
▪ Effector
Feedback System
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Negative Feedback systems:
▪ Reverses a change in a controlled condition
• Regulation of blood pressure
◆ Positive Feedback systems:
▪ Strengthens or reinforces a change in one of the body’s
controlled conditions
• Normal child birth
Feedback System
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Blood Pressure regulation is a negative feedback system.
▪ External or internal stimulus increases BP.
▪ Baroreceptors (pressure sensitive
receptors) detect higher BP and send a
nerve impulse to the brain (interpretation).
▪ Responses sent via nerve impulses
to the heart and blood vessels cause the
BP to drop (homeostasis is restored.)
Feedback System
Copyright © John Wiley & Sons, Inc. All rights reserved.
Blood Pressure Regulation
InteractionsAnimation
◆ Negative Feedback Control of Blood Pressure
You must be connected to the internet to run this
animation.
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Childbirth is an example of a positive
feedback system:
▪ Uterine contractions cause vagina to open.
▪ Stretch-sensitive receptors in cervix send
impulses to brain.
▪ Oxytocin is released into the blood.
▪ Contractions enhanced and baby pushes
farther down the uterus.
▪ Cycle continues to the birth of the
baby (no stretching).
Feedback System
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Anatomists use a common
language referring to body
structures and their functions.
▪ One key concept is the
definition of the standard
anatomical position.
▪ Other special vocabulary is
used in relating one body
part to another.
Anatomical Terminology
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Anatomical Position
▪ In the anatomical position, the subject stands
erect facing the observer with the head
level, the eyes facing forward, feet flat on
the floor directed forward, and the arms
at their sides, palms forward.
▪ All anatomical descriptions are in
reference to this position.
Anatomical Terminology
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Directional Terms
▪ Superior
▪ Inferior
▪ Above, top, toward head
▪ Below, bottom,
away from head
Anatomical Terminology
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Directional Terms
▪ Anterior (Ventral)
▪ Posterior (Dorsal)
Anatomical Terminology
Toward the front
Toward the back
Copyright © John Wiley & Sons, Inc. All rights reserved.
▪ Toward the midline
▪ Away from midline
▪ Between medial
and lateral
Anatomical Terminology
◆ Directional Terms
▪ Medial
▪ Lateral
▪ Intermediate
Copyright © John Wiley & Sons, Inc. All rights reserved.
▪ Nearest to the origination
▪ Farther from
origination
Anatomical Terminology
Directional Terms
▪ Proximal
▪ Distal
Copyright © John Wiley & Sons, Inc. All rights reserved.
▪ Same side of the body
▪ Opposite side of the body
Anatomical Terminology
Directional Terms
▪ Ipsilateral
▪ Contralateral
This arm is
ipsilateral to this leg This leg is
contralateral to
this arm
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Directional Terms
▪ Superficial
▪ Deep
▪ Towards the surface
▪ Towards the core of the body
Anatomical Terminology
Deep
Superficial Superficial
Superficial
Superficial
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Descriptive Terms
▪ Visceral
▪ Parietal
▪ Pertaining to a covering over an organ
▪ Pertaining to a covering against a
cavity wall
Anatomical Terminology
Visceral
Parietal
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Regional Names
▪ Cranial
▪ Cervical
▪ Cubital
▪ Carpal
▪ Patellar
▪ Orbital
▪ Thoracic
▪ Inguinal
▪ Skull
▪ Neck
▪ Elbow
▪ Wrist
▪ Front of knee
▪ Eye
▪ Chest
▪ Groin
Anatomical Terminology
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Regional Names
▪ Metacarpal
▪ Plantar
▪ Buccal
▪ Axillary
▪ Femoral
▪ Gluteal
▪ Tarsal
▪ Digital
or Phalangeal
• Hand/palm
• Sole of foot
• Cheek
• Armpit
• Thigh
• Buttock
• Ankle
• Toes
or Fingers
Anatomical Terminology
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Body Planes are imaginary flat surfaces that separate the
body or body part into portions. There
are three major planes at right
angles to one another:
▪ Sagittal (midline)
▪ Transverse (horizontal)
▪ Frontal (coronal)
Body Planes
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Sagittal planes divide the body into right and left sides.
▪ There is only one midsagittal plane,
and it divides the body into two
equal, mirror-image halves.
▪ There are an infinite number
of possible parasagittal planes
to the right and left of the
midsagittal that divide the
body into unequal parts.
Body Planes
Copyright © John Wiley & Sons, Inc. All rights reserved.
Body Planes
◆ Frontal or coronal planes divide the body (or an organ)
into anterior (front) and posterior
(back) portions.
◆ Transverse planes (also called
cross-sectional or horizontal
planes) divide the body into
superior (upper) and inferior
(lower) portions.
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ In addition to the right angle sagittal, coronal and transverse
planes, the body can also be
divided into an infinite number
of oblique planes that pass
through the body or organ at
an angle.
◆ Sections are cuts of the body
made along a plane.
Body Planes
Copyright © John Wiley & Sons, Inc. All rights reserved.
Body Planes
A midsagittal section of
the human brain
A frontal (or coronal)
brain section
A transverse (or horizontal)
brain section
Copyright © John Wiley & Sons, Inc. All rights reserved.
Body Cavities
◆ Embryologically, the human organs develop within two
major body cavities:
▪ The brain and spinal cord
develop in a dorsal cavity.
▪ The remaining body organs
are found in the ventral
body cavity.
◆ Both dorsal and ventral cavities
have subdivisions.
Copyright © John Wiley & Sons, Inc. All rights reserved.
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Cranial cavity is formed by the cranial bones.
▪ Protects the brain
◆ Vertebral canal is formed by bones of vertebral column.
▪ Contains the spinal cord
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Thoracic cavity is formed by the sternum, ribs, and the
thoracic portion of the bony vertebral column.
▪ Also called chest cavity
▪ Stabilized by the internal
and external muscles of
the chest
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Other cavities are contained within the thoracic cavity:
▪ Mediastinal cavity
• Located in the central part of the thoracic cavity
▪ Left and Right Pleural cavities
• Two fluid-filled spaces that surround each lung
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Pericardial cavity is itself located within the middle part of
the mediastinal cavity in the thoracic cavity (like a set of
Russian nesting dolls of decreasing size—one placed inside
the other).
▪ Fluid-filled space that
surrounds the heart
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ The pericardial cavity is shown here nestled in the middle
mediastinum:
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Abdominopelvic Cavity extends from the diaphragm to the
groin and is encircled by the abdominal wall and bones and
muscles of the pelvis.
▪ Divided into two portions:
• Abdominal cavity contains the stomach, spleen, liver,
gallbladder, small and large intestines.
• Pelvic cavity contains the urinary bladder, internal
organs of reproductive system, and portions of the large
intestine.
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
Abdominopelvic Quadrants & Regions
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Other body cavities
▪ Oral (mouth) cavity contains the tongue and teeth.
▪ Nasal cavity is part of the upper airways
▪ Orbital cavities contain the eyeballs and various nerves
and blood vessels.
▪ Middle ear cavities contain the small bones of the middle
ear.
▪ Synovial cavities are found in freely moveable joints like
the large joints of the shoulder and hip.
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Membranes of the body cavities
▪ The thoracic and abdominal body cavities are lined by
thin, slippery, double-layered membranes called serous
membranes.
▪ These membranes adhere to the outer surface of the
organs or “viscera”, and then double-back on themselves
to line the body cavity wall.
• Visceral layer covers the organs within the cavities
• Parietal layer lines the cavity walls
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Membranes of the body cavities
▪ The right and left pleural membranes are the serous
membranes that covers the lungs (visceral pleura) and the
walls of the pleural cavity (parietal pleura).
▪ The pericardial membrane is the serous membrane that
covers the heart (visceral pericardium) and the pericardial
cavity walls (parietal pericardium).
▪ The peritoneal membrane is the serous membrane that
covers the abdominal organs (visceral peritoneum) and
the abdominal cavity walls (parietal peritoneum).
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Membranes of the body cavities
Body Cavities
Copyright © John Wiley & Sons, Inc. All rights reserved.
Organ Systems of the Body
◆ Integumentary System (Chapter 5)
consists of the skin and related
structures (hair, nails, and glands).
▪ Protects body, regulates
temperature, and eliminates
wastes through sweat and other
secretions
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Skeletal System (Chapters 6-9) consists of the bones and
joints.
▪ Provides protection and support
▪ Houses cells that will
become red blood cells,
white blood cells, and
platelets
▪ Stores minerals
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Muscular System (Chapters 10-11) consists of the
named skeletal muscles, as well as
smooth muscle and cardiac muscle.
▪ Participates with the skeletal
system to facilitate movement
and maintain posture
▪ Generates the heat necessary
for warm-blooded organisms to
maintain a constant body temp.
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Nervous System (Chapters 12-17) consists of the brain,
spinal cord, nerves, and sensory
organs).
▪ Senses and responds to body
conditions through
nerve impulses
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Endocrine System (Chapter 18) consists of hormone-
producing cells and glands
scattered throughout the
body.
▪ Regulates the body
through chemical
mechanisms (by releasing
hormones into the blood)
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Cardiovascular (Chapters 19-21) consists of the heart,
blood, and blood vessels.
▪ Carries blood and nutrients to
specific locations
▪ Regulates body temperature,
and water balance
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Lymphatic System and Immunity (Chapter 22) consists of
the lymphatic fluid, lymph nodes, and lymphocytes – and the
other associated organs of
the immune system like the
tonsils, spleen and thymus gland.
▪ Filters blood and protects
against disease
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Respiratory System (Chapter 23) consists of the upper
airways, the trachea and major
bronchi, and the lungs.
▪ Extracts O2 and
eliminates CO2
▪ In conjunction with the
kidneys, regulates
acid/base balance
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
Organ Systems of the Body
◆ Digestive System (Chapter 24) consists of the esophagus,
stomach and intestines, and
the accessory digestive
glands like the salivary
glands, liver, and gallbladder.
▪ Accomplishes the physical
and chemical breakdown
of food and elimination of waste
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Urinary System (Chapter 26) consists of the kidneys,
ureters , bladder, and urethra.
▪ Involved in the collection
and excretion of waste
products in urine, and the
regulation of fluid,
electrolyte, & acid/base
balance
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Reproductive System (Chapter 28) consists of the
ovaries, uterus and vagina in the female, and the testes and
penis in the male (along with associated organs and glands
in both sexes).
▪ Reproduction of an individual or organism
Organ Systems of the Body
Copyright © John Wiley & Sons, Inc. All rights reserved.
Cavity Subdivisions Organ Associated structures
Cranial
Cranium Brain Cranial nerves
Vertebral canal Spinal cord Spinal nerves
Thyroid gland
Thoracic
Pleural Lungs
Mediastinum
Thymus
Esophagus
Trachea
Superior vena cava
Inferior vena cava
Aorta
Pericardial Heart
Diaphragm
Abdominopelvic
Abdomen
Stomach
Liver
Small intestine
Large intestine (most)
Greater omentum
Retroperitoneal Kidneys Ureters
Pelvic
Urinary bladder
Ovaries (♀)
Uterine tubes (♀)
Uterus (♀)
Testes (♂)
Major Body Organs
Copyright © John Wiley & Sons, Inc. All rights reserved.
Abdominopelvic Quadrants & Regions
◆ Identification of quadrants and regions in the
abdominopelvic cavity helps clinicians describe the
location of the many abdominal and pelvic organs.
◆ There are 4 abdominopelvic quadrants and 9 regions.
▪ The dividing lines between these are centered on the
umbilicus (“belly button”).
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Vertical and horizontal lines pass through the umbilicus
▪ Right upper quadrant (RUQ)
• liver
▪ Left upper quadrant (LUQ)
• spleen and left kidney
▪ Right lower quadrant (RLQ)
• appendix
▪ Left lower quadrants (LLQ)
• left ovary ( )
Abdominopelvic Quadrants & Regions
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Dividing the abdomen and pelvis into regions is done using a Tic-
Tac-Toe grid. It is a little more complex than using quadrants,
but is also more specific
▪ There are nine
abdominopelvic
regions
Abdominopelvic Quadrants & Regions
Copyright © John Wiley & Sons, Inc. All rights reserved.
Medical Imaging
◆ Techniques and procedures used to create images of the
human body
▪ Allow visualization of structures inside the body
▪ Diagnosis of anatomical and physiological disorders
▪ Conventional radiography (X-rays) have been in use
since the late 1940’s
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Radiography is done using X-rays to produce an image of
interior structures. They are inexpensive and quick.
▪ Hollow structures appear black or gray
▪ Do not pass easily through dense structure (bone)
◆ At low dose, useful for soft
tissue
• Mammography (breast)
• Bone densitometry (bone
density)
Medical Imaging
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Magnetic Resonance Imaging (MRI) is done using an
extremely powerful magnetic field. It is a safe procedure
but cannot be used on patients containing metal.
▪ Protons in body fluid align with field
▪ Used for differentiating normal and abnormal tissues
(tumors, brain abnormalities, blood flow)
▪ 2D and 3D color images can be viewed on a video
monitor.
Medical Imaging
Copyright © John Wiley & Sons, Inc. All rights reserved.
Medical Imaging
◆ Computed Tomography or CT-Scans are done using a
computer to organize x-rays to form a 3D image. It is used
to visualize soft tissue in more detail than conventional
radiography.
▪ Tissue intensities show
varying degrees of gray.
▪ Whole-body CT scans
expose the body to a high
dose of x-rays.
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Here are 3 cross sectional images of a
head from the Visible Human Project.
From top to bottom:
▪ Photograph of frozen, sawed head
▪ CT scan of the same level/plane
▪ MRI scan of the same level/plane
http://vhp.med.umich.edu/
Objective 10
Medical Imaging
Copyright © John Wiley & Sons, Inc. All rights reserved.
Medical Imaging
◆ Ultrasound Scanning (sonography) is done using high
frequency sound waves. It is noninvasive and painless.
▪ Because of its safety profile,
it is commonly used to
monitor the progress of
fetal development during
pregnancy.
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Radionuclide Scanning is done by giving a radioactive
substance (radionuclide) intravenously.
▪ Gamma rays emitted by tissues that take up the
radionuclide are detected by a camera and displayed on a
video monitor. The color intensity represents the amount of
uptake.
◆ Single-photo-emission
computerized tomography
(SPECT) is a specialized
form of this technique.
Medical Imaging
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆Positron Emission Tomography (PET scan) is done by
injecting a substance emitting positively charged particles
into the body. The collision between positrons and
negatively charged electron in
body tissues produce gamma rays
used to form a computer assisted
image.
▪ Used to study physiology of
body structures (metabolism)
Medical Imaging
Copyright © John Wiley & Sons, Inc. All rights reserved.
◆ Endoscopy is done using a lighted instrument with a lens
projecting an image onto a monitor.
▪ Colonoscopy is a study of the interior of the colon.
▪ Laparoscopy is a study of the organs
in the abdominopelvic cavity.
▪ Arthroscopy is a study of the
interior of a joint (knee).
Medical Imaging
Copyright © John Wiley & Sons, Inc. All rights reserved.
Clinical Connection
◆ Noninvasive Diagnostic Techniques are used to inspect
different aspects of the body:
▪ Is often done to access structure and function and to search
for the presence of disease.
• Palpation is gently touching body surfaces with hands.
• Auscultation is listening to body sounds (stethoscope).
• Percussion is tapping on the body surface with
fingertips and listening to echoes.

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Introduction To The Human Body

  • 1. Copyright © John Wiley & Sons, Inc. All rights reserved. Chapter 1 An Introduction to the Human Body
  • 2. Copyright © John Wiley & Sons, Inc. All rights reserved. Anatomy and Physiology ◆ Human Anatomy is the study of body structure. • Word is derived from the Greek and means “to cut” or “cutting backwards” (putting things together from slices). ◆ Human Physiology is the science of body functions. • Including the study of homeostasis (keeping the organs systems of the body in balance)
  • 3. Copyright © John Wiley & Sons, Inc. All rights reserved. Anatomy and Physiology ◆ Structure and function of the body are closely related: Structure mirrors function ▪ Bones of the skull are heavy and secure to protect brain function. ▪ The thin air sacs of the lungs permit movement of gases from the lungs to the blood.
  • 4. Copyright © John Wiley & Sons, Inc. All rights reserved. Levels of Organization ◆ In this course, we will study Anatomy and Physiology by starting with the most basic level of organization (atoms) and “working our way up”.
  • 5. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ The chemical level of organization is discussed in Chapter 2: ▪ Atoms ▪ Inorganic Molecules (inorganic chemistry) ▪ Organic Molecules (organic chemistry) Levels of Organization
  • 6. Copyright © John Wiley & Sons, Inc. All rights reserved. Levels of Organization ◆ The Cell is next in complexity, in fact many billions of times more complex than molecules. ▪ Cells are the basic structural and functional units of an organism .
  • 7. Copyright © John Wiley & Sons, Inc. All rights reserved. Levels of Organization ◆ Tissues are groups of cells that work together to perform a similar function. ◆ While there are many different types of cells, they all work to form 4 basic types of tissues: ▪ Epithelium ▪ Connective Tissue ▪ Muscle ▪ Nerves
  • 8. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Organs are structures composed of two or more different types of tissues (all but the simplest of organs have all 4 basic tissues represented.) ▪ Organs have specific functions and recognizable shapes. Levels of Organization
  • 9. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ An organ system consists of related organs with a common function. For instance, the Digestive system handles all aspects of taking in and breaking down food, absorbing nutrients, and eliminating wastes. ▪ It includes all the organs of the mouth, esophagus, stomach, intestines, liver, gallbladder, and pancreas. ▪ There are 11 organ systems in the body. Levels of Organization
  • 10. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ An organism consists of a collection of organ systems. ▪ Six important life processes: • Metabolism • Responsiveness • Movement • Growth • Differentiation • Reproduction ◆ In health, all parts of the body must be functioning together in a process called homeostasis. Levels of Organization
  • 11. Copyright © John Wiley & Sons, Inc. All rights reserved. Essential Life Processes ◆ Metabolism is the sum of all the catabolic (breaking down) and anabolic (building up) chemical processes that occur in the body. ◆ Responsiveness is the body’s ability to detect and respond to changes which might represent an opportunity… or a threat! ▪ Decrease in body temperature ▪ Responding to sound ▪ Nerve (electrical signals) and muscle cells (contracting)
  • 12. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Movement is any motion, including movement of tiny subcellular structures, or movement inside cells or organs. ▪ Leg muscles move the body from one place to another. ◆ Growth involves an increase in body size due to an increase in existing cells, number of cells, or both. ▪ In bone growth, materials between cells increase. Essential Life Processes
  • 13. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Differentiation is the development of a cell from an unspecialized to specialized state. Cells have specialized structures and functions that differ from precursor cells. ▪ Stem cells give rise to cells that undergo differentiation. ◆ Reproduction is the formation of new cells (growth, repair, or replacement) or the production of a new individual. Essential Life Processes
  • 14. Copyright © John Wiley & Sons, Inc. All rights reserved. Homeostasis ◆ A condition of equilibrium (balance) in the body’s internal environment. It is a dynamic condition meant to keep body functions in the narrow range compatible with maintaining life. ▪ Blood glucose levels range between 70 and 110 mg of glucose/dL of blood.
  • 15. Copyright © John Wiley & Sons, Inc. All rights reserved. Homeostasis ◆ Body fluids are defined as dilute, watery solutions containing dissolved chemicals inside or outside of the cell. Maintaining the volume and composition of body fluids is important. ▪ Intracellular Fluid (ICF) is the fluid within cells ▪ Extracellular Fluid (ECF) is the fluid outside cells • Interstitial fluid is ECF between cells and tissues
  • 16. Copyright © John Wiley & Sons, Inc. All rights reserved. Homeostasis ◆ Some important body fluids: ▪ Blood Plasma is the ECF within blood vessels. ▪ Lymph is the ECF within lymphatic vessels. ▪ Cerebrospinal fluid (CSF) is the ECF in the brain and spinal cord. ▪ Synovial fluid is the ECF in joints. ▪ Aqueous humor is the ECF in eyes.
  • 17. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Cellular function depends on the regulation of the composition of the interstitial fluid. ▪ Composition of interstitial fluid changes as substances move between plasma and the interstitial fluid. ▪ Movement back and forth across capillary walls provides nutrients (glucose, oxygen, ions) to tissue cells and removes waste (carbon dioxide). Homeostasis
  • 18. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Control of homeostasis is constantly being challenged by: ▪ Physical insults such as intense heat or lack of oxygen ▪ Changes in the internal environment such as a drop in blood glucose due to lack of food ▪ Physiological stress such as demands of work or school ◆ Disruptions are mild if balance is quickly restored. ◆ Intense disruptions are often prolonged and result in disease (poisoning or severe infections) or death. Homeostasis
  • 19. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Cycle of events: ▪ Body is monitored and re-monitored. ▪ Each monitored variable is termed a controlled condition. ◆ Three basic components: ▪ Receptor ▪ Control center ▪ Effector Feedback System
  • 20. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Negative Feedback systems: ▪ Reverses a change in a controlled condition • Regulation of blood pressure ◆ Positive Feedback systems: ▪ Strengthens or reinforces a change in one of the body’s controlled conditions • Normal child birth Feedback System
  • 21. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Blood Pressure regulation is a negative feedback system. ▪ External or internal stimulus increases BP. ▪ Baroreceptors (pressure sensitive receptors) detect higher BP and send a nerve impulse to the brain (interpretation). ▪ Responses sent via nerve impulses to the heart and blood vessels cause the BP to drop (homeostasis is restored.) Feedback System
  • 22. Copyright © John Wiley & Sons, Inc. All rights reserved. Blood Pressure Regulation InteractionsAnimation ◆ Negative Feedback Control of Blood Pressure You must be connected to the internet to run this animation.
  • 23. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Childbirth is an example of a positive feedback system: ▪ Uterine contractions cause vagina to open. ▪ Stretch-sensitive receptors in cervix send impulses to brain. ▪ Oxytocin is released into the blood. ▪ Contractions enhanced and baby pushes farther down the uterus. ▪ Cycle continues to the birth of the baby (no stretching). Feedback System
  • 24. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Anatomists use a common language referring to body structures and their functions. ▪ One key concept is the definition of the standard anatomical position. ▪ Other special vocabulary is used in relating one body part to another. Anatomical Terminology
  • 25. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Anatomical Position ▪ In the anatomical position, the subject stands erect facing the observer with the head level, the eyes facing forward, feet flat on the floor directed forward, and the arms at their sides, palms forward. ▪ All anatomical descriptions are in reference to this position. Anatomical Terminology
  • 26. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Directional Terms ▪ Superior ▪ Inferior ▪ Above, top, toward head ▪ Below, bottom, away from head Anatomical Terminology
  • 27. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Directional Terms ▪ Anterior (Ventral) ▪ Posterior (Dorsal) Anatomical Terminology Toward the front Toward the back
  • 28. Copyright © John Wiley & Sons, Inc. All rights reserved. ▪ Toward the midline ▪ Away from midline ▪ Between medial and lateral Anatomical Terminology ◆ Directional Terms ▪ Medial ▪ Lateral ▪ Intermediate
  • 29. Copyright © John Wiley & Sons, Inc. All rights reserved. ▪ Nearest to the origination ▪ Farther from origination Anatomical Terminology Directional Terms ▪ Proximal ▪ Distal
  • 30. Copyright © John Wiley & Sons, Inc. All rights reserved. ▪ Same side of the body ▪ Opposite side of the body Anatomical Terminology Directional Terms ▪ Ipsilateral ▪ Contralateral This arm is ipsilateral to this leg This leg is contralateral to this arm
  • 31. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Directional Terms ▪ Superficial ▪ Deep ▪ Towards the surface ▪ Towards the core of the body Anatomical Terminology Deep Superficial Superficial Superficial Superficial
  • 32. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Descriptive Terms ▪ Visceral ▪ Parietal ▪ Pertaining to a covering over an organ ▪ Pertaining to a covering against a cavity wall Anatomical Terminology Visceral Parietal
  • 33. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Regional Names ▪ Cranial ▪ Cervical ▪ Cubital ▪ Carpal ▪ Patellar ▪ Orbital ▪ Thoracic ▪ Inguinal ▪ Skull ▪ Neck ▪ Elbow ▪ Wrist ▪ Front of knee ▪ Eye ▪ Chest ▪ Groin Anatomical Terminology
  • 34. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Regional Names ▪ Metacarpal ▪ Plantar ▪ Buccal ▪ Axillary ▪ Femoral ▪ Gluteal ▪ Tarsal ▪ Digital or Phalangeal • Hand/palm • Sole of foot • Cheek • Armpit • Thigh • Buttock • Ankle • Toes or Fingers Anatomical Terminology
  • 35. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Body Planes are imaginary flat surfaces that separate the body or body part into portions. There are three major planes at right angles to one another: ▪ Sagittal (midline) ▪ Transverse (horizontal) ▪ Frontal (coronal) Body Planes
  • 36. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Sagittal planes divide the body into right and left sides. ▪ There is only one midsagittal plane, and it divides the body into two equal, mirror-image halves. ▪ There are an infinite number of possible parasagittal planes to the right and left of the midsagittal that divide the body into unequal parts. Body Planes
  • 37. Copyright © John Wiley & Sons, Inc. All rights reserved. Body Planes ◆ Frontal or coronal planes divide the body (or an organ) into anterior (front) and posterior (back) portions. ◆ Transverse planes (also called cross-sectional or horizontal planes) divide the body into superior (upper) and inferior (lower) portions.
  • 38. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ In addition to the right angle sagittal, coronal and transverse planes, the body can also be divided into an infinite number of oblique planes that pass through the body or organ at an angle. ◆ Sections are cuts of the body made along a plane. Body Planes
  • 39. Copyright © John Wiley & Sons, Inc. All rights reserved. Body Planes A midsagittal section of the human brain A frontal (or coronal) brain section A transverse (or horizontal) brain section
  • 40. Copyright © John Wiley & Sons, Inc. All rights reserved. Body Cavities ◆ Embryologically, the human organs develop within two major body cavities: ▪ The brain and spinal cord develop in a dorsal cavity. ▪ The remaining body organs are found in the ventral body cavity. ◆ Both dorsal and ventral cavities have subdivisions.
  • 41. Copyright © John Wiley & Sons, Inc. All rights reserved. Body Cavities
  • 42. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Cranial cavity is formed by the cranial bones. ▪ Protects the brain ◆ Vertebral canal is formed by bones of vertebral column. ▪ Contains the spinal cord Body Cavities
  • 43. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Thoracic cavity is formed by the sternum, ribs, and the thoracic portion of the bony vertebral column. ▪ Also called chest cavity ▪ Stabilized by the internal and external muscles of the chest Body Cavities
  • 44. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Other cavities are contained within the thoracic cavity: ▪ Mediastinal cavity • Located in the central part of the thoracic cavity ▪ Left and Right Pleural cavities • Two fluid-filled spaces that surround each lung Body Cavities
  • 45. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Pericardial cavity is itself located within the middle part of the mediastinal cavity in the thoracic cavity (like a set of Russian nesting dolls of decreasing size—one placed inside the other). ▪ Fluid-filled space that surrounds the heart Body Cavities
  • 46. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ The pericardial cavity is shown here nestled in the middle mediastinum: Body Cavities
  • 47. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Abdominopelvic Cavity extends from the diaphragm to the groin and is encircled by the abdominal wall and bones and muscles of the pelvis. ▪ Divided into two portions: • Abdominal cavity contains the stomach, spleen, liver, gallbladder, small and large intestines. • Pelvic cavity contains the urinary bladder, internal organs of reproductive system, and portions of the large intestine. Body Cavities
  • 48. Copyright © John Wiley & Sons, Inc. All rights reserved. Abdominopelvic Quadrants & Regions
  • 49. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Other body cavities ▪ Oral (mouth) cavity contains the tongue and teeth. ▪ Nasal cavity is part of the upper airways ▪ Orbital cavities contain the eyeballs and various nerves and blood vessels. ▪ Middle ear cavities contain the small bones of the middle ear. ▪ Synovial cavities are found in freely moveable joints like the large joints of the shoulder and hip. Body Cavities
  • 50. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Membranes of the body cavities ▪ The thoracic and abdominal body cavities are lined by thin, slippery, double-layered membranes called serous membranes. ▪ These membranes adhere to the outer surface of the organs or “viscera”, and then double-back on themselves to line the body cavity wall. • Visceral layer covers the organs within the cavities • Parietal layer lines the cavity walls Body Cavities
  • 51. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Membranes of the body cavities ▪ The right and left pleural membranes are the serous membranes that covers the lungs (visceral pleura) and the walls of the pleural cavity (parietal pleura). ▪ The pericardial membrane is the serous membrane that covers the heart (visceral pericardium) and the pericardial cavity walls (parietal pericardium). ▪ The peritoneal membrane is the serous membrane that covers the abdominal organs (visceral peritoneum) and the abdominal cavity walls (parietal peritoneum). Body Cavities
  • 52. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Membranes of the body cavities Body Cavities
  • 53. Copyright © John Wiley & Sons, Inc. All rights reserved. Organ Systems of the Body ◆ Integumentary System (Chapter 5) consists of the skin and related structures (hair, nails, and glands). ▪ Protects body, regulates temperature, and eliminates wastes through sweat and other secretions
  • 54. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Skeletal System (Chapters 6-9) consists of the bones and joints. ▪ Provides protection and support ▪ Houses cells that will become red blood cells, white blood cells, and platelets ▪ Stores minerals Organ Systems of the Body
  • 55. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Muscular System (Chapters 10-11) consists of the named skeletal muscles, as well as smooth muscle and cardiac muscle. ▪ Participates with the skeletal system to facilitate movement and maintain posture ▪ Generates the heat necessary for warm-blooded organisms to maintain a constant body temp. Organ Systems of the Body
  • 56. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Nervous System (Chapters 12-17) consists of the brain, spinal cord, nerves, and sensory organs). ▪ Senses and responds to body conditions through nerve impulses Organ Systems of the Body
  • 57. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Endocrine System (Chapter 18) consists of hormone- producing cells and glands scattered throughout the body. ▪ Regulates the body through chemical mechanisms (by releasing hormones into the blood) Organ Systems of the Body
  • 58. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Cardiovascular (Chapters 19-21) consists of the heart, blood, and blood vessels. ▪ Carries blood and nutrients to specific locations ▪ Regulates body temperature, and water balance Organ Systems of the Body
  • 59. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Lymphatic System and Immunity (Chapter 22) consists of the lymphatic fluid, lymph nodes, and lymphocytes – and the other associated organs of the immune system like the tonsils, spleen and thymus gland. ▪ Filters blood and protects against disease Organ Systems of the Body
  • 60. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Respiratory System (Chapter 23) consists of the upper airways, the trachea and major bronchi, and the lungs. ▪ Extracts O2 and eliminates CO2 ▪ In conjunction with the kidneys, regulates acid/base balance Organ Systems of the Body
  • 61. Copyright © John Wiley & Sons, Inc. All rights reserved. Organ Systems of the Body ◆ Digestive System (Chapter 24) consists of the esophagus, stomach and intestines, and the accessory digestive glands like the salivary glands, liver, and gallbladder. ▪ Accomplishes the physical and chemical breakdown of food and elimination of waste
  • 62. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Urinary System (Chapter 26) consists of the kidneys, ureters , bladder, and urethra. ▪ Involved in the collection and excretion of waste products in urine, and the regulation of fluid, electrolyte, & acid/base balance Organ Systems of the Body
  • 63. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Reproductive System (Chapter 28) consists of the ovaries, uterus and vagina in the female, and the testes and penis in the male (along with associated organs and glands in both sexes). ▪ Reproduction of an individual or organism Organ Systems of the Body
  • 64. Copyright © John Wiley & Sons, Inc. All rights reserved. Cavity Subdivisions Organ Associated structures Cranial Cranium Brain Cranial nerves Vertebral canal Spinal cord Spinal nerves Thyroid gland Thoracic Pleural Lungs Mediastinum Thymus Esophagus Trachea Superior vena cava Inferior vena cava Aorta Pericardial Heart Diaphragm Abdominopelvic Abdomen Stomach Liver Small intestine Large intestine (most) Greater omentum Retroperitoneal Kidneys Ureters Pelvic Urinary bladder Ovaries (♀) Uterine tubes (♀) Uterus (♀) Testes (♂) Major Body Organs
  • 65. Copyright © John Wiley & Sons, Inc. All rights reserved. Abdominopelvic Quadrants & Regions ◆ Identification of quadrants and regions in the abdominopelvic cavity helps clinicians describe the location of the many abdominal and pelvic organs. ◆ There are 4 abdominopelvic quadrants and 9 regions. ▪ The dividing lines between these are centered on the umbilicus (“belly button”).
  • 66. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Vertical and horizontal lines pass through the umbilicus ▪ Right upper quadrant (RUQ) • liver ▪ Left upper quadrant (LUQ) • spleen and left kidney ▪ Right lower quadrant (RLQ) • appendix ▪ Left lower quadrants (LLQ) • left ovary ( ) Abdominopelvic Quadrants & Regions
  • 67. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Dividing the abdomen and pelvis into regions is done using a Tic- Tac-Toe grid. It is a little more complex than using quadrants, but is also more specific ▪ There are nine abdominopelvic regions Abdominopelvic Quadrants & Regions
  • 68. Copyright © John Wiley & Sons, Inc. All rights reserved. Medical Imaging ◆ Techniques and procedures used to create images of the human body ▪ Allow visualization of structures inside the body ▪ Diagnosis of anatomical and physiological disorders ▪ Conventional radiography (X-rays) have been in use since the late 1940’s
  • 69. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Radiography is done using X-rays to produce an image of interior structures. They are inexpensive and quick. ▪ Hollow structures appear black or gray ▪ Do not pass easily through dense structure (bone) ◆ At low dose, useful for soft tissue • Mammography (breast) • Bone densitometry (bone density) Medical Imaging
  • 70. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Magnetic Resonance Imaging (MRI) is done using an extremely powerful magnetic field. It is a safe procedure but cannot be used on patients containing metal. ▪ Protons in body fluid align with field ▪ Used for differentiating normal and abnormal tissues (tumors, brain abnormalities, blood flow) ▪ 2D and 3D color images can be viewed on a video monitor. Medical Imaging
  • 71. Copyright © John Wiley & Sons, Inc. All rights reserved. Medical Imaging ◆ Computed Tomography or CT-Scans are done using a computer to organize x-rays to form a 3D image. It is used to visualize soft tissue in more detail than conventional radiography. ▪ Tissue intensities show varying degrees of gray. ▪ Whole-body CT scans expose the body to a high dose of x-rays.
  • 72. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Here are 3 cross sectional images of a head from the Visible Human Project. From top to bottom: ▪ Photograph of frozen, sawed head ▪ CT scan of the same level/plane ▪ MRI scan of the same level/plane http://vhp.med.umich.edu/ Objective 10 Medical Imaging
  • 73. Copyright © John Wiley & Sons, Inc. All rights reserved. Medical Imaging ◆ Ultrasound Scanning (sonography) is done using high frequency sound waves. It is noninvasive and painless. ▪ Because of its safety profile, it is commonly used to monitor the progress of fetal development during pregnancy.
  • 74. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Radionuclide Scanning is done by giving a radioactive substance (radionuclide) intravenously. ▪ Gamma rays emitted by tissues that take up the radionuclide are detected by a camera and displayed on a video monitor. The color intensity represents the amount of uptake. ◆ Single-photo-emission computerized tomography (SPECT) is a specialized form of this technique. Medical Imaging
  • 75. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆Positron Emission Tomography (PET scan) is done by injecting a substance emitting positively charged particles into the body. The collision between positrons and negatively charged electron in body tissues produce gamma rays used to form a computer assisted image. ▪ Used to study physiology of body structures (metabolism) Medical Imaging
  • 76. Copyright © John Wiley & Sons, Inc. All rights reserved. ◆ Endoscopy is done using a lighted instrument with a lens projecting an image onto a monitor. ▪ Colonoscopy is a study of the interior of the colon. ▪ Laparoscopy is a study of the organs in the abdominopelvic cavity. ▪ Arthroscopy is a study of the interior of a joint (knee). Medical Imaging
  • 77. Copyright © John Wiley & Sons, Inc. All rights reserved. Clinical Connection ◆ Noninvasive Diagnostic Techniques are used to inspect different aspects of the body: ▪ Is often done to access structure and function and to search for the presence of disease. • Palpation is gently touching body surfaces with hands. • Auscultation is listening to body sounds (stethoscope). • Percussion is tapping on the body surface with fingertips and listening to echoes.