Anatomy and Physiology Notes Unit 1: Anatomical Orientation Chapter 1: Intro to A & P Section 1.1: A&P directly affect your life Anatomy is considered the oldest medical science. It serves as the foundation for understanding all other basic life sciences, and for making common sense decisions about your own life. This course will devote considerable time to explaining how the body responds to normal and abnormal conditions and maintains homeostasis, a relatively constant internal environment. Section 1.2: Good study strategies are crucial for success Tips for success in this course: Attend all lectures, labs, and study sessions Read your lecture and lab assignments before going to class Devote a block of time each day to your A&P course Set up a study schedule and stick to it Do not procrastinate Approach the information in different ways Develop the skill of memorization, and practice it regularly As soon as you experience difficulty with the course, seek assistance CLE3251.1.1: Objectives: Distinguish between anatomy and physiology Illustrate the interconnections between anatomy and physiology using a concept map. Section 1.3: Anatomy is structure and Physiology is function 1. Anatomy: (Greek: “a cutting open”) the study of internal and external structures of the body and the physical relationships among body parts. 2. Physiology: (Greek) the study of how living organisms perform their vital functions 3. Medical terminology: a special language that involves the use of four types of word parts to construct terms related to the body in health and disease; usually derived from Greek or Latin a. Word roots: basic, meaningful parts of a term that cannot be broken down into another term with another definition b. Prefixes: word elements that are attached to the beginning of words to modify their meaning but cannot stand alone c. Suffixes: word elements or letters added to the end of a word or word part to form another term d. Combining forms: independent words or word roots that occur in combination with words, prefixes, suffixes, or other combining forms to build a new term 4. Eponym: a commemorative name for a structure or clinical condition that was originally named for a real or mythical person; usually named after the person who discovered it or the most famous victim 5. International Anatomical Terminology (Terminologia Anatomica, or TA): serves as the international standard for anatomical vocabulary CLE3251.1.2: Objectives: Investigate the interrelationship between the structures and functions of the body systems. Sequence the levels of structural organization from the molecular level through the organismic level. Classify organ systems of the body as either: Protection, support and movement; regulation and integration; transport; absorption and excretion. Identify the major organs and describe the functions of each body system Section 1.4: Anatomy and Physiology are closely integrated 1. All specific functions are performed by specific structures. Anatomy explains key structural relationships, how each structure is attached to one another. Physiology explains functional relationships between the structures, how each structure works in relation to another to complete specific processes. 2. Two degrees of anatomical detail: a. Gross anatomy (AKA Macroscopic anatomy): involves the examination of relatively large structures and features usually visible with the unaided eye. i. Surface anatomy: the study of general form and superficial markings ii. Regional anatomy: anatomical organization of specific areas of the body (i.e. head, neck, abdomen) iii. Systemic anatomy: the study of the structure of organ systems iv. Developmental anatomy: describes the changes in form that occur between conception and physical maturity v. Clinical anatomy: includes a number of subspecialties that are important in clinical practice (i.e. pathological anatomy, radiographic anatomy, surgical anatomy) b. Microscopic anatomy: deals with structures that cannot be seen without magnification, and thus the boundaries are established by the limits of the equipment used. i. Cytology: the analysis of the internal structure of individual cells, which are the simplest units of life ii. Histology: the examination of tissues, which are groups of specialized cells and cell products that work together to perform specific functions. 3. Four divisions of study within physiology: a. Cell physiology: the study of the functions of cells at the chemical and molecular levels b. Organ physiology: the study of functions of specific organs c. Systemic physiology: the study of the functions of specific organ systems d. Pathological physiology: the study of the effects of diseases on organ or system functions Section 1.5: Levels of organization progress from molecules to a complete organism 1. Interdependent levels of organization a. Chemical / Molecular level: Atoms, the smallest stable units of matter, can combine to form molecules with complex shapes, which will determine the function of the molecules. b. Cellular level: Molecules interact to form various types of organelles, each with specific functions. c. Tissue level: A tissue is a group of cells working together to perform one or more specific functions. d. Organ level: Organs consist of two or more tissues working in combination to perform several functions. e. Organ system level: Organs interact in organ systems f. Organism level: The highest level of organization. All organ systems of the body must work together to maintain the life and health of the organism. 2. The body can be divided into 11 organ systems, but all work together and the boundaries between them are not absolute. Figure 1-2 introduces these systems, their major organs, and functions. a. Integumentary system g. Lymphoid system b. Skeletal system h. Respiratory system c. Muscular system i. Digestive system d. Nervous system j. Urinary system e. Endocrine system k. Reproductive system (Male) f. Cardiovascular system l. Reproductive system (Female) CLE3251.1.5: Objectives: Describe the body mechanisms that maintain homeostasis. Provide examples of bodily mechanisms that serve to maintain homeostasis. Explain how the body regulates temperature, blood carbon dioxide levels, and blood glucose levels. Section 1.6: Homeostasis is the tendency toward internal balance 1. Homeostasis: the existence of a stable environment; maintaining this is vital to an organism’s survival; failure to maintain homeostasis soon leads to illness or even death 2. Homeostatic regulation: the adjustment of physiological systems to preserve homeostasis; involves two mechanisms: a. Autoregulation (AKA intrinsic regulation): occurs when a cell, tissue, organ, or system adjusts its activities automatically in response to some environmental change. b. Extrinsic regulation: results from the activities of the nervous system or endocrine system, two organ systems that control or adjust the activities of many other systems simultaneously 3. The function of homeostatic regulation is to always keep the characteristics of the internal environment within certain limits. A homeostatic regulatory mechanism consists of three parts: a. Receptor: a sensor that is sensitive to a particular environmental change, or stimulus b. Control center: (aka integration center) receives and processes the information supplied by the receptor and sends out commands c. Effector: a cell or organ that responds to the commands of the control center and whose activity either opposes or enhances the stimulus Section 1.7: Negative feedback opposes variations from normal, whereas positive feedback exaggerates them 1. Negative feedback: A corrective mechanism that opposes or negates a variation from normal limits; provide long-term control over the body’s internal conditions (maintain homeostasis) by counteracting the effects of a stimulus. a. Thermoregulation: the control of body temperature; where the relationship between heat loss (occurs at body surface) and heat production (occurs in all active tissues) is altered. i. Figure 1-4: Negative feedback in the control of body temperature ii. A control center in the brain (the hypothalamus) functions as a thermostat with a set point of 37° C. If body temperature exceeds 37.2°C, heat loss is increased through enhanced blood flow to the skin and increased sweating. iii. The thermoregulatory center keeps body temperature oscillating within an acceptable range, usually between 36.7° and 37.2°C. iv. “Normal is relative”… depending on genetic factors, age, gender, general health, environmental conditions, activity levels. 95% of people fall within “normal” range, but there is always the 5% whose “abnormality” is “normal”… 2. Positive feedback: A mechanism that increases a deviation from normal limits after an initial stimulus, rather than opposing it; amplifies or reinforces the effects of a stimulus; typically found when a potentially dangerous or stressful process must be completed quickly before homeostasis can be restored. a. Useful because it is used in processes that must move quickly to completion i. Blood clotting: positive feedback accelerates the clotting process until a blood clot forms and stops the bleeding. 1. Immediate danger from a severe cut is loss of blood, which can lower blood pressure and reduce the efficiency of the heart. The body’s response to blood loss is diagrammed in Figure 1-5. b. Harmful in situations when a stable condition must be maintained, because it tends to increase any departure from the desired condition. i. Positive feedback in Regulation of body temperature: would cause a slight fever to spiral out of control, with fatal results. This is why most physiological systems are regulated by negative feedback, which opposes any departure from the norm. 3. When homeostasis fails, organ systems function less efficiently or even malfunction. The result is the state that we call disease. If the situation is not corrected, then death can result. a. Disease: an impairment of the normal state of a living organism’s body or one of its parts that interrupts or modifies the performance of the vital functions, is typically manifested by distinguishing signs and symptoms, and is a response to environmental factors (as malnutrition, industrial hazards, or climate), to specific infective agents (as worms, bacteria, or viruses), to inherent defects of the organism (as genetic anomalies), or to combinations of these factors 4. Table 1-1: Identifies the roles of various organ systems in regulating several important physiological characteristics that are subject to homeostatic control. Note that in each case such regulation involves several organ systems. 5. State of Equilibrium: exists when opposing processes or forces are in balance. The body always tries to maintain equilibrium because the failure to do so leads to disease and/or death. Each physiological system functions to maintain a state of equilibrium that keeps vital conditions within normal limits. Any adjustments made by one physiological system have direct and indirect effects on a variety of other systems. a. When the body continuously adapts, utilizing homeostatic systems, it is said to be in a state of dynamic equilibrium. CLE3251.1.4: Objectives: Use correct anatomical terminology when discussing body structures, sections, and regions. Apply correct terminology to reference anatomical orientation. Section 1.8: Anatomical terms describe body regions, anatomical positions and directions, and body sections 1. Superficial anatomy: involves locating structures on or near the body surface a. Palpable structures: anatomical landmarks i. Anatomical position: an individual is standing, with the hands at the sides, palms facing forward, and feet together 1. Anterior view: anatomical position as seen from the front 2. Posterior view: anatomical position as seen from the back 3. Supine: anatomical position, lying down, face up 4. Prone: anatomical position, lying down, face down b. Anatomical regions: specific areas used for reference purposes (lines dividing the regions resemble a tic-tac-toe game) i. Table 1-2: Identifies regions of the human body; See also Figure 1-6 ii. Abdominopelvic quadrants: (Figure 1-7a)formed by a pair of imaginary perpendicular lines that intersect at the umbilicus (navel); provides useful references for the description of aches, pains, and injuries, which can help physicians locate and determine the possible cause; right upper quadrant (RUQ), right lower quadrant (RLQ), left upper quadrant (LUQ), left lower quadrant(LLQ) iii. Abdominopelvic regions: (Figure 1-7b) nine precise and specific descriptions that help more closely identify the location and orientation of internal organs; epigastric, umbilical, hypogastric (pubic), right hypochondriac, left hypochondriac, right lumbar, left lumbar, right inguinal, left inguinal iv. Figure 1-7c: shows the relationship between the Abdominopelvic quadrants and regions and the locations of the internal organs c. Anatomical directions (Figure 1-8 and Table 1-3): i. Left and right: always refers to the left and right side of the subject, NOT of the observer ii. Ventral: belly side; same as anterior iii. Dorsal: behind; same as posterior iv. Cranial / cephalic: head v. Superior: above; at a higher level (toward the head in humans) vi. Caudal: tail (coccyx in humans) vii. Inferior: below; at a lower level viii. Medial: toward the middle; toward the body’s longitudinal axis; toward the midsagittal plane ix. Lateral: away from the middle; away from the body’s longitudinal axis; away from the midsagittal plane x. Proximal: toward an attached base xi. Distal: away from an attached base xii. Superficial: at, near, or relatively close to the body surface xiii. Deep: farther from the body surface 2. Sectional Anatomy: sectioning off a 3-D object to see internal organization a. Sectional planes (Figure 1-9 and Table 1-4): plane: an axis; section: a single view or slice along a plane; three planes are necessary for describing any 3-D object i. Transverse plane (AKA horizontal): lies at right angles to the long axis of the body, dividing it into superior and inferior portions 1. Transverse section: a cross section of the transverse plane ii. Frontal plane: (AKA coronal plane) extends from side to side, dividing the body into anterior and posterior portions 1. Coronal: usually refers to sections passing through the skull iii. Sagittal plane: extends from the front to back, dividing the body into left and right portions 1. Midsagittal section (AKA median section): A cut the passes along the midline and divides the body into left and right halves 2. Parasagittal section: a cut that runs parallel to the midsagittal line, but separates the body into unequal left and right portions CLE3251.1.3: Objectives: Investigate the body cavities, the subdivisions of each cavity, and the organs within each area. Identify and label the body cavities including the subdivisions and organs of each Section 1.9: Body Cavities protect internal organs and allow them to change shape. 1. Two functions of body cavities: a. Protect delicate organs from accidental shocks, and cushion them from the thumps and bumps that occur when we walk, jump, or run b. Permit significant changes in the size and shape of internal organs (expand and contract without distorting surrounding tissues or disrupting the activities of nearby organs) 2. Viscera: Organs in the ventral body cavity a. Visceral: pertaining to the viscera or their outer coverings b. Serous membrane: a delicate layer that lines the walls of these internal cavities and covers surfaces of the enclosed viscera i. Visceral layer: the portion of a serous membrane that covers a visceral organ ii. Parietal layer: the opposing layer that lines the inner surface of the body wall or chamber 3. Ventral body cavity (AKA coelom): appears early in embryonic development and contains most vital organs. As these organs develop, their relative positions change, which causes a subdivision in the ventral body cavity divided by the diaphragm: a flat sheet of respiratory muscle that separates the thoracic cavity from the Abdominopelvic cavity a. Thoracic cavity: superior position, surrounded by chest wall and diaphragm i. Right pleural cavity: surrounds right lung ii. Mediastinum: contains the trachea, esophagus, and major vessels 1. Pericardial cavity: surrounds the heart; allows the heart to expand and contract during beats a. Pericardium: the serous membrane surrounding the heart b. Parietal pericardium: the opposing layer that lines the pericardial cavity c. These linings prevents friction between the heart and adjacent structures in the thoracic cavity iii. Left pleural cavity: surrounds left lung iv. Pleura: the serous membrane lining a pleural cavity 1. Visceral pleura: covers the outer surfaces of a lung 2. Parietal pleura: covers the mediastinal surface and the inner body wall b. Abdominopelvic cavity: extends from the diaphragm to the pelvis i. Peritoneal cavity: a chamber lined by a serous membrane known as the peritoneum, and the parietal peritoneum, which lines the inner surface of the body wall 1. Allows the organs of the digestive system to slide across one another without damage to themselves or the walls of the cavity. (Makes the gurgling sound produced when the contraction of a digestive organ produces a movement of liquid or gas) ii. Abdominal cavity: superior portion that extends from the bottom of the diaphragm to the level of the superior margins of the pelvis. 1. Contains the liver, stomach, spleen, small intestine, and most of the large intestine (Figure 1-7c) 2. Retroperitoneal: organs that lie behind the peritoneal lining, near the muscular wall of the abdominal cavity a. Kidneys and pancreas iii. Pelvic cavity: Inferior portion; contains the distal portion of the large intestine, urinary bladder, and reproductive organs CH 1, Page 10-11, Figure 1-2: Create a table identifying the organ systems, the major organs of each system, and the functions of the organ system Organ System Integumentary Skeletal Muscular Nervous Endocrine Cardiovascular Major Organs Skin Hair Sweat glands Nails Bones Cartilages Associated ligaments Bone marrow Skeletal muscles Cardiac muscles Smooth muscles Associated tendons Brain Spinal Cord Peripheral nerves Sense organs Pituitary gland Thyroid gland Pancreas Suprarenal glands Gonads (testes/ovaries) Endocrine tissues in other systems Heart Blood Blood vessels Lymphoid Respiratory Continued next page… Spleen Thymus Lymphatic vessels Lymph nodes Tonsils Nasal cavities Sinuses Larynx Trachea Bronchi Lungs Alveoli Functions Protects against environmental hazards Helps regulate body temp Provides sensory information Provides support and protection for other tissues Stores calcium and other minerals Forms blood cells Provides movement Provides protection and support for other tissues Generates heat that maintains body temp Directs immediate responses to stimuli Coordinates or moderates activities of other organ systems Provides and interprets sensory info about external conditions Directs long-term changes in the activities of other organ systems Adjusts metabolic activity and energy use by the body Controls many structural and functional changes during development Distributes blood cells, water, and dissolved materials, including waste products, oxygen, and carbon dioxide Distributes heat and assists in control of body temp Defends against infection and disease Returns tissue fluids to the bloodstream Delivers air to alveoli (site in lungs where gas exchange occurs) Provides oxygen to bloodstream Removes carbon dioxide from bloodstream Produces sounds for communication Digestive Urinary Reproductive (Male) Reproductive (Female) Teeth Tongue Pharynx Esophagus Stomach Small intestine Large intestine Liver Gallbladder Pancreas Kidneys Ureters Urinary bladder Urethra Testes Epididymides Ductus deferens Seminal vesicles Prostate gland Penis Scrotum Ovaries Uterine tubes Uterus Vagina Labia Clitoris Mammary glands Processes and digests food Absorbs and conserves water Absorbs nutrients (ions, water, and the breakdown products of dietary sugars, proteins, and fats) Stores energy reserves Excretes waste products from the blood Controls water balance by regulating volume of urine produced Stores urine prior to voluntary elimination Regulates blood ion concentrations and pH Produces male sex cells (sperm), suspending fluids, and hormones Sexual intercourse Produces female sex cells (oocytes) and hormones Supports developing embryo from contraception to delivery Provides milk to nourish newborn infant Sexual intercourse