CHAPTER 1 PART 1 THE HUMAN BODY: AN ORIENTATION Overview of Anatomy and Physiology Anatomy Study of the structure of body parts and their relationship to one another Subdivisions: Gross or macroscopic (e.g., regional, systemic, and surface anatomy) Microscopic (e.g., cytology and histology) Developmental (e.g., embryology) Overview of Anatomy and Physiology Physiology Study of the function of the body parts Subdivisions based on organ systems (e.g., renal or cardiovascular physiology) Often focuses on cellular and molecular level Body's abilities depend on chemical reactions in individual cells 1 Principle of Complementarity Anatomy and physiology are inseparable Function What always reflects structure a structure can do depends on its specific form Known as the principle of complementarity of structure and function Complementarity of Structure and Function Figure 1.1 Complementarity of structure and function. Structural Organization Human body is very organized, from the smallest chemical level to whole organism level: Chemical level: atoms, molecules, and organelles Cellular level: single cell Tissue level: groups of similar cells Organ level: contains two or more types of tissues Organ system level: organs that work closely together Organismal level: all organ systems combined to make the whole organism 2 Structural Organization Human body is very organized, from the smallest chemical level to whole organism level: Chemical Atoms and molecules (chapter 2); and organelles (chapter 3) Cellular Cells (chapter 3) Tissue Organ Organ System Organismal Groups of similar cells (chapter 4) Contains two or more types of tissues Organs that work closely together All organ systems Levels of Structural Organization (1 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved Levels of Structural Organization (2 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved 3 Levels of Structural Organization (3 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved Levels of Structural Organization (4 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved Levels of Structural Organization (5 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved 4 Levels of Structural Organization (6 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved Levels of Structural Organization (7 of 7) Figure 1.2 Levels of structural organization. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved Requirements for Life Necessary Life Functions: Maintaining boundaries Movement Responsiveness Digestion Metabolism Dispose of wastes Reproduction Growth 5 Necessary Life Functions Maintaining boundaries between internal and external environments Plasma membranes Skin Movement (contractility) -Muscular system allows movement Of Of body parts (skeletal muscle) substances (cardiac and smooth muscle) Necessary Life Functions Responsiveness Ability to sense and respond to stimuli reflex Control of breathing rate Withdrawal Digestion Breakdown Absorption of ingested foodstuffs of simple molecules into blood Necessary Life Functions Metabolism All chemical reactions that occur in body cells and anabolism Catabolism Excretion Removal Urea, of wastes from metabolism and digestion carbon dioxide, feces 6 Necessary Life Functions Reproduction Cellular division for growth or repair (cell level) of offspring (organismal level) Production Growth Increase in size of a body part or of organism Interdependence of Body Cells Humans are multicellular To function, must keep individual cells alive cells depend on organ systems to meet their survival needs All All body functions spread among different organ systems Organ systems cooperate to maintain life Note major organs and functions of the 11 organ systems (fig. 1.4) Figure 1.4 Examples of interrelationships among body organ systems. Digestive system Takes in nutrients, breaks them down, and eliminates unabsorbed matter (feces) Respiratory system Takes in oxygen and eliminates carbon dioxide Food 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 Heart Nutrients Interstitial fluid CO2 O2 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 Urine from the external environment 7 Figure 1.4a The body’s organ systems and their major functions. Hair Skin Nails 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. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4b The body’s organ systems and their major functions. Bones Joint 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. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4c The body’s organ systems and their major functions. Skeletal muscles Muscular System Allows manipulation of the environment, locomotion, and facial expression. Maintains posture, and produces heat. © 2016, 2016, 2013 Pearson Education, Inc. 8 Figure 1.4d The body’s organ systems and their major functions. Brain Spinal cord Nerves Nervous System As the fast-acting control system of the body, it responds to internal and external changes by activating appropriate muscles and glands. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4e The body’s organ systems and their major functions. Pineal gland Thyroid gland Pituitary gland Thymus Adrenal gland Pancreas Testis Ovary Endocrine System Glands secrete hormones that regulate processes such as growth, reproduction, and nutrient use (metabolism) by body cells. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4f The body’s organ systems and their major functions. Heart Blood vessels Cardiovascular System Blood vessels transport blood, which carries oxygen, carbon dioxide, nutrients, wastes, etc. The heart pumps blood. © 2016, 2016, 2013 Pearson Education, Inc. 9 Figure 1.4g The body’s organ systems and their major functions. Red bone marrow Thymus Lymphatic vessels Thoracic duct Spleen Lymph nodes 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. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4h The body’s organ systems and their major functions. Nasal cavity Pharynx Larynx Trachea Bronchus Lung 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. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4i The body’s organ systems and their major functions. Oral cavity Esophagus Liver Stomach Small intestine Large intestine Rectum Anus Digestive System Breaks down food into absorbable units that enter the blood for distribution to body cells. Indigestible foodstuffs are eliminated as feces. © 2016, 2016, 2013 Pearson Education, Inc. 10 Figure 1.4j The body’s organ systems and their major functions. Kidney Ureter Urinary bladder Urethra Urinary System Eliminates nitrogenous wastes from the body. Regulates water, electrolyte, and acid-base balance of the blood. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4k The body’s organ systems and their major functions. Prostate Penis Testis Ductus deferens Scrotum 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. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.4l The body’s organ systems and their major functions. Mammary glands (in breasts) Ovary Uterus Vagina Uterine tube Female 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. © 2016, 2016, 2013 Pearson Education, Inc. 11 Survival Needs Appropriate amounts necessary for life Too little or too much harmful Nutrients Oxygen Water Normal body temperature Appropriate atmospheric pressure Survival Needs Nutrients Chemicals for energy and cell building fats, proteins, minerals, vitamins Carbohydrates, Oxygen Essential for energy release (ATP production) Survival Needs Water Most abundant chemical in body Environment of chemical reactions Fluid base for secretions and excretions Normal body temperature 37° C Affects rate of chemical reactions Appropriate atmospheric pressure For adequate breathing and gas exchange in lungs 12 Homeostasis Homeostasis Maintenance of relatively stable internal conditions despite continuous changes in environment A dynamic state of equilibrium Maintained by contributions of all organ systems Homeostatic Control Mechanisms Involve continuous monitoring and regulation of all factors that can change (variables) Communication necessary for monitoring and regulation Functions of nervous and endocrine systems Nervous and endocrine systems, as well as other systems, play a major role in maintaining homeostasis Components of a Control Mechanism Homeostatic control of variables involves three components: receptor, control center, and effector Receptor (sensor) Monitors environment Responds to stimuli (something that causes changes in controlled variables) Control center Determines set point at which variable is maintained Receives input from receptor Determines appropriate response 13 Components of a Control Mechanism (cont’d) Effector Receives output from control center Provides the means to respond Response either reduces (negative feedback) or enhances stimulus (positive feedback) Homeostatic Controls • Example of negative feedback: – Receptors sense increased blood glucose (blood sugar) – Pancreas (control center) secretes insulin into the blood – Insulin causes body cells (effectors) to absorb more glucose, which decreases blood glucose levels Negative Feedback Most feedback mechanisms in body Response reduces or shuts off original stimulus Examples Variable changes in opposite direction of initial change Regulation of body temperature (a nervous system mechanism) Regulation of blood volume by ADH (an endocrine system mechanism) 14 Slide 1 Figure 1.5 Interactions among the elements of a homeostatic control system maintain stable internal conditions. 3 Input: Information sent along afferent pathway to control center. 2 Receptor Receptor Control Center Afferent pathway Efferent pathway 4 Output: Information sent along efferent pathway to effector. Effector detects change. 1 Stimulus produces change in variable. BALANCE 5 Response of effector feeds back to reduce the effect of stimulus and returns variable to homeostatic level. © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.5 Interactions among the elements of a homeostatic control system maintain stable internal conditions. 1 Stimulus produces change in variable. Slide 2 BALANCE © 2016, 2016, 2013 Pearson Education, Inc. Figure 1.5 Interactions among the elements of a homeostatic control system maintain stable internal conditions. 2 Receptor detects change. Slide 3 Receptor 1 Stimulus produces change in variable. BALANCE © 2016, 2016, 2013 Pearson Education, Inc. 15 Slide 4 Figure 1.5 Interactions among the elements of a homeostatic control system maintain stable internal conditions. 3 Input: Information sent along afferent pathway to control center. 2 Receptor detects change. Receptor 1 Stimulus produces change in variable. Control Center Afferent pathway BALANCE © 2016, 2016, 2013 Pearson Education, Inc. Slide 5 Figure 1.5 Interactions among the elements of a homeostatic control system maintain stable internal conditions. 3 Input: Information sent along afferent pathway to control center. 2 Receptor Receptor Control Center Afferent pathway Efferent pathway 4 Output: Information sent along efferent pathway to effector. Effector detects change. 1 Stimulus produces change in variable. BALANCE © 2016, 2016, 2013 Pearson Education, Inc. Slide 6 Figure 1.5 Interactions among the elements of a homeostatic control system maintain stable internal conditions. 3 Input: Information sent along afferent pathway to control center. 2 Receptor Receptor Control Center Afferent pathway Efferent pathway detects change. 1 Stimulus produces change in variable. BALANCE 4 Output: 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. © 2016, 2016, 2013 Pearson Education, Inc. 16 Figure 1.6 Body temperature is regulated by a negative feedback mechanism. Control Center (thermoregulatory center in brain) Afferent pathway 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 Body temperature rises BALANCE Stimulus: Heat Stimulus: Cold Response Body temperature rises; stimulus ends Body temperature falls Receptors Temperature-sensitive cells in skin and brain Effectors Skeletal muscles Shivering begins Efferent pathway Afferent pathway Control Center (thermoregulatory center in brain) © 2016, 2016, 2013 Pearson Education, Inc. Negative Feedback: Regulation of Blood Volume by ADH Receptors sense decreased blood volume Control center in hypothalamus stimulates pituitary gland to release antidiuretic hormone (ADH) ADH causes kidneys (effectors) to return more water to the blood Positive Feedback Response enhances or exaggerates original stimulus May exhibit a cascade or amplifying effect Usually controls infrequent events that do not require continuous adjustment Enhancement of labor contractions by oxytocin (chapter 28) Platelet plug formation and blood clotting 17 A Positive Feedback Mechanism Regulates Formation of a Platelet Plug (1 of 5) Figure 1.7 A positive feedback mechanism regulates formation of a platelet plug. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved A Positive Feedback Mechanism Regulates Formation of a Platelet Plug (2 of 5) Figure 1.7 A positive feedback mechanism regulates formation of a platelet plug. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved A Positive Feedback Mechanism Regulates Formation of a Platelet Plug (3 of 5) Figure 1.7 A positive feedback mechanism regulates formation of a platelet plug. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved 18 A Positive Feedback Mechanism Regulates Formation of a Platelet Plug (4 of 5) Figure 1.7 A positive feedback mechanism regulates formation of a platelet plug. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved A Positive Feedback Mechanism Regulates Formation of a Platelet Plug (5 of 5) Figure 1.7 A positive feedback mechanism regulates formation of a platelet plug. Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved Homeostatic Imbalance Disturbance of homeostasis Increases risk of disease Contributes to changes associated with aging Control systems less efficient If negative feedback mechanisms overwhelmed Destructive positive feedback mechanisms may take over (e.g., heart failure) 19 CHAPTER 1 PART 2 THE HUMAN BODY: AN ORIENTATION Anatomical Position Standard anatomical body position Body erect slightly apart Palms facing forward Feet Thumbs point away from body Always use directional terms as if body is in anatomical position Right and left refer to body being viewed, not those of observer Table 1.1-1 Orientation and Directional Terms Table 1.1-1 Orientation and Directional Terms 20 Table 1.1-2 Orientation and Directional Terms Table 1.1-2 Orientation and Directional Terms Table 1.1-3 Orientation and Directional Terms Table 1.1-3 Orientation and Directional Terms Regional Terms Two major divisions of body Axial Head, neck, and trunk Appendicular Limbs Regional terms designate specific areas within body divisions 21 Figure 1.7a Regional terms used to designate specific body areas. Cephalic Frontal Orbital Nasal Oral Mental Cervical Upper limb Acromial Brachial (arm) Antecubital Thoracic Sternal Axillary Mammary Antebrachial (forearm) Carpal (wrist) Abdominal Umbilical Manus (hand) Pelvic Inguinal (groin) Palmar Pollex Digital Lower limb Coxal (hip) Femoral (thigh) Patellar Pubic (genital) Crural (leg) Fibular or peroneal Pedal (foot) Tarsal (ankle) Thorax Abdomen Metatarsal Digital Hallux © 2016 Pearson Education, Inc. Anterior/Ventral Figure 1.7b Regional terms used to designate specific body areas. Cephalic Otic Occipital (back of head) Upper limb Acromial Brachial (arm) Cervical Olecranal Antebrachial (forearm) Back (dorsal) Scapular Vertebral Lumbar Manus (hand) Metacarpal Sacral Gluteal Digital Perineal (between anus and external genitalia) Lower limb Femoral (thigh) Popliteal Sural (calf) Fibular or peroneal Pedal (foot) Calcaneal Back (Dorsum) Plantar Posterior/Dorsal © 2016 Pearson Education, Inc. Anatomical Variability Humans differ externally and internally 90% of all structures present in body match description in textbook Nerve or blood vessel may be out of place Small muscle may be missing Extreme variations inconsistent with life 22 Body Planes and Sections Body plane Flat surface along which body or structure may be cut for anatomical study – Three most common planes: • Sagittal plane • Frontal (coronal) plane • Transverse (horizontal) plane Sections Cuts or sections made along a body plane Sagittal Plane Sagittal plane Divides body vertically into right and left parts a sagittal section if cut along this plane Produces Midsagittal (median) plane Lies on midline Parasagittal plane • Cut was off-centered, not on midline Body Planes Frontal (coronal) plane Divides body vertically into anterior and posterior parts Produces a frontal or coronal section Transverse (horizontal) plane Divides body horizontally (90° to vertical plane) into superior and inferior parts Produces a cross section Oblique section Result of cuts at angle other than 90° to vertical plane 23 Figure 1.8 Planes of the body with corresponding magnetic resonance imaging (MRI) scans. Median (midsagittal) plane Vertebral column Frontal (coronal) plane Right lung Rectum Intestines Liver Heart Left lung Stomach Transverse plane Liver Spleen Aorta Pancreas Spleen Spinal Subcutaneous © 2016 Pearson Education, Inc. cord fat layer Body Cavities Two sets of internal body cavities Closed to environment Provide different degrees of protection to organs Dorsal body cavity Ventral body cavity Dorsal Body Cavity Protects nervous system Two subdivisions: Cranial cavity Encases brain Vertebral cavity Encases spinal cord 24 Figure 1.9 Dorsal and ventral body cavities and their subdivisions. Cranial cavity Cranial cavity (contains brain) Vertebral cavity Dorsal body cavity Thoracic cavity (contains heart and lungs) Vertebral cavity (contains spinal cord) Superior mediastinum Pleural cavity Pericardial cavity within the mediastinum Diaphragm Abdominal cavity (contains digestive viscera) Abdominopelvic cavity Ventral body cavity (thoracic and abdominopelvic cavities) Pelvic cavity (contains urinary bladder, reproductive organs, and rectum) Dorsal body cavity Ventral body cavity Lateral view Anterior view © 2016 Pearson Education, Inc. Ventral Body Cavity Houses internal organs (viscera) Two subdivisions (separated by diaphragm) Thoracic cavity Abdominopelvic cavity Ventral Body Cavity Thoracic cavity subdivisions Two pleural cavities Each houses a lung Mediastinum Contains pericardial cavity Surrounds thoracic organs (i.e. trachea, esophagus, etc.) Pericardial cavity Encloses heart 25 Ventral Body Cavity Abdominopelvic cavity subdivisions Abdominal Pelvic cavity Contains stomach, intestines, spleen, and liver cavity Contains urinary bladder, reproductive organs, and rectum Figure 1.9 Dorsal and ventral body cavities and their subdivisions. Cranial cavity Cranial cavity (contains brain) Dorsal body cavity Vertebral cavity Thoracic cavity (contains heart and lungs) Vertebral cavity (contains spinal cord) Dorsal body cavity Ventral body cavity Superior mediastinum Pleural cavity Pericardial cavity within the mediastinum Diaphragm Abdominal cavity (contains digestive viscera) Abdominopelvic cavity Ventral body cavity (thoracic and abdominopelvic cavities) Pelvic cavity (contains urinary bladder, reproductive organs, and rectum) Lateral view Anterior view © 2016 Pearson Education, Inc. Clinical – Homeostatic Imbalance 1.1 Whereas the pelvic bones provide limited protection to the pelvic cavity, the walls of abdominal cavity are formed by muscle only, so organs in this area are most vulnerable to trauma © 2016 Pearson Education, Inc. 26 Membranes in Ventral Body Cavity Serous membrane or serosa Thin, double-layered membranes Parietal serosa lines internal body cavity walls Visceral serosa covers internal organs (viscera) Layers separated by slit-like cavity filled with serous fluid Fluid secreted by both layers of membrane Serous Membranes Named for specific cavity and organs with which associated Each has parietal and visceral layers Pericardium Pleurae Peritoneum Heart Lungs Abdominopelvic cavity Figure 1.10 Serous membrane relationships. Outer balloon wall (comparable to parietal serosa) Air (comparable to serous cavity) Inner balloon wall (comparable to visceral serosa) A fist thrust into a flaccid balloon demonstrates the relationship between the parietal and visceral serous membrane layers. Heart Parietal pericardium Pericardial space with serous fluid Visceral pericardium The serosae associated with the heart. © 2016 Pearson Education, Inc. 27 Clinical – Homeostatic Imbalance 1.2 Serous membranes can become inflamed as a result of infection or other causes Normally smooth layers can become rough and even can stick together, resulting in excruciating pain Examples: pleurisy and peritonitis © 2016 Pearson Education, Inc. Abdominopelvic Quadrants Divisions used primarily by medical personnel Quadrants are divisions used primarily by medical personnel Abdominopelvic region is sectioned into quarters Right upper quadrant (RUQ) Left upper quadrant (LUQ) Right lower quadrant (RLQ) Left lower quadrant (LLQ) Figure 1.11 The four abdominopelvic quadrants. Right upper quadrant (RUQ) Left upper quadrant (LUQ) Right lower quadrant (RLQ) Left lower quadrant (LLQ) © 2016 Pearson Education, Inc. 28 Abdominopelvic Regions Nine divisions used primarily by anatomists. Right hypochondriac region Epigastric region Left hypochondriac region Right lumbar region Umbilical region Left lumber region Right Iliac (inguinal) region Hypogastric region Left iliac (inguinal) region Figure 1.12 The nine abdominopelvic regions. Liver Right hypochondriac region Right lumbar region Epigastric region Umbilical region Left hypochondriac region Left lumbar region Gallbladder Ascending colon of large intestine Small intestine Cecum Right iliac (inguinal) region Hypogastric (pubic) region Left iliac (inguinal) region Nine regions delineated by four planes Appendix Diaphragm Spleen Stomach Transverse colon of large intestine Descending colon of large intestine Initial part of sigmoid colon Urinary bladder Anterior view of the nine regions showing the superficial organs © 2016 Pearson Education, Inc. Other Body Cavities Exposed to environment Oral and digestive cavities cavity Orbital cavities Middle ear cavities Nasal Not exposed to environment Synovial cavities 29