Chapter 1: The Human Organism ● ➔ ➔ ➔ ➔ 1.1 Anatomy study of the structure and shape of the body and body parts & their relationships to one another. comes from the Greek words meaning to cut (tomy) apart (ana). the art of separating the parts of an organism in order to ascertain their position, relations, & structure Anatomy means to dissect, or cut apart and separate, the parts of the body for study. Importance: helps in understanding the functions of the body. Subdivision of Anatomy 1. Gross or Macroscopic ● Regional Anatomy ● Systemic Anatomy ● Surface Anatomy 2. Microscopic Anatomy ● Cytology ● Histology 3. Developmental Anatomy 4. Pathological Anatomy 5. Imaging Anatomy 1. Gross Anatomy ➔ The study of structures that can be examined without the aid of a microscope (seen by the naked eye) ➔ Considers large structures such as the brain, muscles, bones, various organs ◆ Regional Anatomy (Specific Area) ● Studied area by area (head, abdomen, or arm) ● Studying regional anatomy helps appreciate the interrelationships of body structures, such as how muscles, nerves, blood vessels, and other structures work together to serve a particular body region. ● Mostly used in graduate programs at medical and dental schools. ◆ Systemic Anatomy (Organ System) ● study of the structures that make up a discrete body system—that is, a group of structures that work together to perform a unique body function. ● Studies system by system ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Study of specific system: Integumentary Nervous Respiratory Endocrine Skeletal Digestive Cardiovascular Muscular Urinary Reproductive Immune Lymphatic ➔ Surface Anatomy (External) ◆ anatomy that we can see at the surface of the body; superficial structures to locate deeper structures ◆ study external features (ex. skin), such as bony projections, which serves as landmarks for locating deeper structures. For example, the sternum ◆ (breastbone) and parts of the ribs can be seen and palpated (felt) on the front of the chest. Health professionals use these structures as anatomical landmarks to identify regions of the heart and points on the chest where certain heart sounds can best be heard. 2. Microscopic Anatomy ➔ study of body structures that cannot be seen with the naked eye ➔ can only be seen through a microscope ◆ Cytology = study of cells ◆ Histology = study of tissues 3. Developmental anatomy ➔ study the growth and development, changes that happen in our body as we grow. ➔ includes fetal growth and as we grow older. ➔ traces structural changes throughout the life ◆ Fetal growth ◆ Body changes Embryology – study of the developmental changes of the body before birth (prenatal development) Anatomy and Physiology 1 4. Pathological anatomy ➔ Concerned with structural changes in both macroscopic and microscopic that are associated with disease. ➔ studies the morphology, development, causes and effects of organ, tissue and cell alterations produced by diseases, both innate and acquired, and by traumatic injuries, both accidental and provoked. 5. Imaging anatomy (Anatomical Imaging) ➔ uses radiographs (x-rays), ultrasound, magnetic resonance imaging (MRI), and other technologies to create pictures of internal structures ➔ This allows medical personnel to look inside the body with amazing accuracy and without the trauma and risk of exploratory surgery ➔ In 1895, Wilhelm Roentgen (1845–1923) became the first medical scientist to use x-rays to see inside the body. ➔ The rays were called x-rays because no one knew what they were. ➔ Whenever the human body is exposed to x-rays, ultrasound, electromagnetic fields, or radioactively labeled substances, a potential risk exists. This risk must be weighed against the medical benefit. ➔ The risk of anatomical imaging is minimized by using the lowest possible doses providing the necessary information. ➔ No known risks exist from ultrasound or electromagnetic fields at the levels used for diagnosis. Systemic Anatomy and Regional Anatomy - the two basic approaches to the study of anatomy Surface Anatomy and Anatomical Imaging - the two general ways to examine the internal structures of a living person. Table 1.1 Types of Imaging Technique X-ray This extremely shortwave electromagnetic radiation (see chapter 2) moves through the body, exposing a photographic plate to form a radiograph (rā′dēō-graf). Bones and radiopaque dyes absorb the rays and create underexposed areas that appear white on the photographic film. Many of us have had an X-ray, either to visualize a broken bone or at the dentist. However, a major limitation of radiographs is that they give only flat, two-dimensional (2-D) images of the body. Ultrasound Ultrasound, the second oldest imaging technique, was first developed in the early 1950s from World War II sonar technology. It uses high-frequency sound waves, which are emitted from a transmitter-receiver placed on the skin over the area to be scanned. The sound waves strike internal organs and bounce back to a receiver on the skin. Even though the basic technology is fairly old, The most important advances in this field occurred only after it became possible to analyze the reflected sound waves by when a computer could be used to analyze the pattern of reflected sound waves and transfer. Once a computer analyzes the pattern of sound waves, the information is transferred to a monitor to be visualized as a sonogram (son′ō-gram) image. One of the more recent advances in ultrasound technology is the ability of more advanced computers to analyze changes in position through “real-time” movements. Among other medical applications, ultrasound is commonly used to evaluate the condition of the fetus during pregnancy Anatomy and Physiology 2 Computed Tomography (CT) Computed tomographic (tō′mō-graf′ik) (CT) scans, developed in 1972 and originally called computerized axial tomographic (CAT) scans, are computeranalyzed x-ray images. A low-intensity x-ray tube is rotated through a 360-degree arc around the patient, and the images are fed into a computer. The computer then constructs the image of a “slice” through the body at the point where the x-ray beam was focused and rotated (a). Some computers are able to take several scans short distances apart and stack the slices to produce a 3-D image of a body part (b). important in this imaging system. Radio waves of certain frequencies, which change the alignment of the hydrogen atoms, then are directed at the patient. When the radio waves are turned off, the hydrogen atoms realign in accordance with the magnetic field. The time it takes the hydrogen atoms to realign is different for various body tissues. These differences can be analyzed by computer to produce very clear sections through the body. The technique is also very sensitive in detecting some forms of cancer far more readily than can a CT scan. Positron Emission Tomography (PET) Digital Subtraction Angiography (DSA) Digital subtraction angiography (an-jē-og′ră-fē) (DSA) is one step beyond CT scanning. A 3-D radiographic image of an organ, such as the brain, is made and stored in a computer. Then a radiopaque dye is injected into the blood, and a second radiographic computer image is made. The first image is subtracted from the second one, greatly enhancing the differences revealed by the injected dye. These dynamic computer images are the most common way angioplasty, is performed. Angioplasty uses a tiny balloon to unclog an artery. Magnetic Resonance Imaging (MRI) Magnetic resonance imaging (MRI) directs radio waves at a person lying inside a large electromagnetic field. The magnetic field causes the protons of various atoms to align (see chapter 2). Because of the large amounts of water in the body, the alignment of hydrogen atom protons is most Positron emission tomographic (PET) scans can identify the metabolic states of various tissues. This technique is particularly useful in analyzing the brain. When cells are active, they are using energy The energy they need is supplied by the break down of glucose (blood sugar). If radioactively treated (“labeled”) glucose is given to a patient, the active cells take up the labeled glucose. As the radioactivity in the glucose decays, positively charged subatomic particles called positrons are emitted. When the positrons collide with electrons, the two particles annihilate each other and gamma rays are given off. The gamma rays can be detected, pinpointing the cells that are metabolically active 1.2 PHYSIOLOGY (Study of Nature) ➔ study of how the body and its parts work or function ➔ ology = the study of ➔ physio = nature ➔ focus on function often in cellular level ➔ natural philosophy ➔ The major goals when studying human physiology are to understand and predict the body’s responses to stimuli and to understand how the body maintains conditions within a narrow range of values in a constantly changing environment. Anatomy and Physiology 3 Importance (1) to understand and predict the body’s responses to stimuli. (2) to understand how the body maintains internal conditions within a narrow range of values in the presence of continually changing internal and external environments. Human Physiology ➔ the scientific study of chemistry and physics of the structures of the body and the ways in which they work together to support the functions of life. ➔ study of a specific organism, the human body Subdivision of Human Physiology ➢ Cell/Cellular Physiology ➢ Special Physiology ➢ Systemic Physiology ➢ Pathophysiology - - - - 1. Cell/Cellular Physiology cornerstone of human physiology study of the functions of cells 2. Special Physiology study of the functions of specific organs ex: renal physiology - study of kidney functions 3. Systemic Physiology study the functions of the body’s organ system ex: respiratory system 4. Pathophysiology study of the effects of diseases on organ or system function pathos - greek word for Disease emphasis on the cause and development of abnormal conditions and structural and functional changes resulting from the disease Relationship Between Anatomy and Physiology ➔ They are always related and inseparable ➔ They will always correlate with each other anatomy being the study of the actual physical organs and their structure as well as their relationship to each other. While physiology studies how those organs work to function the whole body as organ systems. ➔ For example, the lungs are not muscular chambers like the heart and can not pump blood, but because the walls of lungs are very thin, they can exchange gasses and provide oxygen to the body. Assess Your Progress 1. How does the study of anatomy differ from the study of physiology? 2. What is studied in gross anatomy? In surface anatomy? 3. What type of physiology is employed when studying the endocrine system? 4. Why are anatomy and physiology normally studied together? 1.3 Structural and Functional Organization of the Human Body The body can be studied at 6 structural levels 1. Chemical/Atomic Level 2. Cell Level 3. Tissue Level 4. Organ Level 5. Organ system 6. Organism Level The simplest level of organization in the human body is the atom. Atoms combine to form molecules. Molecules aggregate into cells. Cells form tissues, which combine with other tissues to form organs. Organs work in groups called organ systems. All organ systems work together to form an organism. ● ● ● ● ● 1. Chemical/ Atomic Level The chemical level involves interactions between atoms. Atoms combine to form molecules, such as water, sugar, lipids, and proteins Atoms - building blocks of matter Smallest unit of element Chemical makeup - determines structural and functional characteristics of all organisms Important: molecules structure determine its function For example, collagen molecules are strong, ropelike fibers that give skin structural strength and flexibility. With old age, the structure of collagen changes, and the skin becomes fragile and more easily torn during everyday activities. ● ● ● 2. Cell Level basic structural and functional unit of organisms (plants and animals) Basic unit of life Smallest unit of life Anatomy and Physiology 4 ● Molecules combine to form organelles (little organ), which are the small structures that make up cells For example, the nucleus contains the cell’s hereditary information, and mitochondria manufacture adenosine triphosphate (ATP), a molecule cells use for a source of energy. Although cell types differ in their structure and function, they have many characteristics in common. Knowledge of these characteristics and their variations is essential to a basic understanding of anatomy and physiology. ● ● ● 3. Tissue Level Consists of similar types of cells and the materials surrounding them. Characteristics of cells and surrounding materials determine the function of tissue. The body is made up of Four Primary Types ➔ Epithelial tissue covers body surfaces, lines hollow organs and cavities, and forms glands. ➔ Connective tissue connects, supports, and protects body organs while distributing blood vessels to other tissues. ➔ Muscular tissue contracts to make body parts move and generates heat. tissue carries ➔ Nervous information from one part of the body to another through nerve impulses. For example, the urinary system consists of the kidneys, ureters, urinary bladder, and urethra. The kidneys produce urine, which is transported by the ureters to the urinary bladder, where it is stored until eliminated from the body by passing through the urethra. For example, the digestive system takes in food, processing it into nutrients that are carried by the blood of the cardiovascular system to the cells of the other systems. These cells use the nutrients and produce waste products that are carried by the blood to the kidneys of the urinary system, which removes waste products from the blood. Because the organ systems are so interrelated, dysfunction in one organ system can have profound effects on other systems. For example, a heart attack can result in inadequate circulation of blood. Consequently, the organs of other systems, such as the brain and kidneys, can malfunction. 11 Major Organ System ➢ Integumentary ➢ Skeletal ➢ Muscular ➢ Nervous ➢ Endocrine ➢ Cardiovascular ➢ Lymphatic ➢ Respiratory ➢ Digestive ➢ Urinary ➢ Reproductive ● 4. Organ Level Composed of two or more tissue types that perform common functions ● ● Examples of some of our organs include the heart, stomach, liver, and urinary bladder ● ● ● ● 5. Organ System Level Group of organs classified as a unit because of a common function or set of functions Coordinated activity of the organ system is necessary for normal function 6. Organism Level Several organ systems that function together in order to form one organism Any living thing considered as a whole Whether composed of one cell (bacterium) or trillions of cells (human) Human organism is a complex of organ system that are mutually dependent upon one another Assess Your Progress: 5. From simplest to complex, list and define the body’s six levels of organization. 6. What are the four basic types of tissues? 7. Referring to figure 1.3, which two organ systems are responsible for regulating the other organ systems? Which two are responsible for support and movement? Anatomy and Physiology 5 Figure 1.1 Levels of Organization in the Human Body Figure 1.2 Major Organs of the Body Anatomy and Physiology 6 Figure 1. 3 11 Organ System Level 1. Integumentary System (skin) Produces oocytes and is the site of fertilization and fetal development; produces milk for the newborn; produces hormones that influence sexual function and behaviors. Consists of the ovaries, uterine tubes, uterus, vagina, mammary glands, and associated structures. ● ● ● ● ● ● ● ● It waterproofs the body and protects deeper tissues from injury. Provides protection and prevents water loss. Produces vitamin d (7AM to 9 am) Forms the external body covering Excretes salts in perspiration and helps regulate body temperature. Location of the cutaneous receptors (pain, pressure, etc.), sweat and oil glands Senses changes in the body Stores fat and provides insulation Consists of skin, hair, nails, sebaceous glands and sweat glands. 2. Reproductive system ● Production of offspring ● Secretes hormones ● Testes produce sperm and male sex hormone; ducts and glands aid in delivery of viable sperm to the female reproductive tract. ● Ovaries produce eggs and female sex hormones; remaining structures serve as sites for fertilization and development of the fetus. Mammary glands of female breasts produce milk to nourish the newborn. Male Reproductive System Produces and transfers sperm cells to the female and produces hormones that influence sexual functions and behaviors. Consists of the testes, accessory structures, ducts, and penis. 3. Urinary system Female Reproductive System ● ● ● ● ● Releases nitrogenous waste of the body Maintain acid-base balance of the body Regulates water, electrolyte, and acid-base balance of the blood Removes waste products from the blood and regulates blood pH, ion balance, and water balance. Consists of the kidneys, urinary bladder, and ureters. Anatomy and Physiology 7 4. Respiratory system ● ● ● Exchanges oxygen and carbon dioxide between the blood and air and regulates blood pH. Keeps blood constantly supplied with oxygen and removes co2 The nasal passages, pharynx, larynx, trachea, bronchi, and lungs 6. Lymphatic System ● 5. Digestive System ● ● ● ● ● ● ● Removes foreign substances from the blood and lymph, combats disease, maintains tissue fluid balance, and absorbs dietary fats from the digestive tract. Complements the cardiovascular system Lymphatic vessels, lymph nodes and other lymphoid organs such as sleep and tonsils Picks up fluid leaked from blood vessels and returns it to blood Houses of WBC for immunity Involves basophils, eosinophils, neutrophils Disposes of debris Consists of the lymphatic vessels, lymph nodes, and other lymphatic organs. 7. Endocrine System ● ● ● ● ● Breakdown of foods into absorbable nutrients that enter the blood for distribution to body cells; indigestible foodstuffs are eliminated as feces. Small intestine: contains villi which aids in digestion and absorption of nutrients needed by the body The organs of the digestive system include the oral cavity (mouth), esophagus, stomach, small and large intestines, and rectum Accessory organs (liver, salivary glands, pancreas, and others) Performs the mechanical and chemical processes of digestion, absorption of nutrients, and elimination of wastes. Consists of the mouth, esophagus, stomach, intestines, and accessory organs. Anatomy and Physiology 8 ● ● Consists of endocrine glands, such as the pituitary, that secrete hormones. Gland secrete hormones that regulate processes such as growth, reproduction and nutrient use of the body cells. Glands Pituitary Pineal Thyroid Hormones Produced Adrenocorticotropic and growth hormone Melatonin Growth hormone and metabolism Thymus Production of t-cells Adrenal Adrenaline (cortisol and aldosterone) Testes Testosterone Ovary Pancreas 9. Nervous system Estrogen and progesterone Degrades macromolecules 8. Circulatory system or cardiovascular system ● ● ● ● ● ● A major regulatory system that detects sensations and controls movements, physiological processes, and intellectual functions. Consists of the brain, spinal cord, nerves, and sensory receptors Activates muscles and glands Main control system of the body Fast acting control system of the body Responses to the environment (fight/flight response) - The sensory receptors detect changes in temperature, pressure, or light, and send messages (via electrical signals called nerve impulses) to the central nervous system (brain and spinal cord) - The central nervous system then assesses this information and responds by activating the appropriate body effectors (muscles or glands, which are organs that produce secretions). 10. Muscular system ● ● ● ● Transports nutrients, waste products, gasses, and hormones throughout the body Plays a role in the immune response and the regulation of body temperature. Consists of the heart, blood vessels, and blood. Oxygen: utilized in respiratory (aerobic: 36 ATP, anaerobic: 2 ATP) Anatomy and Physiology 9 ● ● ● ● Produces body movements, maintains posture and facial expression, and produces body heat. Consists of muscles attached to the skeleton by tendons Formed by the skeletal muscles Allows manipulation of environment 11. Skeletal system 1.4 Essential Characteristics of Life (Basic) Humans are organisms sharing characteristics with other organisms. The most important common feature of all organisms is life. 1. Organization 2. Metabolism 3. Responsiveness 4. Growth 5. Development 6. Reproduction ● ● ● ● ● ● ● ● ● ● Provides protection and support to body organs Allows body movements and provides a framework that the skeletal muscles use to cause movement Produces blood cells that are formed in bones - Site of blood cell formation (hematopoiesis) - Stores minerals and adipose tissue in the form of calcium - Consists of bones, associated cartilages, ligaments, and joints. - Tendons: bone to muscle - Joints: bone to bone - Cartilage: rubber-like pudding, elastic connective tissue - Ligaments: made out of connective tissue that has a lot of strong collagen fibers in it ● ● ● ● ● 1. Organization Specific relationship of the many individual parts of an organism, from cell organelles to organs, interacting and working together Highly organized structure Follows hierarchy All organisms are composed of one or more cells. Some cells, in turn, are composed of highly specialized organelles, which depend on the precise functions of large molecules. Disruption of this organized state can result in loss of function and death. 2. Metabolism Ability to use energy to perform vital functions, such as growth, movement, and reproduction. Plants capture energy from sunlight to synthesize sugars (a process called photosynthesis), and humans obtain energy from food. Anabolism - process where simple molecules are gathered to create complex molecules - storing/building of energy - smaller to larger Catabolism - process where complex molecules were broken down of energy - breaking down of energy - larger to smaller 3. Responsiveness The ability of an organism to adjust to changes in its internal and external environments and adjust to those changes.. Ability to sense and react to a certain stimulus and changes from both internal and external Anatomy and Physiology 10 Example: Changes in an organism’s internal environment, such as increased body temperature, can cause the responses of sweating and the dilation of blood vessels in the skin in order to decrease body temperature. Or the movements toward food or water and away from danger or poor environmental conditions such as extreme cold or heat. ● ● ● ● ● ● ● ● 4. Growth An increase in the size or number of cells, which produces an overall enlargement of all or part of an organism. Can result from an increase in cell number, cell size, or the amount of substance surrounding cells. Example, bones grow when the number of bone cells increases and the bone cells become surrounded by bone matrix ○ Bone Matrix (osteoid) ■ helps to strengthen the bone structure ■ consists of about 33% organic matter (mostly Type I collagen) and 67% inorganic matter (calcium phosphate, mostly hydroxyapatite crystals). 5. Development The changes an organism undergoes through time (fertilization - death) Development usually involves growth, but it also involves differentiation and morphogenesis. Differentiation - change in cell structure and function from immature (generalized) to a mature (specialized) state. Also includes the processes of growth and repair, both of which involve cell differentiation. - knowledge, IQ and EQ For example, following fertilization, immature cells differentiate to become specific cell types, such as skin, bone, muscle, or nerve cells. These differentiated cells form tissues and organs. Morphogenesis is the change in shape of tissues, organs, and the entire organism ● ● 6. Reproduction formation of a new cell or new organism from parent organisms. In humans, reproduction is carried out by the male and female reproductive systems. Because death will come to all complex organisms, without reproduction, the line of organisms would end. Without reproduction of cells, growth and tissue repair are impossible. Without reproduction of the organism, the species becomes extinct Sexual = copulation; with the use of sex organs. 2 parents supply DNA. Male and female reproductive system Asexual = absence of sexual act pollination, cross pollination Assess Your Progress 8. What are the six characteristics of living things? Briefly explain each. 9. How does differentiation differ from morphogenesis? Maintaining life / Necessary Life Functions (base on trans, not on Seeley book) 1. Maintaining Boundaries - our body “inside” must remain distinct from its “outside.” 2. Movement - all the activities promoted by the muscular system 3. Responsiveness/sensitivity/irritability the ability to sense changes (stimuli) in the environment and then to react to them 4. Digestion - the process of breaking down ingested food into simple molecules that can then be absorbed into the blood 5. Metabolism - a broad term that refers to all chemical reactions that occur within the body and all of its cells ● Catabolism, the breakdown of complex chemical substances into simpler components. ● Anabolism the building up of complex chemical substances from smaller, simpler components. For example, digestive processes catabolize (split) proteins in food into amino acids. These amino acids are then used to anabolize (build) new proteins that make up body structures such as muscles and bones. Anatomy and Physiology 11 6. Excretion - the process of removing excreta, or wastes, from the body ● 7. Reproduction - the production of offspring, can occur on the cellular or organismal level ● 8. Growth - can be an increase in cell size or an increase in body size that is usually accomplished by an increase in the number of cells 9. Development - includes the changes an organism undergoes through time, beginning with fertilization and ending at death. ● Differentiation: the development of a cell from an unspecialized to a specialized state. Such precursor cells, which can divide and give rise to cells that undergo differentiation, are known as stem cells ● Morphogenesis: is the change in shape of tissues, organs, and the entire organism. 10. Respiration - obtaining oxygen, removing carbon dioxide, and releasing energy from foods (some forms of life do not use oxygen in respiration.) 11. Absorption - passage of substances through membranes and into body fluids 12. Circulation - movement of substances in body fluids 13. Assimilation - changing absorbed substances into chemically different forms Survival needs 1. Nutrients ● Chemicals needed for energy and cell building major ● Carbohydrates: energy-providing fuel for body cells ● Proteins ● Lipids: essential for building cell structures ● Minerals and vitamins: required for the chemical reactions that go in cells and for oxygen transport in the blood. 2. Oxygen ● Required for chemical reactions (main) ● Composes 20% of air in the atmosphere 3. Water ● 60 to 80% of body weight ● Provides metabolic reaction ● The most abundant chemical in the body. Carries substances within the organism and is important in regulating body temperature Water inside the cells, along with substances dissolved in it, constitutes the intracellular fluid. Similarly, outside of the cells, including the tissue fluid and the liquid portion of the blood (plasma), is the extracellular fluid 4. Stable body temperature ● 37° Celsius or 99° Fahrenheit 5. Atmospheric pressure must be appropriate ● At high altitudes, where the air is thin and atmospheric pressure is lower, gas exchange may be too slow to support cellular metabolism. addition, organisms living ● In underwater are subjected to hydrostatic pressure—a pressure a liquid exerts— due to the weight of water above them. In humans, heart action produces blood pressure (another form of hydrostatic pressure), which forces blood to flow through blood vessels. 1.5 Biomedical Research Studying other organisms has increased our knowledge about humans because humans share many characteristics with other organisms. For example, studying single-celled bacteria provides much information about human cells. However, some biomedical research cannot be accomplished using single-celled organisms or isolated cells. Sometimes other mammals must be studied, as evidenced by the great progress in open heart surgery and kidney transplantation made possible by perfecting surgical techniques on other mammals before attempting them on humans. Strict laws govern the use of animals in biomedical research; these laws are designed to ensure minimal suffering on the part of the animal and to discourage unnecessary experimentation. Although much can be learned from studying other organisms, the ultimate answers to questions about humans can be obtained only from humans because other organisms differ from humans in significant ways. A failure to appreciate the differences between humans and other animals led to many misconceptions by early scientists. One of the first great anatomists was a Greek physician, Anatomy and Physiology 12 Claudius Galen (ca. 130–201). Galen described a large number of anatomical structures supposedly present in humans but observed only in other animals. For example, he described the liver as having five lobes. This is true for rats, but not for humans, who have four-lobed livers. The errors introduced by Galen persisted for more than 1300 years until a Flemish anatomist, Andreas Vesalius (1514–1564), who is considered the first modern anatomist, carefully examined human cadavers and began to correct the textbooks. This example should serve as a word of caution: Some current knowledge in molecular biology and physiology has not been confirmed in humans. Assess Your Progress: 10. Why is it important to recognize that humans share many, but not all, characteristics with other animals? MICROBES In Your Body Did you know that you have more microbial cells than human cells in your body? Astoundingly, for every cell in your body, there are 10 microbial cells. That’s as many as 100 trillion microbial cells, which can collectively account for between 2 and 6 pounds of your body weight! A microbe is any living thing that cannot be seen with the naked eye (for example, bacteria, fungi, and protozoa). The total population of microbial cells on the human body is referred to as the microbiota, while the combination of these microbial cells and their genes is known as the microbiome. The microbiota includes so-called good bacteria, which do not cause disease and may even help us. It also includes pathogenic, or “bad,” bacteria. With that many microbes in and on our bodies, you might wonder how they affect our health. To answer that question, in October 2007 the National Institutes of Health (NIH) initiated the 5-year Human Microbiome Project, the largest study of its kind. Five significant regions of the human body were examined: the airway, skin, mouth, gastrointestinal tract, and vagina. This project identified over 5000 species and sequenced over 20 million unique microbial genes What did scientists learn from the Human Microbiome Project? Human health is dependent upon the health of our microbiota, especially the “good” bacteria. In fact, it seems that our microbiota are so completely intertwined with human cells that it has been suggested that humans are like corals. Corals are marine organisms that are collections of different life forms, all existing together. More specifically, the human microbiome is intimately involved in the development and maintenance of the immune system. And more evidence is mounting for a correlation between a host’s microbiota, digestion, and metabolism. Researchers have suggested that microbial genes are more responsible for our survival than human genes. There are even a few consistent pathogens that are present without causing disease, suggesting that their presence may be good for us. However, there does not seem to be a universal healthy human microbiome. Rather, the human microbiome varies across lifespan, ethnicity, nationality, culture, and geographic location. Instead of being a detriment, this variation may actually be very useful for predicting disease. There seems to be a correlation between autoimmune and inflammatory diseases (Crohn’s disease, asthma, multiple sclerosis), which have become more prevalent, and a “characteristic microbiome community.” Early research seems to indicate that any significant change in the profile of the microbiome of the human gut may increase a person’s susceptibility to autoimmune diseases. It has been proposed that these changes may be associated with exposure to antibiotics, particularly in infancy. Fortunately, newer studies of microbial transplantations have shown that the protective and other functions of bacteria can be transferred from one person to the next. However, this work is all very new, and much research remains to be done. 1.6 Homeostasis (homeo- the same; -stasis, to stop) ● The existence and maintenance of a relatively constant environment within the body despite fluctuations in either the external environment or the internal environment. ● The internal environment of the body is in a dynamic state of equilibrium (balance) ● Chemical, thermal and neural factors interact to maintain homeostasis. ● Our body has a set temperature. It detects if the environment is too hot or too cold, it will also make mechanisms for it to maintain the temperature inside. ● It is achieved when structures and functions are properly coordinated. ● The entire regulation process of homeostasis is made possible by the coordinated action of many organs and tissues under the control of the nervous and endocrine systems. Anatomy and Physiology 13 ● ● ● note that when homeostasis breaks down, we become sick or die. disturbance = homeostatic imbalance Importance: survival Most body cells are surrounded by a small amount of fluid, and normal cell functions depend on the maintenance of the cells’ fluid environment within a narrow range of conditions , including temperature, volume, and chemical content. These conditions are called variables because their values can change. To achieve homeostasis, the body must actively regulate conditions that are constantly changing. As our bodies undergo their everyday processes, we are continuously exposed to new conditions. These conditions are called variables. Variables ● Because their values can change. ● One familiar variable is body temperature, which can increase when the environment is hot or decrease when the environment is cold. Homeostatic mechanisms - Such as sweating or shivering, normally maintain body temp near an ideal normal value or set point. - Controlled by the nervous system or the endocrine system - Note that homeostatic mechanisms are not able to maintain body temperature precisely at the set point. Instead, body temperature increases and decreases slightly around the set point, producing a normal range of values. As long as body temperatures remain within this normal range, homeostasis is maintained. Set point - ideal value Normal range - acceptable range of values on which HM can still be met Figure 1.4 Homeostasis Homeostasis is the maintenance of a variable, such as body temperature, around an ideal normal value, or set point. The value of the variable fluctuates around the set point to establish a normal range of values Our average body temperature is 98.6 degrees Fahrenheit. Just as your home’s thermostat does not keep the air temperature exactly at 75 degrees Fahrenheit at all times, your body’s temperature does not stay perfectly stable. The organ systems help control the internal environment so that it remains relatively constant. For example, the digestive, respiratory, cardiovascular, and urinary systems function together so that each cell in the body receives adequate oxygen and nutrients and so that waste products do not accumulate to a toxic level. If the fluid surrounding cells deviates from homeostasis, the cells do not function normally and may even die. Disease disrupts homeostasis and sometimes results in death. ● ● Feedback Mechanisms Negative - Feedback - Mechanism Positive - Feedback - Mechanism Negative Feedback ➔ Regulates most systems of the body which maintain homeostasis. ➔ The word negative is used to mean “bad” or “undesirable.” In this context, negative means “to decrease.” ➔ Shuts off the original stimulus or reduces its intensity ➔ Negative feedback is when any deviation from the set point is made smaller or is resisted. Negative feedback does not prevent variation but maintains variation within a normal range The maintenance of normal body temperature is an example of a negative-feedback mechanism. Normal body temperature is important because it allows molecules and enzymes to keep their normal shape so they can function optimally. An optimal body temperature prevents molecules from being permanently destroyed. Picture the change in appearance of egg whites as they are cooked; Similarly, if the body is exposed to extreme heat, the shape of the molecules in the body could change, which would eventually prevent them from functioning normally. Thus, normal body temperature is required to ensure that tissue homeostasis is maintained. Anatomy and Physiology 14 Most negative-feedback mechanisms have Three Components: ● Receptor - monitors the value of a variable, such as body temperature, by detecting stimuli ● Control Center - such as part of the brain, determines the set point for the variable and receives input from the receptor about the variable ● Effector - such as the sweat glands, can change the value of the variable when directed by the control center. A changed variable is a stimulus because it initiates a homeostatic mechanism. Normal body temperature depends on the coordination of multiple structures, which are regulated by the control center, or hypothalamus, in the brain. If body temperature rises, sweat glands (the effectors) produce sweat and the body cools. If body temperature falls, sweat glands do not produce sweat (figure 1.5). The stepwise process that regulates body temperature involves the interaction of receptors, the control center, and effectors. Often, there is more than one effector and the control center must integrate them. In the case of elevated body temperature, thermoreceptors in the skin and hypothalamus detect the increase in temperature and send the information to the hypothalamus control center. In turn, the hypothalamus stimulates blood vessels in the skin to relax and sweat glands to produce sweat, which sends more blood to the body’s surface for radiation of heat away from the body. The sweat glands and skin blood vessels are the effectors in this scenario. Once body temperature returns to normal, the control center signals the sweat glands to reduce sweat production and the blood vessels constrict to their normal diameter. On the other hand, if body temperature drops, the control center does not stimulate the sweat glands. Instead, the skin blood vessels constrict more than normal and blood is directed to deeper regions of the body, conserving heat in the interior of the body. In addition, the hypothalamus stimulates shivering, quick cycles of skeletal muscle contractions, which generates a great amount of heat. Again, once the body temperature returns to normal, the effectors stop. In both cases, the effectors do not produce their responses indefinitely and are controlled by negative feedback. Negative feedback acts to return the variable to its normal range (figure 1.6). Although homeostasis is the maintenance of a normal range of values, this does not mean that all variables remain within the same narrow range of values at all times. Sometimes a deviation from the usual range of values can be beneficial. For example, during exercise the normal range for blood pressure differs from the range under resting conditions and the blood pressure is significantly elevated (figure 1.7). Muscle cells require increased oxygen and nutrients and increased removal of waste products to support their heightened level of activity during exercise. Elevated blood pressure increases delivery of blood to muscles during exercise, thereby increasing the delivery of oxygen and nutrients and the removal of waste products—ultimately maintaining muscle cell homeostasis Components Homeostatic Control System 1. Receptors - Responds to environmental changes via to stimulus (Change in environment) 2. Afferent - Delivers the information from the receptors to the control center 3. Control Center - Gives out the response. Maintains and analyses information 4. Efferent - Delivers the response from the Control. Center to the Effector 5. Effector - Response to stimulus PROCESS Figure 1.5 Negative-Feedback Mechanism: Body Temperature 1. Receptors monitor the value of a variable. In this case, receptors in the skin monitor body temperature. 2. Information about the value of the variable is sent to a control center. In this case, nerves send information to the part of the brain responsible for regulating body temperature. 3. The control center compares the value of the variable against the set point. Anatomy and Physiology 15 4. If a response is necessary to maintain homeostasis, the control center causes an effector to respond. In this case, nerves send information to the sweat glands. 5. An effector produces a response that maintains homeostasis. In this case, stimulating sweat glands lowers body temperature. Case Study: Orthostatic Hypotension Molly is a 75-year-old widow who lives alone. For 2 days, she had a fever and chills and mainly stayed in bed. On rising to go to the bathroom, she felt dizzy, fainted, and fell to the floor. Molly quickly regained consciousness and managed to call her son, who took her to the emergency room, where a physician diagnosed orthostatic hypotension. Orthostasis literally means “to stand,” and hypotension refers to low blood pressure; thus, orthostatic hypotension is a significant drop in blood pressure upon standing. When a person moves from lying down to standing, blood “pools” within the veins below the heart because of gravity, and less blood returns to the heart. Consequently, blood pressure drops because the heart has less blood to pump Although orthostatic hypotension has many causes, in the elderly it can be due to age-related decreases in neural and cardiovascular responses. Decreased fluid intake while feeling ill and sweating due to a fever can result in dehydration. Dehydration can decrease blood volume and lower blood pressure, increasing the likelihood of orthostatic hypotension. a. Describe the normal response to a decrease in blood pressure on standing. b. What happened to Molly’s heart rate just before she fainted? Why did Molly faint? c. How did Molly’s fainting and falling to the floor help establish homeostasis (assuming she was not injured)? CLINICAL IMPACT Humors and Homeostasis The idea that the body maintains a balance (homeostasis) can be traced back to ancient Greece. Early physicians believed that the body supported four fluids, or humors: blood, bile, mucus from the nose and lungs, and a black fluid in the pancreas. They also thought that an excess of any one humor caused disease. They believed the body healed itself by expelling the excess fluids, such as with a runny nose. This belief led to the practice of bloodletting to restore the body’s normal balance of humors. Physicians would puncture larger, external vessels, or use leeches, blood eating organisms. Unfortunately, bloodletting went to extremes and barbers conducted the actual procedure. In fact, the traditional red-and-white-striped barber pole originated as a symbol for bloodletting. The brass basin on top of the pole represented the bowl for leeches, and the bowl on the bottom represented the basin for collecting blood. The stripes represented bandages used as tourniquets, and the pole itself stood for the wooden staff patients gripped during the procedure. The fact that bloodletting did not improve the patient’s condition was taken as evidence that still more blood should be removed, undoubtedly causing many deaths. Eventually, the practice was abandoned. The modern term for bloodletting is phlebotomy (fle-bot′o --me- ), but it is practiced in a controlled setting and removes only small volumes of blood, usually for laboratory testing. There are some diseases in which bloodletting is still useful—for example, polycythemia, an overabundance of red blood cells. Anatomy and Physiology 16 Homeostasis Figure 1.6 Negative-Feedback Control of Body Temperature The changes caused by the increase of a variable outside the normal range are shown in the green boxes, and the changes caused by a decrease are shown in the red boxes. To help you learn how to interpret homeostasis figures, some of the steps in this figure are numbered. 1. Body temperature is within its normal range. 2. Body temperature increases outside the normal range, which causes homeostasis to be disturbed. 3. The body temperature control center in the brain responds to the change in body temperature. 4. The control center causes sweat glands to produce sweat and blood vessels in the skin to dilate. 5. These changes cause body temperature to decrease. 6. Body temperature returns to its normal range, and homeostasis is restored. Observe the responses to a decrease in body temperature outside its normal range by following the red arrows. Anatomy and Physiology 17 Positive Feedback Mechanism ➔ occur when a response to the original stimulus results in the deviation from the set point becoming even greater. ➔ In other words, positive means that the deviation from the set point becomes even greater. In this case, the word “positive” indicates an increase. ➔ Only occurs during blood clotting and childbirth. ➔ At times, this type of response is required to re-achieve homeostasis. For example, during blood loss, a chemical responsible for clot formation stimulates production of itself. In this way, a disruption in homeostasis is resolved through a positive-feedback mechanism. What prevents the entire vascular system from clotting? The clot formation process is self-limiting. Eventually, the components needed to form a clot will be depleted in the damaged area and more clot material cannot be formed (figure 1.7). Birth is another example of a normally occurring positive feedback mechanism. Near the end of pregnancy, the uterus is stretched by the baby’s large size. This stretching, especially around the opening of the uterus, stimulates contractions of the uterine muscles. The uterine contractions push the baby against the opening of the uterus, stretching it further. This stimulates additional contractions, which result in additional stretching. This positive-feedback sequence ends when the baby is delivered from the uterus and the stretching stimulus is eliminated. effect, the heart pumps blood to itself. Just as with other tissues, blood pressure must be maintained to ensure adequate delivery of blood to the cardiac muscle. Following extreme blood loss, blood pressure decreases to the point that the delivery of blood to cardiac muscle is inadequate. As a result, cardiac muscle homeostasis is disrupted, and cardiac muscle does not function normally. The heart pumps less blood, which causes the blood pressure to drop even lower. The additional decrease in blood pressure further reduces blood delivery to cardiac muscle, and the heart pumps even less blood, which again decreases the blood pressure. The process continues until the blood pressure is too low to sustain the cardiac muscle, the heart stops beating, and death results. Following a moderate amount of blood loss (e.g., after donating a pint of blood), negative-feedback mechanisms result in an increase in heart rate that restores blood pressure. However, if blood loss is severe, negative-feedback mechanisms may not be able to maintain homeostasis, and the positive-feedback effect of an ever-decreasing blood pressure can develop. A basic principle to remember is that many disease states result from the failure of negative-feedback mechanisms to maintain homeostasis. The purpose of medical therapy is to overcome illness by aiding negative-feedback mechanisms. For example, a transfusion can reverse a constantly decreasing blood pressure and restore homeostasis. Two basic principles to remember are that: 1. Many disease states result from the failure of negative-feedback mechanisms to maintain homeostasis and 2. Some positive-feedback mechanisms can be detrimental instead of helpful On the other hand, occasionally a positive-feedback mechanism can be detrimental instead of helpful. One example of a detrimental positive-feedback mechanism is inadequate delivery of blood to cardiac (heart) muscle. Contraction of cardiac muscle generates blood pressure and moves blood through the blood vessels to the tissues. A system of blood vessels on the outside of the heart provides cardiac muscle with a blood supply sufficient to allow normal contractions to occur. In FIGURE 1.7 Changes in Blood Pressure During Exercise During exercise, muscle tissue demands more oxygen. To meet this demand, blood pressure (BP) increases, resulting in an increase in blood flow to the tissues. The increased blood pressure is not an abnormal or nonhomeostatic condition but a resetting of the normal homeostatic range to meet the increased demand. The reset range is higher and broader than the resting range. After exercise ceases, the range returns to that of the resting condition Anatomy and Physiology 18 Figure 1.8 Comparison of Negative-feedback and Positive-feedback Mechanisms (a) In negative feedback, the response stops the effector. (b) In positive feedback, the response keeps the reaction going. For example, during blood clotting, the "active product" represents thrombin, which triggers "enzyme A," the first step in the cascade that leads to the production of thrombin. Assess Your Progress 11. How do variables, set points, and normal ranges relate to homeostasis? 12. Distinguish between negative feedback and positive feedback. 13. What are the three components of a negative-feedback mechanism? 14. Give an example of how a negative-feedback mechanism maintains homeostasis. 15. Give an example of a positive-feedback mechanism that may be harmful to the body and an example of one that is not harmful. 1.7 Terminology and the Body Plan Knowing the derivation, or etymology, of these words can make learning them easy and fun. Most anatomical terms are derived from Latin or Greek. For example, anterior in Latin means “to go before.” Therefore, the anterior surface of the body is the one that “goes before” when we are walking. Foramen is a Latin word for “hole,” and magnum means “large.” The foramen magnum is therefore a large hole in the skull through which the spinal cord attaches to the brain. Words are often modified by adding a prefix or suffix. For example, the suffix -itis means an inflammation, so appendicitis is an inflammation of the appendix. ● ● Language of Anatomy Special terminologies used to prevent misunderstanding Exact terms are used for Position, Direction, Regions, and Structures Body Positions The position of the body can affect the description of body parts relative to each other. In the anatomical position, the elbow is above the hand, but in the supine or prone position, the elbow and hand are at the same level. To avoid confusion, relational descriptions are always based on the anatomical position, no matter the actual position of the body. Thus, the chest is always described as being “above” (superior to) the stomach, whether the person is lying down or is even upside down. ➔ Anatomical Position ◆ refers to a person standing upright with the face directed forward, the upper limbs hanging to the sides, feet slightly apart, and the palms of the hands facing forward (figure 1.9). ◆ Standard position of the body ➔ Supine Position - a person lying face upward ➔ Prone Position - when lying face downward. Directional Terms Directional terms describe parts of the body relative to each other (figure 1.9 and table 1.2). Right and left are used as directional terms in anatomical terminology. 1. 2. 3. 4. 5. Superior - above, or up, Inferior - below, or down. Anterior - front, goes before Posterior - back, that which follows Ventral - means belly. Therefore, the anterior surface of the human body can also be called the ventral surface, because the belly “goes first” when we are walking. 6. Dorsal means “back.” Thus, the posterior surface of the body is the dorsal surface, or back, which follows as we are walking. 7. Proximal - nearest, closer to point of attachment 8. Distal - distant, far, farther from point of attachment These terms are used to refer to linear structures, such as the limbs, in which one end is near another structure and the other end is farther away. Each limb is attached at its proximal end to the body, and the distal end, such as the hand, is farther away. 9. Medial - toward the midline 10. Lateral - away from the midline. Anatomy and Physiology 19 ○ The nose is located in a medial position on the face, and the ears are lateral to the nose. ○ Ipsilateral - same side ○ Contralateral - opposite side 11. Intermediate - Between more medial and lateral structures, In-between (compares 3 parts) 12. Superficial - a structure close to the surface of the body (External) 13. Deep - toward the interior of the body, away from the body surface (internal) ○ For example, the skin is superficial to muscle and bone. Examples of Using Directional Terms 1. The forehead is SUPERIOR to the nose 2. The kidneys are INFERIOR to the lungs 3. The breastbone is ANTERIOR to the spinal cord 4. The kidneys are POSTERIOR to the liver 5. The ears are MEDIAL to the eyes 6. The arms are LATERAL to the chest 7. The elbow is INTERMEDIATE between the shoulder and the wrist 8. The femur is PROXIMAL to the tibia 9. The fibula is DISTAL to the patella 10. The skin is SUPERFICIAL to the muscle 11. The dermis is DEEP to the epidermis 12. The left lung is CONTRALATERAL to the right kidney Table 1.1 Directional Terms for the Human Body Term Etymolog y Right Left Definition* Example Toward the body’s right side The right ear The left ear Toward the body’s left side Inferior Superior Lowe r Highe r Below Above Anterior Posterio r To go before Posterus, following Toward front of body Toward back of body The nose is inferior to the forehead The mouth is superior to the chin the the the the The teeth are anterior to the throat. The brain is posterior to the eyes. 13. The right lung is IPSILATERAL to the right kidney ANATOMIC VARIABILITY ● Humans vary slightly in both external and internal anatomy ● Overall 90% of all anatomical structures match textbook descriptions - Nerves and Blood Vessels may be out of place - Small muscles may be missing ● Extreme anatomical variations are seldom seen Assess Your Progress 16. What is anatomical position in humans? Why is it important? 17. What two directional terms indicate “toward the head” in humans? What are the opposite terms? 18. What two directional terms indicate “the back” in humans? What are the opposite terms? 19. Define the following directional terms and give the term that means the opposite: proximal, lateral, and superficial Dorsal Ventral Dorsum, back Venter, belly Toward the back (synonymous with posterior) Toward the belly (synonymous with anterior) The spine is dorsal to the breastbone. The navel is ventral to the spine. Proximal Distal Proximus, nearest di + sto, to be distant Closer to a point of attachment Farther from a point of attachment The shoulder is proximal to the elbow The ankle is distal to the hip. Lateral Medial Latus, side Medialis, middle Away from the midline of the body Toward the middle or midline of the body The nipple is lateral to the breastbone The bridge of the nose is medial to the eye. Superfici al Deep Superficiali s, surface Deop, deep Toward or on the surface Away from the surface, internal The skin is superficial to muscle The lungs are deep to the ribs. *All directional terms refer to a human in the Anatomy and Physiology 20 anatomical position the arms hanging to the sides, and the palms of the hands facing forward. FIGURE 1.10 Body Parts and Regions The anatomical and common (in parentheses) names are indicated for the major parts and regions of the body. (a) Anterior view. Figure 1.9 Directional Terms All directional terms are in relation to the body in the anatomical position: a person standing erect with the face directed forward, Anatomy and Physiology 21 Body Parts and Regions ❖ The central region of the body consists of the head, neck, and trunk. ➢ The trunk can be divided into the thorax (chest), abdomen (belly), and pelvis (hips). ❖ The upper limb is divided into the arm, forearm, wrist, and hand. ➢ Arm extends from the shoulder to the elbow ➢ Forearm extends from the elbow to the wrist. ❖ The lower limb is divided into the thigh, leg, ankle, and foot. ➢ Thigh extends from the hip to the knee, ➢ Leg extends from the knee to the ankle. ❖ Note that, contrary to popular usage, the terms arm and leg refer to only a part of the respective limb. ❖ The abdomen is often subdivided superficially into four sections, or quadrants, by two imaginary lines—one horizontal and one vertical—that intersect at the navel (figure 1.11a). The quadrants formed are the right-upper, left-upper, right-lower, and left-lower quadrants. ❖ In addition to these quadrants, the abdomen is sometimes subdivided into regions by four imaginary lines—two horizontal and two vertical. These four lines create an imaginary tic-tac-toe figure on the abdomen, resulting in nine regions: epigastric right and left hypochondriac, umbilical, right and left lumbar, hypogastric, and right and left iliac (figure 1.11b). ❖ Clinicians use the quadrants or regions as reference points for locating the underlying organs. For example, the appendix is in the right-lower quadrant, and the pain of an acute appendicitis is usually felt there. Pain in the epigastric region is sometimes due to gastroesophageal reflux disease (GERD), in which stomach acid improperly moves into the esophagus, damaging and irritating its lining. Epigastric pain, however, can have many causes and should be evaluated by a physician. For example, gallstones, stomach or small intestine ulcers, inflammation of the pancreas, and heart disease can also cause epigastric pain. Body Landmarks Anterior View A. Axial Region 1. Cephalic (Head) ● Frontal ● Orbital ● Nasal ● Oral ● Mental 2. Cervical (Neck) 3. Thoracic ● Sternal ● Axillary ● Mammary 4. Abdominal ● Umbilical 5. Pelvic ● Inguinal (Groin) 6. Pubic (Genital) B. Appendicular Region 1. Upper Limb ● Acromial ● Brachial (Arm) ● Antecubital ● Antebrachial (Forearm) ● Carpal (Wrist) 2. Manus (Hand) ● Pollex ● Palmar ● Digital 3. Lower Limb ● Coxal (Hip) ● Femoral ● Patellar ● Cural ● Fibular or Peroneal 4. Pedal (Foot) ● Tarsal (Ankle) ● Metatarsal ● Digital ● Hallux Posterior View A. Axial Region 1. Cephalic ● Otic ● Occipital 2. Cervical Anatomy and Physiology 22 3. Back (Dorsal) ● Scapular ● Vertebral ● Lumbar ● Sacral ● Gluteal ● Perineal (Between anus and external genitalia) B. Appendicular Region 1. Upper Limb ● Acromial ● Brachial (Arm) ● Olecranal ● ● Antebrachial (Forearm) 2. Manus (Hand) ● Metacarpal ● Digital 3. Lower Limb ● Femoral ● Popliteal ● Sural ● Fibular or Peroneal 4. Pedal (Foot) ● Calcaneal ● Plantar ● ● ● Body Sections portions or slices of the body created by the cut through the plane. allow us to look at different views of the body depending on the direction of the cut. Sectioning the body is a way to “look inside” and observe the body’s structures Major Planes (SCT) ➔ Sagittal Plane ➔ Transverse Plane ➔ Coronal 1. Sagittal Plane ● Aka Median ● vertically through the body ● Divides body into left and right ● word sagittal literally means the “flight of an arrow” and refers to the way the body would be split by an arrow passing anteriorly to posteriorly ● Midsagittal Plane (Median Plane) ○ Aka Media ○ Cuts through the midline ○ Divides body into left and right equally 2.Coronal Plane (Frontal Plane) ● Aka Frontal Plane ● runs vertically to divide the body into anterior (front) and posterior (back) parts. ● Divides body into Posterior and Anterior Figure 1.11 Subdivisions of the Abdomen Lines are superimposed over internal organs to demonstrate the relationship of the organs to the subdivisions. (a) Abdominal quadrants consist of four subdivisions. (b) Abdominal regions consist of nine subdivisions Body Planes and Sections ● ● Body Planes Body planes are imaginary lines drawn through an upright body that is in anatomical position. The major planes or imaginary lines run vertically or horizontally. 3. Transverse Plane ● Aka Axial, Horizontal Plane or Cross Section ● runs parallel to the surface of the ground ● Divides body into Superior and Inferior Minor Plane Oblique Plane orLongitudinal Plane 1. Oblique Plane ● Divides the body diagonally ● any plane that is not horizontal or vertical. ● You can think of “Oblique” and “Odd”, which both start with the letter “O”, to help you remember oblique planes are odd and travel at strange angles. 2. Longitudinal Plane ● any plane that is perpendicular to the transverse plane ● Coronal and sagittal planes are examples of longitudinal planes. Anatomy and Physiology 23 Figure 1.12 Planes of Section of the Body (a) Planes of section through the body are indicated by “glass” sheets. Also shown are actual sections through (b) the head (viewed from the right), (c) the abdomen (inferior view; liver is on the right), and (d) the hip (anterior view). Anatomy and Physiology 24 Organs are often sectioned to reveal their internal structure (figure 1.13). A cut through the length of the organ is a longitudinal section, and a cut at a right angle to the length of an organ is a transverse (cross) section. If a cut is made across the length of an organ at other than a right angle, it is called an oblique section. Figure 1.13 Planes of Section Through an Organ Planes of section through the small intestine are indicated by “glass” sheets. The views of the small intestine after sectioning are also shown. Although the small intestine is basically a tube, the sections appear quite different in shape. Body Cavities ➔ A fluid-filled space inside the body that holds and protects internal organs. ➔ Human body cavities are separated by membranes and other structures. ➔ The two largest human body cavities are the Ventral Cavity and the Dorsal Cavity. These two body cavities are subdivided into smaller body cavities. Two Largest Human Body Cavities ➔ Ventral Cavity ➔ Dorsal Cavity Ventral Cavity ● is at the anterior, or front, of the trunk. ● Organs contained within this body cavity include the lungs, heart, stomach, intestines, and reproductive organs. ● It allows for considerable changes in the size and shape of the organs within it as they perform their functions. For example, organs such as the lungs, stomach, or uterus can expand or contract without distorting other tissues or disrupting the activities of nearby organs. Subdivision of Ventral Cavity ➔ Thoracic Cavity ◆ fills the chest and is subdivided into two pleural cavities and the pericardial cavity. ◆ The pleural cavities hold the lungs, and the pericardial cavity holds the heart. ◆ surrounded by the rib cage and is separated from the abdominal cavity by the muscular diaphragm. ◆ It is divided into right and left parts by a center structure called the mediastinum a ● Mediastinum section that houses the heart, the thymus, the trachea, the esophagus, and other structures. The mediastinum is between the two lungs, which are located on each side of the thoracic cavity ➔ Abdominal Cavity ◆ bounded primarily by the abdominal muscles ◆ contains the stomach, the intestines, the liver, the spleen, the pancreas, and the kidneys. ➔ Pelvic Cavity ◆ a small space enclosed by the bones of the pelvis ◆ contains the urinary bladder, part of the large intestine, and the internal reproductive organs *** The abdominal and pelvic cavities are not physically separated and sometimes are called the abdominopelvic (ab-dom′i-nō-pel′vik) cavity *** Dorsal Cavity - is at the posterior, or back, of the body, including both the head and the back of the trunk. Subdivision of Dorsal Cavity ➔ Cranial Cavity ◆ fills most of the upper part of the skull ◆ contains the brain. Anatomy and Physiology 25 ➔ Spinal Cavity ◆ is a very long, narrow cavity inside the vertebral column. ◆ It runs the length of the trunk and contains the spinal cord cavity membranes. The part of the balloon in contact with your fist (the inner balloon wall) represents the visceral (organ) serous membrane, and the outer part of the balloon wall represents the parietal (wall) serous membrane (figure 1.14). ❖ Serous Fluid ➢ is a lubricating film produced by the membranes found in the cavity, or space, between the visceral and parietal serous membranes. ❖ As an organ rubs against another organ or against the body wall, the serous fluid and smooth serous membranes reduce friction. Figure 1.14 Trunk Cavities (a) Anterior view showing the major trunk cavities. The diaphragm separates the thoracic cavity from the abdominal cavity. The mediastinum, which includes the heart, is a partition of organs dividing the thoracic cavity. (b) Sagittal section of the trunk cavities viewed from the left. The dashed line shows the division between the abdominal and pelvic cavities. The mediastinum has been removed to show the thoracic cavity Serous Membranes ❖ Serous membranes line the trunk cavities and cover the organs of these cavities. ❖ Parietal membranes are found against the outer wall of a body cavity, and visceral membranes are found covering the organs in a body cavity. ❖ To understand the relationship between serous membranes and an organ, imagine your fist as an organ. Now imagine pushing your fist into an inflated balloon, which represents the Anatomy and Physiology 26 Figure 1.15 Serous Membrane a. Fist pushing into a balloon. A “glass” sheet indicates the location of a cross section through the balloon. b. Interior view produced by the section in (a). The fist represents an organ, and the walls of the balloon represent the serous membranes. The inner wall of the balloon represents a visceral serous membrane in contact with the fist (organ). The outer wall of the balloon represents a parietal serous membrane. c. View of the serous membranes surrounding the lungs. The membrane in contact with the lungs is the visceral pleura; the membrane lining the wall of the lung cavity is the parietal pleura. Figure 1.16 shows the relationship of the parietal and visceral membranes to the heart. Three Serous Membrane-lined Cavities in Thoracic Cavity ➔ 1 Pericardial Cavity ◆ (around the heart) surrounds the heart (figure 1.15a). ➔ 2 Pleural Cavities. ➔ (4th - Abdominopelvic Cavity) Pericardial Cavity ● (around the heart) surrounds the heart (figure 1.16a) ● Pericardial Fluid ○ the fluid filling the pericardial cavity ○ Found between the visceral pericardium and the parietal pericardium. Pericardium or Pericardial Sac (additional info) ➔ is a double-walled sac containing the heart and the roots of the great vessels. Three Membrane Layers in Pericardium Fibrous pericardium ◆ is the outer fibrous sac that covers the heart. ◆ provides an outer protective layer that is attached to the sternum by sternopericardial ligaments. ◆ helps keep the heart contained within the chest cavity. ◆ protects the heart from an infection that could potentially spread from nearby organs such as the lungs. Parietal Pericardium ◆ is the layer between the fibrous pericardium and visceral pericardium. ◆ it is continuous with fibrous pericardium and provides an additional layer of insulation for the heart. Visceral Pericardium ◆ is both the inner layer of the pericardium and the outer layer of the heart wall. ◆ also known as the epicardium, ◆ this layer protects the inner heart layers and also assists in the production of pericardial fluid. Pleural Cavity ● (associated with the ribs) surrounds each lung. ● Each lung is covered by visceral pleura (figure 1.16b). ● Parietal pleura lines the inner surface of the thoracic wall, the lateral surfaces of the mediastinum, and the superior surface of the diaphragm. ● Pleural cavity is located between the visceral pleura and the parietal pleura and contains pleural fluid. Abdominopelvic Cavity ● Contains a serous membrane lined cavity called the peritoneal ( to stretch over) cavity (figure 1.16c). ● Visceral peritoneum covers many of the organs of the abdominopelvic cavity. ● Parietal peritoneum lines the wall of the abdominopelvic cavity and the inferior surface of the diaphragm. ● The peritoneal cavity is located between the visceral peritoneum and the parietal peritoneum and contains peritoneal fluid. The serous membranes can become inflamed—usually as a result of an infection. ➢ Pericarditis is inflammation of the pericardium, ➢ Pleurisy is inflammation of the pleura, ➢ Peritonitis is inflammation of the peritoneum. ○ One form of peritonitis occurs when the appendix ruptures as a result of appendicitis. Appendicitis is an inflammation of the appendix that is usually caused by a bacterial infection. Anatomy and Physiology 27 ○ ○ The appendix is a small sac attached to the large intestine with a layer of visceral peritoneum. An infection of the appendix can rupture its wall, releasing bacteria into the peritoneal cavity and causing peritonitis. The abdominopelvic cavity also has other specialized membranes in addition to the parietal and visceral membranes, called mesenteries. Mesenteries, which consist of two layers of peritoneum fused together (figure 1.16c), connect the visceral peritoneum of some abdominopelvic organs to the parietal peritoneum on the body wall or to the visceral peritoneum of other abdominopelvic organs. The mesenteries anchor the organs to the body wall and provide a pathway for nerves and blood vessels to reach the organs. Other abdominopelvic organs are more closely attached to the body wall and do not have mesenteries. Parietal peritoneum covers these other organs, which are said to be retroperitoneal (retro, behind). The retroperitoneal organs include the kidneys, the adrenal glands, a portion of the pancreas, parts of the intestines, and the urinary bladder (figure 1.16c). Figure 1.16 Location of Serous Membranes (a) Frontal section showing the parietal pericardium (blue), visceral pericardium (red), and pericardial cavity. (b) Frontal section showing the parietal pleura (blue), visceral pleura (red), and pleural cavities. (c) Sagittal section through the abdominopelvic cavity showing the parietal peritoneum (blue), visceral peritoneum (red), peritoneal cavity, mesenteries (purple), and retroperitoneal organs. (d) Photo of mesentery (green) in a cadaver. Anatomy and Physiology 28 Assess Your Progress 26. What structure separates the thoracic cavity from the abdominal cavity? The abdominal cavity from the pelvic cavity? 27. What structure divides the thoracic cavity into right and left parts? 28. What is a serous membrane and its function? Differentiate between the parietal and visceral portions of a serous membrane. 29. Name the serous membrane–lined cavities of the trunk. 30. What are mesenteries? Explain their function. 31. What are retroperitoneal organs? List five examples LEARN TO APPLY IT Renzo, the dancer in the photo, is perfectly balanced, yet a slight movement in any direction would cause him to adjust his position. The human body adjusts its balance among all its parts through a process called homeostasis. Let’s imagine that Renzo is suffering from a blood sugar disorder. Earlier, just before this photo was taken, he’d eaten an energy bar. As an energy bar is digested, blood sugar rises. Normally, tiny collections of cells embedded in the pancreas respond to the rise in blood sugar by secreting the chemical insulin. Insulin increases the movement of sugar from the blood into the cells. However, Renzo did not feel satisfied from his energy bar. He felt dizzy and was still hungry, all symptoms he worried could be due to a family history of diabetes. Fortunately, the on-site trainer tested his blood sugar and noted that it was much higher than normal. After a visit to his regular physician, Renzo was outfitted with an insulin pump and his blood sugar levels are more consistent. Create an explanation for Renzo’s blood sugar levels before and after his visit to the doctor. Summary 1.1-2 Anatomy and Physiology 1. Anatomy is the study of the body’s structures. ● Developmental anatomy considers anatomical changes from conception to adulthood. Embryology focuses on the first 8 weeks of development. ● Cytology examines cells, and histology examines tissues. ● Gross anatomy studies organs from either a systemic or a regional perspective. 2. Surface anatomy uses superficial structures to locate internal structures, and anatomical imaging is a noninvasive technique for identifying internal (deep) structures. 3. Physiology is the study of the body’s functions. It can be approached from a cellular or a systems point of view. 4. Pathology deals with all aspects of disease. Exercise physiology examines changes caused by exercise. 1.3 Structural and Functional Organization of the Human Body 1. Basic chemical characteristics are responsible for the structure and functions of life. 2. Cells are the basic structural and functional units of organisms, such as plants and animals. Organelles are small structures within cells that perform specific functions. 3. Tissues are composed of groups of cells of similar structure and function and the materials surrounding them. The four primary tissue types are epithelial, connective, muscle, and nervous tissues. 4. Organs are structures composed of two or more tissues that perform specific functions. 5. Organs are arranged into the 11 organ systems of the human body (see figure 1.3). 6. Organ systems interact to form a whole, functioning organism. 1.4 Characteristics of Life Humans share many characteristics with other organisms, such as organization, metabolism, responsiveness, growth, development, and reproduction 1.5 Biomedical Research Much of our knowledge about humans is derived from research on other organisms. 1.6 Homeostasis Homeostasis is the condition in which body functions, body fluids, and other factors of the internal environment are maintained at levels suitable to support life. Negative Feedback 1. Negative-feedback mechanisms maintain homeostasis. 2. Many negative-feedback mechanisms consist of a receptor, a control center, and an effector. Anatomy and Physiology 29 Positive Feedback 1. Positive-feedback mechanisms usually result in deviations further from the set point. Body Cavities 1. The mediastinum subdivides the thoracic cavity. 2. Although a few positive-feedback mechanisms are normal for maintaining homeostasis in the body, some positive-feedback mechanisms can be harmful. 2. The diaphragm separates the thoracic and abdominal cavities. 3. Normal postive-feedback mechanisms include blood clotting and childbirth labor. Harmful positive-feedback examples include decreased blood flow to the heart. Serous Membranes 1. Serous membranes line the trunk cavities. ● The parietal portion of a serous membrane lines the wall of the cavity, and the visceral portion is in contact with the internal organs. ● The serous membranes secrete fluid, which fills the space between the visceral and parietal membranes. The serous membranes protect organs from friction. ● The pericardial cavity surrounds the heart, the pleural cavities surround the lungs, and the peritoneal cavity surrounds certain abdominal and pelvic organs. 2. Mesenteries are parts of the peritoneum that hold the abdominal organs in place and provide a passageway for blood vessels and nerves to the organs. 1.7 Terminology and the Body Plan Body Positions 1. A human standing erect with the face directed forward, the arms hanging to the sides, and the palms facing forward is in the anatomical position. 2. A person lying face upward is supine; a person lying face downward is prone. Directional Terms Directional terms always refer to the anatomical position, no matter what the actual position of the body (see table 1.2). Body Parts and Regions 1. The body can be divided into a central region, consisting of the head, neck, and trunk, and the upper limbs and lower limbs. 2. Superficially, the abdomen can be divided into quadrants or into nine regions. These divisions are useful for locating internal organs or describing the location of a pain or a tumor. Planes 1. Planes of the body ● A sagittal plane divides the body into right and left parts. A median plane divides the body into equal right and left halves. ● A transverse (horizontal) plane divides the body into superior and inferior portions. ● A frontal (coronal) plane divides the body into anterior and posterior parts. 2. Sections of an organ ● A longitudinal section of an organ divides it along the length of the organ. ● A transverse (cross) section cuts at a right angle to the length of the organ. ● An oblique section cuts across the length of an organ at an angle other than a right angle. 3. Pelvic bones surround the pelvic cavity. 3. Retroperitoneal organs are located “behind” the parietal peritoneum. ANSWER TO LEARN TO APPLY IT The first Apply It feature in every chapter of this text is designed to help you develop the skills to successfully answer critical thinking questions. The first step in the process is always to analyze the question itself. In this case, the question asks you to evaluate the mechanisms governing Renzo’s blood sugar levels, and it provides the clue that there’s a homeostatic mechanism involved. In addition, the question describes a series of events that helps create an explanation: Renzo doesn’t feel satisfied after eating, has elevated blood sugar, and then is prescribed an insulin pump. In chapter 1, we learn that homeostasis is the maintenance of a relatively constant internal environment. Renzo experienced hunger despite eating, and his blood sugar levels were higher than normal. In this situation, we see a disruption in homeostasis because his blood sugar stayed too high after eating. Normally, an increased blood sugar after a meal would return to the normal range by the activity of insulin secreted by the pancreas. When blood sugar returns to normal, insulin secretion stops. In Renzo’s case, his pancreas has stopped making insulin. Thus, the doctor prescribed an insulin pump to take over for his Anatomy and Physiology 30 pancreas. Now when Renzo eats, the insulin pump puts insulin into his blood and his blood sugar levels are maintained near the set point. Answers to the rest of this chapter’s Apply It questions are in Appendix G. Review and Comprehension 1. Physiology a. deals with the processes or functions of living things. b. is the scientific discipline that investigates the body’s structures. c. is concerned with organisms and does not deal with levels of organization, such as cells and systems. d. recognizes the static (as opposed to the dynamic) nature of living things. e. can be used to study the human body without considering anatomy. 2. The following are organizational levels for considering the body. (1) cell (2) chemical (3) organ (4) organ system (5) organism (6) tissue Choose the correct order for these organizational levels, from simplest to most complex. a. 1,2,3,6,4,5 b. 2,1,6,3,4,5 c. 3,1,6,4,5,2 d. 4,6,1,3,5,2 e. 1,6,5,3,4,2 For questions 3–7, match each organ system with one of the following functions. a. regulates other organ systems b. removes waste products from the blood; maintains water balance c. regulates temperature; reduces water loss; provides protection d. removes foreign substances from the blood; combats disease; maintains tissue fluid balance e. produces movement; maintains posture; produces body heat 7. Urinary system 8. The characteristic of life that is defined as “all the chemical reactions taking place in an organism” is a. development. b. growth. c. metabolism. d. d. organization. e. responsiveness. 9. The following events are part of a negative-feedback mechanism. (1) Blood pressure increases. (2) The control center compares actual blood pressure to the blood pressure set point. (3) The heart beats faster. (4) Receptors detect a decrease in blood pressure. Choose the arrangement that lists the events in the order they occur. a. 1,2,3,4 b. b. 1,3,2,4 c. 3,1,4,2 d. 4,2,3,1 e. 4,3,2,1 10. Which of these statements concerning positive feedback is correct? a. Positive-feedback responses maintain homeostasis. b. Positive-feedback responses occur continuously in healthy individuals. c. Birth is an example of a normally occurring positive-feedback mechanism d. When cardiac muscle receives an inadequate supply of blood, positive-feedback mechanisms increase blood flow to the heart. e. Medical therapy seeks to overcome illness by aiding positivefeedback mechanisms. 11. A term that means nearer the attached end of a limb is a. Distal. b. lateral. c. medial d. proximal. e. superficial. 3. Endocrine system 4. Integumentary system 5. Muscular system 6. Nervous system 12. Which of these directional terms are paired most appropriately as opposites? a. superficial and deep b. medial and proximal c. distal and lateral d. superior and posterior e. anterior and inferior Anatomy and Physiology 31 13. The part of the upper limb between the elbow and the wrist is called the a. arm. b. forearm. c. hand d. inferior arm. e. lower arm. 14. A patient with appendicitis usually has pain in the quadrant of the abdomen. a. left-lower b. right-lower c. left-upper d. right-upper 15. A plane that divides the body into anterior and posterior parts is a a. frontal (coronal) plane. b. sagittal plane. c. transverse plane. 16. The lungs are a. part of the mediastinum. b. surrounded by the pericardial cavity. c. found within the thoracic cavity. d. separated from each other by the diaphragm. e. surrounded by mucous membranes. 17. Given the following organ and cavity combinations: (1) heart and pericardial cavity (2) lungs and pleural cavity (3) stomach and peritoneal cavity (4) kidney and peritoneal cavity Which of the organs is correctly paired with a space that surrounds that organ? a. 1,2 b. 1,2,3 c. 1,2,4 d. 2,3,4 e. 1,2,3,4 18. Which of the following membrane combinations are found on the superior and inferior surface of the diaphragm? a. parietal pleura—parietal peritoneum b. parietal pleura—visceral peritoneum c. visceral pleura—parietal peritoneum d. visceral pleura—visceral peritoneum 19. Which of the following organs are not retroperitoneal? a. adrenal glands b. urinary bladder c. kidneys d. Pancreas e. stomach 20. The liver, spleen, and gallbladder are found in which body cavity? A. Abdominal cavity B. Dorsal cavity C. Pelvic cavity 21. Which of the following is NOT found in the thoracic cavity? A. Heart B. Lungs C. Brain 23. A scientist studying body cavities and sizes of different organisms concludes that large organisms need body cavities to facilitate their movement. Which of the following statements supports that idea? A. The smallest organisms have body cavities, while some of the largest do not. B. As organisms increase in size and complexity, they tend to have more body cavities. C. All organisms have body cavities, and the fastest ones have the fewest. 24. What is the name of the fluid that protects the brain and spinal cord? a. Meningeal b. Cerebrospinal c. Lumbar d. cranial 25. How many types of serous membrane are there? A. 1 B. 2 C. 3 D. 4 26. Which is the largest serous membrane? A. Pericardium B. Pleura C. Peritoneum D. Tunica vaginalis 27. What is an important function of the pericardium? A. Transport oxygen to the lungs B. Allow movement of the heart C. Protect the kidneys D. Remove toxins Comprehensive Question 1. What is a body cavity? 2. Compare and contrast ventral and dorsal body cavities. 3. Identify the subdivisions of the ventral cavity and the organs each contains. 4. Describe the subdivisions of the dorsal cavity and its contents. Anatomy and Physiology 32 5. Identify and describe all the tissues that protect the brain and spinal cord. 6. What do you think might happen if fluid were to build up excessively in one of the body cavities? 7. Explain why a woman’s body can accommodate a full-term fetus during pregnancy, without damage to her internal organs. 8. Which body cavity does the needle enter in a lumbar puncture? 9. What are the names given to the three body cavity divisions where the heart is located? 10. What are the names given to the three body cavity divisions where the kidneys are located? 11. True or False. The stomach is located in the dorsal cavity. 12. True or False. A body cavity must open to the outside world. 13. True or False. The vertebral column surrounds the spinal cavity. 14. The _________ cavity is directly below the thoracic cavity. Critical Thinking 1. Exposure to a hot environment causes the body to sweat. The hotter the environment, the greater the sweating. Two anatomy and physiology students are arguing about the mechanisms involved. Student A claims that they are positive feedback, and student B claims they are negative feedback. Do you agree with student A or student B, and why? 2. A male has lost blood as a result of a gunshot wound. Even though the bleeding has been stopped, his blood pressure is low and dropping, and his heart rate is elevated. Following a blood transfusion, his blood pressure increases and his heart rate decreases. Which of the following statement(s) is (are) consistent with these observations? a. Negative-feedback mechanisms can be inadequate without medical intervention. b. The transfusion interrupted a positive-feedback mechanism. c. The increased heart rate after the gunshot wound and before the transfusion is a result of a positive-feedback mechanism. d. a and b e. a, b, and c 3. Provide the correct directional term for the following statement: When a boy is standing on his head, his nose is to his mouth. 4. During pregnancy, which of the mother’s body cavities increases most in size? 5. A woman falls while skiing and is accidentally impaled by her ski pole. The pole passes through the abdominal body wall and into and through the stomach, pierces the diaphragm, and finally stops in the left lung. List, in order, the serous membranes the pole pierces. Answers in appendix F Answer Multiple Choice 1. A. Physiology Deals with the processes or functions of living things. 2. B. 2,1,6,3,4,5 Correct order for the organizational levels, from simplest to most complex. (1) chemical (2) cell (3) tissue -organ (4) organ (5) organ system (6) organism 3. D. Endocrine system Removes foreign substances from the blood; combats disease; maintains tissue fluid balance 4. C. Integumentary system Regulates temperature; reduces water loss; provides protection 5. E. Muscular system Produces movement; produces body heat maintains posture; 6. A. Nervous system Regulates other organ systems 7. B. Urinary System Removes waste products from the blood; maintains water balance 8. C. Metabolism Metabolism is the body's process of balancing the system. It involves two kinds of activities that occur at the same time. These activities are called anabolism and catabolism. 9. D. 4,2,3,1 (1) Receptors detect a decrease in blood pressure (2) The control center compares actual blood pressure to the blood pressure set point. (3) The heart beats faster. (4) Blood pressure increases Anatomy and Physiology 33 10. C. Birth is an example of a normally occurring positive-feedback mechanism. 11. D. Proximal. 12. A. Superficial and Deep 13. B. Forearm 14. B. right-lower 15. A. frontal (coronal) plane. 16. C. found within the thoracic cavity. 17. B. 1,2,3 (1) heart and pericardial cavity (2) lungs and pleural cavity (3) stomach and peritoneal cavity 18. A. peritoneum parietal pleura—parietal 19. E. Stomach 20. A. Abdominal cavity These organs, along with the majority of the organs in the body, reside within the abdominal cavity. The pelvic cavity houses mainly the reproductive organs and the bladder, while the dorsal cavity houses the brain and spinal cord. 21. C. Brain The brain is housed in the dorsal cavity. The ventral body cavity, which contains the thoracic cavity, contains most of the body’s organs. The thoracic cavity is further divided into left and right pleural cavities which hold the lungs, and the mediastinum, which houses the heart within its own pericardial cavity. 23. B. As organisms increase in size and complexity, they tend to have more body cavities. This is true. Flatworms have no layers, while the more complex segmented worms have full coeloms. As such, the segmented worms can grow much larger. While the theory is not fully fleshed out, it is clear that larger organisms tend to have more body cavities. This could be to support their complex movements, or it could just be a byproduct of the development of a third germ layer. 25. b. Cerebrospinal Cerebrospinal fluid acts like a cushion that helps protect your brain and spinal cord from sudden impact or injury. The fluid also removes waste products from the brain and helps your central nervous system work properly. 26. D. 4 There are four types of serous membranes: the pericardium that surrounds the heart, the pleura that surround the lungs, the peritoneum that surrounds the abdominal cavity and associated organs, and the tunica vaginalis that surrounds the testes. 27. C. Peritoneum The peritoneum is the largest of the serous membranes. The peritoneum is very convoluted in some regions, folding in upon itself and increasing the surface area. The unfolded surface area of the peritoneum is close to that of the surface area of the skin. 28. B. Allow movement of the heart The pericardium is the serous membrane that surrounds the heart. It has several protective functions including allowing movement of the heart within the body cavity without friction, protecting the heart from external stimuli by controlling inflammation and immune responses, and the synthesis and release of a number of molecules including cytokines and antigens. Critical Thinking 1. Student B is correct. Body temperature begins to rise as a result of exposure to the hot environment. Sweating eliminates heat from the body and lowers body temperature. Body temperature returning to its ideal normal value is an example of negative feedback. Student A probably thought it was positive feedback because sweating continued to increase. However, sweating is the response. The variable being regulated by sweating is body temperature. 2. Answer e is correct. Positive-feedback mechanisms continuously stimulate a response until the initial stimulus is removed. They are sometimes harmful. The continually decreasing blood pressure is an example of a harmful positive feedback mechanism. Negative-feedback mechanisms result in a return to homeostasis. The elevated heart rate is a negative-feedback mechanism that attempts to return blood pressure to a normal value. In this case, the Anatomy and Physiology 34 negative-feedback mechanism is inadequate to restore homeostasis, and medical intervention (a transfusion) is necessary. 3. When a boy is standing on his head, his nose is superior to his mouth. Directional terms refer to a person’s body in the anatomical position, not to the body’s current position. 4. The uterus is located in the pelvic cavity. The pelvic cavity, however, is surrounded by the bones of the pelvis and does not increase in size during pregnancy. Instead, as the fetus grows, the expanding uterus must move into the abdominal cavity, thereby crowding the abdominal organs and dramatically increasing the size of the abdominal cavity. 5. After the pole passes through the abdominal wall, it pierces the parietal peritoneum. In passing through the stomach, it penetrates the visceral peritoneum, the stomach itself, and the visceral peritoneum on the other side of the stomach. Because the diaphragm is lined inferiorly by parietal peritoneum and superiorly by parietal pleura, these are the next two membranes pierced. The pole then passes through the pleural space and visceral pleura to enter the lung. Anatomy and Physiology 35