Chapter 1: Organization of the Human Body Do you know who I am? Leonardo da Vinci’s The Vitruvian Man What is Anatomy? -The science of the structures of the body and their relationships to each other -Anatomy includes the study of: -Body locations -Cephalic = head -Pedal = foot -Directional terms -Superior = toward the head -Inferior = away from the head -Dissection of the body -Sagittal plane – divides body into left and right sides Anatomical Position • Standardized position from which to describe directional terms – – – – – – standing upright facing the observer, head level eyes facing forward feet flat on the floor arms at the sides palms turned forward • Prone position = lying face down • Supine position = lying face up Tortora & Grabowski 9e 2000 JWS 1-3 Regions of the Body Page 11 Anatomical Terms Vertebral Cephalic Orbital Otic Cervical Palmer Manual Nasal Sacral Digital Oral Dorsal Femoral Mental Mammary Patellar Pedal Thoracic Pelvic Plantar Carpal Abdominal Gluteal Page 13 Directional Terms Superior - Toward the head Inferior - Away from the head Anterior - Toward the front Posterior - Toward the back Medial - Toward the middle Lateral - Away from the middle Proximal - Nearer to the attachment point Distal - Farther from the attachment point Superficial - Toward or on the surface Deep - Away from the surface Page 14 Planes of the Human Body -Sagittal Plane – a vertical plane that divides the body into right and left sides -Midsgittal – equally divided into right and left sides -Parasagittal – unequally divided into right and left sides - Frontal Plane (coronal plane) – a plane that divides the body into anterior and posterior portions -Transverse Plane – a plane that divides the body into superior and inferior portions -Oblique Plane – a plane at an angle between the sagittal plane and the transverse plane Anatomy and Physiology Body Cavities Page 15 Subdisciplines of Anatomy Embryology The study of structures that immerge from the time of the fertilized egg through the eighth week in utero Developmental The study of structures that emerge from the time of Anatomy the fertilized egg to the adult form Cytology The study of the chemical and microscopic structure of cells Histology The study of microscopic structures of tissues Gross Anatomy The study of structures that can be examined without using a microscope What is Physiology? - The science of body functions, or how the body parts work -The stomach digests proteins -The heart muscle contracts Subdisciplines of Physiology Cell Physiology The study of the function of cells Neurophysiology The study of the functional properties of nerve cells Endocrinology The study of hormones and how they control body functions Immunology The study of how the body defends itself against disease-causing antigens Exercise Physiology The study of changes in cell and organ function as a result of muscular activity Pathophysiology The study of functional changes associated with disease and aging Levels of Organization Chemical Basic structural and functional unit of life Cellular Tissue Multiple tissues working together to perform a specific function Atoms – C,H,O,N,P,S Molecules – C6H12O6, CO2, H2O, NaCl Group of similar cells working together to perform a function Organ System Related organs with a common function Page 3 4 Basic Animal Tissue Types 1. Connective – Ex: blood 2. Epithelial – Coverings; ex: skin, membranes, linings 3. Nervous – CNS and PNS 4. Muscle – Locomotion & movement within organs Body Systems Nervous There are 11 body systems: Integumentary Immune Endocrine Skeletal Respiratory Lymphatic Digestive Muscular Cardiovascular Reproductive Urinary Integumentary System •Anatomy – skin, hair, nails, sweat glands, and oil glands •Physiology – regulates body temperature, protects the body, eliminates wastes, receives sensations, produces vitamin D Skeletal System •Anatomy – all the bones of the body, and associated cartilage and joints •Physiology – supports and protects the body, aid in movement, produces blood cells, stores minerals Muscular System •Anatomy – skeletal muscles •Physiology – participates in movement, maintains posture, produces heat Nervous System •Anatomy – brain, spinal cord, nerves, and sense organs •Physiology – regulates body activities, detects changes in the environment, brings about muscular contractions and glandular secretions Endocrine System •Anatomy – all the glands and tissues that produce hormones •Physiology – Regulate body activities through hormones that are specific to target organs Cardiovascular System •Anatomy – blood, heart, and blood vessels •Physiology – transports O2, CO2, nutrients, wastes, hormones, and other dissolved substances throughout the body, regulates body fluids Lymphatic and Immune Systems •Anatomy – Lymph, lymph vessels, lymph nodes, spleen, thymus, tonsils, white blood cells •Physiology – return proteins and fluids to the blood, carries lipids from the GI tract, maturation and proliferation of WBCs, protects against infection by pathogens Respiratory System •Anatomy – lungs •Physiology – gas exchange between the body and the environment Reproductive Systems •Anatomy – gonads, associated tubes and glands, mammary glands •Physiology – production of gametes, production of hormones, production of milk Digestive System •Anatomy – organs of the gastrointestinal system, accessory organs, and accessory glands •Physiology – physical and chemical breakdown of macromolecules, elimination of solid wastes Urinary System •Anatomy – kidneys, ureters, urinary bladder, urethra •Physiology – produces, stores, and eliminates urine, regulates blood volume and concentration Body Fluids •Intracellular fluid (ICF) – fluid within the cell •Extracellular fluid (ECF) – the fluid outside the cell, also called interstitial fluid Life Processes •Metabolism – the sum of all the chemical processes that occur in the body. •Dehydration synthesis – anabolic reactions •Hydrolysis – catabolic reactions •Responsiveness – the body’s ability to detect and respond to changes in its internal and external environment •Movement – motion of the whole body, individual organs, single cells, and organelles •Growth – an increase in the size and number of cells •Differentiation – the process whereby unspecialized cells become specialized cells •Reproduction – the formation of new cells for growth, repair, and replacement, and production of new individuals Homeostasis: Maintaining a Stable Internal Environment •Examples: •Body Temperature •37°C •Blood Pressure •120mmHg/80mmHg •Blood Glucose Level •90mg/100mL Feedback Systems •Feedback mechanisms – a cycle of events in which the status of a body systems is continuously monitored, evaluated, changed, remonitored, reevaluated, etc. •Controlled condition – the monitored condition •Stimulus – any disruption that causes a change in the controlled condition •Three components of a feedback system: •Receptor – a body structure that monitors changes in a controlled condition and sends input to the control center •Control Center – the body part that receives the input from the receptor, evaluates the input, and then sends the appropriate output to and effector •Effector – the body structure that receives output from the control center and produces a response Baroreceptors, nociceptors, thermoreceptors Brain and Spinal Cord Muscles and Glands Pages 7 Negative Feedback Systems •Negative feedback systems reverse a change in the set point •Set points controlled by negative feedback: •Temperature •Blood Pressure •Blood Glucose Level •Water Balance •Blood CO2 levels Page 8 Set Point •Homeostasis is a dynamic equilibrium, continuously moving slightly above and then slightly below the set point. The average of the fluctuations is the set point value Homeostasis and Disease •When the body remains outside of dynamic equilibrium is is said to be in a state of disorder or disease. •Disorder – a disturbance of structure and/or function. •Disease – an illness characterized by a recognizable set of signs and symptoms •Sign – objective changes in a person that a clinician can observe and measure: •Bleeding, swelling, vomiting, diarrhea, fever, rash •Symptom – subjective changes in body function that are not apparent to an observer: •Headache, nausea, pain The Study of Disease •Pathology – the science that deals with the nature, causes, and development of abnormal conditions and the structural and functional changes that occur from disease processes. •Epidemiology – the science that deals with why, when, and where diseases occur and how they are transmitted in a human community. •Pharmacology – the science that deals with the effects and uses of drugs in the treatment of disease. Aging and Homeostasis •Aging - a process characterized by a progressive decline in the body’s ability to restore homeostasis. •Increases susceptibility to stress and disease •Examples: •Wrinkled skin, gray hair, loss of bone density, decreased muscle mass and strength, diminished reflexes, decreases production of hormones, increased vulnerability to disease, infection, and cancer, decreased lung capacity, less efficient functioning of body systems, menopause, and enlarged prostate. Medical Imaging •Allows visualization of structures inside our bodies •Radiography – a barrage of X-rays passes through the body, producing an image of interior on X-ray sensitive film. The image is 2-dimensional and is called an X-ray. •Computed Tomography (CT)– formerly called computerized axial tomography (CAT). Computer assisted radiography in which an X-ray beam traces an arc over a section of the body resulting in a sectional image shown on a computer screen. Multiple images can be put together to make a 3-dimensional picture. CT scan X-ray •Digital Subtraction Angiography (DSA)– computer assisted imaging that analyzes radiographs before and after a dye is injected into blood vessels. Tissues around the blood vessels are erased from the second image, leaving an unobstructed view of the blood vessels. •Sonography – High-frequency sound waves reflect off body tissues and are detected by the emitting wand. The resulting image, called a sonogram, is displayed on a computer screen. •Magnetic Resonance Imaging (MRI) – The body is exposed to a high-energy magnetic filed, which causes protons in the body’s atoms to arrange themselves in relation to the magnetic field. The ion patterns are ‘read’ by a computer, which color codes the image on a computer screen. The image can be 2- or 3-dimensional. •Positron Emission Tomography (PET) – A substance that emits positrons (+ charged particles) is injected into the body where it is take up by tissues. Gamma rays are produced when these particles collide with electrons and are detected by gamma cameras. Sonograms DSA MRI PET Clinical Application •Palpation – the examiner feels body surfaces with the hands. •Pulse, chiropractic, examining lymph nodes •Auscultation – the examiner listen to body sounds to evaluate the function of different organs, often using a stethoscope to amplify the sound. •Listening to the lungs •Percussion – the examiner taps on the body surface with the figertips and listens to the resulting echo. Also used to reveal the size and position of underlying structures. •Abdominal percussion •Autopsy – postmortem examination of the body and dissection of its internal organs to confirm or determine the cause of death. •Diagnosis – the science and skill of distinguishing one disorder or disease from another. •Dissection – the careful cutting apart of body structures to study their relationship. •Vivisection – the dissection of a living organism to determine the function of the structure. Word Roots: -tomy = to cut -ology = the study of homeo- = sameness Homeostasis – the maintenance of a stable internal environment Pathology – the study of disease -stasis = standing still patho- = disease epi- = upon para- = near, next to peri- = around cardia – heart media- = middle quad- = four Pericardium – the membrane around the heart