UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY LEARNING OUTCOMES 1.1 Origins of Medical Science 1. 1.2 Anatomy and Physiology 2. 1.3 1.5 1.6 Explain how anatomy and physiology are related. (p. 11) Levels of Organization 3. 1.4 Identify some of the early discoveries that lead to our current understanding of the human body. (p. 10) List the levels of organization in the human body and the characteristics of each. (p. 12) Characteristics of Life 4. List and describe the major characteristics of life. (p. 14) 5. Give examples of metabolism. (p. 14) Maintenance of Life 6. List and describe the major requirements of organisms. (p. 14) 7. Explain the importance of homeostasis to survival. (p. 15) 8. Describe the parts of a homeostatic mechanism and explain how they function together. (p. 16) Organization of the Human Body 9. Identify the locations of the major body cavities. (p. 18) 10. List the organs located in each major body cavity. (p. 18) 11. Name and identify the locations of the membranes associated with the thoracic and abdominopelvic cavities. (p. 20) 12. Name the major organ systems, and list the organs associated with each. (p. 22) 13. Describe the general function of each organ system. (p. 22) 1-1 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY LEARNING OUTCOMES 1.7 Life-Span Changes 14. 1.8 Identify changes related to aging, from the microscopic to whole-body level. (p. 27) Anatomical Terminology 15. Properly use the terms that describe relative positions, body sections, and body regions. (p. 27) 1-2 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.1. ORIGINS OF MEDICAL SCIENCE A. Study of anatomy and physiology is an ever-developing science with a long history. 1. B. 1.2 Greek and Latin form the basis for the language of anatomy and physiology. ANATOMY AND PHYSIOLOGY: A. ANATOMY = the study of the structure (morphology, form) of body parts. B. PHYSIOLOGY = the study of the function of body parts. C. These two sciences are closely related. D. 1.3. See Fig 1.1, page 10 which dates back to 1543 AD. 1. Every living organism’s structures’ are organized in a particular fashion, in order to carry out a specific function. 2. Structure determines function/ Anatomy determines physiology. 3. See Fig. 1.2, page 11. Scientists use many tools to study anatomy. See Clinical Application 1.1, page 13: Ultrasonography and Magnetic Resonance Imaging: A Tale of Two Patients. LEVELS OF ORGANIZATION: See Fig 1.3, page 12, and Table 1.1, page 14. A. Atom [i.e. Carbon (C), Hydrogen (H), or Oxygen (O)]. An atom is defined as the smallest particle of an element, and they are composed of subatomic particles. Atoms combine with (react with) other atoms to form a… B. molecule [i.e. molecular oxygen (O2), carbon dioxide (CO2), water (H20)]. A molecule is defined as a particle composed of 2 or more joined atoms. Molecules combine with other molecules to form a... C. macromolecule (i.e. carbohydrates, lipids, proteins, nucleic acids). A macromolecule is defined as a large molecule. Macromolecules combine with other macromolecules to form an... 1-3 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.3. LEVELS OF ORGANIZATION (continued): D. organelle (i.e. cell membrane, nucleus, ribosomes). An organelle is defined as a small organ of a cell, composed of two or more macromolecules, which performs a particular function. Organelles collectively compose a... E. cell. The cell is defined as the basic unit of structure and function of living organisms! Each cell has a set of organelles and performs a particular function (i.e. a red blood cell has a biconcave shape and is anucleate. This structure increases its surface area, allowing for the transport of more oxygen. Some cells have all of the machinery that they need to live. See the amoeba, a single-celled organism in Fig 1.4, page 15. Similar cells with some extracellular material are arranged into a... 1.4. F. tissue (i.e. epithelia, connective, muscle, nervous). A tissue is defined as a group of similar cells that performs a specialized function. Two or more tissues combine to form an... G. organ (i.e. skin, heart, brain). An organ is defined as a structure consisting of a group of tissues that performs a specialized function. Two or more organs combine to form an... H. organ system (i.e. integumentary, cardiovascular). An organ system is defined as a group of organs that act together to carry on a specialized function. The eleven organ systems collectively form the... I. human organism. An organism is the most complex level of organization and is defined as an individual living thing. CHARACTERISTICS OF LIFE A. Ten processes: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. See Table 1.2, page 14. Movement Responsiveness Growth Reproduction Respiration Digestion Absorption Circulation Assimilation Excretion 1-4 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.5. MAINTANENCE OF LIFE A. B. Requirements of Organisms See Table 1.3, page 15. 1. Water for most metabolic reactions, lubrication, etc. 2. Food for energy 3. Oxygen for cellular respiration 4. Heat to maintain 37oC body temperature, enzyme action 5. Pressure for breathing and blood circulation Homeostasis 1. See Fig 1.6, page 16. Definition = the tendency of an organism to maintain a relatively stable internal environment despite external changes. o This is done by keeping conditions in a homeostatic range compatible with life, near a “set point” value. 2. Most life processes and metabolic reactions work to maintain homeostasis. 3. Most homeostatic mechanisms are regulated by negative feedback (see example below), which bring conditions back toward set point. 4. Sometimes conditions are purposely moved away from the set point. This is called positive feedback. a. Examples include “fight-or-flight” and blood clotting discussed in chapters 13 and 14, respectively. 5. All homeostatic mechanisms have three components in common. a. Receptors – sense change in environment b. Control Center – regulates set point of variables c. Effectors – organs that acts in response to changes 1-5 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.5. MAINTANENCE OF LIFE B. Homeostasis 6. See Fig 1.7 and Fig 1.8, page 17. Add arrows to negative feedback loop below. Example of negative feedback = maintenance of body temperature at 98.6oF/37oC. Targets/ Effectors: Sweat Glands (activate and perspire); Superficial blood vessels (dilate); Heart (rate increases); Diaphragm (breathing rate increases). Control Center: Hypothalamus Heat is released. Stimulus: body temperature body temperature Normal Body Temperature – Set Point 37oC Stimulus: body temperature Control Center: Hypothalamus body temperature Heat is conserved or produced Targets/Effectors: Sweat glands (are inactivated); Superficial blood vessels (constrict); Skeletal muscles (contract involuntarily, i.e. shivering occurs). 7. 8. 9. Organ Systems contribute to homeostasis. See Fig 1.9, page 18. See Appendix C, Laboratory Tests of Clinical Importance, pages 927-929. Examples of positive feedback = blood clotting, “fight-or-flight” response, et cetera. 1-6 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.6. ORGANIZATION OF THE HUMAN BODY A. Body Cavities: See Fig 1.10, page 19. HUMAN BODY AXIAL PORTION head neck trunk APPENDICULAR PORTION arms legs MAJOR CAVITIES DORSAL CAVITY VENTRAL CAVITY CRANIAL CAVITY THORACIC CAVITY brain VERTEBRAL CANAL spinal cord lungs mediastinum: thymus heart esophagus trachea * Note that the diaphragm muscle separates the thoracic from abdominopelvic cavities. ABDOMINOPELVIC CAVITY ABDOMINAL CAVITY PELVIC CAVITY liver gallbladder stomach spleen small intestine large intestine urinary bladder internal reproductive organs * Note that the kidneys, adrenal glands, pancreas, and ureters are behind the abdominopelvic cavity. This is referred to as RETROPERITONEAL. * See Reference Plates One through Seven, pages 38-44, illustrating the above organs. 1-7 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.6 ORGANIZATION OF THE HUMAN BODY B. Cavities in the Head: See Fig. 1.11, page 20. 1. Oral cavity 2. Nasal cavity 3. Orbital cavities 4. Middle ear cavities 5. Paranasal sinuses (Frontal and Sphenoidal sinuses are pictured here) C. Thoracic and Abdominopelvic Membranes 1. Serous Membrane = a soft, thin, pliable layer of tissue that either: a. covers a vital (visceral) organ = VISCERAL MEMBRANE or b. lines a body cavity = PARIETAL MEMBRANE. 2. There is a space between a visceral and parietal membrane into which SEROUS fluid is secreted for lubrication. 3. There are specific names for the membranes around the heart, lungs, and abdominal organs: a. Serous Membranes of the LUNGS: See Fig 1.12, page 21. o The membrane that covers the lung is called visceral pleura. o The membrane that lines the thoracic cavity is called parietal pleura. o The space between these two membranes is called the pleural cavity, and it is filled with serous fluid. b. Serous Membranes of the HEART: See Fig 1.12, page 21. o The membrane that covers the heart is called visceral pericardium. o The membrane that lines the pericardial cavity is called parietal pericardium. o The space between these two membranes is called the pericardial cavity, and it is filled with serous fluid. c. Serous Membranes of the ABDOMINAL ORGANS: See Fig 1.13, page 21. o The membrane that covers the liver, stomach, etc. is called visceral peritoneum. o The membrane that lines the abdominal cavity is called parietal peritoneum. o The space between these membranes and between the organs and abdominopelvic wall is called the peritoneal cavity, and it is filled with serous fluid. 1-8 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.6 ORGANIZATION OF THE HUMAN BODY (Keyed at the end of this outline) D. Organ Systems: See Table 1.4, page 25 and Figures on pages 22-25 in textbook. MAJOR ORGANS IN SYSTEM NAME SYSTEM FUNCTION(S) 1-9 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.7 LIFE-SPAN CHANGES A. Aging is the process of becoming mature or old. B. Aging occurs from the microscopic to whole-body level. 1. Programmed cell death begins in the fetus, although is not apparent until later decades. Examples of aging include the following: a. b. c. d. e. 2. Changes at tissue level explain familiar signs of aging. a. b. c. 3. decreased production of collagen and elastin – stiffening of skin diminished levels of subcutaneous fat –wrinkling fat to water proportions change in tissues – altered drug metabolism in elderly Changes at cell level occurs. a. b. c. d. e. f. g. h. 4. 3rd decade: gray hairs, faint facial lines, minor joint stiffness 4th decade: maternal age significant in chromosomal disorders of offspring, hair and facial changes continue 5th decade: hair color fades, facial wrinkles appear, hypertension, hypercholesteremia, heart disease, and Type II diabetes may appear 6th decade: waning immunity may require immunizations against influenza, pneumonia, and other infectious diseases 7th decade: continuation of above and…. impaired cell division – reduced wound healing inappropriate cell division – cancers repair of damaged DNA declines – cancers reduced energy extraction from nutrients reduced breakdown of worn cell parts damaging oxygen free radical increase - lipofuscin and ceroid pigments accumulation accumulation of a protein called amyloid may occur in the brain and lead to Alzheimer’s disease in some individuals generalized metabolic slowdown- diminished tolerance to cold, weight gain, and fatigue Due to the above changes at the molecular, cellular, and tissue levels, consequently the effects of aging occur at the organ and organ system level, as well. 1-10 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.8 ANATOMICAL TERMINOLOGY A. Definition = a language used to describe the relative position of body parts; needed for communication. B. Anatomical Position = standing erect, face forward, upper limbs at sides, and palms forward. See Fig 1.21a, page 28. C. Relative Position: See Fig 1.21, page 28. 1. 2. 3. 4. 5. 6. 7. D. Superior = above; Inferior = below Anterior = front; Posterior = back Ventral = front; Dorsal = back Medial = center; Lateral = side Ipsilateral = same side; Contralateral = opposite side Proximal = closer to trunk; Distal = farther from trunk Superficial/peripheral = surface; Deep = internal Body Sections (cuts, planes) See Fig 1.22 and Fig 1.23, page 29. 1. Sagittal cut: divides body/organ into right and left portions. a. midsagittal (median) = equal right and left portions. Also see Human Cadaver Plates Eight -Twelve, pages 45-48. 2. Transverse Cut (or horizontal): divides body/organ into superior and inferior portions. Also see Human Cadaver Plates Thirteen – Twenty, pages 49-52. . 3. Coronal Cut (or frontal): divides body/organ into anterior and posterior portions. Also see Human Cadaver Plates Twenty-One through Twenty-Five, pages 53-56. E. Sections/Cuts of Cylindrical Structures (i.e. blood vessels, nerves, etc.) See Fig 1.24, page 30. 1. Cross-section: cut at 90 degrees to longitudinal axis of structure 2. Oblique section: cut at angle across an object 3. Longitudinal section: cut along longitudinal axis of structure 1-11 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.8 ANATOMICAL TERMINOLOGY (Keyed at the end of this outline) F. Body Regions See Fig 1.25a, page 31. 1. Abdominal regions 2. Abdominal Quadrants: See Fig 1.25b, page 31. 1-12 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY 1.8 ANATOMICAL TERMINOLOGY G. Surface Anatomy (Landmarks): See Fig 1.26, page 32. 1. Anterior Landmarks: Above the Waist cephalic=head frontal=forehead orbital=eye otic=ear nasal=nose oral=mouth buccal=cheek mental=chin cervical=neck acromial = shoulder axillary=armpit brachial=upper arm antecubital=anterior elbow antebrachial=forearm carpal=wrist metacarpal=hand palmar = palm digital=finger mammary=breast sternal = breast bone pectoral = chest umbilical=navel abdominal = abdomen Below the Waist inguinal=groin coxal=hip genital=reproductive organs femoral=thigh patellar=knee cap sural=calf tarsal=ankle, instep pedal = foot digital=toe 2. Posterior Landmarks Above the Waist Below the Waist occipital= base of skull sacral=between hips acromial=shoulder gluteal=buttocks vertebral=spinal column perineal=between anus & other openings dorsum=back popliteal=back of knee cubital=elbow plantar=sole lumbar=loin calcaneal=heel OTHER INTERESTING TOPICS: A. THE WHOLE PICTURE. See page 9. B. CAREER CORNER: Emergency Medical Technician. See page 11. B. Some Medical and Applied Sciences, pages 30-32. C. Reference Plates: Human Organism, pages 38-44. D. Human Cadaver Reference Plates, pages 45-56. CHAPTER SUMMARY – see pages 33-34. CHAPTER ASSESSMENTS – see page 35. INTEGRATIVE ASSESSMENTS/CRITICAL THINKING – see page 36. 1-13 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY SYSTEM NAME MAJOR ORGANS IN SYSTEM FUNCTION(S) INTEGUMENTARY Skin, hair, nails, sweat glands, sebaceous glands protection, regulation of body temperature, synthesis of Vitamin D, etc. SKELETAL Bones, tendons, ligaments, cartilages support, protection, movement, Ca++ store, hematopoiesis MUSCULAR Skeletal Muscles movement, heat production, etc NERVOUS Brain, spinal cord, nerves coordination of body parts; information processing ENDOCRINE Endocrine Glands that secrete hormones maintenance of homeostasis. Fight-orflight, fluid and electrolyte balance CARDIOVASCULAR Heart, blood vessels transport of nutrients, wastes, O2 and CO2 electrolyte maintenance, LYMPHATIC Bone marrow, lymph nodes, thymus, spleen Control disease, etc RESPIRATORY nose, nasal cavity, sinuses, pharynx, larynx, trachea, bronchial tubes within lungs, alveoli exchange of gases (O2 and CO2), maintenance of blood pH and electrolytes; voice production URINARY kidneys, ureters, urinary bladder, urethra Excretion (removal of metabolic wastes from blood), maintenance of blood (i.e. pH, pressure, etc.), maintenance of electrolytes DIGESTIVE Oral cavity, pharynx, esophagus, stomach, small and large intestine, salivary glands, liver, pancreas, gall bladder male: testes, epididymis, vas deferens, prostate, seminal vesicle, bulbourethral glands, urethra, penis, scrotum breakdown of food into substances that can be absorbed (for energy) female: ovaries, fallopian tubes, uterus, cervix, vagina, labia, clitoris Female: house developing embryo/fetus REPRODUCTIVE production, maintenance and transport of gametes; production of sex hormones 1-14 UNIT 1- CHAPTER 1: INTRODUCTION TO HUMAN ANATOMY AND PHYSIOLOGY Abdominopelvic Areas Nine Regions RIGHT HYPOCHONDRIAC REGION EPIGASTRIC REGION LEFT HYPOCHONDRIAC REGION RIGHT LUMBAR REGION UMBILICAL REGION LEFT LUMBAR REGION RIGHT ILIAC REGION HYPOGASTRIC REGION LEFT ILIAC REGION Four Quadrants: RIGHT UPPER QUADRANT LEFT UPPER QUADRANT RIGHT LOWER QUADRANT LEFT LOWER QUADRANT 1-15