Introduction to Anatomy & Physiology Headings Vocabulary Important Info •Anatomy oscience of structure orelationships revealed by dissection imaging techniques •Physiology oscience of body functions Clinical Observational Techniques • Palpation o feel body surface with hands pulses and breathing rates • Auscultation o listen to body sounds with stethoscope abnormal fluid in lungs • Percussion o tap on body surface and listen to echo Levels of Organization • Chemical • Cellular • Tissue • Organs • System Level • Organismic Level Levels of Structural Organization • Chemical Level - atomic and molecular level • Cellular Level - smallest living unit of the body • Tissue Level - group of cells and the materials surrounding them that work together on one task • 4 basic tissue o epithelium o muscle o connective tissue o nerve • Organ Level o grouping of 2 or more tissue types into a recognizable structure with a specific function. • Organ System o collection of related organs with a common function o sometimes an organ is part of more than one system • Organismic Level - one living individual. Interactions of Body Systems • Example: Integumentary System & Skeletal System o Skin produces vitamin D needed for CA absorption and bone growth o Bone marrow produces cells which help the skin resist infection. Life Processes • Metabolism = sum of all chemical processes o breakdown of large molecules into small o building new structural components (proteins) o providing chemical energy for cells • Responsiveness o detect & respond to changes in internal or external environment o some typical responses muscle contraction, electrical • Movement o any structural level o body, organ, cell or cell component • Growth o increase in number or size of cells or the material found between cells • Differentiation o specialization of cells for a specific function o stem cells give rise to cells that specialize • Reproduction o formation of new cells or Autopsy •Postmortem examination of body by dissection •Purpose o confirm or determine cause of death o support findings of other tests o provide info on effects of drug usage o educate healthcare students o reveal congenital defects Homeostatis • Maintaining the internal environment within physiological limits (internal balance) • First described by French physiologist, 1813-1878 • Process named by Walter Cannon, 1871-1945 • Example o blood glucose level is kept within narrow range 70110/100ml Homeostasis of Body Fluids • Delineation of fluid compartments • Intracellular Fluid (ICF) = w/i cells • Extracellular Fluid (ECF) = o/s cells Intercellular Fluid = tissue fluid = interstitial fluid Plasma = fluid portion of blood • Composition of fluids change as substances move between compartments o nutrients, oxygen, ions and wastes move in both directions across Control of Homeostasis •Homeostasis is continually being disrupted by: o External Stimuli intense heat, cold , and lack of oxygen o Internal Stimuli psychological stresses exercise •Disruptions are usually mild & temporary •If homeostasis is not Neural and Endocrine Controls • Maintaining a controlled condition o sensory receptors detect change in a monitored variable o nervous system and/or endocrine system responds • Ex: Control of blood gas level o exercise increases blood CO2 levels o sensory receptors detect change o nervous system increases heart and breathing rates to remove excess CO2 o adrenal gland releases epinephrine to increase heart Components of Feedback Loop • Receptor o monitors a controlled condition • Control Center o determines next action • Effector o receives directions from the control center o produces a response that changes controlled condition Negative & Positive Feedback Loops •Negative Feedback Loop o original stimulus reversed o most feedback systems in the body are negative o used for conditions that need frequent adjustment o body temperature, blood sugar levels, blood pressure •Positive Feedback Loop o original stimulus intensified o normal childbirth Homeostasis of Blood Pressure • Pressure receptors in walls of certain arteries detect an increase in BP o Blood Pressure = force of blood on walls of vessels • Brain receives input and signals heart and blood vessels • Heart rate slows and arterioles dilate (increase in diameter) • BP returns to normal Positive Feedback during Childbirth • Stretch receptors in walls of uterus send signals to brain • Brain releases hormone (oxytocin) into bloodstream • Uterine smooth muscle contracts more forcefully • More stretch, more hormone, more contraction etc. • Cycle ends with birth of the baby & decrease in stretch Homeostatic Imbalances • Disorder = abnormality of function • Disease = homeostatic imbalance with distinct… o Symptoms: changes in body function felt by patient such as nausea o Signs: changes in body function that can be observed by doctor such as rash or fever • Diagnosis: skill of distinguishing one disease from another • Epidemiology: how disease is transmitted • Pharmacology: how drugs used to treat disease Basic Anatomical Terminology • Regions of the body • Anatomical position • Anatomical planes, sections and directional terms Anatomical Position • Standardized position • Prone Position = lying face describing directional terms o standing upright o facing the observer, head level o eyes facing forward o feet flat on the floor o arms at the sides o palms turned forward down • Supine Position = lying face up Common Regional Names She is standing in the Anatomical Position • Clinical terminology based on a Greek or Latin root word. • Fill in worksheet to help remember the terms Planes & Sections •Plane: imaginary flat surface that passes through the body. •Section: one of the 2 surfaces (pieces) that results when the body is cut by a plane passing through it. Sagittal Plane • Sagittal Plane o divides the body or an organ into left and right sides • Midsagittal Plane o produces equal halves • Parasagittal Plane o produces unequal halves Other Planes and Sections • Frontal or Coronal Plane o divides the body or an organ into front (anterior) and back (posterior) portions • Transverse or Horizontal Plane o cross-sectional o divides the body or an organ into upper (superior) or lower (inferior) portions • Oblique Plane o some combination of 2 other planes Planes and Sections of the Brain(3-D anatomical relationships revealed) • • Horizontal Plane • Frontal Plane • Midsagittal Plane Major Directional Terms •Dorsal & Ventral • Dorsal or Posterior o Back of the body o Brain is posterior to the forehead. • Ventral or Anterior Superior & Inferior • Superior o Towards the head o Eyes are superior to mouth. • Inferior o Front of the body o Away from head o Sternum is anterior to the heart. o Stomach is inferior to the heart. Proximal or Distal • Proximal o nearer to attachment of the limb to the trunk o The knee is proximal to the ankle. • Distal o farther from attachment of the limb to the trunk o The wrist is distal to the elbow. Medial or Lateral • Medial o nearer to midline of body o Heart lies medial to lungs • Lateral o farther from midline of body o The thumb is on the lateral side of the hand. •Brain is posterior to the forehead. •Eyes are superior to mouth. •Stomach is inferior to the heart. •Sternum is anterior to the heart. •The knee is proximal to the ankle. •Heart lies medial to lungs •The wrist is distal to the elbow. •The thumb is on the lateral side of the Dorsal Body Cavity •Near dorsal surface of body •2 subdivisions oCranial Cavity holds the brain formed by skull oVertebral or Spinal Canal contains the spinal cord formed by vertebral column •Meninges (system of membranes) line dorsal body cavity Ventral Body Cavity • Near ventral surface of body • Visceral Organs (viscera): A group of internal organs housed in the ventral cavity • 2 subdivisions o Thoracic Cavity: above diaphragm o Abdominopelvic Cavity: below diaphragm • Diaphragm = large, dome-shaped muscle • Organs called viscera Abdominopelvic Cavity • Inferior portion of ventral body cavity below diaphragm • Encircled by abdominal wall, bones & muscles of pelvis Thoracic Cavity • Encircled by ribs, sternum, vertebral column and muscle • Divided into 2 pleural cavities by mediastinum • Mediastinum contains all thoracic organs except lungs o "middle" section of the chest cavity Mediastinum • Area behind the breastbone • Midline wall of tissue that contains heart and great vessels, esophagus, trachea and thymus. Serous Membranes •Thin slippery membrane lines body cavities not open to the outside o parietal layer lines walls of cavities (outside) o visceral layer covers viscera (internal organs) within the cavities •Serous fluid Pleural & Pericardial Cavities • Visceral Pleura: clings to surface of lungs • Parietal Pleura: lines chest wall • Visceral Pericardium: covers heart • Parietal Pericardium: lines pericardial sac Peritoneum • Visceral Peritoneum --- serous membrane that covers the abdominal viscera (organs) • Parietal Peritoneum --- serous membrane that lines the abdominal wall Abdominopelvic Regions & Quadrants • Describe locations of organs or source of pain • Tic-tac-toe grid or intersecting lines through navel Medical Imaging •Allows visualization of structures without surgery •Useful for confirmation of diagnosis •Examples of imaging techniques Conventional Radiography • A single burst of xrays • Produces 2-D image on film • Known as radiography or xray • Poor resolution of soft tissues • Major use is Osteology: study of bones Computed Tomography (CT Scan) • Moving x-ray beam • Image produced on a video monitor of a crosssection through body • Computer generated image reveals more soft tissue detail o kidney & gallstones • Multiple scans used to build 3D views Digital Subtraction Angiography(DSA) • Radiopaque material injected into blood vessels • Before and after images compared with a computer program • Image of blood vessel is shown on a monitor Ultrasound (US) • High-frequency sound waves emitted by hand-held device • Safe, noninvasive & painless • Image or sonogram is displayed on video monitor • Used for fetal ultrasound and examination of pelvic & abdominal organs, heart and blood flow through blood vessels Magnetic Resonance Imaging (MRI) • Body exposed to high-energy magnetic field • Protons align themselves relative to magnetic field • Pulse of radiowaves used to generate an image on video monitor • Can not use on patient with metal in their body • Reveals fine detail within soft tissues Positron Emission Tomography(PET) • Substance that emits positively charged particles is injected into body • Collision with negatively charged electrons in tissues releases gamma rays • Camera detects gamma rays & computer generates image