Introduction to Human Anatomy & Physiology Terminology and Divisions Anatomy & Physiology • Anatomy = • Physiology = Organization of the Human Body • Axial: - Contains body cavities • Appendicular: - Extremities Body Cavities & Viscera Body Cavities: Contain and protect viscera Axial Portion: Two Major Cavities 1. Dorsal Cavity 2. Ventral Cavity Dorsal Cavity: Posterior • Cranial Cavity = Contains Brain • Vertebral Cavity = Contains Spinal Cord Ventral Cavity: Anterior • Thoracic Cavity = Trachea, Bronchi, Heart, Lungs, Esophagus, Thymus Gland Heart (Pericardial Cavity) Lungs (Pleural Cavity) Separated by… - Abdominal Cavity= Stomach, small intestines, liver, pancreas, spleen, gallbladder, upper large int., kidneys - Pelvic Cavity = Lower large intestines, bladder, reproductive organs Organ Systems & Applications in Sports Medicine - Integumentary - Cardiovascular - Skeletal - Lymphatic - Muscular - Respiratory - Nervous - Urinary - Endocrine - Reproductive - Digestive Organ Systems: Integumentary Structures: - Hair - Nails - Skin - Sweat & Sebaceous Glands Functions: - Protection - Temperature Regulation - Sensation Organ Systems: Skeletal Structures: - Bones - Cartilage - Joints - Ligaments Functions: - Framework - Muscle Attachment - Protection - Blood Cell Production Organ Systems: Muscular Structures: - Muscles - Tendons Functions: - Movement - Maintain Posture - Heat Production Organ Systems: Nervous Structures: - Brain - Spinal Cord - Nerves Functions: - Sends impulses - Allows for motor/sensory function Organ Systems: Cardiovascular Structures: - Heart - Blood vessels - Blood Functions - Pumps blood - O2 transport - Waste removal When Referring to a Part of the Human Body… Anatomical Position Standardized method of observing the body when referencing anatomical structures • • • • Standing Erect Facing Forward Upper Limbs at Sides Palms Forward Terms of Relative Position Describe location of a body part in respect to another • • • • • • • Superior/Inferior: Above or below Anterior/Posterior: Front or back Medial/Lateral: proximity to midline Proximal/Distal: proximity to trunk or axial skeleton Bilateral/Ipsilateral: both sides/same side Contralateral: opposite side Superficial/Deep: proximity to surface Anatomical Terminology Lying Down • Supine: Face up or palms up - Lying on your back • Prone: Face down or palms down - Lying on your stomach Implications for injuries? Body Sections • Sagittal: cuts body in half lengthwise (right and left portions) • Transverse: cuts body in half horizontally (top and bottom portions) • Coronal: cuts body into front and back portions How would this be useful in medicine? Case Scenario • Athlete comes into the athletic training room complaining of medial knee pain. • What do you think the injury is? Assessing an Injury: HOPS Method • History: Ask patient ?’s to find out what happened • Observation: What you see… – body language, swelling, deformity, discoloration, compare bilaterally • Palpation: “Feeling” or “Touching” – Could notice… • Special Tests: Determine what specific structures are injured: range of motion, muscle testing, stress tests of ligaments, functional tests, etc. History: What should we ask? - What happened? (Mechanism) When did it happen? (Acute vs. Chronic) What type of pain is it? (radiating/burning, etc.) Is there a history of injury to that area Sound or sensation at time of injury Specific location of pain Extent of pain (0-10) Activities that increase/decrease pain Did you keep participating? Impact on daily activities/sport History: What happened? • Mechanism of Injury: (MOI) force which resulted in the injury (push or pull acting on the body) • Yield Point: Elastic limit---injured tissue structures Axial: Force along long axis of structure (directed at trunk) Compressive: Squeezing/Crushing force Tensile: Pulling force Shear: Sliding against object or body part History: How long has it been hurting? - When specifically did it occur? -Acute vs. Chronic Acute: Rapid onset/One likely cause Chronic: Long onset/duration, many potential contributing factors - Insidious vs. Immediate onset Examples? History: What type of pain is it? • Somatic: Arises from skin, ligament, muscle or bone • Visceral: Pain from a disease or injury to organ – Will cause other systemic symptoms • Referred: Pain perceived at a different location than site of injury • Radiating: Pain from injury to nerve---pain moves along nerve pathway---”tingling, Case Scenario: Medial Knee Pain? • • • • • • • • • Athlete comes into the physician’s office Athlete comes into the physician’s complaining of medial knee pain. office complaining of medial knee pain. Indicates injury occurred yesterday Indicates injury occurred yesterday at at practice Was hit in the inside portion of the knee practice with a baseball during practice Was running around 3rd base, stopped No history of injury No tingling or numbness, no pop, snap, quickly and turned to run back or crack Felt an immediate “pop” Minimal swelling No history of injury Able to walk, sore to run, Moderate swelling medially Sore to touch Could not continue participating Pain is a 2/10 Was carried off the field Pain is a 7/10 Other Considerations • Indications: A type of treatment that is appropriate for an injury • Contraindications: A type of treatment that is NOT appropriate for an injury Examples? Anatomic Properties of Skin First layer of defense/Has 3 layers Most Superficial = Epidermis Keratinocytes = skin cells - Provide a barrier Constant sloughing Inner Layer = Dermis - Collagen & Elastin Proteins - Contains blood vessels and nerves - Sebaceous Glands - Sweat Glands - Arrector pili muscle Layer DEEP to dermis = Subcutaneous Fat: Conserve Heat/Shape Damage to dermal layer vs epidermal layer? Skin Injury Classification • Abrasion: Shearing force where skin is scraped against a rough surface • Chafing: Epidermal irritation from pressure or friction • Incision: Split in skin with smooth edges • Laceration: Irregular tear in skin • Puncture: Penetration of skin/tissues • Avulsion: Separation of skin from source Skin Injuries and Treatment • Blister: Repeated shearing force in one or more directions over epidermal layer of skin • Blood can build up if between dermal and epidermal layers • Care? General Skin Injury Care • • • • • • Irrigate with water/saline DON’T use hydrogen peroxide or (dilute) Use topical antibiotic once a day Keep wound moist----healing---scar? Avoid scab formation---DON’T PICK Sutures/dermabonding must be done w/in 24 hours