Anatomy/Physiology Part 1 Human Body • Efficient, organized machine • Disease occurs when the machine doesn’t function correctly • Health care worker must understand normal function of body before understanding the disease process Areas of Study • Anatomy: Study of the form and structure of an organism • Physiology: Study of the profess of living organisms, or why and how they work • Pathophysiology: Study of how disease occurs and response of the body to disease process Cells • Basic unit of structure and function in all living things; make of protoplasm – Protoplasm is the basic substance of life that makes up all living things • Microscopic organisms that carry on all functions of life – – – – – – Take in food and oxygen Produce heat and energy Move and adapt to their environment Eliminate wastes Perform special functions Reproduce to create new identical cells Cell Membrane • Outer protective covering of a cell • Superpermeable: allows certain substances to enter and leave cell while preventing the passage of other substances Cytoplasm • Semifluid inside the cell membrane, but not in the nucleus • Contains water, lipids, carbs, minerals and salts • Chemical reaction site in cell Organelles • Cell structures that help a cell to function • Located in cytoplasm Nucleus • Mass in cytoplasm • “Brain of the cell” • Separated from cytoplasm by a nuclear membrane that contains pores to allow substances to pass • Controls many cell activities: mitosis, reproduction Nucleolus • One or more small round bodies located in the nucleus • Important in reproduction of the cell • Manufacture ribosomes and protein • Ribosomes move to cytoplasm to aid in production of protein Chromatin/Chromosomes • Located in the nucleus • Made up of deoxyribonucleic acid (DNA) and protein. • Chromatin condenses to form rod like structures/chromosomes during cell reproduction • Human cell has 46 chromosomes or 23 pairs • Each chromosome contains 30,000-45,000 genes Genes • Structure that carries inherited characteristics • Each gene has a specific and unique sequence of about 1,000 pairs of DNA – DNA carries genetic coding and allows for exact duplication of the cell – DNA sequence is unique for each individual – Used as a identification tool. It is more exact than fingerprinting. Centrosome • Located in cytoplasm near the nucleus • Contains centrioles important in reproduction • Thin spindle fibers form between the centrioles and attach to chromosomes • Creates an even division of the chromosomes in 2 new cells Mitochondria • Rod-shaped organelles located in cytoplasm • “Powerhouse” of the cell • Break down carbs, proteins, and fats to produce ATP which is an energy source for the cell Golgi Apparatus • Stack of membrane layers in the cytoplasm • Produces, stores, and packages secretions for discharge from the cell Endoplasmic Reticulum • Tubular structures in cytoplasm • Aids in synthesis and storage of proteins • Rough: uses ribosomes for protein synthesis • Smooth: assists with cholesterol synthesis, fat metabolism, and detoxification of drugs Lysomes • Oval or round bodies found in the cytoplasm • Contain digestive enzymes that digest and destroy old cells, bacteria, and foreign materials Mitosis • Asexual reproduction process used by most cells • Cells reproduce by dividing into 2 identical cells • Skin, blood forming, and industrial tract reproduce continuously • Muscle cells reproduce only every few years, but muscle tissue can be enlarged with exercise • Some specialized cells do not reproduce after birth – Nerve cells in brain and spinal cord – If these cells are damaged or destroyed, others are not formed to replace them Stem Cells • Scientists are attempting to determine whether stem cells can be transplanted into the body to cure diseases such as diabetes, Parkinson’s, spinal cord inj. • Hope is that stem cells can be programmed to produce new specialized cells that can replace a body’s damaged cells and cure the disease • 4-5 day embryo is used to obtain cells • Blood from umbilical cord and placenta contain stem cells • Stem cells exist in adult tissues (bone marrow/liver) but are unable to evolve into any kind of cell Tissues • Cells of same type join together for a common purpose • 60-99% water with various substances dissolved in it • Tissue fluid: Fluid in the tissues, slightly salty in nature – Dehydration: insufficient amount of tissue fluid – Edema: Excess amount of tissue fluid; swelling Types of Tissues • Epithelial Tissues – Cover service of body and main tissue in skin – Forms lining of intestinal, respiratory, circulatory, and urinary tracts and other body cavities – Forms body glands where it specializes to produce specific secretions for the body, such as mucus and digestive juice Connective Tissue • Supporting fabric of organs and other body parts – Soft Connective Tissue • Fatty tissue: Stores fat as reserve food/energy, insulates the body, acts as padding • Fibrous connective tissue: ligaments and tendons that help hold body structure together – Hard Connective Tissue • Cartilage: Tough elastic material found between bones of spine and at end of long bones where it acts as a shock absorber and allows for flexibility. Found in nose, ears, larynx-provide shape and form • Blood and Lymph – Classified as liquid connective tissue or vascular tissue – Blood carries nutrients and oxygen to body cells and metabolic wastes away from cells. – Lymph transports tissue fluid, proteins, fats, and other materials from the tissues to the circulatory system. More Tissues • Nerve tissues – Made of special cells called neurons – Control and coordinates body activities by transmitting messages through the body – Nerves, brain, and spinal cord are composed of nerve tissues • Muscle Tissue – Produces power and movement through contraction of muscle fibers • Skeletal: attaches to bone and provides movement • Cardiac: causes the heart to beat • Visceral (smooth): in walls of the respiratory, digestive, urinary tract, and blood vessels Organs and Organ Systems • Organ: Two or more tissue join together for a specific function – Heart, Stomach, Lungs • Organ System: Organs and other parts that join together for a particular function – Integumentary, skeletal, muscular, circulatory, lymphatic, nervous, respiratory, digestive, urinary or excretory, endocrine, and reproductive Summary • Protoplasm is basic substance of life • Protoplasm forms structural units called cells • Cells combine to form tissues • Tissues combine to form organs • Organs and other parts combine to form systems • Systems work together to create miracle of human body Body Planes • Special terms used when body is in anatomical position – Body is facing forward – Standing erect – Holding arms at sides with palms of hands facing forward Body Planes • Imaginary lines drawn through the body at various parts to separate the body into sections • Directional lines are create by these planes • Transverse Plane: – Horizontal plane dividing the body into top and bottom halves • • • • Superior: body parts above Inferior: body parts below Cranial: body parts near head Caudal: body parts near the sacral region or “tail” Body Planes • Midsagital/Median Plane – Divides body into right and left • Medial: Body parts close to midline or plane • Lateral: Body parts away from midline or plane • Frontal/Coronal Plane – Divides body into front and back sections • Ventral/Anterior: body parts in front of the plane or body • Dorsal/Posterior: body parts on the back of the body or plane Directional Terms • Used to describe the relationship of one part to the point of reference • Proximal: Body part close to the point of reference • Distal: Body parts away from the point of reference Example: Wrist is disital and elbow is proximal to the shoulder Abdominal Regions • Quadrants – Right upper quadrant (RUQ) – Left upper quadrant (LUQ) – Right lower quadrant (RLQ) – Left lower quadrant (LLQ)’ • Regions – – – – – – Epigastric Umbilical Hypogastric/Pelvic Hypochondriac Lumbar Illiac/Umbilical Skin • Skin has been called a membrane because it covers the body • Also called an organ because it contains several kinds of tissues • Most studies call it a system because it has organs and other parts that work together for a particular function • On average, Adult skin covers over 3,000 square inches of surface area and accounts for 15% of body weight Skin Layers • Epidermis: Outermost layer – Made up of 5-6 smaller layers – Contains no blood vessels or nerve cells • Dermis: “true skin” – Elastic connective tissue – Contains blood vessels, lymph vessels, nerves, sweat and oil glands, and hair follicles • Subcutaneus/Hyperdermis: Innermost layer of skin – Elastic fibrous connective tissue and fatty tissue – Connects skin to muscle • Glands Parts of Skin – Sweat glands • Coiled tubes that extend through dermis • Open on surface of skin at an opening called a pore • Eliminate sweat or perspiration that contains water, salts and some body wastes – Sebaceous/Oil Glands • Usually open onto a hair follicle • Keep hair from becoming dry/brittle Other parts of Integumentary System • Nails – Protect fingers and toes from injury – Made of dead keratinized epidermal epithelial cells which are packed closely together to form a thick, dense surface – Cells will regrow if lost if nail bed is not damaged • Hair – Helps protects the body – Covers all body surfaces except the palms of the hands and soles of the feet • Alopecia or baldness – Permanent loss of hair on the scalp – Genetic condition Functions • Protection – Barrier for ultraviolet rays – Protects against pathogens and germs • Sensory Perception – Nerves present in skin respond to pain, pressure, temperature and touch • Regulation of body temperature – Blood vessels retain or loose heat by dilating or constricting Functions • Storage – Temporary storage of fat which can later be used as a source of energy • Absorption – Allows for some substances to be absorbed into the skin (transdermal) • Excretion – Helps body eliminate salt and moisture through sweat • Production – Skin helps in the production of vitamin D Skin Eruptions • Macules: Flat spots on skin (freckles) • Papules: Firm raised areas (pimples, chicken pox) • Vesicles: Sacs of fluid (blisters) • Pustules: Sacs filled with pus (black head) • Crusts: Areas of dried pus or blood (scabs) • Wheals: Itchy elevated area with irregular shape (hive, bite) • Ulcer: Deep loss of skin surface that may extend into the dermis Skin Diseases and Abnormal Conditions • Athlete’s foot – Contagious fungal infection usually on the feet • Symptoms: Skin itches, blisters, and cracks into open sores • Treatment: Antifungal medication, keep area clean and dry • Dermatitis – Inflammation of the skin caused by a substance that irritates the skin • Contact dermatitis: contact with substance like poison ivy, oak , sumac • Frequently caused by allergic reactions to pollen, cosmetics, foods • Symptoms: Dry red skin, itching, edema, macular-papular rash, scaling • Treatment: Eliminate cause, anti-inflammatory ointments, antihistamines, steroids More Skin Disorders • Eczema: – Noncontiguous inflammatory skin disorder • Caused by reaction to irritant, soaps, medication, emotional stress • Symptoms: Dryness, erythema, edema, itching, vesicles, crusts, scaling • Treatment: Remove irritant and apply corticosteroids • Ringworm – Highly contagious fungal infection of skin or scalp • Symptoms: flat or raised circular area with clear central area surrounded by an itchy scaly or crusty ring • Treatment: Antifungal medication • Verrucae/warts – Viral infection of skin that form rough, hard, elevated skin surface • Removed with electricity, liquid nitrogen, acid, chemicals, or laser