Chapter 1 – Introduction to anatomy and physiology A new language Anatomical Position Body erect feet slightly apart palms facing forward thumbs point away from body The new language – anatomical position The anatomical position is extremely important in studying anatomy since it is universal. This allows professionals to easily communicate with each other, even if they are from different countries or backgrounds Regardless of the patient body position – you ALWAYS refer to anatomical position Other concepts you need to know if you want to speak the language (you’ll do most of it in the lab) Body planes Dorsal and ventral cavities Abdominopelvic quadrants and 9 regions Organ systems Membranes Overview of Anatomy and Physiology Anatomy – the study of the structure of body parts and their relationships to one another Gross or macroscopic – large visible body structures (heart, lungs, kidney etc.) Different ways to approach gross anatomy: Regional – study of all the structure in a particular region of the body (leg, abdomen etc.) Systemic – study a particular system at a time. Microscopic – deals with structures that are too small to be seen with the naked eye Cytology – relates to the cells Histology – study of the tissues Physiology – the study of the function of the body Specialized Branches of Anatomy Pathological anatomy – study of structural changes caused by disease Radiographic anatomy – study of internal structures visualized by specialized scanning procedures such as X-ray, MRI, and CT scans Molecular biology – study structures at a subcellular level of anatomical Keep in mind......... Anatomy explains physiology Form and function are interrelated The function and process Those are 2 related topics of physiology The function of a physiological system is the “why” of a system event Why does the system exist and why does the event happen? Why red blood cells transport oxygen? They do so because the cells need oxygen to survive The process is “how” How do the RBC transport the oxygen? The oxygen binds to hemoglobin The levels of organization in the body, with the four primary tissue types EXTRACELLULAR MATERIAL AND FLUIDS combine to form CELLS TISSUES EPITHELIAL TISSUE CONNECTIVE TISSUE combine to form MUSCLE TISSUE ORGANS NEURAL TISSUE interact in ORGAN SYSTEMS 2401 2402 Necessary Life Functions Maintaining boundaries – the internal environment remains distinct from the external environment Cellular level membranes – accomplished by plasma Organismal level – accomplished by the skin Survival Needs Nutrients – needed for energy and cell building Oxygen – necessary for metabolic reactions Water – provides the necessary environment for chemical reactions (60-8% of body weight) Normal body temperature – necessary for chemical reactions to occur at life-sustaining rates (why is it important to maintain core body temperature?) Atmospheric pressure – required for proper breathing and gas exchange in the lungs Some environments in our body – fluid compartments Fluids in the body are compose of water and solutes There are 2 distinct fluid compartments Intracellular fluid (ICF) The cytosol of cells Makes up about two-thirds of the total body water Extracellular fluid (ECF) Major components include the plasma and lymph Minor components include all other extracellular fluids (water in dense CT, bone, fluid between visceral and parietal membranes.) Cations and Anions in Body Fluids Homeostasis Homeo – unchanging + stasis – standing The ability to maintain a relatively stable internal environment in an ever-changing outside world The internal environment of the body is in a dynamic state of equilibrium – it is not a precise value Homeostatic regulation is the adjustment physiological systems to preserve homeostasis of It happens in an environment that is inconsistent, unpredictable and at times – dangerous Important components of homeostasis in the ECF* Normal range Approximate short-term nonlethal limit Oxygen 35-40 10-1000 mmHg Carbon dioxide 35-45 5-80 mmHg Sodium ions 138-146 115-175 mmol/L Potassium ions 3.8-5.0 1.5-9.0 mmol/L Calcium ions 1.0-1.4 0.5-2.0 mmol/L Chloride ions 103-112 70-130 mmol/L Bicarbonate ions 24-32 8-45 mmol/L Glucose 75-95 20-1500 Mg/dl 98-98.8 (37.0) 65-110 (18.343.3) 0F (0C) 7.3-7.5 6.9-8.0 Body temperature Acid-base Medical Physiology – Guyton and Hall, 11th ed. units pH Maintaining homeostasis involves cooperation between systems Homeostatic imbalances If the body fails to maintain homeostasis it may result in a disease or pathological condition Diseases divide into 2 groups according to their origin: Internal failure of normal physiological process Abnormal cell growth, Production of antibodies against the body’s own tissues, Premature cell death, Inherited disorders External sources Toxic chemicals, Trauma, Foreign invaders Local and long-distance control pathways Local / autoregulation/ intrinsic control – in the cell or tissue – autocrine or paracrine mechanisms (CO2 levels in the tissue influence diameter of local capillaries) Long distance control/extrinsic involves the nervous and endocrine systems. The long distance neural control involves 3 components – sensor, integration center and effector The endocrine cells receive the stimulus directly and respond by releasing hormones (will be discussed in APII). Homeostatic control Some aspects of control systems: Tonic control – maintaining “moderate activity” – example – blood vessel diameter. Tonic control is not stopping or starting activity (similar to turning radio volume louder or softer) Antagonistic control – for systems that are not under tonic control either by hormones or the nervous system (insulin and glucagon, sympathetic and parasympathetic) Tonic control Homeostatic Control Mechanisms components The three components of control mechanisms: Sensory receptor (NOT a membrane receptor) – monitors the environments and responds to changes (stimuli) Control center – determines the set point at which the variable is maintained Effector – provides the means to respond to stimuli Pathways – afferent (sensory) and efferent (motor) Homeostatic Control Mechanisms 3 Input: Information sent along afferent pathway to Control center Receptor (sensor) 4 Output: Information sent along efferent pathway to Effector 2 Change detected by receptor 5 1 Stimulus: Produces change in variable Variable (in homeostasis) Response of effector feeds back to influence magnitude of stimulus and returns variable to homeostasis Set point Control center (thermostat) Signal wire turns heater off Receptor-sensor (thermometer in Thermostat) Heater off Effector (heater) Response; temperature drops Stimulus: rising room temperature Balance Response; temperature rises Stimulus: dropping room temperature Heater on Set point Effector (heater) Receptor-sensor (thermometer in Thermostat) Signal wire turns heater on Control center (thermostat) Figure 1.5 Positive Feedback In positive feedback systems, the output enhances or exaggerates the original stimulus Body is moved away from homeostasis Normal range is lost Used to speed up processes Positive feedback is also known as a “vicious cycle” – if not stopped can lead to death Figure 1.6 Positive feedback is NOT homeostatic process