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506 Terms
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Anatomy and Physiology
Human structure and function - the biology of the human body; form a foundation for advanced study in health care, exercise physiology, pathophysiology, and other related fields
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Inspection
To look at a person or body part
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Palpation
To feel with the fingers or hands during a physical examination
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Auscultation
To listen to the internal sounds of the body, usually using a stethoscope
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Percussion
To tap body parts with the fingers, hands, or other small instruments as part of a physical examination
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Cadaver Dissection
Cutting and separating human body tissues to reveal tissue relationships
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Comparative Anatomy
Study of multiple species to learn about form, function, and evolution
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Medical Imaging
Viewing the inside of the body without surgery
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Radiology
Branch of medicine concerned with imaging
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Gross Anatomy
Study of structures that can be seen with the naked eye
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Histology
Microscopic anatomy; examination of tissues with a microscope
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Histopathology
Microscopic examination of tissues for signs of disease
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Cytology
Study of structure and function of cells
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Ultrastructure
Viewing details under an electron microscope
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Subdisciplines of Anatomy and Physiology
Neurophysiology, endocrinology, and pathophysiology
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Neurophysiology
Study of the physiology of the nervous system
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Endocrinology
Study of the physiology of hormones
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Pathophysiology
Study of the mechanisms of disease
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Comparative Physiology
Study of different species to learn about body functions; the basis for much of our understanding of human physiology and the development of new drugs and medical procedures
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Hippocrates
Greek physician known as the “father of medicine”; established a code of ethics called the Hippocratic Oath; urged physicians to seek natural causes of disease rather than attributing them to acts of the gods and demons
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Aristotle
Believed diseases had supernatural or physical causes; called supernatural causes of disease *theologi* and natural causes for disease *physiologi* - this gave rise to the terms *physician* and *physiology*; believed complex structures were built from simpler parts
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Claudius Galen
Physician to Roman gladiators; did animal dissections because the use of cadavers was banned at the time; saw science as a method of discovery; teachings were adopted as dogma in Europe in the Middle Ages
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Maimonides
Also known as Moses ben Maimon; Jewish physician who wrote 10 influential medical texts; was physician to Egyptian sultan, Saladin
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Avicenna
Also known as Ibn Sina, as well as “The Galen of Islam”; combined both Galen and Aristotle’s findings with original discoveries; wrote *The Canon of Medicine* which was used in medical schools for 500 years
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Andreas Vesalius
Performed his own dissections rather than having the barber-surgeons dissect (Catholic Church relaxed restrictions on dissection of cadavers); published first atlas of anatomy, *De Humani Corporis Fabrica* (*On the Structure of the Human Body*) in 1543
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William Harvey
Early physiologist - contributions represent the birth of experimental physiology; published *De Motu Cordis* (*On the Motion of the Heart*) in 1628; realized blood flows out from the heart and back to it again (some credit is also given to **Michael Servetus** for this)
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Robert Hooke
Made many improvements to the compound microscope, including adding two lenses: the ocular lens (eyepiece) and objective lens (near specimen); invented the specimen stage, illuminator, and coarse and fine focus controls; his microscopes magnified only 30X; first to see and name “cells”; published the first comprehensive book of microscopy (*Micrographia*) in 1665
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Antony van Leeuwenhoek
Invented a simple (single-lens) microscope with great magnification to look at fabrics (magnified 200X); published his observations of blood, lake water, sperm, bacteria from tooth scrapings, and many other things
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Matthias Schleiden and Theodor Schwann
Examined a wide variety of specimens; concluded that “all organisms were composed of cells” (first tenet of cell theory) - considered to be perhaps the most important breakthrough in biomedical history as all functions of the body are interpreted as effects of cellular activity
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Francis Bacon (England) and René Descartes (France)
Philosophers who invented new habits of scientific thought - a creative, objective process; sought systematic ways of seeking similarities, differences, and trends in nature, as well as drawing useful generalizations from observable facts
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Governments of England and France
Established academies of science that still exist today
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Science and Scientific Methods
Set standards for truth
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The Inductive Method (Described by Francis Bacon)
Involves making numerous observations until one becomes confident in drawing generalizations and predictions; knowledge of anatomy has been obtained by this method
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Proof in Science
Reliable observations, repeatedly confirmed; not falsified by any credible observation
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In science, all truth is tentative, or otherwise known as…
“Proof beyond a reasonable doubt”
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The Hypothetico-Deductive Method
Most physiological knowledge has been obtained by this method; investigator formulates a hypothesis or an educated speculation or possible answer to the question (good hypotheses are consistent with what is already known and are testable)
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Falsifiability
If we claim that something is scientifically true, we must be able to specify what evidence it would take to prove it wrong
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Sample Size
Number of subjects in a study
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Controls
Resembles treatment group but does not receive treatment
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Psychosomatic Effects
Effects of subject’s state of mind on his/her physiology; tested by giving a placebo to the control group
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Experimenter Bias
Avoided with a double-blind study
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Statistical Testing
Provides statement of probability that treatment was effective
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Peer Review
Critical evaluation done by other experts in the same field; done prior to funding or publication; done by using verification and repeatability of results; ensures honesty, objectivity, and quality in science
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Scientific Fact
Information that can be independently verified
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Law of Nature
Generalization about the way matter and energy behave; results from inductive reasoning and repeated observations; written as a verbal statement or mathematical formula
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Theory
An explanatory statement or set of statements derived from facts, laws, and confirmed hypotheses; summarizes what we know; suggests directions for further study
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Charles Darwin
Wrote *On the Origin of Species by Means of Natural Selection* (1859), the book that “shook the world”; also wrote *The Descent of Man* (1871) which elaborated on human evolution and people’s relationship to other animals
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Evolution
Change in the genetic composition of a population of organisms; an example of this is the development of bacterial resistance to antibiotics
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Natural Selection
How evolution works
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Selection Pressures
Forces that promote the reproductive success of some individuals more than others; an examples of this is predators
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Adaptations
Inherited features of anatomy and physiology that evolved in response to pressures and that enable an organism to succeed; an example of this is better camouflage
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The closest known relative to humans is…
The chimpanzee (difference of only 1.6% in DNA structure)
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Study of Evolutionary Relationships
Helps us to select animals for biomedical research (the animal model); rats and mice are used extensively due to cost and ethical issues involved with using chimpanzees
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Primates
Order of mammals to which humans, monkeys, and apes belong
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What are some of our basic primate adaptations?
Mobile shoulders, opposable thumbs, prehensile hands, forward-facing eyes with stereoscopic vision, color vision, and a large brain
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Bipedalism
Standing and walking on two legs; helps animals to spot predators, as well as carry food, tools, and infants
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Some adaptations necessary in order for bipedalism to occur include…
Skeletal and muscular modifications, as well as changes to family structure
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*Australopithecus*
Bipedal primate genus that lived more than 3 million years ago
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*Homo*
Bipedal primate genus that appeared 2.5 million years ago; they were taller, had larger brain volume, and were better at making tools
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*Homo erectus*
Bipedal primate genus that appeared 1.8 million years ago; migrated from Africa to different parts of Asia
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*Homo sapiens*
Bipedal primate genus that originated in Africa 200,000 years ago
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Evolutionary medicine traces some of our diseases to…
Differences between modern and prehistoric environments
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What is the proper order of the hierarchy of increasing complexity?
Atoms → Molecules → Organelles → Cells → Tissues → Organs → Organ systems → Organism
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Reductionism
Large, complex systems can be understood by studying their simpler components; essential to scientific thinking
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Holism
“Emergent properties” of the whole organism cannot be predicted from the properties of the separate parts; idea that humans are more than the sum of their parts
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Anatomical Variation
No two humans are exactly alike - anatomy books show the most common organization of structures, however some individuals lack certain muscles, have an atypical number of vertebrae or certain organs (for example, kidneys), and some might even display *situs inversus* (left-right reversal of organ placement)
Allows for dynamic equilibrium within a limited range around a set point - the body senses a change and “negates” or reverses it
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Loss of homeostatic control causes…
Illness or death
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Why are homeostatic feedback mechanisms also referred to as “feedback loops”?
They alter the original changes that triggered them
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Receptor
Structure that senses change in the body (for example, stretch receptors above the heart that monitor blood pressure)
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Integrating (Control) Center
Processes sensory information, “makes a decision”, and directs the response (for example, the cardiac center of the brain)
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Effector
Cell or organ that carries out the final corrective action to restore homeostasis (for example, the heart)
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Self-Amplifying Cycle
Leads to greater change in the same direction; feedback loop is repeated - change produces more change
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What are some examples of positive feedback loops?
Childbirth, blood clotting, protein digestion, and the generation of nerve signals
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Gradient
A difference in chemical concentration, charge, temperature, or pressure between two points
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Matter and energy tend to flow…
Down gradients (for example, blood flows from a place of higher pressure to a place of lower pressure)
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Movement in the opposite direction is “up the gradient” and requires…
Spending metabolic energy
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Chemicals flow…
Down concentration gradients
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Charged particles flow…
Down electrical gradients
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Heat flows…
Down thermal gradients
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About 90% of our current medical terms come from…
1,200 Greek and Latin roots reflecting ancient past
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The Renaissance brought progress but confusion because…
Some of the same structures were named differently in other countries and some structures were named after people (for example, eponyms)
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What big event occured in 1895?
Anatomists established worldwide naming conventions - they rejected eponyms and used unique Latin names
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What big event occured in 1998?
The *Terminologia Anatomica* (TA) was published, which provided Latin names and their English equivalents - it was then adopted by anatomists in over 50 countries
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Radiography (X-Rays)
Discovered by William Roentgen in 1885; comprises over half of all medical imaging; penetrate tissues to darken photographic film beneath the body - dense tissue appears white; radiopaque substances can be injected or swallowed in order to fill hollow structures (for example, blood vessels, intestinal tract, etc.); digital subtraction angiography is useful for showing blockages and blood flow
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Computed Tomography (CT) Scan
Formerly called a “CAT scan”; low-intensity x-rays and computer analysis; slice-type imaging; images have increased sharpness
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Magnetic Resonance Imaging (MRI)
Superior quality to that of a CT scan; no x-ray exposure; best for soft tissue; functional MRI (fMRI) shows real time changes in the brain
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Positron Emission Tomography (PET) Scan
Assesses the metabolic state of tissues; injects radioactively labeled glucose; image color shows tissues that are using the most glucose at that moment; damaged tissues appear dark
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Sonography
Second oldest and second most widely used form of medical imaging technology; high-frequency sound waves echo back from internal organs; avoids harmful x-rays - good for obstetrics; images are not extremely sharp
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Biochemistry
Study of the molecules that compose living organisms; carbohydrates, fats, proteins, and nucleic acids; useful for understanding cellular structures, basic physiology, nutrition, and health
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Element
Simplest form of matter to have unique chemical properties; on the periodic table, they are arranged by atomic number and are represented by either one or two-letter symbols