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Anatomy
the study of structure and organization of living organisms
Computed tomography (CT)
Low intensity x-rays and computer analysis, slice type image typically transverse, increased sharpness of an image
Magnetic resonance imaging (MRI)
Superior quality to CT scan and no X-ray exposure, best for soft tissue
Functional MRI
Shows real time changes in the brain
Positron emission tomography (PET)
Assesses metabolic state of tissue with injected radioactively labeled glucose, image color shows tissues using the most glucose at that moment and damaged tissues appear dark
Sonography
Second oldest and second most widely used, high frequency sound waves echo back from internal organs, avoids harmful x-rays so good for obstetrics, image not very sharp
Radiography (X-rays)
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 to fill hollow structures, for example, blood vessels, intestinal tract
Digital subtraction angiography (DSA)
Type of radiography useful for showing blockages and blood flow
Physiology
the study of function of living organisms and their parts
Inspection
simply looking at the body’s appearance (performing a physical exam or making a diagnosis from surface appearance)
Palpation
feeling a structure with the hands (palpating a swollen lymph node or taking a pulse)
Auscultation
listening to the natural sounds made by the body (listening to heart and lung sounds)
Percussion
examiner taps on the body, feels for abnormal resistance, and listens to the emitted sound for signs of abnormalities (such as pockets of fluid, air, or scar tissue)
Dissection
Carefully cutting and separating tissues to reveal their relationships. Was also known as anatomizing until the 19th century. One of the first steps in training students is dissection of the cadaver.
Comparative anatomy
Study of multiple species in order to examine similarities and differences and analyze evolutionary trends. Anatomy students often begin by dissecting other animals with which we share a common ancestry and many structural similarities. Basis of development of new drugs and medical procedures.
How was it once common to diagnose disorders? What replaced it?
It was common to perform exploratory surgery. Now it has been mostly replaced by medical imaging techniques.
Radiology
Methods of viewing the inside of the body without surgery
Gross anatomy
Structures that can be seen with the naked eye, whether by surface observation, radiology, or dissection
Histology
study of tissue structures, microscopic anatomy
Cytology
Study of the structure and function of individual cells
Ultrastructure
Refers to fine detail study, down to molecular level revealed by electron microscope
Through what have we learned much of our knowledge on bodily function?
Comparative physiology. We have learned about processes such as water balance, respiration, and reproduction through these studies.
Examples of inspection
Performing a physical exam or making a diagnosis from surface appearance
Examples of palpation
Palpating a swollen lymph node or taking a pulse
Examples of auscultation
Listening to heart and lung sounds
Examples of comparative anatomy
Cardiac surgeon will perform on animals before humans, and vaccines are tested on animals until it demonstrates significant benefits without unacceptable risk.
Examples of percussion
Tapping on pockets of fluid, air, or scar tissue
What was the earliest adoption of medicine?
As early as 3,000 years ago, physicians in Mesopotamia and Egypt treated patients with herbal drugs, salts, physical therapy, and faith healing
Hippocrates
(460-375 BCE) Greek physician known as “father of medicine”. He established a code of ethics for physicians and urged them to stop attributing disease to the activities of gods and demons and to seek their natural causes.
Aristotle
(384-322 BCE) Greek physician. He was one of the first philosophers to write about anatomy and physiology. He believed diseases and other natural events could have supernatural causes or natural ones. He aimed to identify unifying themes in nature based on animals. He argued complex structures are built from a smaller variety of simple components.
Physici or Physiologi
Belief that diseases and other natural events have natural causes
Theologi
Belief that diseases and other natural events have supernatural causes
Metrodora
(c. 200 BCE) Greek physician who was the first woman to publish a medical textbook on gynecological studies
Claudius Galen
(129-200) Physician to Roman gladiators who wrote the most influential medical textbook of the ancient era. Cadaver dissections were banned in his time so dissections of animals formed his basis of knowledge. Made som incorrect deductions, such as his description of the human liver based on a baboon. He saw science as a method of discover.
State of medical science in the Middle Ages
It varied greatly from one religious culture to another. Science was severely repressed in the Christian culture of Europe until about the 16th century. Professors taught medicine as a commentary on Galen and Aristotle. Free inquiry was less inhibited in Jewish and Muslim culture at the time.
Where did the world influenza come from?
Medieval medical pseudoscience such as astrological diagnoses
Maimonides
(1135-1204) Accomplished Jewish physician, as well as admired rabbi living in Egypt. He wrote 10 medical books on diseases.
Avicenna (or Ibn Sina)
(980-1037) Wrote The Canon of Medicine which became a leading authority in European medical schools for over 500 years.
When did modern Western medicine begin?
Around the 16th century or 1500s
Andreas Vesalius
(1514-1564) Anatomist who taught anatomy in Italy. He was the first to publish accurate illustrations for teaching anatomy, and pointed our much of Galen was wrong. Catholic Church had relaxed prohibition on cadaver use. Dissection gradually found its way into training of medical students.
William Harvey
(1564-1642) Englishman, leading figure on physiology. Remembered for his studies of blood circulation. Contributions represented the birth of experimental physiology.
Galileo
(1564-1642) Patented the compound microscope as a by-product of his work with telescopes
Marcello Malpighi
(1628-1694) Among the first to observed blood cells and capillaries as well as capillary blood flow through telescope. Known as the father of histology
Robert Hooke
(1635-1703) Designed scientific instruments of various kinds, improved optics and invented several of the helpful features found in microscopes today. Studied cells such as cork plant cells.
Antony van Leeuwenhoek
(1632-1723) Textile merchant who invented a simple (single lens) microscope though it became a toy for the upper class
Matthias Schleiden and Theodor Schwann
By 1830, they concluded that all organisms were composed of cells. This created the basis for cell theory
Cell theory
All functions of the body are now interpreted as the effects of cellular activity
Examples of modern advancements in science
Germ theory of disease, mechanisms of heredity, the structure of DNA, medical imaging, chemotherapy, immunizations, anesthesia, genetics
Scientific method
A highly variable method that will find objective conclusions that will stand up to efforts to find fault with them.
Inductive Method
Process of making numerous observations until one feels confident in drawing generalizations and predictions from them. Basis of our knowledge of anatomy.
What is considered proof in science?
We can consider a statement as proven beyond reasonable doubt if it was arrived at by reliable methods of observation, tested and confirmed repeatedly, and not falsified by any credible observation
Hypothetico-Deductive Method
Begins by asking a question and formulating a hypothesis. An experiment yields observations that either support hypothesis or require the scientist to modify, abandon, formulate a better hypothesis to test.
Hypothesis
An educated speculation or possible answer to a question. Must be 1) consistent with what is already known 2) capable of being tested and possibly falsified by evidence
Falsifiability
If we claim something is scientifically true, we must be able to specify what evidence it would take to prove it wrong. If nothing could possibly prove it wrong, it’s not scientific.
Examples of what to consider when making an experimental design
Sample size, controls, experimenter bias, statistical testing
Sample size
the number of subjects used in a study
Control group
consists of subjects that are as much like the treatment group as possible except with respect to the variable being tested
Psychosomatic effects
Effects of the subject’s state of mind on his or her physiology. Can have undesirable effect on experimental results
Placebo
a substance with no significant physiological effect on the body
Double-blind method
Procedure in which neither the subject to whom a treatment is given nor the person giving it and recording the results knows whether that subject is receiving the experimental treatment or the placebo.
Peer review
Critical evaluation by other experts in that field. Important to be able to replicate results of an experiment.
Scientific fact
Information that can be independently verified by any trained person
Law of nature
Generalization about the predictable ways in which matter and energy behave. Result of inductive reasoning based on repeated confirmed observations.
Theory
Explanatory statement or set of statements derived from facts, laws, and confirmed hypotheses
Two theories with the broadest implications for the human body
Cell theory and the theory of natural selection
Charles Darwin
(1809-1882) Influential biologist who created the theory of natural selection
Evolution
Change in the genetic composition of a population of organisms
Natural selection
Some individuals have hereditary advantages over competitors that enable them to produce more offspring. They pass these advantages to their offspring and such characteristics therefore become more and more common in successive generations. This brings about the generic change in a population that constitutes evolution.
Selection pressures
Natural forces that promote the reproductive success of some individuals more than others
Examples of selection pressures
Climate, predators, disease, competition, and food
Adaptations
Features of anatomy, physiology, and behavior that evolve in response to these selection pressures and enable an organism to cope with the challenges of its environment
Model
An animal species or strain selected for research on a particular problem
Vestigial organs
Remnants of organs that apparently were better developed and more functional in the ancestors of a species
Examples of vestigial organs
Arrector muscles for each of our hairs
Who do we share closest common ancestry to?
Monkeys and apes
How did our ancestors adapt over time to evolve into humans?
We evolved to have more mobile shoulders, have opposable thumbs, prehensile hands, stereoscopic vision (depth perception), and full color vision
What adaptations occurred to allows us to evolve to bipedalism 4 million years ago?
Pelvis, femur, knee, great toe, foot arches, spinal column, skull, arms, and many muscles
Evolutionary medicine
Analyzes how human disease and dysfunctions can be traced to differences between the artificial environment in which we now live and the prehistoric environment to which homo sapiens was biologically adapted
Hierarchy for complexity of humans
Organism > Organ system > Organ > Tissue > Cell > Organelle > Molecule > Atom
Organism
single complete individual
Organ system
Group of organs with a unique collective function
How many organ systems does the human body have?
11 organ systems
Organ
Structure composed of two or more tissue types that work together to carry out a particular function. They can be gross anatomy or ultrastructure.
Which organs belong to two organ systems
Pancreas- endocrine & digestive systems
Pharynx- respiratory & digestive
Kidneys- Urinary and endocrine
Tissue
mass of similar cells and and cell products that forms a discrete region of an organ and performs a specific function
What are the four classes of tissue?
Epithelial, Connective, Nervous, and Muscular
Cells
Smallest units of an organism that carry out all the basic functions of life; nothing simpler than a cell is considered alive
Organelles
Microscopic structures in a cell that carry out its individual functions, are composed of molecules
Macromolecules
Largest molecules such as fats, proteins, and DNA
Reductionism
Theory that a large, complex system such as the human body can be understood by studying its simpler components, first thought by Aristotle
Holism
Complementary theory that there are “emergent properties” of the whole organism that cannot be predicted from the properties of its separate parts-- human beings are more than the sum of their parts
Situs solitus
normal arrangement of organs
Situs inversus
Organs of thoracic and abdominal cavities are reversed between right and left
Dextrocardia
A selective right-left reversal of the heart
Situs perversus
A single organ occupies an atypical position
What are the 8 universal characteristics of life?
Organization, cellular composition, metabolism, responsiveness and movement, homeostasis, growth and development, reproduction, and evolution
Organization
Living things exhibit a far higher level of organization than the nonliving world around them. They expand a great deal of energy to maintain order and a breakdown of this order is accompanied by disease and death
Cellular composition
Living matter is always compartmentalized into one or more cells
Metabolism
Sum of all internal chemical change. Living things take in molecules from the environment and chemically change them into molecules that form their own structures, control their physiology, or provide them with energy.
Responsiveness & Movement
Ability to sense an react to stimuli changes in the environment. All organisms and cells are at least capable of moving substances internally.