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superior
above
inferior
below
superficial
closer to the body surface
deep
farther from the body surface
anterior (ventral)
toward the front or belly
posterior (distal)
toward the back or spine
medial
toward the mid-sagittal plane
lateral
away from the mid-sagittal plane
proximal
closer to the point of attachment or origin
distal
farther from the point of attachment or origin
ipsilateral
on the same side of the body (right or left)
contralateral
on opposite sides of the body (right and left)
mid-sagittal plane
vertical plane passing longitudinally through the body dividing body into left and right halves
sagittal/parasagittal planes
vertical planes passing through the body parallel to the mid-sagittal plane
frontal/coronal plane
vertical plane passing longitudinally through the body at a right angle to the median plane dividing body into anterior and posterior parts
transverse/transaxial/axial planes
horizontal planes passing through the body at right angles to the mid-sagittal and frontal planes dividing the body into superior and inferior parts
bilateral
paired structures that occur in both the left and right sides of the body
unilateral
an unpaired structure on either side or in the median plane of the body
flexion
bending or decreasing the angle; movement anterior
extension
straightening or increasing the angle; movement posterior
dorsiflexion
movement that decreases the angle of the ankle joint; heel strike during locomotion
plantar flexion
movement that increases the angle of the ankle joint; propulsion during locomotion
abduction
movement in a frontal plane away from the median plane
adduction
movement in a frontal plane toward the median plane
medial/internal rotation
brings the anterior surface of a limb closer to the median plane
lateral/external rotation
takes the anterior surface of a limb away from the median plane
abduction of fingers and toes
move digits away from 3rd finger or 2nd toe
adduction of fingers and toes
movement of digits toward 3rd finger or 2nd toe
thumb movements
flexion and extension (frontal plane)
abduction and adduction (sagittal plane)
opposition
reposition
opposition
movement in which the pad of the thumb is brought to a pad of another finger
reposition
movement from opposition back to the neutral position
lateral flexion
special form of abduction for neck and trunk
circumduction
circular movement involving flexion, abduction, extension, and adduction; distal end of part moves in circle
pronation
rotation of forearm that medially rotates the distal ends of the radius and ulna so that they cross
supination
rotation of forearm that laterally rotates the distal ends of the radius and ulna so that they uncross
eversion
movement that turns the sole of the foot away from the median plane
inversion
movement that turns the sole of the foot toward the median plane
jaw movements
protrusion - anterior movement
retrusion - posterior movement
lateral deviation - left or right
elevation
movement in the superior direction; scapula, mandible, superior eyelid, tongue, larynx or hyoid
depression
movement in the inferior direction; scapula, mandible, superior eyelid, tongue, larynx or hyoid
protraction
anterolateral movement of scapula on thoracic wall
retraction
posteromedial movement of scapula on thoracic wall
types of joints based on structure
fibrous - bones joined by fibrous connective tissue, no joint cavity, little to no movement
cartilaginous - bones joined by cartilage
synovial - bones joined by a synovial capsule with a fluid filled cavity
fibrous joints
sutures
syndesmoses
gomphoses
sutures
seams between bones of the skull joined by sutural ligaments made of inner and outer layers of periosteum and dense fibrous connective tissue; can become ossified; some interdigitated like sagittal suture or smooth like intermaxillary suture in hard palate
syndesmoses
bones joined by ligaments or a fibrous membrane; some movement; examples include interosseus membrane between radius and ulna and interosseus membrane between tibia and fibula
gomphoses
specialized joint between teeth and the alveolar sockets in maxilla and mandible; periodontal ligaments connect the teeth to the sockets; some slight movement
cartilaginous joints
primary (synchondroses)
secondary (symphyses)
primary cartilaginous joints (synchondroses)
two bones joined by hyaline cartilage with little to no movement; examples include epiphyseal plates and 1st sternocostal joint
secondary cartilaginous joints (symphyses)
two bones joined by fibrocartilage with slight movement; examples include pubic symphysis and intervertebral joints
synovial joints
articular surfaces of bones are within a joint cavity enclosed by a joint capsule (inner synovial membrane that produces synovial fluid and outer fibrous capsule that is continuous with periosteum); articular surfaces covered in hyaline cartilage
types of synovial joints by shape
plane
hinge
saddle
condyloid
ball-and-socket
pivot
plane joints
articular surfaces are flat; some gliding movements; examples are acromioclavicular joint, intercarpal, intertarsal
hinge joints
one convex and one concave articular surface; flexion and extension movements; examples are elbow joint, knee, and interphalangeal joints
saddle joints
saddle-shaped articular surfaces; flexion/extension, abduction/adduction, circumduction; examples are sternoclavicular joint, 1st carpometacarpal joint (thumb)
condyloid joint
elliptical ball and socket; flexion/extension, abduction/adduction, circumduction; examples are metacarpophalangeal joints (knuckles), temporomandibular joint, and atlantooccipital joint
ball-and-socket joint
one spherical articular surface and one bowl shaped articular surface (socket); flexion/extension, abduction/adduction, circumduction, medial/lateral rotation; examples are hip and shoulder
pivot joint
rounded process of bone rotates within a ring of bone and ligament; rotation around one central axis; examples are median atlantoaxial joint, proximal and distal radioulnar joints
primary tissues
nervous - communication
muscle - movement
epithelial - boundaries, protection, secretion, absorption, and filtration
connective - supports, protects, and connects other tissues
classification of tissues is based on
structure and functions of cells
composition of extracellular matrix
simple squamous epithelium main functions
diffusion of gases in lungs; filtering blood in kidneys; internal surface of serous membranes that secrete serous fluid; internal lining of heart, blood vessels, and lymphatic vessels
simple cuboidal epithelium main functions
secretion and absorption within kidney nephrons; secretion of glands such as salivary
simple columnar epithelium main functions
absorption and secretion within digestive tract; line respiratory tract (secrete and move mucus) and uterine tubes (move oocytes); ducts of internal glands
pseudostratified columnar epithelium main functions
line tracheobronchial tree, nasal cavity, paranasal sinuses, and auditory tubes and secrete mucus; sperm-carrying ducts; ducts of internal glands
stratified squamous epithelium main functions
protection against abrasion and infection; water barrier — reduce water loss from the body
keratinized stratified squamous epithelium main functions
inner layer of living cells and outer layer of dead cells; outer cells contain water-resistant keratin to reduce water loss from body; outer surface is dry; epidermis of skin
non-keratinized stratified squamous epithelium main functions
living cells in both inner and outer layers; a layer of fluid covers the outer surface of the epithelium; lining of mouth to esophagus, rectum, vagina, inferior urethra, and cornea
stratified cuboidal epithelium main functions
ducts of external glands (mammary and sweat); protects against infection and abrasion
stratified columnar epithelium main functions
line pharynx, male urethra, and ducts of external glands; sometimes found at transitions between other types of epithelium
transitional epithelium main functions
can be distended; lines inner surface of urinary bladder, ureters, and superior urethra
unicellular epithelial glands
single cells within epithelium; mucus secreting mucus and goblet cells in digestive and respiratory systems
exocrine epithelial glands
remain connected with epithelium from which they are derived and a duct is maintained; secrete substances through the duct to the outer surface of epithelium
endocrine epithelial glands
separate from the epithelium from which they are derived by losing the duct; surrounded by extensive blood capillary system; secrete hormones into extracellular space and travel in blood
gastric gland structure
simple branched tubular
sebaceous gland structure
simple branched alveolar
mammary gland structure
compound alveolar
salivary gland structure
compound tubuloalveolar
merocrine gland
secrete products by exocytosis with no loss of other cellular material; sweat, salivary, pancreas, lacrimal, and male glands
holocrine gland
products accumulate in cytoplasm of cells, then cell ruptures and entire cell becomes part of secretion; sebaceous
apocrine gland
products are within the cytoplasm of the cells and a portion of the cell is pinched off to become part of the secretion; lipids from mammary glands
multicellular epithelial glands
merocrine
holocrine
apocrine
hypothalamus
secrete neurohormones that are stored in and released from the posterior pituitary gland and increase or decrease the secretions of the anterior pituitary gland
pituitary gland
posterior - 2 neurohormones (ADH and oxytocin)
anterior - 9 hormones in response to hypothalamus
thyroid gland
2 hormones (thyroid hormones and calcitonin)
parathyroid gland
1 hormone (parathyroid hormone)
adrenal medulla
2 neurohormones (epinephrine)
adrenal cortex
3 hormones
pineal gland
1 neurohormone (melatonin)
pancreas
2 hormones (insulin and glucagon)
other organs that secrete hormones
testes, ovaries, placenta, thymus, digestive tract, kidneys, heart, skin, embryos/fetus, connective tissue such as adipose
extracellular matrix components
ground substance (extracellular fluid, cell adhesion proteins, proteoglycans) and protein fibers (collagen, reticular, and elastic)
loose connective tissue areolar
fibroblast cells secrete a mainly fluid extracellular matrix with random network of protein fibers (collagen, elastic, and reticular); surrounds and cushions organs, blood vessels, and nerves and binds other tissues together but still allows movement; examples include subcutaneous tissue binds dermis of skin to underlying muscle and lamina propria part of mucus membranes deep to epithelium
loose connective tissue adipose
insulation, cushioning, and energy storage; around kidneys, heart, breasts around mammary glands
loose connective tissue reticular
found within lymph nodes, spleen, and bone marrow; spaces between reticular fibers contains immune cells; filter out dysfunctional RBCs in spleen
dense regular collagenous connective tissue
fibroblast cells secrete collagen fibers that form thick bundles and fill the majority of extracellular space; fibers oriented in predominantly one direction; forms tendons and most ligaments; collagen fibers give tissue tensile strength in one direction
dense regular elastic connective tissue
fibroblasts secrete collagen and elastic fibers that form thick bundles and fill majority of extracellular space; fibers are oriented in predominantly one direction; forms some ligaments such as vocal ligaments, nuchal ligaments (neck), and ligaments between vertebrae
dense irregular collagenous connective tissue
fibroblast cells secrete collagen fibers that form thick bundles and fill the majority of extracellular space, some elastic fibers; fibers are oriented in multiple directions; found in dermis of skin and outer coverings of bone (periosteum), cartilage (perichondrium), muscles, organs, and nerves; collagen fibers give the tissue strength in every direction; elastic fibers provide some elasticity
dense irregular elastic connective tissue
fibroblast cells secrete collagen fibers and elastic fibers that form thick bundles and fill the majority of the extracellular space; fibers are oriented in multiple directions; found in elastic arteries (aorta and pulmonary trunk); elastic fibers allow the arteries to be stretched and then recoil to original diameter
hyaline cartilage
extracellular matrix composed of equal amounts of evenly dispersed collagen fibers and proteoglycans; provides support with some flexibility; forms most embryonic skeleton before bone is formed and forms epiphyseal plates; found in rings and plates of tracheobronchial tree, costal cartilage of ribs, nasal cartilages, and articulating surfaces of bones within synovial joints
fibrocartilage
extracellular matrix consists of more collagen than proteoglycans; thick bundles of collagen; capable of withstanding great compressive forces; found in intervertebral disks, pubic symphysis, and articular disks of joints (TMJ, knee, and sternoclavicular)