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Anatomy
study of structure
Physiology
study of function
Is Anatomy and physiology complementary?
Anatomy and physiology are complementary and never entirely separable
How does A&P combine?
Physiology provides meaning to anatomy; Anatomy is what makes physiology possible/Form determines function
Terminologia Anatomica
standardized anatomical vocabulary in the publication
Inspection
•look at appearance
Palpation
feeling a structure with the hands
Auscultation
listening to sounds produced by body
Percussion
tap on the body, feel for resistance, and listen to emitted sound for abnormalities
Dissection
cutting and separating human body tissues to reveal tissue relationships; use a cadaver, a dead human body; ex: exploratory surgery
Comparative anatomy
study (for example, dissection) of multiple species to learn about form, function, and evolution; ex: comparison of two different species and making it one
Exploratory surgery
opening the living body to see what is wrong; now replaced by medical imaging to view inside without surgery
Radiology
branch of medicine specializing in imaging
Gross anatomy
structures visible with the naked eye
Subdivisions of gross anatomy
Surface anatomy,
Regional anatomy, Systemic anatomy, Clinical anatomy
Surface anatomy
exterior features; ex. skin
Regional anatomy
body areas
Systemic anatomy
organ systems
Clinical anatomy
medical specialties (pathological anatomy - changes that occur during illness, radiographic anatomy - structures seen using specialized imaging techniques)
Developmental anatomy
from conception to death, includes embryology
Subdisciplines of anatomy
Microscopic anatomy
Microscopic anatomy Subdivisions
Cytology, Histology, Histopathology
Microscopic anatomy
requires the aid of a microscope
Cytology
study of structure and function of cells; fine detail (ultrastructure) may be resolved using an electron microscope; can't resolve organelles that are really small
Histology
examination of tissues with microscope
Histopathology
microscopic examination of tissues for signs of disease
Physiology Subdisciplines
Neurophysiology, Endocrinology, Systemic physiology, Pathophysiology
Neurophysiology
physiology of nervous system
Endocrinology
physiology of hormones; ex: intergin system
Systemic physiology
functions of an organ system
Pathophysiology
mechanisms of disease
Comparative physiology
•Study of different species to learn about body functions
•Basis for much of our understanding of human physiology and the development of new drugs and medical procedures; similar to comparative anatamy
The Body's Structural Hierarchy
organism, organ system, organ, tissue, cell, organelle, macromolecule, molecule, atom
Organism
a single, complete individual
Organ system
group of organs with a unique collective function; for example: circulation, respiration, digestion
Organ
structure composed of two or more tissue types that work together to carry out a function;
An organ has defined anatomical boundaries; can have organs within organs
Tissue CC
similar cells and cell products forming a discrete region of an organ and performs a specific function
Cell
smallest unit to carry out all basic functions of life
Organelle
structure within a cell that carry out a function
Molecule
particle composed of two or more atoms; Largest molecules (proteins, fats, DNA) called macromolecules
Atom
smallest particle with unique chemical identity
Is everyone alike?
No two humans are exactly alike; even identical twins have differences
•Anatomy books show most common organization of structures
•Some individuals lack certain muscles (for example, palmaris longus)
•Some individuals have an atypical number of vertebrae
•Some individuals have an atypical number of certain organs (for example, kidneys)
identical twins
occur when an oocyte cell separates into 2 separate cluster cells
situs inversus
left-right reversal of organ placement
Physiological Variation
Physiology is even more variable than anatomy
•Variations in sex, age, diet, weight, physical activity, genetics and environment
Typical physiological values
•Reference man: 22 years old, 154 lb, light physical activity, consumes 2,800 kcal/day
•Reference woman: same as man except 128 lb and 2,000 kcal/day
What happens when references are ignored?
•Failure to consider variation can lead to overmedication of elderly or medicating women on the basis of research done on men
Homeostasis
the ability to detect change, activate mechanisms that oppose it, and thereby maintain relatively stable internal conditions
Claude Bernard
noted fairly constant internal conditions despite changing external conditions (for example, temperature)
Walter Cannon
coined the term homeostasis
Negative feedback
allows for dynamic equilibrium within a limited range around a set point; The body senses a change and "negates" or reverses it
Dynamic
always changing
Static
Stays still
What happens when homeostasis is lost?
Loss of homeostatic control causes illness or death
What happens to the body to get back to homeostasis?
Internal conditions fluctuate within a limited range; Dynamic equilibrium around a set point
feedback loops
feedback mechanisms alter the original changes that triggered them
vasodilation
skin blood vessels dilate and sweating begins (heat-losing mechanism)
vasoconstriction
skin blood vessels constrict and shivering begins (heat-gaining mechanism)
Example of homeostasis (baroreflex)
•Rise from bed, blood drains from head and blood pressure falls in this region
•Detected by baroreceptors that transmit signals to cardiac center of brainstem
Cardiac center
transmits signals to heart to increase heart rate, raising blood pressure and restoring homeostasis
Receptor
structure that senses change in the body (for example, the baroreceptors above heart that monitor blood pressure)
Integrating (control) center
control center that processes the sensory information, "makes a decision," and directs the response (for example, cardiac center of the brainstem)
Effector
cell or organ that carries out the final corrective action to restore homeostasis (for example, the heart)
Homeostatic Compensation for a Postural Change in Blood Pressure
Person rises from bed; Blood drains from upper body, creating homeostatic imbalance; Receptor- Baroreceptors above heart respond to drop in blood pressure; integrating center; effector- heartbeat accelerates in response to cardiac center; blood pressure raises to normal, homeostasis is restored
Positive feedback
a self-amplifying cycle
What happens during a positive feedback loop?
•Leads to greater change in the same direction, as opposed to the corrective action of negative feedback
•Normal way of producing rapid changes
•Can sometimes be dangerous
Less common; signal grows; increased stimuli
Example of positive feedback loop
childbirth, blood clotting, protein digestion, and generation of nerve signals, fever
Positive Feedback in Childbirth
1) head of fetus pushes against cervix 2) nerve impulses from cervix transmitted to brain
3) Brain stimulates pituitary gland to secrete oxytocin
4) Oxytocin stimulates uterine contractions and pushes fetus toward cervix
Gradient
difference in chemical concentration, charge, temperature, or pressure between two points
Movement of Gradient
•Blood flows down a pressure gradient, from a place of higher pressure to a place of lower pressure
•Chemicals flow down a concentration gradient
•Charged particles flow down a electrical gradient
•Heat flows down a thermal gradient
Electrochemical gradient
combination of concentration, electrical gradients
Does the Gradient move up?
•Movement in the opposite direction is up the gradient and requires spending metabolic energy; different proteins
Up the gradient
requires energy
Down the gradient
no energy
The History of Anatomical Terminology
About 90% of our current medical terms come from 1,200 Greek and Latin roots reflecting ancient past
WHat happened during the Renaissance?
The Renaissance brought progress but confusion
Same structures named differently in varied countries
Some structures named after people
eponyms
structures named after people
When were terms made universal?
In 1895, anatomists established worldwide naming conventions
•Rejected eponyms; used unique Latin names
•Terminologia Anatomica (TA) provides standard international anatomical terms
•Provided Latin names and English equivalents
•In 1998, approved by anatomists in over 50 countries
Scientific term wording
•One root (stem) with core meaning
•Combining vowels join roots into a word
•Prefix and/or suffix may modify meaning of root word
Acronyms
pronounceable words formed from first letter, or first few letters, of series of words
Radiography (X-rays)
•Over half of all medical imaging
•Penetrate tissues to darken photographic film beneath the body; dense tissue appears white- ex: bone
•Radiopaque substances can be injected or swallowed to fill hollow structures, for example, blood vessels, intestinal tract
Digital subtraction angiography (DSA)
useful for showing blockages and blood flow
Computed tomography (CT scan)
•Formerly called a CAT scan
•Low-intensity X-rays and computer analysis
•Slice-type image
•Increased sharpness of image
Magnetic resonance imaging (MRI)
•Superior quality to CT scan and no X-ray exposure
•Best for soft tissue
•Functional MRI (fMRI) shows real time changes in the brain
Positron emission tomography (PET)
•Assesses metabolic state of tissue
•Inject radioactively labeled glucose
•Image color shows tissues using the most glucose at that moment
•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
anatomical position
standing upright, facing towards you with their arms down and palms facing anterior (towards you)
Supine
body is lying flat with the stomach and face superior (Ex: Supine for sit-ups)
Prone
body is lying flat with the stomach and face inferior (Ex. Prone for push-ups)
Frontal (coronal) plane
divides body into anterior and posterior portions.
Sagittal plane
divides body into left and right portions.
Midsagittal plane
lies in the middle
Parasagittal plane
offset from the middle
Transverse plane
divides body into superior and inferior portions
Quadrants and Regions of the Abdomen
look at ipad
Robert Hooke
•Made many improvements to compound microscope
•First to see and name "cells"
•Published first comprehensive book of microscopy (Micrographia) in 1665
Robert Hooke cell theory
1.Cells are the building blocks of all plants and animals
2.All cells come from the division of pre-existing cells
3.Cells are the smallest units that perform all vital physiological functions
4.Each cell maintains homeostasis at the cellular level
Cell Shapes and Sizes
Most human cells are about 10 to 15 μm in diameter
1 micrometer (μm), or micron
one-millionth of a meter or one-thousandth of a millimeter
Egg cells (very large)
100 μm diameter