INTRO | Anatomy & Physiology

Definitions: Anatomy vs Physiology

  • Anatomy: the study of body structures and their relationships to one another.

  • Physiology: the study of the function of the structures; how the body works.

  • A grand theme: structure determines function.

Subdivisions of Anatomy

  • Gross (macroscopic) anatomy: study of large structures visible to the naked eye.

  • Surface anatomy: study of structures visible without cutting, by surface landmarks.

  • Systemic anatomy: study of structures that work together to perform a common function (e.g., cardiovascular system).

    • Cardiovascular system components: heart + blood vessels; functions include delivering nutrients and removing wastes.

  • Nervous system (nervous tissue): gross anatomy includes brain lobes; microscopic anatomy includes neurons and glial cells.

Major concepts in nervous system anatomy

  • Brain lobes (gross): temporal, frontal, parietal, occipital.

  • Microscopic nervous system: neurons and organelles; cytology (cell structure).

  • Tissues: nervous tissue includes neurons and glial cells (astrocytes, microglial cells, oligodendrocytes).

  • Histology: study of tissue structure; includes neural tissue.

  • Cytology: study of cell structure; organelles inside cells (e.g., mitochondria).

  • Organelles: mitochondria highlighted; inner/outer membranes form the mitochondrion; membrane structure described as a phospholipid bilayer.

  • Electron microscope: magnification example:

    • ext{Mitochondria magnified } 236{,}000\times

    • Light microscopes typically up to about 10^3\times magnification; cannot reveal mitochondrial details.

  • Practical lab note: basic cytology and histology are often studied with light microscopes; electron microscopy used for ultrastructure.

From cells to tissues to organs

  • Cells: basic living units; contain proteins, nucleic acids (DNA/RNA), lipids, etc.

  • Cytology vs histology distinction:

    • Cytology: study of cell structure.

    • Histology: study of tissue structure made up of cells.

  • Tissues: groups of similar cells performing related functions; nervous tissue is an example with neurons and glial cells.

  • Organs: structures composed of multiple tissue types.

  • Organ systems: multiple organs working together (e.g., urinary system, cardiovascular system).

  • Example: urinary bladder contains smooth muscle (detrusor muscle) plus mucosal lining (epithelial tissue) and connective tissue.

Levels of structural organization (6 levels)

  • Chemical level: atoms and molecules; example: water molecule ext{H}_2 ext{O} formed by chemical bonds.

  • Cellular level: cells, the smallest living units; contain organelles and biomolecules.

  • Tissue level: groups of similar cells performing a function (e.g., smooth muscle tissue).

  • Organ level: two or more tissue types forming a recognizable structure (e.g., bladder with detrusor muscle and mucosa).

  • Organ system level: multiple organs working together (e.g., urinary system: kidneys, ureters, bladder, urethra).

  • Organism level: the entire human being.

  • The video emphasizes: 11 organ systems cooperate to form the human organism.

Major organ systems and their functions

  • Integumentary system: skin, hair, nails, sensory receptors; functions include protection and detection of touch; contains sweat glands and sebaceous glands.

  • Skeletal system: bones, cartilage, ligaments; functions include support and movement.

  • Muscular system: muscles and tendons; function is to contract and produce motion; heat generation through metabolism.

  • Nervous system: brain, spinal cord, nerves; functions include sensing, processing information, and regulating muscles and glands.

  • Endocrine system: glands (pituitary, thyroid, pancreas, adrenal, gonads); functions through hormones to regulate other organs.

  • Cardiovascular system: heart and blood vessels; functions to circulate blood delivering nutrients and removing wastes.

  • Lymphatic & immune system: lymphatic vessels, lymph nodes, spleen, thymus; functions to drain fluid from tissues and defend against pathogens.

  • Respiratory system: lungs, bronchi, trachea, larynx, pharynx, nasal cavities, sinuses; functions to bring in air and enable external respiration (Oâ‚‚ in, COâ‚‚ out).

  • Digestive system: oral cavity, salivary glands, pharynx, esophagus, stomach, small intestine, liver, gallbladder, pancreas, large intestine; functions to ingest, break down, absorb nutrients, and eliminate waste.

  • Urinary system: kidneys, ureters, urinary bladder, urethra; functions to filter blood, regulate composition, and eliminate waste in urine.

  • Reproductive system: male (testes, epididymis, ductus deferens, seminal glands, prostate, penis); female (ovaries, uterus, vagina, vulva, mammary glands); functions to produce offspring; sperm and ova fertilize to form a zygote; embryo → fetus.

Anatomical terminology: directional terms, landmarks, and planes

  • Directional coordinate system in the anatomical position is relative; structure positions are described with respect to immortalized axes.

  • Key directional terms (relative, not absolute):

    • Superior (cranial) vs Inferior (caudal)

    • Anterior (ventral) vs Posterior (dorsal)

    • Medial vs Lateral

    • Proximal vs Distal

    • Ipsilateral vs Contralateral (not explicitly stated in transcript but commonly used)

  • Cranial vs Caudal equivalents: cranial ~ superior; caudal ~ inferior.

  • Regional and surface terms (examples):

    • Cephalic (head), cranial (skull region)

    • Oral (mouth), mental (chin)

    • Frontal (forehead), nasal (nose), ocular (eye), buccal (cheek)

    • Axillary (armpit), brachial (upper arm), antecubital (anterior elbow), antebrachial (forearm)

    • Carpal (wrist), palmar (palm), digital/Phalangeal (fingers/toes); pollex (thumb)

    • Femoral (thigh), patellar (knee), crural (leg), tarsal (ankle), hallux (big toe)

    • Pedal (foot), plantar (sole), sural (calf)

    • Olecranal (posterior elbow), acromial (shoulder), axillary (armpit)

    • Lumbar (lower back and lateral abdomen), gluteal (buttock)

    • Popliteal (posterior knee), calcaneal (heel)

  • Regional names sometimes derive from Latin/Greek roots; historical meanings can differ from anatomical usage (anchor with context).

  • Examples of region relationships: hubliteal region proximal and superior to sural region; acromial region lateral to cervical region and proximal to olecranal region.

Sectioning planes and body cavities

  • Planes of section:

    • Sagittal plane: vertical plane dividing body into right and left portions; midsagittal goes through midline producing equal halves; parasagittal is offset from midline.

    • Frontal (coronal) plane: longitudinal plane dividing body into anterior and posterior portions.

    • Transverse (horizontal) plane: divides body into superior and inferior portions.

    • Oblique section: any plane at an angle other than sagittal, frontal, or transverse.

  • Body cavities (axial body): dorsal and ventral cavities.

    • Dorsal cavity: cranium (contains brain) and vertebral canal (contains spinal cord).

    • Ventral cavity: thoracic cavity and abdominal–pelvic cavity.

  • Thoracic cavity subdivisions: left and right pleural cavities (lungs), pericardial cavity (within mediastinum; contains the heart); superior mediastinum contains trachea and esophagus and major vessels.

  • Mediastinum: area between the lungs; superior mediastinum includes major structures (e.g., trachea, esophagus, large vessels).

  • Diaphragm: skeletal muscle forming boundary between thoracic and abdominal–pelvic cavities.

  • Abdominal cavity contains most digestive organs (stomach, small intestine, liver, pancreas, spleen, kidneys, adrenal glands).

  • Pelvic cavity contains urinary bladder; in females, uterus; in males, prostate.

  • Abdominopelvic quadrants: right upper (RUQ), left upper (LUQ), right lower (RLQ), left lower (LLQ).

    • RUQ: majority of liver and gallbladder.

    • LUQ: stomach, spleen.

    • RLQ: portions of intestine including appendix and cecum; ascending colon.

    • LLQ: portions of intestine including descending colon and sigmoid colon; portions of small intestine, urinary bladder, reproductive organs (depending on gender).

  • Abdominopelvic regions (nine-region scheme):

    • Right hypochondriac, Epigastric, Left hypochondriac

    • Right lumbar, Umbilical, Left lumbar

    • Right iliac (inguinal), Hypogastric, Left iliac

    • The appendix commonly located at the border between the right iliac region and hypogastric region.

  • Right iliac region contains cecum; left iliac region contains sigmoid colon.

Imaging techniques and considerations

  • X-rays: oldest imaging modality; use high-energy electromagnetic radiation; good for bone/tissue contrast; 2D projection images.

    • Chest X-ray: evaluates lungs; example shows normal vs tuberculosis.

  • Mammography: breast cancer screening using X-ray; contraindications and risk awareness.

  • Fluoroscopy: real-time X-ray with contrast (barium) to visualize GI tract; uses contrast agents to improve visibility.

  • Angiography: X-ray with injected contrast to visualize blood vessels.

  • Computed Tomography (CT / CAT scan): cross-sectional imaging by combining numerous X-ray slices into 3D models; provides detailed anatomy.

  • Positron Emission Tomography (PET): imaging radiopharmaceuticals that emit radiation to show metabolic activity; often combined with CT or MRI (PET/CT or PET/MRI).

  • PET-CT and PET-MRI: integrated imaging for structure and function.

  • Radiation exposure and risk:

    • Ionizing radiation can damage DNA and increase cancer risk.

    • Reproductive organ exposure may cause developmental effects in offspring.

    • Typical comparative dose references (illustrative):

    • Dental/skeletal X-ray: about 0.02\ \text{mSv}.

    • Mammography: about 0.4\ \text{mSv}.

    • Chest CT: commonly higher; variable by protocol.

    • CT or PET scans: about 5\–\,20\ \text{mSv}.

    • High-altitude exposure (Denver-like): comparable to year-long exposure in high elevation.

    • ALARA principle: as low as reasonably achievable; balance diagnostic value against risk.

  • Magnetic Resonance Imaging (MRI): uses strong magnetic field and radiofrequency signals; does not involve ionizing radiation.

    • Strengths: excellent soft tissue contrast; does not damage DNA.

    • Limitations/risks: long scan times; claustrophobic and noisy; not suitable with certain metal implants or devices; ferromagnetic risk.

    • Diffusion Tensor Imaging (DTI): MRI technique to map white matter tracts in the CNS.

    • Functional MRI (fMRI): detects blood flow changes to study brain function.

    • PET-MRI: combines metabolic and anatomical data.

  • Ultrasound (sonography): uses high-frequency sound waves; no ionizing radiation; real-time imaging.

    • Common use: fetal development; assess organs such as heart, kidney, bladder, gallbladder.

    • Echocardiogram: ultrasound imaging of the heart.

    • Vascular ultrasound: imaging of blood vessels to diagnose blockages, aneurysms, etc.

Specific anatomical example: elbow joint (structure determines function)

  • Elbow anatomy: hinge joint formed by humerus and ulna.

  • Trochlea: distal end of the humerus that articulates with the ulna; the trochlea fits into the semilunar (trochlear) notch of the ulna.

  • The tight fit between the trochlea and trochlear notch enables elbow flexion and extension in the sagittal plane, while limiting rotation and abduction/adduction.

  • This example illustrates how joint structure constrains range of motion and determines function.

Neural and hormonal control: negative and positive feedback

  • Negative feedback (homeostasis maintenance): a sensor/receptor detects a variable outside the set point; input is relayed to a control center (usually CNS); control center issues commands to an effector to counteract the stimulus and restore the set point.

    • Example: body temperature regulation

    • Set point: 37^{\circ}\text{C} = 98.6^{\circ}\text{F}

    • If temperature rises above the set point, thermoreceptors send input to hypothalamus (thermoregulatory center) which initiates sweat production; evaporation reduces body temperature toward the set point.

    • Another example: pH homeostasis (acid-base balance)

    • If hydrogen ion concentration is too high (acidosis, low pH), sensors detect this; brain/throax control centers increase respiration to remove COâ‚‚, reducing carbonic acid and raising pH toward ~7.40.

    • If pH is too high (alkalosis), respiration rate decreases to retain COâ‚‚ and lower pH toward the same set point.

  • Positive feedback (amplifies the stimulus until a big change occurs): the output reinforces the stimulus until a terminating event occurs.

    • Childbirth example: cervix stretch activates input to brain; pituitary releases oxytocin; oxytocin stimulates uterine contractions; more stretching leads to more oxytocin release, continuing until birth.

    • Blood clotting example: activated platelets release clotting factors, recruiting more platelets and factors until the vessel is sealed.

Connections to practical biology and real-world relevance

  • How structure informs function across scales from molecules to organ systems.

  • Understanding organ systems helps in clinical diagnosis and treatment planning (e.g., imaging to assess anatomy and function; recognizing when a system is not functioning properly).

  • Ethical and practical implications of imaging: balancing diagnostic benefits with radiation exposure risks; considering patient safety and necessary precautions.

Key numbers, terms, and formulas (quick reference)

  • Temperature set point: 37^{\circ}\text{C} = 98.6^{\circ}\text{F}

  • Normal blood pH: approximately \mathrm{pH} = 7.40

  • Water molecule formula: \text{H}_2\text{O}

  • Mitochondrial magnification example: 236{,}000\times (electron microscopy) vs \sim 10^3\times (light microscopy)

  • X-ray exposure ranges (illustrative):

    • Dental X-ray: \approx 0.02\ \text{mSv}

    • Mammography: \approx 0.4\ \text{mSv}

    • CT / PET: \approx 5\–\,20\ \text{mSv}

  • Planes and scanning contexts: MRI uses no ionizing radiation but involves strong magnetic fields; PET involves radiopharmaceuticals emitting radiation.

Practical vocabulary recap (selected terms)

  • Cephalic: head region; cranial: skull region

  • Facial terms: oral (mouth), mental (chin)

  • Frontal: forehead; nasal: nose; ocular: eyes; buccal: cheek

  • Axillary: armpit; brachial: upper arm; antecubital: anterior elbow; antebrachial: forearm

  • Carpal: wrist; palmar: palm; digital/phalangeal: fingers/toes; pollex: thumb

  • Lower limb: femoral (thigh); patellar (kneecap); crural (leg); tarsal (ankle); hallux: big toe; pedal: foot; plantar: sole; sural: calf

  • Other landmarks: olecranal (posterior elbow); acromial (shoulder); lumbar (lower back); gluteal (buttocks); popliteal (back of knee); calcaneal (heel)

Summary: big picture takeaways

  • Anatomy and physiology are distinct but deeply interconnected disciplines.

  • The body is organized hierarchically from chemical building blocks to the organism.

  • Structure constrains and enables function (e.g., joint architecture, organ systems).

  • The body maintains stability through negative feedback; big changes occur via positive feedback loops and certain physiological processes (e.g., childbirth, clotting).

  • A wide array of imaging technologies lets us visualize structure and infer function, each with benefits and risks; understanding these tools helps in safe, effective clinical use.

  • A solid grasp of directional terms, planes, and body cavities/regions is foundational for describing location, pathology, and surgical planning.