Pg 104-106

General Terminology and Anatomical Baseline

  • Standardized Terminology:

    • Standard terminology is established across all health professions to establish a baseline reference and facilitate a common understanding.
    • This includes standard terms for locating body structures, defining internal and external regions, and describing anatomical subdivisions.
  • Anatomical Position:

    • Serves as the standard baseline reference point for all areas and structures of the human body.
    • Postural Characteristics:
      • The body is in an erect position.
      • The feet are positioned slightly apart.
      • The head is held upright.
      • The arms are placed at the sides of the body.
      • The palms of the hands are facing forward.

Body Planes and Sectioning

  • Definition of Body Planes:

    • Body planes are imaginary flat surfaces or lines that divide the body or individual body parts at specific angles.
  • Specific Planes:

    • Sagittal Plane: A vertical plane that divides the body or a body part into right and left sides.
    • Midsagittal Plane: A specific type of sagittal plane that divides the body directly down the middle into equal right and left halves.
    • Frontal (Coronal) Plane: A vertical plane that divides the body or a body part into front (anterior) and back (posterior) sections.
    • Transverse Plane: A horizontal plane that divides the body or a body part into upper (superior) and lower (inferior) sections.
    • Oblique Plane: Any plane that intersects the body at an angle other than a strict vertical or horizontal angle.

Directional Terminology

  • Relative Spatial Terms:
    • Superior: Located above or toward the upper part of a structure/body.
    • Inferior: Located below or toward the lower part of a structure/body.
    • Anterior / Ventral: Toward or at the front of the body or structures on/within the body.
    • Posterior / Dorsal: Toward or at the back of the body.
    • Medial: Toward or at the midline of the body.
    • Lateral: Away from the midline of the body.
    • Cranial: Located toward the head.
    • Caudal: Located toward the tail or lower part of the trunk (away from the head).
    • Ipsilateral: Located or occurring on the same side of the body.
    • Contralateral: Located or occurring on the opposite side of the body.
    • Proximal: Closer to the point of attachment of an extremity to the trunk.
    • Distal: Farther away from the point of attachment of an extremity to the trunk.
    • Superficial: Located closer to or at the surface of the body.
    • Deep: Located further internal/interior into the body.

Major Body Cavities

  • Dorsal Body Cavity:

    • Located along the posterior aspect of the body.
    • Cranial Cavity: Contains the brain within the skull.
    • Spinal Cavity: Encloses the spinal cord within the vertebral column.
  • Ventral Body Cavity:

    • Located along the anterior aspect of the body.
    • Thoracic Cavity:
      • Pleural Cavities: Two separate cavities, each containing a lung.
      • Pericardial Cavity: Encloses the heart.
    • Abdominopelvic Cavity:
      • Abdominal Cavity: Contains the digestive organs.
      • Pelvic Cavity: Contains the reproductive organs, the urinary bladder, and the lower gastrointestinal tract.

Types of Body Movements

  • Anatomical Movement Definitions:
    • Flexion: Bending of a joint.
    • Extension: Straightening of a joint.
    • Abduction: Moving a bone or limb away from the midline of the body.
    • Adduction: Moving a bone or limb toward the midline of the body.
    • Medial (Internal) Rotation: Rotating a limb or bone toward the midline of the body.
    • Lateral (External) Rotation: Rotating a limb or bone away from the midline of the body.
    • Pronation: Rotating the forearm so that the palm faces downward (posteriorly).
    • Supination: Rotating the forearm so that the palm faces upward (anteriorly).
    • Dorsiflexion: Decreasing the angle between the top of the foot and the front of the leg.
    • Plantar Flexion: Decreasing the angle between the bottom of the foot and the back of the leg.
    • Inversion: Turning the sole of the foot inward toward the midline.
    • Eversion: Turning the sole of the foot outward away from the midline.

Histology and Primary Tissue Types

  • Foundations of Histology:

    • Histology is defined as the scientific study of tissues.
    • A tissue is defined as a group of similar cells working together to execute specific functions.
  • Four Principal Tissue Classes:

    • Epithelial Tissue:
      • Functions to cover, line, and protect the outer body surfaces and internal organs.
      • Glandular Epithelium: Specialized epithelial tissue that secretes substances including mucus, enzymes, and hormones.
    • Connective Tissue:
      • Serves as the most abundant and widely distributed tissue in the human body.
      • Forms the structural framework of the body, providing essential support and structure for internal organs.
      • Subtypes:
        • Fibrous Connective Tissue: includes areolar tissue, adipose tissue, reticular tissue, and dense connective tissue.
        • Bone Tissue
        • Cartilage Tissue
        • Blood Tissue
    • Nervous Tissue:
      • Neurons: Specialized nerve cells that initiate and conduct electrochemical nerve impulses.
      • Neuroglia: Connective tissue cells that protect, support, and nourish neurons.
    • Muscle Tissue:
      • Possesses the ability to contract (shorten) and lengthen to generate physical force and movement.

Integumentary System Structure and Function

  • System Overview:

    • Consists of the skin along with accessory structures and organs including hair, nails, and sensory receptors.
    • The skin is the body's largest organ.
  • Anatomical Layers of the Skin:

    • Epidermis:
      • The outermost, superficial layer of the skin.
      • Functions as a protective barrier.
      • Composed entirely of dead, keratinized epithelial cells.
    • Dermis:
      • The deep underlying layer of connective tissue situated directly below the epidermis.
      • Composed of fibrous connective tissue.
      • Contains structural elements including blood vessels, sensory nerve endings, hair follicles, and glands.
    • Subcutaneous Layer (Hypodermis / Superficial Fascia):
      • Rests underneath the dermis.
      • Anchors and connects the skin to the underlying muscles and bones.

Epidermal Layers and Specialized Cell Types

  • Layers of the Epidermis (Superficial to Deep):

    1. Stratum Corneum: The most superficial layer, consisting of dead, keratinized cells.
    2. Stratum Lucidum: Present in thick skin areas.
    3. Stratum Granulosum: Middle cellular layer.
    4. Stratum Spinosum: Layer lying above the basal layer.
    5. Stratum Germinativum (Stratum Basale): The deepest layer of the epidermis, which continually undergoes active cell division (mitosis) to generate new skin cells.
  • Specialized Components of Epidermal Cells:

    • Keratin: A tough cellular protein that waterproofs the outer layer of the skin.
    • Melanocytes: Specialized cells within the epidermis that produce the pigment melanin, which absorbs and protects the body against harmful solar ultraviolet radiation.

Cutaneous Glands, Structures, and Clinical Significance

  • Types of Sweat Glands:

    • Eccrine Sweat Glands:
      • The most widely distributed type of sweat gland across the body.
      • Regulate body temperature by secreting a watery fluid that absorbs heat and cools the skin as it evaporates.
    • Apocrine Sweat Glands:
      • Located predominantly in the axilla (armpit) and inguinal (groin) regions.
      • Produce a thicker, opaque secretion that contains cellular debris and cytoplasm from the secreting cells.
      • Cellular material is digested by surface bacteria, leading to the production of human body odor.
  • Sebaceous Glands:

    • Secrete an oily substance called sebum directly into hair follicles.
    • Functions to lubricate and moisturize the skin surface.
    • Prone to becoming clogged and harboring bacteria, particularly during adolescence.
  • Integumentary Appendages and Diagnostics:

    • Hair and Nails:
      • Both are hardened structures composed entirely of plates of keratin.
    • Clinical Significance:
      • Numerous systemic and localized diseases produce observable alterations in the structure, color, or texture of hair, nails, and skin.
      • Thorough physical observation and assessment of the integumentary system are vital when diagnosing clinical conditions.