Human Anatomy and Physiology Lecture Review

Hierarchical Organization of the Human Body

  • The human body is organized into a hierarchical structure ranging from the smallest chemical components up to the complete organism.

  • Chemical Level: This level includes atoms and molecules. Examples provided include water and glucose.

  • Cellular Level: Cells are the smallest functional units of life. An example is the muscle cell.

  • Tissue Level: This consists of groups of similar cells working together to perform a specific function. An example is muscle tissue.

  • Organ Level: At this level, different types of tissues work together. An example is the heart.

  • System Level: This involves multiple organs working together to achieve a shared purpose. An example is the cardiovascular system.

  • Organism Level: The highest level, representing the entire human body as a unified whole.

The 11 Organ Systems

  • Integumentary System: Functions in protection and temperature regulation. Key components include the skin, hair, and nails.

  • Skeletal System: Provides support, protection for internal organs, and is the site of blood cell production.

  • Muscular System: Responsible for movement and the production of heat.

  • Nervous System: Facilitates rapid communication and control throughout the body.

  • Endocrine System: Responsible for hormone regulation and long-term control of body processes.

  • Cardiovascular System: Transports blood, nutrients, and gases (oxygen and carbon dioxide).

  • Lymphatic System: Functions in immune defense and maintaining fluid balance.

  • Respiratory System: Facilitates gas exchange (specifically O2O_2 and CO2CO_2).

  • Digestive System: Breaks down food and absorbs necessary nutrients.

  • Urinary System: Removes waste products and regulates fluid levels.

  • Reproductive System: Functions to produce offspring.

Cellular Components and Membrane Structure

  • Cell Membrane Structure: The membrane is characterized as a phospholipid bilayer.

    • Hydrophilic heads: These face outward toward the aqueous environment.

    • Hydrophobic tails: These face inward, away from water.

    • Additional components include proteins, cholesterol, and carbohydrates.

  • Membrane Function: The membrane is selectively permeable, meaning it controls what enters and exits the cell.

    • Small and nonpolar molecules can pass through easily.

    • Proteins regulate the movement of other substances through channels, carriers, and pumps.

  • Cytoplasm: This is the gel-like fluid inside the cell that contains organelles and supports various cellular processes.

Organelles and Their Functions

  • Ribosomes: The site of protein synthesis.

  • Endoplasmic Reticulum (ER):

    • Rough ER: Associated with protein synthesis and modification.

    • Smooth ER: Involved in lipid synthesis and detoxification.

  • Golgi Complex: Responsible for modifying and packaging proteins for transport.

  • Lysosomes: Responsible for digestion and the removal of waste.

  • Mitochondria: The "powerhouse" of the cell, responsible for the production of ATP (energy).

Cell Transport and the Nucleus

  • Passive Transport: Does not require ATP (energy).

    • Diffusion: Movement of particles from high to low concentration.

    • Osmosis: The movement of water across a semipermeable membrane.

    • Facilitated Diffusion: Movement aided by transport proteins.

  • Active Transport: Requires ATP (energy) to move substances against their concentration gradient, often via protein pumps.

  • The Nucleus: This is the control center of the cell.

    • Components: Includes the nuclear membrane, nucleolus, and chromatin.

    • Function: It stores DNA and controls all cellular activities.

Comparison of Cell Types and Division

  • Mitosis vs. Meiosis:

    • Mitosis: Results in 22 identical diploid cells. Used for growth and tissue repair.

    • Meiosis: Results in 44 non-identical haploid cells. Used for gamete production.

  • Somatic vs. Germ Cells:

    • Somatic Cells: General body cells that are diploid. Examples include:

      • Muscle cells: Function in contraction.

      • Neurons: Function in communication.

      • Skin cells: Function in protection.

    • Germ Cells: Reproductive cells that are haploid. There are two types: Sperm and Egg (ovum).

The Four Main Tissue Types

  • Epithelial Tissue: Covers body surfaces and lines cavities. Primary functions include protection, absorption, and secretion.

  • Connective Tissue: Provides support and connects different parts of the body. Types include bone, cartilage, blood, and fat.

  • Muscle Tissue: Specialized for contraction and movement.

    • Skeletal: Controls voluntary movement.

    • Smooth: Found in internal organs.

    • Cardiac: Found specifically in the heart.

  • Nervous Tissue: Specialized for communication.

    • Neurons: Cells that transmit electrical signals.

    • Neuroglia: Cells that support and protect neurons.

Anatomical Terminology and Body Cavities

  • Anatomical Position: A standard position where the subject stands upright, facing forward, with arms at the sides and palms facing forward.

  • Axial vs. Appendicular:

    • Axial: Includes the head, neck, and trunk.

    • Appendicular: Includes the limbs.

  • Directional Terms:

    • Anterior: The front.

    • Posterior: The back.

    • Superior: Above.

    • Inferior: Below.

    • Medial: Toward the midline.

    • Lateral: Away from the midline.

    • Proximal: Closer to the origin or point of attachment.

    • Distal: Farther from the origin.

    • Superficial: Near the surface.

    • Deep: Farther inside the body.

  • Anatomical Planes:

    • Sagittal: Divides the body into left and right.

    • Frontal: Divides the body into front and back.

    • Transverse: Divides the body into top and bottom.

  • Body Cavities:

    • Dorsal Cavity: Contains the cranial and spinal cavities.

    • Ventral Cavity: Contains the thoracic and abdominopelvic cavities.

  • Abdominal Quadrants: Divided into RUQ, LUQ, RLQ, and LLQ, primarily used for locating internal organs.

Homeostasis and Feedback Systems

  • Homeostasis: The process of maintaining a stable internal balance (e.g., body temperature regulation).

  • Key Terms:

    • Set point: The ideal value for a physiological state.

    • Range: The acceptable variation around the set point.

    • Normal limits: The boundaries between balance and imbalance.

  • Feedback System Components:

    • Stimulus: The change being detected.

    • Receptor: Detects the change.

    • Control Center: Processes the information.

    • Effector: Executes the response.

    • Response: The result of the effector's action.

  • Types of Feedback:

    • Negative Feedback: Opposes the initial change to return to the set point (e.g., temperature regulation).

    • Positive Feedback: Amplifies the initial change (e.g., childbirth).

  • Homeostatic Imbalance: A disruption in balance that can lead to disease.

The Integumentary System: Skin Layers and Anatomy

  • Major Layers of the Skin:

    • Major Layers of the Skin:

      • Epidermis: The outermost layer. It is avascular (lacks blood vessels), comprised primarily of keratinized epithelial cells, which undergo rapid turnover and act as a waterproof barrier. The epidermis contains several types of cells:

        • Keratinocytes: Produce keratin for strength and waterproofing.

        • Melanocytes: Produce melanin, which gives skin its color and provides protection against UV radiation.

        • Langerhans cells: Function as immune defenders against pathogens.

        • Merkel cells: Act as touch receptors that contribute to the sensation of light touch.

      • Dermis: The inner layer, consisting of dense connective tissue that provides strength and elasticity. This layer contains:

        • Blood Vessels: Supply nutrients and oxygen, aid in thermoregulation.

        • Nerves: Sensory receptors for pressure, pain, temperature.

        • Glands:

          • Sebaceous glands: Secrete oils to lubricate the skin and hair.

          • Sweat glands: Aid in thermoregulation through the secretion of sweat.

        • Hair follicles: Sites from which hair grows, contributing to thermoregulation and protection.

      • Hypodermis (Subcutaneous Layer): Located beneath the dermis; though not technically part of the skin, it provides support and insulation. It contains:

        • Loose connective tissue and fat: Functions as energy storage, cushioning, and insulation.

        • Major blood vessels and nerves: Contribute to thermoregulation and sensory pathway

  • Skin Color Contribution: Influenced by Melanin (primary), Carotene, and Hemoglobin (blood flow).

  • Primary Functions of Skin:

    • Protection: Barrier against pathogens, UV radiation, and injury.

    • Thermoregulation: Controlled through sweating and changes in blood flow.

    • Sensory: Detects touch, pain, and temperature through receptors.

    • Secretion: Production of sweat and oils.

    • Vitamin D Synthesis: Exposure to UV light triggers production.

Epidermal Stratification and Cell Types

  • Epidermal Cell Types:

    • Keratinocytes: Most common; produce keratin.

    • Melanocytes: Produce melanin.

    • Langerhans cells: Provide immune defense.

    • Merkel cells: Act as touch receptors.

  • Strata of the Epidermis (Deep to Superficial):

    1. Stratum basale: Site of active cell division.

    2. Stratum spinosum.

    3. Stratum granulosum.

    4. Stratum lucidum: Found only in thick skin (e.g., palms, soles).

    5. Stratum corneum: Layers of dead, keratinized cells.

Skin Structures, Glands, and Thermoregulation

  • Gland Functions:

    • Sebaceous glands: Secrete oil to lubricate skin and hair.

    • Sweat glands: Assist in temperature regulation.

    • Ceruminous glands: Produce earwax.

  • Thermoregulation Response: Arrector pili muscles contract to make hair stand up (goosebumps) in response to cold.

  • Sensory Receptors: Detect touch, pressure, pain, temperature, and vibration.

Wound Healing, Burns, and Skin Disorders

  • Wound Types:

    • Epidermal: Surface-level only; heals quickly without scarring.

    • Deep: Extends into the dermis; results in bleeding and potential scarring.

  • Phases of Deep Wound Healing:

    1. Inflammation

    2. Proliferation (new tissue formation)

    3. Remodeling (tissue strengthening)

  • Burn Severity:

    • 1st Degree: Affects the epidermis only.

    • 2nd Degree: Affects the epidermis and dermis; characterized by blisters.

    • 3rd Degree: Full-thickness damage; severe tissue destruction.

  • Skin Cancer: Caused by UV radiation damaging DNA.

    • Basal cell carcinoma: Most common, least severe.

    • Squamous cell carcinoma: Moderate risk.

    • Melanoma: Most dangerous; spreads quickly.

    • ABCDE Mnemonic: A = Asymmetry, B = Border irregular, C = Color variation, D = Diameter > 6\,mm, E = Evolving.

  • Other Disorders:

    • Eczema: Inflammatory condition causing dry, itchy skin.

    • Acne: Caused by blocked pores and bacteria leading to inflammation.

Aging and Effects on Homeostasis

  • Skin: Becomes thinner and loses elasticity.

  • Bones: Experience decreased density.

  • Joints: Increased stiffness.

  • Muscles: Loss of mass (atrophy).

  • Cells: Slower rate of division.

  • Systemic effects: Reduced healing ability and less efficient feedback loops (slower responses).

Skeletal System: Bone Cells and Tissues

  • Types of Bone Cells:

    • Osteogenic (Osteoprogenitor) Cells: Stem cells found in the periosteum and endosteum; they differentiate into osteoblasts.

    • Osteoblasts: Cells that build bone by secreting the bone matrix (collagen and minerals).

    • Osteocytes: Mature cells that maintain bone tissue; they reside in lacunae and communicate via canaliculi.

    • Osteoclasts: Large, multinucleated cells that resorb (break down) bone for remodeling and calcium balance.

  • Types of Bone Tissue:

    • Compact Bone: Strong, dense outer layer organized into osteons (Haversian systems).

    • Spongy Bone (Cancellous): Porous, trabecular structure containing red marrow for blood cell production.

Spongy Bone Organization and Cartilage

  • Trabeculae: Lattice-like network providing support.

  • Lacunae: Small spaces that house osteocytes.

  • Canaliculi: Fine channels connecting lacunae for nutrient and waste exchange.

  • Lamellae: Concentric layers of bone matrix.

  • Cartilage Types:

    • Hyaline: Smooth and flexible; found in joints, nose, and trachea.

    • Fibrocartilage: Tough and absorbs shock; found in intervertebral discs.

    • Elastic: Highly flexible; found in the ear.

Anatomy and Classification of Bones

  • Long Bone Structure:

    • Diaphysis: The shaft (mainly compact bone).

    • Epiphysis: The ends of the bone (mainly spongy bone).

    • Metaphysis: Region between diaphysis and epiphysis.

    • Periosteum: Outer fibrous covering; critical for growth and repair.

    • Endosteum: Inner lining containing osteogenic cells.

    • Medullary Cavity: The central space in the diaphysis.

  • Bone Marrow:

    • Red Marrow: Site of RBC, WBC, and platelet production.

    • Yellow Marrow: Site of fat storage; can convert to red marrow if necessary.

  • Bone Shapes:

    • Long: Length is greater than width (e.g., femur).

    • Short: Cube-shaped (e.g., carpals).

    • Flat: Thin and protective (e.g., skull, sternum).

    • Irregular: Complex shapes (e.g., vertebrae).

    • Sesamoid: Embedded in tendons (e.g., patella).

Axial and Appendicular Skeleton Details

  • Skull Bones:

    • Cranial: Frontal, Parietal, Temporal, Occipital, Sphenoid, Ethmoid.

    • Facial: Maxilla, Mandible, Zygomatic (cheeks), Nasal, Lacrimal (tear-drainage support).

    • Sutures: Immovable joints that articulate skull bones.

    • Sinuses: (Frontal, Maxillary, Ethmoid, Sphenoid) lighten the skull, warm air, and enhance voice resonance.

  • Vertebral Column Regions:

    • Cervical: 77

    • Thoracic: 1212

    • Lumbar: 55

    • Sacrum and Coccyx

  • Thoracic Cage: Includes the sternum, ribs, and thoracic vertebrae; protects the heart and lungs.

  • Limbs:

    • Upper: Pectoral girdle (clavicle, scapula), arm (humerus, radius, ulna), and hand (carpals, metacarpals, phalanges).

    • Lower: Pelvic girdle (ilium, ischium, pubis), leg (femur, patella, tibia, fibula), and foot (tarsals, metatarsals, phalanges).

Joint Classification and Movement

  • Structural Classification:

    • Fibrous: No movement (e.g., skull sutures).

    • Cartilaginous: Slight movement (e.g., spine).

    • Synovial: Free movement with a joint cavity (e.g., knee).

  • Functional Classification:

    • Synarthrosis: Immobile.

    • Amphiarthrosis: Slightly movable.

    • Diarthrosis: Freely movable.

  • Types of Range of Motion (ROM): Flexion, Extension, Abduction, Adduction, and Rotation.

Muscular System: Types and Tissue Organization

  • Muscle Types:

    • Skeletal: Voluntary, striated, attached to bone.

    • Cardiac: Involuntary, striated, contains intercalated discs.

    • Smooth: Involuntary, non-striated, found in organs.

  • Connective Tissue Wrappings:

    • Epimysium: Surrounds the entire muscle.

    • Perimysium: Surrounds fascicles (bundles of fibers).

    • Endomysium: Surrounds individual muscle fibers.

  • Fascicle Arrangements: Parallel (strap-like), Fusiform (spindle-shaped), Circular (sphincters), and Pennate (feather-like: uni, bi, or multi).

Muscle Nomenclature and Mechanics

  • Nomenclature Basis:

    • Orientation: Rectus (straight), Oblique (diagonal), Transverse (horizontal).

    • Shape: Deltoid (triangle), Trapezius (trapezoid), Rhomboid (diamond), Serratus (saw-like), Gracilis (slender), Platys (flat), Quadrate (square), Piriformis (pear-shaped).

    • Action: Flexor (decreases angle), Extensor (increases angle), Abductor (away from midline), Adductor (toward midline).

  • Muscle Mechanics: Muscles work as lever systems where bones act as bars and joints act as pivots.

    • Agonist: The primary mover.

    • Antagonist: Opposes the agonist.

Microscopic Anatomy and Muscle Contraction

  • Sarcomere Components: The functional unit of contraction.

    • Actin: Thin filaments.

    • Myosin: Thick filaments; pulls actin to shorten the sarcomere.

    • Regulatory Proteins: Tropomyosin (blocks binding sites) and Troponin (moves tropomyosin when Ca2+Ca^{2+} binds).

  • Contraction Steps:

    1. Nerve signal arrives at the neuromuscular junction.

    2. Acetylcholine (ACh) is released and binds to receptors.

    3. Ca2+ is released from the sarcoplasmic reticulum.Ca^{2+}\text{ is released from the sarcoplasmic reticulum.}

    4. Myosin binds to actin (cross-bridge formation).

    5. Power stroke occurs (pulling actin).

    6. ATP facilitates detachment and reset of the myosin head.

  • Exercise vs. Aging: Exercise leads to hypertrophy and endurance; aging leads to atrophy and slower repair.

Regional Musculature

  • Head/Face: Frontalis (eyebrows), Orbicularis oculi (eyes), Orbicularis oris (lips), Zygomaticus (smiling), Buccinator (cheeks), Masseter (chewing), Temporalis (mandible movement).

  • Neck/Back: Sternocleidomastoid (rotation/flexion), Trapezius (shoulder/neck), Erector spinae (spine extension), Latissimus dorsi (arm movement).

  • Trunk: Rectus abdominis (spine flexion), External/Internal obliques (rotation), Transversus abdominis (compression), Diaphragm and Intercostals (breathing).

  • Upper Limbs: Pectoralis major, Deltoid (abduction), Biceps brachii (flexion), Triceps brachii (extension), Rotator Cuff (SITS: Supraspinatus, Infraspinatus, Teres minor, Subscapularis).

  • Lower Limbs: Gluteus maximus (extension) and medius (abduction); Quadriceps group (rectus femoris, vastus lateralis, vastus medialis, vastus intermedius) for knee extension; Hamstrings (biceps femoris, semitendinosus, semimembranosus) for knee flexion; Tibialis anterior (dorsiflexion); Gastrocnemius and Soleus (plantar flexion).

Nervous System: Organization and Tissue

  • Central Nervous System (CNS): Includes the Brain and Spinal cord.

  • Peripheral Nervous System (PNS):

    • Somatic: Voluntary control of skeletal muscles.

    • Autonomic: Involuntary control (Sympathetic: fight/flight; Parasympathetic: rest/digest).

    • Enteric: Controls digestion in the GI tract.

  • Neuron Anatomy: Cell body (soma), Dendrites (receive signals), Axon (sends signals), Myelin sheath (insulation for speed).

  • Glial Cells (Support Cells):

    • Astrocytes: Blood-brain barrier support.

    • Oligodendrocytes: Myelin in CNS.

    • Schwann Cells: Myelin in PNS.

    • Microglia: Immune defense.

    • Ependymal cells: Produce cerebrospinal fluid (CSF).

  • Cranial Nerves: 1212 pairs; sensory and motor control of the head.

Brain Anatomy and Physiology

  • Four Main Parts: Cerebrum (thinking, voluntary movement), Cerebellum (balance), Brainstem (survival), Diencephalon (hormone/sensory relay).

  • Gray vs. White Matter: Gray matter houses cell bodies (processing); white matter houses myelinated axons (communication).

  • Brain Structures:

    • Thalamus: Sensory relay station.

    • Hypothalamus: Homeostasis and endocrine control.

    • Pineal Gland: Melatonin production/sleep cycle.

    • Pituitary Gland: Master endocrine controller.

    • Brainstem components: Midbrain, Pons (breathing), Medulla oblongata (heart rate/blood pressure).

  • Protection: Meninges (Dura mater, Arachnoid mater, Pia mater) and the Blood-Brain Barrier.

  • Cerebrospinal Fluid (CSF): Cushions the brain and circulates nutrients; produced in ventricles.

Spinal Cord and Action Potentials

  • Spinal Cord Structure: Inner butterfly-shaped gray matter and outer white matter tracts (ascending/descending).

  • Plexuses: Cervical (neck), Brachial (arms), Lumbar (lower body), Sacral (legs/pelvis).

  • Action Potentials: An all-or-none electrical signal.

    • Resting Potential: Approximately 70mV-70\,mV.

    • Depolarization: Na+Na^{+} flows in (inside becomes more positive).

    • Repolarization: K+K^{+} flows out (inside becomes more negative).

  • Propagation: Saltatory conduction occurs in myelinated axons, making it much faster.

Synapses, Reflexes, and Senses

  • Synapses: Small gaps where chemicals (neurotransmitters) are released to pass signals.

  • Reflex Arc: Stimulus \rightarrow Receptor \rightarrow Sensory Neuron \rightarrow CNS \rightarrow Motor Neuron \rightarrow Response.

  • Types of Reflexes: Stretch reflex, Flexor (withdrawal), and Extensor (balance).

  • Special Senses:

    • Olfaction: Smell via olfactory receptors.

    • Gustation: Taste (Sweet, Sour, Salty, Bitter, Umami).

    • Vision: Light enters the cornea, intensity is controlled by the iris, and photoreceptors (rods for low light, cones for color) in the retina process images.

    • Hearing/Balance: The inner ear converts sound to signals; the vestibular system maintains balance.

Endocrine System: Glands and Mechanisms

  • Endocrine vs. Exocrine:

    • Endocrine: Ductless; releases hormones directly into the bloodstream.

    • Exocrine: Uses ducts; secretes onto surfaces or into cavities.

  • Hypothalamic-Pituitary Axis:

    • Hypothalamus: Links nervous and endocrine systems; produces ADH and Oxytocin (stored in the posterior pituitary).

    • Anterior Pituitary: Produces TSH, ACTH, Growth Hormone (GH), Prolactin, FSH, and LH.

  • Thyroid and Parathyroid:

    • Thyroid: Produces T3T_3 and T4T_4 for metabolism and Calcitonin to lower blood calcium.

    • Parathyroid: Produces PTH to raise blood calcium.

  • Adrenal Glands: Cortex produces cortisol (stress) and aldosterone (water balance); Medulla produces epinephrine/norepinephrine (fight/flight).

  • Pancreas: Islets of Langerhans produce Insulin (lowers glucose) and Glucagon (raises glucose).

  • Gonads: Testes (testosterone) and Ovaries (estrogen/progesterone).

Stress Response and Aging of Systems

  • Stages of Stress Response:

    1. Alarm (fight or flight via epinephrine).

    2. Resistance (sustained via cortisol).

    3. Exhaustion.

  • Aging Trends: Decreased hormone production, slower response times, and reduced ability to regulate homeostatic set points.

Questions & Discussion

  • Which hip bone holds the most body weight when sitting?

    • Answer: Ischium.

  • Which muscle of the thigh is part of the hamstring?

    • Answer: Biceps femoris, semitendinosus, or semimembranosus.

  • What structure holds/contains the pupil?

    • Answer: Iris.

  • What causes potassium (K+K^{+}) gates to open in a cell?

    • Answer: Depolarization of the membrane (voltage change).

  • What releases melatonin or controls the sleep cycle?

    • Answer: Pineal gland.

  • What process allows water to move across a semipermeable membrane?

    • Answer: Osmosis.

  • What is the movement called if it is against the concentration gradient?

    • Answer: Active transport (requires ATP).

  • Which bone provides support while also allowing flexibility/movement?

    • Answer: Vertebrae.