NPU 1

An Overview of Anatomy

  • Anatomy: The study of the structure of the human body
  • Physiology: The study of body function

Subdisciplines of Anatomy

  • Gross Anatomy
  • Regional Anatomy
  • Systemic Anatomy
  • Surface Anatomy
  • Microscopic Anatomy (Histology)
  • Developmental Anatomy
  • Embryology
  • Pathological Anatomy (Pathology)
  • Radiographic Anatomy
  • Functional Morphology

Introduction to Gross Anatomy

  • Define the anatomical position
  • Use anatomical terminology to describe body directions, regions, and planes
  • Describe the basic structures that humans share with other vertebrates
  • Locate the major body cavities and their subdivisions
  • Name the four quadrants of the abdomen and identify the visceral organs located within each quadrant

Studying Gross Anatomy

  • Systemic Approach (Systemic Anatomy):
    • Study all the blood vessels, or all the muscles, or all the bones at once.
  • Regional Approach (Regional Anatomy):
    • All anatomical structures of a specific region (e.g., the thorax, or the head and neck) are all studied together.

Anatomical Terminology

  • Based on ancient Greek or Latin
  • Provides standard nomenclature worldwide

Hierarchy of Structural Organization

  • Chemical Level
    • Atoms form molecules
  • Cellular Level
    • Cells and their functional subunits
  • Tissue Level
    • A group of cells performing a common function
  • Organ Level
    • A discrete structure made up of more than one tissue
  • Organ System Level
    • Organs working together for a common purpose
  • Organismal Level
    • The result of all simpler levels working in unison

Human Body Systems

  • Integumentary
  • Skeletal
  • Muscular
  • Nervous
  • Endocrine
  • Cardiovascular
  • Lymphatic/Immune
  • Respiratory
  • Digestive
  • Urinary
  • Reproductive

Integumentary System

  • Skin, Hair, Nails, and Glands
  • Forms external body covering
  • Protects deeper tissues from injury
  • Synthesizes vitamin D
  • Site of cutaneous receptors (pain, pressure, etc.) and sweat and oil glands

Skeletal System

  • Bones, Cartilage, Joints
  • Protects and supports body organs
  • Provides a framework for muscles
  • Blood cells formed within bones
  • Stores minerals

Muscular System

  • Skeletal Muscle
  • Allows manipulation of environment
  • Locomotion
  • Facial expression
  • Maintains posture
  • Produces heat

Nervous System

  • Brain, Spinal Cord, Nerves
  • Fast-acting control system
  • Responds to internal and external changes

Endocrine System

  • Pituitary Gland, Thyroid, Parathyroid, Pancreas, Adrenal Gland, Testis, Ovaries
  • Glands secrete hormones that regulate:
    • Growth
    • Reproduction
    • Nutrient use

Cardiovascular System

  • Heart, Vessels, Blood
  • Blood vessels transport blood
  • Blood carries oxygen and carbon dioxide
  • It also carries nutrients and wastes
  • Heart pumps blood through blood vessels

Lymphatic System/Immunity

  • Thymus, Bone Marrow, Spleen, Lymph Nodes
  • Picks up fluid leaked from blood vessels
  • Disposes of debris in the lymphatic system
  • Houses white blood cells (lymphocytes)
  • Mounts attack against foreign substances in the body

Respiratory System

  • Pharynx, Larynx, Trachea, Bronchi, Lungs
  • Keeps blood supplied with oxygen
  • Removes carbon dioxide
  • Gas exchange occurs through walls of air sacs in the lungs

Digestive System

  • Esophagus, Stomach, Intestines, Liver, Gall Bladder, Pancreas
  • Breaks down food into absorbable units
  • Indigestible foodstuffs eliminated as feces

Urinary System

  • Kidneys, Ureters, Urinary Bladder, Urethra
  • Eliminates nitrogenous wastes and other metabolic wastes
  • Regulates water, electrolyte, and acid-base balance
  • Regulates blood volume and blood pressure

Male & Female Reproductive Systems

  • Testis, Vas Deferens, Prostate Gland, Penis, Ovaries, Uterine Tubes, Uterus, Vagina, Vulva, Mammary Glands
  • Overall function is to produce offspring
  • Testes produce sperm and male sex hormones
  • Ovaries produce eggs and female sex hormones
  • Mammary glands produce milk

Organ Systems and Their Functions

  • Integumentary System:
    • Protects body
    • Provides temperature homeostasis
    • Synthesizes vitamin D
    • Receives sensory input
    • Organ: Skin
  • Cardiovascular System:
    • Transport system for nutrients, waste
    • Provides temperature, pH, and fluid homeostasis
    • Organ: Heart
  • Lymphatic and Immune Systems:
    • Defends against infectious diseases
    • Provides fluid homeostasis
    • Assists in absorption and transport of fats
    • Organs: Lymphatic vessels, lymph nodes, spleen
  • Digestive System:
    • Ingests, digests, and processes food
    • Absorbs nutrients and eliminates waste
    • Involved in fluid homeostasis
    • Organs: Oral cavity, esophagus, stomach, small intestine, large intestine, salivary glands, liver, gallbladder, pancreas
  • Respiratory System:
    • Exchanges gases at both lungs and tissues
    • Assists in pH homeostasis
    • Organs: Lungs
  • Urinary System:
    • Excretes metabolic wastes
    • Provides pH and fluids homeostasis
    • Organs: Kidneys, urinary bladder
  • Muscular System:
    • Assists in movement and posture
    • Produces heat
    • Organs: Muscles
  • Nervous System:
    • Receives, processes, and stores sensory input
    • Provides motor output
    • Coordinates organ systems
    • Organs: Brain, spinal cord
  • Endocrine System:
    • Produces hormones
    • Coordinates organ systems
    • Regulates metabolism and stress response
    • Involved in fluid and pH homeostasis
    • Organs: Testes, ovaries, adrenal glands, pancreas, thymus, thyroid, pineal gland
  • Skeletal System:
    • Provides support and protection
    • Assists in movement
    • Stores minerals
    • Produces blood cells
    • Organs: Bones
  • Reproductive System:
    • Produces and transports gametes
    • Nurtures and gives birth to offspring in females
    • Organs: Testes, penis, ovaries, uterus, vagina

Integration of Body Systems

  • Organ systems are distinct but interact to perform bodily functions
  • Examples:
    • Systems that help regulate body temperature
    • Systems that play a role in excretion
    • Systems that play a role in coordinating organ systems

Homeostasis

  • Homeostasis = condition of equilibrium or balance in the body
  • Required for proper body functioning
  • Examples:
    • Body temperature is maintained close to 98.6F (37 C)
    • Blood glucose level = 70-110 mg/dL blood
  • Disease:
    • Disruption of homeostasis

Feedback Systems

  • Dealing with disruptions in homeostasis (Diseases)
  • Tries to return the body to homeostasis
  • Three basic components:
    • Receptor
    • Control center (Nervous or Endocrine)
    • Effector

Types of Feedback

  • Negative Feedback:
    • Reverses the effects of a stimulus
    • Example: Regulation of body temperature
  • Positive Feedback (less common):
    • Strengthens or reinforces the effects of a stimulus
    • Example: Normal childbirth

Body Fluids and Homeostasis

  • Maintaining the volume and composition of body fluids is an important component of homeostasis
  • Body fluids = dilute, watery solutions containing dissolved chemicals (i.e., ions, glucose, etc.)

Body Fluid Compartments

  • Intracellular Fluid (ICF): fluid within cells
  • Extracellular Fluid (ECF): fluid outside cells
    • Interstitial fluid is ECF between cells and tissues
    • Plasma is ECF of blood
    • Other examples of ECF:
      • Lymph
      • Synovial fluid
  • Intra- = inside, Extra- = Outside, Inter- = between

Scales of Measurement

  • System of measurement in anatomy is the metric system
    • Meter
    • Micrometer
    • Liter
    • Milliliter
    • Kilogram

Anatomical Terminology

  • A standard position/frame of reference = Anatomical Position
  • Specific, unambiguous terminology to describe anatomical relationships.
    • Directional terms
    • Regional names
    • Body cavities

Gross Anatomy - Introduction

  • Regional and directional terms
  • Anatomical position:
    • Person stands erect with feet together and eyes forward
    • Palms face anteriorly with the thumbs pointed away from the body

Regional Terms

  • Axial region
    • Axis of body – head, neck, and trunk
  • Appendicular region
    • Appendages

Standard Directional Terms

  • Used by professionals to describe the location of one body part in relation to another

Precise Location

  • Directional terms are used to explain the precise location of a body structure in relation to another body structure
  • Terms are paired with opposites
    • Superior (Cranial) / Inferior (Caudal)
    • Anterior (Ventral) / Posterior (Dorsal)
    • Medial / Lateral
    • Proximal / Distal
    • Superficial / Deep
    • Ipsilateral / Contralateral

Directional Terms

  • Superior: Above, top, toward the head
  • Inferior: Below, bottom, away from the head
    *Describe the position of one body part in relation to another
  • Medial: Toward the midline
  • Lateral: Away from the midline
    *Used on the torso (axis)
  • Proximal: Nearest to the origination
  • Distal: Farther from origination
    *Used on the limbs (appendages)
  • Anterior (Ventral): Toward the front (belly side)
  • Posterior (Dorsal): Toward the back (back side)
  • Ipsilateral: Same side of the body
  • Contralateral: Opposite side of the body
    *Right arm is ipsilateral to the right leg
    *Right arm is contralateral to the left leg
  • Superficial: Towards the surface
    *Deep: Towards the core of the body

Orientation and Directional Terms

  • Superior (Cranial): Toward the head end or upper part of a structure or the body; above. Example: The head is superior to the abdomen.
  • Inferior (Caudal): Away from the head end or toward the lower part of a structure or the body; below. Example: The intestines are inferior to the liver.
  • Medial: Toward or at the midline of the body; on the inner side of. Example: The heart is medial to the lungs.
  • Lateral: Away from the midline of the body; on the outer side of. Example: The thumb is lateral to the pinky.
  • Proximal: Closer to the origin of the body part or the point of attachment of a limb to the body trunk. Example: The elbow is proximal to the wrist.
  • Distal: Farther from the origin of a body part or the point of attachment of a limb to the body trunk. Example: The knee is distal to the thigh.
  • Ipsilateral: On the same side. Example: The right hand and right foot are ipsilateral.
  • Contralateral: On opposite sides. Example: The right hand and left foot are contralateral.
  • Anterior (Ventral): Toward or at the front of the body; in front of. Example: The sternum is anterior to the heart.
  • Posterior (Dorsal): Toward or at the back of the body; behind. Example: The vertebra is posterior to the heart.
  • Superficial (External): Toward or at the body surface. Example: The skin is superficial to the skeletal muscles.
  • Deep (Internal): Away from the body surface; more internal. Example: The lungs are deep to the skin.

Anatomical Descriptive and Directional Terms

  • Superior (cranial): Toward the head
  • Inferior (caudal): Toward the bottom (tail)
  • Anterior (ventral): Toward the front
  • Posterior (dorsal): Toward the back
  • Medial: Toward the midline of the body
  • Lateral: Toward the side of the body
  • Internal (deep): Away from the surface of the body
  • External (superficial): Toward the surface of the body
  • Proximal: Toward the main mass of the body
  • Distal: Away from the main mass of the body
  • Visceral: Related to internal organs
  • Parietal: Related to the body walls

Body Planes and Sections

  • Frontal (coronal) plane:
    • Lies vertically and divides body into anterior and posterior parts
  • Transverse plane:
    • Runs horizontally and divides body into superior and inferior parts
  • Sagittal planes:
    • Are vertical
    • Divide the body into right and left parts
    • Median (midsagittal) plane
      • Sagittal plane that runs along the midline
    • Parasagittal planes
      • A sagittal plane offset from the midline

The Human Body Plan

  • Tube-within-a-tube
  • Bilateral symmetry
  • Dorsal hollow nerve cord
  • Notochord and vertebrae
  • Segmentation
  • Pharyngeal pouches

Body Cavities and Membranes

  • Body Cavities:
    • Any space or compartment in the human body.
    • Cavities accommodate organs and other structures; cavities as potential spaces contain fluid.
    • The two largest human body cavities are the ventral body cavity, and the dorsal body cavity.
    • Other human body cavities: oral, nasal, orbital, middle ear, and synovial
  • Dorsal body cavity:
    • Divided into two parts:
      • Cranial cavity:
        • Superior cavity
        • Contains the brain
      • Vertebral cavity:
        • Inferior cavity
        • Contains the spinal cord
      • Both cavities surrounded by the meninges and cerebrospinal fluid
  • Ventral body cavity:
    • Divided into two parts:
      • Thoracic cavity
        • Superior portion
      • Abdominopelvic cavity
        • Inferior portion
        • Separated by the Diaphragm
  • Thoracic cavity:
    • Divided into three parts
      • Pleural Cavity
        • Two lateral cavities, each containing a lung surrounded by pleural membranes
      • Mediastinum
        • Single middle cavity
        • Contains the heart surrounded by the pericardial membranes (Pericardial Cavity)
  • Abdominopelvic cavity:
    • Divided into two parts:
      • Abdominal cavity
        • Contains the liver, stomach, kidneys, and other organs
      • Pelvic cavity
        • Contains the bladder, some reproductive organs, and rectum

Body Membranes

  • Epithelial and/or connective tissue that surround and structure
  • Protect, lubricate, secrete, and/or absorb
  • Two types of body membranes:
    • Epithelial:
      • Cutaneous
      • Mucous
      • Serous
    • Connective:
      • Synovial

Types of Membranes

  • Cutaneous:
    • Top Layer: Epithelial
    • Bottom Layer: Connective
    • Location: Skin
    • Function: Protection
  • Mucous:
    • Top Layer: Epithelial
    • Bottom Layer: Connective
    • Location: Organs that encounter the outer environment such as Nasal Cavities, Oral Cavity, Mouth, Anus, Vagina
    • Function: Protect, lubricate, secrete, absorb. Fluid is Mucous
  • Serous:
    • Top Layer: Epithelial
    • Bottom Layer: Connective
    • Location: Organs that do not encounter the outer environment such as Heart, Lungs, Intestine
    • Function: Lubricate. Fluid is Serous
  • Synovial:
    • Tissue Type: Connective
    • Location: Organs that do not encounter the outer environment, specifically Free moveable joints, e.g., shoulder, elbow, hip, knee
    • Function: Lubricate to reduce friction. Fluid is Synovial

Serous Cavities

  • A slit-like space lined by a serous membrane
  • Pleura, pericardium, and peritoneum
  • Parietal serosa
    • Covers the outer wall of the cavity
  • Visceral serosa
    • Covers the visceral organs
  • Cavity
    • Space between Parietal and Visceral Serosa
    • Contains fluid, produced by both Serosa
    • Function: lubrication, decrease friction, movement
  • Pleural Serosa:
    • Parietal Pleura
    • Pleural Cavity (with Pleural Fluid
    • Visceral Pleura
  • Pericardial Serosa:
    • Parietal Pericardium
    • Pericardial Cavity (with Pericardial Fluid)
    • Visceral Pericardium
  • Peritoneal Serosa:
    • Parietal Peritoneal
    • Peritoneal Cavity (with Peritoneal Fluid)
    • Visceral Peritoneal

Abdominal Quadrants

  • Abdominal quadrants divide the abdomen into four quadrants:
    • Right Upper Quadrant (RUQ)
    • Left Upper Quadrant (LUQ)
    • Right Lower Quadrant (RLQ)
    • Left Lower Quadrant (LLQ)

Abdominal Regions

  • Abdominal Regions divide the abdomen into nine regions:
    • Right Hypochondriac Region:
      • Liver, Gallbladder, Right Kidney, Small Intestine
    • Epigastric Region:
      • Stomach, Liver, Pancreas, Duodenum, Spleen, Adrenal Glands
    • Left Hypochondriac Region:
      • Spleen, Colon, Left Kidney, Pancreas
    • Right Lumbar Region:
      • Gallbladder, Liver, Right Colon
    • Umbilical Region:
      • Umbilicus (navel), parts of the small intestine, Duodenum
    • Left Lumbar Region:
      • Descending Colon, Left Kidney
    • Right Iliac Region:
      • Appendix, Cecum
    • Hypogastric Region:
      • Urinary Bladder, Sigmoid Colon, Female Reproductive Organs
    • Left Iliac Region:
      • Descending Colon, Sigmoid Colon

Anatomical Variability

  • Not every structure in every individual is identical.
  • Structures can vary due to:
    • Age, sex, height, weight of an individual
    • Health status (healthy or sick)
  • Variations include:
    • Blood vessels branching at different locations
    • Structures, blood vessels, and nerves being out of place
    • Small muscles missing
  • 90% of human body structures match textbook descriptions.
  • Extreme variations are incompatible with life.

Microscopic Anatomy

  • Microscopy—examining small structures through a microscope
    • Light microscopy illuminates tissue with a beam of light (lower magnification)
    • Electron microscopy uses beams of electrons (higher magnification)
  • Preparing human tissue for microscopy
    • Specimen is fixed (preserved) and sectioned
    • Specimen is stained to distinguish anatomical structures
      • Acidic stain—negatively charged dye molecules
      • Basic stain—positively charged dye molecules
  • Scanning electron microscopy
    • Heavy metal salt stain—deflects electrons in the beam to different extents
  • Artifacts
    • Minor distortions of preserved tissues
    • Not exactly like living tissues and organs

Clinical Anatomy – Medical Imaging Techniques

  • X-ray—electromagnetic waves of very short length
    • Best for visualizing bones and abnormal dense structures
  • Computed (axial) tomography (CT or CAT)
    • Takes successive X-rays around a person’s full circumference
    • Computer translates recorded information into a detailed picture of the body section
  • Angiography
    • Contrast medium highlights vessel structure
    • Digital subtraction angiography (DSA)
      • Images taken before and after contrast medium injection
      • Computer subtracts “before” from “after” to identify blockage of arteries to the heart wall and brain
  • Positron emission tomography (PET)—forms images by detecting radioactive isotopes injected into the body
  • Sonography (ultrasound imaging)—body is probed with pulses of high-frequency sound waves that echo off the body’s tissues
    • Imaging technique used to determine the age of a developing fetus
  • Magnetic resonance imaging (MRI)—produces high-quality images of soft tissues
    • Distinguishes body tissues based on relative water content

Different Imaging Tests

  • X-Ray
    • Imaging Method: Ionizing radiation
    • Used to Diagnose: Bone fractures, arthritis, osteoporosis, infections, breast cancer, swallowed items, digestive tract problems
    • What to Expect: You will lie, sit, or stand while the x-ray machine takes images. You may be asked to move into several positions.
    • Duration: 10-15 minutes
  • CT Scan
    • Imaging Method: Ionizing radiation
    • Used to Diagnose: Injuries from trauma, bone fractures, tumors and cancers, vascular disease, heart disease, infections, used to guide biopsies
    • What to Expect: You will lie on a table that slides into the scanner, which looks like a large doughnut. The x-ray tube rotates around you to take images.
    • Duration: 10-15 minutes
  • MRI
    • Imaging Method: Magnetic waves
    • Used to Diagnose: Aneurysms, Multiple Sclerosis (MS), stroke, spinal cord disorders, tumors, blood vessel issues, joint or tendon injuries
    • What to Expect: You lie on a table that slides into the MRI machine, which is deeper and narrower than a CT scanner. The MRI magnets create loud tapping or thumping noises.
    • Duration: 45 minutes - 1 hour
  • Ultrasound
    • Imaging Method: Sound waves
    • Used to Diagnose: Gallbladder disease, breast lumps, genital/prostate issues, joint inflammation, blood flow problems, monitoring pregnancy, used to guide biopsies
    • What to Expect: A technician applies gel to your skin, then presses a small probe against it, moving it to capture images of the inside of your body.
    • Duration: 30 minutes - 1 hour
  • PET Scan
    • Imaging Method: Radiotracers
    • Used to Diagnose: Cancer, heart disease, coronary artery disease, Alzheimer's Disease, seizures, epilepsy, Parkinson's Disease
    • What to Expect: You swallow or have a radiotracer injected. You then enter a PET scanner (which looks like a CT scanner) which reads the radiation gives off by the radiotracer.
    • Duration: 1.5-2 hours