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TOPIC 1: INTRODUCTION TO ANATOMY & PHYSIOLOGY

Subject: Anatomy & Physiology


University of the Cordilleras
College of Nursing

1.1.2 Introduction to the human REGIONAL ANATOMY

body The study of the interrelationships of all of the


structures in a specific body region, such as the
An understanding of anatomy and physiology is not abdomen.
only fundamental to any career in the health
professions, but it can also benefit your own health. Regional anatomy helps us appreciate the
Familiarity with the human body can help you make interrelationships of body structures, such as how
healthful choices and prompt you to take appropriate muscles, nerves, blood vessels, and other structures
action when signs of illness arise. Your knowledge in work together to serve a particular body region.
this field will help you understand news about
nutrition, medications, medical devices, and SYSTEMATIC ANATOMY
procedures and help you understand genetic or
infectious diseases. At some point, everyone will have • the study of the structures that make up a discrete
a problem with some aspect of his or her body and body system—that is, a group of structures that
your knowledge can help you to be a better parent, work together to perform a unique body function.
spouse, partner, friend, colleague, or caregiver.
Example:
A proficiency in anatomy and physiology is
fundamental to any career in the health professions. A systemic anatomical study of the muscular system
(credit: Bryan Mason/flickr) would consider all of the skeletal muscles of the body.

1.2.1 Topic Presentation PHYSIOLOGY

The scientific study of the chemistry and physics of the


ANATOMY structures of the body and the ways in which they
work together to support the functions of life
the scientific study of the body’s structures.
Gk “ana + temnein” meaning “to cut” or “dissect” The study of physiology certainly includes
Gross Anatomy (Macroscopic Anatomy) – observation, both with the naked eye and with
The study of the larger structures of the body, those microscopes, as well as manipulations and
visible without the aid of magnification (ex: BRAIN, measurements.
HEART, LUNGS)
Homeostasis

• The state of steady internal conditions maintained


by living things.
• The body’s ability to maintain relatively stable
internal conditions even though the outside world
is constantly changing.
• Homeo (the same) stasis (standing still)

MICROSCOPIC ANATOMY

the study of structures that can be observed only with


the use of a microscope or other magnification devices

Examples:

Cytology – the study of cells


Histology – the study of tissues

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STRUCTURAL ORGANIZATION OF THE HUMAN TISSUE LEVEL
BODY Tissue is a group of many similar cells (though
sometimes composed of a few related types) that work
together to perform a specific function

ORGAN LEVEL
An organ is an anatomically distinct structure of the
body composed of two or more tissue types.
Each organ performs one or more specific
physiological functions.

ORGAN SYSTEM LEVEL


An organ system is a group of organs that work
together to perform major functions or meet
physiological needs of the body.

ORGANISMAL LEVEL
11 organ systems make up the living body or the
organism which represents the highest level of
organization.
An organism is a living being that has a cellular
structure and that can independently perform all
physiologic functions necessary for life.

Levels of Structural Organization of the Human


Body

The organization of the body often is discussed in


terms of six distinct levels of increasing complexity,
from the smallest chemical building blocks to a unique
human organism.

The levels of Organization

CHEMICAL LEVEL

Atoms are made up of subatomic particles such as the


proton, electron and neutron.
Two or more atoms combine to form a molecule, such
as the water molecules, proteins, and sugars found in
living things. Molecules are the chemical building
blocks of all body structures.

CELLULAR LEVEL

Cell is the smallest independently functioning unit of a


living organism. Even bacteria, which are extremely
small, independently-living organisms, have a cellular
structure.
Each bacterium is a single cell.
All living structures of human anatomy contain cells,
and almost all functions of human physiology are
performed in cells or are initiated by cells.

THE ORGAN SYSTEMS OF THE HUMAN BODY

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Functions of Human Life ADENOSINE TRIPHOSPHATE (ATP
The different organ systems each have different a chemical compound used by every cell in the body to
functions and therefore unique roles to perform in store and release energy
physiology.
RESPONSIVENESS
ORGANIZATION
the ability of an organism to adjust to changes in its
A human body consists of trillions of cells organized internal and external environments.
in a way that maintains distinct internal compartments.
These compartments keep body cells separated from Example of responsiveness to external stimuli could
external environmental threats and keep the cells moist include moving toward sources of food and water and
and nourished. away from perceived dangers.
They also separate internal body fluids from the
countless microorganisms that grow on body surfaces, MOVEMENT
including the lining of certain tracts, or passageways
Human movement includes not only actions at the
joints of the body, but also the motion of individual
METABOLISM
organs and even individual cells.
The first law of thermodynamics holds that energy can
Your body is coordinating the action of entire muscle
neither be created nor destroyed—it can only change
groups to enable you to move air into and out of your
form.
lungs, to push blood throughout your body, and to
Your basic function as an organism is to consume
propel the food you have eaten through your digestive
(ingest) energy and molecules in the foods you eat,
tract.
convert some of it into fuel for movement, sustain your
body functions, and build and maintain your body
Runners demonstrate two characteristics of living
structures.
humans — responsiveness and movement. Anatomic
ANABOLISM structures and physiological processes allow runners to
coordinate the action of muscle groups and sweat in
The process whereby smaller, simpler molecules response to rising internal body temperature
are combined into larger, more complex
substances. Development, growth and
CATABOLISM reproduction
The process by which larger more complex
substances are broken down into smaller simpler DEVELOPMENT
molecules.
All of the changes the body goes through in life.

Development includes the process of differentiation, in


which unspecialized cells become specialized in
structure and function to perform certain tasks in the
body.

GROWTH

The increase in body size. Humans, like all


multicellular organisms, grow by increasing the
number of existing cells, increasing the amount of non-
cellular material around cells (such as mineral deposits
in bone), and, within very narrow limits, increasing the
• Metabolism the sum of all anabolic and size of existing cells.
catabolic reactions that take place in the body
• Both anabolism and catabolism occur REPRODUCTION
simultaneously and continuously to keep you
alive. The formation of a new organism from parent
organisms. In humans, reproduction is carried out by
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the male and female reproductive systems. Because NARROW RANGE OF ATMOSPHERIC PRESSURE
death will come to all complex organisms, without
reproduction, the line of organisms would end. Pressure is a force exerted by a substance that is in
contact with another substance.
Requirements of Human Life Atmospheric pressure is pressure exerted by the
mixture of gases (primarily nitrogen and oxygen) in
OXYGEN the Earth’s atmosphere.

Atmospheric air is only about 20 percent oxygen, but Atmospheric pressure does more than just keep blood
that oxygen is a key component of the chemical gases dissolved. Your ability to breathe—that is, to
reactions that keep the body alive, including the take in oxygen and release carbon dioxide—also
reactions that produce ATP. depends upon a precise atmospheric pressure. Altitude
sickness occurs in part because the atmosphere at high
Brain cells are especially sensitive to lack of oxygen altitudes exerts less pressure, reducing the exchange of
because of their requirement for a high-and-steady these gases, and causing shortness of breath,
production of ATP. confusion, headache, lethargy, and nausea. Mountain
climbers carry oxygen to reduce the effects of both low
Brain damage is likely within five minutes without oxygen levels and low barometric pressure at higher
oxygen, and death is likely within ten minutes. altitudes

NUTRIENTS Climbers on Mount Everest must accommodate


extreme cold, low oxygen levels, and low barometric
pressure in an environment hostile to human life.
• A nutrient is a substance in foods and beverages
that is essential to human survival. The three basic HOMEOSTASIS
classes of nutrients are water, the energy-yielding
and body-building nutrients, and the Maintaining homeostasis requires that the body
micronutrients (vitamins and minerals). continuously monitor its internal conditions. From
body temperature to blood pressure to levels of certain
• The most critical nutrient is water. nutrients, each physiological condition has a particular
set point.
• Water is the largest component of cells, blood, and
the fluid between cells, and water makes up about
70 percent of an adult’s body mass.

• Water also helps regulate our internal temperature


and cushions, protects, and lubricates joints and
many other body structures.

NARROW RANGE OF TEMPERATURE

You have probably seen news stories about athletes


who died of heat stroke, or hikers who died of
exposure to cold. Such deaths occur because the
chemical reactions upon which the body depends can
only take place within a narrow range of body
temperature, from just below to just above 37°C
(98.6°F).

When body temperature rises well above or drops well


below normal, certain proteins (enzymes) that facilitate
chemical reactions lose their normal structure and their
ability to function and the chemical reactions of
metabolism cannot proceed.
SET POINT
Humans adapt to some degree to repeated exposure to
high temperatures. The physiological value around which the normal
range fluctuates.

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NORMAL RANGE

The restricted set of values that is optimally healthful


and stable. For example, the set point for normal
human body temperature is approximately 37°C
(98.6°F)

Physiological parameters, such as body temperature


and blood pressure, tend to fluctuate within a normal
range a few degrees above and below that point.

Control centers in the brain and other parts of the body


monitor and react to deviations from homeostasis
using negative feedback. POSITIVE FEEDBACK

NEGATIVE FEEDBACK intensifies a change in the body’s physiological


condition rather than reversing it. A deviation from the
A mechanism that reverses a deviation from the set normal range results in more change, and the system
point. Therefore, negative feedback maintains body moves farther away from the normal range. Positive
parameters within their normal range. The feedback in the body is normal only when there is a
maintenance of homeostasis by negative feedback goes definite end point.
on throughout the body at all times, and an
understanding of negative feedback is thus Childbirth and the body’s response to blood loss are
fundamental to an understanding of human physiology. two examples of positive feedback loops that are
normal but are activated only when needed.
A negative feedback system has three basic
components

• Sensor, also referred to a receptor, is a component


of a feedback system that monitors a physiological
value. This value is reported to the control center.

• The control center is the component in a feedback


system that compares the value to the normal
range. If the value deviates too much from the set
point, then the control center activates an effector.

• An effector is the component in a feedback system


that causes a change to reverse the situation and
return the value to the normal range.

Normal childbirth is driven by a positive


feedback loop. A positive feedback loop results
in a change in the body’s status, rather than a
return to homeostasis.

ANATOMICAL TERMINOLOGY

Anatomical terms are made up of roots, prefixes, and


suffixes. The root of a term often refers to an organ,
tissue, or condition, whereas the prefix or suffix often
describes the root. For example, in the disorder
hypertension, the prefix “hyper- ” means “high” or
“over,” and the root word “tension” refers to pressure,
so the word “hypertension” refers to abnormally high
blood pressure.

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ANATOMICAL POSITION LATERAL
describes the side or direction toward the side of the
the body standing upright, with the feet at shoulder body. The thumb (pollex) is lateral to the digits.
width and parallel, toes forward. The upper limbs are
held out to each side, and the palms of the hands face MEDIAL
forward describes the middle or direction toward the middle of
the body. The hallux is the medial toe.

PROXIMAL
describes a position in a limb that is nearer to the point
of attachment or the trunk of the body. The brachium
is proximal to the antebrachium.

DISTAL
describes a position in a limb that is farther from the
point of attachment or the trunk of the body. The crus
is distal to the femur.

SUPERFICIAL
describes a position closer to the surface of the body.
The skin is superficial to the bones.

DEEP
describes a position farther from the surface of the
body. The brain is deep to the skull.
Regions of the Body
The human body is shown in anatomical position in an
(a) anterior view and a (b) posterior view. The regions
of the body are labeled in boldface.

PRONE
describes a face-down orientation

SUPINE
describes a face up orientation.

Directional Terms:

ANTERIOR (OR VERTRAL)


Describes the front or direction toward the front of the
body. The toes are anterior to the foot.

POSTERIOR (OR DORSAL) Directional Terms: Applied to the Human Body


Describes the back or direction toward the back of the Paired directional terms are shown as applied to
body. The popliteus is posterior to the patella. the human body.

SUPERIOR (OR CRANIAL)


describes a position above or higher than another part Body Planes
of the body proper. The orbits are superior to the oris

INFERIOR (OR CAUDAL) A SECTION


describes a position below or lower than another part is a two-dimensional surface of a three-dimensional
of the body proper; near or toward the tail (in humans, structure that has been cut. Modern medical imaging
the coccyx, or lowest part of the spinal column). The devices enable clinicians to obtain “virtual sections”
pelvis is inferior to the abdomen. of living bodies. We call these scans. Body

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sections and scans can be correctly interpreted,
however, only if the viewer understands the plane
Body Cavities and Serous
along which the section was made.
Membranes
A PLANE
The body maintains its internal organization by means
is an imaginary two-dimensional surface that passes of membranes, sheaths, and other structures that
through the body. There are three planes commonly separate compartments.
referred to in anatomy and medicine.
The dorsal (posterior) cavity and the ventral (anterior)
THE SAGITTAL PLANE cavity are the largest body compartments

the plane that divides the body or an organ vertically


into right and left sides. If this vertical plane runs
directly down the middle of the body, it is called the
midsagittal or median plane. If it divides the body into
unequal right and left sides, it is called a parasagittal
plane or less commonly a longitudinal section.

THE FRONTAL PLANE

is the plane that divides the body or an organ into an


anterior (front) portion and a posterior (rear) portion.
The frontal plane is often referred to as a coronal Dorsal and Ventral Body Cavities: The ventral cavity
plane. (“Corona” is Latin for “crown.”) includes the thoracic and abdominopelvic cavities
and their subdivisions. The dorsal cavity includes the
THE TRAVERSE PLANE cranial and spinal cavities.

is the plane that divides the body or organ horizontally ABDOMINAL REGIONS& QUADRANTS
into upper and lower portions. Transverse planes
produce images referred to as cross sections. To promote clear communication, for instance about
the location of a patient’s abdominal pain or a
suspicious mass, health care providers typically divide
up the cavity into either nine regions or four quadrants

Regions and Quadrants of the Peritoneal


Cavity: There are (a) nine abdominal regions and (b)
four abdominal quadrants in the peritoneal cavity.

Membranes of the Anterior


Planes of the Body: The three planes most
commonly used in anatomical and medical (Ventral) Body Cavity
imaging are the sagittal, frontal (or coronal),
and transverse plane. A SEROUS MEMBRANE

(also referred to a serosa) is one of the thin


membranes that cover the walls and organs in the

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thoracic and abdominopelvic cavities. The parietal X-Ray of a Hand: High energy electromagnetic
layers of the membranes line the walls of the body radiation allows the internal structures of the body,
cavity (pariet- refers to a cavity wall). The visceral such as bones, to be seen in X-rays like these. (credit:
layer of the membrane covers the organs (the Trace Meek/flickr)
viscera). Between the parietal and visceral layers
is a very thin, fluid-filled serous space, or cavity.

Serous Membrane: Serous membrane lines the


pericardial cavity and reflects back to cover the
heart—much the same way that an underinflated
balloon would form two layers surrounding a
fist.

THE PLEURA
the serous membrane that surrounds the lungs in the
pleural cavity.

THE PERICARDUM
the serous membrane that surrounds the heart in
the pericardial cavity Medical Imaging Techniques

THE PERITONEUM
(a) The results of a CT scan of the head are shown as
the serous membrane that surrounds several organs in successive transverse sections.
the abdominopelvic cavity

MEDICAL IMAGING (b) An MRI machine generates a magnetic field


around a patient.

(c) PET scans use radiopharmaceuticals to create


images of active blood flow and physiologic activity of
the organ or organs being targeted.

(d) Ultrasound technology is used to monitor


pregnancies because it is the least invasive of imaging
techniques and uses no electromagnetic radiation.

(credit a: Akira Ohgaki/flickr; credit b: “Digital


Cate”/flickr; credit c: “Raziel”/Wikimedia Commons;
credit d: “Isis”/Wikimedia Commons)

1.3.1 Videos to watch


WHAT IS METABOLISM?

What is metabolism? Many people have this vague


idea in their minds that the word metabolism has
something to do with weight loss. This is partly true.

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The study of metabolism does include research about Other times, it builds energy, molecules. These act like
how cells build store and break down fat, but fuel and will power.
metabolism is far more interesting than the latest
weight loss Trends in Hollywood The cells, future activities, muscle cells, use energy
molecules to contract brain cells, use them to help.
Cellular metabolism can be defined as the sum total of Warm thoughts and so on this chart shows, just some
all controlled chemical reactions that occur inside a of the many cycles and series of chemical reactions
cell. Metabolism is so important that several of the happening inside your cells. Cellular metabolism is
chemist working with NASA, The National Science fairly complex, different species have evolved
foundation's Center for chemical Evolution believe different metabolic pathways, which is one reason they
that a better understanding of metabolism could help often use different things as food.
us.
Hydrogen sulfide gas, for example, is very toxic to you
Finally understand the origin of life itself and better and me, but certain species of bacteria actually eat the
help us know where to search for life. Elsewhere in the stuff that said scientist studying.
cosmos. We often think of individual cells as things
but in the eyes of a chemist, a cell is a highly active. The origin of life have discovered that one very special
Highly sophisticated chemical system. The cells in our series of metabolic reactions, the citric acid cycle
bodies and as a consequence, our bodies themselves exists from one form or another in almost all species.
are better thought of not as things. Studied, so far the fact that it’s nearly universal
suggests that the citric acid cycle is both extremely
But as whirlpools, you are a continuous flow of matter old and important.
and energy food, water, and oxygen are constantly
consumed by your cells. Waste products, like CO2 are The citric acid cycle, sometimes called the Krebs cycle
constantly expelled. When you breathe other waste named after the researcher that discovered it starts
products, of course exit through different routes. when food particles sugars, fats and amino acids that
came from your lunch are transformed into citric acid.
The molecules in your skin or constantly renewed fully By binding citric acid together with other molecules
replaced, roughly every 48 days. and breaking them apart again, in a variety of different
ways.
You are bones though. They seemed so solid. So Citric acid is transformed into multiple types of
permanent cycle through a full refresh as often as molecules and then back to citric acid again. Now, this
might seem counterproductive simply spinning in a
every 10 years.
circle like that. But many of the side molecules that
Again, you are a whirlpool, your cellular metabolism reacts with along the way, are transformed in the
consists of hundreds of different reactions to make process modified into parts, or at least the precursors
sense of them. All researchers, often separate them of parts that your cell needs to repair, damaged
into two main categories. Anabolic. ISM reactions that molecules grow reproduce and power its movements.
join molecules together to build new ones and
catabolic metabolism reactions, that break molecules The citric acid cycle is the engine of Life. The core
apart to remember the difference, think catabolic as in Whirlpool inside your cells. In our case, fats, sugars,
catastrophe because catabolic reactions destroy things. and amino acids from our food are broken down and
eventually fed to the citric acid cycle. Carbon dioxide
When you eat an apple, your digestive tract breaks it and water are produced as waste products that we then
down into individual molecules, sugars fats and amino breathe out in certain species of bacteria. However, the
acids. These are absorbed by your intestines, enter the citric acid cycle runs in Reverse water, and carbon
bloodstream and are then distributed to the cells of dioxide are used as food sources and react together to
your body. Once inside the cell metabolic reactions, eventually produce large carbon molecules that
bacteria, use to build fats, sugars and amino acids
take over transforming those molecules into little bits
of you. While we often take this for granted. This because the reverse citric acid cycle uses such simple
concept is so important and so bizarre, that it's worth starting molecules water and carbon dioxide. Dioxide
repeating things that would have been super abundant on the
early Earth. Some researchers believe that the reverse
A cell's metabolism, its internal network of chemical
reactions, takes molecules from the environment. The citric acid cycle has been misnamed, it likely predates,
molecules of an apple, in this case, breaks them down the quote, normal citric acid cycle, by millions of
and transforms them into pieces of the cell itself. years. In fact, some argue that the reverse citric acid
Sometimes the cell builds replacement parts for its cycle, or something similar to It might predate life
own molecules that have been worn out. itself and may have kick-started the first living cells on
our planet

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So in summary, Cellular metabolism is the sum total of Most of the water passes out as urine, bringing the
all the controlled chemical reactions that happen inside blood volume back to normal. So if you're dehydrated
a living cell anabolic reactions. Take small molecules what's happening inside your kidneys?
and put them back together to build new ones catabolic
reactions. CT AND CAT SCANS

Remember catastrophe, break molecules apart at the The Cat scan is a medical procedure in which a
core of metabolism is a special cycle of catabolic and specialized X ray provides a cross sectional image of
anabolic reactions called the citric acid cycle. You are the body.
a whirlpool. And that is metabolism stated clearly.
A patient lies inside a tunnel equipped with a scanner,
WATER CONCENTRATION IN THE BODY the scanner consists of an Xray emitter 180 degrees
across from the receiver.
Water is essential for life. We take it in mainly by
drinking and eating, but as well as gaining it, the body The patient's bed slowly moves through the tunnel and
also loses it. You breathe out water vapor and water stops. The scanner circles the patient and Xrays are
vapor evaporates from your skin. It's most noticeable beamed and received at many points along the
when you sweat more. circumference of the tunnel.
Each time the bed moves, moves, the scanner circles
Obviously, you lose water through urine and feces. But again a computer analyzes the information received by
despite these daily gains and losses, the body works the Xrays and constructs an image of a slice of the
hard to keep its internal body fluids at a constant body.
concentration.
The kidneys play an important role producing more or
less urine, depending on how much water you've
gained or lost as well as sweating profusely.

For the past couple of hours, Lisa has had nothing to


drink since yesterday. By now she'll be extremely
dehydrated. One obvious sign is that she's producing
very little urine and it's dark in color. On the other
hand, Joanne has taken in lots of liquid over the past
few hours. Her urine is plentiful and very pale, her
body is losing water, which means that she must be
fully hydrated. The kidneys regulate the amount of
urine produced. It's their job to keep body fluids like
your blood at a constant volume and concentration.

Blood flows in through the renal artery and out


through the renal vein. Inside the kidney are millions
of microscopic devices called nephrons. Blood
entering each nephron is filtered. Most of its fluid
content represented here is yellow, passes into the
nephron tube as it trickles down exactly the right
amount of water is taken back to give the blood its
correct volume.

The remaining waste solution passes out as urine. So


what will happen to Lisa and Joanne's urine levels? If
they both drink a liter of water, they continue to give
samples every half hour. Lisa's urine is gradually
getting paler, but she's still producing less than Joanne.
In just 2 hours, Joanne has lost nearly all the water she
took in. Her kidneys are getting rid of any excess fluid.
When she drank a large quantity of water, her body
fluid increased. This excess fluid appears in the blood
when it reaches the kidney, very little is reabsorbed
into the bloodstream.

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