Happ Finals 2

HUMAN ANATOMY & PHYSIOLOGY W/ PATHOPHYSIOLOGY (HAPP111)
J.L.Nevales | BSMLS 1-A-11 | Midterm
➢ When heartbroken, there is an increase in

13. CARDIOVASCULAR SYSTEM cortisol (stress hormone) causing anxiety.
OUTLINE CARDIOVASCULAR SYSTEM

➢ The heart and the circulatory (blood vessels &
I. CARDIOVASCULAR SYSTEM
blood) system makes up the cardiovascular
II. THE HEART
system.
a. External Description Of Heart
➢ The major function of the cardiovascular system
b. Coverings And Wall
is transportation.
c. The Heart Wall
➢ Using blood as the transport vehicle, the
d. Chambers And Associated Great Vessels
cardiovascular system carries oxygen, nutrients,
e. Pulmonary Circulation Vs. Systemic
cell wastes, hormones, and many other
Circulation
substances vital for body homeostasis to and
f. Valve
from the cells. The force to move blood around
III. CARDIAC CIRCULATION
the body is provided by the beating heart.
a. Intrinsic Conduction System Of The Heart:
Setting The Basic Rhythm
THE HEART
b. Intrinsic Conduction System
➢ The cardiovascular system includes a muscular
IV. HOMEOSTATIC IMBALANCES OF THE HEART
pump equipped with one-way valves and a
V. BLOOD VESSELS
system of large and small plumbing troops with
a. Microscopic Anatomy Of Blood Vessels
which the blood travels.
b. Tunics
➢ The heart is approx the size of a person’s fists
c. Structural Difference Between Arteries,
and weighs < a pound and close within the
Veins And Capillaries
inferior mediastinum and flunk on each side by
VI. GROSS ANATOMY OF THE BLOOD VESSELS
the lungs.
a. Major Arteries Of The Systemic Circulation
b. Major Veins of the Systemic Circulation
VII. PHYSIOLOGY OF CIRCULATION (VITAL SIGNS)
a. Arterial Pulse
b. Blood Pressure
c. Measuring Blood Pressure
INTRODUCTION
➢ The heart is a strong muscle that functions to
pump blood all over the body.
➢ It has nerves that mainly sense pain and
changes its rate and rhythm of the heartbeat.
➢ Old Brain (Reptilian Brain) – responsible for
survival
➢ Intermediate brain (Limbic Brain) – responsible
for emotions and love.
➢ New Brain (Neocortex Brain) – responsible for
decisions and will actions.
➢ Love is perceived in the limbic brain, releasing
chemicals that cause the heart to beat faster
and stronger. The heart is just a brain servant.
➢ When in love, dopamine and oxytocin increases.
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External Description Of Heart Coverings And Wall

➢ Apex is directed to the left hip and rests on the ➢ The heart is enclosed by a double sac of serous
diaphragm. Also known as Apex Cordis. membrane called the pericardium (external
coverings of the heart that protects and
surrounds the heart).
➢ Pericardium is made of 3 layers, the outer
fibrous layer, and a pair of inner serous
membranes.
➢ On the back side, we can see the base of the

heart called the Basis Cordis.
➢ Its broader posterosuperior aspect or base from
○ EPICARDIUM (Visceral Layer) –
which the great vessel of the body emerges
Innermost pericardium. Tightly hugs the
points toward the right shoulder.
surface of the heart and is part of the
heart wall. It is continuous at the heart
base with loosely applied parietal
pericardium reinforced on its superficial
phase by dense connective tissue.
(Innermost layer pericardium)
○ FIBROUS PERICARDIUM – Outermost
layer. Helps protect the heart and
anchors it to the surrounding of
structures such as the diaphragm and
the sternum.
○ Innermost layer of the heart wall –
ENDOCARDIUM
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➢ Outermost layer of the heart wall – ➢ The inferior, thick-walled ventricles are the
EPICARDIUM discharging chambers, or actual pumps of the
heart. When they contract, blood is propelled
out of the heart and into the circulation
➢ Blood flows into the atria under low pressure
from the veins of the body and then flows it into
a ventricle
➢ The ventricles are the discharging chambers
➢ They are known as the discharging chambers
because they pumps the blood out of the heart
The Heart Wall or discharge the blood out of the heart
➢ Composed of 3 layers: Epicardium (Outermost
layer), Myocardium, and Endocardium.
➢ The myocardium consists of thick bundles of
cardiac muscle twisted and whorled into
ring-like arrangements. It is the layer that
actually contracts. It makes up the majority of
the cardiac wall and is responsible for the
pumping action of the heart.
➢ The endocardium is a thin, glistening sheet of
endothelium overlying a thin layer of connective
tissue that lines the heart chambers. It is
continuous with the linings of the blood vessels
leaving and entering the heart. It covers the ➢ The wall that separates the left and right side of
valves. It is the innermost layer and is the the heart is called the septum.
closest to the heart. ➢ There are 2 types of septum: the atrial or
interatrial septum and the ventricular or
interventricular septum
➢ The septum that divides the heart longitudinally
is referred to as the interatrial septum where it
divides the atria and the interventricular
septum where it divides the ventricles.
➢ As you can see in the figure, this septum will
separate the two sides of the heart to prevent
the blood from mixing
Chambers And Associated Great Vessels

➢ The heart has four hollow chambers or cavities:
two atria (the right atrium and the left atrium),
and two ventricles (right and left ventricle)
➢ Each of these chambers is lined with
endocardium, which helps blood flow smoothly
through the heart
➢ The superior atria are primarily receiving
chambers.
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Pulmonary Circulation Vs. Systemic Circulation ➢ The pulmonary circulation’s only function is to
➢ The heart functions as a double pump. The right carry blood to the lungs for gas exchange and
side works as the pulmonary circuit pump. then return it to the heart
➢ tl:dr – Pulmonary circulation moves blood
between the heart and the lungs. It transports
deoxygenated blood to the lungs to absorb
oxygen and release carbon dioxide.
Systemic Circulation
➢ The Blood returned to the left side of the heart
is pumped out of the heart into the aorta from
which the systemic arteries branch to supply
essentially all body tissues
➢ After the oxygen is delivered to the tissues,
Oxygen-poor blood circulates from the tissues
back to the right atrium via the systemic veins,
which finally empty their cargo into either the
Pulmonary Circulation superior or inferior vena cava
Right Side of The Heart ➢ This second circuit, from the left ventricle
➢ The right side of the heart works as the through the body tissues and back to the right
pulmonary circuit pump. atrium, is called the systemic circulation
➢ The right side of the heart represents the ➢ Systemic circulation supplies oxygen- and
deoxygenated blood or oxygen-poor blood nutrient-rich blood to all body organs.
➢ It receives relatively oxygen-poor blood from ➢ tl:dr – The oxygenated blood from pulmonary
the veins of the body through the large superior circulation flows back to the heart in which
and inferior vena cava and pumps it out through systemic circulation will now happen, systemic
the pulmonary trunk (pulmonary artery). circulation will move the blood between the
➢ The pulmonary trunk splits into the right and heart and the rest of the body. Systemic
left pulmonary arteries in which these two circulation sends oxygenated blood out to cells
arteries carry blood to the lungs, where oxygen and returns deoxygenated blood to the heart.
is picked up and carbon dioxide is unloaded.
➢ Once the blood is oxygenated, they will now go
into the left side of the heart
Left Side of The Heart

➢ The left side of the heart represents the
oxygenated blood or oxygen-rich blood
➢ Oxygen-rich blood drains from the lungs
meaning the oxygenated blood will be coming
from the lungs and it will enter the left side of
the heart through the four pulmonary veins, the
2 left pulmonary veins and the 2 right
pulmonary veins
➢ This circulation (from the right side of the heart
to the lungs and back to the left side of the
heart) is called pulmonary circulation.
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Valve through the right side of heart, then out to the

➢ The heart is equipped with four valves, which lungs to receive oxygen, then passing back
allow blood to flow in only one direction through the left side of the heart and traveling
through the heart chambers. out to the body
➢ These valves help the blood flow system to
follow this pattern.
Operation of the AV valves

➢ Chordae tendineae – a group of tough,
tendinous strands in the heart. They are
commonly referred to as the “heart strings”
since they resemble small pieces of string.
Functionally, the chordae tendineae play a vital
role in holding the atrioventricular valves in
place while the heart is pumping blood. It
anchors the flaps to the walls of the ventricles.
➢ The valves keep blood moving through the heart ➢ Heart valves open and close due to pressure
in the right direction. ➢ When the heart is relaxed and blood is
➢ We have 2 sets of heart valve: passively filling its atrial chambers, the AV valve
○ Atrioventricular valve – consists of flaps hang limply into the ventricles
bicuspid valve (the left atrioventricular ➢ When the pressure in the atria is now high due
valve) and the tricuspid valve (the right to the accumulation of blood, the AV valves are
atrioventricular valve). Located between forced to open
the atrial and ventricular chambers on ➢ And now the blood from the atria will enter the
each side. It prevents backflow into the ventricles via the AV valves
atria when the ventricles contract. ➢ As the ventricles contract, they press on the
■ Left AV valve (bicuspid or blood in their chambers, and the
mitral valve) - consists of two intraventricular pressure begins to rise
flaps of endocardium ➢ This causes the AV valve flaps to be forced
■ Right AV valve (tricuspid valve) upward, closing the valves.
- has three flaps ➢ The chordae tendineae works to anchor the
○ Semilunar valve – consists of flaps in a closed position.
pulmonary semilunar valve and aortic ➢ The AV valves prevent backflow into the atria
semilunar valve when the ventricles are contracting
➢ tl:dr – the AV valves open when the atrial
pressure is greater than the ventricular pressure
due to the accumulation of blood in the atria.
And the AV valve will be closed when the atrial
pressure is less than the ventricular pressure
➢ Blood always flows through the system in the

same pattern: coming from the body, passing
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Operation of the Semilunar valves the backside of the heart called the coronary
sinus.
➢ The semilunar valves guard the bases of the two
➢ The coronary sinus empties into the right atrium
large arteries leaving the ventricular chambers:
➢ Coronary Circulation is the circulation of blood
they are called the pulmonary and aortic
in the blood vessels that supply the heart
semilunar valves
muscle (myocardium). Coronary arteries supply
➢ Each semilunar valve has three leaflets that fit
oxygenated blood to the heart muscle, and
tightly together when the valves are closed
cardiac veins drain away the blood once it has
➢ When the ventricles are contracting and forcing
been deoxygenated.
blood out of the heart, the leaflets are forced
➢ There are two major coronary arteries: the
open and flattened against the walls of the
right and left coronary artery
arteries by the tremendous force of rushing
➢ These two arteries branch off from the aorta
blood
near the point where the aorta and the left
➢ When ventricles relax, the blood begins to flow
ventricle meet. These arteries and their
backward toward the heart, and the leaflets fill
branches supply all parts of the heart muscle
with blood, closing the valves
with blood.
➢ This prevents arterial blood from reentering the
➢ The coronary arteries and their major branches
heart
are compressed when the ventricles are
contracting and fill when the heart is relaxed
➢ The myocardium is drained by several cardiac
veins, which empty into an enlarged vessel on
the backside of the heart called the coronary
sinus.
➢ The coronary sinus empties into the right atrium
➢ The AV valves are open during heart relaxation

and closed when the ventricles are contracting.
➢ The semilunar valves are closed during heart
relaxation and are forced open when the
ventricles contract.
➢ Each set of valves operates at a different time.
CARDIAC CIRCULATION Intrinsic Conduction System Of The Heart:

➢ The coronary arteries branch from the base of Setting The Basic Rhythm
the aorta and encircle the heart in the coronary ➢ Cardiac muscles can and do contract
sulcus (atrioventricular groove) at the junction spontaneously and independently, even if all
of the atria and ventricles nervous connections are severed
➢ The coronary arteries and their major branches ➢ These spontaneous contractions occur in a
are compressed when the ventricles are regular and continuous way.
contracting and fill when the heart is relaxed ➢ Although cardiac muscle can beat
➢ The myocardium is drained by several cardiac independently, the muscle cells in different
veins, which empty into an enlarged vessel on areas of the heart have different rhythms
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➢ Two systems that act to regulate heart activity: ventricles that begins at the heart apex and
the nerves of the autonomic nervous system moves toward the atria
and the intrinsic conduction system, or nodal
system
Intrinsic Conduction System

➢ is built into the heart tissue and sets basic
rhythm of the heart
➢ It is composed of a special tissue found
nowhere else in the body; it is much like a cross
between muscle and nervous tissue
➢ Sinoatrial (SA) node – crescent-shaped node of
tissue located in the right atrium and is one of
the most important parts on the intrinsic
conduction system
➢ Atrioventricular (AV) node – found at the
junction of the atria and ventricles Common Condition that can occur when there is a
➢ Atrioventricular (AV) bundle – (bundle of His) defect or damage in the intrinsic conduction system:
➢ Right and left bundle branches – located in the ➢ Tachycardia – rapid heart rate (over 100 beats
interventricular septum per minute)
➢ Purkinje fibers – spread within the myocardium ➢ Bradycardia – heart rate that is substantially
(muscle) of the ventricle walls. slower than normal (less than 60 beats per
minute)
➢ Systole – heart contraction

➢ Diastole – heart relaxation
➢ Cardiac cycle – refers to the events of one
complete heartbeat, during which both atria
and ventricles contract and then relax
➢ Cardiac output – amount of blood pumped out
by each side of the heart (ventricle) in one
minute. It is the product of heart rate and stroke
volume
➢ Stroke volume – volume of blood pumped out
by a ventricle with each heartbeat
➢ The SA node starts each heartbeat and sets the
pace for the whole heart. It is often called the
● In a healthy heart, the atria contract
pacemaker. simultaneously.
➢ From the SA node, the impulse spreads through ● Then, as they start to relax, the ventricles begin to
the atria to the AV node, and then the atria contract.
contract ● Systole means the heart contraction and diastole
➢ At the AV node, the impulse is delayed briefly to is the heart relaxation
give the atria time to finish contracting ● The term cardiac cycle refers to the events of one
➢ It then passes rapidly through the AV bundle, complete heartbeat, during which both atria and
the bundle branches, and the Purkinje fibers, ventricles contract and then relax.
resulting in a “wringing” contraction of the ● While the term cardiac output is the amount of
blood pumped out by each side of the heart in
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one minute (actually ventricle – because pumping capillary beds in tissues

is the function of the ventricles) ● Capillary beds are drained by venules, which in turn
● Cardiac output is the product of heart rate and empty into veins that finally empty into the great veins
(venae cavae) entering the heart
stroke volume
● Thus arteries, which carry blood away from the heart,
● What is stroke volume? It is the volume of blood
and veins, which drain the tissues and return the blood
pumped out by a ventricle with each heartbeat to the heart, are simply conducting vessels—the
freeways and secondary roads.
HOMEOSTATIC IMBALANCES OF THE HEART

➢ Pericarditis – inflammation of the pericardium
that results in a decrease in the amount of
serous fluid
➢ Incompetent valve – forces the heart to pump
and repump the same blood because the valve
does not close properly and blood backflows
➢ Valvular stenosis – the valve flaps become stiff,
often because of repeated bacterial infection of
the endocardium (endocarditis). This forces the
heart to contract more vigorously than normal
➢ Heart block – ventricles begin to beat at their
own rate, which is much slower, due to damage
to the AV node
➢ Ischemia – lack of adequate blood supply to the
heart muscles may lead to fibrillation
➢ Fibrillation – rapid uncoordinated shuddering of ➢ Only the tiny hair-like capillaries, which extend
the heart muscles which makes the heart totally and branch through the tissues and connect the
useless as a pump and is a major cause of death smallest arteries (arterioles) to the smallest
from heart attacks in adults
veins (venules) directly serve the needs of the
body cells
➢ It is only through their walls that exchanges
BLOOD VESSELS
➢ Blood circulates inside the blood vessels, which between the tissue cells and the blood can
form a closed transport system, the so called occur
vascular system
➢ As the heart beats, blood is propelled into the ● Capillaries are tiny hair like blood vessels, which extend
large arteries leaving the heart and branch through the tissues
➢ It then moves into successively smaller and ● It connects the smallest arteries (the arterioles) to the
smaller arteries and then into the arterioles smallest veins (the venules)
which feed the capillary beds in tissues
➢ Capillary beds are drained by venules, which in
turn empty into veins that finally empty into the
great veins (venae cavae
● As the heart beats, blood is propelled into the large

arteries leaving the heart
● It then moves into successively smaller and smaller
arteries and then into the arterioles which feed the
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Microscopic Anatomy of Blood Vessels ● It is mostly composed of smooth muscle and elastic
tissue
● And lastly, we have the tunica externa, it is the external
coat of the blood vessels that is important for the
support and protection of the vessels
Structural Difference Between Arteries, Veins and

Capillaries
➢ The walls of arteries are usually much thicker
than the walls of the veins. Their tunica media
tends to be much heavier
Tunics ➢ Arteries, which are closer to pumping action of
the heart, must be able to expand as blood is
➢ Except for the microscopic capillaries, the walls
forced into them and then recoil passively as
of blood vessels have three coats, or tunics
➢ Their walls must be strong and stretchy enough
➢ The tunica intima is a thin layer of endothelium
to take these continuous changes in pressure
that lines the interior or lumen of the vessels
➢ The tunica media is the bulky middle coat, and
is mostly smooth muscle and elastic tissue.
➢ The tunica externa is composed largely of
fibrous connective tissue, which functions to
support and protect the vessels
● the walls of the arteries are much thicker than the walls
of the vein
● Meaning the walls of artery is much heavier compared
with the walls of the veins
● Arteries are much closed to the pumping action of the
heart – it must be able to expand as blood is forced to
them and able to recoil as the blood flows into the
circulation
● Their walls must be strong and stretchy enough to take
● The walls of the blood vessels except for microscopic the continuous pressure
capillaries have three coats or tunics ● In contrast, the veins are very far from the heart in the
● The tunica intima, tunica media and tunica externa circulatory pathway and the pressure in them tends to
● The most internal coat or covering of the blood vessel is be low all the time.
the tunica intima ● Thus veins have thinner walls
● It is a thin layer of endothelium that lines the interior or ● The lumens of veins tend to be much larger than those
lumen of the vessels of corresponding arteries, and the larger veins have
● The middle coat is the tunica media valves that prevent backflow of blood
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➢ The transparent walls of the capillaries are only of two routes: through the true capillaries or through
one cell layer thick – just the tunica intima the shunt
➢ Because of this, exchanges are easily made ● When the precapillary sphincters are relaxed (open),
between the blood and the tissue cells blood flows through the true capillaries and takes part
in exchanges with tissue cells
➢ The tiny capillaries tend to form interweaving ● When the sphincters are contracted (closed), blood
networks called capillary beds flows through the shunts and bypasses the tissue cells
➢ The flow of blood from an arteriole to a venule
through a capillary bed is called microcirculation
● Capillaries are very tiny blood vessels — so small that a

single red blood cell can barely fit through them.
● Its transparent walls are only one cell layer thick – it is
only consist of tunica intima covering
● Because of this, exchanges are easily made between the
blood and the tissue cells
● The group or network of capillaries are known as
capillary beds
● The flow of blood from an arteriole to a venule through
a capillary bed is called microcirculation
➢ The capillary bed consist of two types of vessels:

a vascular shunt, a vessel that directly connects
the arteriole and venule at opposite ends of the GROSS ANATOMY OF THE BLOOD VESSELS
bed, and true capillaries, the actual exchange
vessels
➢ A cuff of smooth muscle fibers called a
precapillary sphincter surrounds the root of
each true capillary and act as a valve to regulate
the flow of blood into the capillary
● The capillary bed is consist of two types of vessels:

○ The vascular shunt – it is the type of vessel
that connects the arteriole and venule
○ And the true capillaries are the actual
exchange vessels
● To control the flow of the blood into the capillary we
have the cuff of smooth muscle fibers known as
precapillary sphincter – it surrounds the root of each
true capillary and acts as a valve to control the
microcirculation
● Blood flowing through a terminal arteriole may take one
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Major Arteries of the Systemic Circulation ○ The brachiocephalic trunk (1st branch
➢ The aorta is the largest artery of the body off the aortic arch) splits into R.
where it issues from the left ventricle of the common carotid and R. subclavian
heart artery
➢ The aorta springs upward from the left ○ L. common carotid (2nd branch) divides
ventricles of the heart as the ascending aorta, into L. internal carotid which serves the
arches to the left as the aortic arch, and then brain and L. external carotid which
plunges downward through the thorax following serves the skin and muscles of the head
the spine as thoracic aorta, to finally pass and neck
through the diaphragm into the abdominopelvic ○ L. subclavian artery (3rd branch) gives
cavity where it becomes the abdominal aorta off an important branch, the vertebral
artery, which serves part of the brain.
The subclavian artery becomes the
axillary artery and then continues into
the arm as the brachial artery, which
supplies the arm. At the elbow, the
brachial artery splits to form the radial
and ulnar arteries which serve the
forearm
● The aorta is the largest artery in the body, initially being

an inch wide in diameter. It receives the cardiac output
from the left ventricle , the heart's muscular pumping
chamber and supplies the body with oxygenated blood
via the systemic circulation.
● The aorta can be divided into four sections: the
ascending aorta, the aortic arch, the thoracic
(descending) aorta and the abdominal aorta.
● The aorta springs upward from the left ventricles of the ● As you locate the arteries on this figure, use what you
heart as the ascending aorta, arches to the left as the already know to make your learning easier. In many
aortic arch, and then plunges downward through the cases the name of the artery tells you the body region
thorax following the spine as thoracic aorta, to finally or organs served (for example, renal artery, brachial
pass through the diaphragm into the abdominopelvic artery, and coronary artery) or the bone followed
cavity where it becomes the abdominal aorta (femoral artery and ulnar artery).
● The 4 regions of the aorta have different branches
● The arterial branches of the ascending aorta is the right
➢ Arterial branches of the Ascending aorta and left coronary arteries that serve the heart
○ Right (R.) and left (L.) coronary arteries, ● Aortic arch have 3 branches
which serve the heart ● The brachiocephalic artery that splits into R. common
carotid artery and R subclavian artery, another branch
➢ Arterial branches of the Aortic Arch
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of aortic arch is the Left common carotid artery that ○ The unpaired superior mesenteric
divides into into L. internal carotid which serves the artery supplies most of the small
brain and L. external carotid which serves the skin and intestine and first half of the colon
muscles of the head and neck ○ The renal (R. and L.) arteries serve the
● And we have the last branch of aortic arch the Left
subclavian artery which gives off an important branch
kidneys
the vertebral artery – which serves the part of the brain ○ The gonadal (R. and L.) arteries supply
● The subclavian artery becomes the axillary artery and the gonads. (Ovarian and testicular
then continues into the arm as the brachial artery, arteries)
which supplies the arm. At the elbow, the brachial ○ Lumbar arteries serves the heavy
artery splits to form the radial and ulnar arteries which
serve the forearm muscles of the abdomen and trunk
walls
○ Inferior mesenteric artery supply the
Arterial Branches of the Ascending Aorta and Aortic second half of the large intestine
Arch
● Thoracic aorta have 4 branches:

○ The intercostal arteries that supply the thorax
wall
➢ Arterial branches of the Thoracic Aorta ○ The bronchial arteries that supply the lungs
○ The intercostal arteries supply the ○ The esophageal arteries and phrenic arteries
muscles of the thorax wall. Other that supply the esophagus and diaphragm
branches supply the lungs (bronchial respectively
○ And the last region of aorta, abdominal aorta
arteries), the esophagus (esophageal have many branches
arteries) and diaphragm (phrenic ● The 1st branch is the celiac trunk that also have
arteries) subbranches:
➢ Arterial branches of the Abdominal Aorta ● The left gastric artery that supplies the stomach
● The splenic artery the supplies the spleen
○ The celiac trunk is the 1st branch of the ● And the common hepatic artery that supplies the liver
abdominal aorta. It has three branches: ● Another branch is the superior mesenteric artery that
the L. gastric artery supplies the supplies most of the small intestine and first half of the
stomach, the splenic artery supplies the colon
spleen, and the common hepatic artery ● The renal (right and left) arteries serve the kidneys
● The gonadal arteries that supply the gonads – these are
supplies the liver the ovarian and testicular arteries
● The lumbar arteries that serve the heavy muscle of the
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abdomen and trunk walls such as the bladder and rectum

● The inferior mesenteric artery that supply the second ○ External iliac artery enters the thigh which
half of the colon or the large intestine becomes the femoral artery
● Take note again that the mesenteric arteries supplies ● The femoral artery and its branch deep femoral artery
the colon or large intestine serves the thigh
● At the knee, the femoral artery becomes popliteal
artery that splits into anterior and posterior tibial
➢ Arterial branches of the Abdominal Aorta arteries – which supplies the leg and foot
○ Common iliac (R. and L.) arteries are the ● The anterior tibial artery ends in the dorsalis pedis
final branches of the abdominal aorta. artery that supplies the dorsum of the foot
Each divides into an internal iliac artery
which supplies the pelvic organs
(bladder, rectum, etc.) and an external Major Veins of the Systemic Circulation
iliac artery which enters the thigh, ➢ Many veins are superficial and some are easily
where it becomes the femoral artery. seen and palpated on the body surface
○ The femoral artery and its branch, the ➢ Major systemic arteries branch off the aorta,
deep femoral artery, serve the thigh. whereas the veins converge on the venae
○ At the knee, the femoral artery cavae, which enter the right atrium of the heart
becomes the popliteal artery, which ➢ Veins draining the head and arms empty into
then splits into anterior and posterior the superior vena cava and those draining the
tibial arteries, which supplies the leg lower body empty into the inferior vena cava
and foot.
○ The anterior tibial artery terminates in
the dorsalis pedis artery, which supplies
the dorsum of the foot
● Different veins that drain into inferior vena cava going

to heart
● The inferior vena cava, which is much longer than the
superior vena cava, returns blood to the heart from all
body regions inferior to the diaphragm.
● Right and left common iliac arteries are the final ● The first veins are the anterior and posterior tibial veins
branches of the abdominal aorta and the fibular veins – all of these veins drain the leg
● Each of this artery are further subdivided into internal ● At the knee, the posterior tibial vein become the
iliac artery and external iliac artery popliteal vein
○ internal iliac artery supplies the pelvic organs ● At the thigh, it becomes femoral vein
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● The femoral vein becomes the external iliac vein as it

enters the pelvis Blood Pressure
● The one that receives the superficial drainage of the leg ➢ Blood pressure in the pressure the blood exerts
is the great saphenous vein
against the inner walls of the blood vessels,
● This is considered as the longest vein of the body
● The common iliac vein is formed by the union of two and it is the force that keeps blood circulating
veins the external and internal iliac vein continuously even between heartbeats
● The common iliac veins join to form the inferior the
● Any system equipped with a pump that forces fluid
inferior vena cava, which then ascends superiorly in the
through a one-way network of closed tubes operates
abdominal cavity
under pressure. Blood pressure is the pressure the
● The R. gonadal vein drains the right gonads, and the L.
blood exerts against the inner walls of the blood
gonadal vein empties into the left renal vein superiorly
vessels, and it is the force that keeps blood circulating
● The renal (R. and L.) veins drain the kidneys
continuously even between heartbeats.
● The hepatic portal vein drains the digestive tract organs
● Unless stated otherwise, the term blood pressure in this
and carries this blood through the liver before it enters
discussion is understood to mean the pressure within
the systemic circulation
the large systemic arteries near the heart.
● The hepatic (R. and L.) veins drain the liver
● This is done together with arterial pressure every time
Measuring Blood Pressure

PHYSIOLOGY OF CIRCULATION (VITAL SIGNS) ➢ Two arterial blood pressure measurements are
➢ These measurements, along with those of made:
respiratory rate and body temperature, are ➢ Systolic pressure – pressure in the arteries at
referred to collectively as vital signs in clinical the peak of ventricular contraction
settings. ➢ Diastolic pressure – pressure when the
ventricles are relaxing
Arterial Pulse ➢ Blood pressures are reported in millimeter of
➢ The alternating expansion and recoil of an mercury (mm Hg), with the systolic pressure
artery that occurs with each beat of the left written first
ventricle creates a pressure wave–a pulse–that ➢ Measured using auscultatory method
travels through the entire arterial system
➢ The pulse averages 70 to 76 beats per minute in
● The heart supplies the organs and tissues of the body
a normal resting person with blood. With every beat, it pumps blood into the
● One of the vital sign to monitor the body’s circulation is large blood vessels of the circulatory system. As the
the arterial pulse blood moves around the body, it puts pressure on the
● The alternating expansion and recoil of an artery that walls of the vessels. Blood pressure readings are made
occurs with each beat of the left ventricle creates a up of two values:
pressure wave—a pulse—that travels through the entire ● Systolic pressure – pressure in the arteries at the peak
arterial system. of ventricular contraction
● Normally the pulse rate (pressure surges per minute) ● Diastolic pressure – pressure when the ventricles are
equals the relaxing
● heart rate (beats per minute). The pulse averages 70 to ● It is reported in millimeter of mercury (mm Hg), with
76 beats per minute in a healthy resting person. the systolic pressure written first
● It is influenced by activity, postural changes, and ● It is measured by auscultatory method
emotions.
● You can feel a pulse in any artery lying close to the body
surface by compressing the artery against firm tissue;
this provides an easy way of counting heart rate.
● Because it is so accessible, the point where the radial
artery surfaces at the wrist (the radial pulse) is routinely
used to take a pulse measurement, but there are
several other clinically
● important arterial pulse points
14
14. RESPIRATORY SYSTEM
OUTLINE
I. THE CARDIOVASCULAR AND RESPIRATORY
SYSTEM
a. Lower Respiratory System
b. Upper Respiratory System
II. ORGANS OF THE RESPIRATORY SYSTEM
a. The Nose
b. Pharynx Upper Respiratory System
c. Larynx
d. Trachea
e. Main Bronchi
f. Lungs
III. THE RESPIRATORY MEMBRANE
a. Alveolar Pores
IV. RESPIRATORY PHYSIOLOGY
a. Pulmonary Ventilation
b. External Respiration
c. Respiratory Gas Transport
d. Internal Respiration
V. EVENTS OF RESPIRATION (MECHANICS OF
BREATHING)
VI. RESPIRATORY DISORDERS II. ORGANS OF THE RESPIRATORY SYSTEM
➢ Includes the nose, pharynx, larynx, trachea,
bronchi and the smaller branches, and the lungs
I. THE CARDIOVASCULAR AND RESPIRATORY SYSTEM
which contains alveoli, or terminal air sacs
➢ The cardiovascular and respiratory system share
➢ Gas exchange with the blood happens only with
responsibility for supplying the body with
the alveoli
oxygen and disposing of carbon dioxide.
➢ The other respiratory system structures are just
➢ The respiratory system organs oversee the gas
conducting passageways that allow air to reach
exchanges that occur between the blood and
the lungs
the external environment
➢ The purify, humidify, and warm incoming air
➢ The transportation of the respiratory gases
between the lungs and the tissue cells is
The Nose
accomplished by the cardiovascular system
organs, using blood as transporting fluid ➢ Air enters the nostrils or external nares
➢ The interior of the nose consists of the nasal
cavity, divided by a midline nasal septum
Lower Respiratory System
➢ The mucosa lining the nasal cavity, called the
respiratory mucosa, rests on a rich network of
thin-walled veins that warms the air as it flows
past
15
➢ The nasal cavity is surrounded by a ring of

paranasal sinuses
➢ The sinuses lighten the skull, and they act as
resonance chambers for speech
➢ They also produce mucus, which drains into the
nasal cavities
➢ The ciliated cells of the nasal mucosa create a

gentle current that moves contaminated mucus
posteriorly toward the throat, where it is
swallowed and digested by stomach acids
➢ The lateral walls of the nasal cavity are uneven

Pharynx
owing to three mucosa-covered projections or
➢ It serves as a common passageway for food and
lobes, called conchae, which greatly increase
air. It is continuous with the nasal cavity
the surface area of the mucosa exposed to the
anteriorly via the internal nares
air
➢ Air enters the superior portion (nasopharynx)
➢ The conchae also increases the air turbulence in
from the nasal cavity and then descends
the nasal cavity. As the air swirls through the
through the oropharynx and laryngopharynx to
twists and turns, inhaled particles are deflected
enter the larynx below
onto the mucus-coated surfaces where they are
➢ Food enters the mouth and then travels along
trapped and prevented from reaching the lungs
with air through the oropharynx and
➢ The nasal cavity is separated from the oral
laryngopharynx. But instead of entering the
cavity below by a partition: the palate
larynx, food is directed into the esophagus
16
➢ When we are not swallowing, the epiglottis

DOES NOT RESTRICT the passage of air into the
lower respiratory passages
➢ When we swallow foods or fluids, the larynx is
pulled upward and the epiglottis tips, forming a
lid over the opening of the larynx. This routes
food into the esophagus, or food tube,
posteriorly
➢ If anything other than air enters the larynx, a
cough reflex is triggered to expel the substance
and prevent it from continuing into the lungs
➢ Part of the mucus membrane of the larynx
forms a pair of folds, called the vocal folds or
➢ The pharyngotympanic tubes, which drain the true vocal cords, which vibrate with expelled air
middle ear, open into the nasopharynx ➢ The ability of the vocal folds to vibrate allows us
➢ Lymphatic tissue called tonsils are also found in to speak
the pharynx
➢ The pharyngeal tonsil, often called adenoid, is
located high in the nasopharynx
➢ The palatine tonsils are in the oropharynx at
end of the soft palate, and the lingual tonsils are
at the base of the tongue
Larynx
➢ It routes air and food into the proper channels
and plays a role in speech
➢ It is formed by eight rigid hyaline cartilages and
a spoon-shaped flap of elastic cartilage called
the epiglottis
➢ The largest of the hyaline cartilages is the shield
shaped thyroid cartilage, which is commonly
known as the Adam’s apple
➢ The epiglottis protects the superior opening of
the larynx Larynx
➢ Air entering the trachea, from the larynx travels
down its length
➢ The trachea is fairly rigid because its walls are
reinforced with C-shaped rings of hyaline
cartilage
➢ The open parts of the rings abut the esophagus
and allow it to expand anteriorly when we
swallow a large piece of food
➢ The solid portions support the trachea walls and
keep it open, in spite of the pressure changes
that occur during breathing
17
Main Bronchi
➢ The lungs occupy the entire thoracic cavity
except for the most central area, the
(mediastinum), the great blood vessels, bronchi,
esophagus and other organs
➢ The narrow superior portion of the each lung,
the apex, is located just deep to the clavicle
➢ The broad lung area resting on the diaphragm is
the base
➢ Each lung is divided into lobes by fissures: left
lung has two lobes, and the right lung has three
➢ The trachea is lined with a ciliated mucosa. The

cilia beat continuously and in a direction
opposite to that of the incoming air
➢ They propel mucus, loaded with dust particles
and other debris, away from the lungs to the
throat, where it can be swallowed or spat out
➢ The surface of each lung is covered with

visceral serosa called pulmonary or visceral
pleura, and the walls of the thoracic cavity are
lined by parietal pleura
➢ The pleural membranes produce pleural fluid, a
slippery serous secretion which allows the lungs
to glide easily over the thorax wall during
breathing movements and causes the two
pleural layers to cling together
Main Bronchi
➢ The right and left main (primary) bronchi are
formed by the division of the trachea
➢ The right main bronchus is wider, shorter, and
straighter than the left
➢ By the time incoming air reaches the bronchi, it
is warm, cleansed of most impurities and well
humidified
➢ The smaller subdivisions of the main bronchi
within the lungs are direct routes to the air sacs
18
➢ After the primary bronchi enter the lungs, they III. THE RESPIRATORY MEMBRANE
subdivide into smaller and smaller branches,
finally ending in the smallest of the conducting
passageways, the bronchioles
➢ The network formed from the branching and
rebranching of the respiratory passageways
within the lungs is often referred to as bronchial
or respiratory tree
Alveolar pores
➢ connect neighboring air sacs and provide
alternate routes for air to reach alveoli whose
feeder bronchioles have been clogged by mucus
or otherwise blocked
➢ The terminal bronchioles lead into the
➢ The external surfaces of the alveoli are covered
respiratory zone structures that eventually
with a “cobweb” of pulmonary capillaries
terminate in alveoli (air sacs)
➢ Together, the alveolar and capillary walls, their
➢ The respiratory zone, which includes the
fused basement membranes, and occasional
respiratory bronchioles, alveolar ducts, alveolar
elastic fibers construct the respiratory
sacs, and alveoli, is the only site of gas exchange
membrane (air-blood barrier) which has gas
➢ All other passages are conducting zone
(air) flowing past on one side and blood flowing
structures that serve as conduits to and from
past on the other
the respiratory zone
➢ There are millions of clustered alveoli that make
➢ The gas exchanges occur by simple diffusion
up the bulk of the lungs
through the respiratory membrane – oxygen
passing from the alveolar air into the capillary
blood and carbon dioxide leaving the blood to
enter the gas filled alveoli
➢ The final line of defense for the respiratory
system is in the alveoli
➢ Macrophages wander in and out of the alveoli
picking up bacteria, carbon particles, and other
debris
19
➢ Since the lungs adhere tightly to the thorax

walls, they are stretched to the new, larger size
of the thorax
IV. RESPIRATORY PHYSIOLOGY ➢ As intrapulmonary volume (volume within the
➢ Respiration has at least four distinct events: lungs) increases, the gases within the lungs
○ Pulmonary ventilation spread out to fill the larger space
○ External respiration ➢ The decrease in the gas pressure in the lungs
○ Respiratory gas transport produces a partial vacuum which sucks air into
○ Internal respiration the lungs
Pulmonary Ventilation EXPIRATION

➢ Air must move into and out of the lungs so that
➢ As the inspiratory muscles relax and resume
gases in the air sacs (alveoli) of the lungs are
their initial resting length, the rib cage descends
continuously changed and refreshed
and the lungs recoil, and thus, both the thoracic
➢ It is a mechanical process that depends on
and intrapulmonary volumes decrease
➢ volume changes occurring in the thoracic cavity
➢ As the intrapulmonary volume decreases, the
➢ Volume changes lead to pressure changes,
gases inside the lungs are forced more closely
which lead to the flow of gases to equalize the
together, and the intrapulmonary pressure rises
pressure
to a point higher than atmospheric pressure
➢ Two phases of breathing: inspiration and
➢ This causes the gases to flow out to equalize the
expiration
pressure inside and outside the lungs
INSPIRATION
➢ When the inspiratory muscles (diaphragm and
external intercostals) contract, the size of the
thoracic cavity increases
➢ As the dome shaped diaphragm contracts, it
moves inferiorly and flattens out. As a result,
the superior-inferior dimension (height) of the
thoracic cavity increases
➢ Contraction of the external intercostals lifts the
rib cage and thrusts the sternum forward, which
increases the anteroposterior and lateral
dimensions of the thorax
20
External Respiration
➢ Gas exchange that takes place between the
pulmonary blood and the alveoli
Respiratory Gas Transport

➢ Oxygen is transported in two ways: Most
attaches to hemoglobin molecules inside RBC to
form Oxyhemoglobin, a very small amount in
carried dissolved in the plasma
➢ Most carbon dioxide is transported in plasma as
bicarbonate ion (HCO3-), a smaller amount is
carried inside RBCs bound to hemoglobin
➢ Before carbon dioxide can diffuse out of the
blood into the alveoli, it must first be released
from its bicarbonate ion
➢ It enters the RBC where they combine with
hydrogen ions (H+) to form carbonic acid
(H2CO3)
➢ Carbonic acid quickly splits into water and
carbon dioxide, and then carbon dioxide then
diffuses from blood into the alveoli
Internal Respiration
➢ Internal respiration, the exchange of gases that
takes place between the blood and the tissues,
is opposite to what occurs in the lungs
➢ Oxygen is unloaded and carbon dioxide is
loaded into the blood
➢ Carbon dioxide diffusing out of the tissues
enters the blood. In the red blood cells, it
combines with water to form carbonic acid,
which quickly releases the bicarbonate ions. The
bicarbonate ions diffuse out into the plasma
where they are transported
➢ Oxygen is released from hemoglobin and
diffuses out of the blood to enter the tissue
21
V. EVENTS OF RESPIRATION (MECHANICS OF VI. RESPIRATORY DISORDERS

BREATHING) ➢ Chronic Obstructive Pulmonary Diseases
○ Patients almost always have a history of
smoking
○ Dyspnea, or difficulty in breathing
○ Coughing and frequent pulmonary
infections
○ Most are hypoxic
➢ Chronic bronchitis – mucosa of the lower
respiratory passages becomes severely inflamed
and produces an excessive amount of mucus.
The pooled mucus impairs ventilation and gas
exchange and dramatically increases risk of lung
infections
22
➢ The organs of the digestive system can be

15. DIGESTIVE SYSTEM separated into two groups: those forming the
alimentary canal and the accessory digestive
OUTLINE organs
➢ The alimentary canal performs the whole menu
I. DIGESTIVE SYSTEM of digestive functions (ingestion, digestion,
II. ORGANS OF THE ALIMENTARY CANAL absorption, and defecation)
a. Mouth ➢ The accessory organs assist the process of
b. Pharynx digestive breakdown in various ways
c. Esophagus
d. Stomach
e. Small Intestine
f. Large Intestine
III. ACCESSORY DIGESTIVE ORGANS
a. Salivary Glands
b. Teeth
c. Liver
d. Gallbladder
IV. FUNCTIONS OF THE DIGESTIVE SYSTEM
a. Ingestion
b. Propulsion
c. Food Breakdown: Mechanical Digestion
d. Food Breakdown: Chemical Digestion
e. Absorption
f. Defecation
I. DIGESTIVE SYSTEM II. ORGANS OF THE ALIMENTARY CANAL

➢ The digestive system takes in food (ingestion), ➢ The alimentary canal, also called the
breaks it down physically and chemically into gastrointestinal tract, is a continuous, coiled,
nutrient molecules (digestion), and absorbs the hollow muscular tube that winds through the
nutrients in the bloodstream. Then it rids the ventral body cavity and is open at both ends
body of the indigestible remains (defecation)
23
Mouth ➢ The cheeks and closed lips hold the food

➢ The lips (labia) protect its anterior opening, the between the teeth during chewing
cheeks form its lateral walls, the hard palate ➢ The tongue continually mixes food with saliva
forms its anterior roof, and the soft palate forms during chewing and initiates swallowing
its posterior roof ➢ Thus the breakdown of food begins before the
➢ The uvula is a fleshy fingerlike projection of the food has even left the mouth
soft palate, which extends downward from its
posterior edge
Pharynx
➢ From the mouth, food passes posteriorly into
the oropharynx and laryngopharynx, both of
which are common passageways for food, fluids
and air
➢ The area contained by the teeth is the oral ➢ The walls of the pharynx contain two skeletal
cavity proper muscle layers
➢ The tongue occupies the floor of the mouth ➢ The cells of the inner layer run longitudinally,
➢ The lingual frenulum secures the tongue to the those of the outer layer run around the wall in a
floor of the mouth and limits its posterior circular fashion
movements ➢ Alternating contractions of these two muscle
➢ The posterior end of the oral cavity are lined layers propel food through the pharynx into the
with lymphatic tissue, the palatine tonsil. The esophagus below. This propelling mechanism is
lingual tonsils cover the base of the tongue called peristalsis
➢ As the food enters the mouth, it is mixed with

saliva and masticated (chewed)
24
Esophagus 3. Muscularis externa – a muscle layers typically

➢ The esophagus, or gullet, runs from the pharynx made up of an inner circular layer and an outer
through the diaphragm to the stomach longitudinal layer of smooth muscle
➢ It is a passageway that conducts food (by 4. Serosa – the outermost layer of the wall. It
peristalsis) to the stomach consists of a single layer of flat serous fluid
producing cells, the visceral peritoneum
LAYERS
1. Mucosa – innermost layer, a moist membrane
that lines the cavity or lumen of the organ. It Stomach
consists primarily of a surface epithelium, a ➢ The C-shaped stomach is on the left side of the
small amount of connective tissue (lamina abdominal cavity, nearly hidden by the liver and
propria) and a scanty smooth muscle layer. diaphragm
2. Submucosa – found just beneath the mucosa, ➢ The cardiac region surrounds the
and is a soft connective tissue layer containing cardioesophageal sphincter, through which
blood vessels, nerve endings, lymph nodules, food enters the stomach from the esophagus
and lymphatic vessels ➢ The fundus is the expanded part of the stomach
lateral to the cardiac region
25
➢ The body is the midportion, and as it narrows ➢ The lining of the stomach is dotted with millions
inferiorly, it becomes the pyloric antrum, and of deep gastric pits, which lead into gastric
then the funnel shaped pylorus, the terminal glands that secrete gastric juice
part of the stomach ➢ The chief cells produce protein-digesting
➢ The pylorus is continuous with the small enzymes, mostly pepsinogens
intestine through the pyloric sphincter or valve ➢ The parietal cells produce corrosive hydrochloric
➢ When the stomach is empty, it collapses inward acid, which makes the stomach contents acidic
on itself, and its mucosa is thrown into large and activates the enzymes
folds called rugae
➢ The stomach acts as a temporary “storage tank”

for food as well as a site for food breakdown
➢ Its walls contain a third obliquely arranged layer
in the muscularis externa. This arrangement ➢ The mucous neck cells produce a sticky alkaline
allows the stomach not only to move food along mucus that protects the stomach wall itself
the tract, but also to churn, mix and pummel from being damaged by the acid and digested
the food, physically breaking it down to smaller by the enzymes
fragments ➢ The enteroendocrine cells produce local
➢ Chemical breakdown of proteins begins in the hormones such as gastrin that are important to
stomach the digestive activities of the stomach
➢ The mucosa of the stomach is a simple ➢ Most digestive activity occurs in the pyloric
columnar epithelium that produces large region of the stomach
amounts of mucus ➢ After food has been processed in the stomach,
it resembles heavy cream and is called chyme
➢ The chyme enters the small intestine through
the pyloric sphincter
Small Intestine
➢ Within its twisted passageways, usable food is
finally prepared for its journey into the cells of
the body
➢ The small intestine is a muscular tube extending
from the pyloric sphincter to the ileocecal valve
26
➢ Bile (formed by the liver) also enters the

duodenum through the bile duct in the same
area
➢ The main pancreatic duct and bile ducts join at
the duodenum to form the flask-like
hepatopancreatic ampulla
➢ From there, the bile and pancreatic juice travel
through the duodenal papilla and enter the
duodenum together
● The small intestine is the body’s major digestive organ

● It is commonly known as the small bowel
● It lies between the stomach and large intestine
● Within its twisted passageways, usable food is finally
prepared for its journey into the cells of the body
● It is a muscular tube extending from the pyloric
sphincter to the ileocecal valve
● It is considered as the longest section of the alimentary
➢ Nearly all food absorption occurs in the small
tube in a human being
intestine
➢ Its walls has three structures that increase the
➢ The small intestine has three subdivisions: the absorptive surface
duodenum, jejunum and ileum (which joins the ➢ tremendously: the microvilli, villi and circular
large intestine at the ileocecal valve) folds
➢ Chemical digestion of foods begins in earnest in
the small intestine MICROVILLI
➢ The small intestine is able to process only
➢ The pyloric sphincter controls the food ➢ These are tiny projections of the plasma
movement into the small intestine from the membrane of the mucosa cells that give the cell
stomach surface a fuzzy appearance
27
VILLI Large Intestine

➢ Within each villus is a rich capillary bed and ➢ The large intestine is much larger in diameter
modified lymphatic capillary called a lacteal than the small intestine but shorter in length
➢ Digested food are absorbed through the ➢ Its major functions are to dry out the
mucosal cells into both the capillaries and the indigestible food residue by absorbing water
lacteal and to eliminate these residues from the body
as feces
➢ The cecum is the first part of the large intestine

➢ Hanging from the cecum is the wormlike
appendix
CIRCULAR FOLDS ➢ The colon is divided into several distinct regions:
➢ Circular folds, also called plicae circulares, are the ascending colon travels up the right side of
deep folds of both mucosa and submucosa the abdominal cavity and makes a turn, the
layers right colic (hepatic) flexures to travel across the
➢ Unlike the rugae of the stomach, the circular abdominal cavity as the transverse colon. It then
folds do not disappear when food fills the small turns again at the left colic (splenic) flexure,
intestine and continues down the left side as the
descending colon
28
➢ It then enters the pelvis where it becomes the

S-shaped sigmoid colon
➢ The sigmoid colon, rectum and anal canal lie in
the pelvis
➢ The anal canal ends at the anus, which opens to
the exterior
➢ The anal canal has an external voluntary
sphincter (external anal sphincter) composed of
skeletal muscle and an internal involuntary
sphincter formed by smooth muscle
III. ACCESSORY DIGESTIVE ORGANS

➢ Accessory organs of digestion are organs that
secrete substances needed for the chemical
digestion of food but through which food does
not actually pass as it is digested.
Salivary Glands
➢ Parotid Gland, Submandibular Gland, Sublingual
Gland
➢ Three pairs of salivary glands empty their
secretions into the mouth
➢ The mucus moistens and helps to bind food
together into a mass called bolus
➢ Saliva also contains substances such as lysozyme
and antibodies that inhibit bacteria
➢ Saliva is a mixture of mucus and serous fluid
➢ The clear serous portion contains an enzyme
called salivary amylase that begins the process
of starch digestion in the mouth
➢ Saliva also dissolves food chemicals so they can
➢ No villi are seen in the large intestine, but there be tasted
are tremendous goblet cells in its mucosa that
produce an alkaline mucus Teeth
➢ The mucus acts as lubricant to ease the passage ➢ We masticate, or chew, by opening and closing
of feces to the end of the digestive tract the jaws
➢ The longitudinal muscle layer of the muscularis ➢ In the process, the teeth tear and grind the
externa is reduced to three bands of muscle food, breaking it down into smaller fragments
called teniae coli ➢ Two set of teeth: deciduous, baby or milk teeth
➢ They cause the wall to pucker into small and permanent teeth
pocketlike sacs called haustra
29
➢ The teeth are classified according to shape and

function
➢ The chisel-shaped incisors are adapted for
cutting
➢ The fanglike canines (eye teeth) are for tearing
or piercing
➢ The premolars and molars are best suited for
grinding
➢ The outer surface of the root is covered by a

substance called cementum, which attaches the
tooth to the periodontal membrane (ligament).
This ligament holds the tooth in place in the
bony jaw
➢ Dentin, a bonelike material, underlies the
enamel and forms the bulk of the tooth
➢ Dentin surrounds a central pulp cavity, which
contains a number of structures
➢ Where the pulp cavity extends into the root, it
becomes the root canal
➢ A tooth consist of two major regions: the crown

and the root
➢ The enamel-covered crown is the exposed part
of the tooth above the gingiva or gum
➢ Enamel is the hardest substance in the body
➢ The portion of the tooth embedded in the
jawbone is the root
➢ The root and the crown are connected by the
tooth region called the neck
30
Liver ➢ Peristalsis is involuntary and involves

➢ The liver is the largest organ in the body alternating waves of contraction and
➢ It produces bile that leaves the liver through the relaxation of the muscles in the organ
common hepatic duct and enters the wall. The net effect is to squeeze the food
duodenum through the bile duct along the tract
➢ Bile is a yellow-to-green watery solution ➢ Segmentation only moves food back and
containing bile salts, bile pigments, cholesterol, forth across the internal wall of the organ,
phospholipids and a variety of electrolytes serving to mix it with the digestive juices
➢ Bile does not contain enzymes, but its bile salts
emulsify fats by physically breaking large fat
globules into smaller ones
Food Breakdown: Mechanical Digestion

Gallbladder ➢ Mechanical digestion prepares food for
➢ The gallbladder is a small, thin-walled further degradation by enzymes by
green sac physically fragmenting the foods into
➢ When food digestion is not occurring, bile smaller particles
backs up the cystic duct and enters the
gallbladder to be stored
➢ While being stored in the gallbladder, bile is
concentrated by the removal of water
➢ When fatty foods enters the duodenum, a
hormonal stimulus prompts the gallbladder to
contract and spurt out stored bile
IV. FUNCTIONS OF THE DIGESTIVE SYSTEM
Ingestion
➢ Food must be placed into the mouth Food Breakdown: Chemical Digestion
before it can be acted on
➢ Large food molecules are broken down to
their building blocks by enzymes
Propulsion
➢ Food must be propelled from one organ to
the next
31
Absorption
➢ Transport of digested end products from
the lumen of the gi tract to the blood or
lymph is absorption
➢ The digested foods must first enter the
mucosal cells by active or passive
transport processes
➢ The small intestine is the major absorptive
site
Defecation
➢ Defecation is the elimination of
indigestible residues from the GI tract via
the anus in the form of feces
32
16. URINARY SYSTEM II. KIDNEYS

➢ By producing the enzyme renin, they help
OUTLINE regulate blood pressure.
➢ The hormone erythropoietin, released by the
I. ORGANS OF THE URINARY SYSTEM kidneys, stimulates red blood cell production in
II. KIDNEYS bone marrow
a. Kidney Structure ➢ Kidney cells convert vitamin D to its active form.
b. Blood Supply Of Kidney
c. Nephrons
d. Types Of Nephrons
III. URINE FORMATION
a. Glomerular Filtration
b. Tubular Reabsorption
c. Tubular Secretion
d. Nitrogenous Waste Products
e. Urine Characteristics
IV. OTHER ORGANS OF THE URINARY SYSTEM
a. Ureters
b. Urinary bladder
Kidney Structure
e. Urethra
V. MICTURITION (VOIDING) ➢ It lies against the dorsal body wall in a
VI. BALANCE retroperitoneal position (behind the parietal
a. Fluid, Electrolyte And Acid-Base Balance peritoneum) in the superior lumbar region
b. Maintaining Water Balance Of The Blood ➢ They are protected by the lower part of the rib
c. Maintaining Electrolyte Balance cage
d. Maintaining Acid-Base Balance Of Blood ➢ Adult kidney size: 12 cm (5 inches) long, 6 cm
(2.5 inches) wide, and 3 cm (1 inch) thick
➢ It has medial indentation called the renal hilum
I. ORGANS OF THE URINARY SYSTEM ➢ Three protective layers:
➢ Kidneys ○ Fibrous capsule – encloses each kidney
➢ Ureters and gives its glistening appearance
➢ Urinary bladder ○ Perirenal fat capsule – surrounds each
➢ Urethra kidney and cushions it against blows
○ Renal fascia – most superficial layer,
made of dense fibrous connective tissue
➢ Three regions:
○ Renal cortex – outer region
○ Renal medulla – deep to the cortex
■ Renal pyramids/Medullary
pyramids – triangular regions of
the medulla with a striped
appearance
■ Renal columns – cortex-like
tissue
○ Renal pelvis – flat, funnel shaped tube
■ Calyces – extension of renal
pelvis, form cup-shaped drains
33
that enclose the tips of the

pyramids; it collects urine
Nephrons
Blood Supply Of Kidney ➢ It is the structural and functional unit of the
➢ Renal artery – supplies the kidney with blood kidneys
(arterial blood) ➢ Two main structures: renal corpuscle and renal
○ As the renal artery approaches the tubule
hilum, it divides into segmental arteries, ➢ Renal corpuscle – consists of a glomerulus and
each of which gives off several branches Bowman’s capsule
called interlobar arteries, which travel ➢ Glomerulus – knot of capillaries; filtering unit of
through the renal columns to reach the the kidney
cortex. ➢ Bowman’s capsule – also known as glomerular
○ At the cortex-medulla junction, capsule; cup-shaped hollow structure that
interlobar arteries give off the arcuate surrounds the glomerulus
arteries, which arch over the medullary ➢ Its inner layer is made up of highly modified
pyramids. octopus-like cells called the podocytes
○ Small cortical radiate arteries then ➢ Renal Tubule – makes up the rest of the
branch off the arcuate arteries to supply nephron; it extends from the glomerulus
the renal cortex. capsule; it coils, and twists forming a hairpin
➢ Venous blood — cortical radiate veins to loop and then becomes coiled and twisted
arcuate veins to interlobar veins to the renal before entering a collecting duct
vein, which emerges from the kidney hilum and ➢ Regions: proximal convoluted tubule (PCT),
empties into the inferior vena cava. nephron loop or loop of Henle and distal
convoluted tubule (DCT
34
Types Of Nephrons
➢ Cortical nephrons – located within the cortex
➢ Juxtamedullary nephrons – situated close to
the cortex-medulla junction
III. URINE FORMATION

➢ Glomerular Filtration
➢ Tubular Reabsorption
➢ Tubular Secretion
Glomerular Filtration
➢ A nonselective, passive process in which fluid
passes (filters) from the blood into the
glomerular capsule part of the renal tubule
➢ Once in the capsule, the fluid is called filtrate –
blood plasma without blood proteins
➢ Collecting ducts – receives urine from
nephrons; delivers the final urine product into
the calyces and renal pelvis
➢ Each and every nephron is associated with two
capillary beds – the glomerulus (high-pressure)
and the peritubular capillary bed (low-pressure)
➢ Afferent arteriole – feeds blood into the
glomerulus (feeder vessel); it arises from the
cortical radiate artery
➢ Efferent arteriole – receives the blood that has
passed through the glomerulus
➢ Peritubular capillaries – arises from the efferent
arterioles that drains the glomerulus; adapted
for absorption instead of filtration
Tubular Reabsorption
➢ Begins as soon as the filtrate enters the PCT
➢ It is the process that moves solutes and water
out of the filtrate and back into your
bloodstream.
➢ The tubule cells are “transporters,” taking up
needed substances from the filtrate and then
passing them out their posterior aspect into the
extracellular space, from which they are
absorbed into peritubular capillary blood.
➢ Either by passive transport (ex. Osmosis) or
active transport (requires ATP; very selective)
➢ Most reabsorption happens in the PCT, but the
DCT and the collecting duct are also active
35
➢ Creatinine – associated with creatine

metabolism in muscle tissue
Urine Characteristics
➢ Freshly voided urine is generally clear and pale
to deep yellow
➢ Urochrome – the pigment that gives the normal
yellow color of the urine; it results from the
body’s destruction of hemoglobin
➢ The more solutes are in the urine, the deeper
yellow its color. Dilute urine is a pale, straw
color.
➢ Fresh: Aromatic odor; Allowed to stand:
Ammoniacal odor
➢ pH: Slightly acidic
Tubular Secretion ➢ Specific gravity: 1.001-1.035
➢ This process is important for getting rid of ➢ Dilute urine (low specific gravity) – hydrated,
substances not already in the filtrate, such as diuretics, chronic renal failure
certain drugs or excess potassium ions, or as an ➢ Concentrated urine (high specific gravity) –
additional means for controlling blood pH dehydrated, fever, pyelonephritis
➢ It is one of many steps in the process of filtering ➢ Normally found in the urine: sodium and
blood to produce liquid waste in the form of potassium ions, urea, uric acid, creatinine,
urine. ammonia, bicarbonate ions
➢ Not normally found in the urine: glucose, blood
proteins, red blood cells, hemoglobin, white
blood cells (pus), bile
Nitrogenous Waste Products

➢ Urea – end product of protein breakdown when
amino acids are used to produce energy
➢ Uric acid – released when nucleic acids are
metabolized
36
IV. OTHER ORGANS OF THE URINARY SYSTEM
Ureters
➢ carries urine from the kidney to the urinary
bladder
Urethra
➢ It is a thin-walled tube that carries urine by
peristalsis from the bladder to the outside of
the body
➢ Internal urethral sphincter – involuntary;
smooth muscle; keeps the urethra closed when
urine is not being passed
➢ External urethral sphincter – voluntary; skeletal
muscle
MALE URETHRA
➢ opens at the tip of the penis after traveling
down its length; it carries both urine and sperm
(in semen) from the body, but never at the
same time
Urinary bladder
➢ is a smooth, collapsible, muscular sac that
stores urine temporarily.
○ Three openings (drains the bladder) –
two ureter opening (ureter orifices) and
single opening of the urethra (internal
urethral orifices)
○ The bladder wall contains three layers
of smooth muscle, collectively called
the detrusor muscle
○ Its mucosa is a special type of
epithelium, transitional epithelium
FEMALE URETHRA
➢ its external orifice or opening lies anterior to
the vaginal opening; conduct urine from the
bladder to the body exterior
37
V. MICTURITION (VOIDING) ➢ Antidiuretic hormone (ADH) – prevents

➢ Both sphincter muscles must open to allow excessive water loss in the urine; released when
voiding blood volume drops by the posterior pituitary
➢ The internal urethral sphincter is relaxed after gland
stretching of the bladder ➢ ADH travels in the blood to its main target, the
➢ Activation is from an impulse sent to the spinal kidney’s collecting ducts, where it causes the
cord and then back via the pelvic splanchnic duct cells to reabsorb more water. As more
nerves water is returned to the bloodstream, blood
➢ The external urethral sphincter must be volume and blood pressure increase to normal
voluntarily relaxed levels, and only a small amount of concentrated
urine is formed.
Maintaining Electrolyte Balance
Fluid, Electrolyte And Acid-Base Balance

➢ In general, the kidneys have four major roles to
play, which help keep the blood composition
relatively constant:
➢ Excreting nitrogen-containing wastes Maintaining Acid-Base Balance Of Blood
➢ Maintaining water balance of the blood ➢ Normal blood pH – 7.35-7.45
➢ Maintaining electrolyte balance of the blood ○ Above 7.45 – Alkalosis
➢ Ensuring proper blood pH ○ Below 7.35 – Acidosis
➢ Most acid-base balance is maintained by the
Maintaining Water Balance Of The Blood kidneys
➢ The body's fluid separates into two main ➢ Other acid-base controlling systems
compartments (fluid compartments): ○ Blood buffers
➢ Intracellular fluid (ICF) – contained within the ○ Respiration
living cells
➢ Extracellular fluid (ECF) – located outside the
cells
➢ Blood plasma, interstitial fluid, lymph,
transcellular fluid (CSF, serous fluids, humors of
the eye
➢ If the body is to remain properly hydrated, we
cannot lose more water than we take in.
38
II. ANATOMY OF MALE REPRODUCTIVE SYSTEM

17. REPRODUCTIVE SYSTEM
OUTLINE
I. GONADS
II. ANATOMY OF MALE REPRODUCTIVE SYSTEM
a. Testes
b. Duct System
c. Three regions of Urethra
d. Accessory Glands and Semen
e. External Genitalia
III. MALE REPRODUCTIVE FUNCTIONS
a. Spermatogenesis Testes
b. Mature sperm ➢ Primary Reproductive Organ of Male
c. Testosterone Production ➢ Has exocrine and endocrine function
IV. ANATOMY OF THE FEMALE REPRODUCTIVE ➢ Golf ball-sized male gonad approx. 4 cm long
SYSTEM and 2.5 cm wide and is connected to the trunk
a. Ovaries via Spermatic Cord.
b. Duct System: Uterine Tubes ➢ Spermatic Cord – connective tissue sheath that
c. Duct System: Uterus encloses blood vessels, nerves, and the ductus
d. Duct System: Vagina deferens.
e. External Genitalia and Female Perineum ➢ Tunica albuginea – A fibrous connective tissue
V. FEMALE REPRODUCTIVE FUNCTIONS AND CYCLES capsule, “white coat” surrounds each testis.
a. Oogenesis ➢ Seminiferous tubules – “Sperm-forming
b. Uterine Menstrual Cycle factories”
c. Stages of Pregnancy and Development
d. Pregnancy and Embryonic Development
e. Fertilization
f. Embryonic development
g. Development of the Human Fetus
h. Childbirth
I. GONADS
➢ Gonads produce sex cells/ gametes and secrete
sex hormones.
➢ FERTILIZED EGG → ZYGOTE → FETUS
➢ Female Gonads (Ovaries) – produce Egg Cells
➢ Male Gonads (Testes) – produce Sperm Cells
39
Duct System
➢ Accessory organs of the male reproductive
system
➢ Epididymis – highly convoluted tube that hugs
the posterior side of the testis; temporary
storage site for the immature sperm.
➢ Ductus Deferens /vas deferens- runs upward
from the epididymis via the spermatic cord;
propel live sperm from their storage sites
➢ Urethra – Terminal part of the male duct
system; Extends from the base of the urinary
bladder to the tip of the penis; carries both
urine and sperm to the body exterior.
Accessory Glands and Semen

➢ Seminal Vesicles – located at the base of the
bladder. Produce about 60% of seminal fluid,
the fluid portion of semen.
➢ Prostate – a single doughnut-shaped gland
about the size of a peach pit. It encircles the
upper (prostatic) part of the urethra just inferior
to the urinary bladder.
➢ Prostate fluid – milky and plays a role in
activating sperm.
➢ Bulbourethral glands – are tiny, pea-sized
glands inferior to the prostate gland. They
Three regions of Urethra produce a thick, clear mucus that drains into the
➢ Prostatic Urethra – surrounded by the prostate penile urethra. It cleanses the urethra of trace
gland acidic urine prior to ejaculation, and it serves as
➢ Membranous urethra – spanning the distance a lubricant during sexual intercourse.
from prostatic urethra to the penis ➢ Semen – a milky white, somewhat sticky
➢ Spongy (penile) urethra – running within the mixture of sperm and accessory gland
length of the penis and opening to the body secretions.
exterior via the external urethral orifice
40
Spermatogenesis
➢ Commonly known as the Sperm Production
➢ Begins at puberty in seminiferous tubules in
response to FSH. Spermatogenesis involves
meiosis, a special nuclear division that halves
the chromosomal number in resulting
spermatids. An additional process that strips
excess cytoplasm from the spermatid, called
Spermiogenesis, is necessary for production of
functional, motile sperm.
External Genitalia
➢ Scrotum – is a divided sac of skin with sparse
hairs that hangs outside the abdominal cavity,
between the legs at the root of the penis.
➢ Penis – functions to deliver sperm into the
female reproductive tract.
○ Shaft – body of the penis
○ Glans penis – enlarged tip of the penis
○ Prepuce/ Foreskin – loose skin around
the proximal end of the glans penis
■ This can be surgically removed
through circumcision.
III. MALE REPRODUCTIVE FUNCTIONS
41
Mature sperm IV. ANATOMY OF THE FEMALE REPRODUCTIVE SYSTEM

➢ Has 3 regions: head, midpiece, and tail ➢ more complex than that of the male. Not only
➢ Sperm head is the nucleus and contains must she produce the female gametes (ova), but
compacted DNA, the genetic material. her body must also nurture and protect a
○ Acrosome – helmetlike structure developing fetus during 9 months of pregnancy.
anterior to the nucleus, which is
produced by the Golgi apparatus and is
similar to a large lysosome.
Ovaries
➢ Primary female reproductive organs
Testosterone Production ➢ Has exocrine and endocrine functions
➢ The most important hormonal product of the ➢ Ovarian Follicles – tiny saclike structures in the
testes. ovaries.
➢ Testosterone production begins at puberty in ➢ Oocyte –immature egg, surrounded by follicle
response to LH. It is produced by interstitial cells cells
of the testes. Testosterone causes the ➢ As a developing egg within a follicle begins to
appearance of male secondary sex ripen or mature, the follicle enlarges and
characteristics and is necessary for sperm develops a fluid-filled central region called an
maturation. antrum. At this stage, the follicle, called a
vesicular follicle or Graafian follicle, is mature,
and the developing egg is ready to be ejected
from the ovary, an event called ovulation. After
ovulation, the ruptured follicle is transformed
into a very different-looking structure called a
Corpus luteum, which eventually degenerates.
Ovulation generally occurs every 28 days.
42
Duct System: Uterus

➢ Also called as the womb
➢ located in the pelvis between the urinary
bladder and rectum, is a hollow organ that
functions to receive, retain, and nourish a
Duct System: Uterine Tubes fertilized egg.
➢ Uterine Tubes – aka Fallopian Tubes; approx. ➢ In a woman who has never been pregnant, it is
10cm (4 inches) long and extends medially from about the size and shape of a pear. During
an ovary to empty into the superior region of pregnancy, the uterus increases tremendously
the uterus. These receive the ovulated oocyte in size and during the latter part of pregnancy
and provide a site where fertilization can occur. can be felt well above the umbilicus.
➢ Infundibulum – funnel-shape located at the ➢ Walls of Uterus:
distal end of each uterine tube. ○ Endometrium – inner layer; sloughs off
➢ Fimbriae – fingerlike projections that partially each month in menses unless an
surround the ovary. embryo has become embedded in it.
➢ Ends form fringed fimbriae that “wave” to direct ○ Myometrium – bulky middle layer;
ovulated oocytes into uterine tubes. These plays an active role during childbirth,
tubes then conduct the oocyte (or embryo) to when it contracts rhythmically to force
the uterus by peristalsis and ciliary action. the baby out of the mother’s body.
○ Perimetrium – outermost serous layer
43
External Genitalia and Female Perineum

➢ Also called as Vulva
➢ Mons pubis – “mountain of pubis” is a fatty,
rounded area overlying the pubic symphysis.
➢ Labia majora – hair-covered skin folds; encloses
the vestibule
➢ Labia minora – hair-free skin folds
➢ Vestibule – contains the urethral orifice and
vaginal orifice
➢ Clitoris – is a small, protruding structure that
corresponds to the male penis
➢ Greater vestibular glands – A pair of
mucus-producing glands that lubricates the
distal end of the vagina during intercourse.
Duct System: Vagina

➢ It lies between the bladder and rectum and
extends from the cervix to the body exterior.
➢ Often called the Birth Canal
➢ Female organ of copulation
➢ Hymen – a thin fold of the mucosa which
partially closes the distal end of the vagina; very
vascular and tends to bleed when it is ruptured
during the first sexual intercourse.
V. FEMALE REPRODUCTIVE FUNCTIONS AND CYCLES
44
Oogenesis Stages of Pregnancy and Development

➢ Oogenesis (production of female sex cells) ➢ Fertilization
occurs in ovarian follicles, which are activated at ➢ Embryonic period
puberty by FSH and LH to mature and eject ➢ Fetal period
oocytes (ovulation) on a cyclic basis. The egg ➢ Childbirth/Parturition
(ovum) is formed only if sperm penetrates the
secondary oocyte. In females, meiosis produces
only one functional ovum (plus three
nonfunctional polar bodies), as compared with
the four functional sperm per meiosis event
produced by males.
➢ MITTELSCHMERZ – one-sided, lower abdominal
pain associated with ovulation.
➢ Hormone production: Estrogens are produced
by ovarian follicles in response to FSH. Estrogens
stimulate development of female secondary sex
characteristics.
➢ Progesterone, produced in response to LH, is
the main hormonal product of the corpus
luteum.
➢ Helps to maintain pregnancy
➢ Prepare the breasts for milk production
Uterine Menstrual Cycle

➢ The menstrual cycle involves changes in the
endometrium in response to fluctuating blood
levels of ovarian hormones.
➢ 28 days
➢ There are three phases:
➢ a. Days 1-5 Menstrual phase. Endometrium
sloughs off and bleeding occurs. Ovarian Pregnancy and Embryonic Development
hormones are at their lowest levels. ➢ Pregnancy refers to events that occur from the
➢ b. Days 6-14 Proliferative phase. Endometrium time of fertilization (conception) until birth.
is repaired, thickens, and becomes well ➢ Conceptus - woman’s developing offspring
vascularized in response to increasing levels of
estrogens.
➢ c. Days 15-28 Secretory phase. Endometrial
glands begin to secrete nutrients, and lining
becomes more vascular in response to
increasing level of progesterone.
45
Fertilization Development of the Human Fetus

➢ The oocyte is viable for 12-24 hours after ➢ By approximately 270 days after fertilization,
ovulation. the fetus is said to be “full-term” and is ready to
➢ Within the female reproductive tract, sperms be born
are viable for 24-48 hrs
➢ It takes 1 to 2 hours for sperm to complete the
journey up the female duct system into the
uterine tubes.
➢ Hundreds of sperm must release their
acrosomal enzymes to break down the oocyte’s
plasma membrane (corona radiata).
➢ a single sperm makes contact with one of the
oocyte’s membrane receptors.
➢ Once the sperm has entered, the ovum sheds its
remaining membrane surface receptors for
sperm, preventing other sperm from gaining
entry.
➢ The oocyte then undergoes its second meiotic
division
➢ Fertilization occurs at the moment the genetic
material of a sperm combines with that of an
ovum to form a fertilized egg, or zygote, with a
complete set of 46 chromosomes. The zygote
represents the first cell of the new individual.
Childbirth
➢ also called parturition, is the culmination of
pregnancy. It usually occurs within 15 days of
the calculated due date (which is 280 days from
the last menstrual period). The series of events
that expel the infant from the uterus is referred
to as labor.
Embryonic development
46

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HUMAN ANATOMY & PHYSIOLOGY W/ PATHOPHYSIOLOGY (HAPP111)

J.L.Nevales | BSMLS 1-A-11 | Midterm

➢ When heartbroken, there is an increase in

OUTLINE CARDIOVASCULAR SYSTEM

External Description Of Heart Coverings And Wall

➢ On the back side, we can see the base of the

Chambers And Associated Great Vessels

Left Side of The Heart

Valve through the right side of heart, then out to the

Operation of the AV valves

➢ Blood always flows through the system in the

➢ The AV valves are open during heart relaxation

CARDIAC CIRCULATION Intrinsic Conduction System Of The Heart:

Intrinsic Conduction System

➢ Systole – heart contraction

one minute (actually ventricle – because pumping capillary beds in tissues

HOMEOSTATIC IMBALANCES OF THE HEART

● As the heart beats, blood is propelled into the large

Structural Difference Between Arteries, Veins and

● Capillaries are very tiny blood vessels — so small that a

➢ The capillary bed consist of two types of vessels:

● The capillary bed is consist of two types of vessels:

● The aorta is the largest artery in the body, initially being

● Thoracic aorta have 4 branches:

abdomen and trunk walls such as the bladder and rectum

● Different veins that drain into inferior vena cava going

● The femoral vein becomes the external iliac vein as it

Measuring Blood Pressure

14. RESPIRATORY SYSTEM

➢ The nasal cavity is surrounded by a ring of

➢ The ciliated cells of the nasal mucosa create a

➢ The lateral walls of the nasal cavity are uneven

➢ When we are not swallowing, the epiglottis

➢ The trachea is lined with a ciliated mucosa. The

➢ The surface of each lung is covered with

➢ Since the lungs adhere tightly to the thorax

Pulmonary Ventilation EXPIRATION

Respiratory Gas Transport

V. EVENTS OF RESPIRATION (MECHANICS OF VI. RESPIRATORY DISORDERS

➢ The organs of the digestive system can be

I. DIGESTIVE SYSTEM II. ORGANS OF THE ALIMENTARY CANAL

Mouth ➢ The cheeks and closed lips hold the food

➢ As the food enters the mouth, it is mixed with

Esophagus 3. Muscularis externa – a muscle layers typically

➢ The stomach acts as a temporary “storage tank”

➢ Bile (formed by the liver) also enters the

● The small intestine is the body’s major digestive organ

VILLI Large Intestine

➢ The cecum is the first part of the large intestine

➢ It then enters the pelvis where it becomes the

III. ACCESSORY DIGESTIVE ORGANS

➢ The teeth are classified according to shape and

➢ The outer surface of the root is covered by a

➢ A tooth consist of two major regions: the crown

Liver ➢ Peristalsis is involuntary and involves

Food Breakdown: Mechanical Digestion

IV. FUNCTIONS OF THE DIGESTIVE SYSTEM

16. URINARY SYSTEM II. KIDNEYS

that enclose the tips of the

III. URINE FORMATION

➢ Creatinine – associated with creatine

Nitrogenous Waste Products