CHAPTER 1   ORGANIZATION OF THE HUMAN BODY

 

Anatomy--study of structure

Physiology--study of function

These are closely related.

 

                         TABLE 1.1   P.  2  SUBDISCIPLINES OF A & P

 

LEVELS OF STRUCTURAL ORGANIZATION

1. Chemical level--includes atoms and molecules essential for life. Major atoms are:

      Carbon  C

      Hydrogen  H

      Oxygen  O

      Nitrogen  N

      Calcium  Ca

      Potassium  K

      Sodium  Na

These atoms can combine with each other and certain other atoms to form molecules such as proteins, carbohydrates, fats, & nucleic acids.

 

2. Cellular level--molecules combine to form cells, the basic structural and functional units of all living things. Cells come in different kinds.

 

3. Tissue level--tissues are groups of similar cells and the substances surrounding them that perform specific functions. 4 basic tissue types:

      Epithelium

      Connective tissue

      Muscle tissue

      Nerve tissue

 

4. Organ level (organ-system level)--organs are structures composed of 2 or more different tissues that have specific functions and usually recognizable shapes:

      Stomach

      Kidney

      Liver

      Heart

 

5. System level--a system is made up of related organs with a common function.

 

6. Organismal level--one living individual as a whole

 

 

 

                          TABLE 1.2  P. 4 - 5 - 6 -7  MAJOR SYSTEMS

Learn names of systems and components as given in the table, functions as follows:

   1. Integumentary--protects the body and helps regulate body temp.

   2. Skeletal--support & protection, assists in body movement

   3. Muscular--brings about movement and produces heat

   4. Nervous--one of the 2 regulatory systems of the body--detects changes both inside the body and in the environment--responds by sending nerve impulses to muscles and glands

   5. Endocrine--the other regulatory system--responds by releasing hormones (chemical messengers)

   6. Cardiovascular--major transportation of the body

   7. Lymphatic & immune systems 

      a. Minor transportation system

      b. Defense against disease

   8. Respiratory--oxygen in, carbon dioxide out

   9. Digestive--physical and chemical breakdown of food, absorption of nutrients, elimination of solid wastes

   10. Urinary--elimination of wastes by filtering the blood, regulation of volume and composition of blood

   11. Reproductive--reproduces the organism

 

 

In examination of the body, the following diagnostic techniques may be used:

 

Palpation—examination by feeling—lumps, swellings, pulse, etc.

 

Auscultation—listening—heartbeat, breathing, bowel sounds

 

Percussion--tapping

 

 

BASIC LIFE PROCESSES

   1. Metabolism--sum of all chemical processes that occur in the body

      a. Catabolism--large molecules are broken down to smaller ones, releasing energy

      b. Anabolism--uses energy and raw materials from food to build the body's structural and functional components—atoms, ions, or molecules are joined together

 

2. Responsiveness--ability to detect and respond to changes inside and outside the body--different cells respond differently:

      Muscle cells--contract, often directed by nerve impulses

      Endocrine cells--secrete hormones

  

3. Movement--of whole body, individual organs, single cells or even just tiny components within cells (organelles)

 

   4. Growth--increase in size

         Increase in number of cells

         Increase in size of cells

         Increase in amount of substance between cells

 

5. Differentiation--a cell changes from unspecialized state to specialized--development of a fertilized egg to a complete individual. Stem cells are cells that arise in the early divisions of the fertilized egg and have the potential to become any type of cell. We now know that some of these cells may remain in the body throughout life.

 

   6. Reproduction--formation of new cells or production of a new individual

 

 

 

HOMEOSTASIS

Our bodies are composed of trillions of cells which must have relatively stable (unchanging) conditions. Homeostasis involves achieving ideal conditions for all cells of the body and then maintaining these conditions in spite of changes occur both inside and outside the body:

      Outside--temp, amount of oxygen

      Inside--food, heat from exercising, amount of water taken in

 

External environment--our surroundings—where outside changes take place

Internal environment—not just insides in general but refers specifically to the fluid that surrounds all body cells. To understand this we must discuss body fluids.

 

All living cells contain a high % of water inside and also must be surrounded by fluid and kept moist. All body fluids consist of mostly water, with various solutes dissolved in it. Different fluids have different solutes and different concentrations of those solutes. Solutes may include:

     Gases

     Nutrients

     Ions

     Proteins

 

2 major body fluids:

1. Intracellular fluid (ICF)—inside cells, 2/3 of total body fluid

2. Extracellular fluid (ECF)--outside body cells (but inside the body), 1/3 of total body fluid

      a. Blood plasma--the liquid part of blood, contained in blood vessels

      b. Interstitial fluid--fills the microscopic spaces between cells and is also called intercellular fluid or tissue fluid. This is the fluid that makes up the internal environment.

 

 

 

 

 

 

 

 

 

 

 

 

 

Components of these fluids constantly move back and forth from blood to tissue spaces into cells and back.

 

An organism is said to be in homeostasis when all conditions in the internal environment are within normal physiological limits.

     Proper gases, nutrients, ions, water, temperature, etc.

 

 

CONTROL OF HOMEOSTASIS

When homeostasis is disturbed, illness or death may result. Anything that disturbs homeostasis is called a stress. Stresses may be:

   External--heat, cold, lack of oxygen

   Internal--pain, high BP, low blood sugar, mental upsets

Our bodies are constantly exposed to stresses. We can never achieve perfect homeostasis and just stay there. It is a constant balancing act--a certain condition leans one way, we correct that, then it may lean the other way and have to be fixed again, or another condition gets out of balance. Controlled conditions (monitored variables):

     Heart rate

     Blood pressure

     Acidity of blood

     Blood sugar

     Body temp

     Breathing rate

 

The 2 major regulatory systems act to maintain homeostasis--the nervous system and the endocrine system.

   Nervous--by detects deviations from homeostasis and sends messages (nerve impulses) to proper organs that can counteract the stress--this occurs quickly

 

   Endocrine--glands release hormones--works more slowly

 

 

 

FEEDBACK SYSTEMS

A feedback system (feedback loop) is a continuous cycle in which information is continually monitored and fed back (reported) to a central control region. There are 3 major parts:

   1. Receptor--this monitors a particular condition and sends information (input) to the control center. Many receptors will be some type of nerve cell. Stresses that cause changes are called stimuli.The input may be in the form of nerve impulses or chemical signals.

   2. Control center—receives information about the state of its condition, evaluates the input, and is responsible for directing the response that will keep its condition within normal limits or return it there if it deviates. Many control centers are in the brain, but  control centers are located in other areas of the body as well.

   3. Effector--receives instructions from the control center (output) and produces a response (effect).

 

HOMEOSTASIS OF BODY TEMPERATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The response reversed the original stimulus, so this is called a negative feedback system. If the response had caused the body to heat up even more, it would have been a positive feedback system. Positive feedback systems strengthen or reinforce the stimulus.

 

Negative feedback systems tend to return conditions to normal when they begin to go wrong. Most beneficial feedback systems in the body are negative. Positive feedback systems are often harmful and often cause disorders in the body. Two beneficial positive feedback systems are blood clotting and labor contractions.

 

HOMEOSTASIS OF BLOOD PRESSURE--a negative feedback system

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOMEOSTASIS OF LABOR CONTRACTIONS--a beneficial positive feedback system. The hormone oxytocin is produced in a particular area of the brain and causes contractions of the uterus.

 

 

 

 

 

 

 

 

 

 

 

 

This positive feedback is OK because it is ended by the birth of the baby.

 

If the control systems are unable to keep conditions within normal limits, an imbalance in homeostasis results:

   Moderate--> Disease or disorder

   Severe--> Death

Disorder---any abnormality of structure or function

Disease---illness with a recognizable set of signs and symptoms

    Local disease--limited area

    Systemic disease--larger area or whole body

 

Diseases cause:

   Symptoms--not apparent to an observer--pain, nausea

   Signs--can be observed and measured--swelling, fever, rash

   Diagnosis—science and skill of distinguishing one disease or disorder from another

 

ANATOMICAL POSITION

In descriptions of the human body, we always assume that the body is in a specific position, standing straight with feet flat on the floor and slightly apart, arms by the sides with palms facing forward. Left and right are the patient's left and right. Other related terms:

     Pronation of the hand means the palm faces backward

     Supination of the hand means the palm faces forward (anatomic position)    
     Prone is lying face down.

     Supine is lying face up.

 

 

                 Fig. 1.5 page 13—REGIONAL NAMES ---TEST IN LAB ONLY

 

 

DIRECTIONAL TERMS

EXHIBIT 1.1 PAGE 14  (Fig 1.5 P. 13 and Fig 1.6 P. 15 may help with some examples)

These terms are very important and should be learned thoroughly--be able to define them and also USE THEM. These are used to describe the location of various body structures in relation to each other

 

 

 

PLANES OF THE BODY

1. Sagittal--divides into right and left parts

        a. Mid-sagittal (median)--divides exactly in half--passes thru the midline

         b. Parasagittal--unequal--NOT on midline

 

2. Frontal    Divides into front and back

    Coronal

 

3. Transverse

     Cross-sectional     Superior and inferior

     Horizontal

 

Oblique planes go through the body at a diagonal. These are vague and rarely used in my course.

 

                          Fig. 1.7 and 1.8  P. 16

 

 

 

BODY CAVITIES

           Fig. 1.9  P. 17

Enclosed spaces within the body that contain internal organs. The body cavities protect, separate and support the organs. Please note that this edition of the text has left out the dorsal & ventral cavities, but they are still in the lab book and we will still talk about them.

1. Dorsal body cavity--contains organs that are part of the nervous system—lined by the meninges

   a. Cranial cavity--formed by skull bones and contains the brain

   b. Vertebral (spinal) canal--formed by vertebrae and contains the spinal cord

2. Ventral body cavity--a thin serous membrane lines this cavity and covers organs within it. Internal organs in the ventral body cavity are called viscera.

   a. Thoracic cavity (chest)

      1) Right and left pleural cavities—each contains a lung

      2) Mediastinum--between lungs and contains heart, esophagus, trachea, thymus gland, blood vessels & lymphatics

         a) Pericardial cavity--contains only the heart

   b. Abdominopelvic cavity--separated from thoracic cavity by the diaphragm

      1) Abdominal--contains most of the digestive organs & spleen

      2) Pelvic cavity--contains urinary bladder, internal reproductive organs and part of the large intestine

 

Serous membrane in the thoracic cavity is called pleura.

    Lining--parietal pleura

    Covering organs--visceral pleura

    Visceral pleura of the heart is called the pericardium.

 

Serous membrane in the abdominopelvic cavity is called peritoneum.

    Lining--parietal peritoneum

    Covering organs--visceral peritoneum

     

                 FIGURE 1.9  P. 17  SUMMARY OF CAVITIES & MEMBRANES

 

 

 

 

 

 

 

 

 

 

 

 

ABDOMINAL REGIONS

 

The abdominopelvic cavity may be divided into 9 regions for anatomical study.                            

                  Figure 1.11  P. 19 & 1.12 A & B P. 20

   Right             hypochondriac

 

   Epigastric

 Left

 hypochondriac

   Right lumbar    

   Umbilical

  Left lumbar

 

   Right iliac

         inguinal

   Pubic

   Hypogastric

  Left iliac

      inguinal

 

 

ORGANS FOUND IN VARIOUS REGIONS

1. Epigastric 

     Liver         most of these

     Stomach

2. Left hypochondriac

     Rest of stomach

     Spleen

     Most of left kidney

3. Right hypochondriac

     Rest of liver

     Part of gallbladder

4. Umbilical

     Transverse colon

     Most of small intestine

5. Left lumbar

     Descending colon

6. Right lumbar

     Rest of gallbladder

     Ascending colon

     Most of right kidney

7. Hypogastric

     Urinary bladder

     Lower large intestine

8. Left iliac

     Portion of colon

9. Right iliac

     Appendix

Loops of the SI may be found in all regions.

  

The cavity is also frequently divided into 4 regions (quadrants)                  

                                 (Figure 1.12C  P. 20)

                                 

   UR

   UL

   LR 

   LL

 

Figure out some organs in each quadrant.

 

MEDICAL  IMAGING

                           (Table 1.3  P. 21 – 24 gives examples of images)

 

1. Conventional radiography (standard x-rays)---a beam of x-rays passes through the body and strikes a photographic film plate. Dense tissues such as bone block some or all of the rays and produce a white (unexposed) area on the film; less dense tissues allow various amounts of the x-rays through and produce darker (exposed) areas.

 

This technique has been in use for around 100 years and is still the starting point in most cases.

 

2. Magnetic resonance imaging (MRI)---a strong magnetic field is produced and causes all the hydrogen protons of the area to line up. Next, radio waves to the same area "reads these ion patterns and this produces an image. Since bone doesn’t show up much on MRIs, they are often used for images of parts enclosed in bones, such as the brain, spinal cord and the insides of joints, but can also be used for other body areas including study of blood flow, examination of the liver, etc.

 

3. Computed tomography (CT scan)---Links x-rays and computers (which tells you it is a fairly new technique). It produces cross-sectional images which can be put together to give a 3-dimensional view of the whole body or just a particular area. The detail is 10-20X greater than with regular x-rays only.

 

4. Sonography (ultrasound)---sound waves are sent into the body and bounce back off body tissues. This produces an image called a sonogram. It is a very safe technique, since no radioactivity is involved. Most of us think of its use in pregnancy first, but it is also used for other purposes such as study of abdominal and pelvic organs, blood flow and the heart.

 

5. Positron emission tomography (PET)---a substance that gives off positively charged particles (positrons) is injected or inhaled. As the positrons collide with negatively charged electrons in tissues, gamma rays are given off. A camera detects these and sends signals to a computer, where a color image is formed. This shows where the substance is being used in the body, so it gives a picture of function as much as structure.

 

6. Radionuclide scanning—radioactive substance is injected into a vein and carried in the blood. The more active the tissue, the more of the radionuclide accumulates, producing more intense color due to more gamma rays being given off.

 

7. Endoscopy—instrument called an endoscope with a light & camera is inserted into the body. An image projected onto a monitor gives a view of internal parts.