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chapter outline
Concepts of the
Human Body
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learning
o u tc o m e s
AFTER COMPLETING THIS CHAPTER, YOU WILL BE ABLE TO:
1.1
1.2
1.3
1.4
1.5
essential terms
anatomical
(ana-TOM-ical)
position
anterior
(an-TER-e-or)
caudal (KAW-dal)
cranial (KRAY-nee-al)
deep
distal (DISS-tal)
dorsal (DOOR-sal)
homeostasis
(ho-me-o-STA-sis)
lateral (LAT-er-al)
medial (MEE-dee-al)
oblique (o-BLEK)
posterior (pos-TER-e-or)
proximal (PROX-im-al)
sagittal (SAJ-it-al)
superficial
(soop-er-FISH-al)
tissue (TISH-oo)
transverse (trans-VERSE)
ventral (VEN-tral)
Additional key terms in the
chapter are italicized and defined
intheglo ssary.
case study
Use the case study to focus on as you go through the chapter. The
questions will guide you as you learn anatomy and physiology and
understand the pathology associated with each body system.
CASE STUDY 1 Aspiring Medical Assistant
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Introduction
The study of anatomy and physiology is one of the most fascinating topics
you can undertake. The human body is a complex machine; it is amazing
how so many different cells, tissues, and organs, each with a specific purpose, work together to produce a highly efficient organism. Your study
will begin at the chemical level and work all the way up to the organism
(Figure 1-1). You will also be learning a new languagethe language of
science and the body. Whether you are learning anatomy and physiology
because it is required for the profession you have chosen or strictly for personal reasons, we are confident you will be delighted with the knowledge
and understanding you will achieve.
check
Why have you chosen to study anatomy and physiology?
UNIT 1
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(tissue of
stomach wall)
O
H
Atom
(oxygen)
H2O molecule
(water)
Chemical
level
Tissue
level
(digestive
system)
Stomach
System
level
Cellular
level
Organ
level
LO 1.1
(typical cell)
Stomach
wall
Organism
(stomach)
FIGURE 1-1 The human body is organized in levels, beginning with the chemical level
(human)
and progressing to the cellular, tissue, organ, system, and organism (whole body) levels.
1.1
Anatomy (ana 5 up; tomy 5 to cut) is the science of the study of body structures. There are several branches of anatomy. Gross anatomy is the study of
the body at a macroscopic level (unaided by a microscope). Dissection is
often used for this study. In this textbook, we will devote our studies to
gross anatomy. Physiology is the study of the function of the bodys organs.
We study anatomy and physiology together because they are interconnected.
Essentially the shape or structure of cells, tissues, organs, and the organism
(the person) as a whole will determine the function. By having a thorough
understanding of normal anatomy and physiology, it is much easier to recognize abnormal situations when we encounter them. This knowledge will help
you grasp the meaning of diagnostic and procedural codes if you are going
into billing. It can also help you understand the clinical procedures you will
perform as a medical assistant, x-ray technician, nurse, or other health care
professional. It will be easier to see how and why certain diseases develop.
CHAPTER 1
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Compare anatomy
and physiology and their
interconnectivity.
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Homeostasis is defined as the relative consistency of the bodys internal environment. Body conditions that must remain within a stable range
include body temperature, blood pressure, and the concentration of various
chemicals within the blood. Individual cells must also maintain homeostasis.
We will learn how the different organ systems work together to maintain
homeostasis and help us remain healthy (Figure 1-2).
homeostasis Relative
consistency of the bodys
internal environment.
check
What is the effect on the organism when homeostasis is disrupted?
Hair
Skin
Ribs
Skull
Temporalis
Clavicle
Pectoralis
major
Sternum
Humerus
Biceps
brachii
Vertebral
column
Pelvis
Rectus
abdominis
Radius
Ulna
Femur
Tibia
Sartorius
Quadriceps
femoris
Gastrocnemius
Fibula
Integumentary System
Skeletal System
Muscular System
Cervical
lymph
node
Nasal
cavity
Pharynx
(throat)
Larynx
Mammary
plexus
Trachea
Bronchi
Lungs
Tonsils
Nose
Thymus
Axillary
lymph
node
Thoracic
duct
Lymphatic
vessel
Pharynx
(throat)
Oral cavity
(mouth)
Esophagus
Stomach
Liver
Gallbladder
Spleen
Inguinal
lymph node
Salivary
glands
Pancreas
Small
intestine
Large
intestine
Appendix
Rectum
Anus
Lymphatic System
Respiratory System
Digestive System
UNIT 1
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Hypothalamus
Brain
Pituitary
Spinal cord
Thyroid
Thymus
Pineal
body
Carotid
artery
Parathyroids
(posterior
part of
thyroid)
Jugular
vein
Nerve
Cauda
equina
Adrenals
Ovaries
(female)
Nervous System
A major regulatory system that detects
sensations and controls movements,
physiologic processes, and intellectual
functions. Consists of the brain, spinal
cord, nerves, and sensory receptors.
Pancreas
(islets)
Testes
(male)
Endocrine System
A major regulatory system that influences
metabolism, growth, reproduction, and
many other functions. Consists of glands,
such as the pituitary, that secrete
hormones.
Superior
vena cava
Pulmonary
trunk
Heart
Brachial
artery
Aorta
Femoral
artery and
vein
Inferior
vena cava
Cardiovascular System
Transports nutrients, waste products, gases,
and hormones throughout the body; plays
a role in the immune response and the
regulation of body temperature. Consists of
the heart, blood vessels, and blood.
Mammary
gland
(in breast)
Seminal
vesicle
Uterine
tube
Ureter
Ovary
Urinary
bladder
LO 1.2
Kidney
Prostate
gland
Ductus
deferens
Testis
Uterus
Urethra
Vagina
Urinary System
Removes waste products from the blood
and regulates blood pH, ion balance, and
water balance. Consists of the kidneys,
urinary bladder, and ducts that carry
urine.
Epididymis
Penis
1.2
The structure of the body can be divided into six different levels of organization with increasing complexity: chemical, cellular, tissue, organ, organ
system, and organism (whole body).
The chemical level is the most basic level and is made up of atoms and
molecules (two or more atoms joined together by chemical bonds). Atoms
are the simplest units of all matter. Matter is anything that takes up space
and has weight. Certain elements or atoms are required for life. These
include carbon (C), hydrogen (H), oxygen (O), nitrogen (N), phosphorus (P),
calcium (Ca), and sulfur (S). These essential atoms combine to make the
essential molecules needed for life including water, glucose, proteins, and
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UNIT 1
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Two or more tissue types combine to form organs, and organs that perform a common function are called organ systemsthe next two organizational levels of the human body. For example, the heart is made of cardiac
muscle tissue, connective tissue, and epithelial tissue. The heart and blood
vessels unite to form the cardiovascular system. The function of the cardiovascular system is to supply oxygen and nutrients to the cells and tissues
of the body and remove carbon dioxide and waste products. The organism
consists of all the organ systems working together to function as a unit or
living individual.
check
1.3
Body cavities are spaces that help protect and support organs (Figure 1-4).
Two major body cavities are the dorsal cavity, located on the posterior
aspect of the body, and the ventral cavity, located on the front of the
body. The dorsal cavity is divided into the cranial cavity and the spinal
cavity (vertebral canal). The cranial cavity contains the brain and the spinal cavity contains the spinal cord. The organs of the dorsal cavity are well
protected because of the skull and the vertebral column. The ventral cavity
is divided into the thoracic cavity (chest cavity) and the abdominopelvic
cavity. The diaphragm separates the thoracic and abdominopelvic cavities.
The thoracic cavity is divided into two pleural cavities, pericardial cavity,
and mediastinum. The lungs are found in the pleural cavities. The heart is
located in the pericardial cavity which is found in the mediastinum. The
mediastinum is a space located between the two lungs laterally and the
sternum anterior and the vertebral column posterior. It runs from the first
rib superiorly to the diaphragm inferiorly. The abdominopelvic cavity is
divided into a superior abdominal cavity and an inferior pelvic cavity. The
stomach, small and large intestines, gallbladder, liver, spleen, kidneys, and
pancreas are located in the abdominal cavity. The bladder and internal
reproductive organs are located in the pelvic cavity. The body cavities with
the exception of the abdominopelvic cavity provide protection to the internal organs because of the surrounding skeletal structures. Also, the cavities
are lined with protective connective tissue membranes and small amounts
of lubricating fluids.
CHAPTER 1
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LO 1.3
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Cranial cavity
Vertebral canal
Thoracic cavity
Diaphragm
Abdominal
cavity
Abdominopelvic
cavity
Pelvic cavity
A Lateral view
Cranial cavity
Vertebral canal
Mediastinum
Thoracic
cavity
Right pleural
cavity
Pericardial
cavity
Thoracic cavity
Diaphragm
Abdominal
cavity
Abdominopelvic
cavity
Pelvic cavity
B Anterior view
The abdominal area is further divided into nine regions or four quadrants (Figure 1-5). The regions and quadrants help physicians and other medical personnel such as x-ray technicians and medical assistants easily locate
organs and vital structures (Figure 1-6). When using the nine-region method,
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Right
hypochondriac
region
Right
lumbar
region
Right
iliac
(inguinal)
region
Epigastric
region
Umbilical
region
Hypogastric
region
Left
hypochondriac
region
Right upper
quadrant (RUQ)
Left upper
quadrant (LUQ)
Right lower
quadrant (RLQ)
Left lower
quadrant (LLQ)
Left
lumbar
region
Left
iliac
(inguinal)
region
FIGURE 1-5 (A) The abdominal area divided into nine regions and (B) the abdominal area divided into four quadrants.
check
List all the cavities that the heart is found in.
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AnatomicalT erminology
1.4
Anatomical terms are used to describe the location of body parts and various
body regions. Learning anatomy and physiology terms is like learning a new
languageone that all health care professionals must speak. To begin with,
you must understand the concept of anatomical position (Figure 1-7). This
is described as a body standing upright and facing forward with the arms at
the sides and the palms of the hands facing forward. A person lying on the
stomach is said to be in the prone position, and someone lying on the back
is in the supine position.
LO 1.4
FIGURE 1-7
Midline
Right
Proximal
REMEMBER ELLEN,
our aspiring medical
assistant? Why do you
think it is important for
Ellen to have a thorough
understanding of the
anatomical position?
Left
Superior
Medial
Lateral
Anterior
(ventral)
Distal
Posterior
(dorsal)
Proximal
Distal
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Inferior
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Median
(midsagittal)
plane
Parasagittal
plane
Transverse
(horizontal)
plane
Frontal
(coronal)
plane
FIGURE 1-8 Sectioning the body along various planes allows observation and identification
of internal structures.
check
List the planes that would run perpendicular to a sagittal plane.
oblique At an angle
other than perpendicular
to a sagittal, horizontal, or
coronal plane.
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TABLE 1-1
Term
Definition
Example
Superior (cranial
or cephalad)
Inferior (caudal)
Anterior (ventral)
Posterior (dorsal)
Medial
Lateral
Proximal
Distal
Superficial
Deep
More internal
Superior (cranial)
Midline
Dorsal (posterior)
Lateral
Ventral (anterior)
Medial
Deep
Superficial
Proximal end
of forearm
Midline
Distal end
of forearm
Proximal end
of thigh
Dorsal
surface
of hand
Distal end
of thigh
Ventral
surface
of leg
Inferior (caudal)
FIGURE 1-9 Directional terms provide mapping instructions for locating organs and body parts.
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being closer to the trunk or a specified part. Distal is farther from the trunk
or specified part. For example, the wrist is more proximal to the elbow than
are the fingers. The fingers would be more distal to the elbow than the wrist.
Superficial is closer to the surface of the body. For example, the skin is more
superficial than the heart. Deep would be farther from the surface of the body.
check
Is the right shoulder or right ankle more proximal to the right knee?
Cephalic (head)
Frontal (forehead)
Otic (ear)
Nasal (nose)
Oral (mouth)
Cervical (neck)
Acromial
(point of shoulder)
Axillary (armpit)
Buccal (cheek)
Mental (chin)
Sternal
Acromial
(point of shoulder)
Pectoral
(chest)
Vertebral
(spinal column)
Mammary (breast)
Brachial (arm)
Brachial
(arm)
Antecubital
(front of elbow)
Abdominal
(abdomen)
Antebrachial
(forearm)
Carpal (wrist)
Dorsum (back)
Umbilical
(navel)
Cubital (elbow)
Lumbar
(lower back)
Inguinal
(groin)
Gluteal (buttocks)
Perineal
Palmar (palm)
Digital (finger)
Femoral (thigh)
Genital
(reproductive organs)
Patellar
(front of knee)
Crural (leg)
Crural (leg)
Tarsal (instep)
Pedal (foot)
Plantar (sole)
A
FIGURE 1-10 Numerous anatomical terms are used to describe regions of the body: (A) anterior view and (B) posterior view.
CHAPTER 1
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LifeS pan
1.5
Summarize how
knowledge of anatomy
and physiology will
benefit activities of daily
living and life span.
From the moment we are conceived we start to age. As early as our twenties
and thirties we may start to see subtle changes. We may not have the endurance we did when we were in our teens or early twenties. Skin changes
occur with loss of elasticity, loss of subcutaneous fat, and presence of age
spots. Metabolism also starts to slow down, which may affect diet as well
as drug metabolism. We also become more susceptible to cancers as our
body is not as quick to repair DNA damage. By becoming knowledgeable of
anatomy and physiology, you will gain valuable insights into how you can
assist your patients in living longer, healthier lives.
Lets take a moment to see how Ellen, our medical assistant student, is
doing. Do you think she now sees the importance of learning anatomy and
physiology? What are your thoughts?
chapter 1
LO 1.5
summary
learning outcomes
key points
1.1
1.2
1.3
1.5
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review questions
1. The heart is located in which of the following body cavities
(there may be more than one correct answer)?
a. Dorsal cavity
b. Cranial cavity
c. Ventral cavity
d. Thoracic cavity
2. Which level of organization is immediately above the cellular level?
a. Chemical
b.Tissue
c. Organism (whole body)
d. Organ
3. Which one of the following statements is correct?
a. The skin is superficial to the wrist.
c. The spine is posterior to the abdomen.
b. The head is ventral to the knee.
d. The ankle is proximal to the abdomen.
4. Which one of the following is not a basic tissue type?
a. Epithelial
b.M uscle
c.N ervous
d.Con nective
e.B one
chapter 1 review
patient education
You are asked to give a short presentation to a class of high school juniors on the benefits
of learning human anatomy and physiology. What would be the main points of your talk?
Include both personal and professional aspects.
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