Professional Documents
Culture Documents
- Most of us are naturally curious about our bodies. We want to know what makes us tick. This
curiosity is even seen in infants, who can keep themselves happy for a long time staring at
their own hands or pulling their mother’s nose. Older children wonder where food goes when
they swallow it and some believe that they will grow a water melon in their belly if they
swallow the seeds.
- Knowing the structure and function of the human body allows us to understand how the body
responds to stimulus. Knowing the human anatomy and physiology also provides the basis for
understanding disease.
- The study of human anatomy and physiology is important for those who plan a career in the
health sciences because a sound knowledge of structure and function is necessary for health
professionals to perform their duties.
- Understanding anatomy and physiology also prepares anyone to evaluate recommended
treatments, critically review advertisements and reports in the popular literature, and rationally
discuss the human body with health professionals and nonprofessionals
Anatomy
- came from the latin words “ana” which means up and “tomy” which means process of cutting
- the science of body structures and the relationships among structures
- structures can be studied through dissection and imaging techniques like radiography,
computed tomography, magnetic resonance imaging and sonography
- Anatomy; to dissect, or cut apart, or separate Anatomy; to dissect, or cut apart, or separate
Relationship between Anatomy and Physiology
- Anatomy and physiology are always related.
- The parts of your body form a well-organized unit, and each those parts have job to do make
the body operate as a whole.
- Structure determines what functions can take place. For example, the lungs are not muscular
chambers like the heart and cannot pump blood through the body, but because the walls of
their air sacs are very thin, they can exchange gases and provide oxygen of the body.
Levels of Structural Organization
1. Atoms
- tiny building blocks of matter, combine to form molecules such as water, sugar, and
proteins.
- Molecules, in turn, associate in specific ways to form microspic cells.
2. Cells - the smallest units of all living thing; basic structural and functional unit of organisms
3. Tissues - consist of group of similar cells that have a common function
4. Organs - a structure that is composed of two or more tissue types and performs a specific
function for the body.
5. Systems - a group of organs that cooperate to accomplish a common purpose
6. Organisms - represents the highest level of structural organization, the organizational level;
any living thing considered as a whole
Organism System Overview
1. Integumentary System
- the external covering of the body, or the skin.
- It waterproofs the body and cushions and protects the deeper tissues from injury
2. Skeletal
- consists of bones, cartilages,ligaments, and joints.
- It supports the body and provides a framework that the skeletal muscles use to cause
movement.
3. Muscular - the muscles of the body have only one function-to contract or shorten which
create movement.
4. Nervous - the body’s fast-acting control system
5. Endocrine
- controls body activities, but it acts much more slowly.
- It produces chemical molecules called hormone
6. Cardiovascular/Circulatory - Using the blood as the transporting fluid, the cardiovascular
system carries oxygen, nutrients, hormones, and other substances to and from the tissue
cells where exchanges are made
7. Lymphatic
- It is complementary to that of the cardiovascular system.
- The lymph nodes and other lymphoid organs help to cleanse the blood and house the
cells involved in immunity.
8. Respiratory - It keeps the body constantly supplied with oxygen and to remove carbon
dioxide.
9. Digestive - It is basically a tube running through the body from mouth to anus
10. Urinary/Excretory - the body produces waste as byproducts of its normal functions, and
these wastes must be disposed of by this system
11. Reproductive - exists primarily to produce offspring
Maintaining Life/Characteristics of Life
1. Organization - the condition in which the parts of an organism have specific relationships to
each other and the parts interact to perform specific functions
2. Metabolism
- The ability to use energy to perform vital functions, such as growth, movement, and
reproduction.
- Plants can capture sunlight, and human obtain energy from food
3. Responsiveness - it is the ability of an organism to sense changes in the movement and
make the adjustments that help maintain its life
4. Growth
- It results in an increase in size of all parts of the organism.
- It can result from an increase in cell number, cell size, or the amount of substances
surrounding cells
5. Development
- includes the changes an organism undergoes through times
- it begins with fertilization and ends at death.
6. Reproduction
- It is the formation of new cells or new organism.
- Without reproduction of cells, growth and tissue repair are impossible.
7. Excretion - the process of removing excreta or waste, from the body
8. Digestion - the process of breaking down ingested into simple molecules that can then be
absorbed into the blood for delivery to all body cells by the cardiovascular system
9. Movement - includes all the activities promoted by the muscular system
Homeostasis
- refers to the existence and maintenance of a relative constant environment within the body
- describes the body’s ability to maintain relatively stable internal conditions even though the
outside world is continuously changing
- Although the literal translation of homeostasis is “unchanging” (homeo = the same; stasis =
standing still) the term does not really mean an unchanging state.
- it indicates a dynamic state of equilibrium, or a balance in which internal conditions change
and vary but always within relatively narrow limits.
Homeostatic Control Mechanism
- Communication within the body is essential for homeostasis and is accomplished chiefly by
the nervous and endocrine system which use electrical signals delivered by nerves or
bloodborne hormones, respectively, as information carriers
- normally maintain body temp near an ideal normal value; sweating, shivering
Variables - conditions that can change
Set point – ideal value
Normal Range - acceptable range of values on which HM can still be met
Components of Homeostatic Control Mechanism
1. Receptor
- essentially, it is some type of sensor that monitors and responds to changes in the
environment
- it responds to changes called stimuli, by sending information (input) to the second
element, the control center
- Information flows from the receptor to the control center along the afferent pathway
2. Control Center - it determines the level (set point) at which a variable is to be maintained,
analyzes the information it receives and then determines the appropriate response or course
of action
3. Effector
- it provides the means for the control center’s response (output) to the stimulus
- information flows from the control center to the effector along the efferent pathways
(Efferent information exits from the control center)
- the results of the response then feedback to influence the stimulus, either by depressing it
(negative feedback) so that the whole control mechanism is shut off or by enhancing it
(positive feedback) so that the reaction continues at an even faster rate
Types of Homeostatic Control Mechanism
1. Negative Feedback Mechanism
- the net effect of the response to the stimulus is to shut off the original stimulus or reduce
its intensity
- most systems of the body are regulated by negative feedback mechanism which function
to maintain homeostasis
- a frequently used example of a negative feedback system is a home heating system
connected to a thermostat. In this situation, the thermostat contains both the receptor and
the control center. If the thermostat is set at 20 degrees Celsius, the heating system
(effector) will be triggered ON when the house temperature drops below that setting.
- Regulates most systems of the body to maintain homeostasis
- Negative - any deviation from the set point is resisted
2. Positive Feedback Mechanism
- typically, these mechanisms control infrequent events that occur explosively and do not
require continuous adjustments
- blood clotting, massive blood loss and the birth of a baby are the most familiar examples
- this mechanism is rare in the body
- Not homeostatic and is rare in a healthy individual
- Positive - when a value deviates from normal, the system’s response is to make it greater
Branches of Anatomy
1. Embryology - structures that emerge from the time of the fertilized egg through the eight
week in uterus.
2. Developmental anatomy - structures that emerge from the time of the fertilized egg to the
adult form
3. Histology – tissues
4. Cytology – cell
5. Surface Anatomy - anatomical landmarks on the surface of the study through visualization
and palpation
6. Gross Anatomy - structures that can be examined without using a microscope
7. systemic Anatomy - structure of specific systems of the body such as the nervous and
respiratory systems
8. Regional anatomy - specific regions of the body such as the head or chest
9. Radiographic anatomy - body structures that can be visualized with x-rays
10. Pathological anatomy - structural changes associated with diseases
Physiology
- came from the words “physio” which means nature and “logy” which means the study
- the science of body functions and processes – how the parts work
Main Goals of Physiology:
a. to understand and predict
b. to understand how the body maintains conditions
Branches of Physiology
1. Neurophysiology - functional properties of nerve cells
2. Endocrinology - hormones and how they control body functions
3. Cardiovascular physiology - function of the heart and blood vessels
4. Immunology - how the body defends itself against disease-causing agents
5. Respiratory Physiology - functions of the air passageways and lungs
6. Renal physiology - kidneys
7. Exercise Physiology - changes in cells and organ functions as a result of muscular activity
8. Pathophysiology - functional changes associated with disease and aging
Approaches to the Study of Anatomy:
1. Systemic Anatomy - study of the body by organ system
2. Regional Anatomy - study of the body by areas
General Ways to Examine the Internal Structures:
1. Surface Anatomy – study of external features; superficial structures to locate deeper
structures
2. Anatomical Imaging - non-invasive method for examining deep structures; x-ray, CT scan,
PET scan, MRI
Subdivisions of the Abdomen
Right Left
Upper Upper
Quadrant Quadrant
Right Left
Lower Lower
Quadrant Quadrant
Right Left
Epigastric
Hypochondriac Hypochondriac
Right Left
Umbilical
Lumbar Lumbar
Right Left
Hypogastric
Iliac Iliac
Planes
TRUNK
Thoracic Thorax
Chest Pectoral
Breastbone Sternal
Breast Mammary
Abdomen Abdominal
Navel Umbilical
Pelvis Pelvic
Groin Inguinal
Genital Pubic
Back Dorsal
Shoulder blade Scapular
Spinal Column Vertebral
Lumbar Loin
Between hips Sacral
Buttock Gluteal
Perineum Perineal
UPPER LIMBS
Collarbone Clavicular
Armpit Axillary
Arm Brachial
Front of elbow Antecubital
Forearm Antebrachial
Hand Manual
Wrist Carpal
Palm Palmar
Fingers Digital
Point of shoulder Acromial
Point of elbow Olecranon
Back of hand Dorsum
LOWER LIMBS
Hip Coxal
Thigh Femoral
Kneecap Pat`ellar
Leg Crural
Foot Pedal
Ankle Talus
Top of foot Dorsum
Toes Digital
Skull Cranial
Base of Skull Occipital
Back of Neck Nuchal
Hollow behind knee Popliteal
Calf Sural
Sole Plantar
Heel Calcaneal
Body planes and Sections - words that describe the position of one body part relative to another
1. Sagittal plane - vertical plane that divides the body or an organ into right and left sides
a. midsagittal/median plane - when such a plane passes through the midline of the body
or an organ and divides it out equal right and left sides
b. parasagittal plane - if the sagittal plane does not pass through the midline but instead
divides the body or organ into unequal right and left sides
2. Frontal or coronal plane - divides the body or organ into anterior and posterior position
3. Transverse plane
- divides the body or organ into superior or inferior portions
- also known as cross section
4. Oblique plan - passes through the body or organ it an angle between the transverse plane
and either a sagittal or frontal plane
Body Cavities - spaces within the body that help protect, separate, and support internal organs
1. Dorsal cavity - located near the dorsal surface of the body
a. cranial cavity - formed by cranial bones and contain brain
b. vertebral cavity - formed by vertebral column and contains spinal cord
2. Ventral Cavity - located on the ventral aspect of the body
a. Thoracic cavity or Chest cavity - superior portion of ventral body cavity, contains
pleural and pericardial cavities and the mediastinum; bounded by ribs and the diaphragm
i. Pleural cavity - each surrounding a lung, the serous membrane of pleural cavities is
the pleura
ii. Pericardial cavity - surrounds the heart; the serous membrane of pericardial cavity is
the pericardium
iii. Mediastinum - central portion of thoracic cavity between the lungs; extends from
sternum to vertebral column and from neck and diaphragm, contains heart, thymus,
esophagus, trachea and several large blood vessels
iv. Peritoneal cavity – surrounds certain abdominal and pelvic organs
b. Abdominopelvic cavity - inferior portion of ventral body cavity
i. abdominal cavity - contains stomach, spleen, liver, gallbladder, small intestine, and
most of the large intestine; bounded by the diaphragm and the abdominal muscles
ii. Pelvic cavity - contains urinary bladder, portion of the large intestine, and internal
organs of reproduction; surrounded by the pelvic bones
Directional Terms
1. Lateral
- farther from the midline
- ex. The lungs as lateral to the heart
2. Medial
- nearer the midline
- ex. The ulna is medial to the radius
3. Intermediate
- between two structures
- ex. The transverse colon is intermediate between the ascending and descending colon
4. Proximal - nearer to the attachment of a limb to the trunk, nearer to the origination of a
structure
5. Distal - farther from the attachment of a limb to the trunk, farther from the origination of a
structure
6. Superior
- toward the head, or the upper part of a structure
- ex. The heart is superior to the liver
7. Inferior
- away from the head, or the lower part of a structure
- ex. The stomach is inferior to the lungs
8. Anterior
- nearer to or at the front of the body
- ex. The sternum is anterior to the heart
9. Posterior
- nearer to or at the back of the body
- ex. The esophagus is posterior to the trachea
DIRECTIONAL TERMS
Inferior Lower
Superior Higher
Anterior Front
Posterior Back
Ventral Belly
Dorsal Back
Proximal Nearest
Distal Distant
Lateral Away from the
midline
Medial Towards the midline
Superficial Toward or on surface
Deep Internal
Other terms
1. Ipsilateral - on the same side of the body as another structure
2. Contralateral - on the opposite side of the body from another structure
3. Superficial
- toward or on the surface of the body
- ex. The ribs are superficial to the lungs
4. Deep
- away from the surface of the body
- the ribs are deep to the skin of the chest and back
Anterior Body Landmark
1. Abdominal - anterior body trunk
2. Acromial - point of shoulder
3. Axillary - armpit
4. Brachial - arm
5. Buccal - cheek area
6. Carpal - wrist
7. Cervical - neck region
8. Coxal - hip
9. Crural - leg
10. Digital - fingers, toes
11. Femoral - thigh
12. Fibular - lateral part of the leg
13. Inguinal - area where thigh meets body trunk, groin
14. Nasal - nose area
15. Oral - mouth
16. Orbital - eye area
17. Patellar - anterior knee
18. Pelvic - area overlying pelvis anteriorly
19. Pubic - genital area
20. Sternal - breastbone area
21. Tarsal - ankle region
22. Thoracic - chest
23. Umbilical – navel
Posterior Body Landmark
1. Calcaneal - heel of foot
2. Cephalic - head
3. Deltoid - curve of shoulder formed by large deltoid muscle
4. Femoral - thigh
5. Gluteal - buttock
6. Lumbar - area back of between ribs and hips
7. Occipital - posterior surface of head
8. Olecranal - posterior surface of elbow
9. Popliteal - posterior knee area
10. Sacral - area between hips
11. Scapular - shoulder blade region
12. Sural - the posterior surface of lower legs, the calf
13. Vertebral - area of spine
The plantar region, or the sole of the foot, actually on the interior body surface
Hyoid 1
Vertebral Column Cervical vertebrae 7
Thoracic vertebrae 12
Lumbar vertebrae 5
Sacrum 1
Coccyx 1
________
Total 26
Thoracic Cage
Ribs 24
Sternum 1
________
Total 25
3. Forelimbs/Upper Limb
A. Arm - the region between the shoulder and the elbow and contains the humerus
a. humerus (upper arm)
i. head - attaches the humerus to the scapula at the glenoid cavity
ii. greater & lesser tubercle - Lateral to the head
iii. deltoid tuberosity - where the deltoid muscle attaches
iv. epicondyles - provide attachment sites for forearm muscles
B. Forearm - consists of two bone: the ulna – on the medial side of the forearm and radius – on
the lateral side
i. olecranon process - it is an extension of the ulna just proximal to the semilunar notch w/c
can be felt at the elbow
ii. coronoid process - distal to the semilunar notch that w/c helps complete the “grip” of the
ulna on the distal end of humerus
iii. styloid process - the distal end of the ulna forms a head, w/c articulates w/ with bones of
the wrist
iv. radial tuberosity - just distal to the radial head where one of the arm muscles, the biceps
brachii, attaches
C. Wrist
- relatively short region between the forearm and hand
composed of the eight carpal bones:
- scaphoid
- lunate
- triquetrum
- pisiform
- trapezium
- trapezoid
- capitate
- hamate
D. Hand
Composed of:
a. five metacarpals (palm)
- are attach to the carpal bones and form the bone framework of the hand
- the metacarpals are aligned with five digits: the thumb and fingers (numbered 1-5 from
thumb to the little finger)
b. finger
- consists of three small bones called phalanges
- the phalanges of each finger are called proximal, middle, and distal, according to their
position in the digits
4. Lower Limb - consists of the bones of the thigh, leg, ankle, and foot
A. Thigh
- the region between the hip and the knee
- contains a single bone called the femur
a. Femur – can be distinguish from the humerus by its long neck located between the head
and the trochanter
i. head - articulates w/ the acetabulum of the coxa
ii. condyles - the distal end of the femur that articulates w/ the tibia
iii. epicondyles - located medial and lateral to the condyles w/c are points of ligament
attachment
b. Patella/Kneecap
- located w/in the major tendon of the anterior thigh muscles
- enables the tendon to turn the corner over the knee
B. Leg
- the region between the knee and the ankle
- contains two bones: Tibia & Fibula
i. condyles - flat proximal end of the tibia where the rounded condyles of the femur rest
ii. tibial tuberosity - where the muscles of the anterior thigh attach
iii. malleolus - a prominence w/c can be seen on each side of the ankle
C. Ankle
- consists of seven tarsal bones:
i. talus
ii. calcaneus
iii. cuboid
iv. navicular
v. cuneiforms (medial, intermediate, and lateral)
Note:
- a mnemonic for the distal row:MILC – medial, intermediate, and lateral cuneiforms
- That for the proximal three bones is: No Thanks Cow – that is Navicular, talus, and calcaneus
D. Foot
- consists of the metatarsals and phalanges w/c are arranged and numbered in a manner
very similar to the metacarpals and phalanges of the hand
- the metatarsals are somewhat longer than the metacarpals, whereas the phalanges of the
foot are considerably shorter than those of the hand
- there are three arches in the foot, formed by the positions of the tarsals and the
metatarsals, and held in place by ligaments
- the arches function similarly to the springs of a car, allowing the foot to give and spring
back
Joint/Articulation
- meeting point between two bones
- hold the bones together securely to facilitate movements
Syndesmology - the study of joints (facilitate movement)
Three types of Joints According to function
1. Synarthrosis
- immovable joints
- ex. Sutures of the skull
- Ankylosis – joint that had fused; ex. Pelvic girdle
2. Amphiarthrosis
- slightly movable
- ex. Invertebral disk (in between vertebrae); union of the sacrum and ilium
3. Diarthrosis - a freely movable joint
Three Types of Joints Accdg. To Structure
1. Fibrous Joints - the bones are united by fibrous tissue and exhibit a little no movement
a. Sutures
- are fibrous joints between the bones of the skull
- in a newborn, some parts of the sutures are quite wide and are called fontanels (allow
flexibility in the skull during the birth process, as well as growth of the head after birth)
b. syndesmoses
- the bones are separated by some distance and held together ligaments
- an example is the fibrous membrane connecting most of the distal parts of the radius and
ulna
c. gomphoses
- consist of pegs fitted into sockets and held in place by ligaments
- example: joints between tooth and its socket
2. Cartilaginous Joints
- the bone ends are connected by cartilage
- only slight movement can occur at these joints
- examples of this joint that are slightly movable are the pubic symphysis and intervertebral
joints of the spinal column where the articulating bone surfaces are connected by pads of
fibrocartilage
3. Synovial Joints
- are those in which the articulating bone ends are separated by joint cavity containing
synovial fluid
- freely movable joints
- they account for all joints of the limbs
several features of synovial joints are important to their function:
a. articular cartilage – which provides a smooth surface where bones meet
b. joint cavity - filled with synovial fluid
c. joint capsule - encloses the joint cavity w/c helps hold the bones together and, at the
same time, allows for movement
d. synovial fluid - fluid that lubricates the joints w/c is complex mixture of polysaccharides,
proteins, fat, and cells
e. synovial membrane
- lines the joint cavity everywhere except over the articular cartilage
- produces synovial fluid
- may extend as a tendon sheath along some tendons associated with joints
f. bursa - are small clefts, or fissures, lined with synovial membrane which thus converts
them into closed sacs containing synovial fluid
Types of Synovial joints: Accdg. To their shape
a) arthrodia or plane or gliding joints
- consist of two opposed flat surfaces that glide over each other
- ex. Articular facets between vertebrae
b) ginglymus or hinge joints
- permit movement in one plane only
- ex. Elbow, knee joints, and finger joints
c) enarthrosis or ball and socket joints
- consist of a ball (head) at the end of one bone and a socket in an adjacent bone into w/c
a proportion of the ball fits that allows a wide range of movement in almost any direction
- ex. Shoulder and hip joints
Ellisoid or condyloid joints
- are elongated ball-and-socket joints
- the shape of the joint limits its range of movement nearly to a hinge motion, but in two
planes
- ex: the joints between the occipital condyles of the skull and the atlas of the vertebral
column and the joints between the metacarpals and phalanges
d) diarthrosis rotatoria or pivot joints
- restrict movement to rotation around a single axis
- each pivot joint consists of a cylindrical bony process that rotates w/in a ring composed
partly of bone and partly ligament
- ex. Joint between the atlas and axis
e) saddle joints
- consist of two saddle-shaped articulating surfaces oriented at right angles to each other
- movement occurs in two planes
- example: observe the great range movement possible at the carpocarpal joint at the base
of your thumb
Movement of Joints
1. Flexion - decreasing the angle between two joints
Plantar flexion - movement of the foot toward the plantar surface (sole of the foot), such as
when standing on the toes
Dorsiflexion - movement of the foot toward the shin, such as when walking on the heels
2. Extension - increasing the angle between 2 bones
Hyperextension – when the part is moved beyond the straight position. Ex. Arching the back
3. Abduction - when a part is moved away from the midline of the body
4. Adduction – when a part of the body moved toward the midline of the body
5. Rotation - motion of bone around the central axis as in shaking the head “no”
Medial rotation of the arm - brings the forearm against the anterior surface of the abdomen
Lateral rotation moves it away from the body
6. Circumduction
- occurs at freely movable joints such as the shoulder
- the arm moves so that it describes a cone with the shoulder joint at the apex
7. Supination – outward rotation of the forearm causing the palms to anteriorly
8. Pronation – inward rotation of the forearm causing to face posteriorly
Special movement
1. Elevation – motion to raises a part
2. Depression – motion to lower a part
3. Inversion – twisting of foot so that the sole faces inward
4. Eversion – twisting of foot so that the sole faces outward
5. Protaction – the motion that moves a part such as the mandible forward
6. Retraction – the motion that return a protracted part to its usual position
Motor to palate,
pharynx, &
larynx
11 Accessory M Motor to two neck
and upper back
muscles
12 Hypoglossal M Motor to tongue
muscle
Spinal Nerves
- arise along the spinal cord from the union of the dorsal roots and ventral roots
- all the spinal nerves are mixed nerves because they contain axons of both sensory and
somatic motor neurons
- some spinal nerves also contain parasympathetic or sympathetic axons
- most of the spinal nerves exit the vertebral column between adjacent vertebrae
- they are categorized by the region of the vertebral column from which they emerged:
a. cervical
b. thoracic
c. lumbar
d. sacral, and
e. coccygeal
- also numbered according to their order within the region
- organized into three plexuses where nerves come together and then separate
Plexus of the Spinal Nerves
Plexus Origin Major Nerves Muscles Skin Innervated
innervated
Cervical C1 – C4 Several neck Neck &
muscle posterior head
Phrenic Diaphragm
Brachial C5 –C8 andT1 Axillary Two shoulder Part of
muscles shoulder
Radial Posterior arm & Posterior arm,
forearm muscle forearm, and
hand
Musculocutaneous Anterior arm Radial surface
muscles of forearm
Ulnar Two anterior Ulnar side of
forearm muscles hand
Most intrinsic
hand muscle
Median Most anterior Radial side of
forearm muscles hand
Some intrinsic
hand muscles
Lumbosacral L1 – S4 Obturator Medial thigh Medial thigh
muscle( adductor
s)
Femoral Anterior thigh Anterior thigh,
muscle(extensor) medial leg &
foot
Ischiadic (sciatic) Posterior thigh Posterior leg &
Tibial musces ( flexor), sole of foot
anterior&
posterior leg
muscles, most
foot muscle
Common fibular Lateral thigh & Anterior and
leg, some foot lateral leg, &
muscles dorsal part of
foot
Subdivisions of the PNS
A. Sensory or Afferent Division
- conducts action potentials from sensory receptors to the CNS
- the neurons that transmit action potentials from the periphery to the CNS are the sensory
neuron
B. Motor or Efferent Division
- conducts action potentials from the CNS to effector organs such as muscles and gland
- the neurons that transmit action potentials from the CNS toward the periphery are the motor
neuron
- further subdivided into:
a. somatic motor nervous system - transmits action potentials from the CNS to skeletal
muscles
b. autonomic nervous system
- transmit action potentials from the CNS to cardiac muscles, smooth muscles, and
gland
- in turn subdivided into:
a. sympathetic – prepares body for physical activity
b. parasympathetic – stimulates vegetative activities; slows heart and respiration
rates; constrict pupil; thickens lens
c. enteric nervous system - associated with the digestive tract