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Cell Physiology by Robert Hooke in 1665,

who named them for their


resemblance to cells
Cell
inhabited by Christian monks
in a monastery.
-The cell Latin word 'cellula'
meaning "small room" is the
- Cell theory, first developed
basic structural and functional
in 1839 by Matthias Jakob
unit of life.
Schleiden and Theodor
Schwann, states that all
-Every cell consists of a
organisms are composed of
cytoplasm enclosed within a
one or more cells, that cells
membrane, which contains
are the fundamental unit of
many biomolecules such as
structure and function in all
proteins and nucleic acids
living organisms, and that all
cells come from pre-existing
-Most plants and animal cells
cells.
are only visible under a light
microscope, with dimensions
- Cells emerged on Earth
between 1 and 100
about 4 billion years ago
micrometres.
Cell types
-Electron microscopy gives a
much higher resolution showing
- Cells are of two types:
greatly detailed cell structure.
eukaryotic, which contain a
nucleus, and prokaryotic cells,
- Organisms can be classified
which do not have a nucleus,
as unicellular (consisting of a
but a nucleoid region is still
single cell such as bacteria)
present.
or multicellular (including
plants and animals). Most
- Prokaryotes are single-celled
unicellular organisms are
organisms, while eukaryotes
classed as microorganisms.
can be either single-celled or
The number of cells in plants
multicellular
and animals varies from
species to species; it has
- Prokaryotic cells
been approximated that the
human body contains
- Prokaryotes include Dacteria
roughly 40 trillion (4x1013)
and archaea, two of the three
cells.
domains of life. Prokaryotic cells
were the first form of life on
- The brain accounts for
Earth, characterized by having
around 80 billion of these
vital biological processes
cells.
including cell signaling.
- Cell biology is the study of
- They are simpler and smaller
cells, which were discovered
than eukaryotic cells, and lack a
nucleus, and other membrane-  All living things are made of
bound organelles. cells.

- The DNA of a prokaryotic cell  Cells are the smallest living unit
consists of a single circular of life.
chromosome that is in direct
contact with the cytoplasm. The  Basic living unit of all
nuclear region in the cytoplasm organisms.
is called the nucleoid.
 Each cell performs the
- Most prokaryotes are the necessary functions to sustain
smallest of all organisms life.
ranging from 0.5 to 2.0 um in
diameter.  Cells can replicate themselves.

Eukaryotic cells  Simple organism consist of


single cell.
- Plants, animals, fungi, slime
moulds, protozoa, and algae are  Humans (composed of multiple
all eukaryotic. cells)

- These cells are about fifteen  Ave. sized cell (is 1/5th the size
times wider than a typical of smallest dot on sheet of
prokaryote and can be as much paper).
as a thousand times greater in
volume. Cont.

- The main distinguishing - Cells are complex living structure


feature of eukaryotes as despite small size.
compared to prokaryotes is
compartmentalization: the - Most cells are specialized to
presence of membrane-bound perform specific functions.
organelles (compartments) in
which specific activities take - Human body is made up of many
place. population of specialized cells.

- Most important among these is Entire body contain about 100 trillion
a cell nucleus, an organelle that cells. Many cells of the body often
houses the cell's DNA. differ markedly from one another, all
of them have certain basic
- This nucleus gives the characteristics that are alike.
eukaryote its name, which
means "true kernel
(nucleus)". Cont.

The Cell and its Function - Cells are the basic building b 11-
12/ 55 all living things. The human
body is composed of trillions of
cells. They provide structure for Carbohydrates are attached to the
the body, take in nutrients from integral proteins. These form the
food, convert those nutrients into GLYCOCALYX.
energy, and carry out specialized
functions. Cont.

Cont. The glycocalyx is a sticky coat that


allows the cell to bind to other cells.
- Cellular function is carried out by
organelles. O The glycocalyx also serves as a
marker.
- Cellular reactions are mediated
(controlled) by ENZYMES. i.e.: certain antibiotics recognize the
glycocalyx and attach to the cell.
- Enzymes speed up chemical
reactions. All the chemical
reactions in the body make up its
METABOLISM.
Functions of the Plasma
- There are 10 organelles that you Membrane
are responsible for.
- Allows entry into the cell
Plasma Membrane (Cell Memb.)
(Endocytosis)
- Outer covering of the cell.
- Phagocytosis - cell eating
- Also called the PLASMALEMMA.
- Pinocytosis - cell drinking
- Separates the intracellular
(inside) fluid and the - Receptor-Mediated -hormones
extracellular (outside) fluid.
- Allows movement out of cells
- Double layer of lipids (fat) with
protein molecules between the (Exocytosis)
layers.
Cytoplasm(Protoplasm)
- Fluid Mosaic Model
Cytosol is a gel like substance which
Cont. holds all the internal cellular
organelles.
Polar Head (like water)
Contains ions, water, and enzymes. 5
Non-polar tails (do not like water) basic substances:
Proteins within the membrane. They
give support to the membrane and 1. Water = 70-85% of most
prevent it from collapsing. cells.
SMOOTH E.R. - do not have
2. Electrolytes = K+, Mg+2, ribosomes attached. Site of lipid
PO?, SO4, HCO3 , & small synthesis, participate in detox.
quantities of Na+, Cl -, & Ca+2
GOLGI APPARATUS
3. Proteins = 10-20% (structural
proteins & globular proteins) Stacks of disk shaped membranes.
Modifies protein structure.
4. Lipids = 2% of total cell mass
(phospholipids, cholesterol, Sort
triglycerides & neutral fats)
Package proteins
5. Carbohydrates = play a major
role in nutrition of the cell. Process
Small amount is usually stored
in the form of glycogen, an LYSOSOMES
insoluble polymer of glucose.
Sacs containing digestive
THE ORGANELLES enzymes that can break down
almost all types of biological
Perform all the cellular materials.
functions.
UVWTBS HIVUO
["Little Organs"
PEROXISOMES
MITOCHONDRIA
Contain oxidases (use oxygen to
Power plant of the cell neutralize aggressive
compounds known as free
Produces energy radicals).

RIBOSOME Free radicals can damage


cellular proteins, membranes,
2 parts that make proteins. and DNA if left to accumulate.

ENDOPLASMIC RETICULUM CYTOSKELETON

Subway system of the cell. System of complex rods that


run throughout the cytoplasm.
Network of membrane-walled
tubes that twist through the Microtubules = assist in cell div.
cytoplasm. ROUGH E.R. - have & forms components of cilia &
ribosomes attached. Site of flagella
protein synthesis
Microfilaments

CENTROSOME
Contains a matrix and an inner
pair of centrioles which are important
in cellular division.

NUCLEUS
Secretory vesicle= contain
Membrane bound organelle materials produced in the cells
which is the control center for formed by golgi apparatus;
all cellular activity. secreted by exocytosis.

Cell's genetic material (DNA) & > Lysosome = contains enzyme


nucleoli that digest material taken into
the cell.
Contains DNA - produce
instructions for protein
synthesis. Cont.

Contain chromosomes Mitochondria = site of aerobic


respiration & major site of ATP
Produce ribosome in the synthesis.
nucleolus

Cont. Microtubule = support


cytoplasm; assist in cell division
Nucleus = contains cell's & forms components of cilia &
genetic material (DNA) & flagella. Centrioles = facilitate
nucleoli. the movement of chromosomes
during cell division.

Ribosome = site of protein Cilia = move substances over


synthesis. surfaces of certain cells.

Rough ER = many ribosome Flagella =propel sperm cells.


attached, site of protein
synthesis. Microvilli = increases surface
area of certain cells.
Smooth ER = site of lipid
synthesis, participate in
detoxification.

Golgi apparatus = modifies


protein structure and packages Related Clinical Terms
protein in secretory vesicles.
NECROSIS - cellular death due
to disease or injury.
portion of the membrane
HYPERTROPHY - increase in size. (phospholipid bilayer)

i.e. Muscle cells become O Small molecules and ions can


hypertrophic in response to pass through membrane
exercise. channels.

4 Main Functions of cell CM channels differ in the degree


to which ions pass through
1. Cell metabolism and energy them.
use
Some channels constantly allow
2. Synthesis of molecules ions to pass through, called leak
channels.
3. Communication
Other channels limit the
4. Reproduction and Inheritance movement of ion across the
membrane by opening &
Movement Through the Cell closing, called gated channels.
Membrane

Diffusion :

A solution is generally
composed of one or more Cont.
substances, called solutes,
dissolved in the predominant Osmosis :
liquid or gas, which is called the
solvent. Is the diffusion of water (a
solvent) across a selectively
Diffusion is the movement of a permeable membrane.
solute from an area of higher
conc. to an area of lower conc. Osmotic Pressure is the force
within a solvent. required to prevent movement
of water across a selectively
A conc. gradient is the conc. of permeable membrane.
a solute at one point in a
solvent minus the conc. of that In a hypotonic solution, cells
solute at another point in the swell ( and can undergo lysis);
solvent divided by the distance in an isotonic solution, cells
between the points. neither swell nor shrink
(remains normal); in a
Cont. hypertonic solution, cells shrink
(undergo crenation).
Lipid-soluble molecules (02, CO,
and steroids) pass through CM Hypertonic Isotonic
readily by dissolving in the lipid Hypotonic
gradient to move another
A balloon in an isotonic solution substance across the CM. In
cotransport, both substances
Water flows out; the balloon shrinks move in the same direction; in
countertransport, they move in
opposite directions.
Whole-Cell Activity
A balloon in a hypertonic solution
A cell's characteristics are
Water flows in; the balloon expands ultimately determined by the
types of proteins it produces,
which are determined by the
genetic information in the
A balloon in a hypotonic solution nucleus.

Carrier- Mediated Transport Understanding how genetic


Mechanisms information is used in the cell &
distributed to daughter cells is
O Carrier-Mediated Transport is the important for understanding
movement of a substance across a basic cellular activity.
membrane by means of a carrier
molecule (glucose). CMTMs exhibit Gene Expression
specificity; that is only specific
molecules are transported by the Cell activity is regulated by
carriers. There are 3 kinds of CMT : enzymes (proteins), & DNA
controls enzyme production.
1. Facilitated diffusion During Transcription, the
sequence of nucleotides in DNA
2. Active transport ( a gene) determines the
sequence of nucleotides in
3. Secondary active transport mRNA; the mRNA moves
through the nuclear pores to
Cont. ribosomes. During Translation,
the sequence of codons in
Facilitated Diffusion moves mRNA is used at ribosomes to
substances from a higher to produce proteins. Anticodons of
lower conc. & does not require tRNA bind to the codons of
energy (ATP). mRNA, and the AA carried by
tRNA are joined to form a
Active Transport can move protein.
substances from a lower to a
higher conc. & requires ATP. Cell Life Cycle
Secondary Active Transport use
the energy of one substance The life of a cell consists of a
moving down its conc. series of events that produce
new cells for growth and for
tissue repair.
within various tissues of the
The 2 phases of the cell life body.
cycle are ; Interphase and Cell
Division. Regulated by specific genes. Is
a normal process by which cell
DNA replicates during number within various tissues
Interphase, the nondividing are adjusted and controlled.
phase of the cell cycle.
Cont.
Cell Division occurs
through Mitosis, which is divided There are 2 morphologic patterns of
into 4 stages : cellular death :

1. Prophase = each 1. Necrosis = is the more common


chromosome consists of 2 type of cellular death after exogenous
chromatids joined at the stimuli and is manifested by severe
centromere. cell swelling, denaturation, and
coagulation of proteins, breakdown of
2. Metaphase = cellular organelles, and cell rupture.
chromosomes align at the
center of the cell. 2. Apoptosis = occurs when a cell die
through th of an internal suicide
3. Anaphase = program. It is carefully orch 47-48 / 55
chromatids separate at disassembly of cellular components
the centromere & migrate designed to elh .......... unwanted cells
to opposite poles. with minimal disruption of the
surrounding tissue. It is characterized
4. Telophase = the 2 new morphologically by chromatin
nuclei assume their condensation & fragmentation.
normal structure, and cell Apoptosis occurs in single or small
division is completed, clusters of cells & results in the
producing 2 new elimination of unwanted cells during
daughter cells. embryogenesis & in various
physiologic and pathologic states.

Differentiation Causes of Cellular Injury

Is the process by which cells develop 1. Oxygen deprivation (hypoxia)


specialized structures, functions, = occurs as a result of :
results from the selective activation &
inactivation of DNA sections. a) Ischemia

Apoptosis b) Inadequate
oxygenation (ex. cardio
Is the programmed death cells. respiratory failure)
Regulates the number of cells
c) Loss of oxygen- to explain how aging occurs
carrying capacity of the concentrate on molec. within the cell,
blood (ex. anemia, such as lipids, proteins, & NA.
carbon monoxide
poisoning). It is estimated that at least 35% of the
factors affecting aging are genetic.
2. Physical agents = including
trauma, heat, cold, radiation, Cont.
and electric shock.
. Major theories of aging : 1. Cellular
clock = certain numbers of cell
3. Chemical agents = division result in death of a given cell
therapeutic drugs (ex. line.
Acetaminophen[tylenol] &
nontherapeutic agents (ex. lead
& alcohol). Death gene = turn on late in life,
sometimes prematurely, causing cells
4. Infectious agents = viruses, too deteriorate & die.
rickettsiae, bacteria, fungi &
parasites. DNA damage = in time, DNA is
damaged, resulting in cell
5. Immunologic reactions = degeneration & death.
which can cause cell injury as
well as serve in the defense Free radicals = DNA susceptible to
against biologic means. direct damage, resulting in mutations
that may result in cellular dysfunction
6. Genetic derangements = & ultimately cell death. One major
such as chromosomal source of DNA damage is Free
alterations or specific mutations Radicals, which are atoms or molec.
in genes. with an unpaired electron.

0 7. Nutritional imbalance = Cont.


including protein-calorie
deficiency & lack of specific Mitochondrial damage = mito. DNA
vitamins as well as nutritional maybe more sensitive to free radical
excesses. Additionally the damage than is nuclear DNA. Mito.
composition of the diet can damage may result in loss of proteins
make significant contribution to critical to mito. function. Bec. Mito. are
disease. primary source of ATP, loss of mito.
function could lead to loss of energy
critical to cell function, ultimately to
cell death. One proposal suggest that
Cellular Aspects of Aging reduced caloric intake may reduce
freeradical damage to mitochondria.
Outward signs of aging such as
wrinkled skin, gray hair & reduced
vision. Major hypothesis that attempts
ANATOMY AND PHYSIOLOGY
DEFINED
Anatomy (ana- = up; -tomy = process
of cutting) is the science of body
structures and the relationships
among them.
Dissection (dis- = apart; -section =
act of cutting), the careful cutting
apart of body structures to study their
relationships.
Physiology (physio- = nature; -logy =
study of) is the science of body
functions.
Embryology (embry- = embryo; -logy
= study of) The first eight weeks of
development after fertilization of a
human egg.
Neurophysiology (neuro- = nerve)
Functional properties of nerve cells.
Developmental biology the
complete development of an individual
from fertilization to death.
Endocrinology (endo- = within; -crin
= secretion) Hormones (chemical
regulators in the blood) and how they
control body functions.
Cell biology Cellular structure and
functions.
Cardiovascular physiology (cardi- =
heart; vascular = blood vessels)
Functions of the heart and blood
vessels.
Histology (hist - = tissue) Microscopic
structure of tissues.
Immunology (immun- = not STRUCTURAL ORGANIZATION AND
susceptible) The body’s defenses BODY SYSTEMS
against disease-causing agents.
Cellular level, Molecules combine to
Gross anatomy Structures that can form cells, the basic structural and
be examined without a microscope. functional units of an organism that
are composed of chemicals. cells are
Respiratory physiology (respira- =
the smallest living units in the human
to breathe) Functions of the air
body.
passageways and lungs.
3 types of cells
Systemic anatomy Structure of
specific systems of the body such as Muscle cells, Nerve cells,
the nervous or respiratory systems. Epithelial cells

Renal physiology (RE-nal; ¯ ren- = Tissue level, Tissues are groups of


kidney) Functions of the kidneys. cells and the materials surrounding
them that work together to perform a
Regional anatomy Specific regions particular function.
of the body such as the head or chest.
Epithelial tissue covers body
Exercise physiology Changes in cell surfaces, lines hollow organs and
and organ functions due to muscular cavities, and forms glands
activity.
Connective tissue connects,
Surface anatomy Surface markings supports, and protects body organs
of the body to understand internal while distributing blood vessels to
anatomy through visualisation and other tissues.
palpation (gentle touch).
Muscular tissue contracts to make
Pathophysiology Functional changes body parts move and generates heat.
associated with disease and ageing.
Nervous tissue carries information
Imaging anatomy Body structures from one part of the body to another
that can be visualised with techniques through nerve impulses.
such as x-rays, MRI, and CT scans.
Organ level. At the organ level
Pathological anatomy (path- = different types of tissues are joined
disease) Structural changes (gross to together. Organs are structures that
microscopic) associated with disease. are composed of two or more different
Chemical level, atoms, the smallest types of tissues; they have specific
units of matter that participate in functions and usually have
chemical reactions, and molecules, recognizable shapes.
two or more atoms joined together. System level. A system (consists of
deoxyribonucleic acid (DNA), the related organs with a common
genetic material passed from one function.
generation to the next Organismal level, an organism any
glucose, commonly known as blood living individual. All the parts of the
sugar.
human body functioning together Lymphatic system and immunity,
constitute the total organism. returns proteins and fluid to blood;
carries lipids from gastrointestinal
ELEVEN SYSTEMS OF THE HUMAN
tract to blood; contains sites of
BODY
maturation and proliferation of B cells
Integumentary system, protects and T cells that protect against
body; helps regulate body disease-causing microbes.
temperature; eliminates some wastes;
Respiratory system, Transfers
helps make vitamin D; detects
oxygen from inhaled air to blood and
sensations such as touch, pain,
carbon dioxide from blood to exhaled
warmth, and cold; stores fat and
air; helps regulate acid–base balance
provides insulation.
of body fluids; air flowing out of lungs
Skeletal system, supports and through vocal cords produces sounds.
protects body; provides surface area
Digestive system, achieves physical
for muscle attachments; aids body
and chemical breakdown of food;
movements; houses cells that produce
absorbs nutrients; eliminates solid
blood cells; stores minerals and lipids
wastes
(fats).
Urinary system, produces, stores,
Muscular system, participates in
and eliminates urine; eliminates
body movements, such as walking;
wastes and regulates volume and
maintains posture; produces heat.
chemical composition of blood; helps
Nervous system, generates action maintain the acid–base balance of
potentials (nerve impulses) to regulate body fluids; maintains body’s mineral
body activities; detects changes in balance; helps regulate production of
body’s internal and external red blood cells.
environments, interprets changes, and
Reproductive systems, Gonads
responds by causing muscular
produce gametes (sperm or oocytes)
contractions or glandular secretions.
that unite to form a new organism;
Endocrine system, regulates body gonads also release hormones that
activities by releasing hormones regulate reproduction and other body
(chemical messengers transported in processes; associated organs transport
blood from endocrine gland or tissue and store gametes; mammary glands
to target organ). produce milk.

Cardiovascular system, Heart


pumps blood through blood vessels;
blood carries oxygen and nutrients to
cells and carbon dioxide and wastes Noninvasive diagnostic
away from cells and helps regulate techniques, use several noninvasive
acid–base balance, temperature, and diagnostic techniques to assess
water content of body fluids; blood certain aspects of body structure and
components help defend against function. is one that does not involve
disease and repair damaged blood insertion of an instrument or device
vessels. through the skin or a body opening.
Inspection, the examiner observes external environment (outside
the body for any changes that deviate the body) to prepare the body
from normal. For example, a physician for a potential threat.
may examine the mouth cavity for
evidence of disease. 3. Movement includes motion of
the whole body, individual
palpation (palp- = gently touching),
organs, single cells, and even
the examiner feels body surfaces with
tiny structures inside cells.
the hands.
4. Growth is an increase in body
auscultation (auscult- = listening) size that results from an
the examiner listens to body sounds to increase in the size of existing
evaluate the functioning of certain cells, an increase in the number
organs, often using a stethoscope to of cells, or both. In addition, a
amplify the sounds. tissue sometimes increases in
size because the amount of
percussion (percus- = beat through) material between cells
the examiner taps on the body surface increases. In a growing bone, for
with the fingertips and listens to the example, mineral deposits
resulting sound. Hollow cavities or accumulate between bone cells,
spaces produce a different sound than causing the bone to grow in
solid organs. length and width.
CHARACTERISTICS OF THE LIVING 5. Differentiation is the
HUMAN ORGANISM development of a cell from an
unspecialized to a specialized
1. Metabolism is the sum of all state. Such precursor cells,
chemical processes that occur which can divide and give rise
in the body. to cells that undergo
differentiation, are known as
catabolism (catabol- = throwing
stem cells.
down; -ism = a condition), the
6. Reproduction (re-pr ¯ o-DUK-
breakdown of complex chemical
shun) refers either to (1) the
substances into simpler components.
formation of new cells for tissue
anabolism (anabol- = a raising up), growth, ¯ repair, or replacement,
the building up of complex chemical or (2) the production of a new
substances from smaller, simpler individual.
components.
When any one of the life processes
2. Responsiveness is the body’s ceases to occur properly, the result
ability to detect and respond to is death of cells and tissues, which
changes. For example, an may lead to death of the organism.
increase in body temperature Clinically, loss of the heartbeat,
during a fever represents a absence of spontaneous breathing,
change in the internal and loss of brain functions indicate
environment (within the body), death in the human body.
and turning your head towards
HOMEOSTASIS
the sound of squealing brakes is
a response to a change in the
Homeostasis (homeo- = Capillaries, smallest blood vessels
sameness; -stasis = standing still) in the body, the blood.
is the condition of equilibrium
The nervous system regulates
(balance) in the body’s internal
homeostasis by sending electrical
environment due to the constant
signals known as nerve impulses
interaction of the body’s many
(action potentials) to organs that
regulatory processes. Homeostasis
can counteract changes from the
is a dynamic condition. In response
balanced state. The endocrine
to changing conditions, the body’s
system includes many glands that
equilibrium can shift among points
secrete messenger molecules
in a narrow range that is
called hormones into the blood.
compatible with maintaining life.
Nerve impulses typically cause
The fluid within cells is rapid changes, but hormones
intracellular fluid (ICF) (intra- = usually work more slowly. Both
inside). Extracellular fluid, fluid means of regulation, however,
outside the body cells. work towards the same end,
usually through negative
The ECF that fills the narrow spaces
feedback systems.
between cells of tissues is known
as interstitial fluid (in′ -ter-STISH- A feedback system or feedback
al; inter- = between). loop is a cycle of events in which
the status of a body condition is
ECF within:
monitored, evaluated, changed,
blood vessels are termed blood remonitored, reevaluated, and so
plasma, on.

lymphatic vessels it is called Each monitored variable, such as


lymph body temperature, blood pressure,
or blood glucose level, is termed a
around the brain and spinal cord, it controlled condition.
is known as cerebrospinal fluid,
Stimulus, disruption that changes
joints it is referred to as synovial controlled condition.
fluid,
1. Receptor is a body structure
eyes, aqueous humour and that monitors changes in a
vitreous body controlled condition and sends
The proper functioning of body input to a control center. This
cells depends on precise regulation pathway is called an afferent
of the composition of the pathway (af- = towards;
interstitial. Interstitial fluid, known -ferrent = carried), since the
as body’s internal environment. information flows towards the
The composition of interstitial fluid control center. Typically, the
changes as substances moves back input is in the form of nerve
and forth between it and blood impulses or chemical signals.
plasma. 2. Control center, sets the range
of values within which a
controlled condition should be
maintained, evaluates the input (output) to the heart and blood vessels
it receives from receptors, and (the effectors). Heart rate decreases
generates output commands and blood vessels dilate (widen),
when they are needed Output which cause BP to decrease
from the control center typically (response).
occurs as nerve impulses, or
positive feedback system tends to
hormones or other chemical
strengthen or reinforce a change in
signals. This pathway is called
one of the body’s-controlled
an efferent pathway (ef- =
conditions. The control centre still
away from), since the
provides commands to an effector, but
information flows away from the
this time the effector produces a
control center.
physiological response that adds to or
3. effector is a body structure
reinforces the initial change in the
that receives output from the
controlled condition. The action of a
control centre and produces a
positive feedback system continues
response or effect that changes
until it is interrupted by some
the controlled condition. Nearly
mechanism.
every organ or tissue in the
body can behave as an effector Oxytocin causes muscles in the wall
of the uterus (effector) to contract
When your body temperature drops
even more forcefully.
sharply, your brain (control centre)
sends nerve impulses (output) to your For most people, lifelong good health
skeletal muscles (effectors). The result is not something that happens
is shivering, which generates heat and effortlessly. The many factors in this
raises your body temperature. balance called health include the
following:
In a feedback system, the response of
the system ‘feeds back’ information to  the environment and your own
change the controlled condition in behavior
some way, either negating it (negative  your genetic makeup
feedback) or enhancing it (positive  The air you breathe, the food
feedback) you eat, and even the thoughts
you think.
negative feedback system reverses
a change in a controlled condition. The way you live your life can either
support or interfere with your body’s
Blood pressure (BP) is the force
ability to maintain homeostasis and
exerted by blood as it presses against
recover from the inevitable stress’s
the walls of blood vessels.
life throws your way
Baroreceptors (the receptors),
pressure-sensitive nerve cells located
in the walls of certain blood vessels,
detect the higher pressure. The
baroreceptors send nerve impulses
(input) to the brain (control centre), A disorder is any abnormality of
which interprets the impulses and structure or function.
responds by sending nerve impulses
Disease is a more specific term for an percussion, along with measurement
illness characterized by a recognizable of vital signs (temperature, pulse,
set of signs and symptoms. respiratory rate, and blood pressure),
and sometimes laboratory tests.
A local disease affects one part or a
limited region of the body (for BASIC ANATOMICAL TERMINOLOGY
example, a sinus infection)
anatomical position is a standard
a systemic disease affects either the position of reference.
entire body or several parts of it (for
Two terms describe a reclining body. If
example, influenza).
the body is lying face down, it is in the
symptoms, subjective changes in prone position. If the body is lying
body functions that are not apparent faceup, it is in the supine position.
to an observer.
To locate various body structures,
Signs, objective changes that a anatomists use specific directional
clinician can observe and measure. terms, words that describe the
position of one body part relative to
epidemiology (epi- = upon; -demi =
another.
people) science that deals with why,
when, and where diseases occur and Most of the directional terms used to
how they are transmitted among describe the relationship of one part of
individuals the body to another can be grouped
into pairs that have opposite
Pharmacology (pharmac- = drug) is
meanings. For example, superior
the science that deals with the effects
means towards the upper part of the
and uses of drugs in the treatment of
body, and inferior means towards the
disease.
lower part of the body. It is important
Diagnosis (dia- = through; -gnosis = to understand that directional terms
knowledge) is the science and skill of have relative meanings; they make
distinguishing one disorder or disease sense only when used to describe the
from another. position of one structure relative to
another. For example, your knee is
Taking a medical history consists of superior to your ankle, even though
collecting information about events both are located in the inferior half of
that might be related to a patient’s the body. Study the directional terms
illness. These include the chief below and the example of how each is
complaint (primary reason for seeking used. As you read the examples, look
medical attention), history of present at figure 1.6 to see the location of
illness, past medical problems, family each structure.
medical problems, social history, and
review of symptoms.
A physical examination is an orderly A sagittal plane (sagitt- = arrow) is a
evaluation of the body and its vertical plane that divides the body or
functions. This process includes the an organ into right and left sides.
noninvasive techniques of inspection,
palpation, auscultation, and
Midsasgittal or median plane, a Three layers of protective tissue, the
plane passes through the midline of meninges, and a shock-absorbing
the body or an organ and divides it fluid sur- ¯ round the brain and spinal
into equal right and left sides. cord.
The midline is an imaginary vertical The major body cavities of the trunk
line that divides the body into equal are the thoracic and abdominopelvic
left and right sides. cavities.
The thoracic cavity or chest cavity is
formed by the ribs, the muscles of the
chest, the sternum (breastbone), and
Parasagittal plane is when, the the thoracic portion of the vertebral
sagittal plane does not pass through column. pericardial cavity (peri- =
the midline but instead divides the around; -cardial = heart). Pleural
body or an organ into unequal right cavities, a fluid-filled space that
and left sides surrounds the heart, and two fluid-
filled spaces, one around each lung.
A frontal plane or coronal plane mediastinum (media- = middle;
(corona = crown) divides the body or -stinum = partition). It is between the
an organ into anterior (front) and lungs, extending from the sternum to
posterior (back) portions. the vertebral column and from the first
A transverse plane divides the body rib to the diaphragm.
or an organ into superior (upper) and diaphragm (D¯I-a-fram = partition or
inferior (lower) portions. Other names wall) is a dome-shaped muscle that
for a transverse plane are a cross- separates the thoracic cavity from the
sectional or horizontal plane. abdominopelvic cavity.
An oblique plane, by contrast,
passes through the ¯ body or an organ
at an oblique angle (any angle other The abdominopelvic cavity extends
than a 90-degree angle). from the diaphragm to the ¯ groin and
is encircled by the abdominal
muscular wall and the bones and
A section is a cut of the body or one muscles of the pelvis.
of its organs made along one of the The superior portion, the abdominal
planes just described. cavity (abdomin- = belly), contains
Body cavities are spaces that the stomach, spleen, liver, gall
enclose internal organs. Bones, bladder, small intestine, and most of
muscles, ligaments, and other the large intestine.
structures separate the various body The inferior portion, the pelvic cavity
cavities from one another. (pelv- = basin), contains the urinary
cranial cavity, which contains the bladder, portions of the large intestine,
brain. and internal organs of the reproductive
system.
vertebral (spinal) canal, which
contains the spinal cord.
Viscera, organs inside the thoracic The peritoneum is the serous
and abdominopelvic cavities. membrane of the abdominal cavity.
The visceral peritoneum covers the
THORACIC & ABDOMINAL CAVITY
abdominal viscera, and the parietal
MEMBRANES
peritoneum lines the abdominal wall,
A membrane is a thin, pliable tissue covering the inferior surface of the
that covers, lines, partitions, or diaphragm. Between them is the
connects structures. peritoneal cavity, which contains a
small amount of lubricating serous
Serous membrane is a slippery, fluid.
double-layered membrane associated
with body cavities that does not open Retroperitoneal, some of organs are
directly to the exterior. not surrounded by the peritoneum;
instead, they are posterior to it.
It covers the viscera within the
thoracic and abdominal cavities and The kidneys, adrenal glands,
also lines the walls of the thorax and pancreas, duodenum of the small
abdomen. intestine, ascending and descending
colons of the large intestine, and
2 parts of serous membrane portions of the abdominal aorta and
the parietal layer, a thin epithelium inferior vena cava are retroperitoneal.
that lines the walls of the cavities. ABDOMINOPELVIC REGIONS AND
the visceral layer (VIS-er-al), a thin QUADRANTS
epithelium that covers and adheres to The top horizontal line, the subcostal
the viscera within the cavities. line (sub- = under; costal = rib), is
Serous fluid, is a potential space that drawn just inferior to the ribs, across
contains small amount of lubricating the inferior portion of the stomach; the
fluid in between the two layers. allows bottom horizontal line.
the viscera to slide somewhat during The transtubercular line is drawn
movements, such as when the lungs just inferior to the tops of the hip
inflate and deflate during breathing. bones.
The serous membrane of the pleural Two vertical lines, the left and right
cavities is called the pleura. The midclavicular lines, are drawn
visceral pleura clings to the surface of through the midpoints of the clavicles
the lungs, and the parietal pleura lines (collar bones), just medial to the
the chest wall, covering the superior nipples. The four lines divide the
surface of the diaphragm. abdominopelvic cavity into a larger
The serous membrane of the middle section and smaller left and
pericardial cavity is the pericardium. right sections.
The visceral pericardium covers the The names of the nine abdominopelvic
surface of the heart; the parietal regions are right hypochondriac,
pericardium lines the chest wall. epigastric, left hypochondriac,
Between them is the pericardial cavity, right lumbar, umbilical left lumbar,
filled with a small amount of
lubricating serous fluid.
right inguinal (iliac), hypogastric Barium contrast x-ray, for
(pubic), and left inguinal (iliac). gastrointestinal tract
The second method is simpler and
divides the abdominopelvic cavity into
Magnetic resonance imaging
quadrants (quad- = one-fourth). In this
(MRI), Most useful for differentiating
method, a midsagittal line (the median
between normal and abnormal tissues.
line) and a transverse line (the
Used to detect tumours and artery-
transumbilical line) are passed through
clogging fatty plaques; reveal brain
the umbilicus ( umbilic- = navel) or
abnormalities; measure blood flow;
belly button. The names of the
and detect a variety of
abdominopelvic quadrants are right
musculoskeletal, liver, and kidney
upper quadrant (RUQ), left upper
disorders. Not for bones.
quadrant (LUQ), right lower
quadrant (RLQ), and left lower Computed tomography (CT)
quadrant (LLQ). [formerly called computerized
axial tomography (CAT) scanning,
The nine-region division is more
Visualizes soft tissues and organs with
widely used for anatomical studies,
much more detail than conventional
and quadrants are more commonly
radiographs. Differing tissue densities
used by clinicians for describing the
show up as various shades of grey.
site of abdominopelvic pain, a tumour,
Multiple scans can be assembled to
or another abnormality.
build three-dimensional views of
MEDICAL IMAGING structures (described next). Whole-
body CT scanning typically targets the
Medical imaging refers to techniques
torso and appears to provide the most
and procedures used to create images
benefit in screening for lung cancers,
of the human body.
coronary artery disease, and kidney
The grandparent of all medical cancers.
imaging techniques is Conventional
Ultrasound scanning, the image,
Radiography (x-rays), in medical
which may be still or moving, is called
use since the late 1940s.
a sonogram (SON-o-gram) and is
Mammography for breast shown on a video monitor. Most
commonly used to visualize the fetus
Bone densitometry for bone during pregnancy. Also used to
density observe the size, location, and actions
It is necessary to use a substance of organs and blood flow through
called a contrast medium to make blood vessels (Doppler ultrasound).
hollow or fluid-filled structures visible Coronary (cardiac) computed
(appear white) in radiographs. tomography angiography (CCTA)
Angiography, Contrast x-rays are scan, used primarily to determine if
used to image blood vessels there are any coronary artery
blockages (for example,
Intravenous urography, for urinary atherosclerotic plaque or calcium) that
system may require an intervention such as
angioplasty or stent.
Positron emission tomography
(PET), Used to study the physiology of
body structures, such as metabolism
in the brain or heart.
Endoscopy, y involves the visual
examination of the inside of body
organs or cavities using a lighted
instrument with lenses called an
endoscope.
colonoscopy (used to examine the
interior of the colon, which is part of
the large intestine), laparoscopy
(used to examine the organs within
the abdominopelvic cavity), and
arthroscopy (used to examine the
interior of a joint, usually the knee).
Radionuclide scanning, used to
study activity of a tissue or organ,
such as searching for malignant
tumors in body tissue or scars that
may interfere with heart muscle
activity. A radionuclide (radioactive
substance) is introduced intravenously
into the body and carried by the blood
to the tissue to be imaged.

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