You are on page 1of 8

BATCH MATATAG 2026

UNIVERSITY OF CEBU – COLLEGE OF MEDICAL TECHNOLOGY

ANATOMY AN D PHYSIOLOGY
WITH PATHOPHYSIOLOGY
DEXTER GIOVANNI A. ANDALES RMT, MD, MBA, FPCP, FPSGIM | AUGUST 26, 2022

1ST SEMESTER
[TRANS] UNIT 1: INTRODUCTION TO THE HUMAN BODY

OUTLINE
I. Overview of Anatomy and Physiology
II. Structural Organization of the Human Body
A. The Levels of Organization
B. Organismal Level Part
- Integumentary
- Skeletal
- Muscular
- Nervous Example: Brains, Bones, Digestive Organs, etc.
- Endocrine  Histology
- Cardiovascular - study of the minute structure of the body that can
- Lymphatic be observed only with the use of a microscope
- Respiratory /magnification devices.
- Digestive - also known as “microscopic anatomy”.
- Urinary Cytology, the study of cells and histology, the study
- Male Reproductive System
of tissues.
- Female Reproductive System
III. Functions of Human Life
A. Organization
B. Metabolism
C. Responsiveness
D. Movement
E. Development, Growth, & Reproduction
IV. Requirements for Human Life
A. Oxygen Example: Cells & Tissues
B. Nutrients
C. Narrow Range of Temperature HOW IS ANATOMY STUDIED?
D. Narrow Range of Atmospheric Terms Definition
Pressure
V. Homeostasis Regional/ study of the interrelationships of all of the
A. Negative Feedback Topographical structures in a specific body region.
B. Positive Feedback Anatomy
VI. Anatomical Terminology Example: how muscles, nerves, blood vessels &
other structures work together to serve a particular
A. Anatomical Position body region and dissection anatomy.
B. Regional Terms
Systematic study of the structures that make up a
C. Directional Terms Anatomy discrete body system, structures that work
D. Body Planes together to perform a unique body function.
E. Body Cavities and Serous Membranes
- Subdivisions of the Posterior (Dorsal) & Example: studying the digestive system from the
Anterior (Ventral) Cavities time food is ingested until it’s executed.
- Abdominal Regions and Quadrants
- Membranes of the Anterior (Ventral)
Body Cavity Division of Human Anatomy
VII. Medical Imaging  Developmental Anatomy
A. X – Rays - study of the various changes undergone by the
B. Modern Medical Imaging body in its different stages of development.
- Computed Tomography (CT) - from one-cell stage and throughout its natural life.
- Magnetic Resonance Imaging (MRI)  Embryology
- Positron Emission Tomography (PET) - a part of developmental anatomy limited to the
- Ultrasonography study of all body changes occurring while
developing inside the uterus, intra-uterine life.
Overview Of Anatomy and Physiology:
Anatomy
- the scientific study of the body’s structure
- from the Greek word “temnein” which means “to cut
apart”.
- first studied by observing the exterior of the body and
observing the wounds of soldiers and other injuries.
Example: Embryo, Fetus
-
Areas of Specialization: Physiology
 Gross Anatomy - study of the processes and functions on how the
- study of the larger structures of the body. body and its parts work. It is the scientific study of
- referred to as macroscopic anatomy, in which the chemistry and physics of the body’s structure.
“macro” means large.
- can be seen with our naked eye/natural vision.
Carrie Anne Bulilan RMT || 1A – Medical Technology 1|Page
BATCH MATATAG 2026
UNIVERSITY OF CEBU – COLLEGE OF MEDICAL TECHNOLOGY

ANATOMY AN D PHYSIOLOGY
WITH PATHOPHYSIOLOGY
DEXTER GIOVANNI A. ANDALES RMT, MD, MBA, FPCP, FPSGIM | AUGUST 26, 2022

1ST SEMESTER
[TRANS] UNIT 1: INTRODUCTION TO THE HUMAN BODY
- includes observation, both with the naked eye and
with microscopes, as well as manipulations and
measurements.

Carrie Anne Bulilan RMT || 1A – Medical Technology 2|Page


UNIT 1: INTRODUCTION TO THE HUMAN BODY | YEAR 1

INTRODUCTION TO THE SYSTEMIC ANATOMY


LOCOMOTOR SYSTEM LYMPH VASCULAR SYSTEM
A. Skeletal System - includes lymph vessels and lymph glands
- provides framework and support, protects vital A. Lymphatic System – return fluid that has leaked
organs like the brain, serves as levers for muscular from the blood vessels to the main circulation
movement. - filtration of body fluids, like blood and lymph,
- houses the hematopoietic tissue and reservoir for immune defense of the body.
minerals like calcium. DERMATOLOGY
 Osteology – bones and associated cartilages - skin and its appendages – hairs, nails, and
and membranes cutaneous glands.
B. Articulatory System A. Integumentary System – forms the external
 Arthrology – joints or articulations and covering of the body (skin)
associated ligaments.  Protection – for mechanical protection;
C. Muscular System prevents dehydration
 Myology – all skeletal ms and assofasciae,  Sensory Perception – due to receptors present
synovial sheaths, tendons, and synovial  Thermoregulatory – through sweating
bursae.  Excretion – of salts through sweat
DIGESTIVE SYSTEM  Vitamin D Synthesis
- includes the main and accessory organs that
make up the alimentary tract. Layers of the Skin
 mechanical and chemical breakdown of food  Epidermis – keratinized, epithelium, avascular
 absorption of nutrients and delivery to blood for  Dermis – dense layer of interlacing collagen and
distribution to the different body parts elastic fibers
 elimination of the undigested waste products
RESPIRATORY SYSTEM
 Supply of 02 and removal of CO2
 Regulation of blood pH or Acid-Base Balance
UROGENITAL SYSTEM
- includes all organs associated in the urinary and
genital functions of the body.
A. Urinary System – clean the blood of nitrogenous
waste products
- water; electrolyte balance, acid-base balance
of the blood
B. Reproductive System – propagation and survival
of the species.
- production of male and female germ cells
- allow transfer of sex cells for fertilization and
implantation.
- permits development and birth of the offspring
- provides nourishment of the offspring
ENDOCRINE SYSTEM Tension/Langer Lines – Cleavage Lines
- ductless glands, includes all glands of internal  Spiral longitudinally in the limbs
secretion  Run transversely in the neck and trunk
 Creases that appear when the limbs are flexed
 serves as the body’s slow-acting control system
 The elastic fibers of the dermis deteriorate with age
 produce chemical substances (hormones) that
and are not replaced; subsequently, in older people,
influence numerous body functions.
the skin wrinkles and sags as it loses its elasticity
NERVOUS SYSTEM
- serves as the body’s fast acting control system
 receives impulses from the external
environment PART ANATOMICAL POSITION
 transmit these impulses to the central nervous Body Erect in the standing
system position
 assessment of these impulses (integration & Upper Extremities At the sides of the body
analysis) Palm of the Hand Facing towards or
 responses necessary for life and function anteriorly
A. Central Nervous System – brain and spinal cord Thumb Directed away from the
B. Peripheral Nervous System – cranial and spinal
median plane
nerves
C. Autonomic Nervous System – sympathetic and Forearms and Hands Supine position
parasympathetic systems Feet Together
D. Special Senses – sight, hearing, smell and taste Face Forward
BLOOD VASCULAR SYSTEM Mouth Closed
- heart and blood vessels-arteries, veins and Facial Expression Neutral
capillaries.
A. Cardiovascular System - transport of gases,
nutrients, hormones, & other substances to different
parts of the body.
- immune defense of the body due to the white
blood cells in the blood

Carrie Anne Bulilan RMT || 1A – Medical Technology 3|Page


UNIT 1: INTRODUCTION TO THE HUMAN BODY | YEAR 1

 Homeostasis - the state of steady internal conditions Terms Definitions


maintained by living things. Atoms Made up of subatomic particles (proton,
- does not require an unchanging state, but that the electron, and neuron)
changes in the internal organs is constantly Cell Smallest independently functioning unit
of a living organism. All functions of
changing.
human physiology are performed and
initiated by in cells
Structural Organization of the Human Body Organelles A water-based cellular fluid with tiny
 the body organization is composed of six distinct levels functioning units.
of increasing complexity based on it’s functionality. Tissue Group of similar cells
Chemical Level Four Basic Types of Tissues:
(Carbon, Hydrogen, Oxygen, Nitrogen atoms-essential 1. Epithelial – covers body
atoms in maintaining life) surfaces, lines, hollow
- they bond to form molecules with three dimensional organs.
2. Connective Tissue –
structures.
connects, supports, and
- simplest level of organization, involves interactions protects body organs.
among atoms & their combination to form molecule 3. Muscular Tissue – contracts
Example: H2O – Water Molecule to make body movement and
generates heat.
4. Nervous Tissue – carriers of
information. transfers
information from one part of
the body to another through
Cellular Level
nerve impulses.
- variety of combined molecules to form the fluid and Organ Anatomically distinct structure of the
organelles of a body cell. body composed of two or more tissue
Example: smooth muscle cells – organelles such as types.
mitochandria, golgi bodies; cell fluids Organ System Group of organs that work together

Organism Living being that has a cellular


structure and that can independently
perform all physiologic functions
Tissue Level necessary for life.
- group or community of similar cells form a body tissue,
that performs a common function. FUNCTIONS OF HUMAN LIFE
Example: smooth muscle tissue, cardiac muscle tissue, Organization
skeletal muscle tissues - trillions of cells organized inside of a human body in a way
that maintains distinct internal compartments.
 Cell Membrane – also referred as ‘plasma
membrane’, keeps the intracellular environment—the
fluids and organelles—separate from the extracellular
Organ Level environment.
- Composed of two or more different tissues combined  Intestinal Tract – home to even more bacteria cells
to form an organ, that performs specific functions in the than the total of all human cells in the body, yet not
body. allowed to circulate inside the body.
Example: Bladder – smooth muscle, skeletal muscle  Blood Vessels - keep blood inside a closed
circulatory system, and nerves and muscles are
wrapped in connective tissue sheaths that separate
them from surrounding structures.
Metabolism
- basic function as an organism is to consume (ingest)
Organ System Level
energy and molecules in the foods you eat, convert some of
- Composed of two or more organs that work together to
it into fuel
perform the bodily functions, at this level, complex
for movement, sustain your body functions, and build and
functions become possible.
maintain your body structures.
Example: Urinary Tract System – kidneys, ureter,
 Anabolism – process whereby smaller, simpler
bladder, urethra
molecules are combined into larger, more complex
substances.
 Catabolism - process by which larger more
complex substances are broken down into smaller
simpler molecules.
Organismal Level - it releases energy
- Many organ system that work harmoniously together to  Adenosine Triphosphate (ATP) – to store and release energy.
perform the functions of an independent organism.
- at this level, complex functions become possible.

Levels of Organization
 simplest building blocks of matter: subatomic particles,
atoms and molecules.

Carrie Anne Bulilan RMT || 1A – Medical Technology 4|Page


UNIT 1: INTRODUCTION TO THE HUMAN BODY | YEAR 1

Responsiveness
– the ability organism to adjust to changes in its internal and
external environments. HOMEOSTASIS
- example of responsiveness to external stimuli could - maintaining homeostasis requires that the body
include moving toward sources of food and water and away continuously monitor its internal conditions. From body
from perceived dangers. temperature to blood pressure to levels of certain nutrients,
Movement each physiological condition has a particular set point.
- Human movement includes not only actions at the joints of  Set Point - physiological value around which the
the body, but also the motion of individual organs and even normal range fluctuates.
individual cells.  Normal Range - restricted set of values that is
Development optimally healthful and stable.
- all of the changes that the body goes through in life,  Control Centers – monitor and react to deviations
includes the processes of growth and repair, both of which from homeostasis using negative feedback.
involve cell differentiation. Negative Feedback
 Differentiation - unspecialized cells become - a mechanism that reverses a deviation from the set-point,
specialized in structure and function to perform certain negative feedback maintains body parameters within their
tasks in the body normal range.
Growth - the effect of the response to the stimulus is to shut off the
- the increase in body size. Humans, like all multicellular original stimulus or reduce its intensity.
organisms, grow by increasing the number of existing cells, - represents most of the homeostatic control of the
increasing the amount of non-cellular material around cells mechanisms of the body.
(such as mineral deposits in bone), and, within very narrow - examples are body temperature, blood pressure, heart and
limits, increasing the size of existing cells respiratory rate.
Reproduction  Sensor - also referred to a receptor, is a
- formation of a new organism from parent organisms. In component of a feedback system that monitors a
humans, reproduction is carried out by the male and female physiological value.
reproductive systems.  Control Center - e component in a feedback
system that compares the value to the normal
REQUIREMENTS FOR HUMAN LIFE range. If the value deviates too much from the set
Oxygen a key component of the chemical reactions that point, then the control center activates an effector.
keep the body alive, including the reactions  Effector - the component in a feedback system that
that produce ATP. causes a change to reverse the situation and return
the value to the normal range.
Brain cells are especially sensitive to lack of
oxygen because of their requirement for a
high-and-steady production of ATP.
Nutrient substance in foods and beverages that is
essential to human survival.
The three basic classes:
 Water - largest component of cells,
blood, and the fluid between cells,
and water makes up about 70
percent of an adult’s body mass
 Energy-yielding - primarily
carbohydrates and lipids, while
proteins mainly supply the amino
acids that are the building blocks of  Heat-Loss Center - cluster of brain cells that
the body itself. stimulates a When the brain’s temperature
 Micronutrients - are vitamins and regulation center receives data from the sensors
minerals. These elements and indicating that the body’s temperature exceeds its
compounds participate in many
essential chemical reactions and
normal range.
processes, such as nerve impulses,  Blood vessels in the skin begin to dilate allowing
and some, such as calcium, also more blood from the body core to flow to the
contribute to the body’s structure. surface of the skin allowing the heat to radiate into
the environment.
Narrow When body temperature rises well above or  As blood flow to the skin increases, sweat glands
Range of drops well below normal, certain proteins are activated to increase their output. As the sweat
Temperature (enzymes) that facilitate chemical reactions evaporates from the skin surface into the
lose their normal structure and their ability to surrounding air, it takes heat with it.
function and the chemical reactions of
 The depth of respiration increases, and a person
metabolism cannot proceed.
may breathe through an open mouth instead of
 Sweating – one the body’s response through the nasal passageways. These further
to heat. increases heat loss from the lungs.
 Shivering – response to cold, which
Positive Feedback
is random muscle movement that
generates heat. - intensifies a change in the body’s physiological condition
rather than reversing it. Response to the stimulus to make
Narrow is pressure exerted by the mixture of gases
Range of (primarily nitrogen and oxygen) in the Earth’s the deviation even greater.
Atmospheric atmosphere. Although you may not perceive it, - less common control mechanisms in the body.
Pressure atmospheric pressure is constantly pressing - examples are childbirth, blood clotting and reversing
down on your body. extreme damage to the body.
 Pressure - force exerted by a
substance that is in contact
with another substance.

Carrie Anne Bulilan RMT || 1A – Medical Technology 5|Page


UNIT 1: INTRODUCTION TO THE HUMAN BODY | YEAR 1

The thumb (pollex) is lateral to the digits.


 Medial - describes the middle or direction toward the
middle of the body.
The hallux is the medial toe.
 Proximal - describes a position in a limb that is nearer
to the point of attachment or the trunk of the body.
The brachium is proximal to the antebrachium.
 Distal - describes a position in a limb that is farther
from the point of attachment or the trunk of the body.
The crus is distal to the femur.
Normal childbirth is driven by a positive feedback loop. Positive feedback  Superficial - describes a position closer to the surface
loop results in a change in the body’s status, rather than a return to homeostasis.
of the body.
The skin is superficial to the bones.
 Deep - describes a position farther from the surface of
ANATOMICAL TERMINOLOGY
the body.
- the purpose is this is language/terms is not to confuse, but The brain is deep to the skull.
rather to increase precision and reduce medical errors.

Anatomical Position
- the standard body “map”, normally oriented with north at
the top to further increase precision.

Body Planes
- A section is a two-dimensional surface of a three-
dimensional structure that has been cut. Modern medical
imaging devices enable clinicians to obtain “virtual sections”
of living bodies.
- A plane is an imaginary two-dimensional surface that
The human body is shown in anatomical position in an (a) anterior view passes through the body. There are three planes commonly
and a (b) posterior view. The regions of the body are labeled in boldface .
referred to in anatomy and medicine.
 Sagittal Plane - plane that divides the body or an
 Prone – a body lying down in a face-down organ vertically into right and left unequal parts.
orientation  Midsagittal or Median Plane – imaginary vertical
 Supine – a body lying down in a face-up plane dividing into equal right and left halves.
orientation\  Parasagittal or Longitudinal Section - If it divides
Regional Terms the body into unequal right and left sides
- The human body’s numerous regions have specific terms  Frontal Plane - plane that divides the body or an
to help increase precision. organ into an anterior (front) portion and a posterior
Directional Terms (rear) portion.
- are essential for describing the relative locations of - referred to as “Coronal Plane” (corona – Latin
different body structures. For instance, an anatomist might for crown)
describe one band of tissue as “inferior to” another or a  Transverse Plane - plane that divides the body or
physician might describe a tumor as “superficial to” a deeper organ horizontally into superior (upper) and (inferior)
body structure. lower portions.
 Anterior (Ventral) – describes the front or direction - produce images referred to as “cross sections”.
toward the body.
The toes are anterior to the foot
 Posterior (Dorsal) - Describes the back or direction
toward the back of the body.
The popliteus is posterior to the patella
 Superior (Cranial) - describes a position above or
higher than another part of the body proper.
The orbits are superior to the oris
 Inferior (Caudal) - describes a position below or lower
than another part of the body proper; near or toward
the tail (in humans, the coccyx, or lowest part of the
spinal column).
The pelvis is inferior to the abdomen.
 Lateral - describes the side or direction toward the
side of the body.

Carrie Anne Bulilan RMT || 1A – Medical Technology 6|Page


UNIT 1: INTRODUCTION TO THE HUMAN BODY | YEAR 1

The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one
horizontal and one vertical line that intersect at the patient’s umbilicus (navel).

Membranes of the Anterior (Ventral) Body Cavity


Serous Membrane – also referred to as ‘serosa’, one of the
thin membranes that cover the walls and organs in the
The three planes most commonly used in anatomical and medical imaging are the sagittal,
frontal (or coronal), and transverse plane.
thoracic
and abdominopelvic cavities.
 Parietal Layers of the Membrane - line the walls
Body Cavities and Serous Membranes of the body cavity (pariet- refers to a cavity wall).
- The body maintains its internal organization by means of  Visceral Layer of the Membrane - covers the
membranes, sheaths, and other structures that separate organs (the viscera).
compartments.
 Dorsal (Posterior) & Ventral (Anterior) Cavity
- largest body compartments. These cavities
contain and protect delicate internal organs.
- examples are lungs, heart, stomach and
intestines.

Serous membrane lines the pericardial cavity and reflects back to cover the heart—much the same way that
an underinflated balloon would form two layers surrounding a fist.

Three Serous Membranes and their Membranes


 Pleura - the serous membrane that surrounds the
lungs in the pleural cavity.
- pleural cavity reduces friction between the lungs
and the body wall.
 Pericardium - the serous membrane that surrounds
the heart in the pericardial cavity.
- pericardial cavity reduces friction between the
The ventral cavity includes the thoracic and abdominopelvic cavities and their subdivisions. heart and the wall of the pericardium.
The dorsal cavity includes the cranial and spinal cavities.
 Peritoneum - the serous membrane that surrounds
Subdivisions of the Posterior (Dorsal) & Anterior several organs in the abdominopelvic cavity.
(Ventral) Cavities - peritoneal cavity reduces friction between the
Posterior (Dorsal) Cavity abdominal and pelvic organs and the body wall.
 Cranial Cavity - houses the brain, protected by the
bones of the skull. Terms of Movement
 Spinal Cavity (Vertebral Cavity) - encloses the spinal Flexion bending or decreasing the angle
between the bones or parts of the
cord, protected by the vertebral column and by
body
cerebrospinal fluid (colorless fluid produced by the Extension indicates straightening or
brain). increasing the angle between the
Anterior (Ventral) Cavity bones or parts of the
 Thoracic Cavity – the more superior subdivision of body
the anterior cavity, which is enclosed by a rib cage. Dorsiflexion flexion at the ankle joint, walking
 Abdominopelvic Cavity - the largest cavity in the uphill or lifting the front of the foot
body, although no membrane physically divides the and toes off the ground
abdominopelvic cavity. Plantarflexion bends the foot and toes toward the
ground, as when standing on your
toes
Four Major Divisions of the Body
Hyperextension Extension of a limb or part beyond
1. Head (cranium, face) the normal limit
2. Neck - “whiplash”
3. Trunk (thorax, abdomen, pelvis) Abduction moving away from the median
4. Extremities (upper extremity, lower extremity) plane
• Digits: spreading them apart
Abdominal Regions and Quadrants Adduction moving toward the median plane
- to promote clear communication, for instance about the • Digits: bringing the spread fingers
location of a patient’s abdominal pain or a suspicious mass, or toes together
Circumduction a circular movement that involves
health care providers typically divide up the cavity into either
sequential flexion, abduction,
nine regions or four quadrants. extension, and adduction in such a
way that the distal end of the part

Carrie Anne Bulilan RMT || 1A – Medical Technology 7|Page


UNIT 1: INTRODUCTION TO THE HUMAN BODY | YEAR 1

moves in a circle increasingly being used to study the activity in parts


Rotation turning or revolving a part of the of the brain during various body activities.
body around its longitudinal axis Positron Emission Tomography (PET)
Medial Rotation (Internal brings the anterior surface of a limb - introduced in 1961, a medical imaging technique involving
Rotation) closer to the median plane
the use of so-called radiopharmaceuticals, substances that
Lateral Rotation takes the anterior surface away
emit radiation that is short-lived and therefore relatively safe
(External Rotation) from the median plane.
Pronation rotates the radius medially to administer to the body.
• the palm of the hand faces - can illustrate physiologic activity—including nutrient
posteriorly and its dorsum metabolism and blood flow—of the organ or organs being
faces anteriorly targeted.
Supination Rotating the radius laterally and Ultrasonography
uncrossing it from the ulna - imaging technique that uses the transmission of high-
• Returning the pronated forearm to frequency sound waves into the body to generate an echo
the anatomical position signal that is converted by a computer into a real-time image
Eversion moves the sole of the foot away
of anatomy and physiology.
from the median plane, turning the
sole laterally - was first developed in the 1940’s and 1950’s
Inversion moves the sole of the foot toward  the least invasive of all techniques, therefore used
the median plane (facing the sole in sensitive situations such as pregnancy.
medially).  also used to study heart function, blood flow in the
Opposition the pad of the 1st digit (thumb) is neck or extremities, certain conditions such as
brought to another digit pad gallbladder disease, and fetal growth and
Reposition the 1st digit from the position of development.
opposition back to its anatomical
position
Protrusion / Protraction is a movement anteriorly (forward)
Retrusion / Retraction is a movement posteriorly
(backward)
Elevation raises or moves a part superiorly
Depression lowers or moves a part inferiorly

MODERN MEDICAL IMAGING


Leonardo da Vinci & Andreas Vesalius
- the Italian and Flemish anatomist, published the detailed
anatomical drawings during 14th and 15th century.
X- Rays
- a form of high energy electromagnetic radiation with a a.) The results of a CT scan of the head are shown as successive transverse
sections.
short wavelength capable of penetrating solids and ionizing b.) An MRI machine generates a magnetic field around a patient.
gases.
- x-rays can depict a two-dimensional image of a body
region, and only from a single angle.
 Wilhelm Röntgen (1845–1923) – a german
physicist discovered/invented x-ray.

c.) PET scans use radiopharmaceuticals to create images of active blood flow and
physiologic activity of the organ or organs being targeted.
d.) Ultrasound technology is used to monitor pregnancies because it is the least
invasive of imaging techniques and uses no electromagnetic radiation.

ADDITIONAL INFORMATION:

High energy electromagnetic radiation allows the internal structures of the body,
such as bones, to be seen in X-rays like these.
Computed Tomography (CT)
- a noninvasive imaging technique that uses computers to
analyze several cross-sectional X-rays in order to reveal
minute details about structures in the body.
- invented in the 1970s and is based on the principle that, as
X-rays pass through the body, they are absorbed or reflected
at different levels.
Magnetic Resonance (MRI)
- a noninvasive medical imaging technique based on a
phenomenon of nuclear physics discovered in the 1930s, in
which matter exposed to magnetic fields and radio waves
was found to emit radio signals.
 Raymond Damadian – a physician and researcher,
noticed that malignant (cancerous) tissue gave off
different signals than normal body tissue in 1970.
 Functional MRI (fMRI) - detect the concentration of
blood flow in certain parts of the body, are

Carrie Anne Bulilan RMT || 1A – Medical Technology 8|Page

You might also like