Beruflich Dokumente
Kultur Dokumente
October-2010
Anatomy:
The study of the structure and shape of the body and body parts & their relationships to one another o Gross anatomy the study of large, easily observable structures o Microscopic anatomy the study of very small structures, where a magnifying glass or microscope is needed.
Physiology:
The study of how the body and its parts work or function
Anatomical position: Body is erect with the feet parallel and the arms hanging at the sides with the palms facing forward. (Its important to note throughout this course, most terminology refers to this position regardless of the position the body happens to be in at the time)
PLANES-DIRECTIONS-RELATIVE POSITIONS
:Directional terms
Superior (cranial or cephalad) toward the head end or upper part of a structure or body; above Inferior (caudal) away from the head end or toward the lower part of a structure or body; below Anterior (ventral) toward or at the front of the body; in front of Posterior (dorsal) toward or at the backside of the body; behind Medial toward or at the midline of the body; on the inner side of Lateral away from the midline of the body; on the outer side of Intermediate between a more medial or more lateral structure Proximal close to the origin of the body part or the point of attachment of a limb to the body trunk Distal farther from the origin of a body or the point of attachment of a limb to the body trunk Superficial (external) toward or at the body surface Deep (internal) away from the body surface; more internal
Examples: The navel is inferior to the breastbone The heart is posterior to the breastbone The arms are lateral to the chest The elbow is proximal to the wrist The skin is superficial to the skeleton The forehead is superior to the nose The breastbone is anterior to the spine The heart is medial to the arm The armpit is intermediate between the breastbone and the shoulder The knee is distal to the thigh The lungs are deep to the rib cage
Sagittal cut made along the lengthwise or longitudinal plane of the body dividing it into left and right parts Midsagittal (median) plane right and left parts are of equal size Frontal (coronal) plane cut made along a lengthwise plane that divides the body into anterior and posterior parts Transverse plane (cross section) cut made along a horizontal plane dividing the body or organ into superior and inferior parts
Anatomical Planes
Sagittal Plane divides body into right and left
sections
Surface Anatomy
Body cavities
Abdominopelvic Quadrants
Abdominopelvic Regions
INTEGUMENTARY
Skin
FUNCTIONS cushions, protects deeper tissue urea; pain, pressure temp; synthesize vitamin D Waterproofs, Excretes salts & Regulates body
SKELETAL ORGANS ligaments, joints FUNCTIONS body organs muscles & movement Protects & supports Framework for Hematopoiesis; store minerals Bones, cartilages,
MUSCULAR ORGANS (attached to bone) FUNCTIONS mobility (locomotion) expression, posture body heat Contraction & Facial Produce Skeletal muscle
RVOUS ORGANS
NE
ENDOCRINE ORGANS Pituitary, thyroid, parathyroids, adrenals, thymus, pancreas, pineal, ovaries, testes FUNCTIONS Slower-acting control system
He
Carries O2 nutrients, hormones, & other substances to and from tissue cells White blood cells protect against bacteria, toxins, tumors
LYMPHATIC ORGANS spleen, tonsils FUNCTIONS returning leaked fluid back to blood vessels immunity Complements circulatory system by Cleanses the blood; involved in Lymphatic vessels, lymph nodes,
Nasal cavity,
supplied with O2 & removes CO2 exchanges through air sacs in lungs
IGESTIVE ORGANS Oral cavity, esophagus, stomach, small intestine, large intestine, rectum, anus (liver & pancreas) FUNCTIONS
Breaks food down into absorbable units that enter the blood; indigestible food eliminated as feces
(RINARY (EXCRETORY ORGANS dney, ureter, urinary bladder, urethra FUNCTIONS minates nitrogenous waste from the body (urea & uric acid) gulates water, electrolytes, & acid-base balance of the blood
U Ki
Eli
Re
REPRODUCTIVE ORGANS
1. Male
Seminal vesicles, prostate, penis, vas deferens, testis, scrotum
2. Female
Ovaries, mammary glands, uterus, vagina, uterine tube FUNCTIONS mary function for both sexes is to produce offspring
Pri M
ale testes produce sperm & male sex hormones Fe male ovaries produce eggs & female sex hormones; mammary glands for nourishment
Structure
There are a total of 206 bones in the human body. The skeletal system contains both bone and cartilage 2 types of connective tissue. The appearance and texture of bone varies, depending on its location.
Classification of Bones
Axial skeleton bones of the skull, vertebral column, and rib cage
Appendicular skeleton bones of the upper and lower limbs, shoulder, and hip
1.
Lo
ng bones
Typically longer than wide
Have a shaft with heads at both ends Contain mostly compact bone Examples: Femur, humerus
2. Short bones
Generally cube-shape
Contain mostly spongy bone
3. Flat bones
Thin and flattened Usually curved
Thin layers of compact bone around a layer of
4. Irregular bones
Irregular shape
Do not fit into other bone classification categories
matrix.
Trabeculae needle-like threads of spongy bone that surround the spaces. Add strength to this portion of the bone.
Diaphysis
Shaft Composed of compact bone
Epiphysis
Ends of the bone Composed mostly of spongy bone
Medullary cavity
Cavity of the shaft Contains yellow marrow (mostly fat) in adults Contains red marrow (for blood cell formation) in infants
surfaces of bone
Sharpeys fibers: Secure periosteum to underlying bone Arteries: Supply bone cells with nutrients
Articular cartilage
Covers the external surface of the epiphyses Made of hyaline cartilage Decreases friction at joint surfaces
1. steoprogenitor cells:
Undifferentiated cells Can divide become osteoblasts Found in inner layer of periosteum and endosteum
2. steocytes
Mature bone cells
3. Osteoblasts
Bone-destroying cells Break down bone matrix for remodeling and release of calcium
Bone remodeling is a process by both osteoblasts and osteoclasts
Bone-forming cells
4. Osteoclasts
Sutures
tures Immovable joints that join skull bones together rm boundaries between skull bones Su Fo
Five sutures
1.
C S L S F
Frontal bone
rms the forehead of of the orbit iculates with parietal, sphenoid, lacrimal, nasal, ethmoid, zygomatic and maxilla
Fo Ro art
su inf
erior portion supraorbital ridges with supraorbital notch (supraorbital nerve and artery)
26 vertebrae 24 individual vertebrae Sacrum Coccyx Seven cervical vertebrae Twelve thoracic vertebrae Five lumbar vertebrae Sacrum (5) and coccyx (4) are fused
Typical Vertebrae
Body weight bearing
rtebral arch dicles minae rtebral foramen ven processes transverse spinous articular rtebral notches
Ve pe la Ve Se 2 1 4 Ve
Bony Thorax
Forms the framework of the chest Components of the bony thorax Thoracic vertebrae posteriorly Ribs laterally Sternum and costal cartilage anteriorly Protects thoracic organs
pports shoulder girdle and upper limbs ovides attachment sites for muscles
Su Pr
Sternum
rmed from three sections anubrium superior section ticulates with medial end of clavicles dy bulk of sternum des are notched at articulations for costal cartilage of ribs 27 phoid process inferior end of sternum sifies around age 40 natomical landmarks gular notch ntral indentation at superior border of the manubrium ernal angle horizontal ridge where the manubrium joins the body Fo M Ar Bo Si Xi Os A Ju Ce St A
Ribs
l ribs attach to vertebral column posteriorly ue ribs - superior seven pairs of ribs tach to sternum by costal cartilage lse ribs inferior five pairs of ribs Al Tr At Fa Ri
The Clavicles
Also called collarbones Long, S-shaped bones Originate at the manubrium (sternal end) Articulate with the scapulae (acromial end)
The Scapulae
Also Broad,
The Humerus:
The Forearm
The Wrist 8carpal bones: 4 proximal carpal bones 4 distal carpal bones allow wrist to bend and twist
Metacarpal Bones
The 5 long bones of the hand Numbered IV from lateral (thumb) to medial Articulate with proximal phalanges
The Pelvis Consists of 2 ossa coxae, the sacrum, and the coccyx Stabilized by ligaments of pelvic girdle, sacrum, and lumbar vertebrae
ischium Pubis
The Acetabulum
Also called
the hip socket Is the meeting point of the ilium, ischium, and pubis Articulates with head of the femur (lunate surface)
Note: leg = lower leg; thigh = upper leg Bones of the Lower Limbs
Femur (thigh) Patella (kneecap) Tibia and fibula (leg) Tarsals (ankle) Metatarsals (foot) Phalanges (toes)
The Patella
The Tibia
The Fibula
and toes Attaches muscles of feet Smaller than tibia Lateral to tibia
The Ankle
lateral
Types:
Synarthroses Primarily axial skeleton Bones connected with fibrous tissue: ligament
Amphiarthroses
Axial skeleton Connected by cartilage Intervertebral joints, pubic symphysis Slightly movable
Diarthroses freely movable so called synovial (fluid filled joint cavity) marily found in the limbs ane or movement depends on the joint Al Pri Pl
Diarthroses
1
Non-axial: bone surface is flat Plane or gliding joint Should be able to move in all directions, but bound by ligaments Intercarpals, intertarsals Femoropatellar
External = fibrous CT Internal = synovial membrane 4. Reinforcing Ligament: can be inside or outside the joint capsule 5. Synovial Fluid: viscous and lubricating
Hyaluronic acid and interstitial fluid from blood fluid becomes less viscous with exercise does most of the cushioning
6. Bursae: fluid filled sacs not actually part of the joint 7. Tendons: dense regular CT 8. Menisci: cartilaginous discs
Synovial Joint
Joint Movements (from anatomical position unless otherwise stated) Movement Flexion Extension Hyperextension Abduction Adduction Rotation Lateral flexion Lateral extension Elevation Depression Protraction Retraction Horizontal Flexion (starts from abducted position) Definition Narrowing joint angle in saggital plane (bending elbow) Increasing joint angle in saggital plane (straightening elbows) Increasing angle more than in natural position, eg bending backwards Lifting a body part away from body midline (in frontal plane) Returning a body part to body midline (in frontal plane) Turning a body part on axis (horizontal plane) (not rotation all the way round - see circumduction). Bending body sideways (frontal plane) Returning body to anatomical position Lifting a body part (shoulder shrugs) Lowering a body part (dropping the jaw) Moving a body part outwards Bringing a body part back Moving arm forwards in horizontal plane
Horizontal Extension (starts from abducted Returning arm to the abducted position position) Dorsal Flexion Plantar Flexion Circumduction Bending ankle so that the toes are raised Hyperextending ankle joint so toes point downwards Range of movements that create a complete circle (as opposed to a rotation of less than 360 degrees.)
Notes:
Flexion - joint angle decreases in size Extension - joint angle increases in size Hyperextension - increasing angle beyond natural position
Muscular System
Muscles are responsible for all types of body movement Three basic muscle types are found in the body Skeletal muscle Cardiac muscle Smooth muscle
Striated have visible banding Voluntary subject to conscious control Cells are surrounded and bundled by connective tissue
Functions of Skeletal Muscles Produce movement Maintain posture Stabilize joints Generate heat
Muscle Fibers blend into a connective tissue attachment Tendon cord-like structure Aponeuroses sheet-like structure
Rectus Abdominus
TRANSVERSE means perpendicular to midline
Transverse Abdominus
OBLIQUE means diagonal to midline
External Oblique
Size
MINIMUS means smallest Gluteus Minimus LONGUS means longest Fibularis Longus
Number Number
Biceps
Shape
Relative Shape of the Muscle
DELTOID means having a triangular shape TRAPEZIUS means having a trapezoid shape SERRATUS means having a saw-toothed shape
Or
ACTION Decrease angle at a joint Increase angle at a joint Move bone away from midline Move bone toward midline Produces upward movement Produces downward movement Turn palm upward/anteriorly Turn palm downward/posteriorly
EXAMPLE Flexor Carpi Radialis Extensor Carpi Ulnaris Abductor Pollicis Longus Adductor Longus Levator Scapulae Depressor Labii Inferioris Supinator Pronator Teres
Ro
M Ex ori co M M
uscles of facial expression: originate on skull trinsic eye muscles: ginate on surface of orbit ntrol position of eye
M A co
uscles of the pharynx: begin swallowing process nterior muscles of the neck: ntrol position of larynx depress the mandible support tongue and pharynx
Orbicularis oris: constricts the mouth opening Buccinator: moves food around the cheeks Muscles of the epicranium (scalp)
Muscles of the Epicranium (Scalp) covers anterior surface of neck Temporoparietalis Occipitofrontalis: frontal and occipital bellies separated by epicranial aponeurosis Platysma:
Deep Spinal Extensors Semispinalis group Multifidus muscle Interspinalis muscles Intertransversarii muscles Rotatores muscles
Cervical region:
scalene muscles flex the neck
Thoracic region:
intercostal
muscles (external and internal intercostals): respiratory movements of ribs thoracis: cross inner surface of ribs 6 Muscles that Position the Pectoral Girdle
Trapezius: superficial - covers back and neck to base of skull
inserts on clavicles and scapular spines Rhomboid and levator scapulae: deep to trapezius
transversus
Subclavius: originates on
ribs - inserts on clavicle
Pectoralis
S S In
fraspinatus and teres minor: produce lateral rotation at shoulder C oracobrachialis: attaches to scapula - produces flexion and adduction at shoulder
ectoralis major: tween anterior chest and greater tubercle of humerus oduces flexion at shoulder joint atissimus dorsi: tween thoracic vertebrae and humerus oduces extension at shoulder joint
P be pr L be pr
Hand
fle sta
Triceps brachii:
tends elbow ginates on scapula erts on olecranon ex ori ins
Anconeus:
poses brachialis op
Palmaris longus:
perficial xes wrist su fle
su fle ad
ducts wrist
su fle ab
ducts wrist
su ex ab
ducts wrist
su ex ad
ducts wrist
ori rot
Pronator quadratus:
ginates on ulna sists pronator teres ori as
Lie entirely within forearm Only tendons cross wrist (in synovial tendon sheaths)
Tendon Sheaths:
Extensor retinaculum:
de band of connective tissue wi
po sta
Flexor retinaculum:
terior surface of wrist bilizes tendons of flexor muscles an sta
Gluteal Muscles
Cover lateral surfaces of ilia Gluteus maximus: 1
gest, most posterior gluteal muscle oduces extension and lateral rotation at hip
lar pr
Lateral Rotators
Group of 6 muscles, including: riformis pi obturator:
Adductors
Adductor magnus:
oduces adduction, extension, and flexion pr
Adductor brevis:
p flexion and adduction hi
Adductor longus:
p flexion and adduction hi
Pectineus:
p flexion and adduction hi
Gracilis:
p flexion and adduction hi
knee:
Extensors of the
originate on the femoral surface insert on the patella
Biceps femoris-
Hamstrings
Semimembranosus-
SemitendinosusSartorius:
Popliteus:
rotates the tibia to unlock the knee
3 vastus muscles
Ti
op
op
E E E
fib
Ne
Neuron Anatomy
Cell body Nucleus Large nucleolus
Gray matter
Outer layer Composed mostly of neuron cell bodies
White matter
ber tracts inside the gray matter ample: corpus callosum connects hemispheres Fi Ex
Classification of Nerves
Mixed nerves both sensory and motor fibers Afferent (sensory) nerves carry impulses toward the CNS Efferent (motor) nerves carry impulses away from the CNS
Cranial Nerves
12 pairs of nerves that mostly serve the head and neck Numbered in order, front to back Most are mixed nerves, but three are sensory only
1. I Olfactory nerve sensory for smell 2. II Optic nerve sensory for vision 3. III Oculomotor nerve motor fibers to eye muscles 4. IV Trochlear motor fiber to eye muscles 5. V Trigeminal nerve sensory for the face; motor fibers to chewing muscles 6. VI Abducens nerve motor fibers to eye muscles 7. VII Facial nerve sensory for taste; motor fibers to the face 8. VIII Vestibulocochlear nerve sensory for balance and hearing 9. IX Glossopharyngeal nerve sensory for taste; motor fibers to the pharynx 10. X Vagus nerves sensory and motor fibers for pharynx, larynx, and viscera 11. XI Accessory nerve motor fibers to neck and upper back 12. XII Hypoglossal nerve motor fibers to tongue
Spinal Nerves
Br Ce Ce Br T
ain stem: Mid brain- Pons - medulla he spinal cord: Located within the spinal cavity of the vertebral column Spinal nerves (31 pairs) exit from between inter vertebral spaces. 2. The Peripheral Nervous System: Nerve outside the brain and spinal cord Cr anial nerves Sp inal nerves A utonomic NS Autonomic NS divided to sympathetic system and parasympathetic, both systems are antagonist. Generally sympathetic nerves initiate or accelerate an autonomic function, the parasympathetic nerves decelerate or stop the activity for example; in fear sympathetic nerves produce vasoconstriction and raise heart rate while parasympathetic nerves produce vasodilatation and decrease heart rate when the danger is passed. Classification of Nerves xed nerves both sensory and motor fibers ferent (sensory) nerves carry impulses toward the CNS. (From both external and internal environments transported to CNS via Afferent) ferent (motor) nerves carry impulses away from the CNS. (Various stimuli of our environments transported via Efferent, motor and glands)
Mi Af Ef
he function of the Brain: supervisor center of the nervous system Serves as site of emotion, memory, self-awareness and though. he spinal cord: part of the nervous system, Started from medulla and end at the lumbar one L1, Spinal cord 45 Cm. long Cerebellum: responsible for equilibrium (balance) Meninges: 3 layers ----- piamatter ------- arachnoids ------- Dura matter Cerebrospinal fluid functions: protection, nutrition, diagnosis and treatment. 1