Beruflich Dokumente
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and
Physiology
Endocrine Sytsem
The ANATOMY of the
Endocrine System
Hypothalamus
Pituitary Gland
Endocrine gland
Increased Hormones
ENDOCRINE GLANDS
PITUITARY
ADRENALS
THYROID
PARATHYROID
PANCREAS
OVARIES
TESTES
Location of Major Endrocrine Organs
Figure 9.3
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
9.14
The ANATOMY of the
Endocrine System
The Hypothalamus
This part of the
DIENCEPHALON is located
below the thalamus and is
connected to the pituitary
gland by a stalk
The PHYSIOLOGY of the
Endocrine System:
Hypothalamus
Secretes RELEASING
HORMONES for the
pituitary gland
Releasing hormones= hypothalamus
The PHYSIOLOGY of the
Endocrine System:
Hypothalamus
Secretes OXYTOCIN &
Anti-Diuretic Hormone or
VASOPRESSIN that is
stored in the Posterior
pituitary gland
Pituitary gland
Master gland
Located at the base of the brain
Influenced by the hypothalamus
Directly affects the function of other
endocrine glands
The ANATOMY of the
Endocrine System
The Pituitary Gland
The optic chiasm
passes over this
structure
The ANATOMY of the
Endocrine System
The Pituitary Gland
Isdivided into two
parts- the anterior or
adenohypophysis and
the posterior or the
neurohypophysis
The PHYSIOLOGY of the
Endocrine System: Anterior
Pituitary
Secretes the following:
1. Growth hormone
2. Prolactin
3. Gonadotrophins- LH and FSH
4. Stimulating hormones and trophic
hormones
– ACTH
– TSH
– MSH
The PHYSIOLOGY of the
Endocrine System: Posterior
Pituitary
Stores and releases
1. OXYTOCIN
2. ADH/Vasopressin
The PHYSIOLOGY of the
Endocrine System:
Thyroid
Produces the thyroid
hormones by the thyroid
follicles:
1. Tri-iodothyronine or T3
2. Tetra-iodothyronine or
thyroxine or T4
The PHYSIOLOGY of the
Endocrine System:
Thyroid
TheParafollicular cells
secrete CALCITONIN
The ANATOMY of the
Endocrine System
The PARAthyroid glands
Located at the back of the
thyroid glands
Four in number
The PHYSIOLOGY of the
Endocrine System:
Parathyroid gland
Secretes PARATHYROID
hormone (PTH) that controls
calcium and phosphorus
levels
PTH is stimulated by a
DECREASED Calcium level
The PHYSIOLOGY of the
Endocrine System:
Parathyroids
Parathyroid Hormone Calcitonin is
is released in stimulated by
HYPOCALCEMIA HYPERCALCEMIA
1. Epinephrine
2. Nor-epinephrine
PANCREAS
Insulin
Glucagon
TESTES AND OVARIES
Testosterone
Progesterone
Estrogen
THYMUS
Thymosin
PINEAL GLAND
Melatonin
Respiratory System
Respiratory Anatomy &
Physiology
The respiratory system consists of two
main parts- the upper and the lower
tracts
The Respiratory Process
Respiration is the process by which oxygen enters
the body and is utilized by the cells for their
metabolic processes. It essentially involves five
interdependent steps.
Ventilation refers to the entry of air containing
oxygen and other gases into the lungs.
Ventilation is followed by the diffusion of gases
from and into the alveoli and alveolar sacs. Oxygen
from the alveoli passes through the respiratory
membrane and enter the perialveolar capillaries,
while carbon dioxide from the capillaries diffuses
through the respiratory membrane to leave the lungs
by means of exhalation.
The Respiratory Process
Circulation makes it possible for oxygen to reach
the distant tissues, and for carbon dioxide to travel
from the tissues back into the lungs.
The fourth component of the respiratory process
involves another diffusion of gases, this time
involving the entry of oxygen into target tissues, and
the entry of carbon dioxide into the blood stream for
delivery back into the lungs.
Cell metabolism and respiration are the final
steps of the respiratory process wherein oxygen is
utilized by the cells, and carbon dioxide, along with
other waste products, is produced.
Respiratory Anatomy &
Physiology
The UPPER respiratory system consists
of:
1. nose
2. mouth
3. pharynx
4. larynx
Respiratory Anatomy &
Physiology
The LOWER respiratory system
consists of:
1. Trachea
2. Bronchus
3. Bronchioles
4. Respiratory unit
Upper respiratory tract
The Nose
pair of prominent
masses of lymphoid
tissue that are located
opposite each other in
the throat
The larynx
Wider Narrower
Shorter Longer
More Vertical More horizontal
The bronchioles
The PLEURA
Epithelial serous membrane lining the lung
parenchyma
Composed of two parts- the visceral and
parietal pleurae
Pleural space
Accessory Structures
Costodiaphragmatic
recesses
: Spaces in the
pleural cavities
below each lung,
superior to the
diaphragm.
GENERAL FUNCTIONS OF
THE Respiratory System
Gas exchange through ventilation,
external respiration and cellular
respiration
Oxygen and carbon dioxide transport
Accessory Structures
The Mediastinum
The space between the lungs, which
includes the heart and pericardium,
the aorta and the vena cavae.
Mechanics of Ventilation
INSPIRATION EXPIRATION
respiratory muscles contract Respiratory muscles relax
(diaphragm,intercostal m.)
Decreased thoracic
increased thoracic diameter diameter
Air goes in
Air goes out
Mechanics of Breathing
Respiratory Rate (RR)
Inspiration-
expiration cycle is
measured in cpm
(cycles per minute)
Normal adult RR:
14-20cpm
Children 20-30 cpm
Infants 40-60 cpm
Pulmonary Volumes and
Capacities
There are four pulmonary volumes: tidal volume,
inspiratory reserve volume, expiratory reserve
volume, and residual volume.
The tidal volume refers to the volume of air that
goes into and out of the lungs during normal
respiration (about 500 cc).
The inspiratory reserve volume is the amount of
air that can be inspired forcefully after inspiration of
the normal tidal volume (about 3000 cc).
The expiratory reserve volume is the additional
amount of air that can be expired forcefully (about
1100 cc).
Pulmonary Volumes and
Capacities
The residual volume is the volume of air left in the
lungs after maximum expiration. This is also known
as “dead space” (about 1200 cc).
The pulmonary capacities refer to the sum of two
or more pulmonary volumes.
The vital capacity is the sum of the IRV, the TV
and the ERV. It is the maximum volume of air that a
person can expel from his respiratory tract after a
maximum inspiration (about 4600 cc).
VC = IRV + TV + ERV
Pulmonary Volumes and
Capacities
The inspiratory capacity is the amount of
air that a person can inspire maximally after a
normal expiration (about 3500 cc).
IC = TV + IRV
The functional residual capacity is the
amount of air remaining in the lungs at the
end of a normal expiration (about 2300 cc).
FRC = ERV + RV
The total lung capacity is the sum of all the
lung volumes (about 5800 cc).
Pulmonary Volumes and
Capacities
MAXIMUM
INSPIRATION
IRV
IC
VC TOTAL
LUNG
TV CAPACITY
ERV
MAXIMUM
EXPIRATION
FRC
RV RV
Regulation of Respiration
RESPIRATORY CAROTID AND AORTIC
CENTER in the CHEMORECEPTORS
BRAINSTEM. - help regulate breathing
- High [pCO2] or low
- activated by dec ph
[pO2] ---chemoreceptors
CO2 + H20 H2CO3 ---medulla and pons to
inform the phrenic nerve
Phrenic nerve stimulates
the diaphragm to
contract
Breathing Patterns
BIOTS: CHEYNE-STOKES:
breathing common but usually
with irregularly abnormal periods of
alternating periods apnea lasting 10-60
of apnea and seconds followed by
hyperpnea gradual increase
e.g.meningitis and then decrease
brain disorders that e.g. frontal lobe and
cause ICP diencephalic
dysfunction
Breathing Patterns
COGWHEEL KUSSMAUL
– – deep, gasping
respiratory breathing
murmur, not
continuous but
e.g. diabetic
broken into waves ketoacidosis and
e.g. bronchitis coma
and possible TB
Circulatory System
Heart
complex muscular pump
Size of a clenched fist
Beats 60-100 per minute
The heart pumps about
7200 liters/day.
Layers of the wall
Endocardium –
innermost layer
Myocardium –
middle, thickest;
contracting layer
Epicardium –
outer layer
Pericardium
-encloses
epicardium
1. Visceral
2. Parietal
Pericardial sac
Anatomy of the heart
4 chambers
2 atria act as collecting
reservoirs.
2 ventricles act as
pumps.
4 valves for:
Pumping action of
the heart.
Maintaining
unidirectional blood
flow.
MUSCLES WITHIN THE CHAMBERS
PAPILLARY
MUSCLES - found
within the
chamber walls
Extend into
CHORDAE
TENDINAE
attached to valves
Blood Vessels
1. Right coronary
artery
a. posterior
interventricular
b. marginal artery
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11.23
BLOOD VESSEL: ANATOMY
Three layers (tunics)
Tunic intima
Endothelium
Tunic media
Smooth muscle
Controlled by sympathetic nervous
system
Tunic externa
Mostly fibrous connective tissue
Pulse
Pulse –
pressure wave
of blood
Monitored at
“pressure
points” where
pulse is easily
palpated
Figure 11.16
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
11.35
Blood components
Formed elements:
RBC
WBC
Platelets
Unformed
plasma
Erythrocytes (Red Blood Cells)
hgb:12-14 (F)
14-16 (M)
Iron-containing protein
Binds strongly, but reversibly, to oxygen
Each hemoglobin molecule has four
oxygen binding sites
Each erythrocyte has 250 million
hemoglobin molecules
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Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
10.7
Leukocytes (White Blood Cells)
Crucial in the body’s defense against
disease
These are complete cells, with a
nucleus and organelles
Able to move into and out of blood
vessels (diapedesis)
Can move by ameboid motion
Can respond to chemicals released by
damaged tissues
Slide
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
10.8
WBC
NV- 5,000-10,000
1. granular leukocytes
a. neutrophil – 60-70%
- primary line of cellular defense
against bacterial invasion
b. eosinophil – 2-5 %
- inc in allergic reaction
b. monocyte – 3-8%
c. Platelets/Thrombocytes
- 150,000 – 450,000 per cu mm blood
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10.14
Fate of Erythrocytes
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Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
10.16
Developmental Aspects of Blood
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10.31
RED CELL INDICES
Mean corpuscular volume: hematocrit/RBC
– 82 to 92 cubic microns; macrocytosis or
microcytosis; pernicious anemia
Mean corpuscular hemoglobin (MCH):
hemoglobin/RBC
– 27 to 31 picograms
Mean corpuscular hemoglobin concentration
(MCHC): hemoglobin/hematocrit
– 32 to 36 g/dL; hyperchromia or
hypochromia
LYMPHATIC SYSTEM
AND IMMUNITY
The Lymphatic System
The lymphatic system consists of lymph,
lymph vessels, lymphocytes, lymph nodes,
tonsils, the spleen and the thymus gland.
It maintains tissue fluid balance in tissues,
absorbs fats from the small intestine, and
defends against foreign substances.
The Lymph Vessels
Lymph vessels carry lymph away from
tissues. Valves in the vessels ensure the one-
way flow of lymph.
Skeletal muscle contraction, contraction of
lymph vessel smooth muscle, and thoracic
pressure changes move the lymph through
the vessels.
The thoracic duct and the right lymphatic
duct, empty lymph into the blood.
The Lymph Organs
Lymphatic tissue produces lymphocytes when exposed
to foreign substances, and it filters lymph and blood.
The tonsils protect the openings between the nasal and
oral cavities and the pharynx.
Lymph nodes, located along lymph vessels, filter
lymph.
The white pulp of the spleen responds to foreign
substances in the blood, whereas the red pulp
phagocytizes foreign substances and worn out
erythrocytes. The spleen also functions as reservoir for
blood.
The thymus processes lymphocytes that move to other
lymphatic tissue to respond to foreign substances.
Non-Specific Immunity
MECHANICAL MECHANISMS
Skin and mucous membranes
Tears, saliva and urine
CHEMICAL
Lysozyme in tears
Complement in plasma
Interferon
Non-Specific Immunity
CELLULAR
Chemotaxis
Neutrophils
Macrophages
Basophils and mast cells
Eosinophils
INFLAMMATORY RESPONSES
Specific Immunity
ANTIGENS are molecules that stimulate
specific immunity.
B cells are responsible for humoral
immunity.
T cells are responsible for cell-mediated
immunity.
Antibody-Mediated
Immunity
ANTIBODIES are proteins. It has a
variable region and a constant region.
The variable region combines with antigens
and is responsible for antibody specificity.
The constant region activates complement or
attaches the antibody to cells.
The five classes of antibodies are IgG, IgM,
IgA, IgE, and IgD.
Antibody-Mediated
Immunity
Antibodies directly inactivate antigens or cause
them to clump together. They indirectly destroy
antigen by promoting phagocytosis and
inflammation.
The primary response results from the first
exposure to an antigen. B cells form plasma cells,
which produce antibodies, and memory cells.
The secondary (memory) response results from
exposure to an antigen after a primary response.
Memory cells quickly form plasma cells and memory
cells.
Cell-Mediated Immunity
Exposure to an antigen activates cytotoxic T
cells and produces memory cells.
Cytotoxic T cells lyse virus-infected cells,
tumor cells, and tissue transplants. Cytotoxic
T cells produce lymphokines which promote
inflammation and phagocytosis.
Acquired Immunity
ACTIVE NATURAL IMMUNITY
Exposure to an infectious agent
ACTIVE ARTIFICIAL IMMUNITY
Vaccination
PASSIVE NATURAL IMMUNITY
Transplacental transfer of antibodies
PASSIVE ARTIFICIAL IMMUNITY
Immunization
Nervous system and
special senses
PRINCIPAL DIVISIONS:
1. Central Nervous System
(CNS)
a. brain & the spinal cord
control mechanism for the
entire organism
2. Peripheral Nervous System
(PNS)
a. 12 cranial nerves (CN)
b. 31 spinal nerves
c. autonomic nerves
a. sympathetic
b. parasympathetic
The Neuron
functional unit
dendrites – receive neural msgs
& transmit towards cell body
axon – transmits neural msgs
away from cell body
cell body – contains nucleus,
mitochondria, & other organelles
myelin & cellular sheath
produced by Schwann cells
nodes of Ranvier
TYPES OF NEURONS
Sensory neurons typically have a long dendrite
and short axon, carry messages from
sensory receptors central nervous system.
III. Thalamus
Relays sensory impulses to the cortex
V.2. Pons
Regulates breathing- resp. center
VI. Cerebellum
Coordinates sm muscle mov’t