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110 Cards in this Set

  • Front
  • Back
organs that appear only on one side of the body
unilaterally or even when referring to pain, unilateral pain
How many bones in the skeleton?
206
what does the skeleton do?
protects vital internal organs
major bones of the face
six bones - nasal, two maxillae, two zygomas,and the mandible
how many vertebra are there in the spine?
33
how many sections are in the spinal column?
5
most prominent and easily palpable spinous process
the seventh cervical vertebra
Anatomy and Physiology
Anatomy
–The study of the structure or form of living things
Physiology
–The study of function (activities and processes)
Introduction
• A working knowledge of anatomy is important.
• Knowledge of anatomy helps to communicate correct information:
– To professionals, who know medical terms
– To others, who may not understand medical terms
Topographic Anatomy
• Superficial landmarks – Serve as guides to structures that lie beneath
them
• Topographic anatomy applies to a body in the anatomic position.
– Patient stands facing you, arms at side, palms forward.
Planes of the Body
• Imaginary straight lines that divide the body
• Three main areas
– Coronal plane: front/back
– Transverse (axial) plane: top/bottom
– Sagittal (lateral) plane: left/right
Anatomic Planes
Medial
– Refers to a position closer to the midline
Lateral
– Refers to a position farther away from the midline
Directional Terms
– Anterior (ventral)
– Posterior (dorsal)
– Right, left (patient’s right or left)
– Superior (closest to head)
– Inferior (closest to feet)
Right Upper Quadrant organs
liver, right kidney, gallbladder, colon, pancreas
Left upper quadrant organs
liver, spleen, left kidney, stomach, colon, pancreas
right lower quadrant organs
right kidney, colon, small intestines, major artery and vein to the right leg, ureter, appendix
left lower quadrant organs
left kidney, colon, small intestines, major artery and vein to the left leg, ureter
The Skeletal System: Anatomy
• Skeleton gives us our recognizable human form.
• Protects vital internal organs • Contains
– Bones
– Ligaments
– Tendons
– Cartilage
Four types of bones
long bone, short bones, flat bones, irregular bones
The Axial Skeleton
• Foundation on which the arms and legs are hung. Includes:
– Skull
– Spinal column
– Thorax
Skull
– Cranium—made up of 4 bones
– Face—made up of 14 bones
– Foramen magnum is the opening at base of skull to allow brain to connect to spinal cord.
Spinal column
– Composed of 33 bones (vertebrae)
– Spine divided into 5 sections:
• *Cervical (7)
• Thoracic (12)
• *Lumbar (5)
• Sacrum (5)
• Coccyx (4)
Thorax
– Formed by of 12 thoracic vertebrae and 12 pairs of ribs
– Thoracic cavity contains
• Heart
• Lungs
• Esophagus
• Great vessels
The Appendicular Skeleton
• Arms, legs, their connection points, and pelvis
• Includes:
– Upper extremity
– Pelvis
– Lower extremity
The Upper Extremity
Upper extremity extends from shoulder girdle to fingertips
– Composed of arms, forearms, hands, fingers
Shoulder girdle
• Three bones come
together, allowing arm to be moved:
– Clavicle, scapula, humerus
Arm
• The humerus is the supporting bone of the arm.
• The forearm consists of the radius and ulna.
– Radius on lateral side of forearm
– Ulna on medial side of forearm
Wrist and Hand
• Ball-and-socket
joint • Principal bones
– Carpals, metacarpals, phalanges
The Pelvis
• Closed bony ring consisting of three bones – Sacrum
– Two pelvic bones
• Each pelvic bone is formed by fusion of ilium, ischium, and pubis.
• Posteriorly, the ilium, ischium, and pubis bones are joined by the sacrum
• Anteriorly, the pubic symphysis is where the right and left pubis are joined
The Lower Extremity
• Main parts are thigh, leg(knee, lower leg, fibula, ankle), foot.
• Upper leg: femur (thigh bone)
– Longest bone in body, femur connects into acetabulum (pelvic girdle) by ball-and-socket joint.
– Greater and lesser trochanter are where major muscles of thigh connect to femur.
Knee connects upper leg to lower leg
– Kneecap (patella)
Lower Leg
– Tibia (shin bone)
• Anterior of leg
Fibula
• Lateral side of leg
Ankle
– A hinge joint
– Allows flexion/extension of foot
Foot
– Contains7 tarsal bones
– 5 metatarsal bones form substance of foot
– Toes are formed by phalanges
Joints
• Occur wherever two long bones come in contact
• Two types of joints
– Hinge joint • Motion restricted to one plane (like knee)
– Ball-and-socket joint • Allows rotation and bending (like shoulder)
The Skeletal system
– Gives body shape
– Provides protection of fragile organs
– Allows for movement
– Stores calcium
– Helps create blood cells
The Musculoskeletal System: Anatomy
provides:
– Form
– Upright posture
– Movement
muscles that attach to bone
• More than 600 muscles attach to bone. – Called skeletal (or voluntary) muscles
Other types of muscle outside the musculoskeletal system
– Smooth muscle
– Cardiac muscle
The Musculoskeletal System: Physiology
Contraction and relaxation of system make it possible to move and manipulate environment.
• A byproduct of this movement is heat.
– When you get cold, you shiver (shake muscles) to produce heat.
The Respiratory System: Anatomy
Structures of the body that contribute to respiration (the process of breathing)
Upper Airway
• Includes:
– Nose
– Mouth
– Tongue
– Jaw
– Oral cavity
– Pharynx
• Nasopharynx
• Oropharynx
• Laryngopharynx
– Larynx is anterior
– Esophagus is posterior
– Epiglottis
• Prevents food and liquid from entering trachea
Lower Airway
• Larynx is the dividing line between upper and lower airway.
– Adam’s apple/thyroid cartilage is anterior.
– Cricoid cartilage/cricoid ring forms lowest
portion of larynx.

• Trachea (windpipe)
– Ends at carina, dividing into right and left bronchi leading to bronchioles
Lungs held in place by
– Trachea
– Arteries and veins
– Pulmonary ligaments
The lungs are divided into two lobes
– Bronchi and bronchioles end with alveoli. • Alveoli allow for gas exchange.
Lungs are covered by
smooth, glistening tissue called pleura
Muscles of Breathing
• Diaphragm is primary muscle.
• Also involved are:
– Intercostal muscles
– Abdominal muscles
– Pectoral muscles
The Respiratory System: Physiology
• Function is to provide body with oxygen and eliminate carbon dioxide.
• Ventilation and respiration are two separate, interdependent functions of the respiratory system.
Respiration
is the exchange of oxygen and carbon dioxide in alveoli and tissue.
– Brain stem controls breathing.
– Hypoxic drive is backup system.
– Medulla initiates ventilation cycles.
• Dorsal respiratory group (DRG) – Initiates inspiration
• Ventral respiratory group (VRG)
– Provides forced inspiration or expiration when needed
Ventilation
is simple air movement into and out of the lungs.
• You provide ventilation when you administer oxygen.
breath.
Tidal volume
amount of air moved in to or out of lungs in a single breath.
Characteristics of Normal Breathing
• Normal rate and depth (tidal volume) • Regular rhythm or pattern of inhalation and
exhalation
• Good audible breath sounds on both sides of chest
• Regular rise and fall movement on both sides of the chest
• Movement of the abdomen
Inadequate Breathing Patterns in Adults
• Labored breathing
• Muscle retractions
• Pale, cyanotic, cool, damp skin
• Tripod position
• Agonal respirations (gasping breaths)
Signs of Inadequate Breathing
Nasal flaring Cyanosis
Chest tightness
Excessive use of accessory muscles
Numbness, tingling in hands & feet
Pursed lips on exhalation
Coughing, crowing, high-pitched bark
Respiratory noise
wheezing
rattling
Impaired mentation
Unconsciousness
dizziness
restlessness
anxiety
confusion
combativeness
Pediatric Airway Anatomy
Trachea narrower (more easily obstructed)
Trachea softer, more flexible than an adult’s
Airway structures smaller (more easily obstructed)
Pediatric Airway Anatomy
Cricoid not well developed (less rigid)
Chest wall softer (infants are abdominal breathers)
Tongue proportionally larger than an adult’s
Inadequate Breathing: Infants and Children
Nasal Flaring
Retractions
Seesaw breathing
Diaphragmatic Breathing
The Circulatory System: Anatomy
• Complex arrangement of connected tubes – Arteries, arterioles, capillaries, venules, veins
• Two circuits
– Systemic circulation—body
– Pulmonary circulation—lungs
Heart
Hollow muscular organ the size of an adult’s
clenched fist
• Made of specialized cardiac muscle (myocardium)
• Works as two paired pumps – Septum divides right and left
sides.
- Valves between chambers prevent the backflow of blood.
- Contains specialized contractile and conductive tissue
each side of heart divided into
– Atrium (upper chamber) – Ventricle (lower chamber)
heart circulation
– Heart receives its blood from aorta.
– Right side receives blood from veins.
– Left side receives blood from lungs.
• Stroke volume (SV)
– Amount of blood moved by one beat
• Cardiac output (CO)
– Amount of blood moved in 1 minute
– HR×SV=CO
what happens to blood in one minute
body’s entire blood volume (5 to 6 L) is circulated through all the vessels.
heart • Electrical conduction network
– Causes smooth, coordinated contractions
– Contractions produce pumping action
Right Atrium
Receives blood from veins; pumps to right ventricle
Left Atrium
Receives blood from lungs; pumps to left ventricle
Right Ventricle
Pumps blood to the lungs
Left Ventricle
Pumps blood through the aorta to the body
Arteries
• Arteries carry blood from heart to all body tissues.
– Branch into arterioles
– Arterioles branch into capillaries
Pulse is created by
blood pumping out of left ventricle into major arteries.
Major Arteries
– Aorta (heart)
– Pulmonary (right ventricle)
– Carotid (neck)
– Femoral (thigh)
– Posterior tibial (lower leg)
– Dorsalis pedis (foot)
– Brachial (upper arm)
– Radial (lower arm)
Capillaries
• Connect arterioles to venules
• Fine end divisions of arterial system
• Allow contact between blood and cells
• Billions of capillaries in body
Veins
• Return oxygen-depleted blood to the heart
• Superior vena cava carries blood returning from head, neck, shoulders, upper extremities.
• Inferior vena cava carries blood from abdomen, pelvis, lower extremities.
• Join at right atrium
Spleen
• Solid organ located under rib cage
• Filtersblood
• Is particularly susceptible to injury from blunt trauma
– Can lead to severe internal bleeding
Blood Composition
• Plasma
• Red blood cells (erythrocytes)
• White blood cells (leukocytes)
• Platelets
Red Blood Cells
– Give blood its color
– Carry oxygen to organs
– Carry carbon dioxide away from organs
White Blood Cells
– Provide defense against infection
– Produce antibodies
Plasma
Fluid that carries blood cells and nutrients
Platelets
– Essential for formation of clots
blood pressure is
pressure blood exerts against walls of arteries.
systole
when the left ventricle contracts it pumps blood from the ventricle into the aorta
diastole
when muscle of ventricle relaxes, ventricle fills with blood
blood pressure readings
– Systolic blood pressure (high point of wave)
– Diastolic blood pressure (low point of wave)
Normal Circulation in Adults
• Automatically adjusted and controlled
• Perfusion is circulation of blood in organ or tissue in adequate amounts to meet the needs of cells.
• Blood enters organs and tissues through arteries.
• Blood leaves organs and tissues through veins.
Inadequate Circulation in Adults
• The system can adjust to small blood loss. – Vessels constrict. – Heart pumps more rapidly.
• With a large loss, adjustment fails, and patient goes into shock.
Function of Blood
• Fighting infection
• Transporting oxygen
• Transporting carbon dioxide
• Controlling pH
• Transporting wastes and nutrients
• Clotting (coagulation)
Nervous System Control of the Cardiovascular System
• Sympathetic nervous system is responsible for fight-or-flight response.
– Sends commands to adrenal glands
– Epinephrine and norepinephrine are secreted to stimulate heart and blood vessels.
• Bloodvesselshavealpha-adrenergic receptors.
• Heart and lungs have beta-adrenergic receptors.
• Parasympathetic nervous system also has effects on cardiovascular system.
– Addresses actions that do not require immediate response
The Nervous System: Anatomy and Physiology
• The nervous system is perhaps the most complex organ in body
– Brain
– Spinal cord

• Divided into two main portions:
– Central nervous system (CNS)
– Peripheral nervous system
Central Nervous System
• Brain
– Controlling organ of the body
– Subdivisions
• Cerebrum
• Cerebellum
• Brain stem

• Spinal cord
– Continuation of the brain
– Transmits messages between brain and body
Peripheral Nervous System
Divided into two main portions:
– Somatic nervous
system
– Autonomic nervous system
Somatic nervous system
– Transmits signals from brain to voluntary muscles (allows for walking, talking)
Autonomic nervous system
– Involuntary actions (digestion, dilation) – Split into two areas
• Sympathetic nervous system (fight-or-flight)
• Parasympathetic nervous system (slows body)
• Two types of nerves within peripheral nervous system
– Sensory nerves carry information from body to CNS.
– Motor nerves carry information from CNS to muscles.
The Integumentary System (Skin): Anatomy
• Two layers – Epidermis (superficial) – Dermis (deeper)
• Below the skin lies subcutaneous tissue.
– Fat that insulates and serves as energy reservoir
The Digestive System: Anatomy
• Function of system is digestion.
• Abdomen is second major body cavity.
– Contains major organs of digestion and excretion
– Quadrants are easiest way to identify areas • RUQ/LUQ
• RLQ/LLQ
• Mouth – Lips, cheeks, gums, teeth, tongue – Salivary glands
• Oropharynx
• Esophagus
• Stomach
• Pancreas
• Liver
• Small intestine
• Large intestine
• Appendix
• Rectum
The Digestive System: Physiology
• Enzymes are added to food.
– By salivary glands, stomach, liver, pancreas,
small intestine
• Enzymes convert food into basic sugars, fatty acids, amino acids.
– Further processed by liver
– Circulated via blood throughout body
The Endocrine System: Anatomy and Physiology
• Complex message and control system
• Integrates many body functions
• Hormones are released directly into bloodstream.
– Examples: epinephrine, norepinephrine, insulin
The endocrine system controls release of hormones in the body.
The Urinary System: Anatomy and Physiology
• Controls fluid balance in the body
• Filters and eliminates wastes
• Controls pH balance
The Genital System: Anatomy and Physiology
• Controls reproductive processes
• Male system consists of
– Testicles – Epididymis – Vasa Deferentia – Penis
• Female system consists of
– Ovaries – Fallopian tubes – Uterus – Cervix – Vagina
Life Support Chain
• All cells in body require oxygen, nutrients,
and removal of waste.
• Circulatory system is the carrier of these supplies and wastes.
• If interference occurs, cells become damaged and die.
• Adenosine triphosphate (ATP)
– Involved in energy metabolism – Used to store energy
• Aerobic metabolism
uses oxygen.
• Cells switch to anaerobic metabolism when
oxygen is limited.
– Lactic acid is damaging waste product.
diffusion
Movement of oxygen, waste, nutrients
ph
measure of acidity or alkalinity
Pathophysiology
The study of functional changes that occur when body reacts to disease
• Respiratory compromise can lead to:
– Shock
– Alteration of cellular metabolism