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Fundamentals of Anatomy & Physiology, Global Edition

Fundamentals of Anatomy & Physiology, Global Edition

Frederic H. Martini | Judi L. Nath | Edwin F. Bartholomew

(2015)

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Table of Contents

Section Title Page Action Price
Cover Cover
Title\r Title
Preface 5
Contents 11
UNIT 1 Levels of Organization\r 27
1 An Introduction to \rAnatomy and Physiology 27
An Introduction to Studying the Human Body\r 28
1-1 Anatomy and physiology directly affect\ryour life\r 28
1-2 \rAnatomy is structure, and physiology is function 29
1-3 Anatomy and physiology are closely integrated\r 30
Anatomy 30
Physiology 31
1-4 Levels of organization progress from molecules to a complete organism\r 32
1-5 Homeostasis is the state\rof internal balance\r 33
1-6 Negative feedback opposes variations from normal, whereas positive feedback exaggerates them\r 36
The Role of Negative Feedback in \rHomeostasis 36
The Role of Positive Feedback in Homeostasis\r 38
Systems Integration, Equilibrium, \rand Homeostasis 39
1-7 Anatomical terms describe body regions, anatomical positions and directions, and body sections\r 40
Superficial Anatomy 40
Sectional Anatomy 42
1-8 Body cavities of the trunk protect internal organs and allow them to change shape\r 44
The Thoracic Cavity 48
The Abdominopelvic Cavity 48
Chapter Review 49
Spotlight 34
Levels of Organization 34
Diagnostic Imaging Techniques 46
Clinical Case 28
Using A&P to Save a Life 28
Clinical Note 31
Autopsies and Cadaver Dissection 31
Auscultation 40
2 The Chemical Level of Organization\r 52
An Introduction to the Chemical Level of Organization\r 53
2-1 Atoms are the basic particles of \rmatter 53
Atomic Structure 53
Elements and Isotopes 54
Atomic Weights 55
Electrons and Energy Levels 56
2-2 Chemical bonds are forces formed by atom interactions\r 57
Ionic Bonds 57
Covalent Bonds 60
Hydrogen Bonds 61
States of Matter 61
2-3 \rDecomposition, synthesis, and exchange reactions are important chemical reactions in physiology 62
Basic Energy Concepts 62
Types of Chemical Reactions\r 63
2-4 Enzymes catalyze specific biochemical reactions by lowering the energy needed to start them\r 64
2-5 Inorganic compounds lack carbon, and organic compounds contain carbon\r 65
2-6 Physiological systems depend on water\r 65
The Properties of Aqueous Solutions 66
Colloids and Suspensions 67
2-7 Body fluid pH is vital \rfor homeostasis 67
2-8 Acids, bases, and salts are inorganic compounds with important physiological roles\r 68
Salts 69
Buffers and pH Control 69
2-9 Carbohydrates contain carbon, hydrogen, and oxygen in a 1:2:1 ratio\r 69
Monosaccharides 70
Disaccharides and Polysaccharides 71
2-10 Lipids often contain a carbon-to-hydrogen ratio of 1:2\r 72
Fatty Acids 72
Eicosanoids 73
Glycerides 74
Steroids 74
Phospholipids and Glycolipids 75
2-11 Proteins contain carbon, hydrogen, oxygen, and nitrogen and are formed from amino acids\r 77
Protein Structure 77
Protein Shape 78
Enzyme Function 80
Glycoproteins and Proteoglycans 82
2-12 DNA and RNA are nucleic acids 82
Structure of Nucleic Acids 82
RNA and DNA 82
2-13 \rATP is a high-energy compound used by cells 84
2-14 Chemicals and their interactions form functional units called cells\r 85
Chapter Review 86
Spotlight 58
Chemical Notation 58
Clinical Case 53
What Is Wrong with My Baby? 53
Clinical Note 55
Radiation Sickness\r 55
Fatty Acids and Health 74
3 The Cellular Level of\rrganization 90
An Introduction to Cells\r 91
3-1 The plasma membrane separates the cell from its surrounding environment and performs various functions\r 91
Membrane Lipids\r 94
Membrane Proteins 95
Membrane Carbohydrates 96
3-2 Organelles within the cytoplas perform particular functions 96
The Cytosol 96
The Organelles 97
3-3 The nucleus contains DNA and enzymes essential for controlling cellular activities\r 108
Contents of the Nucleus 109
Information Storage in the Nucleus 109
3-4 DNA controls protein synthesis, cell structure, and cell function\r 110
The Role of Gene Activation in Protein Synthesis\r 110
The Transcription of mRNA 110
Translation and Protein Synthesis 112
How the Nucleus Controls Cell Structure and Function\r 113
3-5 Diffusion is a passive transport mechanism that assists membrane passage 113
Diffusion 115
Diffusion across Plasma Membranes 117
3-6 Carrier-mediated and vesicular transport assist membrane passage\r 120
Carrier-Mediated Transport 120
Vesicular Transport 122
3-7 The membrane potential results from the unequal distribution of positive and negative charges across the plasma membrane\r 126
3-8 Stages of a cell’s life cycle include interphase, mitosis, and cytokinesis \x0B 127
DNA Replication 127
Interphase, Mitosis, and Cytokinesis 127
The Mitotic Rate and Energy Use 129
3-9 \rSeveral growth factors affect the cell life cycle 129
3-10 Tumors and cancers are characterized by abnormal cell growth and division\r 132
3-11 Differentiation is cellular specialization as a result of gene activation or repression\r 134
Chapter Review 135
Spotlight\r 92
Anatomy of a Model Cell\r 92
Protein Synthesis, Processing, and Packaging\r 104
Overview of Membrane Transport\r 124
DNA Replication\r 128
Stages of a Cell’s Life Cycle\r 130
Clinical Case 91
When Your Heart Is in the Wrong Place\r 91
Clinical Notes\r 106
Inheritable Mitochondrial Disorders 106
DNA Fingerprinting 110
Mutations 112
Drugs and the Plasma Membrane 116
Telomerase, Aging, and Cancer 133
Parkinson’s disease 134
4 The Tissue Level \rof Organization 139
An Introduction to the Tissue Level of Organization\r 140
4-1 The four tissue types are epithelial, connective, muscle, and neural\r 140
4-2 Epithelial tissue covers body surfaces, lines cavities and tubular structures, and serves essential functions\r 140
Functions of Epithelial Tissue 141
Specializations of Epithelial Cells 141
Maintaining the Integrity of Epithelia 142
4-3 \rCell shape and number of layers determine the classification of epithelia 144
Classification of Epithelia 145
Glandular Epithelia\r 149
4-4 Connective tissue provides a protective structural framework for other tissue types\r 152
Classification of Connective Tissues 152
Connective Tissue Proper 152
4-5 Cartilage and bone provide a strong supporting framework\r 159
Cartilage 159
Bone 162
4-6 Tissue membranes are physical barriers of four types: mucous, serous, cutaneous, and synovial\r 163
Mucous Membranes 163
Serous Membranes 163
The Cutaneous Membrane 165
Synovial Membranes 165
4-7 Connective tissue creates the internal framework\rof the body\r 165
4-8 The three types of muscle tissue are skeletal, cardiac, and smooth\r 166
Skeletal Muscle Tissue 166
Cardiac Muscle Tissue 168
Smooth Muscle Tissue 168
4-9 Neural tissue responds to stimuli and propagates electrical impulses throughout the body\r 168
4-10 The response to tissue injury involves inflammation and regeneration\r 170
Inflammation 170
Regeneration 170
4-11 With advancing age, tissue repair declines and cancer rates increase\r 170
Aging and Tissue Structure 170
Aging and Cancer Incidence 172
Chapter Review 172
Spotlight 171
Inflammation and Regeneration 171
Clinical Case 140
The Rubber Girl 140
Clinical Note 146
Exfoliative Cytology 146
Marfan’s Syndrome 155
UNIT 2 Support and Movement\r 176
5 The Integumentary System\r 176
An Introduction to the Integumentary System\r 177
5-1 The epidermis is composed of layers with various functions\r 179
Stratum Basale 179
Stratum Spinosum 179
Stratum Granulosum 181
Stratum Lucidum 181
Stratum Corneum 181
5-2 Factors influencing skin color are epidermal pigmentation and dermal circulation\r 181
The Role of Epidermal Pigmentation 182
The Role of Dermal Circulation 183
5-3 Sunlight causes epidermal cells to convert a steroid into vitamin D3\r 184
5-4 Epidermal growth factor has several effects on the epidermis and epithelia\r 185
5-5 The dermis is the tissue layer that supports the epidermis\r 186
Dermal Strength and Elasticity 186
Cleavage Lines 187
The Dermal Blood Supply 187
Innervation of the Skin 187
5-6 The hypodermis connects the dermis to underlying tissues\r 188
5-7 Hair is composed of keratinized dead cells that have been pushed to the surface\r 189
Hair Production\r 191
The Hair Growth Cycle 191
Types of Hairs 191
Hair Color 191
5-8 Sebaceous glands and sweat glands are exocrine glands found in the skin\r 192
Sebaceous Glands 192
Sweat Glands 193
Other Integumentary Glands 194
Control of Glandular Secretions and the Homeostatic Role of the Integument\r 194
5-9 Nails are keratinized epidermal cells that protect the tips of fingers and toes\r 195
5-10 Several phases are involved in repairing the integument following an injury\r 195
5-11 Effects of aging include skin thinning, wrinkling, and reduced melanocyte activity\r 198
Chapter Review 201
Spotlight 180
The Epidermis 180
Clinical Case 177
Skin Cells in Overdrive 177
Clinical Note 184
skin cancer\r 184
Decubitis Ulcers 187
Liposuction 189
Burns and Grafts 197
Skin Abnormalities 198
6 Osseous Tissue and Bone Structure 204
An Introduction to the Skeletal System 205
6-1 The skeletal system has five primary functions\r 205
6-2 Bones are classified according to shape and structure, and they have a variety of surface markings\r 206
Bone Shapes 206
Bone Markings 207
Bone Structure 208
6-3 Bone is composed of matrix and several types of cells: osteocytes, osteoblasts, osteogenic cells, and osteoclasts\r 208
Bone Matrix 209
Bone Cells. 209
6-4 Compact bone contains parallel osteons, and spongy bone contains trabeculae\r 210
Compact Bone Structure 211
Spongy Bone Structure 212
The Periosteum and Endosteum 213
6-5 Bones form through ossification and enlarge through appositional growth and remodeling\r 215
Endochondral Ossification 215
Intramembranous Ossification 218
The Blood and Nerve Supplies to Bone 218
6-6 Bone growth and development depend on a balance between bone formation and bone resorption\r 218
6-7 Exercise, hormones, and nutrition affect bone development and the skeletal system\r 220
The Effects of Exercise on Bone\r 220
Nutritional and Hormonal Effects on Bone 220
6-8 Calcium plays a critical role in bone physiology\r 222
The Skeleton as a Calcium Reserve 222
Hormones and Calcium Balance\r 222
6-9 A fracture is a crack or break in a bone\r 224
6-10 Osteopenia has a widespread effect on aging skeletal tissue\r 225
Chapter Review 229
Spotlight 216
Endochondral Ossification 216
Types of Fractures and Steps in Repair\r 226
Clinical Case\r 205
A Case of Child Abuse?\r 205
Clinical Note 214
Heterotopic Bone Formation 214
Abnormal Bone Development 222
7 \rThe Axial Skeleton 232
An Introduction to the Axial Skeleton\r 233
7-1 The 80 bones of the head and trunk make up the axial skeleton\r 233
7-2 The skull is composed of 8 cranial bones and 14 facial bones\r 233
7-3 Each orbital complex contains an eye, and the nasal\rcomplex encloses the nasal cavities\r 249
The Orbital Complexes 249
The Nasal Complex 249
7-4 Fontanelles are non-ossified areas between cranial bones that allow for brain growth in infants and small children\r 250
7-5 The vertebral column has four \rspinal curves 252
Spinal Curvature 252
Vertebral Anatomy 253
7-6 The five vertebral regions are the cervical, thoracic, lumbar, sacral, \rand coccygeal regions 254
Cervical Vertebrae 255
Thoracic Vertebrae 258
Lumbar Vertebrae 258
The Sacrum\r 258
The Coccyx\r 261
7-7 The thoracic cage protects organs in the chest and provides sites for muscle attachment\r 261
The Ribs 261
The Sternum 262
Chapter Review 264
Spotlight\r 238
Sectional Anatomy of the Skull 238
Clinical Case 233
Knocked Out 233
Clinical Note 248
Temporomandibular Joint Syndrome 248
Sinusitis 251
Craniostenosis\r 252
Kyphosis, Lordosis, and Scoliosis 255
8 The Appendicular Skeleton \r 267
An Introduction to the Appendicular Skeleton\r 268
8-1 \rThe pectoral girdles—the clavicles and scapulae—attach the upper limbs to the axial skeleton 268
The Clavicles\r 270
The Scapulae 270
8-2 The upper limbs are adapted for free movement\r 271
The Humerus 271
The Ulna 273
The Radius 273
The Carpal Bones 273
The Metacarpal Bones and Phalanges 274
8-3 The pelvic girdle—two hip bones—attaches the lower limbs \rto the axial skeleton 276
The Pelvic Girdle 276
The Pelvis 276
8-4 The lower limbs are adapted for movement and \rsupport 280
The Femur 280
The Patella 280
The Tibia 282
The Fibula 282
The Tarsal Bones 283
The Metatarsal Bones and Phalanges 284
8-5 Sex differences and age account for individual skeletal variation\r 284
Chapter Review 286
Spotlight 279
Sex Differences in the Human Skeleton 279
Clinical Case 268
The Orthopedic Surgeon’s Nightmare\r 268
Clinical Note 275
Carpal Tunnel Syndrome 275
Hip Fracture 280
Runner’s Knee 280
Stress Fractures 284
Congenital Talipes \rEquinovarus 284
9 Joint \r 289
An Introduction to Joints\r 290
9-1 Joints are categorized according to their range of motion or structure\r 290
9-2 Synovial joints are freely movable joints containing synovial fluid\r 292
Articular Cartilage 292
Synovial Fluid 293
Accessory Structures 293
Factors That Stabilize Synovial Joints 293
9-3 The structure and function of synovial joints enable various skeletal movements\r 294
Types of Movements at Synovial Joints 295
9-4 Intervertebral discs and ligaments are structural components of intervertebral joints\r 300
Intervertebral Discs 300
Intervertebral Ligaments 301
Vertebral Movements 301
The shoulder is a ball-and-socket joint, and the \relbow\ris a hinge joint 302
The Shoulder Joint 302
The Elbow Joint 304
9-6 The hip is a ball-and-socket joint, and the knee is a hinge joint\r 305
The Hip Joint 305
The Knee Joint 306
9-7 With advancing age, arthritis and other degenerative changes impair joint mobility\r 309
9-8 The skeletal system supports and stores energy and minerals for other body systems\r 310
Chapter Review 312
Spotlight 296
Joint Movement 296
Clinical Case 290
What’s Ailing the Birthday Girl? 290
Clinical Note 294
Bursitis and Bunions 294
Dislocation and Subluxation 294
Damage to Intervertebral Discs 301
Knee Injuries 309
10 Muscle Tissue 315
An Introduction to Muscle Tissue\r 316
10-1 Skeletal muscle performs six major functions\r 316
10-2 A skeletal muscle contains muscle tissue, connective tissues, blood vessels, and nerves\r 317
Organization of Connective Tissues 318
Blood Vessels and Nerves 318
10-3 Skeletal muscle fibers have distinctive features\r 318
The Sarcolemma and Transverse Tubules 318
Myofibrils 319
The Sarcoplasmic Reticulum 320
Sarcomeres 321
Sliding Filaments and Muscle Contraction 324
10-4 The nervous system communicates with skeletal muscles at the neuromuscular junction\r 325
Electrical Impulses and Excitable Membranes 328
The Control of Skeletal Muscle Activity 328
Excitation–Contraction Coupling 328
Relaxation 334
10-5 Sarcomere shortening and muscle fiber stimulation produce tension\r 334
Tension Production by Muscle Fibers 334
Tension Production by Skeletal Muscles 338
Motor Units and Tension Production 338
10-6 ATP provides energy for muscle contraction\r 342
ATP and CP Reserves 342
ATP Generation 343
Energy Use and the Level of Muscular Activity 344
Muscle Fatigue 344
The Recovery Period 344
Hormones and Muscle Metabolism 346
10-7 Muscle performance capabilities depend on muscle fiber type and physical conditioning\r 346
Types of Skeletal Muscle Fibers 346
Muscle Performance and the Distribution of Muscle Fibers\r 347
Muscle Hypertrophy and Atrophy 347
Physical Conditioning 348
10-8 Cardiac muscle tissue differs structurally and functionally from skeletal muscle tissue\r 350
Structural Characteristics of Cardiac Muscle Tissue\r 350
Functional Characteristics of Cardiac Muscle Tissue\r 351
10-9 Smooth muscle tissue differs structurally and functionally from skeletal and cardiac muscle tissue\r 351
Structural Characteristics of \rSmooth Muscle Tissue 352
Functional Characteristics of Smooth Muscle Tissue\r 353
Chapter Review 354
Spotlight\r 326
Events at the Neuromuscular Junction\r 326
Excitation–Contraction Coupling\r 329
The Contraction Cycle and Cross-Bridge Formation\r 330
Clinical Case 316
A Real Eye Opener 316
Clinical Note 332
Tetanus 332
Rigor Mortis 334
Delayed-Onset Muscle Soreness 349
11 The Muscular System\r 358
An Introduction to the Muscular System\r 359
11-1 Fascicle arrangement is correlated with muscle power and range of motion\r 359
Parallel Muscles 359
Convergent Muscles 359
Pennate Muscles 360
Circular Muscles 361
11-2 The three classes of levers increase muscle efficiency\r 361
11-3 Muscle origins are at the fixed end of muscles, and insertions are at the movable end of muscles\r 362
Origins and Insertions 362
Actions 363
11-4 Descriptive terms are used to name skeletal muscles\r 365
Location in the Body 365
Origin and Insertion 365
Fascicle Organization 365
Position\r 365
Structural Characteristics 365
Action 366
Axial and Appendicular Muscles 367
11-5 Axial muscles are muscles of the head and neck, vertebral column, trunk, and pelvic floor\r 367
Muscles of the Head and Neck 367
Muscles of the Vertebral Column 377
Oblique and Rectus Muscles 380
Muscles of the Pelvic Floor 382
11-6 Appendicular muscles are muscles of the shoulders, upper limbs, pelvis, and lower limbs\r 384
Muscles of the Shoulders and Upper Limbs 384
Muscles of the Pelvis and Lower Limbs 395
11-7 With advancing age, the size and power of muscle tissue decrease\r 405
11-8 Exercise produces responses in multiple body systems\r 405
Chapter Review 407
Spotlight\r 364
Muscle Action\r 364
Clinical Case 359
The Weekend Warrior 359
Clinical Note 370
Intramuscular Injections 370
Hernia 404
UNIT 3 Control and Regulation\r 411
12 Neural Tissue 411
An Introduction to Neural Tissue\r 412
12-1 The nervous system has anatomical and functional divisions \r 412
The Anatomical Divisions of the Nervous System\r 412
The Functional Divisions of the Nervous System \r 413
12-2 Neurons are nerve cells specialized for intercellular communication \r 414
The Structure of Neurons 414
The Classification of Neurons 416
12-3 CNS and PNS neuroglia support and protect neurons \r 418
Neuroglia of the Central Nervous System 418
Neuroglia of the Peripheral Nervous System\r 423
Neural Responses to Injuries 424
12-4 The membrane potential is the electrical potential of the cell’s interior relative to its surroundings \r 424
The Membrane Potential 424
Changes in the Membrane Potential 428
Graded Potentials 430
12-5 An action potential is an electrical event \r 432
The All-or-None Principle 432
The All-or-None Principle\r 432
Propagation of Action Potentials 433
12-6 Axon diameter, in addition to myelin, affects propagation speed \r 438
12-7 At synapses, communication occurs among neurons or between neurons and other cells Synaptic Activity \r 439
General Properties of Synapses 439
Cholinergic Synapses 440
12-8 \rNeurotransmitters and neuromodulators have various functions 442
The Activities of Other \rNeurotransmitters 442
Neuromodulators 443
How Neurotransmitters and Neuromodulators Work\r 446
12-9 Individual neurons process information by integrating excitatory and inhibitory stimuli \rPostsynaptic Potentials \r 447
Presynaptic Inhibition and Presynaptic Facilitation \r 449
The Rate of Generation of Action Potentials 449
Chapter Review 451
Spotlight 426
Resting Membrane Potential 426
Generation of an Action Potential 434
Propagation of an Action Potential 436
Clinical Case 412
Did Franklin D. Roosevelt Really Have Polio?\r 412
Clinical Note 416
Rabies 416
Tumors 418
Demyelination 421
13 The Spinal Cord, Spinal Nerves, and Spinal Reflexes \r 455
13-1 The brain and spinal cord make up the central nervous system (CNS), and the cranial nerves and spinal nerves make up the peripheral nervous system (PNS) \r 456
13-2 The spinal cord is surrounded by three meninges and carries sensory and motor information \r 457
Gross Anatomy of the Spinal Cord 457
Spinal Meninges 459
13-3 Gray matter integrates information and initiates commands, and white matter carries information from place to place\r 461
Organization of Gray Matter 463
Organization of White Matter 463
13-4 Spinal nerves form plexuses that are named according to their level of emergence from the vertebral canal\r 463
Anatomy of Spinal Nerves 463
Peripheral Distribution of Spinal Nerves 464
Nerve Plexuses 464
13-5 Interneurons are organized into functional groups called neuronal pools\r 473
13-6 Reflexes are rapid, automatic responses to stimuli\r 475
The Reflex Arc 475
Classification of Reflexes 478
13-7 Spinal reflexes vary in complexity\r 479
Monosynaptic Reflexes 479
Polysynaptic Reflexes 480
13-8 The brain can affect spinal cord–based reflexes\r 481
Voluntary Movements and Reflex Motor Patterns\r 482
Reinforcement and Inhibition 482
Chapter Review 483
Spotlight 466
Peripheral Distribution of Spinal Nerves 466
Spinal Reflexes 476
Clinical Case 456
Prom Night 456
Clinical Note 461
Anesthesia 461
Shingles 465
Sensory Innervation in the Hand 470
Sensory Innervation in the Ankle and Foot\r 473
An Introduction to the Spinal Cord, Spinal Nerves, and Spinal Reflexes \r 456
14 The Brain and Cranial Nerves\x0B 487
An Introduction to the Brain and Cranial Nerves\r 488
14-1 The brain has several principal structures, each with specific functions \r 488
Major Brain Regions and Landmarks 488
Embryology of the Brain 490
Ventricles of the Brain 490
The brain is protected and supported by the cranial meninges, cerebrospinal fluid, and the blood–brain \rbarrier 491
The Cranial Meninges 491
Cerebrospinal Fluid 493
The Blood Supply to the Brain 495
14-3 The medulla oblongata is continuous with the spinal cord and contains vital centers\r 496
14-4 The pons contains nuclei and tracts that carry or relay sensory and motor information\r 498
14-5 The cerebellum coordinates learned and reflexive patterns of muscular activity at the subconscious level\r 499
14-6 The midbrain regulates auditory and visual reflexes and controls alertness\r 501
14-7 The diencephalon integrates sensory information with motor output at the subconscious level\r 503
The Thalamus 503
The Hypothalamus 504
14-8 The limbic system is a group of tracts and nuclei that function in emotion, motivation, and memory\r 506
14-9 The cerebrum, the largest region of the brain, contains motor, sensory, and association areas\r 508
The Cerebral Cortex 508
The White Matter of the Cerebrum 508
The Basal Nuclei 508
Motor and Sensory Areas of the Cortex 512
14-10 Cranial reflexes involve sensory and motor fibers of cranial nerves\r 529
Chapter Review 530
Spotlight 494
Formation and Circulation of Cerebrospinal Fluid 494
Clinical Case 488
The Neuroanatomist’s Stroke 488
Clinical Note 493
Epidural and Subdural Hemorrhages 493
Disconnection Syndrome 514
Aphasia and Dyslexia 515
15 Sensory Pathways and the Somatic Nervous System\r 534
An Introduction to Sensory Pathways and the Somatic Nervous\rSystem\r 535
15-1 Sensory information from all parts of the body is routed to the somatosensory cortex\r 535
15-2 Sensory receptors connect our internal and external environments with the nervous system\r 536
The Detection of Stimuli 536
The Interpretation of Sensory Information 537
Adaptation 538
15-3 General sensory receptors are classified by the type of stimulus that excites them \r 539
Nociceptors 539
Thermoreceptors 540
Mechanoreceptors 540
Chemoreceptors\r 543
15-4 Separate pathways carry somatic sensory and visceral sensory information\r 544
Visceral Sensory Pathways 549
15-5 The somatic nervous system is an efferent division that controls skeletal muscles \r 549
The Corticospinal Pathway 550
The Medial and Lateral Pathways 551
The Basal Nuclei and Cerebellum 552
Levels of Processing and Motor Control 553
Chapter Review 554
Spotlight 546
Somatic Sensory Pathways 544
Clinical Case 535
Living with Cerebral Palsy 535
Clinical Note 543
Assessment of Tactile Sensitivities 543
Amyotrophic Lateral Sclerosis 552
Cerebral Palsy 553
16 The Autonomic Nervous System and Higher-Order Functions\r 557
An Introduction to the Autonomic Nervous System and Higher-Order Functions\r 558
16-1 The autonomic nervous system is involved in the unconscious regulation of visceral functions and has sympathetic and parasympathetic divisions\r 558
Organization of the ANS\r 558
Divisions of the ANS\r 559
16-2 The sympathetic division consists of preganglionic neurons and ganglionic neurons involved in using energy and increasing metabolic rate\r 562
Organization and Anatomy of the Sympathetic Division\r 563
Sympathetic Activation 566
16-3 Stimulation of sympathetic neurons leads to the release of various neurotransmitters\r\r 566
Sympathetic Stimulation and the Release of NE and E\r 567
Sympathetic Stimulation and the Release of ACh and NO\r 567
Summary: The Sympathetic Division 568
16-4 The parasympathetic division consists of reganglionic neurons and ganglionic neurons involved in conserving energy and lowering metabolic rate\r 568
Organization and Anatomy of the Parasympathetic Division\r 568
Parasympathetic Activation 568
16-5 Stimulation of parasympathetic neurons leads to the release of the neurotransmitter ACh\r 570
Neurotransmitter Release 570
Membrane Receptors and Responses 570
Summary: The Parasympathetic Division 570
16-6 The sympathetic and parasympathetic divisions interact, creating dual innervation\r 571
16-7 Visceral reflexes play a role in the integration and control of autonomic functions\r 575
Visceral Reflexes 575
Higher Levels of Autonomic Control 576
The Integration of SNS and ANS Activities\r 577
16-8 Higher-order functions include memory and states of consciousness\r 578
Memory 578
States of Consciousness 580
16-9 Neurotransmitters influence brain chemistry and behavior\r 582
16-10 Aging produces various structural and functional changes in the nervous system\r 583
Chapter Review 585
Spotlight 560
Overview of the Autonomic Nervous System 560
Clinical Case 558
The First Day in Anatomy Lab 558
Clinical Note 579
Amnesia 579
Categorizing Nervous System Disorders 581
Alzheimer’s Disease 583
17 The Special Senses 589
17-1 Olfaction, the sense of smell, involves olfactory receptors responding to chemical stimuli\r 590
Olfactory Receptors 590
Olfactory Pathways 591
Olfactory Discrimination 591
17-2 Gustation, the sense of taste, involves taste receptors responding to chemical stimuli\r 594
Taste Receptors 594
Gustatory Pathways 594
Gustatory Discrimination 595
17-3 Internal eye structures contribute to vision, while accessory eye structures provide protection\r 596
Accessory Structures of the Eye 596
The Eye 599
17-4 Photoreceptors respond to light and change it into electrical signals essential to visual physiology \r 607
Visual Physiology 607
The Visual Pathways 613
17-5 Equilibrium sensations originate within the internal ear, while hearing involves the detection and interpretation of sound waves\r 616
Anatomy of the Ear 616
Equilibrium 619
Hearing 622
Chapter Review 630
Spotlight\r 592
Olfaction and Gustation 592
Refractive Problems 608
Photoreception 610
Clinical Case 590
A Chance to See 590
Clinical Note 600
Diabetic Retinopathy 600
Detached Retina 600
Glaucoma 603
Motion Sickness 619
An Introduction to the Special Senses\r 590
18 The Endocrine System\r 634
An Introduction to the Endocrine System\r 635
18-1 Homeostasis is preserved through intercellular communication\r 635
18-2 The endocrine system regulates physiological processes through the binding of hormones to receptors\r 637
Classes of Hormones 637
Secretion and Distribution of Hormones 638
Mechanisms of Hormone Action 640
Control of Endocrine Activity by Endocrine Reflexes\r 642
18-3 The bilobed pituitary gland is an endocrine organ that releases nine peptide hormones\r 645
The Anterior Lobe of the Pituitary Gland\r 645
The Posterior Lobe of the Pituitary Gland 649
Summary: The Hormones of the Pituitary Gland 651
18-4 The thyroid gland lies inferior to the larynx and requires iodine for hormone synthesis\r 652
Thyroid Follicles and Thyroid Hormones 652
Functions of Thyroid Hormones 654
The C Cells of the Thyroid Gland and Calcitonin 655
18-5 The four parathyroid glands, embedded in the posterior surface of the thyroid gland, secrete parathyroid hormone to elevate blood Ca2+\r 656
18-6 The adrenal glands, consisting of a cortex and medulla, cap the kidneys and secrete several hormones\r 657
The Adrenal Cortex 657
The Adrenal Medulla 660
18-7 The pineal gland, attached to the roof of the third ventricle, secretes melatonin\r 660
18-8 The pancreas is both an exocrine organ and endocrine gland\r 661
The Pancreatic Islets 662
Insulin 663
Glucagon 663
18-9 Many organs have secondary endocrine functions\r 665
The Intestines 665
The Kidneys 665
The Heart 666
The Thymus 666
The Gonads 667
Adipose Tissue 669
18-10 Hormones interact to produce coordinated physiological responses\r 669
Role of Hormones in Growth 670
Aging and Hormone Production 670
Chapter Review 674
Spotlight 639
Structural Classification of Hormones 639
G Proteins and Second Messengers 641
Diabetes Mellitus 664
The General Adaptation Syndrome 671
Clinical Case 635
Stones, Bones, and Groans 635
Clinical Note 649
Diabetes Insipidus 649
Endocrine Disorders 668
Hormones and Athletic Performance 672
UNIT 4 Fluids and Transport\r 678
19 Blood\r 678
An Introduction to Blood and the Cardiovascular System\r 679
19-1 Blood has several important functions and unique physical characteristics\r 679
19-2 Plasma, the fluid portion of blood, contains significant quantities of plasma proteins\r 682
Plasma Proteins 682
19-3 Red blood cells, formed by erythropoiesis, contain hemoglobin that can be recycled\r 683
Abundance of RBCs 683
Structure of RBCs 684
Hemoglobin 685
RBC Formation and Turnover 686
RBC Production\r 687
19-4 The ABO blood types and Rh system are based on antigen–antibody responses\r 690
Cross-Reactions in Transfusions 692
Testing for Transfusion Compatibility 692
19-5 The various types of white blood cells contribute to the body’s defenses\r 693
WBC Circulation and Movement 693
Types of WBCs 696
The Differential Count and Changes in WBC Profiles\r 697
WBC Production 698
19-6 Platelets, disc-shaped structures formed from megakaryocytes, function in the clotting process\r 700
Platelet Functions 701
Platelet Production 701
19-7 Hemostasis involves vascular spasm, platelet plug formation, and blood coagulation\r 701
The Vascular Phase 701
The Platelet Phase 702
The Coagulation Phase 703
Fibrinolysis 705
Chapter Review 706
Spotlight 680
The Composition of Whole Blood 680
Hemolytic Disease of the Newborn 694
Clinical Case 679
A Mysterious Blood Disorder 679
Clinical Note 682
Collecting Blood for Analysis 682
Plasma Expanders 683
Abnormal Hemoglobin 686
20 The Heart\r 710
An Introduction to the Cardiovascular System\r 711
20-1 The heart is a four-chambered organ, supplied by the coronary circulation, that pumps oxygen-poor blood to the lungs and oxygen-rich blood to the rest of the body\r 712
The Pericardium 712
Superficial Anatomy of the Heart 712
The Heart Wall 712
Cardiac Muscle Tissue 715
Internal Anatomy and Organization 715
Connective Tissues and the Cardiac Skeleton 721
The Blood Supply to the Heart 721
20-2 The conducting system distributes electrical impulses through the heart, and an electrocardiogram records the associated electrical events\r 723
Cardiac Physiology 723
The Conducting System 723
The Electrocardiogram 728
Contractile Cells 729
20-3 Events during a complete heartbeat make up a cardiac cycle\r 732
Phases of the Cardiac Cycle 733
Pressure and Volume Changes in the Cardiac Cycle\r 734
Heart Sounds 736
20-4 Cardiodynamics examines the factors that affect cardiac output\r 737
Overview: Factors Affecting Cardiac Output 737
Factors Affecting the Heart Rate 738
Factors Affecting the Stroke Volume 741
Summary: The Control of Cardiac Output 743
The Heart and the Cardiovascular System 744
Chapter Review 745
Spotlight 724
Heart Disease and Heart Attacks 724
Cardiac Arrhythmias 730
Clinical Case\r 711
A Needle to the Chest 711
Clinical Note 734
Abnormal Conditions Affecting Cardiac Output 734
21 Blood Vessels and Circulation\r 749
An Introduction to Blood Vessels and Circulation\r 750
21-1 Arteries, arterioles, capillaries, venules, and veins differ in size, structure, and functional properties\r 750
The Structure of Vessel Walls 751
Differences between Arteries and Veins 752
Capillaries 755
Veins 758
The Distribution of Blood 759
21-2 Pressure and resistance determine blood flow and affect rates of capillary exchange\r 760
Pressure 760
Total Peripheral Resistance 760
An Overview of Cardiovascular Pressures 762
Capillary Pressures and Capillary Exchange 765
21-3 Cardiovascular regulatory mechanisms involve autoregulation, neural mechanisms, and endocrine responses\r 768
Autoregulation of Blood Flow within Tissues 768
Neural Mechanisms 769
Hormones and Cardiovascular Regulation 772
21-4 The cardiovascular system adapts to physiological stress and maintains a special vascular supply to the brain, heart, and lungs\r 775
The Cardiovascular Response to Exercise 775
The Cardiovascular Response to Hemorrhaging 777
Vascular Supply to Special Regions 778
21-5 The pulmonary and systemic circuits of the cardiovascular system exhibit three general functional patterns\r 779
21-6 In the pulmonary circuit, deoxygenated blood enters the lungs in arteries, and oxygenated blood leaves the lungs by veins\r 780
21-7 The systemic circuit carries oxygenated blood from the left ventricle to tissues and organs other than the pulmonary exchange surfaces, and returns deoxygenated blood to the right atrium\r 781
Systemic Arteries 781
Systemic Veins 789
21-8 Modifications of fetal and maternal cardiovascular systems promote the exchange of materials, and independence occurs at birth\r 798
Placental Blood Supply 798
Fetal Circulation in the Heart and Great Vessels\r 798
Cardiovascular Changes at Birth 799
21-9 Aging affects the blood, heart, and blood vessels\r 801
Chapter Review 803
Spotlight 800
Congenital Heart Problems 800
Clinical Case 750
Did Ancient Mummies Have Atherosclerosis?\r 750
Clinical Note\r 754
Arteriosclerosis\r 754
Edema 767
22 The Lymphatic System and Immunity\r 807
22-1 Surface barriers and internal defenses make up innate defenses, and lymphocytes provide adaptive defenses\r 808
22-2 Lymphatic vessels, lymphocytes, lymphoid tissues, and lymphoid organs function in body defenses\r 809
Functions of the Lymphatic System 810
Lymphatic Vessels 810
Lymphocytes 813
Lymphoid tissues 816
Lymphoid Organs 816
The Lymphatic System and Body Defenses 820
22-3 Innate (nonspecific) defenses do not discriminate between potential threats and respond the same regardless of the invader\r 822
Physical Barriers 822
Phagocytes 822
Immune Surveillance 824
Interferons\r 825
Complement System 825
Inflammation, 827
Fever 828
22-4 Adaptive (specific) defenses respond to individual threats and are either cell-mediated or antibody mediated\r 828
Forms of Immunity 829
Properties of Adaptive Immunity 830
An Introduction to the Immune Response 830
T cells play a role in initiating, maintaining, and\rcontrolling the immune response\r 831
Antigen Presentation 831
Antigen Recognition 832
Activation of CD8 T Cells 834
Activation of CD4 T Cells 835
22-6 B cells respond to antigens by producing specific antibodies\r 836
B Cell Sensitization and Activation 836
Antibody Structure 837
Primary and Secondary Responses to Antigen Exposure\r 840
Summary of the Immune Response 841
22-7 Immunocompetence enables a normal immune response; abnormal responses result in immune disorders\r 844
The Development of Immunocompetence 844
Cytokines of the Immune System 844
Immune Disorders 844
Stress and the Immune Response 849
22-8 The immune response diminishes as we age\r 851
22-9 The nervous and endocrine systems influence the immune response\r 851
Chapter Review 852
Spotlight 846
Cytokines of the Immune System 846
Clinical Case 808
Isn’t There a Vaccine for That?\r 808
Clinical Note 814
Cancer and the Lymphatic System 814
Graft Rejection and Immunosuppression 832
AIDS 845
An Introduction to the Lymphatic System and Immunity\r 808
UNIT 5 Environmental Exchange\r 856
23 The Respiratory System\r 856
An Introduction to the Respiratory System\r 857
23-1 The respiratory system, organized into an upper respiratory system and a lower respiratory system, has several basic functions\r 857
Functions of the Respiratory System 857
Organization of the Respiratory System 858
23-2 Located outside the thoracic cavity, the upper respiratory system consists of the nose, nasal cavity, paranasal sinuses, and pharynx\r 861
The Nose, Nasal Cavity, and Paranasal Sinuses\r 861
The Pharynx 863
23-3 Composed of cartilages, ligaments, and muscles, the larynx produces sound\r 863
Cartilages and Ligaments of the Larynx 863
Sound Production 864
The Laryngeal Musculature 865
23-4 The trachea and primary bronchi convey air to and from the lungs\r 865
The Trachea 865
The Primary Bronchi 866
23-5 Enclosed by pleural cavities, the lungs are paired organs containing alveoli, which permit gaseous exchange\r 867
Lobes and Surfaces of the Lungs 867
The Bronchi 867
The Bronchioles 867
Alveolar Ducts and Alveoli 869
The Blood Supply to the Lungs 872
The Pleural Cavities and Pleural Membranes 872
23-6 External respiration and internal respiration allow gaseous exchange within the body\r 873
23-7 Pulmonary ventilation—the exchange of air between the atmosphere and the lungs—involves pressure changes, muscle movement, and respiratory rates and volumes\r 874
The Movement of Air 874
Pressure Changes during Inhalation and Exhalation\r 875
The Mechanics of Breathing 878
Respiratory Rates and Volumes 880
23-8 Gas exchange depends on the partial pressures of gases and the diffusion of molecules\r 882
The Gas Laws 882
Diffusion and Respiratory Function 884
23-9 Most oxygen is transported bound to hemoglobin; and carbon dioxide is transported in three ways: as carbonic acid, bound to hemoglobin, or dissolved in plasma\r 886
Oxygen Transport 886
Carbon Dioxide Transport 889
Summary: Gas Transport 890
23-10 Neurons in the medulla oblongata and pons, along with respiratory reflexes, control respiration\r 890
Local Regulation of Gas Transport and Alveolar Function\r 891
The Respiratory Centers of the Brain 892
Respiratory Reflexes\r 896
Voluntary Control of Respiration 898
Changes in the Respiratory System at Birth 898
23-11 Respiratory performance declines with age\r 899
23-12 The respiratory system provides oxygen to, and eliminates carbon dioxide from, other organ systems\r 899
Chapter Review 902
Spotlight 879
Respiratory Muscles and Pulmonary Ventilation 879
Control of Respiration 894
Clinical Case 857
How Long Shoulda \rCough Last? 857
Clinical Note 860
Breakdown of the Respiratory Defense System 860
Pneumothorax 878
Decompression Sickness 884
Blood Gas Analysis 886
Carbon Monoxide Poisoning 889
Emphysema and Lung Cancer 901
24 The Digestive System\r 906
An Introduction to the Digestive System\r 907
24-1 The digestive system, consisting of the digestive tract and accessory organs, has overlapping food utilization functions\r 907
Functions of the Digestive System 908
The Digestive Organs and the Peritoneum 909
Histology of the Digestive Tract 911
The Movement of Digestive Materials 912
Control of Digestive Functions 913
24-2 The oral cavity contains the tongue, salivary glands, and teeth, each with specific functions\r 915
The Tongue 916
Salivary Glands 916
The Teeth 918
24-3 The pharynx is a passageway between the oral cavity and esophagus\r 920
24-4 The esophagus is a muscular tube that transports solids and liquids from the pharynx to the stomach\r 921
Histology of the Esophagus 921
Swallowing\r 922
24-5 The stomach is a J-shaped organ that receives the bolus from the esophagus and aids in chemical and mechanical digestion\r 923
Anatomy of the Stomach 923
Regulation of Gastric Activity 927
Digestion and Absorption in the Stomach 927
24-6 The small intestine digests and absorbs nutrients, and associated glandular organs assist with digestive processes\r 927
The Small Intestine 927
Histology of the Small Intestine 930
Intestinal Secretions 932
Intestinal Movements 933
The Pancreas 933
The Liver 935
The Gallbladder 940
The Coordination of Secretion and Absorption 940
24-7 The large intestine is divided into three parts with regional specialization\r 942
The Cecum 943
The Colon 943
The Rectum 945
Histology of the Large Intestine 945
Physiology of the Large Intestine 946
24-8 Digestion is the chemical alteration of food that allows the absorption and use of nutrients\r 948
The Processing and Absorbing of Nutrients 948
Carbohydrate Digestion and Absorption 948
Lipid Digestion and Absorption 951
Protein Digestion and Absorption 951
Water Absorption 952
Ion Absorption 952
24-9 Many age-related changes affect digestion and absorption 954
24-10 The digestive system is extensively integrated with other body systems\r 954
Chapter Review 956
Spotlight 928
Regulation of Gastric Activity 928
Chemical Events of Digestion 949
Clinical Case 907
An Unusual Transplant 907
Clinical Note 909
Peritonitis 909
Epithelial Renewal and Repair 912
Mumps 916
Gastritis and Peptic Ulcers 923
Pancreatitis 933
Cirrhosis 935
Colorectal Cancer 943
Inflammatory and Infectious Disorders of the Digestive System\r 946
25 Metabolism and Energetics\x0B 961
An Introduction to Metabolism and Energetics\r 962
25-1 Metabolism refers to all the chemical reactions in the body, and energetics refers to the flow and transformation of energy\r 962
25-2 Carbohydrate metabolism involves glycolysis, ATP production, and gluconeogenesis\r 965
Glycolysis\r 965
Mitochondrial ATP Production 965
Energy Yield of Glycolysis and Cellular \rRespiration 971
Gluconeogenesis 972
25-3 Lipid metabolism involves lipolysis, beta-oxidation, and the transport and distribution of lipids as free fatty acids and lipoproteins\r 973
Lipid Catabolism 973
Lipid Synthesis 975
Lipid Transport and Distribution 975
25-4 Protein catabolism involves transamination and deamination, whereas protein synthesis involves amination and transamination\r 978
Amino Acid Catabolism 978
Protein Synthesis 978
25-5 The body experiences two patterns of metabolic activity: the absorptive and postabsorptive states\r 982
25-6 Adequate nutrition is necessary to prevent deficiency disorders and ensure physiological functioning\r 983
Food Groups and a Balanced Diet 983
Nitrogen Balance 983
Minerals 985
UNIT 6 Continuity of Life\r 1076
28 The Reproductive System\r 1076
An Introduction to the Reproductive System\r 1077
28-1 Basic reproductive system structures are gonads, ducts, accessory glands and organs, and external genitalia\r 1077
28-2 Spermatogenesis occurs in the testes, and hormones from the hypothalamus, anterior lobe of the pituitary gland, and testes control male reproductive functions\r 1078
The Testes 1078
Spermatogenesis 1082
Mitosis and Meiosis 1082
The Anatomy of a Spermatozoon 1086
The Male Reproductive Tract 1087
The Accessory Glands 1088
Semen 1090
The External Genitalia 1090
Hormones and Male Reproductive Function 1092
28-3 Oogenesis occurs in the ovaries, and hormones from the pituitary gland and gonads control female reproductive functions\r 1094
The Ovaries 1095
The Uterine Tubes 1100
The Uterus 1101
The Vagina 1105
The External Genitalia 1106
The Mammary Glands 1107
Hormones and Female Reproductive Function 1107
28-4 The autonomic nervous system influences male and female sexual function\r 1113
Male Sexual Function 1113
Female Sexual Function 1114
28-5 With age, decreasing levels of reproductive hormones\rcause functional changes \r 1114
Menopause 1114
The Male Climacteric 1115
28-6 The reproductive system secretes hormones affecting\rgrowth and metabolism of all body systems\r 1115
Spotlight 1093
Regulation of Male Reproduction 1093
Regulation of Female Reproduction 1110
Clinical Case 1077
Chapter Review 1118
A Post-Game Mystery 1120
Clinical Note 1092
Dehydroepiandrosterone (DHEA) 1092
Prostatic Hypertrophy and Prostate Cancer 1094
Ovarian Cancer 1100
Cervical Cancer 1101
Breast Cancer 1109
29 Development and Inheritance\r 1121
An Introduction to Development and Inheritance\r 1122
29-1 Development, marked by various stages, is a continuous process that occurs from fertilization to maturity\r 1122
29-2 Fertilization—the fusion of a secondary oocyte and a spermatozoon—forms a zygote\r 1123
The Oocyte at Ovulation 1123
Oocyte Activation 1125
29-3 Gestation consists of three stages of prenatal development: the first, second, and third trimesters\r 1125
29-4 Cleavage, implantation, placentation, and embryogenesis are critical events of the first trimester\r 1126
Cleavage and Blastocyst Formation 1127
Implantation 1127
Placentation 1132
Embryogenesis 1133
29-5 During the second and third trimesters, maternal organ systems support the developing fetus, and the uterus undergoes structural and functional changes\r 1138
Pregnancy and Maternal Systems 1138
Structural and Functional Changes in the Uterus 1140
29-6 Labor consists of the dilation,expulsion,\r and placental stages 1141
Stages of Labor 1141
Premature Labor 1143
Difficult Deliveries 1143
Multiple Births 1143
29-7 Postnatal stages are the neonatal period, infancy, childhood, adolescence, and maturity, followed by senescence \r 1144
The Neonatal Period, Infancy, and Childhood 1144
Adolescence and Maturity 1146
Senescence 1148
29-8 Genes and chromosomes determine patterns of\rinheritance\r 1148
Patterns of Inheritance 1149
Sources of Individual Variation 1152
Sex-Linked Inheritance 1154
The Human Genome Project and Beyond 1155
Chapter Review 1157
Spotlight 1130
Extraembryonic Membranes and Placenta Formation 1130
Clinical Case 1160
The Twins That Looked Nothing Alike\r 1160
Clinical Note 1140
Abortion 1140
Chromosomal Abnormalities and Genetic Analysis 1156
Appendix 1161
The Composition of Minor Body Fluids\r 1161
The Chemistry of Blood, Cerebrospinal Fluid (CSF), and Urine 1162
The Periodic Table 1163
Codon Chart 1164
Answers to Checkpoints, Review Questions, and Clinical Case Wrap-Ups\r 1165
Glossary 1205
A 1205
B 1207
C 1207
D 1210
E 1210
F 1211
G 1212
H 1213
I 1213
J 1214
K 1214
L 1214
M 1215
N 1216
O 1217
P 1217
Q 1219
R 1219
S 1220
T 1221
U 1222
V 1222
W 1223
X 1223
Y 1223
Z 1223
Index 1227
A 1227
B 1230
C 1232
D 1235
E 1237
F 1238
G 1240
H 1241
I 1242
J 1244
K 1244
L 1244
M 1245
N 1248
O 1249
P 1250
Q 1253
R 1253
S 1254
T 1258
U 1260
V 1260
W 1261
X 1262
Y 1262
Z 1262