Menu Expand
General Anatomy - E-book

General Anatomy - E-book

Vishram Singh

(2015)

Additional Information

Book Details

Abstract

The Second Edition of this book is updated in accordance with the syllabus of Anatomy recommended by the Medical Council of India. It covers in detail fundamentals of human anatomy and builds understanding of structures, their relations and functions within the complex human body. Following recent trends of anatomy education, the book in addition to basic information provides knowledge on anatomical, embryological, histological and genetic basis of clinical conditions through its feature — Clinical Correlation.. Written in simple and easy-to-understand language, this profusely illustrated book provides knowledge of anatomy without extraneous details – ideal for undergraduate medical and dental students. It is highly recommended for those preparing for various entrance examinations, like PG entrance, USMLE, PLAB, etc.

  • Detailed exposition on basic principles of anatomical structures, and relationships and functions of these structures within the human body
  • Chapters on skin, superficial fascia and deep fascia, skeleton, muscular system, cardiovascular system, radiological (imaging) anatomy and genetics have been revised thoroughly
  • Clinical Correlations integrated in the text, highlighting practical application of anatomical facts, have been modified extensively
  • Addition of new line diagrams and improvement in earlier diagrams
  • Addition of halftone figures to enrich the understanding of clinical correlations
  • Inclusion of new tables and flowcharts and revision of earlier tables
  • Additional information of higher academic value presented in a simple way in N.B. to make it more interesting for readers, especially aspiring postgraduates
  • Important facts useful for candidates appearing in various entrance examinations like PGME, USMLE, PLAB, listed under Golden Facts to Remember
  • Multiple Choice Questions at the end of the book for self-assessment

Table of Contents

Section Title Page Action Price
Front cover Cover
3 Volume series ii
Textbook of anatomy upper limb and thorax ii
Textbook of anatomy abdomen and lower limb ii
Textbook of anatomy head, neck and brain ii
Front Matter iii
General anatomy with systemic anatomy radiological anatomy medical genetics second edition iii
Copyright page iv
Dedication v
Preface to the second edition vii
Preface to the first edition ix
Acknowledgments xi
Table of contents xiii
1 Introduction and history of anatomy 1
Learning objectives 1
Introduction 1
Subdivisions of anatomy 1
History of anatomy 4
Grecian period 4
Hippocrates (460–377 BC), fig. 1.3 4
Aristotle (384–322 BC), fig. 1.4 6
Herophilus (about 325 BC), fig. 1.5 6
Roman period 6
Claudius Galen (AD 130–201), fig. 1.6 6
Renaissance period 7
Leonardo da Vinci (1452–1519), fig. 1.7 7
Sixteenth century 7
Vesalius (1514–1654), fig. 1.8 7
Seventeenth and eighteenth century 8
William Harvey (1578–1657) 8
Antonie van Leeuwenhoek (1632–1723), fig. 1.9 8
Malpighi (1628–1634) 8
John Hunter (1728–1793), fig. 1.10 8
Wilhelm Konrad Von Röentgen (1845–1923), fig. 1.11 8
Gregor Johann Mendel (1822–1884) 8
Nineteenth century 9
Twentieth century 9
Twenty-first century 9
Multiple choice questions 11
Answers 11
2 Anatomical terminology 12
Learning objectives 12
Introduction 12
Positions of the body 12
Anatomical position 12
Fundamental position 12
Other positions of the body 13
Anatomical planes of the body 13
Anatomical terms 14
Descriptive terms 14
Special terms used for limbs 14
Terms used to describe joint movements 16
Terms used to describe bony features 18
Depression and openings 18
Projections or processes 18
Terms used in clinical anatomy 19
Terms used to describe blood vessels 20
Terms used to describe nerves and associated structures 20
Terms used to describe fasciae 20
Terms used to describe muscles 20
Terms used to describe lymph nodes and lymph vessels 21
Anatomical nomenclature 21
Multiple choice questions 23
Answers 23
3 Architecture and design of human body 24
Learning objectives 24
Introduction 24
Classification of humans in the animal kingdom 24
Characteristics of humans 24
Organization of the human body 25
Body regions 25
Body cavities 26
Body membranes 27
Body fluids 28
General disposition of the body structures 28
Introduction to the study of illness 28
Multiple choice questions 31
Answers 31
4 Cells and tissues of the body 32
Learning objectives 32
Introduction 32
Cell 32
Structure 33
Plasma membrane (fig. 4.3 A and B) 33
Nucleus 34
Cytoplasmic organelles 34
Mitochondria 34
Ribosomes 35
Endoplasmic reticulum 35
Golgi apparatus 35
Lysosomes (lysis = solution, soma = body) 35
Centrioles 35
Microfilaments 36
Microtubules 36
Cell division 36
Mitosis 36
Cell cycle (fig. 4.6) 36
Meiosis (fig. 4.5) 37
Tissues 37
Epithelial tissue (epithelium) 37
Classification of epithelium 37
Simple epithelium (fig. 4.7) 38
Compound/stratified epithelium (fig. 4.8) 38
Transitional epithelium 38
Specialization on the free (apical) surface of the epithelial cells (fig. 4.10) 40
Glands 40
Classification of glands 41
Classification of endocrine glands 42
Connective tissue 42
Classification of connective tissue 44
Muscle tissue 45
Nervous tissue 45
Tissue regeneration 45
Cell differentiation 46
Apoptosis 46
Multiple choice questions 48
Answers 48
5 Skin, superficial fascia and deep fascia 49
Learning objectives 49
Skin 49
Structure of skin 49
Epidermis 49
Layers of epidermis 49
Dermis 50
Layers of dermis 51
Color of skin 51
Types of skin 51
Surface irregularities (also called surface patterns) of skin 51
Appendages of skin (accessory structures of skin) 53
Nails (fig. 5.6) 53
Parts of the nail 53
Growth of nails 54
Hair 54
Parts of hair 55
Structure of hair (fig. 5.7) 55
Color of hair 55
Texture of hair 55
Types of hair 56
Sweat (sudoriferous) glands 56
Types of sweat glands 56
Sebaceous glands (oil glands) 57
Functions of skin 57
Blood supply to the skin 58
Nerve supply to the skin 58
Wound healing 59
Skin burns 59
Estimation of surface area of skin 59
Regeneration of the skin 59
Superficial fascia 59
Functions of superficial fascia 61
Deep fascia 61
Modifications of deep fascia 61
Sites where deep fascia is absent 62
Nerve supply of deep fascia 62
Functions of the deep fascia 62
Multiple choice questions 64
Answers 64
6 Skeleton 65
Learning objectives 65
Introduction 65
Types of the skeleton 65
Axial skeleton 65
Appendicular skeleton 65
Bones 66
Functions of bones 67
Microscopic structure of bones 67
Classification of bones 68
Compact (dense) bone 70
Lamellae 70
Haversian system (osteon) 70
Cancellous (spongy) bone 71
Developmental classification 72
Gross structure of a typical long bone 72
Periosteum and endosteum 73
Bone marrow 73
Types of bone marrow 73
Parts of growing (young) long bone 74
Blood supply of bones 75
Fracture of bone 76
Repair of a fractured bone 76
Development and growth of bones 77
Development 77
Ossification 77
Types of ossification 77
Ossification of a long bone 78
Cartilage 83
Function of cartilage 83
Structure 83
Growth of cartilage 84
Characteristic features of cartilage 84
Types of cartilage 84
Multiple choice questions 87
Answers 87
7 Joints 88
Learning objectives 88
Introduction 88
Classification of joints 88
Functional classification 88
Structural classification 88
Synovial joints 92
Components of synovial joints and their functional significance 92
Classification of synovial joints 94
Movements of synovial joints 97
Active movements 97
Special active movements 98
Passive and accessory movements 98
Blood supply to synovial joints 98
Nerve supply to synovial joints 99
Factors maintaining the stability of synovial joints 100
Biomechanics of body movements 101
Leverage 101
Classes of levers 101
Position of the joints 102
Close packed position 102
Loose packed position 102
Multiple Choice Questions 104
Answers 104
8 Vertebral column 105
Learning objectives 105
Introduction 105
Vertebrae 105
Characteristics of a typical vertebra 106
Intervertebral foramina 108
Spaces between vertebral arches 109
Special features of vertebrae in different regions 109
Cervical vertebrae 109
Thoracic vertebrae 110
Lumbar vertebrae 110
Sacrum 110
Coccyx 110
Intervertebral discs 110
Curvatures of the vertebral column 112
Development of curvatures 113
Abnormalities of the vertebral curvatures 113
Line of gravity 113
Vertebral column and its muscles 114
Movements of the vertebral column 115
Multiple choice questions 118
Answers 118
9 Muscular system 119
Learning objectives 119
Introduction 119
Types of muscles 120
Basic properties of muscles 120
Skeletal muscles 120
Functions 121
Microscopic structure 121
Supporting tissue 121
Muscle fibers 121
Myofibrillar proteins 123
Mechanism of contraction (fig. 9.6) 123
Types of skeletal muscle fibers 124
Fascicular architecture 124
Names of muscles 125
Gross features of a typical skeletal muscle 126
Two ends 126
Two parts 127
Tendons 127
Lubricating mechanisms 128
Synovial bursa and synovial sheath 128
Synovial bursa 128
Types of bursae 128
Synovial sheaths (fig. 9.12 A, B and C) 128
Blood supply 128
Classification of muscles according to vascular pedicles 129
Nerve supply 129
Motor point 130
Motor unit (fig. 9.13) 130
Neuromuscular junction (myoneural junction [fig. 9.14]) 130
Motor end plate 130
Sole plate 130
Synaptic cleft (neuromuscular cleft) 130
Mechanism of transmission of impulse 130
Muscle receptors 131
Neuromuscular spindles (muscle spindles) 131
Stretch reflex 131
Golgi tendon organs (neurotendinous spindles) 131
Segmental innervation of muscles 132
Action of muscles 133
Muscle tone 133
Length–tension relationship in muscles 133
Types of muscle contraction 133
Active and passive insufficiency of muscles 134
Group action of muscles 134
Multiple choice questions 137
Answers 137
10 Cardiovascular system 138
Learning objectives 138
Introduction 138
Functions of cardiovascular system 138
Components of cardiovascular system 138
Blood 138
Blood cells 138
Plasma 141
Heart 141
Weight of the heart 141
Wall of the heart 141
Chambers of the heart 141
Base of the heart 141
Apex of the heart 142
Functions of the heart 142
Apex beat 142
Arterial supply 142
Venous drainagae 143
Nerve supply 143
Conducting system of the heart 143
Blood vessels 143
Classification of blood vessels 144
Arteries 144
Characteristic features 144
General (microscopic) structure 144
Classification 145
Blood supply of the arteries 146
Nerve supply 146
Filling of the arteries 146
Arterial pulse 146
Capillaries 147
Types 147
Sinusoids 147
Functions 147
Veins 147
Characteristic features 147
General structure 148
Classification 148
Blood supply 149
Nerve supply 149
Pattern of distribution of arteries and veins 149
Venous valves 149
Factors helping venous flow 150
Anastomosis 150
Arterial anastomosis 150
Different types of anastomosis: 150
End arteries 151
Arteriovenous anastomoses 151
Sites 151
Functions 151
Circulation of blood 151
Types of blood circulation 151
Fetal circulation 153
Multiple choice questions 156
Answers 156
11 Lymphatic system 157
Learning objectives 157
Introduction 157
Components of the lymphatic system 157
Lymph 157
Lymph capillaries 159
Lymph vessels 159
Superficial and deep lymph vessels 160
Drainage of lymph 161
Lymphoid organs 161
Lymph nodes 161
Structure of lymph nodes (fig. 11.5) 161
Capsule 161
Gland substance (parenchyma) 162
Circulation of lymph and blood in lymph nodes (fig. 11.6) 162
Circulation of lymph 162
Flow of blood (fig. 11.6) 162
Functions of lymph nodes 163
Spleen 164
Structure 164
Functions 164
Thymus 165
Structure 165
Functions 165
Epithelio-lymphoid system 165
Reticulo-endothelial system 166
Lymphocytes and immunity 166
Cell-mediated immunity (fig. 11.10) 166
Antibody-mediated (humoral) immunity 167
Bone marrow 167
Multiple Choice Questions 169
Answers 169
12 Nervous system 170
Learning objectives 170
Introduction 170
Subdivisions of the nervous system 170
Anatomical subdivision (fig. 12.1) 170
Functional subdivision (fig. 12.2) 170
Structural organization of the nervous system 171
Neurons 171
Structure of a neuron (fig. 12.3) 171
Cell body 171
Process 171
Classification of neurons 172
Ganglion 173
Neuroglia (fig. 12.5) 173
Structure of neuroglia 173
Classification of neuroglia 174
Functions of neuroglia 174
Nerve fibers 174
Myelination of nerve fibers 174
Conduction of action potential along an axon (fig. 12.8) 175
Transmission of impulses 175
Synapse 175
Types of synapses 176
Structure of synapse (fig. 12.9 A) 176
Mechanism of transmission of impulse across the synapse (fig. 12.9 B) 176
Neurotransmitter 176
Nerves 177
Structure of a nerve/peripheral nerve 177
Classification of nerves 177
Reflex action 177
Degeneration and regeneration of nerves after injury 177
Degeneration (fig. 12.13) 177
Regeneration (fig. 12.14) 179
Types of peripheral nerves 179
Cranial nerves 179
Spinal nerves 180
Typical spinal nerve (fig. 12.15) 180
Distribution of sympathetic fibers through spinal nerves (fig. 12.16) 180
Dermatome 181
Plexus formation by spinal nerves 182
Autonomic nervous system 182
Subdivisions of autonomic nervous system 182
Characteristic features of sympathetic and parasympathetic supply 183
Functions of sympathetic and parasympathetic nervous system 183
Neurotransmitters of the autonomic nervous system (fig. 12.21) 184
Afferent component of autonomic nervous system 185
Referred pain 185
Multiple choice questions 187
Answers 187
13 Endocrine system 188
Learning objectives 188
Introduction 188
Components of endocrine system 188
Endocrine glands 188
Pituitary gland (hypophysis cerebri) 189
Parts of pituitary gland 189
Adenohypophysis (anterior pituitary) 189
Neurohypophysis (posterior pituitary) 190
Blood supply 191
Thyroid gland 191
Structure 191
Hormones secreted by thyroid gland 191
Blood supply 192
Parathyroid glands 192
Structure 192
Hormones secreted by parathyroid glands 192
Blood supply 193
Suprarenal glands (adrenal glands) 193
Structure and secretion of hormones 193
Adrenal cortex 193
Adrenal medulla 194
Blood supply 194
Pineal gland (epiphysis cerebri) 194
Structure 194
Hormones secreted by pineal gland 194
Functions of pineal gland 194
Blood supply 195
Thymus gland 195
Hormone secreted by thymus gland 195
Scattered masses of endocrine cells in exocrine glands 195
Islets of langerhans of pancreas 195
Gonads 195
Testes 195
Ovary 196
Diffuse neuroendocrine cells 196
Multiple choice questions 197
Answers 197
14 Digestive and respiratory systems 198
Learning objectives 198
Digestive system 198
Introduction 198
Digestive tract 198
Mouth (oral cavity) 198
Lips and cheeks 199
Teeth 199
Tongue 199
Pharynx 200
Esophagus 200
Stomach 200
Small intestine 200
Large intestine 201
Major digestive glands 201
Salivary glands 201
Liver 202
Structure 202
Functions of liver 202
Bile secretion 203
Gallbladder 203
Pancreas 203
Respiratory system 204
Introduction 204
Components of respiratory system 204
Conducting and respiratory portions of the respiratory system 205
Nasal cavity 205
Lining of nasal cavity 205
Pharynx 205
Larynx (‘voice box’) 205
Trachea 206
Bronchi, bronchioles and terminal bronchioles 206
Respiratory bronchioles: Alveolar ducts, alveolar sacs and alveoli 206
Lungs 206
Multiple choice questions 208
Answers 208
15 Urogenital system 209
Learning objectives 209
Urinary system 209
Introduction 209
Kidneys 209
Ureters 211
Urinary bladder 211
Urethra 211
Genital/reproductive system 211
Introduction 211
Male reproductive system 212
Testes 212
Epididymis 212
Ductus deferens 213
Seminal vesicles 213
Ejaculatory duct 213
Prostate gland 213
Bulbourethral glands (of cowper) 213
Penis 213
Urethra 214
Scrotum 214
Female reproductive system 214
Ovaries 215
Uterine tubes 215
Uterus 215
Vagina 215
Clitoris, labia minora and labia majora 215
Clitoris 216
Greater vestibular glands 216
Mons pubis 216
Vaginal orifice 216
Multiple choice questions 218
Answers 218
16 Radiological (imaging) anatomy 219
Learning objectives 219
Introduction 219
Imaging techniques: Using ionizing radiation 219
Conventional imaging 219
Plain radiography 219
Properties of x-rays 220
Side effects of radiations (radiation hazards) 221
Radiosensitivity of normal tissues and cells 221
Radiographic views 221
Simple radiological procedures 222
Fluoroscopy 222
Plain radiography (plain x-ray) 222
Interpretation of common plain radiographs 222
Chest radiograph: 223
Abdominal radiograph: 223
Peripheral radiographs of limbs: 223
Xeroradiography 223
Tomography 223
Special radiological procedures 223
Contrast radiography 223
Contrast media 223
Interpretation of common contrast radiographs 224
Barium meal x-ray (fig. 16.6): 224
Barium enema x-ray (fig. 16.7): 224
Pyelogram: 224
Hysterosalpingogram: 225
Computed tomography (CT) scanning/computerized axial tomography (CAT) scanning 225
Features 225
Spiral CT (SCT) 225
Radioisotope scanning (nuclear medicine imaging) 225
Imaging techniques: Not using ionizing radiation 226
Ultrasonography (USG) 226
Features 226
Magnetic resonance imaging (MRI) 226
Weighting of imaging 227
Features 227
Positron emission tomography (PET) 227
Radiological terms in present perspective 228
Orientation of images 228
Multiple Choice Questions 230
Answers 230
17 Medical genetics 231
Learning objectives 231
Introduction 231
Deoxyribonucleic acid 231
Ribonucleic acid 232
Chromosomes 233
Chemical structure 233
Morphological types 234
Number of chromosomes 234
Karyotyping 234
Method 234
Sex chromatin (barr body) 235
Chromosomal abnormalities 236
Classification 236
Numerical abnormalities 236
Structural abnormalities 237
Genes 239
Structure (fig. 17.14) 239
Types 239
Location of genes 239
Dominant and recessive genes 240
Inheritance 240
Autosomal inheritance 240
Sex-linked inheritance 241
X-linked inheritance 241
Y-linked inheritance (holandric inheritance) 241
Mitochondrial inheritance 242
Genetic basis of diseases 242
Disorders due to chromosomal abnormalities 242
Numerical chromosomal abnormalities affecting autosomes 242
Down’s syndrome (mongolism) or trisomy 21 242
Patau’s syndrome 243
Edward’s syndrome 243
Structural chromosomal abnormalities affecting autosomes 243
Cri-du-chat syndrome (cat cry syndrome) 243
Prader–Willi syndrome 243
Angelman’s syndrome (happy puppet syndrome) 243
DiGeorge syndrome 244
Miller–Dieker syndrome 244
Chronic myeloid leukemia 244
Chromosomal abnormalities affecting sex chromosomes 244
Single gene inherited diseases 245
Autosomal dominant inheritance 245
Huntington’s disease (HD) 245
Autosomal recessive inheritance 245
Cystic fibrosis (CF) 246
X-linked recessive inheritance 246
Duchenne muscular dystrophy 246
Hemophilia 246
Multiple choice questions 248
Answers 248
Index 249
A 249
B 249
C 249
D 250
E 250
F 250
G 250
H 250
I 251
J 251
K 251
L 251
M 251
N 252
O 252
P 252
Q 252
R 252
S 252
T 253
U 253
V 253
W 253
X 253
Y 253
Z 253