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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

(2017)

Additional Information

Book Details

Abstract

For courses in two-semester A&P. 

 

Using Art Effectively to Teach the Toughest Topics in A&P

Fundamentals of Anatomy & Physiology helps students succeed in the challenging A&P course with an easy-to-understand narrative, precise visuals, and steadfast accuracy. With the 11th Edition, the author team draws from recent research exploring how students use and digest visual information to help students use art more effectively to learn A&P.  New book features encourage students to view and consider figures in the textbook, and new narrated videos guide students through complex physiology figures to help them deconstruct and better understand complicated processes. Instructors can also request a new handbook by Lori Garrett, entitled The Art of Teaching A&P: Six Easy Lessons to Improve Student Learning, which explores some of the most common challenges encountered when using art to teach A&P, alongside strategies to address these challenges.

 

Pearson Mastering Anatomy & Physiology not included. Students, if Pearson Mastering Anatomy & Physiology is a recommended/mandatory component of the course, please ask your instructor for the correct ISBN and course ID. Pearson Mastering Anatomy & Physiology should only be purchased when required by an instructor. Instructors, contact your Pearson representative for more information.

 

Pearson Mastering Anatomy & Physiology is an online homework, tutorial, and assessment product designed to engage students and improve results by helping students stay on track in the course and quickly master challenging A&P concepts. Features in the text are supported Pearson Mastering Anatomy & Physiology assignments, including new SmartArt Videos, Interactive Physiology 2.0, Dynamic Study Modules, Learning Catalytics, Spotlight Figure Coaching Activities, lab study tools, Get Ready for A&P, plus a variety of Art Labeling Questions, Clinical Application Questions, and more.

Table of Contents

Section Title Page Action Price
Cover Cover
Title Page 15
Copyright Page 16
Preface 19
Acknowledgments 27
Contents 29
1. An Introduction to Anatomy and Physiology 47
An Introduction to Studying the Human Body 48
1-1. To Make the Most of your Learning, Read the Text and View the Art Together 48
Getting to Know Your Textbook 48
Anatomy of a Chapter 49
1-2. Anatomy (Structure) and Physiology (Function) are Closely Integrated 49
Anatomy 50
Physiology 51
1-3. Levels of Organization Progress from Chemicals to a Complete Organism 52
1-4. Medical Terminology is Important to Understanding Anatomy and Physiology 53
1-5. Anatomical Terms Describe Body Regions, Anatomical Positions and Directions, and Body Sections 53
Surface Anatomy 53
Sectional Anatomy 59
1-6. Body Cavities of the Trunk Protect Internal Organs and Allow them to Change Shape 60
The Thoracic Cavity 61
The Abdominopelvic Cavity 64
1-7. Homeostasis, the State of Internal Balance, is Continuously Regulated 64
Mechanisms of Homeostatic Regulation 65
An Overview of the Process of Homeostatic Regulation 65
1-8. Negative Feedback Opposes Variations from Normal, Whereas Positive Feedback Enhances them 65
The Role of Negative Feedback in Homeostasis 66
The Role of Positive Feedback in Homeostasis 68
Systems Integration, Equilibrium, and Homeostasis 69
Chapter Review 70
Smartart Videos: Figure 1–10 Positive Feedback: Blood Clotting 68
Spotlights: Levels of Organization 54
Clinical Case: Using A&P to Save a Life 48
Clinical Notes: Habeas Corpus (“You Shall Have the Body”) 51
Clinical Notes: The Sounds of the Body 59
Clinical Notes: Diagnostic Imaging Techniques 62
2. The Chemical Level of Organization 73
An Introduction to the Chemical Level of Organization 74
2-1. Atoms are the Basic Particles of Matter 74
Atomic Structure 74
Elements and Isotopes 75
Atomic Weights 76
Electrons and Energy Levels 77
2-2. Chemical Bonds are Forces Formed by Interactions between Atoms 78
Ionic Bonds 80
Covalent Bonds 81
Hydrogen Bonds 82
States of Matter 83
2-3. Decomposition, Synthesis, and Exchange Reactions are Important Types of Chemical Reactions in Physiology 83
Basic Energy Concepts 83
Types of Chemical Reactions 84
2-4. Enzymes Speed up Reactions by Lowering the Energy Needed to Start them 85
2-5. Inorganic Compounds Lack Carbon, and Organic Compounds Contain Carbon 86
2-6. Physiological Systems Depend on Water 86
The Properties of Aqueous Solutions 87
Colloids and Suspensions 88
2-7. Body Fluid pH is Vital for Homeostasis 89
2-8. Acids, Bases, and Salts have Important Physiological Roles 90
Acids and Bases 90
Salts 90
Buffers and pH Control 90
2-9. Living Things Contain Organic Compounds Made up of Monomers, Polymers, and Functional Groups 91
2-10. Carbohydrates Contain Carbon, Hydrogen, and Oxygen in a 1:2:1 Ratio 91
Monosaccharides 91
Disaccharides and Polysaccharides 92
2-11. Lipids Often Contain a Carbon-to-Hydrogen Ratio of 1:2 93
Fatty Acids 94
Eicosanoids 94
Glycerides 95
Steroids 96
Phospholipids and Glycolipids 97
2-12. Proteins Contain Carbon, Hydrogen, Oxygen, and Nitrogen and are Formed from Amino Acids 97
Protein Structure 99
Protein Shape 100
Enzyme Function 101
Glycoproteins and Proteoglycans 103
2-13. DNA and RNA are Nucleic Acids 103
Structure of Nucleic Acids 103
Comparison of RNA and DNA 103
2-14. ATP is a High-Energy Compound used by Cells 105
Chapter Review 107
Spotlights: Chemical Notation 79
Clinical Case: What is Wrong With My Baby? 74
Clinical Notes: Radiation Sickness 78
Clinical Notes: Too Sweet on Sugar? 95
3. The Cellular Level of Organization 111
An Introduction to Cells 112
3-1. The Plasma Membrane Separates the Cell from its Surrounding Environment and Performs Various Functions 112
Membrane Lipids 113
Membrane Proteins 113
Membrane Carbohydrates 117
3-2. Organelles Within the Cytoplasm Perform Particular Functions 117
The Cytosol 118
Nonmembranous Organelles 118
Membranous Organelles 122
3-3. The Nucleus Contains DNA and Enzymes Essential for Controlling Cellular Activities 129
Structure of the Nucleus 129
Information Storage in the Nucleus 130
3-4. DNA Controls Protein Synthesis, Cell Structure, and Cell Function 131
Regulation of Transcription by Gene Activation 131
Transcription of DNA into mRNA 131
Translation from mRNA into a Polypeptide 133
How DNA Controls Cell Structure and Function 135
3-5. Diffusion is a Passive Transport Mechanism that Assists Membrane Passage of Solutes and Water 136
Diffusion 136
Osmosis: Diffusion of Water across Selectively Permeable Membranes 139
3-6. Carrier-Mediated and Vesicular Transport Assist Membrane Passage of Specific Substances 140
Carrier-Mediated Transport 141
Vesicular Transport 143
3-7. The Membrane Potential of a Cell Results from the Unequal Distribution of Positive and Negative Charges Across the Plasma Membrane 145
3-8. Stages of the Cell Life Cycle Include Interphase, Mitosis, and Cytokinesis 148
The Cell Life Cycle 148
The Mitotic Rate and Energy Use 149
3-9. Several Factors Regulate the Cell Life Cycle 149
3-10. Abnormal Cell Growth and Division Characterize Tumors and Cancers 153
3-11. Cellular Differentiation is Cellular Specialization as a Result of Gene Activation or Repression 155
Chapter Review 156
Smartart Videos: Figure 3–12 mRNA Transcription 132
Smartart Videos: Figure 3–13 the Process of Translation 134
Spotlights: Anatomy of a Model Cell 114
Spotlights: Protein Synthesis, Processing, and Packaging 124
Spotlights: Overview of Membrane Transport 146
Spotlights: Stages of a Cell’s Life Cycle 150
Spotlights: DNA Replication 152
Clinical Case: The Beat Must Go On! 112
Clinical Notes: Lysosomal Storage Diseases 126
Clinical Notes: Free Radicals 128
DNA Fingerprinting 131
Mutations 133
Drugs and the Plasma Membrane 137
Telomerase, Aging, and Cancer 154
Breakthroughs with Stem Cells 155
4. The Tissue Level of Organization 160
An Introduction to the Tissue Level of Organization 161
4-1. The Four Tissue Types are Epithelial, Connective, Muscle, and Nervous 161
4-2. Epithelial Tissue Covers Body Surfaces, Lines Internal Surfaces, and Serves Other Essential Functions 161
Functions of Epithelial Tissue 162
Characteristics of Epithelial Tissue 163
Specializations of Epithelial Cells 163
Maintaining the Integrity of Epithelia 164
4-3. Cell Shape and Number of Layers Determine the Classification of Epithelia 166
Classification of Epithelia 166
Glandular Epithelia 168
4-4. Connective Tissue has Varied Roles in the Body that Reflect the Physical Properties of its Three Main Types 172
4-5. Connective Tissue Proper Includes Loose Connective Tissues that Fill Internal Spaces and Dense Connective Tissues that Contribute to the Internal Framework of the Body 174
Structure of Connective Tissue Proper 174
Loose Connective Tissues 176
Dense Connective Tissues 179
Fasciae: Layers of Connective Tissue Proper 179
4-6. Blood and Lymph are Fluid Connective Tissues that Transport Cells and Dissolved Materials 181
4-7. The Supporting Connective Tissues Cartilage and Bone Provide a Strong Framework 182
Cartilage 182
Bone 183
4-8. Tissue Membranes Made from Epithelia and Connective Tissue Make up Four Types of Physical Barriers 186
Mucous Membranes 186
Serous Membranes 186
The Cutaneous Membrane 187
Synovial Membranes 188
4-9. The Three Types of Muscle Tissue are Skeletal, Cardiac, and Smooth 188
Skeletal Muscle Tissue 188
Cardiac Muscle Tissue 190
Smooth Muscle Tissue 190
4-10. Nervous Tissue Responds to Stimuli and Propagates Electrical Impulses Throughout the Body 190
4-11. The Response to Tissue Injury Involves Inflammation and Regeneration 191
Inflammation 191
Regeneration 192
4-12. With Advancing Age, Tissue Regeneration Decreases and Cancer Rates Increase 192
Aging and Tissue Structure 192
Aging and Cancer Incidence 192
Chapter Review 194
Spotlights: Inflammation and Regeneration 193
Clinical Case: The Rubber Girl 161
Clinical Notes: Exfoliative Cytology 172
Clinical Notes: Marfan Syndrome 177
5. The Integumentary System 198
An Introduction to the Integumentary System 199
5-1. The Epidermis is a Protective Covering Composed of Layers with Various Functions 199
Cells of the Epidermis: Keratinocytes 200
Layers of the Epidermis 200
Epidermal Growth Factor 203
5-2. The Dermis is the Tissue Layer that Supports the Epidermis 204
Layers of the Dermis 204
Dermal Strength and Elasticity 204
Tension Lines 205
The Dermal Blood Supply 205
Innervation of the Skin 206
5-3. The Subcutaneous Layer Connects the Dermis to Underlying Tissues 206
5-4. Epidermal Pigmentation and Dermal Circulation Influence Skin Color 207
The Role of Epidermal Pigmentation 207
The Role of Dermal Circulation: Hemoglobin 209
Disease-Related Changes in Skin Color 209
5-5. Sunlight Causes Epidermal Cells to Convert a Steroid into Vitamin D3 209
5-6. Hair is Made of Keratinized Dead Cells Pushed to the Skin Surface Where it has Protecting and Insulating Roles 211
Hair and Hair Follicle Structure 211
Hair Production 212
The Hair Growth Cycle 212
Types of Hairs 214
Hair Color 214
5-7. Sebaceous Glands and Sweat Glands are Exocrine Glands Found in the Skin 214
Sebaceous Glands 214
Sweat Glands 215
Other Integumentary Glands 216
Control of Glandular Secretions and Thermoregulation 216
5-8. Nails are Keratinized Epidermal Cells that Protect the Tips of Fingers and Toes 217
5-9. After an Injury, the Integument is Repaired in Several Phases 218
5-10. Effects of Aging on the Skin Include Thinning, Wrinkling, and Reduced Melanocyte Activity 221
Build Your Knowledge: Integration of the Integumentary System with the Other Body Systems Presented so Far 222
Chapter Review 223
Spotlights: The Epidermis 202
Clinical Case: He Has Fish Skin! 199
Clinical Notes: Nips, Tucks, and Shots 207
Clinical Notes: Skin Cancer 210
Clinical Notes: Decubitus Ulcers 212
Clinical Notes: Your Skin, A Mirror of Your Health 219
Clinical Notes: Burns and Grafts 220
6. Bones and Bone Structure 226
An Introduction to Bones and Bone Tissue 227
6-1. The Skeletal System has Several Major Functions 227
6-2. Bones are Classified According to Shape and Structure, and they have a Variety of Bone Markings 228
Bone Shapes 228
Bone Markings 229
Bone Structure 229
6-3. Bone is Composed of Matrix and Several Types of Cells: Osteogenic Cells, Osteoblasts, Osteocytes, and Osteoclasts 229
Bone Matrix 229
Bone Cells 231
6-4. Compact Bone Contains Parallel Osteons, and Spongy Bone Contains Trabeculae 233
Compact Bone Structure 233
Spongy Bone Structure 234
Coordinated Functions of Compact and Spongy Bone 235
Surface Coverings of Bone 235
6-5. Bones form Through Ossification and Enlarge Through Interstitial and Appositional Growth 236
Endochondral Ossification 237
Intramembranous Ossification 237
Blood and Nerve Supplies to Bone 240
6-6. Bone Growth and Development Depend on Bone Remodeling, which is a Balance between Bone Formation and Bone Resorption 240
6-7. Exercise, Nutrition, and Hormones Affect Bone Development and the Skeletal System 242
The Effects of Exercise on Bone 242
Nutritional and Hormonal Effects on Bone 243
6-8. Calcium Plays a Critical Role in Bone Physiology 244
The Skeleton as a Calcium Reserve 244
Hormones and Calcium Ion Balance 245
6-9. A Fracture is a Crack or Break in a Bone 247
6-10. Osteopenia has Widespread Effects on Aging Bones 250
Chapter Review 251
Smartart Videos: Figure 6-11 Endochondral Ossification 238
Smartart Videos: Figure 6–16 Factors That Increase the Blood Calcium Ion Level 246
Spotlights: Endochondral Ossification 238
Spotlights: Types of Fractures and Steps in Repair 248
Clinical Case: A Case of Child Abuse? 227
Clinical Notes: Heterotopic Bone Formation 237
Clinical Notes: Abnormal Bone Development 244
7. The Axial Skeleton 254
An Introduction to the Divisions of the Skeleton 255
7-1. The 80 Bones of the Head and Trunk make up the Axial Skeleton 255
7-2. The Skull’s 8 Cranial Bones Protect the Brain, and its 14 Facial Bones Form the Mouth, Nose, and Orbits 255
Cranial, Facial, and Associated Bones 255
Sutures 257
Sinuses, Foramina, and Fissures 271
7-3. Each Orbital Complex Contains and Protects an Eye, and the Nasal Complex Encloses the Nasal Cavities 271
The Orbital Complexes 271
The Nasal Complex 272
7-4. Fontanelles are Non-Ossified Fibrous Areas Between Cranial Bones that Ease Birth and Allow for Rapid Brain Growth in Infants and Children 272
7-5. The Vertebral Column has Four Flexible and Supportive Spinal Curves 274
7-6. The Five Vertebral Regions—Cervical, Thoracic, Lumbar, Sacral, and Coccygeal—Each have Characteristic Vertebrae 275
Vertebral Anatomy 275
Characteristics of Regional Vertebrae 276
7-7. The Thoracic Cage Protects Organs in the Chest and Provides Sites for Muscle Attachment 283
The Ribs 284
The Sternum 285
Chapter Review 285
Spotlight: Sectional Anatomy of the Skull 260
Clinical Case: Knocked Out 255
Clinical Notes: Temporomandibular Joint Syndrome 270
Clinical Notes: Sinusitis 273
Clinical Notes: Craniostenosis 274
Clinical Notes: Kyphosis, Lordosis, and Scoliosis 282
8. The Appendicular Skeleton 289
An Introduction to the Appendicular Skeleton 290
8-1. The Pectoral (Shoulder) Girdles Attach the Upper Limbs to the Axial Skeleton 290
The Clavicles 290
The Scapulae 292
8-2. The Bones of the Upper Limbs are Adapted for Free Movement 293
Arm Bone: The Humerus 293
Bones of the Forearm 295
Bones of the Wrist and Hand 296
8-3. The Pelvic Girdle (Hips) Attaches the Lower Limbs to the Axial Skeleton 298
The Pelvic Girdle (Hip Bones) 298
The Pelvis (Pelvic Girdle, Sacrum, and Coccyx) 298
8-4. The Bones of the Lower Limbs are Adapted for Movement and Support 300
The Femur (Thighbone) 300
The Patella (Kneecap) 301
Bones of the Leg 303
Bones of the Ankle and Foot 303
8-5. Differences in Sex and Age Account for Individual Skeletal Variation 306
Chapter Review 308
Spotlights: Sex Differences in the Human Skeleton 307
Clinical Case: Timber!! 290
Clinical Notes: Carpal Tunnel Syndrome 297
Clinical Notes: Hip Fracture 301
Clinical Notes: Shin Splints 303
Clinical Notes: Stress Fractures 305
Clinical Notes: Club Foot 306
9. Joints 311
An Introduction to Joints 312
9-1. Joints are Categorized According to their Structure or Range of Motion 312
9-2. Diarthroses: Synovial Joints Contain Synovial Fluid and are Surrounded by a Joint Capsule and Stabilizing Accessory Structures 314
Articular Cartilage 314
Synovial Fluid 315
Accessory Structures 315
Factors That Stabilize Synovial Joints 316
9-3. Diarthroses: The Different Types of Synovial Joints Allow a Wide Range of Skeletal Movements 316
Types of Movements at Synovial Joints 316
Classification of Synovial Joints 322
9-4. Intervertebral Joints Contain Intervertebral Discs and Ligaments that Allow for Vertebral Movements 322
Structure of Intervertebral Joints 322
Vertebral Movements 323
9-5. The Elbow and Knee are both Hinge Joints 324
The Elbow Joint 324
The Knee Joint 325
9-6. The Shoulder and Hip are Both Ball-and-Socket Joints 327
The Shoulder Joint 328
The Hip Joint 329
9-7. With Advancing Age, Arthritis and Other Degenerative Changes Often Impair Joint Mobility 331
9-8. The Skeletal System Supports and Stores Energy and Minerals for Other Body Systems 332
Build Your Knowledge: Integration of the Skeletal System with the Other Body Systems Presented so Far 333
Chapter Review 334
Spotlights: Joint Movement 318
Clinical Case: What’s the Matter with the Birthday Girl? 312
Clinical Notes: Bursitis and Bunions 316
Clinical Notes: Dislocation 316
Clinical Notes: Damage to Intervertebral Discs 327
Clinical Notes: Knee Injuries 328
10. Muscle Tissue 337
An Introduction to Muscle Tissue 338
10-1. The Primary Function of Muscle Tissue is to Produce Movement 338
Common Properties of Muscle Tissue 338
Functions of Skeletal Muscle 338
10-2. Skeletal Muscle Contains Muscle Tissue, Connective Tissues, Blood Vessels, and Nerves 339
Organization of Connective Tissues and Muscle Tissue 339
Function of Skeletal Muscle Components 339
10-3. Skeletal Muscle Fibers are Organized into Repeating Functional Units that Contain Sliding Filaments 340
The Sarcolemma and Transverse Tubules 341
The Sarcoplasmic Reticulum 342
Myofibrils 342
Sarcomeres 343
The Sliding-Filament Theory of Muscle Contraction 347
10-4. Motor Neurons Stimulate Skeletal Muscle Fibers to Contract at the Neuromuscular Junction 348
Electrical Impulses and Excitable Membranes 348
The Control of Skeletal Muscle Activity 349
10-5. Muscle Fibers Produce Different Amounts of Tension Depending on Sarcomere Length and Frequency of Stimulation 357
Length–Tension Relationships 357
Frequency of Stimulation 358
10-6. Skeletal Muscles Produce Increased Tension by Recruiting Additional Motor Units 361
Motor Units 361
Types of Muscle Contractions 362
Load and Speed of Contraction 364
Muscle Relaxation and the Return to Resting Length 365
10-7. To Maintain Regular Muscle Fiber Activity, Energy and Recovery are Required 365
ATP Generation and Muscle Fiber Contraction 365
Muscle Metabolism and Varying Activity Levels 366
The Recovery Period 368
Hormones and Muscle Metabolism 369
10-8. Muscle Performance Depends on Muscle Fiber Type and Physical Conditioning 369
Types of Skeletal Muscle Fibers 369
Muscle Performance and the Distribution of Muscle Fibers 369
Muscle Hypertrophy, Atrophy, and Effects of Aging 371
Muscle Fatigue 371
Physical Conditioning 372
10-9. Cardiac Muscle Tissue, Found in the Heart, Produces Coordinated and Automatic Contractions 373
Structural Characteristics of Cardiac Muscle Tissue 373
Functional Characteristics of Cardiac Muscle Tissue 374
10-10. Smooth Muscle Tissue Contracts to Move Substances Within Internal Passageways 375
Structural Characteristics of Smooth Muscle Tissue 375
Functional Characteristics of Smooth Muscle Tissue 375
Chapter Review 378
Smartart Videos: Figure 10–17 the Arrangement and Activity of Motor Units in a Skeletal Muscle 361
Smartart Videos: Figure 10–20 Muscle Metabolism 367
Spotlights: Events at the Neuromuscular Junction 350
Spotlights: Excitation–Contraction Coupling 352
Spotlights: The Contraction Cycle and Cross-Bridge Formation 354
Clinical Case: Keep on Keepin’ on 338
Clinical Notes: Tetanus 353
Clinical Notes: Rigor Mortis 353
Clinical Notes: Delayed-Onset Muscle Soreness 372
Clinical Notes: Electromyography 376
11. The Muscular System 382
An Introduction to the Muscular System 383
11-1. Fascicle Arrangement is Correlated with Muscle Power and Range of Motion 383
Parallel Muscles 383
Convergent Muscles 383
Pennate Muscles 383
Circular Muscles 384
11-2. The Use of Bones as Levers Increases Muscle Efficiency 385
11-3. The Origins and Insertions of Muscles Determine their Actions 385
Origins and Insertions 385
Actions 387
11-4. Descriptive Terms are used to Name Skeletal Muscles 389
Region of the Body 389
Position, Direction, or Fascicle Arrangement 392
Structural Characteristics 392
Action 392
11-5. Axial Muscles Position the Axial Skeleton, and Appendicular Muscles Support and Move the Appendicular Skeleton 392
11-6. Axial Muscles are Muscles of the Head and Neck, Vertebral Column, Trunk, and Pelvic Floor 393
Muscles of the Head and Neck 393
Muscles of the Vertebral Column 400
Oblique and Rectus Muscles and the Diaphragm 404
Muscles of the Pelvic Floor 407
11-7. Appendicular Muscles are Muscles of the Shoulders, Upper Limbs, Pelvis, and Lower Limbs 408
Muscles of the Shoulders and Upper Limbs 409
Muscles of the Pelvis and Lower Limbs 419
11-8. Exercise of the Muscular System Produces Responses in Multiple Body Systems 429
Build Your Knowledge: Integration of the Muscular Systems with the other Body Systems Presented so Far 430
Chapter Review 431
Spotlights: Muscle Action 388
Clinical Case: Downward-Facing Dog 383
Clinical Notes: Intramuscular Injections 399
Clinical Notes: Signs of Stroke 401
Clinical Notes: Hernia 426
12. Nervous Tissue 435
An Introduction to the Nervous System and Nervous Tissue 436
12-1. The Nervous System has Anatomical and Functional Divisions 436
The Anatomical Divisions of the Nervous System 436
The Functional Divisions of the Nervous System 437
12-2. Neurons are Nerve Cells Specialized for Intercellular Communication 438
Functional Characteristics of Neurons 438
The Structure of Neurons 438
The Classification of Neurons 440
12-3. CNS and PNS Neuroglia Support and Protect Neurons 441
Neuroglia of the Central Nervous System 441
Neuroglia of the Peripheral Nervous System 445
Neural Responses to Injuries 445
12-4. The Membrane Potential of a Neuron is Determined by Differences in Ion Concentrations and Membrane Permeability 448
The Resting Membrane Potential 448
Changes in the Resting Membrane Potential: Membrane Channels 451
Graded Potentials 453
12-5. An Action Potential is an All-or-None Electrical Event used for Long-Distance Communication 455
Threshold and the All-or-None Principle 455
Generation of Action Potentials 455
Propagation of Action Potentials 458
Axon Diameter and Propagation Speed 462
12-6. Synapses Transmit Signals Among Neurons or between Neurons and Other Cells 462
Types of Synapses 462
Function of Chemical Synapses 463
12-7. The Effects of Neurotransmitters and Neuromodulators Depend on their Receptors 466
Classes of Neurotransmitters and Neuromodulators 466
The Functions of Neurotransmitters and Neuromodulators and their Receptors 467
12-8. Individual Neurons Process Information by Integrating Excitatory and Inhibitory Stimuli 470
Postsynaptic Potentials 471
Presynaptic Regulation: Inhibition and Facilitation 473
The Rate of Action Potential Generation 473
Chapter Review 474
Spotlights: Processes That Produce the Resting Membrane Potential 449
Spotlights: Generation of an Action Potential 456
Spotlights: Propagation of an Action Potential 460
Clinical Case: Did President Franklin D. Roosevelt Really Have Polio? 436
Clinical Notes: Rabies 439
Clinical Notes: CNS Tumors 444
Clinical Notes: Demyelination 445
13. The Spinal Cord, Spinal Nerves, and Spinal Reflexes 479
An Introduction to the Spinal Cord, Spinal Nerves, and Spinal Reflexes 480
13-1. This Text’s Coverage of the Nervous System Parallels its Simple-to-Complex Levels of Organization 480
13-2. The Spinal Cord is Surrounded by Three Meninges and has Spinal Nerve Roots 481
Gross Anatomy of the Spinal Cord 481
Protection of the Spinal Cord: Spinal Meninges 484
13-3. Spinal Cord Gray Matter Integrates Information and Initiates Commands, and White Matter Carries Information from Place to Place 486
Functional Organization of Gray Matter 486
Functional Organization of White Matter 486
13-4. Spinal Nerves Extend to Form Peripheral Nerves, Sometimes Forming Plexuses Along the Way; these Nerves Carry Sensory and Motor Information 488
Anatomy of Spinal Nerves 488
Peripheral Distribution and Function of Spinal Nerves 488
Nerve Plexuses 493
13-5. Interneurons are Organized into Functional Groups Called Neuronal Pools 498
13-6. The Different Types of Neural Reflexes are all Rapid, Automatic Responses to Stimuli 499
The Reflex Arc 499
Classification of Reflexes 502
13-7. Monosynaptic Reflexes Produce Simple Responses, while Polysynaptic Reflexes can Produce Complex Behaviors 503
Monosynaptic Reflexes 503
Polysynaptic Reflexes 505
13-8. The Brain can Affect Spinal Cord–Based Reflexes 506
Voluntary Movements and Reflex Motor Patterns 506
Reinforcement and Inhibition 506
Chapter Review 507
Smartart Videos: Figure 13–1 An Overview of Chapters 13 and 14 481
Spotlights: Structure, Function, and the Peripheral Distribution of Spinal Nerves (T1–L2) 490
Spotlights: Spinal Reflexes 500
Clinical Case: Prom Night 480
Clinical Notes: Anesthesia 485
Clinical Notes: Shingles 489
Clinical Notes: Sensory Innervation in the Hand 494
Clinical Notes: Sensory Innervation in the Ankle and Foot 497
14. The Brain and Cranial Nerves 511
An Introduction to the Brain and Cranial Nerves 512
14-1. The Brain Develops Four Major Regions: The Cerebrum, Cerebellum, Diencephalon, and Brainstem 512
Major Brain Regions and Landmarks 512
Embryology of the Brain 514
Ventricles of the Brain 514
14-2. The Brain is Protected and Supported by the Cranial Meninges, Cerebrospinal Fluid, and the Blood Brain Barrier 515
The Cranial Meninges 515
Cerebrospinal Fluid 517
The Protective Function of the Cranial Meninges and CSF 519
The Blood Supply to the Brain 519
The Blood Brain Barrier 519
14-3. Brainstem: The Medulla Oblongata Relays Signals between the Rest of the Brain and the Spinal Cord 520
14-4. Brainstem: The Pons Contains Nuclei that Process and Tracts that Relay Sensory and Motor Information 523
14-5. Brainstem: The Midbrain Regulates Visual and Auditory Reflexes and Controls Alertness 524
14-6. The Cerebellum Coordinates Reflexive and Learned Patterns of Muscular Activity at the Subconscious Level 524
Structure of the Cerebellum 524
Functions of the Cerebellum 524
14-7. The Diencephalon Integrates Sensory Information with Motor Output at the Subconscious Level 527
The Thalamus 527
The Hypothalamus 528
14-8. The Limbic System is a Group of Nuclei and Tracts that Functions in Emotion, Motivation, and Memory 530
14-9. The Cerebrum Contains Motor, Sensory, and Association Areas, Allowing for Higher Mental Functions 532
Structure of the Cerebral Cortex and Cerebral Hemispheres 532
The White Matter of the Cerebrum 532
The Basal Nuclei 534
Motor, Sensory, and Association Areas of the Cortex 536
Integrative Centers and Higher Mental Functions 538
Monitoring Brain Activity: The Electroencephalogram 539
14-10. Cranial Reflexes are Rapid, Automatic Responses Involving Sensory and Motor Fibers of Cranial Nerves 552
Chapter Review 553
Spotlights: Formation and Circulation of Cerebrospinal Fluid 518
Clinical Case: The Neuroanatomist’s Stroke 512
Clinical Notes: Epidural and Subdural Hemorrhages 517
Clinical Notes: Aphasia and Dyslexia 539
Clinical Notes: Concussion and Beyond 552
15. Sensory Pathways and the Somatic Nervous System 558
An Introduction to Sensory Pathways and the Somatic Nervous System 559
15-1. Sensory Stimuli Cause Signals to be Sent Along Sensory Pathways, and in Response Motor Commands are Sent Along Motor Pathways 559
15-2. Sensory Receptors Connect Our Internal and External Environments with the Nervous System 560
The Detection of Stimuli 561
The Interpretation of Sensory Information 561
15-3. General Sensory Receptors can be Classified by the Type of Stimulus that Excites them 563
Nociceptors and Pain 563
Thermoreceptors 564
Mechanoreceptors 564
Chemoreceptors 567
15-4. The Afferent Division is Made up of Separate Somatic Sensory and Visceral Sensory Pathways that Deliver Sensory Information to the CNS 568
Somatic Sensory Pathways 568
Visceral Sensory Pathways 573
15-5. The Somatic Nervous System is an Efferent Division Made up of Somatic Motor Pathways that Control Skeletal Muscles 573
The Corticospinal Pathway 574
The Medial and Lateral Pathways 576
The Monitoring Role of the Basal Nuclei and Cerebellum 576
Chapter Review 578
Spotlights: Somatic Sensory Pathways 570
Clinical Case: Living with Cerebral Palsy 559
Clinical Notes: Assessment of Tactile Sensitivities 569
Clinical Notes: Phantom Limb Syndrome 572
Clinical Notes: Amyotrophic Lateral Sclerosis 576
16. The Autonomic Nervous System and Higher-Order Functions 581
An Introduction to the Autonomic Nervous System and Higher-Order Functions 582
16-1. The Autonomic Nervous System, which has Sympathetic and Parasympathetic Divisions, is Involved in the Unconscious Regulation of Visceral Functions 582
Comparison of the Somatic and Autonomic Nervous Systems 582
Organization of the ANS 583
Divisions of the ANS 584
16-2. The Sympathetic Division has Short Preganglionic Fibers and Long Postganglionic Fibers and is Involved in using Energy and Increasing Metabolic Rate 584
Functional Organization of the Sympathetic Division 584
Sympathetic Activation 589
16-3. Different Types of Neurotransmitters and Receptors Lead to Different Sympathetic Effects 589
Effects of Sympathetic Stimulation of Adrenergic Synapses and Receptors 590
Effects of Sympathetic Stimulation on Other Types of Synapses 591
16-4. The Parasympathetic Division has Long Preganglionic Fibers and Short Postganglionic Fibers and is Involved in Conserving Energy and Lowering Metabolic Rate 591
Functional Organization of the Parasympathetic Division 591
Parasympathetic Activation 592
16-5. Different Types of Receptors Lead to Different Parasympathetic Effects 592
Effects of Parasympathetic Stimulation of Cholinergic Receptors 592
Effects of Toxins on Cholinergic Receptors 592
16-6. The Differences in the Organization of Sympathetic and Parasympathetic Structures Lead to Widespread Sympathetic Effects and Specific Parasympathetic Effects 593
Summary of the Sympathetic Division 594
Summary of the Parasympathetic Division 594
16-7. Dual Innervation of Organs Allows the Sympathetic and Parasympathetic Divisions to Coordinate Vital Functions 594
Anatomy of Dual Innervation 595
Autonomic Tone 597
16-8. Various Levels of Autonomic Regulation Allow for the Integration and Control of Autonomic Functions 597
Visceral Reflexes 597
Higher Levels of Autonomic Control 598
The Integration of ANS and SNS Activities 598
16-9. Higher-Order Functions Include Memory and States of Consciousness, and Neurotransmitters Influence Behavior 599
Memory 600
States of Consciousness 602
Influence of Neurotransmitters on Brain Chemistry and Behavior 604
16-10. Aging Produces Various Structural and Functional Changes in the Nervous System 604
Build Your Knowledge: Integration of the Nervous System with the Other Body Systems Presented so Far 606
Chapter Review 607
Spotlights: The Autonomic Nervous System 586
Clinical Case: Remember Me? 582
Clinical Notes: Insomnia 602
Clinical Notes: Summary of Nervous System Disorders 604
Clinical Notes: Fainting 605
17. The Special Senses 611
An Introduction to the Special Senses 612
17-1. Olfaction, the Sense of Smell, Involves Olfactory Receptors Responding to Airborne Chemical Stimuli 612
Anatomy of the Olfactory Organs 612
Olfactory Receptors and the Physiology of Olfaction 613
Olfactory Pathways 613
Olfactory Discrimination 616
17-2. Gustation, the Sense of Taste, Involves Gustatory Receptors Responding to Dissolved Chemical Stimuli 616
Anatomy of Papillae and Taste Buds 616
Gustatory Receptors 616
Gustatory Pathways 616
Gustatory Discrimination and Physiology of Gustation 617
17-3. Internal Eye Structures Contribute to Vision, while Accessory Eye Structures Provide Protection 618
Accessory Structures of the Eye 618
Anatomy of the Eyeball 620
17-4. The Focusing of Light on the Retina Leads to the Formation of a Visual Image 627
An Introduction to Light 627
Image Formation and Reversal 628
Visual Acuity 628
17-5. Photoreceptors Transduce Light into Electrical Signals that are then Processed in the Visual Cortex 629
Physiology of Vision 629
The Visual Pathways 635
17-6. Equilibrium Sensations Monitor Head Position and Movement, While Hearing Involves the Detection and Interpretation of Sound Waves 638
Anatomy of the Ear 638
Equilibrium 641
Hearing 644
Chapter Review 652
Spotlights: Olfaction and Gustation 614
Spotlights: Refractive Problems 630
Spotlights: Photoreception 632
Clinical Case: A Chance to See 612
Clinical Notes: Diabetic Retinopathy 623
Clinical Notes: Detached Retina 625
Clinical Notes: Glaucoma 626
Clinical Notes: Motion Sickness 645
18. The Endocrine System 656
An Introduction to the Endocrine System 657
18-1. Homeostasis is Preserved Through Intercellular Communication by the Nervous and Endocrine Systems 657
Mechanisms of Intercellular Communication 657
Comparison of Endocrine and Nervous Communication 658
18-2. The Endocrine System Regulates Physiological Processes by Releasing Bloodborne Hormones that Bind to Receptors on Remote Target Organs 659
Overview of Endocrine Organs and Tissues 659
Classes of Hormones 659
Transport and Inactivation of Hormones 659
Mechanisms of Hormone Action 660
Control of Hormone Secretion 664
18-3. The Anterior Lobe of the Pituitary Gland Produces and Releases Hormones Under Hypothalamic Control, while the Posterior Lobe Releases Hypothalamic Hormones 665
Anatomy of the Hypothalamus and Pituitary Gland 665
Control of Pituitary Activity by the Hypothalamus 666
The Anterior Lobe of the Pituitary Gland 667
The Posterior Lobe of the Pituitary Gland 671
Summary: The Hormones of the Pituitary Gland 672
18-4. The Thyroid Gland Synthesizes Thyroid Hormones that Affect the Rate of Metabolism 673
Anatomy of the Thyroid Gland 674
Synthesis and Regulation of Thyroid Hormones 674
Functions of Thyroid Hormones 677
Synthesis and Functions of Calcitonin 677
18-5. The Four Parathyroid Glands Secrete Parathyroid Hormone, which Increases the Blood Calcium Ion Level 678
18-6. The Paired Adrenal Glands Secrete Several Hormones that Affect Electrolyte Balance and Stress Responses 680
Anatomy of the Adrenal Glands 680
Corticosteroids of the Adrenal Cortex 680
Catecholamines of the Adrenal Medulla 682
18-7. The Pineal Gland Secretes Melatonin, which Affects the Circadian Rhythm 683
18-8. The Pancreas is both an Exocrine Organ and an Endocrine Gland that Produces Hormones Affecting the Blood Glucose Level 683
Anatomy of the Pancreas 684
Functions of Pancreatic Islet Cells 684
Hormones that Regulate the Blood Glucose Level 684
Diabetes Mellitus 687
18-9. Many Organs have Secondary Endocrine Functions 687
The Intestines 687
The Kidneys 687
The Heart 690
The Thymus 690
The Gonads 690
Adipose Tissue 692
18-10. Hormones Interact Over our Lifetime to Produce Coordinated Physiological Responses 692
Role of Hormones in Growth 693
The Hormonal Responses to Stress 693
The Effects of Hormones on Behavior 693
Aging and Hormone Production 693
Build Your Knowledge: Integration of the Endocrine System with the other Body Systems Presented so Far 696
Chapter Review 697
Smartart Videos: Figure 18–16 Anatomy of the Pancreas 684
Spotlights: Structural Classification of Hormones 661
Spotlights: G Proteins and Second Messengers 663
Spotlights: Diabetes Mellitus 688
Spotlights: The General Adaptation Syndrome 694
Clinical Case: Stones, Bones, and Groans 657
Clinical Notes: Diabetes Insipidus 671
Clinical Notes: Endocrine Disorders 691
Clinical Notes: Hormones and Athletic Performance 695
19. Blood 702
An Introduction to Blood and the Cardiovascular System 703
19-1. Blood, Composed of Plasma and Formed Elements, Provides Transport, Regulation, and Protective Services to the Body 703
Functions of Blood 703
Characteristics of Blood 704
Components of Blood 704
19-2. Red Blood Cells, Formed by Erythropoiesis, Contain Hemoglobin that Transports Respiratory Gases 705
Abundance of RBCs: The Hematocrit 705
Relationship of RBC Structure to RBC Function 705
Hemoglobin 708
RBC Formation and Turnover 710
19-3. The ABO and Rh Blood Groups are Based on Antigen– Antibody Responses 712
ABO and Rh Blood Groups 712
Transfusions 715
19-4. The Various Types of White Blood Cells Contribute to the Body’s Defenses 716
WBC Characteristics and Functions 717
Types of WBCs 717
The Differential Count and Changes in WBC Profiles 721
WBC Production: Leukopoiesis 721
Regulation of WBC Production 722
19-5. Platelets, Disc-Shaped Cell Fragments, Function in the Clotting Process 724
Platelet Functions 724
Platelet Production 724
19-6. The Process of Blood Clotting, or Hemostasis, Stops Blood Loss 724
The Vascular Phase 725
The Platelet Phase 725
The Coagulation Phase 725
Clot Retraction 729
Fibrinolysis 729
Chapter Review 729
Spotlights: The Composition of Whole Blood 706
Spotlights: Hemolytic Disease of the Newborn 718
Clinical Case: Crisis in the Blood 703
Clinical Notes: Plasma Expanders 704
Clinical Notes: Collecting Blood for Analysis 705
Clinical Notes: Bleeding and Clotting Extremes 728
20. The Heart 734
An Introduction to the Heart as Part of the Cardiovascular System 735
20-1. The Heart is a Four-Chambered Organ that Pumps Blood Through the Systemic and Pulmonary Circuits 735
Overview of Heart Function: The Pulmonary and Systemic Circuits 735
Heart Location and Position 736
Heart Superficial Anatomy, Heart Wall, and Cardiac Skeleton 736
Heart Chambers, Valves, and Great Vessels 740
Blood Flow through the Heart Valves 743
The Blood Supply to the Heart 743
20-2. The Cells of the Conducting System Distribute Electrical Impulses Through the Heart, Causing Cardiac Contractile Cells to Contract 748
Cardiac Physiology: Electrical Impulses Leading to the Contractions Making up a Heartbeat 748
The Conducting System: Pacemaker and Conducting Cells 748
The Electrocardiogram (ECG) 751
Cardiac Contractions: Contractile Cells 753
20-3. The Contraction–Relaxation Events that Occur During a Complete Heartbeat make up a Cardiac Cycle 757
An Introduction to Pressure and Flow in the Heart 757
Phases of the Cardiac Cycle 758
Pressure and Volume Changes in the Cardiac Cycle 759
Heart Sounds 761
20-4. Cardiac Output is Determined by Heart Rate and Stroke Volume 762
Factors Affecting the Heart Rate 762
Factors Affecting the Stroke Volume 765
Summary: The Control of Cardiac Output 767
The Heart and the Vessels of the Cardiovascular System 768
Chapter Review 769
Smartart Videos: Figure 20–16 Phases of the Cardiac Cycle 758
Smartart Videos: Figure 20–19 Factors Affecting Cardiac Output 762
Spotlights: Heart Disease and Heart Attacks 746
Spotlights: Cardiac Arrhythmias 754
Clinical Case: A Needle to the Chest 735
Clinical Notes: Faulty Heart Valves 743
Clinical Notes: Broken-Heart Syndrome 748
21. Blood Vessels and Circulation 773
An Introduction to Blood Vessels and Circulation 774
21-1. Arteries, which are Elastic or Muscular, and Veins, which Contain Valves, have Three-Layered Walls; Capillaries have Thin Walls with Only One Layer 774
Vessel Wall Structure in Arteries and Veins 774
Differences between Arteries and Veins 775
Arteries 776
Capillaries 779
Veins 781
The Distribution of Blood 782
21-2. Pressure and Resistance Determine Blood Flow and Affect Rates of Capillary Exchange 783
Introduction to Pressure and Flow in Blood Vessels 783
Pressures Affecting Blood Flow 783
Total Peripheral Resistance 783
An Overview of Cardiovascular Pressures 785
Capillary Exchange and Capillary Pressures 788
21-3. Blood Flow and Pressure in Tissues are Controlled by both Autoregulation and Central Regulation 791
Vasomotion 791
Overview of Autoregulation and Central Regulation 791
Autoregulation of Blood Flow within Tissues 791
Central Regulation: Neural Mechanisms 793
Central Regulation: Endocrine Mechanisms 796
21-4. The Cardiovascular System Adapts to Physiological Stress While Maintaining a Special Vascular Supply to the Brain, Heart, and Lungs 798
Vascular Supply to Special Regions 798
The Cardiovascular Response to Exercise 799
The Cardiovascular Response to Hemorrhaging and Shock 801
21-5. The Vessels of the Cardiovascular System Make up both Pulmonary and Systemic Circuits 802
21-6. In the Pulmonary Circuit, Deoxygenated Blood Enters the Lungs in Arteries, and Oxygenated Blood Leaves the Lungs by Veins 803
21-7. The Systemic Circuit Carries Oxygenated Blood from the Left Ventricle to Tissues and Organs Other Than the Lungs, and Returns Deoxygenated Blood to the Right Atrium 804
Systemic Arteries 804
The Ascending Aorta 804
The Aortic Arch 804
Systemic Veins 812
21-8. Modifications of Fetal and Maternal Cardiovascular Systems Promote the Exchange of Materials; the Fetal Cardiovascular System Changes to Function Independently After Birth 821
Fetal Circulatory Route and Placental Blood Supply 821
Fetal Heart and Great Vessels 821
Cardiovascular Changes at Birth 822
21-9. Aging Affects the Blood, Heart, and Blood Vessels 824
Build Your Knowledge: Integration of the Cardiovascular System with the Other Body Systems Presented so Far 825
Chapter Review 826
Spotlights: Congenital Heart Problems 823
Clinical Case: Did Ancient Mummies have Atherosclerosis? 774
Clinical Notes: Arteriosclerosis 778
Clinical Notes: Varicose Veins 782
Clinical Notes: Edema 790
Clinical Notes: Aortic Aneurysm 809
Clinical Notes: Preparing the Circulation for Dialysis 816
22. The Lymphatic System and Immunity 831
An Introduction to the Lymphatic System and Immunity 832
22-1. The Vessels, Tissues, and Organs of the Lymphatic System Maintain Fluid Volume and Function in Body Defenses 832
Functions of the Lymphatic System 833
Lymphatic Vessels and Circulation of Lymph 833
Lymphoid Cells 836
Lymphoid Tissues 836
Lymphoid Organs 838
22-2. Lymphocytes are Important to Innate (Nonspecific) and Adaptive (Specific) Immunity 842
Types of Immunity 842
Lymphocytes 843
22-3. Innate Defenses Respond the Same Regardless of the Invader 843
Physical Barriers 843
Phagocytes 846
Immune Surveillance 847
Interferons 848
Complement System 848
Inflammation 848
Fever 851
22-4. Adaptive (Specific) Defenses Respond to Particular Threats and are Either Cell Mediated or Antibody Mediated 851
Lymphocytes of Adaptive Immunity 851
Types of Adaptive Immunity 851
An Introduction to Adaptive Immunity 852
Forms of Adaptive Immunity 853
Properties of Adaptive Immunity 853
22-5. In Cell-Mediated Adaptive Immunity, Presented Antigens Activate T Cells, which Respond by Producing Cytotoxic and Helper T Cells 855
Activation and Clonal Selection of T Cells 855
Functions of Activated CD8 T Cells 858
Functions of Activated CD4 T Cells: Helper T (TH) and Memory TH Cells 859
Cytokines of Adaptive Defenses 859
Summary of Cell-Mediated Adaptive Immunity 859
22-6. In Antibody-Mediated Adaptive Immunity, Sensitized B Cells Respond to Antigens by Producing Specific Antibodies 862
B Cell Sensitization and Activation 862
Antibody Structure and Function 863
Primary and Secondary Responses to Antigen Exposure 866
22-7. Immunocompetence Enables a Normal Immune Response; Abnormal Responses Result in Immune Disorders 867
Summary of Innate and Adaptive Immunity 867
The Development of Immunocompetence 868
Stress and the Immune Response 871
Immune Disorders 871
22-8. The Immune Response Diminishes as we Age 873
22-9. The Nervous and Endocrine Systems Influence the Immune Response 875
Build Your Knowledge: Integration of the Lymphatic System with the Other Body Systems Presented so Far 874
Chapter Review 875
Smartart Videos: Figure 22–17 Forms of Immunity 854
Spotlights: Cytokines of the Immune System 860
Clinical Case: Isn’t there a Vaccine for that? 832
Lymphadenopathy 839
Clinical Notes: Lab Tests for Organ Donation 855
Clinical Notes: Organ Donation 857
Clinical Notes: Aids 873
23. The Respiratory System 880
An Introduction to the Respiratory System 881
23-1. The Respiratory System, Organized into an Upper Respiratory System and a Lower Respiratory System, Functions Primarily to Aid Gas Exchange 881
Functions of the Respiratory System 881
Organization of the Respiratory System 881
The Respiratory Mucosa and the Respiratory Defense System 882
23-2. The Conducting Portion of the Upper Respiratory System Filters, Warms, and Humidifies Air 884
The Nose and Nasal Cavity 884
The Pharynx 885
23-3. The Conducting Portion of the Lower Respiratory System Conducts Air to the Respiratory Portion and Produces Sound 887
The Larynx 887
Sound Production 889
The Trachea 889
The Bronchial Tree 890
23-4. The Respiratory Portion of the Lower Respiratory System is where Gas Exchange Occurs 892
The Respiratory Bronchioles 892
Alveolar Ducts and Alveoli 892
The Blood Air Barrier 894
23-5. Enclosed by Pleural Cavities, the Lungs are Paired Organs Made up of Multiple Lobes 894
Anatomy of the Lungs 894
Blood Supply to the Lungs 896
Pleural Cavities and Pleural Membranes 896
23-6. External Respiration and Internal Respiration Allow Gas Exchange Within the Body 897
23-7. Pulmonary Ventilation—Air Exchange Between the Atmosphere and the Lungs—Involves Muscle Actions and Volume Changes that Cause Pressure Changes 898
An Introduction to Airflow 898
Overview of Pulmonary Ventilation: Volume Changes and Pressure Gradients 899
Actions of the Respiratory Muscles 899
Volume Changes in Pulmonary Ventilation 901
Pressure Gradients in Pulmonary Ventilation 901
Summary of Volume Changes and Pressure Gradients during a Respiratory Cycle 903
Physical Factors Affecting Pulmonary Ventilation 903
Measuring Respiratory Rates and Volumes 903
23-8. Gas Exchange Depends on the Partial Pressures of Gases and the Diffusion of Gas Molecules 906
An Introduction to the Diffusion of Gases 906
Diffusion of Gases across the Blood Air Barrier 907
Summary of Gas Exchange 908
Internal Respiration 909
23-9. In Gas Transport, Most Oxygen is Transported Bound to Hemoglobin, Whereas Carbon Dioxide is Transported in Three Ways 910
Oxygen Transport 910
Carbon Dioxide Transport 913
Summary of Gas Transport 914
23-10. Respiratory Centers in the Brainstem, Along with Respiratory Reflexes, Control Respiration 914
Local Regulation of Oxygen Delivery and Ventilation-to- Perfusion Ratio 914
Neural Control of Respiration 915
23-11. Respiratory Performance Changes Over the Life Span 922
Changes in the Respiratory System in Newborns 922
Changes in the Respiratory System in Elderly Individuals 922
23-12. The Respiratory System Provides Oxygen to, and Eliminates Carbon Dioxide from, Other Organ Systems 923
Build Your Knowledge: Integration of the Respiratory System with the Other Body Systems Presented so Far 924
Chapter Review 925
Smartart Videos: Figure 23–18 A Summary of Respiratory Processes and Partial Pressures in Respiration 909
Spotlights: Pulmonary Ventilation 900
Spotlights: Control of Respiration 918
Clinical Case: No Rest for the Weary 881
Clinical Notes: Breakdown of the Respiratory Defense System 884
Clinical Notes: Pneumothorax 902
Clinical Notes: Decompression Sickness 908
Clinical Notes: Blood Gas Analysis 908
Clinical Notes: Carbon Monoxide Poisoning 913
Clinical Notes: Smoking and the Lungs 923
24. The Digestive System 930
An Introduction to the Digestive System 931
24-1. The Digestive System, Consisting of the Digestive Tract and Accessory Organs, Functions Primarily to Break Down and Absorb Nutrients from Food and to Eliminate Wastes 931
Functions and Processes of the Digestive System 931
Relationship between the Digestive Organs and the Peritoneum: The Mesenteries 933
Histology of the Digestive Tract 935
Motility of the Digestive Tract 936
Regulation of Digestive Functions 937
24-2. The Oral Cavity, which Contains the Tongue, Teeth, and Salivary Glands, Functions in the Ingestion and Mechanical Digestion of Food 939
The Oral Cavity 939
The Tongue 940
The Teeth 940
The Salivary Glands 942
Mechanical Digestion: Mastication (Chewing) 944
24-3. The Pharynx and Esophagus are Passageways that Transport the Food Bolus from the Oral Cavity to the Stomach 944
The Pharynx 944
The Esophagus 944
Ingestion: Deglutition (Swallowing) 946
24-4. The Stomach is a J-Shaped Organ that Receives the Bolus and Aids in its Chemical and Mechanical Digestion 947
Gross Anatomy of the Stomach 947
Histology of the Stomach 947
Secretory Glands and Gastric Secretions 949
Physiology of the Stomach: Chemical Digestion 951
Regulation of Gastric Activity in Phases of Digestion 951
24-5. Accessory Digestive Organs, Such as the Pancreas and Liver, Produce Secretions that Aid in Chemical Digestion 951
The Pancreas 954
The Liver 955
The Gallbladder 960
24-6. The Small Intestine Primarily Functions in the Chemical Digestion and Absorption of Nutrients 961
Gross Anatomy of the Small Intestine 961
Histology of the Small Intestine 961
Physiology of the Small Intestine 964
Regulation: Coordination of Secretion and Absorption in the Digestive Tract 964
24-7. The Large Intestine, which is Divided into Three Parts, Absorbs Water from Digestive Materials and Eliminates the Remaining Waste as Feces 967
Gross Anatomy and Segments of the Large Intestine 967
Histology of the Large Intestine 969
Physiology of the Large Intestine 969
24-8. Chemical Digestion is the Enzyme-Mediated Hydrolysis of Food into Nutrients that can be Absorbed and used by the Body 972
Hydrolysis of Nutrients by Enzymes 972
Carbohydrate Digestion and Absorption 973
Lipid Digestion and Absorption 975
Protein Digestion and Absorption 976
Nucleic Acid Digestion and Absorption 976
Absorption of Water, Ions, and Vitamins 976
24-9. Many Age-Related Changes Affect Digestion and Absorption 977
24-10. The Digestive System is Extensively Integrated with Other body Systems 978
Build Your Knowledge: Integration of the Digestive System with the Other Body Systems Presented so Far 979
Chapter Review 980
Smartart Videos: Figure 24–18 Histology of the Liver 957
Spotlights: The Regulation of Gastric Activity 952
Spotlights: The Chemical Events of Digestion 974
Clinical Case: An Unusual Transplant 931
Clinical Notes: Peritonitis 933
Clinical Notes: Epithelial Renewal and Repair 936
Clinical Notes: Mumps 943
Clinical Notes: Gastritis and Peptic Ulcers 949
Clinical Notes: Pancreatitis 955
Clinical Notes: Cirrhosis 956
Clinical Notes: Colorectal Cancer 969
Clinical Notes: Colonoscopy 972
25. Metabolism, Nutrition, and Energetics 985
An Introduction to Metabolism, Nutrition, and Energetics 986
25-1. Metabolism is the Sum of All the Catabolic and Anabolic Reactions in the Body, and Energetics is the Flow and Transformation of Energy 986
Metabolism 986
Energetics 988
Oxidation and Reduction 988
25-2. Carbohydrate Metabolism Generates ATP by Glucose Catabolism and Forms Glucose by Gluconeogenesis 989
Overview of Glucose Catabolism 989
Glucose Catabolism: Glycolysis 989
Glucose Catabolism: Fate of Pyruvate 989
Glucose Catabolism: Aerobic Metabolism 990
Glucose Catabolism: Energy Yield of Glycolysis and Aerobic Metabolism 994
Glucose Anabolism: Gluconeogenesis 996
25-3. Lipid Metabolism Provides Long-Term Storage and Release of Energy 997
Lipid Catabolism: Lipolysis 997
Lipid Anabolism: Lipogenesis 999
Lipid Storage and Energy Release 999
Lipid Transport and Distribution 999
25-4. Protein Metabolism Provides Amino Acids and Synthesizes Proteins 1002
Amino Acid Catabolism 1002
Protein Synthesis 1002
25-5. The Body Experiences Two Patterns of Metabolic Activity: Energy Storage in the Absorptive State and Energy Release in the Postabsorptive State 1003
25-6. Adequate Nutrition Allows Normal Physiological Functioning 1005
Food Groups and a Balanced Diet 1005
Nitrogen Balance 1008
The Role of Minerals and Vitamins 1008
25-7. Metabolic Rate is the Average Caloric Expenditure, and Thermoregulation Involves Balancing Heat-Producing and Heat-Losing Mechanisms 1012
Energy Gains and Losses 1012
Thermoregulation 1013
Chapter Review 1018
Spotlights: The Electron Transport Chain and ATP Formation 993
Spotlights: Absorptive and Postabsorptive States 1006
Clinical Case: The Miracle Supplement 986
Clinical Notes: Carbohydrate Loading 997
Clinical Notes: Dietary Fats and Cholesterol 1001
Clinical Notes: Blood Testing for Fat 1001
Clinical Notes: Vitamins 1011
Clinical Notes: Alcohol by the Numbers 1011
Clinical Notes: Alcohol and Disease 1011
Clinical Notes: Anorexia 1012
Clinical Notes: Superfoods 1012
Clinical Notes: Hypothermia in the Operating Room 1016
Clinical Notes: Excess Body Heat 1017
Clinical Notes: Deficient Body Heat 1017
26. The Urinary System 1022
An Introduction to the Urinary System 1023
26-1. The Organs of the Urinary System Function in Excreting Wastes and Regulating Body Fluids 1023
Organs of the Urinary System 1023
Urinary System Functions 1024
26-2. Kidneys are Highly Vascular Organs Containing Functional Units Called Nephrons 1024
Position and Associated Structures of the Kidneys 1024
Gross Anatomy of the Kidneys 1025
Blood Supply and Innervation of the Kidneys 1026
Microscopic Anatomy of the Kidneys: The Nephron and Collecting System 1028
26-3. Different Segments of the Nephron Form Urine by Filtration, Reabsorption, and Secretion 1033
Metabolic Wastes 1033
Basic Processes of Urine Formation 1033
26-4. The Glomerulus Filters Blood Through the Filtration Membrane to Produce Filtrate; Several Pressures Determine the Glomerular Filtration Rate 1035
Function of the Filtration Membrane 1035
Filtration Pressures 1035
The Glomerular Filtration Rate (GFR) 1036
Regulation of the GFR 1037
26-5. The Renal Tubule Reabsorbs Nutrients, Ions, and Water and Secretes Ions and Wastes; the Collecting System Reabsorbs Ions and Water 1039
Principles of Reabsorption and Secretion 1039
An Overview of Reabsorbed and Secreted Substances 1040
Reabsorption and Secretion along the PCT 1041
Reabsorption and Secretion along the Nephron Loop 1041
Reabsorption and Secretion along the DCT 1043
Reabsorption and Secretion along the Collecting System 1046
26-6. Countercurrent Multiplication Allows the Kidneys to Regulate the Volume and Concentration of Urine 1047
The Nephron Loop and Countercurrent Multiplication 1047
Regulation of Urine Volume and Osmotic Concentration: Production of Dilute and Concentrated Urine 1049
The Function of the Vasa Recta: Countercurrent Exchange 1051
Urine Composition and Analysis 1051
26-7. Urine is Transported by the Ureters, Stored in the Bladder, and Eliminated Through the Urethra by Urinary Reflexes 1055
The Ureters 1055
The Urinary Bladder 1056
The Urethra 1057
Urinary Reflexes: Urine Storage and Urine Voiding 1058
26-8. Age-Related Changes Affect Kidney Function and Urination 1059
26-9. The Urinary System is One of Several Body Systems Involved in Waste Excretion 1060
Build Your Knowledge: Integration of the Urinary System with the Other Body Systems Presented so Far 1061
Chapter Review 1062
Smartart Videos: Figure 26–8 the Locations and Structures of Cortical and Juxtamedullary Nephrons 1031
Spotlights: Summary of Renal Function 1052
Clinical Case: a Case of “Hidden” Bleeding 1023
Clinical Notes: Glomerulonephritis 1030
Clinical Notes: Diuretics 1046
Clinical Notes: Urinary Obstruction 1059
Clinical Notes: Renal Failure and Kidney Transplant 1060
27. Fluid, Electrolyte, and Acid-Base Balance 1067
An Introduction to Fluid, Electrolyte, and Acid-Base Balance 1068
27-1. Fluid Balance, Electrolyte Balance, and Acid-Base Balance are Interrelated and Essential to Homeostasis 1068
27-2. Extracellular Fluid (ECF) and Intracellular Fluid (ICF) are Fluid Compartments With Differing Solute Concentrations That are Closely Regulated 1069
Body Water Content 1069
The Fluid Compartments of the ECF and ICF 1069
Solute Exchanges between the ECF and the ICF 1070
An Overview of the Regulation of Fluid and Electrolyte Balance 1071
27-3. Fluid Balance Involves the Regulation and Distribution of Water Gains and Losses 1073
Fluid Gains and Losses 1073
Water Movement between Fluid Compartments 1074
Fluid Shifts between the ECF and ICF 1074
27-4. In Electrolyte Balance, the Concentrations of Sodium, Potassium, Calcium, Magnesium, Phosphate, and Chloride Ions in Body Fluids are Tightly Regulated 1076
Sodium Balance 1076
Potassium Balance 1079
Balance of Other Electrolytes 1080
27-5. In Acid-Base Balance, Buffer Systems as well as Respiratory and Renal Compensation Regulate pH Changes in Body Fluids 1082
Types of Acids in the Body 1082
Mechanisms of pH Control: Buffer Systems 1082
Regulation of Acid-Base Balance 1087
27-6. Disorders of Acid-Base Balance can be Classified as Respiratory or Metabolic 1088
Respiratory Acid-Base Disorders 1091
Metabolic Acid-Base Disorders 1092
Combined Respiratory and Metabolic Acidosis 1095
The Detection of Acidosis and Alkalosis 1095
27-7. Aging Affects Fluid, Electrolyte, and Acid-Base Balance 1095
Chapter Review 1097
Spotlights: The Diagnosis of Acid-Base Disorders 1096
Clinical Case: When Treatment Makes You Worse 1068
Clinical Notes: Water and Weight Loss 1075
Clinical Notes: Athletes and Salt Loss 1079
Clinical Notes: Sports Drinks 1079
28. The Reproductive System 1101
An Introduction to the Reproductive System 1102
28-1. Male and Female Reproductive System Structures Produce Gametes that Combine to Form a New Individual 1102
28-2. The Structures of the Male Reproductive System Consist of the Testes, Duct System, Accessory Glands, and Penis 1103
The Testes and Associated Structures 1103
Functional Anatomy of the Male Reproductive Duct System 1105
The Accessory Glands 1107
Semen 1109
The Penis 1109
28-3. Spermatogenesis Occurs in the Testes, and Hormones from the Hypothalamus, Pituitary Gland, and Testes Control Male Reproductive Functions 1111
Overview of Mitosis and Meiosis 1111
Spermatogenesis 1113
Maturation of Sperm 1116
The Anatomy of a Sperm 1116
Hormonal Regulation of Male Reproductive Function 1116
28-4. The Structures of the Female Reproductive System Consist of the Ovaries, Uterine Tubes, Uterus, Vagina, and External Genitalia 1118
The Ovaries 1119
The Uterine Tubes 1120
The Uterus 1121
The Vagina 1124
The Female External Genitalia 1126
The Breasts 1126
28-5. Oogenesis Occurs in the Ovaries, and Hormones from the Hypothalamus, Pituitary Gland, and Ovaries Control Female Reproductive Functions 1128
Oogenesis 1128
The Ovarian Cycle 1131
The Uterine (Menstrual) Cycle 1132
Hormonal Coordination of the Ovarian and Uterine Cycles 1133
28-6. The Autonomic Nervous System Influences Male and Female Sexual Function 1137
Human Sexual Function 1137
Contraception and Infertility 1138
Sexually Transmitted Diseases (STDs) 1139
28-7. Changes in Levels of Reproductive Hormones Cause Functional Changes Throughout the Life Span 1139
Development of the Genitalia 1139
Effects of Aging 1140
28-8. The Reproductive System Secretes Hormones Affecting Growth and Metabolism of All Body Systems 1142
Build Your Knowledge: Integration of the Reproductive System with the Other Body Systems Presented so Far 1143
Chapter Review 1144
Spotlights: Hormonal Regulation of Male Reproduction 1117
Spotlights: Hormonal Regulation of Female Reproduction 1134
Clinical Case: and Baby Makes Three? 1102
Clinical Notes: Circumcision 1111
Clinical Notes: Dehydroepiandrosterone (DHEA) 1116
Clinical Notes: Enlarged Prostate 1118
Clinical Notes: Prostate Cancer 1118
Clinical Notes: Prostate-Specific Antigen (PSA) Testing 1118
Clinical Notes: Ovarian Cancer 1121
Clinical Notes: Pap Smear 1123
Clinical Notes: Fibrocystic Disease and Breast Cancer 1127
Clinical Notes: Laparoscopy 1128
Clinical Notes: Mammoplasty 1128
29. Development and Inheritance 1149
An Introduction to Development and Inheritance 1150
29-1. Directed By Inherited Genes, a Fertilized Ovum Differentiates During Prenatal Development to Form an Individual; Postnatal Development Brings that Individual to Maturity 1150
29-2. Fertilization—The Fusion of a Secondary Oocyte and a Sperm—Forms a Zygote 1151
The Secondary Oocyte and Sperm before Fertilization 1151
The Process of Fertilization 1151
Events after Fertilization 1152
29-3. Gestation Consists of Three Stages of Prenatal Development: The First, Second, and Third Trimesters 1153
29-4. The First Trimester Includes Pre-Embryonic and Embryonic Development, Involving the Processes of Cleavage, Implantation, Placentation, and Embryogenesis 1153
The Pre-Embryonic Period 1154
The Embryonic Period 1155
29-5. During the Second and Third Trimesters, Fetal Development Involves Growth and Organ Function 1161
29-6. During Gestation, Maternal Organ Systems Support the Developing Fetus; the Reproductive System Undergoes Structural and Functional Changes 1163
Hormonal Regulation during Gestation 1166
Changes in Maternal Organ Systems 1167
29-7. Childbirth Occurs Through the Process of Labor, Which Consists of the Dilation, Expulsion, and Placental Stages 1169
Initiation of Labor 1169
The Stages of Labor 1169
Difficulties of Labor and Delivery and Multiple Births 1170
29-8. Postnatal Stages are the Neonatal Period, Infancy, Childhood, Adolescence, and Maturity, Followed by Senescence and Death 1172
The Neonatal Period, Infancy, and Childhood 1173
Adolescence and Maturity 1176
Senescence and Death 1177
29-9. Genes and Chromosomes Determine Patterns of Inheritance 1177
Genotype and Phenotype 1177
Homologous Chromosomes and Alleles 1178
Autosomal Patterns of Inheritance 1178
Sex-Linked Patterns of Inheritance 1181
Sources of Individual Variation 1182
Effect of Environmental Factors: Penetrance and Expressivity 1184
The Human Genome 1184
Chapter Review 1186
Spotlights: Extra-Embryonic Membranes and Placenta Formation 1158
Clinical Case: The Twins that Looked Nothing Alike 1150
Clinical Notes: Abortion 1169
Clinical Notes: C-Section 1172
Clinical Notes: Chromosomal Abnormalities 1183
Clinical Notes: Amniocentesis 1183
Answers to Checkpoints, Review Questions, and Clinical Case Wrap-Ups 1190
Appendix A: Normal Physiological Values 1237
Appendix B: Gas Pressure Measurements and Cell Turnover Times 1239
Appendix C: Codon Chart 1240
Appendix D: Periodic Table of the Elements 1241
Glossary 1242
Credits 1261
Index 1263
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