Appendix C. Tables by Chapter
This section contains all the tables throughout the book in order of appearance. Please note that some chapters do not contain any tables and thus do not appear in the below sections.
Chapter 2
Chapter 4
Connective tissue proper | Supportive connective tissue | Fluid connective tissue |
---|---|---|
Loose connective tissue:
|
Cartilage:
|
Blood |
Dense connective tissue:
|
Bone:
|
Lymph |
Chapter 6
Bone classification | Features | Function(s) | Examples |
---|---|---|---|
Long | Cylinder-like shape, longer than it is wide | Movement, support | Femur, tibia, fibula, metatarsals, humerus, ulna, radius, metacarpals, phalanges |
Short | Cube-like shape, approximately equal in length, width, and thickness | Provide stability, support, while allowing for some motion | Carpals, tarsals |
Flat | Thin and curved | Points of attachment for muscles; protectors of internal organs | Sternum, ribs, scapulae, cranial bones |
Irregular | Complex shape | Protect internal organs, movement, support | Vertebrae, facial bones |
Sesamoid | Small and round; embedded in tendons | Protect tendons from excessive forces, allow effective muscle action | Patellae |
Marking | Description | Example |
---|---|---|
Articulations | Where two bones meet | Knee joint |
Head | Prominent rounded surface | Head of femur |
Facet | Flat surface | Vertebrae |
Condyle | Rounded surface | Occipital condyles |
Projections | Raised markings | Spinous process of the vertebrae |
Protuberance | Protruding | Chin |
Process | Prominence feature | Transverse process of vertebra |
Spine | Sharp process | Ischial spine |
Tubercle | Small, rounded process | Tubercle of humerus |
Tuberosity | Rough surface | Deltoid tuberosity |
Line | Slight, elongated ridge | Temporal lines of the parietal bones |
Crest | Ridge | Iliac crest |
Holes | Holes and depressions | Foramen (holes through which blood vessels can pass through) |
Fossa | Elongated basin | Mandibular fossa |
Fovea | Small pit | Fovea capitis on the head of the femur |
Sulcus | Groove | Sigmoid sulcus of the temporal bones |
Canal | Passage in bone | Auditory canal |
Fissure | Slit through bone | Auricular fissure |
Foramen | Hole through bone | Foramen magnum in the occipital bone |
Meatus | Opening into canal | External auditory meatus |
Sinus | Air-filled space in bone | Nasal sinus |
Cell type | Function | Location |
---|---|---|
Osteogenic cells | Develop into osteoblasts | Endosteum, cellular layer of the periosteum |
Osteoblasts | Bone formation | Endosteum, cellular layer of the periosteum, growing portions of bone |
Osteocytes | Maintain mineral concentration of matrix | Entrapped in matrix |
Osteoclasts | Bone resorption | Endosteum, cellular layer of the periosteum, at sites of old, injured, or unneeded bone |
Type of fracture | Description |
---|---|
Transverse | Occurs straight across the long axis of the bone |
Oblique | Occurs at an angle that is not 90 degrees |
Spiral | Bone segments are pulled apart as a result of a twisting motion |
Comminuted | Several breaks result in many small pieces between two large segments |
Impacted | One fragment is driven into the other, usually as a result of compression |
Greenstick | A partial fracture in which only one side of the bone is broken, often occurs in the young |
Open (or compound) | A fracture in which at least one end of the broken bone tears through the skin; carries a high risk of infection |
Closed (or simple) | A fracture in which the skin remains intact |
Nutrient | Role in bone health |
---|---|
Calcium | Needed to make calcium phosphate and calcium carbonate, which form the hydroxyapatite crystals that give bone its hardness |
Vitamin D | Needed for calcium absorption |
Vitamin K | Supports bone mineralization; may have synergistic effect with vitamin D |
Magnesium | Structural component of bone |
Fluoride | Structural component of bone |
Omega-3 fatty acids | Reduces inflammation that may interfere with osteoblast function |
Hormone | Role |
---|---|
Growth hormone | Increases length of long bones, enhances mineralization, and improves bone density |
Thyroxine | Stimulates bone growth and promotes synthesis of bone matrix |
Sex hormones | Promote osteoblastic activity and production of bone matrix; responsible for adolescent growth spurt; promote conversion of epiphyseal plate to epiphyseal line |
Calcitriol | Stimulates absorption of calcium and phosphate from digestive tract |
Parathyroid hormone | Stimulates osteoclast proliferation and resorption of bone by osteoclasts; promotes reabsorption of calcium by kidney tubules; indirectly increases calcium absorption by small intestine |
Calcitonin | Inhibits osteoclast activity and stimulates calcium uptake by bones |
Chapter 8
Characteristics | Female pelvis | Male pelvis |
---|---|---|
Pelvic weight | Bones of the pelvis are lighter and thinner | Bones of the pelvis are thicker and heavier |
Pelvic inlet shape | Pelvic inlet has a round or oval shape | Pelvic inlet is heart-shaped |
Lesser pelvic cavity shape | Lesser pelvic cavity is shorter and wider | Lesser pelvic cavity is longer and narrower |
Subpubic angle | Subpubic angle is greater than 80 degrees | Subpubic angle is less than 70 degrees |
Pelvic outlet shape | Pelvic outlet is rounded and larger | Pelvic outlet is smaller |
Chapter 9
Functional Category | Structural Category | Subtype | Description |
---|---|---|---|
Synarthrosis (immobile) | Fibrous | Suture | A fibrous joint that connects the bones of the skull (except the mandible). The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and helps to protect the brain and form the face. |
Fibrous | Gomphosis | A narrow fibrous joint that anchors the root of a tooth into its bony socket within the maxillary bone (upper jaw) or mandible bone (lower jaw) of the skull. | |
Cartilaginous | Synchondrosis | A cartilaginous joint where bones are joined together by hyaline cartilage, or where bone is united to hyaline cartilage. A synchondrosis may be temporary or permanent. | |
Amphiarthrosis (slightly mobile) | Fibrous | Syndesmosis | A fibrous joint in which two parallel bones are united to each other by fibrous connective tissue. The gap between the bones may be narrow, with the bones joined by ligaments, or the gap may be wide and filled by a broad sheet of connective tissue called an interosseous membrane. |
Cartilaginous | Symphysis | A cartilaginous joint where the bones are joined by fibrocartilage. Fibrocartilage contains numerous bundles of thick collagen fibers, thus giving it a much greater ability to resist pulling and bending forces when compared with hyaline cartilage. | |
Diarthrosis (mobile) | Synovial | Pivot | A pivot joint is where a rounded portion of a bone is enclosed within a ring formed partially by the articulation with another bone and partially by a ligament. |
Hinge | A hinge joint is where the convex end of one bone articulates with the concave end of the adjoining bone. | ||
Condyloid | A condyloid joint (ellipsoid joint) is where the shallow depression at the end of one bone articulates with a rounded structure from an adjacent bone or bones. | ||
Saddle | A saddle joint is where both of the articulating surfaces for the bones have a saddle shape, which is concave in one direction and convex in the other. | ||
Plane | A plane joint (gliding joint) is where the articulating surfaces of the bones are flat or slightly curved and of approximately the same size, which allows the bones to slide against each other. | ||
Ball-and-socket | A ball-and-socket joint is where the rounded head (the ball) of one bone fits into the concave articulation (the socket) of the adjacent bone. |
Type of Joint | Movement | Example |
---|---|---|
Pivot | Uniaxial joint; allows rotational movement | Atlantoaxial joint (C1–C2 vertebrae articulation); proximal radioulnar joint |
Hinge | Uniaxial joint; allows flexion/extension movements | Knee; elbow; ankle; interphalangeal joints of fingers and toes |
Condyloid | Biaxial joint; allows flexion/extension, abduction/adduction, and circumduction movements | Metacarpophalangeal (knuckle) joints of fingers; radiocarpal joint of wrist; metatarsophalangeal joints for toes |
Saddle | Biaxial joint; allows flexion/extension, abduction/adduction, and circumduction movements | First carpometacarpal joint of the thumb; sternoclavicular joint |
Plane | Multiaxial joint; allows inversion and eversion of foot, or flexion, extension, and lateral flexion of the vertebral column | Intertarsal joints of foot; superior-inferior articular process articulations between vertebrae |
Ball-and-socket | Multiaxial joint; allows flexion/extension, abduction/adduction, circumduction, and medial/lateral rotation movements | Shoulder and hip joints |
Chapter 10
Characteristic | Fast Glycolytic | Fast Oxidative | Slow Oxidative |
---|---|---|---|
Other names | Type IIx, Fast Twitch | Type IIa, Fast Twitch | Type I, Slow Twitch |
Number of mitochondria | Low | High/moderate | High |
Resistance to fatigue | Low | High/moderate | High |
Predominant energy system | Anaerobic | Combination | Aerobic |
ATPase activity | Highest/fastest | High | Low/slowest |
Speed of shortening (Vmax) | Highest | High | Low |
Efficiency | Low | Moderate | High |
Strength (Specific tension) | High | High | Moderate |
Myoglobin | Low | Moderate | High |
Glycogen | High | Moderate | Low |
Chapter 11
Example | Word | Latin Root 1 | Latin Root 2 | Meaning | Translation |
---|---|---|---|---|---|
abductor digiti minimi | abductor | ab = away from | duct = to move | a muscle that moves away from | A muscle that moves the little finger or toe away |
digiti | digitus = digit | n/a | refers to a finger or toe | ||
minimi | minimus = mini, tiny | n/a | little | ||
adductor digiti minimi | adductor | ad = to, toward | duct = to move | a muscle that moves towards | A muscle that moves the little finger or toe forward |
digiti | digitus = digit | n/a | refers to a finger or toe | ||
minimi | minimus = mini, tiny | n/a | little |
Example | Latin or Greek Translation | Mnemonic Device |
---|---|---|
ad | to; toward | ADvance toward your goal |
ab | away from | n/a |
sub | under | SUBmarines move under water. |
ductor | something that moves | A conDUCTOR makes a train move. |
anti | against | If you are antisocial, you are against engaging in social activities. |
epi | on top of | n/a |
apo | to the side of | n/a |
longissimus | longest | “Longissimus” is longer than the word “long.” |
longus | long | long |
brevis | short | brief |
maximus | large | max |
medius | medium | “Medius” and “medium” both begin with “med.” |
minimus | tiny; little | mini |
rectus | straight | To RECTify a situation is to straighten it out. |
multi | many | If something is MULTIcolored, it has many colors. |
uni | one | A UNIcorn has one horn. |
bi/di | two | If a ring is DIcast, it is made of two metals. |
tri | three | TRIple the amount of money is three times as much. |
quad | four | QUADruplets are four children born at one birth. |
externus | outside | EXternal |
internus | inside | INternal |
Part of the face | Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|---|
Brow | Occipitofrontalis, frontal belly | Raising eyebrows (e.g., showing surprises) | Skin of scalp | Anterior | Epicranial aponeurosis | Underneath skin of forehead |
Brow | Occipitofrontalis, occipital belly | Tensing and retracting scalp | Skin of scalp | Posterior | Occipital bone; mastoid process (temporal bone) | Epicranial aponeurosis |
Brow | Corrugator supercilii | Lowering eyebrows (e.g., scowling, frowning) | Skin underneath eyebrows | Inferior | Frontal bone | Skin underneath eyebrow |
Nose | Nasalis | Flaring nostrils | Nasal cartilage (pushes nostrils open when cartilage is compressed) | Inferior compression; posterior compression | Maxilla | Nasal bone |
Mouth | Levator labii superioris | Raising upper lip | Upper lip | Elevation | Maxilla | Underneath skin at corners of the mouth; orbicularis oris |
Mouth | Depressor labii inferioris | Lowering lower lip | Lower lip | Depression | Mandible | Underneath skin of lower lip |
Mouth | Depressor anguli oris | Opening mouth and sliding lower jaw left and right | Lower jaw | Depression, lateral | Mandible | Underneath skin at corners of mouth |
Mouth | Zygomaticus major | Smiling | Corners of mouth | Lateral elevation | Zygomatic bone | Underneath skin at corners of mouth (dimple area); orbicularis oris |
Mouth | Orbicularis oris | Shaping of lips (as during speech) | Lips | Multiple | Tissue surrounding lips | Underneath skin at corners of mouth |
Mouth | Buccinator | Lateral movement of cheeks (e.g., sucking on a straw; also used to compress air in mouth while blowing) | Cheeks | Lateral | Maxilla, mandible; sphenoid bone (via pterygomandibular raphe) | Orbicularis oris |
Mouth | Risorius | Pursing of lips by straightening them laterally | Corners of mouth | Lateral | Fascia of parotid salivary gland | Underneath skin at corners of mouth |
Mouth | Mentalis | Protrusion of lower lip (e.g., pouting expression) | Lower lip and skin of chin | Protraction | Mandible | Underneath skin of chin |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Superior rectus | Moves eyes up and toward nose; rotates eyes from 1 o’clock to 3 o’clock | Eyeballs | Superior (elevates); medial (adducts) | Common tendinous ring (ring attaches to optic foramen) | Superior surface of eyeball |
Inferior rectus | Moves eyes down and toward nose; rotates eyes from 6 o’clock to 3 o’clock | Eyeballs | Inferior (depresses); medial (adducts) | Common tendinous ring (ring attaches to optic foramen) | Inferior surface of eyeball |
Lateral rectus | Moves eyes away from nose | Eyeballs | Lateral (abducts) | Common tendinous ring (ring attaches to optic foramen) | Lateral surface of eyeball |
Medial rectus | Moves eyes toward nose | Eyeballs | Medial (adducts) | Common tendinous ring (ring attaches to optic foramen) | Medial surface of eyeball |
Inferior oblique | Moves eyes up and away from nose; rotates eyeball from 12 o’clock to 9 o’clock | Eyeballs | Superior (elevates); lateral (abducts) | Floor of orbit (maxilla) | Surface of eyeball between inferior rectus and lateral rectus |
Superior oblique | Moves eyes down and away from nose; rotates eyeball from 6 o’clock to 9 o’clock | Eyeballs | Superior (elevates); lateral (abducts) | Sphenoid bone | Suface of eyeball between superior rectus and lateral rectus |
Levator palpabrae superioris | Opens eyes | Upper eyelid | Superior (elevates) | Roof of orbit (sphenoid bone) | Skin of upper eyelids |
Orbicularis oculi | Closes eyelids | Eyelid skin | Compression along superior–inferior axis | Medial bones composing the orbit | Circumference of orbit |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Masseter | Closes mouth; aids chewing | Mandible | Superior (elevates) | Maxilla arch; zygomatic arch (for masseter) | Mandible |
Temporalis | Closes mouth; pulls lower jaw in under upper jaw | Mandible | Superior (elevates); posterior (retracts) | Temporal bone | Mandible |
Lateral pterygoid | Opens mouth; pushes lower jaw out under upper jaw; moves lower jaw side-to-side | Mandible | Inferior (depresses); posterior (protracts); lateral (abducts); medial (adducts) | Pterygoid process of sphenoid bone | Mandible |
Medial pterygoid | Closes mouth; pushes lower jaw out under upper jaw; moves lower jaw side-to-side | Mandible | Superior (elevates); posterior (protracts); lateral (abducts); medial (adducts) | Sphenoid bone; maxilla | Mandible; temporo-mandibular joint |
Muscle | Origin | Insertion | Movement | Innervation |
---|---|---|---|---|
Genioglossus | Mandible | Tongue undersurface; hyoid bone | Draws tongue to one side; depresses midline of tongue or protrudes tongue | Hypoglossal nerve |
Styloglossus | Temporal bone (styloid process) | Tongue undersurface and sides | Draws tongue upward and posteriorly | Hypoglossal nerve |
Hyoglossus | Temporal bone (styloid bone) | Sides of tongue | Depresses tongue | Hypoglossal nerve |
Palatoglossus | Soft palate | Side of tongue | Elevates root of tongue; closes oral cavity from pharynx | Accessory and vagus nerves |
Muscle | Origin | Insertion | Movement | Innervation |
---|---|---|---|---|
Digastric | Mandible; temporal bone | Hyoid bone | Depresses mandible when hyoid is fixed; elevates hyoid when mandible is fixed; | Posterior belly; facial nerve Anterior belly mylohyoid nerve |
Stylohyoid | Temporal bone (styloid process) | Hyoid bone | Elevates and retracts hyoid; elongates floor of mouth | Facial nerve |
Mylohyoid | Mandible | Hyoid bone; median raphe | Elevates floor of mouth in initial stage of swallowing | Mylohyoid nerve |
Geniohyoid | Mandible | Hyoid bone | Depresses mandible when hyoid; elevates and protracts hyoid when mandible is fixed | Spinal nerve C1 via hypoglossal nerve |
Omohyoid | Scapula | Hyoid bone | Depresses hyoid after it has been elevated | Ansa cervicalis |
Sternohyoid | Clavicle | Hyoid bone | Depresses the hyoid during swallowing and speaking | Ansa cervicalis |
Thyrohyoid | Thyroid cartilage | Hyoid bone | Depresses hyoid; Elevates larynx when hyoid is fixed | Spinal nerve C1 via hypoglossal nerve |
Sternothyroid | Sternum | Thyroid cartilage | Depresses larynx after it has been elevated in swallowing and vocalization | Ansa cervicalis |
Sternocleid- omastoid; | Sternum; clavicle | Temporal bone (mastoid process); occipital bone | Unilaterally tilts head up and to the opposite side; Bilaterally draws head forward and down | Accessory nerve and spinal nerves C2-C3 |
Semispinalis capitis | C5-C8; T1-T6 | Occiput between the superior and inferior nuchal line | Extends and rotates the head to the opposite side | Posterior rami of middle cervical and thoracic nerves |
Splenius capitis; | Nuchal line; spinous process of C7-T3 | Superior nuchal line, Mastoid process | Unilaterally and ipsilaterally flexes and rotates the head; Bilaterally extends head | Posterior rami of middle cervical nerves |
Longissimus capitis | T1-T5; C4-C7 | Posterior margin of mastoid process and temporal bone | Extends and hyperextends head; flexes and rotates the head ipsilaterally | Dorsal rami of cervical and thoracic nerves (C6 to T4) |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Sternocleidomastoid | Rotates and tilts head to the side; tilts head forward | Skull; vertebrae | Individually: rotates head to opposite side; bilaterally: flexion | Sternum; clavicle | Temporal bone (mastoid process); occipital bone |
Semispinalis capitis | Rotates and tilts head backward | Skull; vertebrae | Individually: laterally flexes and rotates head to same side; bilaterally: extension | Transverse and articular processes of cervical and thoracic vertebra | Occipital bone |
Splenius capitis | Rotates and tilts head to the side; tilts head backward | Skull; vertebrae | Individually: laterally flexes and rotates head to same side; bilaterally: extension | Spinous processes of cervical and thoracic vertebra | Temporal bone (mastoid process); occipital bone |
Longissimus capitis | Rotates and tilts head to the side; tilts head backward | Skull; vertebrae | Individually: laterally flexes and rotates head to same side; bilaterally: extension | Transverse and articular processes of cervical and thoracic vertebra | Temporal bone (mastoid process) |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
External obliques; internal obliques | Twisting at waist; also bending to the side | Vertebral column | Supination; lateral flexion | Ribs 5–12; ilium | Ribs 7–10; linea alba; ilium |
Transversus abdominus | Squeezing abdomen during forceful exhalations, defecation, urination, and childbirth | Abdominal cavity | Compression | Ilium; ribs 5–10 | Sternum; linea alba; pubis |
Rectus abdominis | Sitting up | Vertebral column | Flexion | Pubis | Sternum; ribs 5 and 7 |
Quadratus lumborum | Bending to the side | Vertebral column | Lateral flexion | Ilium; ribs 5–10 | Rib 12; vertebrae L1–L4 |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Diaphragm | Inhalation; exhalation | Thoracic cavity | Compression; expansion | Sternum; ribs 6–12; lumbar vertebrae | Central tendon |
External intercostals | Inhalation;exhalation | Ribs | Elevation (expands thoracic cavity) | Rib superior to each intercostal muscle | Rib inferior to each intercostal muscle |
Internal intercostals | Forced exhalation | Ribs | Movement along superior/inferior axis to bring ribs closer together | Rib inferior to each intercostal muscle | Rib superior to each intercostal muscle |
Muscle type | Muscle | Origin | Insertion | Action | Innervation |
---|---|---|---|---|---|
Pelvic floor muscles | Levator ani pubococcygeus; levator ani iliococcygeus | Pubis; ischium | Urethra; anal canal; perineal body; coccyx | Compresses anal canal; defecation; urination; birth; coughing | Pudendal nerve; Spinal nerves S2-S3 |
Superficial muscle | Superficial transverse perineal | Ischium | Perineal body | None- supports perineal body maintaining anus at center of perineum | Pudendal nerve |
Superficial muscle | Bulbospongiosus | Perineal body | Perineal membrane; corpus spongiosum of penis; deep fascia of penis; clitoris in female | Involuntary response that compresses urethra when excreting urine in both sexes or while ejaculating in males; also aids in erection of penis in males | Pudendal nerve |
Superficial muscle | Ischiocavernosus | Ischium; ischial rami; pubic rami | Pubic symphysis; corpus cavernosum of penis in males; clitoris in females | Compresses veins to maintain erection of penis in males; erection of clitoris in females | Pudendal nerve |
Deep muscle | External urethral sphincter | Ischial rami; pubic rami | Male: median raphe; female: vaginal wall | Voluntarily compresses urethra during urination | Pudendal nerve spinal nerves S2-S4; pelvic splanchnic nerve |
Deep muscle | External anal sphincter | Anoccoccygeal ligament | Pernieal body | Closes anus | Pudendal nerve spinal nerves S2-S4; pelvic splanchnic nerve |
Prime mover | Position in the thorax | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|---|
Subclavius | Anterior thorax | Stabilizes clavicle during movement by depressing it | Clavicle | Depression | First rib | Inferior surface of clavicle |
Pectoralis minor | Anterior thorax | Rotates shoulder anteriorly (throwing motion); assists with inhalation | Scapula; ribs | Scapula: depresses; ribs: elevates | Anterior surfaces of certain ribs (2–4 or 3–5) | Coracoid process of scapula |
Serratus anterior | Anterior thorax | Moves arm from side of body to front of body; assists with inhalation | Scapula; ribs | Scapula: protracts; ribs: elevates | Muscle slips from certain ribs (1–8 or 1–9) | Anterior surface of vertebral border of scapula |
Trapezius | Posterior thorax | Elevates shoulders (shrugging); pulls shoulder blades together; tilts head backwards | Scapula; cervical spine | Scapula: rotests inferiorly, retracts, elevates, and depresses; spine: extends | Skull; vertebral column | Acromion and spine of scapula; clavicle |
Rhomboid major | Posterior thorax | Stabilizes scapula during pectoral girdle movement | Scapula | Retracts; rotates inferiorly | Thoracic vertebrae (T2–T5) | Medial border of scapula |
Rhomboid minor | Posterior thorax | Stabilizes scapula during pectoral girdle movement | Scapula | Retracts; rotates inferiorly | Cervical and thoracic vertebrae (C7 and T1) | Medial border of scapula |
Prime mover | Movement | Target | Target direction movement | Origin | Insertion |
---|---|---|---|---|---|
Pectoralis major | Brings elbows together; moves elbow up (as during an uppercut punch) | Humerus | Flexion; adduction; medial rotation | Clavicle sternum; cartilage of certain ribs (1-6 or 1-7) aponeurosis of external oblique muscle | Greater tubercle of humerus |
Latissimus dorsi | Moves elbow back (as in elbowing someone standing behind you); spreads elbows apart | Humerus; scapula | Humerus: extension, adduction, and medial rotation; scapula: depression | Thoracic vertebrae (T7-T12); lumbar vertebrae; lower ribs (9-12); iliac crest | Intertubercular sulcus of humerus |
Prime mover | Movement | Target | Target direction movement | Origin | Insertion |
---|---|---|---|---|---|
Deltoid | Lifts arms at shoulder | Humerus | Abduction; flexion; extension; medial lateral rotation | Trapezius; clavicle; acromion; spine of scapula | Deltoid tuberosity of humerus |
Subscapularis | Assists pectoralis major in bringing elbows together and stabilizes shoulder joint during movement of the pectoral girdle | Humerus | Medial rotation | Subscapular fossa of scapula | Lesser tubercle of humerus |
Supraspinatus | Rotates elbow outwards, as during a tennis swing | Humerus | Abduction | Supraspinous fossa of scapula | Greater tubercle of humerus |
Infraspinatus | Rotates elbow outwards, as during a tennis swing | Humerus | Extension; adduction | Infraspinous fossa of scapula | Greater tubercle of humerus |
Teres major | Assists with medial rotation at the shoulder | Humerus | Extension; adduction | Posterior surface of scapula | Intertubercular sulcus of humerus |
Teres minor | Assists infraspinatus in rotating elbow outwards | Humerus | Extension; adduction | Lateral border of dorsal scapular surface | Greater tubercle of humerus |
Coracobrachialis | Moves elbow up and across body, as when putting hand on chest | Humerus | Flexion; adduction | Coracoid process of scapula | Medial surface of humerus shaft |
Muscle Type | Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|---|
Anterior muscles (flexion) | Biceps brachii | Performs a bicep curl; also allows palm of hand to point toward body while flexing | Forearm | Flexion; supination | Coracoid process; tubercle above glenoid cavity | Radial tuberosity |
Anterior muscles (flexion) | Brachialis | Performs an elbow-bending motion | Forearm | Flexion | Front of distal humerus | Coronoid process of ulna |
Anterior muscles (flexion) | Brachioradialis | Assists and stabilizes elbow during bicep-curl motion | Forearm | Flexion | Lateral supracondylar ridge at distal end of humerus | Base of styloid process of radius |
Posterior muscles (extension) | Triceps brachii | Extends forearm, as during a punch | Forearm | Extension | Infraglenoid tubercle of scapula; posterior shaft of humerus; posterior humeral shaft distal to radial groove | Olecranon process of ulna |
Posterior muscles (extension) | Anconeus | Assists in extending forearm; also allows forearm to extend away from body | Forearm | Extension; abduction | Lateral epicondyle of humerus | Lateral aspect of olecranon process of ulna |
Anterior muscles (pronation) | Pronator teres | Turns hand palm-down | Forearm | Pronation | Medial epicondyle of humerus; coronoid process of ulna | Lateral radius |
Anterior muscles (pronation) | Pronator quadratus | Assists in turning hand palm-down | Forearm | Pronation | Distal portion of anterior ulnar shaft | Distal surface of anterior radius |
Posterior muscles (supination) | Supinator | Turns hand palm-up | Forearm | Supination | Lateral epicondyle of humerus; proximal ulna | Proximal end of radius |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Flexor carpi radialis | Bends wrist toward body; tilts hand to side away from body | Wrist; hand | Flexion; abduction | Medial epicondyle of humerus | Base of second and third metacarpals |
Palmaris longus | Assists in bending hand up toward shoulder | Wrist | Flexion | Medial epicondyle of humerus | Palmar aponeurosis; skin and fascia of palm |
Flexor carpi ulnaris | Assists in bending hand up toward shoulder; tilts hand to side away from body; stabilizes wrist | Wrist; hand | Flexion; abduction | Medial epicondyle of humerus; olecranon process; posterior surface of ulna | Pisiform, hamate bones, and base of fifth metacarpal |
Flexor digitorum superficialis | Bends fingers to make a fist | Wrist; fingers 2-5 | Flexion | Medial epicondyle of humerus; coronoid process of ulna; shaft of radius | Middle phalanges of fingers 2-5 |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Flexor pollicis longus | Bends tip of thumb | Thumb | Flexion | Anterior surface of radius; interosseous membrane | Distal phalanx of thumb |
Flexor digitorum profundus | Bends fingers to make a fist; also bends wrist toward body | Wrist; fingers | Flexion | Coronoid process; anteromedial surface of ulna; interosseous membrane | Distal phalanges of fingers 2-5 |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Extensor radialis longus | Straightens wrist away from body; tilts hand to side away from body | Wrist | Extension; abduction | Lateral supracondylar ridge of humerus | Base of second metacarpal |
Extensor carpi radialis brevis | Assists extensor radialis longus in extending and abducting wrist; also stabilizes hand during finger flexion | Wrist | Extension; abduction | Lateral epicondyle of humerus | Base of third metacarpal |
Extensor digitorum | Opens fingers and moves them sideways away from the body | Wrist; fingers | Extension; abduction | Lateral epicondyle of humerus | Extensor expansions; distal phalanges of fingers |
Extensor digit minimi | Extends little finger | Little finger | Extension | Lateral epicondyle of humerus | Extensor expansion; distal phalanx of finger 5 |
Extensor carpi ulnaris | Straightens wrist away from body; tilts hand to side toward body | Wrist | Extension; abduction | Lateral epicondyle of humerus; posterior border of ulna | Base of fifth metacarpal |
Prime mover | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|
Abductor pollicis longus | Moves thumb sideways toward body; extends thumb moves hand sideways toward body | Wrist; thumb | Thumb: abduction, extension; wrist: abduction | Posterior surface of radius and ulna; interosseous membrane | Base of metacarpal; trapezium |
Extensor pollicis brevis | Extends thumb | Thumb | Extension | Dorsal shaft of radius and ulna; interosseous membrane | Base of proximal phalanx of thumb |
Extensor pollicis longus | Extends thumb | Thumb | Extension | Dorsal shaft of radius and ulna; interosseous membrane | Base of distal phalanx of thumb |
Extensor indicis | Extends index finger; straightens wrist away from body | Wrist; index finger | Extension | Posterior surface of distal ulna; interosseous membrane | Tendon of extensor digitorum of index finger |
Prime mover | Muscle | Movement | Target | Target motion direction | Origin | Insertion |
---|---|---|---|---|---|---|
Abductor pollicis brevis | Thenar muscles | Moves thumb toward body | Thumb | Abduction | Flexor retinaculum; and nearby carpals | Lateral base of proximal phalanx of thumb |
Opponens pollicis | Thenar muscles | Moves thumb across palm to touch other fingers | Thumb | Opposition | Flexor retinaculum; trapezium | Anterior of first metacarpal |
Flexor pollicis brevis | Thenar muscles | Flexes thumb | Thumb | Flexion | Flexor retinaculum; trapezium | Lateral base of proximal phalanx of thumb |
Adductor pollicis | Thenar muscles | Moves thumb away from body | Thumb | Adduction | Capitate bone; bases of metacarpals 2–4; front of metacarpal 3 | Medial base of proximal phalanx of thumb |
Abductor digiti minimi | Hypothenar muscles | Moves little finger toward body | Little finger | Abduction | Pisiform bone | Medial side of proximal phalanx of little finger |
Flexor digiti minimi brevis | Hypothenar muscles | Flexes little finger | Little finger | Flexion | Hamate bone; flexor retinaculum | Medial side of proximal phalanx of little finger |
Opponens digiti minimi | Hypothenar muscles | Moves little finger across palm to touch thumb | Little finger | Opposition | Hamate bone; flexor retinaculum | Medial side of fifth metacarpal |
Lumbricals | Intermediate muscles | Flexes each finger at metacarpo-phalangeal joints; extends each finger at interphalangeal joints | Fingers | Flexion | Palm (lateral sides of tendons in flexor digitorum profundus) | Fingers 2–5 (lateral edges of extensional expansions on first phalanges) |
Palmar interossei | Intermediate muscles | Adducts and flexes each finger at metacarpo-phalangeal joints; extends each finger at interphalangeal joints | Fingers | Adduction; flexion; extension | Side of each metacarpal that faces metacarpal 3 (absent from metacarpal 3) | Extensor expansion on first phalanx of each finger (except finger 3) on side facing finger 3 |
Dorsal interossei | Intermediate muscles | Abducts and flexes the three middle fingers at metacarpo-phalangeal joints; extends the three middle fingers at interphalangeal joints | Fingers | Abduction; flexion; extension | Sides of metacarpals | Both sides of finger 3; for each other finger, extensor expansion over first phalanx on side opposite finger 3 |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Psoas major | Raises knee at hip, as if performing a knee attack; assists l rotators in twisting thigh (and lower leg) outward; assists with bending over, maintaining posture | Femur | Thigh: flexion and lateral rotation; torso: flexion | Lumbar vertebrae (L1-L5); thoracic vertebra (T12) | Lesser trochanter of femur |
Iliacus | Raises knee at hip, as if performing a knee attack; assists l rotators in twisting thigh (and lower leg) outward; assists with bending over, maintaining posture | Femur | Thigh: flexion and lateral rotation; torso: flexion | Iliac fossa; iliac crest; lateral sacrum | Lesser trochanter of femur |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Gluteus maximus | Lowers knee and move back, as when getting ready to kick a ball | Femur | Extension | Dorsal ilium; sacrum; coccyx | Gluteal tuberosity of femur; iliotibial tract |
Gluteus medius | Open thighs, as when doing a split | Femur | Abduction | Lateral surface of ilium | Greater trochanter of femur |
Gluteus minimus | Brings the thighs back together | Femur | Abduction | External surface of ilium | Greater trochanter of femur |
Tensor facia lata | Assists with raising knee at hip and opening thighs; maintains posture by stabilizing the iliotibial track, which connects to the knee | Femur | Flexion; abduction | Anterior aspect of iliac crest; anterior superior iliac spine | Iliotibial tract |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Piriformis | Twists thigh (and lower leg) outward; maintains posture by stabilizing hip joint | Femur | Lateral rotation | Anterolateral surface of sacrum | Greater trochanter of femur |
Obturator internus | Twists thigh (and lower leg) outward; maintains posture by stabilizing hip joint | Femur | Lateral rotation | Inner surface of obturator membrane; greater sciatic notch; margins of obturator foramen | Greater trochanter in front of piriformis |
Obturator externus | Twists thigh (and lower leg) outward; maintains posture by stabilizing hip joint | Femur | Lateral rotation | Outer surfaces of obturator membrane; pubic, and ischium; margins of obturator foramen | Trochanteric fossa of posterior femur |
Superior gemellus | Twists thigh (and lower leg) outward; maintains posture by stabilizing hip joint | Femur | Lateral rotation | Ischial spine | Greater trochanter of femur |
Inferior gemellus | Twists thigh (and lower leg) outward; maintains posture by stabilizing hip joint | Femur | Lateral rotation | Ischial tuberosity | Greater trochanter of femur |
Quadratus femoris | Twists thigh (and lower leg) outward; maintains posture by stabilizing hip joint | Femur | Lateral rotation | Ischial tuberosity | Trochanteric crest of femur |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Adductor longus | Brings the thighs back together; assists with raising the knee | Femur | Adduction; flexion | Pubis near pubic symphysis | Linea aspera |
Adductor brevis | Brings the thighs back together; assists with raising the knee | Femur | Adduction; flexion | Body of pubis; inferior ramus of pubis | Linea aspera above adductor longus |
Adductor magnus | Brings the thighs back together; assists with raising the knee and moving the thigh back | Femur | Adduction; flexion; extension | Ischial rami; pubic rami; ischial tuberosity | Linea aspera; adductor tubercle of femur |
Pectineus | Opens thighs; assists with raising the knee and turning the thigh (and lower leg) inward | Femur | Adduction; flexion; medial rotation | Pectineal line of pubis | Lesser trochanter to linea aspera of posterior aspect of femur |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Gracilis | Moves back of lower legs up toward buttocks, as when kneeling; assists in opening thighs | Femur; tibia/fibula | Tibia/fibula: flexion; thigh: adduction | Inferior ramus; body of pubis; ischial ramus | Medial surface of tibia |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Rectus femoris | Moves lower leg out in front of body, as when kicking; assists in raising the knee | Femur; tibia/fibula | Tibia/fibula: extension; thigh: flexion | Anterior inferior iliac spine; superior margin of acetabulum | Patella; tibial tuberosity |
Vastus lateralis | Moves lower leg out in front of body, as when kicking | Tibia/fibula | Extension | Greater trochanter; intertrochanteric line; linea aspera | Patella; tibial tuberosity |
Vastus medialis | Moves lower leg out in front of body, as when kicking | Tibia/fibula | Extension | Linea aspera; intertrochanteric line | Patella; tibial tuberosity |
Vastus intermedius | Moves lower leg out in front of body, as when kicking | Tibia/fibula | Extension | Proximal femur shaft | Patella; tibial tuberosity |
Sartorius | Moves back of lower legs up toward buttocks, as when kneeling; assists in moving thigh diagonally upward and outward as when mounting a bike | Femur; tibia/fibula | Tibia: flexion; thigh: flexion, abduction, lateral rotation | Anterior inferior iliac spine | Medial aspect of proximal tibia |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Biceps femoris | Moves back of lower legs up and back toward the buttocks, as when kneeling; moves thigh down and back; twists the thigh (and lower leg) outward | Femur; tibia/fibula | Tibia/fibula: flexion; thigh: extension, lateral rotation | Ischial tuberosity; linea aspera; distal femur | Head of fibula; lateral condyle of tibia |
Semitendinosus | Moves back of lower legs up and back toward the buttocks, as when kneeling; moves thigh down and back; twists the thigh (and lower leg) inward | Femur; tibia/fibula | Tibia/fibula: flexion; thigh: extension, medial rotation | Ischial tuberosity | Upper tibial shaft |
Semimembranosus | Moves back of lower legs up and back toward the buttocks, as when kneeling; moves thigh down and back; twists the thigh (and lower leg) inward | Femur; tibia/fibula | Tibia/fibula: flexion; thigh: extension, medial rotation | Ischial tuberosity | Medial condyle of tibia; lateral condyle of femur |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Tibialis anterior | Raises the sole of the foot off the ground, as when preparing to foot-tap; bends the inside of the foot upwards, as when catching your balance while falling laterally toward the opposite side as the balancing foot | Foot | Dorsiflexion; inversion | Lateral condyle and upper tibial shaft; interosseous membrane | Interior surface of medial cuneiform; First metatarsal bone |
Extensor hallucis longus | Raises the sole of the foot off the ground, as when preparing to foot-tap; extends the big toe | Foot; big toe | Foot: dorsiflexion; big toe: extension | Anteromedial fibula shaft; interosseous membrane | Distal phalanx of big toe |
Extensor digitorum longus | Raises the sole of the foot off the ground, as when preparing to foot-tap; extends toes | Foot; toes 2-5 | Foot: dorsiflexion; big toe: extension | Lateral condyle of tibia; proximal portion of fibula; interosseous membrane | Middle and distal phalanges of toes 2-5 |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Fibularis longus | Lowers the sole of the foot to the ground, as when foot-tapping or jumping; bends the inside of the foot downward, as when catching your balance while falling laterally toward the same side as the balancing foot | Foot | Plantar flexion and eversion | Upper portion of lateral fibula | First metatarsal; medial cuneiform |
Fibularis (peroneus) brevis | Lowers the sole of the foot to the ground, as when foot-tapping or jumping; bends the inside of the foot downward, as when catching your balance while falling laterally toward the same side as the balancing foot | Foot | Plantar flexion and eversion | Distal fibula shaft | Proximal end of fifth metatarsal |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Gastrocnemius | Lowers the sole of the foot to the ground, as when foot-tapping or jumping; assists in moving the back of the lower legs up and back toward the buttocks | Foot; tibia/fibula | Foot: plantar flexion; tibia/fibula: flexion | Medial and lateral condyles of femur | Posterior calcaneus |
Soleus | Lowers the sole of the foot to the ground, as when foot-tapping or jumping; maintains posture while walking | Foot | Plantar flexion | Superior tibia; fibula; interosseous membrane | Posterior calcaneus |
Plantaris | Lowers the sole of the foot to the ground, as when foot-tapping or jumping; assists in moving the back of the lower legs up and back toward the buttocks | Foot; tibia/fibula | Foot: plantar flexion; tibia/fibula: flexion | Posterior femur above lateral condyle | Calcaneus or calcaneus tendon |
Tibialis posterior | Lowers the sole of the foot to the ground, as when foot-tapping or jumping | Foot | Plantar flexion | Superior tibia and fibula; interosseous membrane | Several tarsal and metatarsals 2-4 |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Popliteus | Moves the back of the lower legs up and back toward the buttocks; assists in the rotation of the leg at the knee and thigh | Tibia/fibula | Tibia/fibula: flexion thigh and lower leg: medial and lateral rotation | Lateral condyle of femur; lateral meniscus | Proximal tibia |
Flexor digitorum longus | Lowers the sole of the foot to the ground, as when foot-tapping or jumping; bends the inside of the foot upward and flexes toes | Foot; toes 2-5 | Foot: plantar flexion and inversion toes: flexion | Posterior tibia | Distal phalanges of toes 2-5 |
Flexor hallucis longus | Flexes the big toe | Big toe; foot | Big toe: flexion foot: plantar flexion | Midshaft of fibula; interosseous membrane | Distal phalanx of big toe |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Extensor digitorum brevis | Extends toes 2-5 | Toes 2-5 | Extension | Calcaneus; extensor retinaculum | Base of proximal phalanx of big toe; extensor expansions on toes 2-5 |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Abductor hallucis | Abducts and flexes big toe | Big toe | Abduction; flexion | Calcaneal tuberosity; flexor retinaculum | Proximal phalanx of big toe |
Flexor digitorum brevis | Flexes toes 2-4 | Middle toes | Flexion | Calcaneal tuberosity | Middle phalanx of toes 2-4 |
Abductor digit minimi | Abducts and flexes small toe | Toe 5 | Abduction; flexion | Calcaneal tuberosity | Proximal phalanx of little toe |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Quadratus plantae | Assists in flexing toes 2-5 | Toes 2-5 | Flexion | Medial and lateral sides of calcaneus | Tendon of flexor digitorum longus |
Lumbricals | Extends toes 2-5 at the interphalangeal joints; flexes the small toes at the metatarsophalangeal joints | Toes 2-5 | Extension flexion | Tendons of flexor digitorum longus | Meidal side of proximal phalanx of toes 2-5 |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Flexor hallucis | Flexes big toe | Big toe | Flexion | Lateral cuneiform; cuboid bones | Base of proximal phalanx of big toe |
Adductor hallucis | Adducts and flexes big toe | Big toe | Abduction; flexion | Bases of metatarsals 2-4; fibularis longus tendon sheath; ligament across metatarsophalangeal joints | Base of proximal phalanx of big toe |
Flexor digiti minimi brevis | Flexes small toe | Little toe | Flexion | base of metatarsal 5; tendon sheath of fibularis longus | Base of proximal phalanx of big toe |
Prime Mover | Movement | Target | Target Movement Direction | Origin | Insertion |
---|---|---|---|---|---|
Dorsal interossei | Abducts and flexes middle toes at metatarsophalangeal joints; extends middle toes at interphalangeal joints | Middle toes | Abduction; flexion; extension | Side of metatarsals | Both sides of toe 2; for each other toe, extensor expansion over first phalanx on side opposite toe 2 |
Plantar interossei | Abducts toes 3-5; flexes proximal phalanges and extends distal phalanges | Small toes | Abduction; flexion; extension | Side of each metatarsal that faces metatarsal 2 (absent from metatarsal 2) | Extensor expansion on first phalanx of each toe (except to 2) on side facing toe 2 |
Chapter 12
CNS glia | PNS glia | Basic Function |
---|---|---|
Astrocyte | Satellite cell | Maintain extracellular environment, remove excess neurotransmitter, direct neural growth, induce bllod-brain barrier in CNS (astrocyte only) |
Oligodendrocyte | Schwann cell | Create myelin |
Microglia | N/A | Immune surveillance and phagocytosis |
Ependymal cell | N/A | Create and circulate Cerebrospinal fluid (CSF) |
Structure | CNS | PNS |
---|---|---|
Group of Neuron Cell Bodies (i.e., gray matter) |
Nucleus | Ganglion |
Bundle of Axons (i.e., white matter) |
Tract | Nerve |
Common Chemical Synapse Element | Specific element in a Skeletal Muscle Neuromuscular Junction |
---|---|
presynaptic element | somatic motor neuron axon terminal |
neurotransmitter (packaged in vesicles) | acetylcholine |
synaptic cleft | space between somatic motor neuron and muscle cell membrane |
receptor proteins | nicotinic acetylcholine (cholinergic) receptor |
postsynaptic element | postsynaptic element is the motor end plate of the sarcolemma |
neurotransmitter elimination or re-uptake | degrading enzyme: acetylcholinesterase |
System | Cholinergic | Amino acids | Biogenic amines | Neuropeptides |
---|---|---|---|---|
Neurotransmitters | Acetylcholine | Glutamate, glycine, GABA | Serotonin (5-HT), dopamine, norepinephrine, (epinephrine) | Met-enkephalin, beta-endorphin, VIP, Substance P, etc. |
Receptors | Nicotinic and muscarinic receptors | Glu receptors, gly receptors, GABA receptors | 5-HT receptors, D1 and D2 receptors, α-adrenergic and β-adrenergic receptors | Receptors are too numerous to list, but are specific to the peptides. |
Elimination | Degradation by acetylcholinesterase | Reuptake by neurons or glia | Reuptake by neurons | Degradation by enzymes called peptidases |
Postsynaptic effect | Nicotinic receptor causes depolarization. Muscarinic receptors can cause both depolarization or hyperpolarization depending on the subtype. | Glu receptors cause depolarization. Gly and GABA receptors cause hyperpolarization. | Depolarization or hyperpolarization depends on the specific receptor. For example, D1 receptors cause depolarization and D2 receptors cause hyperpolarization. | Depolarization or hyperpolarization depends on the specific receptor. |
Chapter 13
Name | Historical (eponymous) name | Location(s) | Stimuli |
---|---|---|---|
Free nerve endings | * | Dermis, cornea, tongue, joint capsules | Pain, temperature, mechanical deformation |
Mechanoreceptors | Merkel’s discs | Epidermal–dermal junction, mucosal membranes | Low frequency vibration (5–15 Hz) |
Bulbous corpuscle | Ruffini’s corpuscle | Dermis, joint capsules | Stretch |
Tactile corpuscle | Meissner’s corpuscle | Papillary dermis, especially in the fingertips and lips | Light touch, vibrations below 50 Hz |
Lamellated corpuscle | Pacinian corpuscle | Deep dermis, subcutaneous tissue, joint capsules | Deep pressure, high-frequency vibration (around 250 Hz) |
Hair follicle plexus | * | Wrapped around hair follicles in the dermis | Movement of hair |
Muscle spindle | * | In line with skeletal muscle fibers | Muscle contraction and stretch |
Tendon stretch organ | Golgi tendon organ | In line with tendons | Stretch of tendons |
*No corresponding eponymous name.
Mnemonic | # | Name | Function (S/M/B) | Central connection (nuclei) | Peripheral connection (ganglion or muscle) |
---|---|---|---|---|---|
On | I | Olfactory | Smell (S) | Olfactory bulb | Olfactory epithelium |
Old | II | Optic | Vision (S) | Hypothalamus/thalamus/midbrain | Retina (retinal ganglion cells) |
Olympus’ | III | Oculomotor | Eye movements (M) | Oculomotor nucleus | Extraocular muscles (other 4), levator palpebrae superioris, ciliary ganglion (autonomic) |
Towering | IV | Trochlear | Eye movements (M) | Trochlear nucleus | Superior oblique muscle |
Tops | V | Trigeminal | Sensory/motor – face (B) | Trigeminal nuclei in the midbrain, pons, and medulla | Trigeminal |
A | VI | Abducens | Eye movements (M) | Abducens nucleus | Lateral rectus muscle |
Finn | VII | Facial | Motor – face, Taste (B) | Facial nucleus, solitary nucleus, superior salivatory nucleus | Facial muscles, Geniculate ganglion, Pterygopalatine ganglion (autonomic) |
And | VIII | Auditory (Vestibulocochlear) | Hearing/balance (S) | Cochlear nucleus, Vestibular nucleus/cerebellum | Spiral ganglion (hearing), Vestibular ganglion (balance) |
German | IX | Glossopharyngeal | Motor – throat Taste (B) | Solitary nucleus, inferior salivatory nucleus, nucleus ambiguus | Pharyngeal muscles, Geniculate ganglion, Otic ganglion (autonomic) |
Viewed | X | Vagus | Motor/sensory – viscera (autonomic) (B) | Medulla | Terminal ganglia serving thoracic and upper abdominal organs (heart and small intestines) |
Some | XI | Spinal Accessory | Motor – head and neck (M) | Spinal accessory nucleus | Neck muscles |
Hops | XII | Hypoglossal | Motor – lower throat (M) | Hypoglossal nucleus | Muscles of the larynx and lower pharynx |
Chapter 14
Neural tube | Primary vesicle stage | Secondary vesicle stage | Adult structures | Ventricles |
---|---|---|---|---|
Anterior neural tube | Prosencephalon | Telencephalon | Cerebrum | Lateral ventricles |
Anterior neural tube | Prosencephalon | Diencephalon | Diencephalon | Third ventricle |
Anterior neural tube | Mesencephalon | Mesencephalon | Midbrain | Cerebral aqueduct |
Anterior neural tube | Rhombencephalon | Metencephalon | Pons cerebellum | Fourth ventricle |
Anterior neural tube | Rhombencephalon | Myelencephalon | Medulla | Fourth ventricle |
Posterior neural tube | N/A | N/A | Spinal cord | Central canal |
Components | Lateral ventricles | Third ventricle | Cerebral aqueduct | Fourth ventricle | Central canal | Subarachnoid space |
---|---|---|---|---|---|---|
Location in CNS | Cerebrum | Diencephalon | Midbrain | Between pons/upper medulla and cerebellum | Spinal cord | External to entire CNS |
Blood vessel structure | Choroid plexus | Choroid plexus | None | Choroid plexus | None | Arachnoid granulations |
Chapter 16
Neuron Type | Sympathetic | Parasympathetic |
---|---|---|
Preganglionic | Acetylcholine → nicotinic receptor | Acetylcholine → nicotinic receptor |
Postganglionic | Norepinephrine → α- or β-adrenergic receptors
Acetylcholine → muscarinic receptor (associated with sweat glands and the blood vessels associated with skeletal muscles only
|
Acetylcholine → muscarinic receptor |
Drug type | Example(s) | Sympathetic effect | Parasympathetic effect | Overall result |
---|---|---|---|---|
Nicotinic agonists | Nicotine | Mimic ACh at preganglionic synapses, causing activation of postganglionic fibers and the release of norepinephrine onto the target organ | Mimic ACh at preganglionic synapses, causing activation of postganglionic fibers and the release of ACh onto the target organ | Most conflicting signals cancel each other out, but cardiovascular system is susceptible to hypertension and arrhythmias |
Sympathomimetic drugs | Phenylephrine | Bind to adrenergic receptors or mimics sympathetic action in some other way | No effect | Increase sympathetic tone |
Sympatholytic drugs | β-blockers such as propanolol or metoprolol; α-agonists such as clonidine | Block binding to adrenergic drug or decrease adrenergic signals | No effect | Increase parasympathetic tone |
Parasymphatho-mimetics/muscarinic agonists | Pilocarpine | No effect, except on sweat glands | Bind to muscarinic receptor, similar to ACh | Increase parasympathetic tone |
Anticholinergics/muscarinic antagonists | Atropine, scopolamine, dimenhydrinate | No effect | Block muscarinic receptors and parasympathetic function | Increase sympathetic tone |
Chapter 17
Characteristic | Endocrine system | Nervous system |
---|---|---|
Signaling mechanism(s) | Chemical | Chemical/electrical |
Primary chemical signal | Hormones | Neurotransmitters |
Distance traveled | Long or short | Always short |
Response time | Fast or slow | Always fast |
Environment targeted | Internal | Internal and external |
Endocrine gland | Associated hormones | Chemical class | Effect |
---|---|---|---|
Pituitary (anterior) | Growth hormone (GH) | Peptide | Promotes growth of body tissues |
Pituitary (anterior) | Prolactin (PRL) | Peptide | Promotes milk production |
Pituitary (anterior) | Thyroid-stimulating hormone (TSH) | Peptide | Stimulates thyroid hormone release |
Pituitary (anterior) | Adrenocorticotropic hormone (ACTH) | Peptide | Stimulates hormone release by adrenal cortex |
Pituitary (anterior) | Follicle-stimulating hormone (FSH) | Peptide | Stimulates gamete production |
Pituitary (anterior) | Luteinizing hormone (LH) | Peptide | Stimulates androgen production by gonads |
Pituitary (posterior) | Antidiuretic hormone (ADH) | Peptide | Stimulates water reabsorption by kidneys |
Pituitary (posterior) | Oxytocin | Peptide | Stimulates uterine contractions during childbirth |
Thyroid | Thyroxine (T4), triiodothyronine (T3) | Amine | Stimulate basal metabolic rate |
Thyroid | Calcitonin | Peptide | Reduces blood Ca2+ levels |
Parathyroid | Parathyroid hormone (PTH) | Peptide | Increases blood Ca2+ levels |
Adrenal (cortex) | Aldosterone | Steroid | Increases blood Na+ levels |
Adrenal (cortex) | Cortisol, corticosterone, cortisone | Steroid | Increase blood glucose levels |
Adrenal (medulla) | Epinephrine, norepinephrine | Amine | Stimulate fight-or-flight response |
Pineal | Melatonin | Amine | Regulates sleep cycles |
Pancreas | Insulin | Peptide | Reduces blood glucose levels |
Pancreas | Glucagon | Peptide | Increases blood glucose levels |
Testes | Testosterone | Steroid | Stimulates development of male secondary sex characteristics and sperm production |
Ovaries | Estrogens and progesterone | Steroid | Stimulate development of female secondary sex characteristics and prepare the body for childbirth |
Pituitary lobe | Associated hormones | Chemical class | Effect |
---|---|---|---|
Anterior | Growth hormone (GH) | Protein | Promotes growth of body tissues |
Anterior | Prolactin (PRL) | Peptide | Promotes milk production from mammary glands |
Anterior | Thyroid-stimulating hormone (TSH) | Glycoprotein | Stimulates thyroid hormone release from thyroid |
Anterior | Adrenocorticotropic hormone (ACTH) | Peptide | Stimulates hormone release by adrenal cortex |
Anterior | Follicle-stimulating hormone (FSH) | Glycoprotein | Stimulates gamete production in gonads |
Anterior | Luteinizing hormone (LH) | Glycoprotein | Stimulates androgen production by gonads |
Posterior | Antidiuretic hormone (ADH) | Peptide | Stimulates water reabsorption by kidneys |
Posterior | Oxytocin | Peptide | Stimulates uterine contractions during childbirth |
Intermediate zone | Melanocyte-stimulating hormone | Peptide | Stimulates melanin formation in melanocytes |
Associated hormones | Chemical class | Effect |
---|---|---|
Thyroxine (T4), triiodothyronine (T3) | Amine | Stimulate basal metabolic rate |
Calcitonin | Peptide | Reduces blood Ca2+ levels |
Adrenal gland | Associated hormones | Chemical class | Effect |
---|---|---|---|
Adrenal cortex | Aldosterone | Steroid | Increases blood Na+ levels |
Adrenal cortex | Cortisol, corticosterone, cortisone | Steroid | Increase blood glucose levels |
Adrenal cortex | Androgens | Steroid | Female Libido and Postmenopausal Estrogen |
Adrenal medulla | Epinephrine, norepinephrine | Amine | Stimulate fight-or-flight response |
Gonad | Associated hormones | Chemical class | Effect |
---|---|---|---|
Testes | Testosterone | Steroid | Stimulates development of male secondary sex characteristics and sperm production |
Testes & Ovaries | Inhibin | Protein | Inhibits FSH release from pituitary |
Ovaries | Estrogens and progesterone | Steroid | Stimulate development of female secondary sex characteristics and prepare the body for childbirth |
Placenta | Human chorionic gonadotropin | Protein | Promotes progesterone synthesis during pregnancy and inhibits immune response against fetus |
Associated hormones | Chemical class | Effect |
---|---|---|
Insulin (beta cells) | Protein | Reduces blood glucose levels |
Glucagon (alpha cells) | Protein | Increases blood glucose levels |
Somatostatin (delta cells) | Protein | Inhibits insulin and glucagon release |
Pancreatic polypeptide (PP cells) | Protein | Role in appetite |
Organ | Major hormones | Effects |
---|---|---|
Heart | Atrial natriuretic peptide (ANP) | Reduces blood volume, blood pressure, and Na+ concentration |
Gastrointestinal tract | Gastrin, secretin, and cholecystokinin | Aid digestion of food and buffering of stomach acids |
Gastrointestinal tract | Glucose-dependent insulinotropic peptide (GIP) and glucagon-like peptide 1 (GLP-1) | Stimulate beta cells of the pancreas to release insulin |
Kidneys | Renin | Stimulates release of aldosterone |
Kidneys | Calcitriol | Aids in the absorption of Ca2+ |
Kidneys | Erythropoietin | Triggers the formation of red blood cells in the bone marrow |
Skeleton | FGF23 | Inhibits production of calcitriol and increases phosphate excretion |
Skeleton | Osteocalcin | Increases insulin production |
Adipose tissue | Leptin | Promotes satiety signals in the brain |
Adipose tissue | Adiponectin | Reduces insulin resistance |
Skin | Cholecalciferol | Modified to form vitamin D |
Thymus (and other organs) | Thymosins | Among other things, aids in the development of T lymphocytes of the immune system |
Liver | Insulin-like growth factor-1 | Stimulates bodily growth |
Liver | Angiotensinogen | Raises blood pressure |
Liver | Thrombopoetin | Causes increase in platelets |
Liver | Hepcidin | Blocks release of iron into body fluids |
Chapter 18
Component and % of blood | Subcomponent and % of component | Type and % (where appropriate) | Site of Production | Major function(s) |
---|---|---|---|---|
Plasma 46-63 percent | Water 92 percent | Fluid | Absorbed by intestinal tract or produced by metabolism | Transport medium |
Plasma 46-63 percent | Plasma proteins 7 percent | Albumin 54-60 percent | Liver | maintain osmotic concentration, transport lipid molecules |
Plasma 46-63 percent | Plasma proteins 7 percent | Globulins 35-38 percent | Alpha globulins — liver | Transport, maintain osmotic concentration |
Plasma 46-63 percent | Plasma proteins 7 percent | Globulins 35-38 percent | Beta globulins — liver | Transport, maintain osmotic concentration |
Plasma 46-63 percent | Plasma proteins 7 percent | Globulins 35-38 percent | Gamma globulins (immunoglobulins)–plasma cells | Immune responses |
Plasma 46-63 percent | Plasma proteins 7 percent | Fibrinogen 4-7 percent | Liver | Blood clotting in hemostasis |
Plasma 46-63 percent | Regulatory proteins <1 percent | Hormones and enzymes | Various sources | Regulate various body functions |
Plasma 46-63 percent | Other solutes 1 percent | Nutrients, gases, and wastes | Absorbed by intestinal tract, exchanged in respiratory system, or produced by cells | Numerous and varied |
Formed elements 37-54 percent | Erythrocytes 99 percent | Erythrocytes | Red bone marrow | Transport gases, primarily oxygen and some carbon dioxide |
Formed elements 37-54 percent | Leukocytes <1 percent Platelets <1 percent | Granular leukocytes: neutrophils eosinophils basophils | Red bone marrow | Nonspecific immunity |
Formed elements 37-54 percent | Leukocytes <1 percent Platelets <1 percent | Agranular leukocytes: lymphocytes monocytes | Lymphocytes: bone marrow and lymphatic tissue | Lymphocytes: specific immunity |
Formed elements 37-54 percent | Leukocytes <1 percent Platelets <1 percent | Agranular leukocytes: lymphocytes monocytes | Monocytes: red bone marrow | Monocytes: nonspecific immunity |
Formed elements 37-54 percent | Platelets <1 percent | N/A | Megakaryocytes: red bone marrow | Hemostasis |
Factor number | Name | Type of molecule | Source | Pathway(s) |
---|---|---|---|---|
I | Fibrinogen | Plasma protein | Liver | Common; converted into fibrin |
II | Prothrombin | Plasma protein | Liver* | Common; converted into thrombin |
III | Tissue thromboplastin or tissue factor | Lipoprotein mixture | Damaged cells and platelets | Extrinsic |
IV | Calcium ions | Inorganic ions in plasma | Diet, platelets, bone matrix | Entire process |
V | Proaccelerin | Plasma protein | Liver, platelets | Extrinsic and intrinsic |
VI | Not used | Not used | Not used | Not used |
VII | Proconvertin | Plasma protein | Liver * | Extrinsic |
VIII | Antihemolytic factor A | Plasma protein factor | Platelets and endothelial cells | Intrinsic; deficiency results in hemophilia A |
IX | Antihemolytic factor B (plasma thromboplastin component) | Plasma protein | Liver* | Intrinsic; deficiency results in hemophilia B |
X | Stuart–Prower factor (thrombokinase) | Protein | Liver* | Extrinsic and intrinsic |
XI | Antihemolytic factor C (plasma thromboplastin antecedent) | Plasma protein | Liver | Intrinsic; deficiency results in hemophilia C |
XII | Hageman factor | Plasma protein | Liver | Intrinsic; initiates clotting in vitro also activates plasmin |
XIII | Fibrin-stabilizing factor | Plasma protein | Liver, platelets | Stabilizes fibrin; slows fibrinolysis |
*Vitamin K required.
Blood Type | Asian | Black non-Hispanic | Hispanic | North American Indian | White non-Hispanic |
---|---|---|---|---|---|
A+ | 27.3 | 24.0 | 28.7 | 31.3 | 33.0 |
A− | 0.5 | 1.9 | 2.4 | 3.8 | 6.8 |
B+ | 25.0 | 18.4 | 9.2 | 7.0 | 9.1 |
B− | 0.4 | 1.3 | 0.7 | 0.9 | 1.8 |
AB+ | 7.0 | 4.0 | 2.3 | 2.2 | 3.4 |
AB− | 0.1 | 0.3 | 0.2 | 0.3 | 0.7 |
O+ | 39.0 | 46.6 | 52.6 | 50.0 | 37.2 |
O− | 0.7 | 3.6 | 3.9 | 4.7 | 8.0 |
Chapter 19
Factor | Effect |
---|---|
Cardioaccelerator nerves | Release of norepinephrine |
Proprioreceptors | Increased rates of firing during exercise |
Chemoreceptors | Decreased levels of O2; increased levels of H+, CO2, and lactic acid |
Baroreceptors | Decreased rates of firing, indicating falling blood volume/pressure |
Limbic system | Anticipation of physical exercise or strong emotions |
Catecholamines | Increased epinephrine and norepinephrine |
Thyroid hormones | Increased T3 and T4 |
Calcium | Increased Ca2+ |
Potassium | Decreased K+ |
Sodium | Decreased Na+ |
Body temperature | Increased body temperature |
Nicotine and caffeine | Stimulants, increasing heart rate |
Factor | Effect |
---|---|
Cardioinhibitor nerves (vagus) | Release of acetylcholine |
Proprioreceptors | Decreased rates of firing following exercise |
Chemoreceptors | Increased levels of O2; decreased levels of H+ and CO2 |
Baroreceptors | Increased rates of firing, indicating higher blood volume/pressure |
Limbic system | Anticipation of relaxation |
Catecholamines | Decreased epinephrine and norepinephrine |
Thyroid hormones | Decreased T3 and T4 |
Calcium | Decreased Ca2+ |
Potassium | Increased K+ |
Sodium | Increased Na+ |
Body temperature | Decrease in body temperature |
Direction | Preload | Contractility | Afterload |
---|---|---|---|
Raised due to: |
Increases end diastolic volume, Increases stroke volume |
Decreases end systolic volume, Increases stroke volume |
Increases end systolic volume, Decreases stroke volume |
Lowered due to: |
Decreases end diastolic volume, Decreases stroke volume |
Increases end systolic volume, Decreases stroke volume |
Decreases end systolic volume, Increases stroke volume |
Response attribute | Baroreceptors (aorta, carotid arteries, venae cavae, and atria) | Chemoreceptors (both central nervous system and in proximity to baroreceptors) |
---|---|---|
Sensitive to | Decreasing stretch | Decreasing O2 and increasing CO2, H+, and lactic acid |
Action | Parasympathetic stimulation suppressed | Sympathetic stimulation increased |
Effect on Heart | Increasing heart rate and increasing stroke volume | Increasing heart rate and increasing stroke volume |
Overall effect | Increasing blood flow and pressure due to increasing cardiac output; homeostasis restored | Increasing blood flow and pressure due to increasing cardiac output; homeostasis restored |
Response attribute | Baroreceptors (aorta, carotid arteries, venae cavae, and atria) | Chemoreceptors (both central nervous system and in proximity to baroreceptors) |
---|---|---|
Sensitive to | Increasing stretch | Increasing O2 and decreasing CO2, H+, and lactic acid |
Action | Parasympathetic stimulation increased | Sympathetic stimulation suppressed |
Effect on heart | Decreasing heart rate and decreasing stroke volume | Decreasing heart rate and decreasing stroke volume |
Overall effect | Decreasing blood flow and pressure due to decreasing cardiac output; homeostasis restored | Decreasing blood flow and pressure due to decreasing cardiac output; homeostasis restored |
Chapter 20
Comparison | Arteries | Veins |
---|---|---|
General appearance | Thick walls with small lumens, Generally appear rounded | Thin walls with large lumens, Generally appear flattened |
Tunica intima | Endothelium usually appears wavy due to constriction of smooth muscle, Internal elastic membrane present in larger vessels | Endothelium appears smooth, Internal elastic membrane absent |
Tunica media | Normally the thickest layer in arteries, Smooth muscle cells and elastic fibers predominate (the proportions of these vary with distance from the heart), External elastic membrane present in larger vessels | Normally thinner than the tunica externa, Smooth muscle cells and collagenous fibers predominate, Nervi vasorum and vasa vasorum present, External elastic membrane absent, |
Tunica externa | Normally thinner than the tunica media in all but the largest arteries, Collagenous and elastic fibers, Nervi vasorum and vasa vasorum present | Normally the thickest layer in veins, Collagenous and smooth fibers predominate, Some smooth muscle fibers, Nervi vasorum and vasa vasorum present |
Comparison | Arteries | Veins |
---|---|---|
Direction of blood flow | Conducts blood away from the heart | Conducts blood toward the heart |
General appearance | Rounded | Irregular, often collapsed |
Pressure | High | Low |
Wall thickness | Thick | Thin |
Relative oxygen concentration | Higher in systemic arteries, Lower in pulmonary arteries | Lower in systemic veins, Higher in pulmonary veins |
Valves | Not present | Present most commonly in limbs and in veins inferior to the heart |
Primary distribution | Sub-distribution | Secondary sub-distribution |
---|---|---|
System circulation 84% | Systemic veins 64% | Large veins 18% |
Large venous networks (liver, bone marrow, and integument) 21% | ||
Venules and medium-sized veins 25% | ||
Systemic arteries 13% | Arterioles 2% | |
Muscular arteries 5% | ||
Elastic arteries 4% | ||
Aorta 2% | ||
Systemic capillaries 7% | Systemic capillaries 7% | |
Pulmonary circulation 9% | Pulmonary veins 4% | — |
Pulmonary capillaries 2% | — | |
Pulmonary arteries 3% | — | |
Heart 7% | — | — |
Organ | Resting (mL/min) |
Mild exercise (mL/min) |
Maximal exercise (mL/min) |
---|---|---|---|
Skeletal muscle | 1200 | 4500 | 12,500 |
Heart | 250 | 350 | 750 |
Brain | 750 | 750 | 750 |
Integument | 500 | 1500 | 1900 |
Kidney | 1100 | 900 | 600 |
Gastrointestinal | 1400 | 1100 | 600 |
Others
(i.e., liver, spleen)
|
600 | 400 | 400 |
Total | 5800 | 9500 | 17,500 |
Control | Factor | Vasoconstriction | Vasodilation |
---|---|---|---|
Neural | Sympathetic stimulation | Arterioles within integument, abdominal viscera, and mucosa membrane; skeletal muscle (at high levels); varied in veins and venules | Arterioles within heart; skeletal muscles at low to moderate levels |
Parasympathetic | No known innervation for most | Arterioles in external genitalia, no known innervation for most other arterioles or veins | |
Endocrine | Epinephrine | Similar to sympathetic stimulation for extended flight-or-fight responses; at high levels, binds to specialized alpha (α) receptors | Similar to sympathetic stimulation for extended flight-or-fight responses; at low to moderate levels, binds to specialized beta (β) receptors |
Norepinephrine | Similar to epinephrine | Similar to epinephrine | |
Angiotensin II | Powerful generalized vasoconstrictor; also stimulates release of aldosterone and ADH | N/A | |
(peptide) | N/A | Powerful generalized vasodilator; also promotes loss of fluid volume kidneys, hence reducing blood volume, pressure, and flow | |
ADH | Moderately strong generalized vasoconstrictor; also causes body to retain more fluid via kidneys, increasing blood volume and pressure | N/A | |
Other factors | Decreasing levels of oxygen | N/A | Vasodilation, also opens precapillary sphincters |
Decreasing pH | N/A | Vasodilation, also opens precapillary sphincters | |
Increasing levels of carbon dioxide | N/A | Vasodilation, also opens precapillary sphincters | |
Increasing levels of potassium ion | N/A | Vasodilation, also opens precapillary sphincters | |
Increasing levels of prostaglandins | Vasoconstriction, closes precapillary sphincters for many | Vasodilation, also opens precapillary sphincters | |
Increasing levels of adenosine | N/A | Vasodilation | |
Increasing levels of NO | N/A | Vasodilation, also opens precapillary sphincters | |
Increasing levels of lactic acid and other metabolites | N/A | Vasodilation, also opens precapillary sphincters | |
Increasing levels of endothelins | Vasoconstriction | N/A | |
Increasing levels of platelet secretions | Vasoconstriction | N/A | |
Increasing hyperthermia | N/A | Vasodilation | |
Stretching of vascular wall (myogenic) | Vasoconstriction | N/A | |
Increasing levels of histamines from basophils and mast cells | N/A | Vasodilation |
System | Role of Circulatory System |
---|---|
Digestive | Absorbs nutrients and water; delivers nutrients (except most lipids) to liver for processing by hepatic portal vein; provides nutrients essential for hematopoiesis and building hemoglobin |
Endocrine | Delivers hormones: atrial natriuretic hormone (peptide) secreted by the heart atrial cells to help regulate blood volumes and pressures; epinephrine, ANH, angiotensin II, ADH, and thyroxine to help regulate blood pressure; estrogen to promote vascular health in women and men |
Integumentary | Carries clotting factors, platelets, and white blood cells for hemostasis, fighting infection, and repairing damage; regulates temperature by controlling blood flow to the surface, where heat can be dissipated; provides some coloration of integument; acts as a blood reservoir |
Lymphatic | Transports various white blood cells, including those produced by lymphatic tissue, and immunoglobulins (antibodies) throughout the body to maintain health; carries excess tissue fluid not able to be reabsorbed by the vascular capillaries back to the lymphatic system for processing |
Muscular | Provides nutrients and oxygen for contraction; removes lactic acid and distributes heat generated by contraction; muscular pumps aid in venous return; exercise contributes to cardiovascular health and helps to prevent atherosclerosis |
Nervous | Produces cerebrospinal fluid (CSF) within choroid plexuses; contributes to blood–brain barrier; cardiac and vasomotor centers regulate cardiac output and blood flow through vessels via autonomic system |
Reproductive | Aids in erection of genitalia in both sexes during sexual arousal; transports gonadotropic hormones that regulate reproductive functions |
Respiratory | Provides blood for critical exchange of gases to carry oxygen needed for metabolic reactions and carbon dioxide generated as byproducts of these processes |
Skeletal | Provides calcium, phosphate, and other minerals critical for bone matrix; transports hormones regulating buildup and absorption of matrix including growth hormone (somatotropin), thyroid hormone, calcitonins, and parathyroid hormone; erythropoietin stimulates myeloid cell hematopoiesis; some level of protection for select vessels by bony structures |
Urinary | Delivers 20% of resting circulation to kidneys for filtering, reabsorption of useful products, and secretion of excesses; regulates blood volume and pressure by regulating fluid loss in the form of urine and by releasing the enzyme renin that is essential in the renin-angiotensin-aldosterone mechanism |
Vessel | Description |
---|---|
Pulmonary trunk | Single large vessel exiting the right ventricle that divides to form the right and left pulmonary arteries |
Pulmonary arteries | Left and right vessels that form from the pulmonary trunk and lead to smaller arterioles and eventually to the pulmonary capillaries |
Pulmonary veins | Two sets of paired vessels—one pair on each side—that are formed from the small venules, leading away from the pulmonary capillaries to flow into the left atrium |
Vessel | Description |
---|---|
Aorta | Largest artery in the body, originating from the left ventricle and descending to the abdominal region, where it bifurcates into the common iliac arteries at the level of the fourth lumbar vertebra; arteries originating from the aorta distribute blood to virtually all tissues of the body |
Ascending aorta | Initial portion of the aorta, rising superiorly from the left ventricle for a distance of approximately 5 cm |
Aortic arch | Graceful arc to the left that connects the ascending aorta to the descending aorta; ends at the intervertebral disk between the fourth and fifth thoracic vertebrae |
Descending aorta | Portion of the aorta that continues inferiorly past the end of the aortic arch; subdivided into the thoracic aorta and the abdominal aorta |
Thoracic aorta | Portion of the descending aorta superior to the aortic hiatus |
Abdominal aorta | Portion of the aorta inferior to the aortic hiatus and superior to the common iliac arteries |
Vessel | Description |
---|---|
Brachiocephalic artery | Single vessel located on the right side of the body; the first vessel branching from the aortic arch; gives rise to the right subclavian artery and the right common carotid artery; supplies blood to the head, neck, upper limb, and wall of the thoracic region |
Subclavian artery | The right subclavian artery arises from the brachiocephalic artery while the left subclavian artery arises from the aortic arch; gives rise to the internal thoracic, vertebral, and thyrocervical arteries; supplies blood to the arms, chest, shoulders, back, and central nervous system |
Internal thoracic artery | Also called the mammary artery; arises from the subclavian artery; supplies blood to the thymus, pericardium of the heart, and anterior chest wall |
Vertebral artery | Arises from the subclavian artery and passes through the vertebral foramen through the foramen magnum to the brain; joins with the internal carotid artery to form the arterial circle; supplies blood to the brain and spinal cord |
Thyrocervical artery | Arises from the subclavian artery; supplies blood to the thyroid, the cervical region, the upper back, and shoulder |
Common carotid artery | The right common carotid artery arises from the brachiocephalic artery and the left common carotid artery arises from the aortic arch; each gives rise to the external and internal carotid arteries; supplies the respective sides of the head and neck |
External carotid artery | Arises from the common carotid artery; supplies blood to numerous structures within the face, lower jaw, neck, esophagus, and larynx |
Internal carotid artery | Arises from the common carotid artery and begins with the carotid sinus; goes through the carotid canal of the temporal bone to the base of the brain; combines with the branches of the vertebral artery, forming the arterial circle; supplies blood to the brain |
Arterial circle or circle of Willis | An anastomosis located at the base of the brain that ensures continual blood supply; formed from the branches of the internal carotid and vertebral arteries; supplies blood to the brain |
Anterior cerebral artery | Arises from the internal carotid artery; supplies blood to the frontal lobe of the cerebrum |
Middle cerebral artery | Another branch of the internal carotid artery; supplies blood to the temporal and parietal lobes of the cerebrum |
Ophthalmic artery | Branch of the internal carotid artery; supplies blood to the eyes |
Anterior communicating artery | An anastomosis of the right and left internal carotid arteries; supplies blood to the brain |
Posterior communicating artery | Branches of the posterior cerebral artery that form part of the posterior portion of the arterial circle; supplies blood to the brain |
Posterior cerebral artery | Branch of the basilar artery that forms a portion of the posterior segment of the arterial circle of Willis; supplies blood to the posterior portion of the cerebrum and brain stem |
Basilar artery | Formed from the fusion of the two vertebral arteries; sends branches to the cerebellum, brain stem, and the posterior cerebral arteries; the main blood supply to the brain stem |
Vessel | Description |
---|---|
Visceral branches | A group of arterial branches of the thoracic aorta; supplies blood to the viscera (i.e., organs) of the thorax |
Bronchial artery | Systemic branch from the aorta that provides oxygenated blood to the lungs; this blood supply is in addition to the pulmonary circuit that brings blood for oxygenation |
Pericardial artery | Branch of the thoracic aorta; supplies blood to the pericardium |
Esophageal artery | Branch of the thoracic aorta; supplies blood to the esophagus |
Mediastinal artery | Branch of the thoracic aorta; supplies blood to the mediastinum |
Parietal branches | Also called somatic branches, a group of arterial branches of the thoracic aorta; include those that supply blood to the thoracic wall, vertebral column, and the superior surface of the diaphragm |
Intercostal artery | Branch of the thoracic aorta; supplies blood to the muscles of the thoracic cavity and vertebral column |
Superior phrenic artery | Branch of the thoracic aorta; supplies blood to the superior surface of the diaphragm |
Vessel | Description |
---|---|
Celiac trunk | Also called the celiac artery; a major branch of the abdominal aorta; gives rise to the left gastric artery, the splenic artery, and the common hepatic artery that forms the hepatic artery to the liver, the right gastric artery to the stomach, and the cystic artery to the gall bladder |
Left gastric artery | Branch of the celiac trunk; supplies blood to the stomach |
Splenic artery | Branch of the celiac trunk; supplies blood to the spleen |
Common hepatic artery | Branch of the celiac trunk that forms the hepatic artery, the right gastric artery, and the cystic artery |
Hepatic artery proper | Branch of the common hepatic artery; supplies systemic blood to the liver |
Right gastric artery | Branch of the common hepatic artery; supplies blood to the stomach |
Cystic artery | Branch of the common hepatic artery; supplies blood to the gall bladder |
Superior mesenteric artery | Branch of the abdominal aorta; supplies blood to the small intestine (duodenum, jejunum, and ileum), the pancreas, and a majority of the large intestine |
Inferior mesenteric artery | Branch of the abdominal aorta; supplies blood to the distal segment of the large intestine and rectum |
Inferior phrenic arteries | Branches of the abdominal aorta; supply blood to the inferior surface of the diaphragm |
Adrenal artery | Branch of the abdominal aorta; supplies blood to the adrenal (suprarenal) glands |
Renal artery | Branch of the abdominal aorta; supplies each kidney |
Gonadal artery | Branch of the abdominal aorta; supplies blood to the gonads or reproductive organs; also described as ovarian arteries or testicular arteries, depending upon the sex of the individual |
Ovarian artery | Branch of the abdominal aorta; supplies blood to ovary, uterine (Fallopian) tube, and uterus |
Testicular artery | Branch of the abdominal aorta; ultimately travels outside the body cavity to the testes and forms one component of the spermatic cord |
Lumbar arteries | Branches of the abdominal aorta; supply blood to the lumbar region, the abdominal wall, and spinal cord |
Common iliac artery | Branch of the aorta that leads to the internal and external iliac arteries |
Median sacral artery | Continuation of the aorta into the sacrum |
Internal iliac artery | Branch from the common iliac arteries; supplies blood to the urinary bladder, walls of the pelvis, external genitalia, and the medial portion of the femoral region; in females, also provides blood to the uterus and vagina |
External iliac artery | Branch of the common iliac artery that leaves the body cavity and becomes a femoral artery; supplies blood to the lower limbs |
Vessel | Description |
---|---|
Axillary artery | Continuation of the subclavian artery as it penetrates the body wall and enters the axillary region; supplies blood to the region near the head of the humerus (humeral circumflex arteries); the majority of the vessel continues into the brachium and becomes the brachial artery |
Brachial artery | Continuation of the axillary artery in the brachium; supplies blood to much of the brachial region; gives off several smaller branches that provide blood to the posterior surface of the arm in the region of the elbow; bifurcates into the radial and ulnar arteries at the coronoid fossa |
Radial artery | Formed at the bifurcation of the brachial artery; parallels the radius; gives off smaller branches until it reaches the carpal region where it fuses with the ulnar artery to form the superficial and deep palmar arches; supplies blood to the lower arm and carpal region |
Ulnar artery | Formed at the bifurcation of the brachial artery; parallels the ulna; gives off smaller branches until it reaches the carpal region where it fuses with the radial artery to form the superficial and deep palmar arches; supplies blood to the lower arm and carpal region |
Palmar arches (superficial and deep) | Formed from anastomosis of the radial and ulnar arteries; supply blood to the hand and digital arteries |
Digital arteries | Formed from the superficial and deep palmar arches; supply blood to the digits |
Vessel | Description |
---|---|
Femoral artery | Continuation of the external iliac artery after it passes through the body cavity; divides into several smaller branches, the lateral deep femoral artery, and the genicular artery; becomes the popliteal artery as it passes posterior to the knee |
Deep femoral artery | Branch of the femoral artery; gives rise to the lateral circumflex arteries |
Lateral circumflex artery | Branch of the deep femoral artery; supplies blood to the deep muscles of the thigh and the ventral and lateral regions of the integument |
Genicular artery | Branch of the femoral artery; supplies blood to the region of the knee |
Popliteal artery | Continuation of the femoral artery posterior to the knee; branches into the anterior and posterior tibial arteries |
Anterior tibial artery | Branches from the popliteal artery; supplies blood to the anterior tibial region; becomes the dorsalis pedis artery |
Dorsalis pedis artery | Forms from the anterior tibial artery; branches repeatedly to supply blood to the tarsal and dorsal regions of the foot |
Posterior tibial artery | Branches from the popliteal artery and gives rise to the fibular or peroneal artery; supplies blood to the posterior tibial region |
Medial plantar artery | Arises from the bifurcation of the posterior tibial arteries; supplies blood to the medial plantar surfaces of the foot |
Lateral plantar artery | Arises from the bifurcation of the posterior tibial arteries; supplies blood to the lateral plantar surfaces of the foot |
Dorsal or arcuate arch | Formed from the anastomosis of the dorsalis pedis artery and the medial and plantar arteries; branches supply the distal portions of the foot and digits |
Plantar arch | Formed from the anastomosis of the dorsalis pedis artery and the medial and plantar arteries; branches supply the distal portions of the foot and digits |
Vessel | Description |
---|---|
Superior vena cava | Large systemic vein; drains blood from most areas superior to the diaphragm; empties into the right atrium |
Subclavian vein | Located deep in the thoracic cavity; formed by the axillary vein as it enters the thoracic cavity from the axillary region; drains the axillary and smaller local veins near the scapular region and leads to the brachiocephalic vein |
Brachiocephalic veins | Pair of veins that form from a fusion of the external and internal jugular veins and the subclavian vein; subclavian, external and internal jugulars, vertebral, and internal thoracic veins flow into it; drain the upper thoracic region and lead to the superior vena cava |
Vertebral vein | Arises from the base of the brain and the cervical region of the spinal cord; passes through the intervertebral foramina in the cervical vertebrae; drains smaller veins from the cranium, spinal cord, and vertebrae, and leads to the brachiocephalic vein; counterpart of the vertebral artery |
Internal thoracic veins | Also called internal mammary veins; drain the anterior surface of the chest wall and lead to the brachiocephalic vein |
Intercostal vein | Drains the muscles of the thoracic wall and leads to the azygos vein |
Esophageal vein | Drains the inferior portions of the esophagus and leads to the azygos vein |
Bronchial vein | Drains the systemic circulation from the lungs and leads to the azygos vein |
Azygos vein | Originates in the lumbar region and passes through the diaphragm into the thoracic cavity on the right side of the vertebral column; drains blood from the intercostal veins, esophageal veins, bronchial veins, and other veins draining the mediastinal region, and leads to the superior vena cava |
Hemiazygos vein | Smaller vein complementary to the azygos vein; drains the esophageal veins from the esophagus and the left intercostal veins, and leads to the brachiocephalic vein via the superior intercostal vein |
Vessel | Description |
---|---|
Internal jugular vein | Parallel to the common carotid artery, which is more or less its counterpart, and passes through the jugular foramen and canal; primarily drains blood from the brain, receives the superficial facial vein, and empties into the subclavian vein |
Temporal vein | Drains blood from the temporal region and flows into the external jugular vein |
Maxillary vein | Drains blood from the maxillary region and flows into the external jugular vein |
External jugular vein | Drains blood from the more superficial portions of the head, scalp, and cranial regions, and leads to the subclavian vein |
Vessel | Description |
---|---|
Superior sagittal sinus | Enlarged vein located midsagittally between the meningeal and periosteal layers of the dura mater within the falx cerebri; receives most of the blood drained from the superior surface of the cerebrum and leads to the inferior jugular vein and the vertebral vein |
Great cerebral vein | Receives most of the smaller vessels from the inferior cerebral veins and leads to the straight sinus |
Straight sinus | Enlarged vein that drains blood from the brain; receives most of the blood from the great cerebral vein and leads to the left or right transverse sinus |
Cavernous sinus | Enlarged vein that receives blood from most of the other cerebral veins and the eye socket, and leads to the petrosal sinus |
Petrosal sinus | Enlarged vein that receives blood from the cavernous sinus and leads into the internal jugular veins |
Occipital sinus | Enlarged vein that drains the occipital region near the falx cerebelli and leads to the left and right transverse sinuses, and also the vertebral veins |
Transverse sinuses | Pair of enlarged veins near the lambdoid suture that drains the occipital, sagittal, and straight sinuses, and leads to the sigmoid sinuses |
Sigmoid sinuses | Enlarged vein that receives blood from the transverse sinuses and leads through the jugular foramen to the internal jugular vein |
Vessel | Description |
---|---|
Digital veins | Drain the digits and lead to the palmar arches of the hand and dorsal venous arch of the foot |
Palmar venous arches | Drain the hand and digits, and lead to the radial vein, ulnar veins, and the median antebrachial vein |
Radial vein | Vein that parallels the radius and radial artery; arises from the palmar venous arches and leads to the brachial vein |
Ulnar vein | Vein that parallels the ulna and ulnar artery; arises from the palmar venous arches and leads to the brachial vein |
Brachial vein | Deeper vein of the arm that forms from the radial and ulnar veins in the lower arm; leads to the axillary vein |
Median antebrachial vein | Vein that parallels the ulnar vein but is more medial in location; intertwines with the palmar venous arches; leads to the basilic vein |
Basilic vein | Superficial vein of the arm that arises from the median antebrachial vein, intersects with the median cubital vein, parallels the ulnar vein, and continues into the upper arm; along with the brachial vein, it leads to the axillary vein |
Median cubital vein | Superficial vessel located in the antecubital region that links the cephalic vein to the basilic vein in the form of a v; a frequent site from which to draw blood |
Cephalic vein | Superficial vessel in the upper arm; leads to the axillary vein |
Subscapular vein | Drains blood from the subscapular region and leads to the axillary vein |
Axillary vein | The major vein in the axillary region; drains the upper limb and becomes the subclavian vein |
Vessel | Description |
---|---|
Inferior vena cava | Large systemic vein that drains blood from areas largely inferior to the diaphragm; empties into the right atrium |
Lumbar veins | Series of veins that drain the lumbar portion of the abdominal wall and spinal cord; the ascending lumbar veins drain into the azygos vein on the right or the hemiazygos vein on the left; the remaining lumbar veins drain directly into the inferior vena cava |
Renal vein | Largest vein entering the inferior vena cava; drains the kidneys and flows into the inferior vena cava |
Adrenal vein | Drains the adrenal or suprarenal; the right adrenal vein enters the inferior vena cava directly and the left adrenal vein enters the left renal vein |
Testicular vein | Drains the testes and forms part of the spermatic cord; the right testicular vein empties directly into the inferior vena cava and the left testicular vein empties into the left renal vein |
Ovarian vein | Drains the ovary; the right ovarian vein empties directly into the inferior vena cava and the left ovarian vein empties into the left renal vein |
Gonadal vein | Generic term for a vein draining a reproductive organ; may be either an ovarian vein or a testicular vein, depending on the sex of the individual |
Phrenic vein | Drains the diaphragm; the right phrenic vein flows into the inferior vena cava and the left phrenic vein empties into the left renal vein |
Hepatic vein | Drains systemic blood from the liver and flows into the inferior vena cava |
Vessel | Description |
---|---|
Plantar veins | Drain the foot and flow into the plantar venous arch |
Dorsal venous arch | Drains blood from digital veins and vessels on the superior surface of the foot |
Plantar venous arch | Formed from the plantar veins; flows into the anterior and posterior tibial veins through anastomoses |
Anterior tibial vein | Formed from the dorsal venous arch; drains the area near the tibialis anterior muscle and flows into the popliteal vein |
Posterior tibial vein | Formed from the dorsal venous arch; drains the area near the posterior surface of the tibia and flows into the popliteal vein |
Fibular vein | Drains the muscles and integument near the fibula and flows into the popliteal vein |
Small saphenous vein | Located on the lateral surface of the leg; drains blood from the superficial regions of the lower leg and foot, and flows into the popliteal vein |
Popliteal vein | Drains the region behind the knee and forms from the fusion of the fibular, anterior, and posterior tibial veins; flows into the femoral vein |
Great saphenous vein | Prominent surface vessel located on the medial surface of the leg and thigh; drains the superficial portions of these areas and flows into the femoral vein |
Deep femoral vein | Drains blood from the deeper portions of the thigh and flows into the femoral vein |
Femoral circumflex vein | Forms a loop around the femur just inferior to the trochanters; drains blood from the areas around the head and neck of the femur; flows into the femoral vein |
Femoral vein | Drains the upper leg; receives blood from the great saphenous vein, the deep femoral vein, and the femoral circumflex vein; becomes the external iliac vein when it crosses the body wall |
External iliac vein | Formed when the femoral vein passes into the body cavity; drains the legs and flows into the common iliac vein |
Internal iliac vein | Drains the pelvic organs and integument; formed from several smaller veins in the region; flows into the common iliac vein |
Middle sacral vein | Drains the sacral region and flows into the left common iliac vein |
Common iliac vein | Flows into the inferior vena cava at the level of L5; the left common iliac vein drains the sacral region; formed from the union of the external and internal iliac veins near the inferior portion of the sacroiliac joint |
Chapter 21
Type of lymphocyte | Primary function |
---|---|
B lymphocyte | Generates diverse antibodies |
T lymphocyte | Secretes chemical messengers |
Plasma cell | Secretes antibodies |
NK cell | Destroys virally infected cells |
Site | Specific defense | Protective aspect |
---|---|---|
Skin | Epidermal surface | Keratinized cells of surface, Langerhans cells |
Skin (sweat/secretions) | Sweat glands, sebaceous glands | Low pH, washing action |
Oral cavity | Salivary glands | Lysozyme |
Stomach | Gastrointestinal tract | Low pH |
Mucosal surfaces | Mucosal epithelium | Nonkeratinized epithelial cells |
Normal flora (nonpathogenic bacteria) | Mucosal tissues | Prevent pathogens from growing on mucosal surfaces |
Cell | Cell type | Primary location | Function in the innate immune response |
---|---|---|---|
Macrophage | Agranulocyte | Body cavities/organs | Phagocytosis |
Neutrophil | Granulocyte | Blood | Phagocytosis |
Monocyte | Agranulocyte | Blood | Precursor of macrophage/dendritic cell |
MHC | Cell type | Phagocytic? | Function |
---|---|---|---|
Class I | Many | No | Stimulates cytotoxic T cell immune response |
Class II | Macrophage | Yes | Stimulates phagocytosis and presentation at primary infection site |
Class II | Dendritic | Yes, in tissues | Brings antigens to regional lymph nodes |
Class II | B cell | Yes, internalizes surface Ig and antigen | Stimulates antibody secretion by B cells |
T cell | Main target | Function | Pathogen | Surface marker | MHC | Cytokines or mediators |
---|---|---|---|---|---|---|
Tc | Infected cells | Cytotoxicity | Intracellular | CD8 | Class I | Perforins, granzymes, and fas ligand |
Th1 | Macrophage | Helper inducer | Extracellular | CD4 | Class II | Interferon-γ and TGF-β |
Th2 | B cell | Helper inducer | Extracellular | CD4 | Class II | IL-4, IL-6, IL-10, and others |
Treg | Th cell | Suppressor | None | CD4, CD25 | ? | TGF-β and IL-10 |
Immunity Type | Natural | Artificial |
---|---|---|
Active | Adaptive immune response | Vaccine response |
Passive | Trans-placental antibodies/breastfeeding | Immune globulin injections |
Disease | Autoantigen | Symptoms |
---|---|---|
Celiac disease | Tissue transglutaminase | Damage to small intestine |
Diabetes mellitus type I | Beta cells of pancreas | Low insulin production; inability to regulate serum glucose |
Graves’ disease | Thyroid-stimulating hormone receptor (antibody blocks receptor) | Hyperthyroidism |
Hashimoto’s thyroiditis | Thyroid-stimulating hormone receptor (antibody mimics hormone and stimulates receptor) | Hypothyroidism |
Lupus erythematosus | Nuclear DNA and proteins | Damage of many body systems |
Myasthenia gravis | Acetylcholine receptor in neuromuscular junctions | Debilitating muscle weakness |
Rheumatoid arthritis | Joint capsule antigens | Chronic inflammation of joints |
Gene | # of alleles | # of possible MHC I protein components |
---|---|---|
A | 2132 | 1527 |
B | 2798 | 2110 |
C | 1672 | 1200 |
E | 11 | 3 |
F | 22 | 4 |
G | 50 | 16 |
Gene | # of alleles | # of possible MHC II protein components |
---|---|---|
DRA | 7 | 2 |
DRB | 1297 | 958 |
DQA1 | 49 | 31 |
DQB1 | 179 | 128 |
DPA1 | 36 | 18 |
DPB1 | 158 | 136 |
DMA | 7 | 4 |
DMB | 13 | 7 |
DOA | 12 | 3 |
DOB | 13 | 5 |
System | Stress-related illness |
---|---|
Integumentary system | Acne, skin rashes, irritation |
Nervous system | Headaches, depression, anxiety, irritability, loss of appetite, lack of motivation, reduced mental performance |
Muscular and skeletal systems | Muscle and joint pain, neck and shoulder pain |
Circulatory system | Increased heart rate, hypertension, increased probability of heart attacks |
Digestive system | Indigestion, heartburn, stomach pain, nausea, diarrhea, constipation, weight gain or loss |
Immune system | Depressed ability to fight infections |
Male reproductive system | Lowered sperm production, impotence, reduced sexual desire |
Female reproductive system | Irregular menstrual cycle, reduced sexual desire |
Chapter 22
Pulmonary function test | Instrument | Measures | Function |
---|---|---|---|
Spirometry | Spirometer | Forced vital capacity (FVC) | Volume of air that is exhaled after maximum inhalation |
Forced expiratory volume (FEV) | Volume of air exhaled in one breath | ||
Forced expiratory flow, 25-75 percent | Air flow in the middle of exhalation | ||
Peak expiratory flow | Rate of exhalation | ||
Maximum voluntary ventilation (MVV) | Volume of air that can be inspired and expired in 1 minute | ||
Slow vital capacity (SVC) | Volume of air that can be slowly exhaled after inhaling past the tidal volume | ||
Total lung capacity (TLC) | Volume of air left in the lungs after maximum inhalation | ||
Functional residual capacity (FRC) | Volume of air left in the lungs after normal expiration | ||
Residual volume (RV) | Volume of air in the lungs after maximum exhalation | ||
Total lung capacity (TLC) | Maximum volume of air that the lungs can hold | ||
Expiratory reserve volume (ERV) | The volume of air that can be exhaled beyond normal exhalation | ||
Gas diffusion | Blood gas analyzer | Arterial blood gases | Concentration of oxygen and carbon dioxide in the blood |
System component | Function |
---|---|
Medullary respiratory renter | Sets the basic rhythm of breathing |
Ventral respiratory group (VRG) | Generates the breathing rhythm and integrates data coming into the medulla |
Dorsal respiratory group (DRG) | Integrates input from the stretch receptors and the chemoreceptors in the periphery |
Pontine respiratory group (PRG) | Influences and modifies the medulla oblongata’s functions |
Aortic body | Monitors blood PCO2, PO2, and pH |
Carotid body | Monitors blood PCO2, PO2, and pH |
Hypothalamus | Monitors emotional state and body temperature |
Cortical areas of the brain | Control voluntary breathing |
Proprioceptors | Send impulses regarding joint and muscle movements |
Pulmonary irritant reflexes | Protect the respiratory zones of the system from foreign material |
Inflation reflex | Protects the lungs from over-inflating |
Gas | Percent of total composition | Partial pressure
(mm Hg)
|
---|---|---|
Nitrogen (N2) | 78.6 | 597.4 |
Oxygen (O2) | 20.9 | 158.8 |
Water (H2O) | 0.04 | 3.0 |
Carbon dioxide (CO2) | 0.004 | 0.3 |
Others | 0.0006 | 0.5 |
Total composition/total atmospheric pressure | 100% | 760.0 |
Gas | Percent of total composition | Partial pressure
(mm Hg)
|
---|---|---|
Nitrogen (N2) | 74.9 | 569 |
Oxygen (O2) | 13.7 | 104 |
Water (H2O) | 6.2 | 40 |
Carbon dioxide (CO2) | 5.2 | 47 |
Total composition/total alveolar pressure | 100% | 760.0 |
Example location | Altitude (feet above sea level) | Atmospheric pressure (mm Hg) | Partial pressure of oxygen (mm Hg) |
---|---|---|---|
New York City, New York | 0 | 760 | 159 |
Boulder, Colorado | 5000 | 632 | 133 |
Aspen, Colorado | 8000 | 565 | 118 |
Pike’s Peak, Colorado | 14,000 | 447 | 94 |
Denali (Mt. McKinley), Alaska | 20,000 | 350 | 73 |
Mt. Everest, Tibet | 29,000 | 260 | 54 |
Chapter 23
Body system | Benefits received by the digestive system |
---|---|
Cardiovascular | Blood supplies digestive organs with oxygen and processed nutrients; absorption of nutrients |
Endocrine | Endocrine hormones help regulate secretion in digestive glands and accessory organs |
Integumentary | Skin helps protect digestive organs and synthesizes vitamin D for calcium absorption |
Lymphatic | Mucosa-associated lymphoid tissue and other lymphatic tissue defend against entry of pathogens; lacteals absorb lipids; and lymphatic vessels transport lipids to bloodstream |
Muscular | Skeletal muscles support and protect abdominal organs |
Nervous | Sensory and motor neurons help regulate secretions and muscle contractions in the digestive tract |
Respiratory | Respiratory organs provide oxygen and remove carbon dioxide |
Skeletal | Bones help protect and support digestive organs |
Urinary | Kidneys convert vitamin D into its active form, allowing calcium absorption in the small intestine |
Fold | Description |
---|---|
Greater omentum | Apron-like structure that lies superficial to the small intestine and transverse colon; a site of fat deposition in people who are overweight |
Falciform ligament | Anchors the liver to the anterior abdominal wall and inferior border of the diaphragm |
Lesser omentum | Suspends the stomach from the inferior border of the liver; provides a pathway for structures connecting to the liver |
Mesentery | Vertical band of tissue anterior to the lumbar vertebrae and anchoring all of the small intestine except the initial portion (the duodenum) |
Mesocolon | Attaches two portions of the large intestine (the transverse and sigmoid colon) to the posterior abdominal wall |
Organ | Major functions | Other functions |
---|---|---|
Mouth |
|
|
Pharynx |
|
|
Esophagus |
|
|
Stomach |
|
|
Small intestine |
|
|
Accessory organs |
|
|
Large intestine |
|
|
Structure | Action | Outcome |
---|---|---|
Lips and cheeks | Confine food between teeth |
|
Salivary glands | Secrete saliva |
|
Tongue’s extrinsic muscles | Move tongue sideways, and in and out |
|
Tongue’s intrinsic muscles | Change tongue shape |
|
Taste buds | Sense food in mouth and sense taste |
|
Lingual glands | Secrete lingual lipase |
|
Teeth | Shred and crush food |
|
Action | Outcome |
---|---|
Upper esophageal sphincter relaxation | Allows the bolus to move from the laryngopharynx to the esophagus |
Peristalsis | Propels the bolus through the esophagus |
Lower esophageal sphincter relaxation | Allows the bolus to move from the esophagus into the stomach and prevents chime from entering the esophagus |
Mucus secretion | Lubricates the esophagus, allowing easy passage of the bolus |
Hormone | Production site | Production stimulus | Target organ | Action |
---|---|---|---|---|
Gastrin | Stomach mucosa, mainly G cells of the pyloric antrum | Presence of peptides and amino acids in stomach | Stomach | Increases secretion by gastric glands; promotes gastric emptying |
Gastrin | Stomach mucosa, mainly G cells of the pyloric antrum | Presence of peptides and amino acids in stomach | Small intestine | Promotes intestinal muscle contraction |
Gastrin | Stomach mucosa, mainly G cells of the pyloric antrum | Presence of peptides and amino acids in stomach | Ileocecal valve | Relaxes valve |
Gastrin | Stomach mucosa, mainly G cells of the pyloric antrum | Presence of peptides and amino acids in stomach | Large intestine | Triggers mass movements |
Ghrelin | Stomach mucosa, mainly fundus | Fasting state (levels increase just prior to meals) | Hypothalamus | Regulates food intake, primarily by stimulating hunger and satiety |
Histamine | Stomach mucosa | Presence of food in the stomach | Stomach | Stimulates parietal cells to release HCl |
Serotonin | Stomach mucosa | Presence of food in the stomach | Stomach | Contracts stomach muscle |
Somatostatin | Mucosa of stomach, especially pyloric antrum; also duodenum | Presence of food in the stomach; sympathetic axon stimulation | Stomach | Restricts all gastric secretions, gastric motility, and emptying |
Somatostatin | Mucosa of stomach, especially pyloric antrum; also duodenum | Presence of food in the stomach; sympathetic axon stimulation | Pancreas | Restricts pancreatic secretions |
Somatostatin | Mucosa of stomach, especially pyloric antrum; also duodenum | Presence of food in the stomach; sympathetic axon stimulation | Small intestine | Reduces intestinal absorption by reducing blood flow |
Cell type | Location in the mucosa | Function |
---|---|---|
Absorptive | Epithelium/intestinal glands | Digestion and absorption of nutrients in chyme |
Goblet | Epithelium/intestinal glands | Secretion of mucus |
Paneth | Intestinal glands | Secretion of the bactericidal enzyme lysozyme; phagocytosis |
G cells | Intestinal glands of duodenum | Secretion of the hormone intestinal gastrin |
I cells | Intestinal glands of duodenum | Secretion of the hormone cholecystokinin (CCK), which stimulates release of pancreatic juices and bile |
K cells | Intestinal glands | Secretion of the hormone glucose-dependent insulinotropic peptide, which stimulates the release of insulin |
M cells | Intestinal glands of duodenum and jejunum | Secretion of the hormone motilin, which accelerates gastric emptying, stimulates intestinal peristalsis, and stimulates the production of pepsin |
S cells | Intestinal glands | Secretion of the hormone secretin |
Enzyme Category | Enzyme Name | Source | Substrate | Product |
---|---|---|---|---|
Salivary Enzymes | Lingual lipase | Lingual glands | Triglycerides | Free fatty acids, and mono- and diglycerides |
Salivary Enzymes | Salivary amylase | Salivary glands | Polysaccharides | Disaccharides and trisaccharides |
Gastric enzymes | Gastric lipase | Chief cells | Triglycerides | Fatty acids and monoacylglycerides |
Gastric enzymes | Pepsin* | Chief cells | Proteins | Peptides |
Brush border enzymes | α-Dextrinase | Small intestine | α-Dextrins | Glucose |
Brush border enzymes | Enteropeptidase | Small intestine | Trypsinogen | Trypsin |
Brush border enzymes | Lactase | Small intestine | Lactose | Glucose and galactose |
Brush border enzymes | Maltase | Small intestine | Maltose | Glucose |
Brush border enzymes | Nucleosidases and phosphatases | Small intestine | Nucleotides | Phosphates, nitrogenous bases, and pentoses |
Brush border enzymes | Peptidases | Small intestine |
|
|
Brush border enzymes | Sucrase | Small intestine | Sucrose | Glucose and fructose |
Pancreatic enzymes | Carboxy-peptidase* | Pancreatic acinar cells | Amino acids at the carboxyl end of peptides | Amino acids and peptides |
Pancreatic enzymes | Chymotrypsin* | Pancreatic acinar cells | Proteins | Peptides |
Pancreatic enzymes | Elastase* | Pancreatic acinar cells | Proteins | Peptides |
Pancreatic enzymes | Nucleases | Pancreatic acinar cells |
|
Nucleotides |
Pancreatic enzymes | Pancreatic amylase | Pancreatic acinar cells | Polysaccharides (starches) | α-Dextrins, disaccharides (maltose), trisaccharides (maltotriose) |
Pancreatic enzymes | Pancreatic lipase | Pancreatic acinar cells | Triglycerides that have been emulsified by bile salts | Fatty acids and monoacylglycerides |
Pancreatic enzymes | Trypsin* | Pancreatic acinar cells | Proteins | Peptides |
*These enzymes have been activated by other substances.
Source | Substance |
---|---|
Carbohydrates | Monosaccharides: glucose, galactose, and fructose |
Proteins | Single amino acids, dipeptides, and tripeptides |
Triglycerides | Monoacylglycerides, glycerol, and free fatty acids |
Nucleic acids | Pentose sugars, phosphates, and nitrogenous bases |
Food | Breakdown products | Absorption mechanism | Entry to bloodstream | Destination |
---|---|---|---|---|
Carbohydrates | Glucose | Co-transport with sodium ions | Capillary blood in villi | Liver via hepatic portal vein |
Carbohydrates | Galactose | Co-transport with sodium ions | Capillary blood in villi | Liver via hepatic portal vein |
Carbohydrates | Fructose | Facilitated diffusion | Capillary blood in villi | Liver via hepatic portal vein |
Protein | Amino acids | Co-transport with sodium ions | Capillary blood in villi | Liver via hepatic portal vein |
Lipids | Long-chain fatty acids | Diffusion into intestinal cells, where they are combined with proteins to create chylomicrons | Lacteals of villi | Systemic circulation via lymph entering thoracic duct |
Lipids | Monoacylglycerides | Diffusion into intestinal cells, where they are combined with proteins to create chylomicrons | Lacteals of villi | Systemic circulation via lymph entering thoracic duct |
Lipids | Short-chain fatty acids | Simple diffusion | Capillary blood in villi | Liver via hepatic portal vein |
Lipids | Glycerol | Simple diffusion | Capillary blood in villi | Liver via hepatic portal vein |
Lipids | Nucleic acid digestion products | Active transport via membrane carriers | Capillary blood in villi | Liver via hepatic portal vein |
Chapter 24
Hormone | Function |
---|---|
Cortisol | Released from the adrenal gland in response to stress; its main role is to increase blood glucose levels by gluconeogenesis (breaking down fats and proteins) |
Glucagon | Released from alpha cells in the pancreas either when starving or when the body needs to generate additional energy; it stimulates the breakdown of glycogen (glycogenolysis) and the production of glucose (gluconeogenesis) in the liver to increase blood glucose levels; its effect is the opposite of insulin; glucagon and insulin are a part of a negative-feedback system that stabilizes blood glucose levels |
Adrenaline/epinephrine | Released in response to the activation of the sympathetic nervous system; increases heart rate and heart contractility, constricts blood vessels, is a bronchodilator that opens (dilates) the bronchi of the lungs to increase air volume in the lungs, and stimulates gluconeogenesis |
Hormone | Function |
---|---|
Growth hormone (GH) | Synthesized and released from the pituitary gland; stimulates the growth of cells, tissues, and bones |
Insulin-like growth factor (IGF) | Stimulates the growth of muscle and bone while also inhibiting cell death (apoptosis) |
Insulin | Produced by the beta cells of the pancreas; plays an essential role in carbohydrate and fat metabolism, controls blood glucose levels, and promotes the uptake of glucose into body cells; causes cells in muscle, adipose tissue, and liver to take up glucose from the blood and store it in the liver and muscle as glycogen (glycogen synthesis); its effect is the opposite of glucagon; glucagon and insulin are a part of a negative-feedback system that stabilizes blood glucose levels |
Testosterone | Produced by the testes in males and the ovaries in females; stimulates an increase in muscle mass and strength as well as the growth and strengthening of bone |
Estrogen | Produced primarily by the ovaries, it is also produced by the liver and adrenal glands; its anabolic functions include increasing metabolism and fat deposition |
Vitamin and alternative name | Sources | Recommended daily allowance | Function | Problems associated with deficiency |
---|---|---|---|---|
A
retinal or β-carotene
|
Yellow and orange fruits and vegetables, dark green leafy vegetables, eggs, milk, liver | 700–900 µg | Eye and bone development, immune function | Night blindness, epithelial changes, immune system deficiency |
D
cholecalciferol
|
Dairy products, egg yolks; also synthesized in the skin from exposure to sunlight | 5–15 µg | Aids in calcium absorption, promoting bone growth | Rickets, bone pain, muscle weakness, increased risk of death from cardiovascular disease, cognitive impairment, asthma in children, cancer |
E
tocopherols
|
Seeds, nuts, vegetable oils, avocados, wheat germ | 15 mg | Antioxidant | Anemia |
K
phylloquinone
|
Dark green leafy vegetables, broccoli, Brussels sprouts, cabbage | 90–120 µg | Blood clotting, bone health | Hemorrhagic disease of newborn in infants; uncommon in adults |
Vitamin and alternative name | Sources | Recommended daily allowance | Function | Problems associated with deficiency |
---|---|---|---|---|
B1
thiamine
|
Whole grains, enriched bread and cereals, milk, meat | 1.1–1.2 mg | Carbohydrate metabolism | Beriberi, Wernicke-Korsikoff syndrome |
B2
riboflavin
|
Brewer’s yeast, almonds, milk, organ meats, legumes, enriched breads and cereals, broccoli, asparagus | 1.1–1.3 mg | Synthesis of FAD for metabolism, production of red blood cells | Fatigue, slowed growth, digestive problems, light sensitivity, epithelial problems like cracks in the corners of the mouth |
B3
niacin
|
Meat, fish, poultry, enriched breads and cereals, peanuts | 14–16 mg | Synthesis of NAD for metabolism, nerve function, cholesterol production | Cracked, scaly skin; dementia; diarrhea; also known as pellagra |
B5
pantothenic acid
|
Meat, poultry, potatoes, oats, enriched breads and cereals, tomatoes | 5 mg | Synthesis of coenzyme A in fatty acid metabolism | Rare: symptoms may include fatigue, insomnia, depression, irritability |
B6
pyridoxine
|
Potatoes, bananas, beans, seeds, nuts, meat, poultry, fish, eggs, dark green leafy vegetables, soy, organ meats | 1.3–1.5 mg | Sodium and potassium balance, red blood cell synthesis, protein metabolism | Confusion, irritability, depression, mouth and tongue sores |
B7
biotin
|
Liver, fruits, meats | 30 µg | Cell growth, metabolism of fatty acids, production of blood cells | Rare in developed countries; symptoms include dermatitis, hair loss, loss of muscular coordination |
B9
folic acid
|
Liver, legumes, dark green leafy vegetables, enriched breads and cereals, citrus fruits | 400 µg | DNA/protein synthesis | Poor growth, gingivitis, appetite loss, shortness of breath, gastrointestinal problems, mental deficits |
B12
cyanocobalamin
|
Fish, meat, poultry, dairy products, eggs | 2.4 µg | Fatty acid oxidation, nerve cell function, red blood cell production | Pernicious anemia, leading to nerve cell damage |
C
ascorbic acid
|
Citrus fruits, red berries, peppers, tomatoes, broccoli, dark green leafy vegetables | 75–90 mg | Necessary to produce collagen for formation of connective tissue and teeth, and for wound healing | Dry hair, gingivitis, bleeding gums, dry and scaly skin, slow wound healing, easy bruising, compromised immunity; can lead to scurvy |
Mineral | Sources | Recommended daily allowance | Function | Problems associated with deficiency |
---|---|---|---|---|
Potassium | Meats, some fish, fruits, vegetables, legumes, dairy products | 4700 mg | Nerve and muscle function; acts as an electrolyte | Hypokalemia: weakness, fatigue, muscle cramping, gastrointestinal problems, cardiac problems |
Sodium | Table salt, milk, beets, celery, processed foods | 2300 mg | Blood pressure, blood volume, muscle and nerve function | Rare |
Calcium | Dairy products, dark green leafy vegetables, blackstrap molasses, nuts, brewer’s yeast, some fish | 1000 mg | Bone structure and health; nerve and muscle functions, especially cardiac function; blood cloting | Slow growth, weak and brittle bones |
Phosphorous | Meat, milk | 700 mg | Bone formation, metabolism, ATP production | Rare |
Magnesium | Whole grains, nuts, leafy green vegetables | 310–420 mg | Enzyme activation, production of energy, regulation of other nutrients; enzyme cofactor (essential for metabolism) | Agitation, anxiety, sleep problems, nausea and vomiting, abnormal heart rhythms, low blood pressure, muscular problems |
Chloride | Most foods, salt, vegetables, especially seaweed, tomatoes, lettuce, celery, olives | 2300 mg | Balance of body fluids, digestion | Loss of appetite, muscle cramps |
Mineral | Sources | Recommended daily allowance | Function | Problems associated with deficiency |
---|---|---|---|---|
Iron | Meat, poultry, fish, shellfish, legumes, nuts, seeds, whole grains, dark leafy green vegetables | 8–18 mg | Transport of oxygen in blood, production of ATP | Anemia, weakness, fatigue |
Zinc | Meat, fish, poultry, cheese, shellfish | 8–11 mg | Immunity, reproduction, growth, blood clotting, insulin and thyroid function | Loss of appetite, poor growth, weight loss, skin problems, hair loss, vision problems, lack of taste or smell |
Copper | Seafood, organ meats, nuts, legumes, chocolate, enriched breads and cereals, some fruits and vegetables | 900 µg | Red blood cell production, nerve and immune system function, collagen formation, acts as an antioxidant; enzyme cofactor (essential for metabolism) | Anemia, low body temperature, bone fractures, low white blood cell concentration, irregular heartbeat, thyroid problems |
Iodine | Fish, shellfish, garlic, lima beans, sesame seeds, soybeans, dark leafy green vegetables | 150 µg | Thyroid function | Hypothyroidism: fatigue, weight gain, dry skin, temperature sensitivity |
Sulfur | Eggs, meat, poultry, fish, legumes | None | Component of amino acids; enzyme cofactor | Protein deficiency |
Fluoride | Fluoridated water | 3–4 mg | Maintenance of bone and tooth structure | Increased cavities, weak bones and teeth |
Manganese | Nuts, seeds, whole grains, legumes | 1.8–2.3 mg | Formation of connective tissue and bones, blood clotting, sex hormone development, metabolism, brain and nerve function; enzyme cofactor (essential for metabolism) | Infertility, bone malformation, weakness, seizures |
Cobalt | Fish, nuts, leafy green vegetables, whole grains | None | Component of B12 | None |
Selenium | Brewer’s yeast, wheat germ, liver, butter, fish, shellfish, whole grains | 55 µg | Antioxidant, thyroid function, immune system function | Muscle pain |
Chromium | Whole grains, lean meats, cheese, black pepper, thyme, brewer’s yeast | 25–35 µg | Insulin function | High blood sugar, triglyceride, and cholesterol levels |
Molybdenum | Legumes, whole grains, nuts | 45 µg | Cofactor for enzymes | Rare |
Chapter 25
Substance | PCT | Loop of Henle | DCT | Collecting ducts |
---|---|---|---|---|
Glucose | Almost 100 percent reabsorbed; secondary active transport with Na+ | N/A | N/A | N/A |
Oligopeptides, proteins, amino acids | Almost 100 percent reabsorbed; symport with Na+ | N/A | N/A | N/A |
Vitamins | Reabsorbed | N/A | N/A | N/A |
Lactate | Reabsorbed | N/A | N/A | N/A |
Creatinine | Secreted | N/A | N/A | N/A |
Urea | 50 percent reabsorbed by diffusion; also secreted | Secretion, diffusion in descending limb | N/A | Reabsorption in medullary collecting ducts; diffusion |
Sodium | 65 percent actively reabsorbed | 25 percent reabsorbed in thick ascending limb; active transport | 5 percent reabsorbed; active | 5 percent reabsorbed, stimulated by aldosterone; active |
Chloride | Reabsorbed, symport with Na+, diffusion | Reabsorbed in thin and thick ascending limb; diffusion in ascending limb | Reabsorbed; diffusion | Reabsorbed; symport |
Water | 67 percent reabsorbed osmotically with solutes | 15 percent reabsorbed in descending limb; osmosis | 8 percent reabsorbed if ADH; osmosis | Variable amounts reabsorbed, controlled by ADH, osmosis |
Bicarbonate | 80–90 percent symport reabsorption with Na+ | Reabsorbed, symport with Na+ and antiport with Cl–; in ascending limb | N/A | Reabsorbed antiport with Cl– |
H+ | Secreted; diffusion | N/A | Secreted; active | Secreted; active |
NH4+ | Secreted; diffusion | N/A | Secreted; diffusion | Secreted; diffusion |
HCO3– | Reabsorbed; diffusion | Reabsorbed; diffusion in ascending limb | Reabsorbed; diffusion | Reabsorbed; antiport with Na+ |
Some drugs | Secreted | N/A | Secreted; active | Secreted; active |
Potassium | 65 percent reabsorbed; diffusion | 20 percent reabsorbed in thick ascending limb; symport | Secreted; active | Secretion controlled by aldosterone; active |
Calcium | Reabsorbed; diffusion | Reabsorbed in thick ascending limb; diffusion | N/A | Reabsorbed if parathyroid hormone present; active |
Magnesium | Reabsorbed; diffusion | Reabsorbed in thick ascending limb; diffusion | Reabsorbed | N/A |
Phosphate | 85 percent reabsorbed, inhibited by parathyroid hormone, diffusion | N/A | Reabsorbed; diffusion | N/A |
Change in GFR | NaCl Absorption | Role of ATP and adenosine/Role of NO | Effect on GFR |
---|---|---|---|
Increased GFR | Tubular NaCl increases | ATP and adenosine increase, causing vasoconstriction | Vasoconstriction slows GFR |
Decreased GFR | Tubular NaCl decreases | ATP and adenosine decrease, causing vasodilation | Vasodilation increases GFR |
Substance | PCT | Loop of Henle | DCT | Collecting ducts |
---|---|---|---|---|
Glucose | Almost 100% reabsorbed; secondary active transport with Na+ | N/A | N/A | N/A |
Oligopeptides, proteins, amino acids | Almost 100% reabsorbed; symport with Na+ | N/A | N/A | N/A |
Vitamins | Reabsorbed | N/A | N/A | N/A |
Lactate | Reabsorbed | N/A | N/A | N/A |
Creatinine | Secreted | N/A | N/A | N/A |
Urea | 50% reabsorbed by diffusion; also secreted | Secretion, diffusion in descending limb | N/A | Reabsorption in medullary collecting ducts; diffusion |
Sodium | 65% actively reabsorbed | 25 percent reabsorbed in thick ascending limb; active transport | 5 percent reabsorbed; active | 5 percent reabsorbed, stimulated by aldosterone; active |
Chloride | Reabsorbed, symport with Na+, diffusion | Reabsorbed in thin and thick ascending limb; diffusion in ascending limb | Reabsorbed; diffusion | Reabsorbed; symport |
Water | 67% reabsorbed osmotically with solutes | 15 percent reabsorbed in descending limb; osmosis | 8 percent reabsorbed if ADH; osmosis | Variable amounts reabsorbed, controlled by ADH, osmosis |
Bicarbonate | 80–90% symport reabsorption with Na+ | Reabsorbed, symport with Na+ and antiport with Cl–; in ascending limb | N/A | Reabsorbed antiport with Cl– |
H+ | Secreted; diffusion | N/A | Secreted; active | Secreted; active |
NH4+ | Secreted; diffusion | N/A | Secreted; diffusion | Secreted; diffusion |
HCO3– | Reabsorbed; diffusion | Reabsorbed; diffusion in ascending limb | Reabsorbed; diffusion | Reabsorbed; antiport with Na+ |
Some drugs | Secreted | N/A | Secreted; active | Secreted; active |
Potassium | 65% reabsorbed; diffusion | 20 percent reabsorbed in thick ascending limb; symport | Secreted; active | Secretion controlled by aldosterone; active |
Calcium | Reabsorbed; diffusion | Reabsorbed in thick ascending limb; diffusion | N/A | Reabsorbed if parathyroid hormone present; active |
Magnesium | Reabsorbed; diffusion | Reabsorbed in thick ascending limb; diffusion | Reabsorbed | N/A |
Phosphate | 85% reabsorbed, inhibited by parathyroid hormone, diffusion | N/A | Reabsorbed; diffusion | N/A |
Substance | Amount filtered (grams) | Amount reabsorbed (grams) | Amount in urine (grams) |
---|---|---|---|
Water | 180 L | 179 L | 1 L |
Proteins | 10–20 | 10–20 | 0 |
Chlorine | 630 | 625 | 5 |
Sodium | 540 | 537 | 3 |
Bicarbonate | 300 | 299.7 | 0.3 |
Glucose | 180 | 180 | 0 |
Urea | 53 | 28 | 25 |
Potassium | 28 | 24 | 4 |
Uric acid | 8.5 | 7.7 | 0.8 |
Creatinine | 1.4 | 0 | 1.4 |
Basal membrane | Apical membrane |
---|---|
Active transport | Symport with Na+ |
Na+ (exchange for K+) | K+ |
Facilitated diffusion | Cl– |
K+ | Ca++ |
Cl– | Mg++ |
Ca++ | HCO3– |
HCO3– | PO43− |
PO43− | Amino acids |
Amino acids | Glucose |
Glucose | Fructose |
Fructose | Galactose |
Galactose | Lactate |
Lactate | Succinate |
Succinate | Citrate |
Citrate | Diffusion between nephron cells |
— | K+ |
— | Ca++ |
— | Mg++ |
Characteristic | Normal values |
---|---|
Color | Pale yellow to deep amber |
Odor | Odorless |
Volume | 750–2000 mL/24 hour |
pH | 4.5–8.0 |
Specific gravity | 1.003–1.032 |
Osmolarity | 40–1350 mOsmol/kg |
Urobilinogen | 0.2–1.0 mg/100 mL |
White blood cells | 0–2 HPF (per high-power field of microscope) |
Leukocyte esterase | None |
Protein | None or trace |
Bilirubin | <0.3 mg/100 mL |
Ketones | None |
Nitrites | None |
Blood | None |
Glucose | None |
Chapter 26
Name | Chemical symbol | Plasma | CSF | Urine |
---|---|---|---|---|
Sodium | Na+ | 136.00–146.00 (mM) | 138.00–150.00 (mM) | 40.00–220.00 (mM) |
Potassium | K+ | 3.50–5.00 (mM) | 0.35–3.5 (mM) | 25.00–125.00 (mM) |
Chloride | Cl– | 98.00–107.00 (mM) | 118.00–132.00 (mM) | 110.00–250.00 (mM) |
Bicarbonate | HCO3– | 22.00–29.00 (mM) | —— | —— |
Calcium | Ca++ | 2.15–2.55 (mmol/day) | —— | Up to 7.49 (mmol/day) |
Phosphate | HPO42−HPO42− | 0.81–1.45 (mmol/day) | —— | 12.90–42.00 (mmol/day) |
Cause | Metabolite |
---|---|
Diarrhea | Bicarbonate |
Uremia | Phosphoric, sulfuric, and lactic acids |
Diabetic ketoacidosis | Increased ketones |
Strenuous exercise | Lactic acid |
Methanol | Formic acid* |
Paraldehyde | β-Hydroxybutyric acid* |
Isopropanol | Propionic acid* |
Ethylene glycol | Glycolic acid, and some oxalic and formic acids* |
Salicylate/aspirin | Sulfasalicylic acid (SSA)* |
*Acid metabolites from ingested chemical.
Type | pH | pCO2 | Total HCO3– |
---|---|---|---|
Metabolic acidosis | ↓ | N, then ↓ | ↓ |
Respiratory acidosis | ↓ | ↑ | N, then ↑ |
Metabolic alkalosis | ↑ | N, then↑ | ↑ |
Respiratory alkalosis | ↑ | ↓ | N, then ↓ |
*Reference values (arterial): pH: 7.35–7.45; pCO2: male: 35–48 mm Hg, female: 32–45 mm Hg; total venous bicarbonate: 22–29 mM. N denotes normal; ↑ denotes a rising or increased value; and ↓ denotes a falling or decreased value.
Chapter 27
Testosterone | Estrogen |
---|---|
Increased larynx size and deepening of the voice | Deposition of fat, predominantly in breasts and hips |
Increased muscular development | Breast development |
Growth of facial, axillary, and pubic hair, and increased growth of body hair | Broadening of the pelvis and growth of axillary and pubic hair |
Chapter 28
Nutrition and digestion | Respiration | Endocrine function |
---|---|---|
|
|
|
Component | Weight (kg) | Weight (lb) |
---|---|---|
Fetus | 3.2–3.6 | 7–8 |
Placenta and fetal membranes | 0.9–1.8 | 2–4 |
Amniotic fluid | 0.9–1.4 | 2–3 |
Breast tissue | 0.9–1.4 | 2–3 |
Blood | 1.4 | 4 |
Fat | 0.9–4.1 | 3–9 |
Uterus | 0.9–2.3 | 2–5 |
Total | 10–16.3 | 22–36 |
Component | Weight (kg) | Weight (lb) |
---|---|---|
Fetus | 3.2–3.6 | 7–8 |
Placenta and fetal membranes | 0.9–1.8 | 2–4 |
Amniotic fluid | 0.9–1.4 | 2–3 |
Breast tissue | 0.9–1.4 | 2–3 |
Blood | 1.4 | 4 |
Fat | 0.9–4.1 | 3–9 |
Uterus | 0.9–2.3 | 2–5 |
Total | 10–16.3 | 22–36 |
Blood type | Genotype | Pattern of inheritance |
---|---|---|
A | IAIA or IAi | IAis dominant to i |
B | IBIB orIBi | IB is dominant to i |
AB | IAIB | IA is co-dominant to IB |
O | ii | Two recessive alleles |