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    Bridging Course in Anatomy I

    Introduction

    Arthur C. Benignos II, MD

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    Introduction to Gross Anatomy

    Anatomy- science of structure and function of

    the body

    Clinical anatomy- study of the macroscopic

    structure and function of the body as itrelates to the practice of medicine and other

    health sciences

    Basic anatomy- study of the minimal amount of

    anatomy consistent with the understanding

    of the overall structure and function

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    Anatomy Levels of Study

    Gross Anatomy

    Large structures Easily observable

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    Figure 14.4

    Anatomy Levels of Study

    Microscopic Anatomy (Histology)

    Very small

    structures

    Can only be

    viewed with

    a microscope

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    Figure 1.1

    Levels of Structural Organization

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    Descriptive Anatomic Terms

    The accurate use of anatomic terms

    enables ease in communication with

    colleagues both nationally and

    internationally

    Without anatomic terms, one cannot

    accurately discuss or record the abnormalfunctions of joints, the actions of muscles,

    the alteration of position of organs, or the

    exact location of swellings or tumors

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    Descriptive Anatomic Terms

    Terms Related to Position:

    All descriptions of the human

    body are based on the

    assumption that the person is:

    -standing erect

    -upper limbs by the sides

    -face and palms of hands

    directed forward

    The Anatomic Position

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    The Body Planes

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    Descriptive Anatomic Terms

    Median Sagittal Plane: vertical plane passing

    through the center of the body, dividing it into

    equal right and left halves

    Paramedian- plane to the side of MSP

    Medial, Lateral

    Coronal Plane: vertical planes at right angles tothe median plane, dividing into anterior and

    posterior halves

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    Descriptive Anatomic Terms

    Horizontal, or Transverse Planes:

    These planes are at right angles to both

    the median and the coronal planes

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    CT Scan Head: What Plane?

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    CT Scan of Body: What Plane?

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    Descriptive Anatomic Terms

    Descriptive Terms of the Hand Surfaces:

    Palmar- instead of anterior

    Dorsal- instead of posterior

    Descriptive Terms of the Foot Surfaces:

    Plantar- instead of lower Dorsal- instead of upper

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    Descriptive Anatomic Terms

    Description of relative distances from the

    roots of the limbs:

    Proximal: near the root; for example, the

    arm is proximal to the forearm

    Distal: far from the root; for example, the

    hand is distal to the forearm

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    Descriptive Anatomic Terms

    Terms relating to distances of structures

    from the surface of the body:

    Superficial

    Deep

    Terms relating to upper and lower ends of

    the body: Superior: denotes relatively high level

    Inferior: denote relatively low level

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    Superior and Inferior

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    Descriptive Anatomic Terms

    The terms used to describe the relative

    distance of a structure from the center of

    an organ or cavity:

    Internal: for example, the internal carotid

    artery is found inside the cranial cavity

    External: for example, the external carotid

    artery is found outside the cranial cavity

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    Internal and External

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    Descriptive Anatomic Terms

    Terms relating to sides of the body:

    Ipsilateral: same sides; for example, the left

    hand and left foot are ipsilateral

    Contralateral: opposite sides; for example,

    the left ear and the right thumb

    Terms descriptive of body position: Supine: lying on the back

    Prone: lying face downward

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    Terms Related to Movement

    A site where two or more bones come

    together is known as ajoint

    Some joints have no movement (sutures of

    the skull)

    Some have only slight movement (superior

    tibio-fibular joint)

    Some are freely movable (shoulder joint)

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    Terms Related to Movement

    Flexion and Extension

    Abduction and Adduction

    Rotation: Medial and Lateral Pronation and Supination

    Circumduction

    Inversion and Eversion

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    Terms Related to Movement

    Flexion- a movement that takes place in a

    sagittal plane; example, flexion of elbow

    joint brings the anterior surface of the

    forearm to the anterior surface of the arm

    Extension- straightening the joint and

    usually takes place in a posterior direction

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    Flexion and Extension

    Flexion is usually an anterior movement, but it is

    occasionally posterior, as in the case of the knee

    joint

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    Flexion and Extension

    Lateral flexion-

    movement of the trunk

    in the coronal plane

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    Flexion and Extension of Thumb

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    Terms Related to Movement

    Abduction: movement of

    a limb away from the

    midline of the body in thecoronal plane

    Adduction: movement of

    a limb toward the body inthe coronal plane.

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    Terms Related to Movement

    In the fingers and toes:Abduction is applied to the spreading of

    these structures

    Adduction is applied to the drawing togetherof these structures

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    Abduction and Adduction of Thumb

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    Terms Related to Movement

    Rotation: term applied to the movement of apart of the body around its long axis

    Medial rotation: movement

    that results in theanterior surface of the

    part facing medially

    Lateral rotation: results in

    anterior surface

    facing laterally

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    Related to Movement of Forearm

    Pronation: a medial rotation of the forearm in

    such a manner that the palm of the hand

    faces posteriorly

    Supination: a lateralrotation of the forearm

    from the pronatedposition so that the palm

    of the hand comesto face anteriorly

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    Terms Related to Movement

    Circumduction is the combination in sequence

    of the movements of flexion, extension,

    abduction, and adduction

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    Terms Related to Movement

    Description of movements of the foot:

    Inversion: the sole faces in a medial direction

    Eversion: the sole faces in a lateral direction

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    Organ System

    Skin or

    Integumentary

    Skeletal

    Muscular

    Nervous

    Endocrine

    Cardiovascular

    Lymphatic

    Respiratory or

    Pulmonary

    Digestive

    Urinary

    Reproductive

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    Figure 1.2a

    Organ System Overview

    Skin or Integumentary

    Forms the external body

    covering

    Protects deeper tissue frominjury

    Synthesizes vitamin D

    Location of cutaneousnerve receptors

    Regulates body temperature

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    Figure 1.2b

    Organ System Overview

    Skeletal

    Protects and supports

    vital organs

    Provides muscleattachment for movement

    Site of blood cell

    formation Stores minerals

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    Figure 1.2c

    Organ System Overview

    Muscular

    Facilitates locomotion

    Maintains posture

    Produces body heat

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    Figure 1.2d

    Organ System Overview

    Nervous

    Fast-acting control

    system

    Responds to internal andexternal change

    Activates muscles and

    glands (both endocrine and

    exocrine)

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    Figure 1.2e

    Organ System Overview

    Endocrine

    Slow-acting control

    system

    Secretes regulatory

    hormones

    Growth

    Reproduction Metabolism

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    Figure 1.2f

    Organ System Overview

    Cardiovascular

    Transports materials in body

    via blood pumped by heart Oxygen

    Carbon dioxide

    Nutrients

    Wastes

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    Organ System Overview

    Lymphatic

    Returns fluids to blood

    vessels Disposes of debris

    Involved in immunity

    Figure 1.2g

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    Organ System Overview

    Respiratory

    Keeps blood supplied with

    oxygen

    Removes carbon dioxide

    Figure 1.2h

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    Organ System Overview

    Digestive

    Breaks down food

    Allows for nutrient

    absorption into blood

    Eliminates indigestible

    material

    Figure 1.2i

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    Organ System Overview

    Urinary

    Eliminates nitrogenous

    wastes

    Maintains acid base

    balance

    Regulates water and

    electrolytes

    Figure 1.2j

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    Organ System Overview

    Reproductive

    Production

    of offspring

    Figure 1.2k

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    Regional Study of Anatomy

    Thorax I bones and muscles (wall)

    Thorax II cavities and organs

    Abdomen I bones and muscles (wall) Abdomen II cavity and organs

    Pelvis I bones and muscles (wall)

    Pelvis II cavity and organs

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    Regional Study of Anatomy

    Perineum

    Upper Limb

    Lower Limb Head and Neck

    The Back