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Page 1: Focus on Essential A&P Concepts
Page 2: Focus on Essential A&P Concepts

Throughout every chapter, the text’s conversational writing style and straightforward

explanations have been strengthened with familiar analogies and abundant

mnemonic cues to help students learn and remember concepts.

UPDATED! Exceptionallyclear photos and illustrations, including dozens of new

and improved igures, present concepts and

processes at the right

level of detail. Many

igures from the text are assignable as Art-

Labeling Activities in

Pearson Mastering A&P.

Unique Concept Links reinforce

previously-learned

concepts and help

students make connec-

tions across body

systems while learning

new material.

Focus on Essential A&P Concepts

Cutaneousmembrane(skin)

Mucosa

Parietallayer

Viscerallayer

Serousfluid

(a) Cutaneous membrane (the skin) covers the body surface.

(d) A fist thrust into a limp balloon demonstrates the relationship between the parietal and visceral serous membrane layers.

(c) Serous membranes line body cavities closed to exterior.

(b) Mucous membranes line body cavities open to the exterior.

Outer balloon wall(comparable to parietal serosa)

Air (comparable to serous cavity)

Inner balloon wall(comparable to visceral serosa)

Figure 4.1 Classes of epithelial membranes.

➔ConCeptLink

The terms for the connective tissue coverings of a

nerve should seem familiar: We discussed similar struc-

tures in the muscle chapter (Figure 6.1, p. 209). Names

of muscle structures include the root word mys,

whereas the root word neuro tells you that the struc-

ture relates to a nerve. For example, the endomysium

covers one individual muscle fiber, whereas the endo-

neurium covers one individual neuron fiber. ➔

See p. 137.

See p. 282.

Page 3: Focus on Essential A&P Concepts

Essentials of Human Anatomy & Physiology,eBook, Global Edition

Table of Contents

Front Cover

Contents

Chapter 1: The Human Body: An OrientationAn Overview of Anatomy and Physiology

Anatomy

Physiology

Relationship between Anatomy and Physiology

Levels of Structural OrganizationFrom Atoms to Organisms

Organ System Overview

Integumentary System

Skeletal System

Muscular System

Nervous System

Endocrine System

Cardiovascular System

Lymphatic System

Respiratory System

Digestive System

Urinary System

Reproductive System

Maintaining LifeNecessary Life Functions

Maintaining Boundaries

Movement

Responsiveness

Digestion

Metabolism

Excretion

Reproduction

Growth

Survival Needs

The Language of AnatomyAnatomical Position

Directional Terms

Regional Terms

Anterior Body Landmarks

Posterior Body Landmarks

Body Planes and Sections

Body Cavities

Page 4: Focus on Essential A&P Concepts

Table of Contents

Dorsal Body Cavity

Ventral Body Cavity

Other Body Cavities

HomeostasisComponents of Homeostatic Control Systems

Feedback Mechanisms

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Medical Imaging: Illuminating the Body

Chapter 2: Basic ChemistryConcepts of Matter and Energy

Matter

Energy

Forms of Energy

Energy Form Conversions

Composition of MatterElements and Atoms

Atomic Structure

The Basic Atomic Subparticles

Planetary and Orbital Models of an Atom

Identifying Elements

Atomic Number

Atomic Mass Number

Atomic Weight and Isotopes

Molecules and Compounds

Chemical Bonds and Chemical ReactionsBond Formation

Role of Electrons

Types of Chemical Bonds

Patterns of Chemical Reactions

Synthesis Reactions

Decomposition Reactions

Exchange Reactions

Factors Influencing the Rate of Chemical Reactions

Biochemistry: The Chemical Composition of Living MatterInorganic Compounds

Water

Salts

Acids and Bases

Organic Compounds

Carbohydrates

Lipids

Page 5: Focus on Essential A&P Concepts

Table of Contents

Proteins

Nucleic Acids

Adenosine Triphosphate (ATP)

Summary

Review Questions

Critical Thinking and Clinical Application Questions

Focus on Careers: Pharmacy Technician

Chapter3: Cells and TissuesPart I: Cells

Overview of the Cellular Basis of Life

Anatomy of a Generalized Cell

The Nucleus

Nuclear Envelope

Nucleolus

Chromatin

The Plasma Membrane

The Fluid Mosaic Model

Cell Membrane Junctions

The Cytoplasm

Cytosol and Inclusions

Organelles

Cell Extensions

Cilia and Flagella

Microvilli

Cell Diversity

Cell Physiology

Membrane Transport

Passive Processes: Diffusion and Filtration

Active Processes

Cell Division

Preparations: DNA Replication

Events of Cell Division

Protein Synthesis

Genes: The Blueprint for Protein Structure

The Role of RNA

The Process of Protein Synthesis

Part II: Body TissuesEpithelial Tissue

Hallmarks of Epithelium

Classification of Epithelia

Simple Epithelia

Stratified Epithelia

Glandular Epithelium

Connective Tissue

Hallmarks of Connective Tissue

Extracellular Matrix

Types of Connective Tissue

Page 6: Focus on Essential A&P Concepts

Table of Contents

Bone

Cartilage

Dense Connective Tissue

Loose Connective Tissue

Blood

Muscle Tissue

Skeletal Muscle

Cardiac Muscle

Smooth Muscle

Nervous Tissue

Tissue Repair (Wound Healing)

Part III: Developmental Aspects of Cells and Tissues

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: IV Therapy and Cellular Tonics

A Closer Look: CancerAn Intimate Enemy

Chapter 4: Skin and Body MembranesClassification of Body Membranes

Epithelial Membranes

Cutaneous Membrane

Mucous Membranes

Serous Membranes

Connective Tissue Membranes

The Integumentary System (Skin)Functions of the Integumentary System

Structure of the Skin

Epidermis

Dermis

Skin Color

Appendages of the Skin

Cutaneous Glands

Hair and Hair Follicles

Nails

Homeostatic Imbalances of Skin

Infections and Allergies

Burns

Skin Cancer

Developmental Aspects of Skin and Body Membranes

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: A Wrinkle Out of Time

Page 7: Focus on Essential A&P Concepts

Table of Contents

Focus on Careers: Medical Transcriptionist

Systems in SYNC

Chapter 5: The Skeletal SystemBones: An Overview

Functions of the Bones

Classification of Bones

Structure of Bone

Gross Anatomy of a Long Bone

Microscopic Anatomy

Bone Formation, Growth, and Remodeling

Bone Formation and Growth

Bone Remodeling

Bone Fractures

Axial SkeletonSkull

Cranium

Facial Bones

The Hyoid Bone

Vertebral Column (Spine)

Cervical Vertebrae

Thoracic Vertebrae

Lumbar Vertebrae

Sacrum

Coccyx

Thoracic Cage

Sternum

Ribs

Appendicular SkeletonBones of the Shoulder Girdle

Bones of the Upper Limbs

Arm

Forearm

Hand

Bones of the Pelvic Girdle

Bones of the Lower Limbs

Thigh

Leg

Foot

JointsFibrous Joints

Cartilaginous Joints

Synovial Joints

Types of Synovial Joints Based on Shape

Page 8: Focus on Essential A&P Concepts

Table of Contents

Developmental Aspects of the SkeletonBirth to Adulthood

Older Adults

Summary

Review Questions

Critical Thinking and Clinical Application Questions

Focus on Careers: Radiologic Technologist

A Closer Look: Joint Ventures

Systems in SYNC

Chapter 6: The Muscular SystemOverview of Muscle Tissues

Muscle Types

Skeletal Muscle

Smooth Muscle

Cardiac Muscle

Muscle Functions

Produce Movement

Maintain Posture and Body Position

Stabilize Joints

Generate Heat

Additional Functions

Microscopic Anatomyof Skeletal Muscle

Skeletal Muscle ActivityStimulation and Contraction of Single Skeletal Muscle Fibers

The Nerve Stimulus and the Action Potential

Mechanism of Muscle Contraction: The Sliding Filament Theory

Contraction of a Skeletal Muscle as a Whole

Graded Responses

Providing Energy for Muscle Contraction

Muscle Fatigue and Oxygen Deficit

Types of Muscle ContractionsIsotonic and Isometric

Muscle Tone

Effect of Exercise on Muscles

Muscle Movements, Roles, and NamesTypes of Body Movements

Special Movements

Interactions of Skeletal Muscles in the Body

Naming Skeletal Muscles

Arrangement of Fascicles

Gross Anatomy of Skeletal MusclesHead and Neck Muscles

Facial Muscles

Page 9: Focus on Essential A&P Concepts

Table of Contents

Neck Muscles

Trunk Muscles

Anterior Muscles

Posterior Muscles

Muscles of the Upper Limb

Muscles Causing Movement at the Elbow Joint

Muscles of the Lower Limb

Muscles Causing Movement at the Hip Joint

Muscles Causing Movement at the Knee Joint

Muscles Causing Movement at the Ankle and Foot

Developmental Aspects of the Muscular System

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Anabolic Steroids: Dying to Win?

Systems in SYNC

Chapter 7: The Nervous SystemOrganization of the Nervous System

Structural Classification

Functional Classification

Nervous Tissue: Structure and FunctionSupporting Cells

Neurons

Anatomy

Classification

Physiology: Nerve Impulses

Physiology: Reflexes

Central Nervous SystemFunctional Anatomy of the Brain

Cerebral Hemispheres

Diencephalon

Brain Stem

Cerebellum

Protection of the Central Nervous System

Meninges

Cerebrospinal Fluid

The Blood-Brain Barrier

Brain Dysfunctions

Spinal Cord

Gray Matter of the Spinal Cord and Spinal Roots

White Matter of the Spinal Cord

Peripheral Nervous SystemStructure of a Nerve

Page 10: Focus on Essential A&P Concepts

Table of Contents

Cranial Nerves

Spinal Nerves and Nerve Plexuses

Autonomic Nervous System

Somatic and Autonomic Nervous Systems Compared

Anatomy of the Parasympathetic Division

Anatomy of the Sympathetic Division

Autonomic Functioning

Developmental Aspects of the Nervous System

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: The Terrible Three

A Closer Look: Tracking Down CNS Problems

Systems in SYNC

Chapter 8: Special SensesPart I: The Eye and Vision

Anatomy of the Eye

External and Accessory Structures

Internal Structures: The Eyeball

Layers Forming the Wall of the Eyeball

Lens

Physiology of Vision

Pathway of Light through the Eye and Light Refraction

Visual Fields and Visual Pathways to the Brain

Eye Reflexes

Part II: The Ear: Hearing and BalanceAnatomy of the Ear

External (Outer) Ear

Middle Ear

Internal (Inner) Ear

Equilibrium

Static Equilibrium

Dynamic Equilibrium

Hearing

Hearing and Equilibrium Deficits

Part III: Chemical Senses: Smell and TasteOlfactory Receptors and the Sense of Smell

Taste Buds and the Sense of Taste

Part IV: Developmental Aspects of the Special SensesSummary

Review Questions

Critical Thinking and Clinical Application Questions

Page 11: Focus on Essential A&P Concepts

Table of Contents

A Closer Look: Visual PigmentsThe Actual Photoreceptors

A Closer Look: Bringing Things into Focus

Focus on Careers: Physical Therapy Assistant

Chapter 9: The Endocrine SystemThe Endocrine Systemand Hormone FunctionAn Overview

The Chemistry of Hormones

Hormone Action

Direct Gene Activation

Second-Messenger System

Stimuli for Control of Hormone Release

Hormonal Stimuli

Humoral Stimuli

Neural Stimuli

The Major Endocrine OrgansPituitary Gland and Hypothalamus

Pituitary-Hypothalamus Relationships

Pineal Gland

Thyroid Gland

Parathyroid Glands

Thymus

Adrenal Glands

Hormones of the Adrenal Cortex

Hormones of the Adrenal Medulla

Pancreatic Islets

Gonads

Hormones of the Ovaries

Hormones of the Testes

Other Hormone-Producing Tissues and Organs

Developmental Aspects of the Endocrine System

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Potential Uses for Growth Hormone

Systems in SYNC

Chapter 10: BloodComposition and Functions of Blood

Components

Physical Characteristics and Volume

Plasma

Formed Elements

Erythrocytes

Page 12: Focus on Essential A&P Concepts

Table of Contents

Leukocytes

Platelets

Hematopoiesis (Blood Cell Formation)

Formation of Red Blood Cells

Formation of White Blood Cells and Platelets

HemostasisPhases of Hemostasis

Disorders of Hemostasis

Blood Groups and TransfusionsHuman Blood Groups

Blood Typing

Developmental Aspects of Blood

Summary

Review Questions

Critical Thinking and Clinical Application Questions

Focus on Careers: Phlebotomy Technician

Chapter 11: The Cardiovascular SystemThe Heart

Anatomy of the Heart

Size, Location, and Orientation

Coverings and Walls of the Heart

Chambers and Associated Great Vessels

Heart Valves

Cardiac Circulation

Physiology of the Heart

Intrinsic Conduction System of the Heart: Setting the Basic Rhythm

Cardiac Cycle and Heart Sounds

Cardiac Output

Blood VesselsMicroscopic Anatomy of Blood Vessels

Tunics

Structural Differences in Arteries, Veins, and Capillaries

Gross Anatomy of Blood Vessels

Major Arteries of the Systemic Circulation

Major Veins of the Systemic Circulation

Special Circulations

Physiology of Circulation

Arterial Pulse

Blood Pressure

Capillary Exchange of Gases and Nutrients

Fluid Movements at Capillary Beds

Developmental Aspects of the Cardiovascular System

Page 13: Focus on Essential A&P Concepts

Table of Contents

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Electrocardiography: (Dont) Be Still My Heart

A Closer Look: Atherosclerosis? Get Out the Cardiovascular Drno!

Systems in SYNC

Chapter 12: The Lymphatic System and Body DefensesPart I: The Lymphatic System

Lymphatic Vessels

Lymph Nodes

Other Lymphoid Organs

Part II: Body DefensesInnate Body Defenses

Surface Membrane Barriers

Internal Defenses: Cells and Chemicals

Natural Killer Cells

Inflammatory Response

Phagocytes

Antimicrobial Proteins

Fever

Adaptive Body Defenses

Antigens

Cells of the Adaptive Defense System: An Overview

Lymphocytes

Antigen-Presenting Cells

Humoral (Antibody-Mediated) Immune Response

Active and Passive Humoral Immunity

Antibodies

Cellular (Cell-Mediated)Immune Response

Organ Transplants and Rejection

Disorders of Immunity

Part III: Developmental Aspects of the Lymphatic System and Body Defenses

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: AIDS: An Ongoing Pandemic

Systems in SYNC

Chapter 13: The Respiratory SystemFunctional Anatomy of the Respiratory System

The Nose

The Pharynx

The Larynx

The Trachea

Page 14: Focus on Essential A&P Concepts

Table of Contents

The Main Bronchi

The Lungs

The Bronchial Tree

Respiratory Zone Structures and the Respiratory Membrane

Respiratory PhysiologyMechanics of Breathing

Inspiration

Expiration

Respiratory Volumes and Capacities

Nonrespiratory Air Movements

Respiratory Sounds

External Respiration, Gas Transport, and Internal Respiration

External Respiration

Gas Transport in the Blood

Internal Respiration

Control of Respiration

Neural Regulation: Setting the Basic Rhythm

Nonneural Factors Influencing Respiratory Rate and Depth

Respiratory Disorders

Developmental Aspects of the Respiratory System

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Too Clean for Our Own Good?

Systems in SYNC

Chapter 14: The Digestive System and Body MetabolismPart I: Anatomy and Physiology of the Digestive System

Anatomy of the Digestive System

Organs of the Alimentary Canal

Mouth

Pharynx

Esophagus

Stomach

Small Intestine

Large Intestine

Accessory Digestive Organs

Teeth

Salivary Glands

Pancreas

Liver and Gallbladder

Functions of the Digestive System

Overview of Gastrointestinal Processes and Controls

Activities Occurring in the Mouth, Pharynx, and Esophagus

Food Ingestion and Breakdown

Food Propulsion Swallowing and Peristalsis

Page 15: Focus on Essential A&P Concepts

Table of Contents

Activities of the Stomach

Food Breakdown

Food Propulsion

Activities of the Small Intestine

Chyme Breakdown and Absorption

Chyme Propulsion

Activities of the Large Intestine

Nutrient Breakdown and Absorption

Propulsion of Food Residue and Defecation

Part II: Nutrition and MetabolismNutrition

Dietary Recommendations

Dietary Sources of the Major Nutrients

Carbohydrates

Lipids

Proteins

Vitamins

Minerals

Metabolism

Carbohydrate, Fat, and Protein Metabolism in Body Cells

Carbohydrate Metabolism

Fat Metabolism

Protein Metabolism

The Central Role of the Liver in Metabolism

General Metabolic Functions

Cholesterol Metabolism and Transport

Body Energy Balance

Regulation of Food Intake

Metabolic Rate and Body Heat Production

Body Temperature Regulation

Part III: Developmental Aspects of the Digestive System and Metabolism

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Peptic Ulcers: Something is Eating at Me

A Closer Look: Obesity: Magical Solution Wanted

Systems in SYNC

Chapter 15: The Urinary SystemKidneys

Location and Structure

Kidney Structure

Blood Supply

Nephrons

Urine Formation and Characteristics

Glomerular Filtration

Tubular Reabsorption

Page 16: Focus on Essential A&P Concepts

Table of Contents

Tubular Secretion

Nitrogenous Wastes

Characteristics of Urine

Ureters, Urinary Bladder, and UrethraUreters

Urinary Bladder

Urethra

Micturition

Fluid, Electrolyte, and Acid-Base BalanceMaintaining Water Balance of Blood

Body Fluids and Fluid Compartments

The Link between Water and Electrolytes

Regulation of Water Intake and Output

Maintaining Electrolyte Balance

Maintaining Acid-Base Balance of Blood

Blood Buffers

Respiratory Mechanisms

Renal Mechanisms

Developmental Aspects of the Urinary System

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Renal Failure and the Artificial Kidney

Focus on Careers: Licensed Practical Nurse (LPN)

Systems in SYNC

Chapter 16: The Reproductive SystemAnatomy of the Male Reproductive System

Testes

Duct System

Epididymis

Ductus Deferens

Urethra

Accessory Glands and Semen

Seminal Vesicles

Prostate

Bulbourethral Glands

Semen

External Genitalia

Male Reproductive FunctionsSpermatogenesis

Testosterone Production

Anatomy of the Female Reproductive System

Page 17: Focus on Essential A&P Concepts

Table of Contents

Ovaries

Duct System

Uterine Tubes

Uterus

Vagina

External Genitalia and Female Perineum

Female Reproductive Functions and CyclesOogenesis and the Ovarian Cycle

Hormone Production by the Ovaries

Uterine (Menstrual) Cycle

Mammary Glands

Pregnancy and Embryonic DevelopmentAccomplishing Fertilization

Events of Embryonic and Fetal Development

Effects of Pregnancy on the Mother

Anatomical Changes

Physiological Changes

Childbirth

Initiation of Labor

Stages of Labor

Developmental Aspects of the Reproductive System

Summary

Review Questions

Critical Thinking and Clinical Application Questions

A Closer Look: Contraception: Preventing Pregnancy

Systems in SYNC

AppendixesAppendix A: Answers to Did You Get It? Questions and Multiple Choice ReviewQuestions

Appendix B: Word Roots, Prefixes, and Suffixes

Appendix C: Periodic Table of the Elements

Appendix D: Key Information about Vitamins and Many Essential Minerals

Glossary

Credits

Subject Index