Chapter 1 - Introduction to Anatomy Flashcards
each region is studied separately and all aspects of that region are covered at the same time
regional approach
each system is studied separately and followed throughout the body
systemic approach
what are the planes of the body?
coronal, sagittal, and transverse planes
what are the positions of the body?
Anterior (ventral), posterior (dorsal), medial, lateral, superior, inferior, proximal, distal, cranial (toward the head), caudal (towards the tail), and rostral (towards the nose)
what is anatomical position?
face looking forward hands by sides palms forward feet together toes forward
closest to the outside of the skin
superficial
what are the two subgroups of the skeletal system?
axial
appendicular
includes the skull, vertebral column, ribs, and sternum
axial subgroup
includes shoulder girdle and upper limb, pelvic girdle and lower limb
appendicular subgroup
consists of bone and cartilage
skeletal system
avascular connective tissue that supports soft tissues, provides smooth gliding surfaces for joints, and allow bone growth
cartilage
what are the 3 types of cartilage?
hyaline (most common), elastic (external ear), fibrocartilage (intervertebral discs)
a calcified living connective tissue that: supports body structures, protects vital organs, stores calcium and phosphorous, levers for muscles, contains blood-producing cells
bone
what are the two types of bone?
compact
spongy
dense and forms the outer shell of all bones and surrounds spongy bone
compact bone
spicules enclosing cavities containing blood-forming cells
spongy bone
how are bones classified based on shape?
- Long bones- e.g. humerus in upper limb
- Short bones- cuboidal (e.g. bones of wrist)
- Flat bones- 2 compact bone plates separated by spongy bone (skull)
- irregular bones- bones of various shapes (e.g. face bones)
- Sesamoid bones- round or oval that develop in tendons (patellar)
Do bones have a blood supply and are they innervated?
Bones are vascular and innervated by a nerve
how does blood and nerves enter bone?
Nutrient arteries and nerves (vasometers) enter the internal cavity
what are bones covered in?
a fibrous tissue membrane called a periosteum
what is the periosteum innervated by?
sensory nerve fibers ( e.g. pain)
sites where 2 skeletal elements come together
joints
what are the two types of joints?
synovial
solid
- skeletal elements separated by a cavity
- Two ends of the bones wrapped in joint capsule (ball of tissue)
- Cavity between two bones, which has synovial fluid
- Plenty of movement
- easier to dislocate
- examples: knees, elbows, hip, ankle
synovial joint
- no cavity, elements held together by connective tissue
- ligament or cartilage (teeth)
- little to no movement
solid joints
What are the parts of a synovial joint?
- Hyaline cartilage
- joint capsule
- tendons
- articular discs (fibrocartilage)
- fat pads
- covers articulating surfaces
* prevents bone grinding; slippery
hyaline cartilage
- consists of synovial and fibrous
* synovial is innermost layer
joint capsule
absorb compression forces, adjust to change in joint contours, and increase range of movement
Articular discs (fibrocartilage)
- usually occur between the synovial membrane and capsule and move in and out of joint contours as joint moves
- slip and slide out of joint as it moves
fat pads
Based on shape of articular surfaces, what do synovial joints include?
plane (flat) hinge pivot bicondylar (2 sets of contact points- knee), condylar (ellipsoid, wrist) saddle (thumb) ball and socket (shoulder and hip)
Based on movement of synovial joints, what are they broken down into?
uniaxial, (movement in one plane) - elbow
biaxial (movement in 2 planes) - wrist
multiaxial (movement in 3 planes) - shoulder
what are the specific types of synovial joints?
plane hinge pivot bicondylar condylar saddle ball and socket
- synovial joint
* allow sliding or gliding of 1 bone across surface of another (acromioclavicular)
plane
- synovial joint
* movement around 1 axis that passes transversely through the joint (elbow)
hinge
- synovial joint
* movement around axis that passes longitudinally through shaft of bone (atlanto-axial joint)
pivot
- synovial joint
* movement in mostly 1 axis with limited rotation around a second (knee joint)
bicondylar
- synovial joint
* movement around 2 axes that are at right angles to each other (wrist)
Condylar (ellipsoid)
- synovial joint
- movement around 2 axes that are at right angles (similar to condylar but allows more circumduction) (carpometacarpal joint of thumb)
saddle joint
- synovial joint
* movement around multiple axes (hip joint)
ball and socket joint
- connections between skeletal elements linked together by fibrous connective tissue
- don’t move much
solid joints
what are the two types of solid joints?
fibrous
cartilaginous
what are fibrous joints?
sutures
gomphoses
syndesmoses
between the skull bones
sutures
between teeth and bone
gomphoses
bones connected by a ligament (interosseous membrane)
syndesmoses
what do cartilaginous joints include?
synchondroses
symphyses
where ossification centers remain separated by a layer of cartilage (growth plates in long bones)
Synchondroses
- 2 bones interconnected by cartilage (pubic symphysis)
* Symphyses can move under certain circumstances giving birth
Symphyses
way of transferring forces between the bones
Interosseous membrane
the largest organ in the body and provides mechanical and permeability barriers, sensory and thermoregulatory functions, and may initiate immune response
skin
what are the layers of the skin?
epidermis
dermis
avascular epithelial tissue
outermost layer of skin
epidermis
- deeper layer of skin
* vascularized connective tissue
dermis
- connective tissue that separates, supports, interconnects structures, enable movement of 1 structure relative to another, and transit for nerves and vessels
- holds stuff in place; like spider web looking stuff
fascia
what are the two general categories of skin/fascia?
superficial
deep
just deep and attached to the dermis, allows movement of skin over deeper areas, conduit for vessels and nerves, and fat store
Superficial (subcutaneous)
outer layer is attached to superficial fascia, inward extensions form intermuscular septa (compartmentalization), near joints form retinacula which hold down tendons and prevent bowing when joints move
deep
separates parietal peritoneum from deep surface of muscles of abdominal wall
Deep- extraperitoneal
separates similar layer in the thorax (chest)
Deep- endothoracic
holds tendons against the skeleton
retinacula
made of skeletal, smooth, and cardiac muscle
muscular system
- striated and voluntary
- Most of our muscle tissue, innervated by somatic and branchial motor nerves (cranial nerves)
- Moves skeleton at joints, holds body up (posture)
skeletal muscle
- striated and involuntary
- Found in walls of heart (myocardium) and large vessels close to heart
- Less powerful contractions than skeletal but fatigue resistant
- Innervated by visceral motor nerves
cardiac muscle
develops from different place in the embryo than branchial motor nerves
somatic nerve
- non-striated and involuntary
- Found in walls of blood vessels, hair follicles, eyeball, walls of gastrointestinal, respiratory, genitourinary/urogenital systems
- Innervated by visceral motor nerves
smooth muscle
consists of the heart and blood vessels
cardiovascular system
- take blood away from the heart
* Arteries are rubbery and bounce back
arteries
take blood to the heart
*veins are like paper and are flat and collapse
veins
connect arteries to veins, smallest blood vessels, site of nutrient, oxygen, and waste exchange with tissues
capillaries
what are the 3 layers of the walls of blood vessels?
tunica externa
tunica media
tunica intima
outer connective tissue layer
tunica externa
middle smooth muscle layer
tunica media
inner endothelial lining of blood vessels
tunica intima
What are the groups of arteries?
larger elastic
medium muscular
small arteries and arterioles
larger vessels with substantial amounts of elastic fiber allowing expansion and recoil (e.g. aorta, brachiocephalic, etc.)
larger elastic
tunica media contains mostly smooth muscle (allows regulation of diameter) (e.g. femoral, axillary, etc.)
medium muscular
control filling of capillaries and contribute to arterial pressure
Small arteries and arterioles-
What are the classes of veins?
large veins
small and medium veins
venules
- contain some smooth muscle in tunica media
* Tunica externa is the thickest (e.g. vena cava and portal vein)
large veins
contain small amounts of smooth muscle
small and medium veins
smallest veins that drain capillaries
venules
what are the differences between veins and arteries?
- Walls of veins (especially tunica media) are thin
- Veins lumen diameter is large
- Often have multiple veins associated with arteries in periphery
- Veins have valves in periphery/inferior to the heart
**vessels begin as porous, blind ended capillaries in tissues that converge to form larger vessels; Eventually draining into veins in the neck
**collect fluid (lymph) lost from vascular capillary beds during nutrient exchange
lymphatic vessels
contains pathogens, cells of the lymphocytic system, cell products (e.g. hormones), and cell debris
lymph
small encapsulated structures that interrupt lymphatic vessels. Contain lymphocytes and macrophages. Immune system defense
lymph nodes
true or false: the lymphatic system has a beginning and an end
true
Suck-up waste, pathogens, hormones, excess fluid “trash collector”
lymphatic system
what are the various lymph nodes in our body?
- cervical nodes
- axillary nodes
- deep nodes
- pericranial ring
- tracheal nodes
- inguinal nodes
- femoral nodes
what is the lymphatic system a major route for?
fat transport
fluid carried from the small intestine to
opaque and milky
chyle
these drain into lymphatic capillaries (lacteals in the small intestine) and eventually into the venous system
chylomicrons
The small intestine absorbs certain fats which are packaged into….
chylomicrons
what do all lymphatic vessels form?
All lymphatic vessels coalesce to form larger trunks or ducts that drain into the venous system at sites in the neck
where does lymph drain?
**Lymph from the right side of head, neck, right upper arm, right side of thorax, right upper and more superficial abdomen drain into veins on the right side of the neck
*Lymph from everywhere else drains into veins on the left side of the neck
true or false: the lymphatic system is symmetrical
false
what are the two parts of the nervous system based on structure?
CNS
PNS
consists of the brain and spinal cord
CNS
consists of nerve structures outside the CNS
PNS
What are the two parts of the nervous system based on function?
somatic
visceral
innervates skin and most skeletal muscle (developmentally derived from somites)
somatic
innervates visceral organ systems and glands
visceral
what is the brain made of?
cerebral hemispheres
cerebellum
brainstem
what do the cerebral hemispheres consist of?
of an outer layer of gray matter (containing cell bodies) and an inner layer of white matter (axons forming tracts/pathways)
what are the cavities in cerebral hemispheres called and what are they filled with?
called ventricles
filled with CSF
what is the brainstem made of?
midbrain
pons
medulla
hangs off the back of the brain
cerebellum
ties into the spinal cord
brainstem
allows for higher level of thinking
gray matter
“wires” connecting the different parts of the brain
white matter
keeps the brain happy in terms of chemistry
CSF - cerebrospinal fluid
what are the 3 layers of protective connective tissue that cover the brain?
dura mater
arachnoid mater
pia mater
thickest and most external
dura mater
against internal surface of dura mater
arachnoid mater
pia mater
innermost layer, on surface of the brain
carry conscious sensations from periphery back to CNS and innervate skeletal muscle (voluntary muscle)
somatic nerves
where do somatic nerves arise from?
Developmentally nerves arise from dermatomyotomes within somites
**segments found along the developing CNS in the embryo
**chunks of tissue that are on either side of the neural tube
somites
where do cells within the dermatomyotomes migrate to as they develop?
they migrate anteriorly and posteriorly of developing body
what do the cells that migrate from the dermatomyotomes form?
**Forming hypaxial muscle (muscles on anterior side of body)
**epaxial muscle (muscles on posterior side of body/back muscles
what do developing nerve cells in the neural tube and neural crest do?
extend processes that eventually become motor and sensory neurons
what does the neural tube become?
spinal cord and brain
what does the neural crest become?
nerves and face bones invertebrates
what do dermatomyotimes become?
muscle and skin
Neurons that develop from within neural tube
motor neurons
Neurons that develop from within neural crest
sensory neurons
what do developing cells in the neural tube extend?
tube extend processes peripherally into posterior and anterior regions of the dermatomyotome of each somite
what do neural crest cells differentiate into?
cells differentiate in to nerve cells and extend processes both medially and laterally
where do the medial processes pass into?
posterior aspect of neural tube
where do the lateral processes pass into?
dermatomyotome
what becomes spinal nerves?
Somatic sensory and motor neurons that are organized along the embryo segmentally
what becomes sensory ganglia located outside the CNS?
Clusters of sensory nerve cell bodies derived from neural crest
what does sensory information pass into?
posterior aspect of the spinal cord
where do motor fibers leave through?
the anterior aspect of the spinal cord
- *linked to spinal cord and they are linked to each other
* *house the cell bodies of the sensory neurons
ganglia
nerve fibers that are taking action potential away from CNS
efferents
take action potentials towards CNS
afferents
enter CNS through somatic sensory afferents or general somatic afferents (GSA’s)
somatic sensory neurons that carry sensory information
what are these sensory neurons carrying?
information about temp, pain, touch, and proprioception
why does each spinal nerve innervate a dermatome?
Because cells from a specific somite develop into the skin at specific location
carry information away from CNS to skeletal muscles
somatic motor fibers
why is each spinal nerve associated with a specific myotome?
Because each somatic motor nerve is associate with a specific somite
what does the visceral part of the nervous system consist of?
motor and sensory parts
what do sensory nerves monitor?
changes in viscera
mainly innervate smooth and cardiac muscle and glands
motor nerves
- referred to as the autonomic division of the PNS and is subdivided
- subdivided into sympathetic and parasympathetic
visceral motor nerves
fight or flight
sympathetic
rest and digest
parasympathetic
*leave spinal cord and tell organs/body parts what to do
visceral motor nerves
arise from neural crest cells and send processes medially into neural tube and laterally into parts of developing body
Visceral sensory neurons (general visceral afferent fibers (GVA’s))
arise from cells in neural tube and send processes anteriorly to synapse with other visceral motor neurons that developed outside the CNS
Visceral motor neurons (general visceral efferent fibers (GVE’s))
Visceral motor neurons that developed within CNS
preganglionic fibers
Visceral motor neurons that developed outside CNS
postganglionic fibers
how do visceral sensory and motor fibers leave and enter?
enter and leave the spinal cord with their somatic equivalents
How do visceral and somatic sensory fibers enter the CNS?
visceral & somatic sensory fibers enter the CNS through posterior roots
how do visceral and somatic motor fibers enter the CNS?
visceral & somatic motor fibers enter CNS through anterior roots
do visceral motor and sensory fibers enter and leave the CNS at all levels?
no
what are the visceral components associated with in the cranial region?
associated with 4 of the 12 cranial nerves
what are the visceral components associated with in the spinal cord?
associated with mainly spinal nerves (T1-L2)
Visceral components associated with T1-L2 are termed ……
sympathetic
Visceral components associated with cranial and sacral regions are…..
parasympathetic
leaves thoracolumbar regions of spinal cord with somatic components of spinal nerves T1 to L2
Sympathetic part of autonomic system of PNS
where does the paravertebral trunk extend to?
On each side of the spinal cord, the paravertebral trunk extends from skull to inferior end of vertebral column
how do the spinal nerve fibers connect to the paravertebral sympathetic trunk?
anterior rami
where do preganglionic fibers synapse with postganglionic motor neurons?
in ganglia on the sympathetic trunk
how do anterior rami connect to ganglia?
via gray and white ramus communicans
what do post ganglionic fibers enter before being distributed?
Post ganglionic fibers enter same anterior rami before being distributed anteriorly and posteriorly at the same level
which is smaller, posterior rami or anterior rami?
Posterior rami is smaller than anterior because anterior has a lot more traffic
where do preganglionic sympathetic fibers go to and what do they do?
ascend or descend to other vertebral levels where they synapse in ganglia associated with spinal nerves
leave ganglia through gray ramus communicans and enter posterior and anterior rami of spinal nerves
post ganglionic fibers
what do ascending and descending fibers and ganglia form?
paravertebral trunk
what does the paravertebral trunk allow for?
allows for sympathetic autonomic division of PNS to emerge only between T1 and L2 but be distributed to periphery
where can preganglionic fibers synapse with postganglionic motor neurons? Where do they go to?
Preganglionic fibers may synapse with postganglionic motor neurons in ganglia and then leave ganglia medially to innervate thoracic or cervical viscera
where can preganglionic fibers go to before synapsing?
They may ascend in the trunk to different levels before synapsing with ganglia
what do the postganglionic fibers do after synapsing?
postganglionic fibers may combine with those from other levels to form visceral nerves
often join parasympathetic nerves to form plexuses on or near the organ (branches of the plexus innervate the organ)
visceral nerves
synapse with the large prevertebral plexus
splanchnic nerves
extend off the large prevertebral plexus
Postganglionic fibers
pass through paravertebral ganglia w/o synapsing and with similar fibers from other levels for splanchnic nerves (T5-L2)
preganglionic fibers
these are found in the plexus
postganglionic nerves
travel through the splanchnic nerves
preganglionic nerves
- *Leaves cranial and sacral regions of CNS associated with cranial nerves and sacral nerves
- *Very limited area in which you can send the fibers out
- *Have bunch of plexuses and ganglia that are far from the CNS
- *Preganglionic fibers are long fibers and travel a long way; very few/short postganglionic fibers and close to target cells/tissues
parasympathetic system
**leave sacral region through pelvic splanchnic nerve and enter pelvic region of prevertebral plexus
**continue on to the viscera
preganglionic fibers of the parasympathetic system
are in the walls of target viscera
postganglionic motor fibers (parasympathetic system)
don’t have postganglionic fibers (parasympathetic)
gastrointestinal organs
- generally accompany visceral motor fibers
* one fiber going from guts, back to CNS; shooting back down a single neuron
visceral sensory fibers
separate from the nerve and connect to 1 of 4 ganglia which house post ganglionic motor fibers
Cranial preganglionic sympathetic in cranial nerves (CN) III, VII, IX
exit ganglia and join branches of CN V and innervate target tissues
post ganglionic fibers (parasympathetic)
gives rise to visceral branches that synapse with thoracic viscera or the paravertebral plexus
CN X
Consists of motor and sensory neurons that form 2 interconnecting plexuses in the gastrointestinal tract
enteric system
what are the 2 plexuses of the enteric system?
myenteric nerve plexus
submucous nerve plexus
Formed by ganglia with nerve cell bodies, associated cells, and bundles of nerve fibers which pass between ganglia
enteric system and/or nerve plexus
control reflexes associated with peristalsis, secretomotor activity and tone
sensory and motor neurons
Can function independently of CNS
enteric system
either somatic or visceral and combine fibers from different sources or levels to form new nerves with specific destinations
nerve plexuses
what are some major somatic plexuses?
cervical, brachial, lumbar, sacral, and coccygeal
usually form with viscera and contain efferent (sympathetic and parasympathetic) and afferent components
visceral plexuses
what are the major visceral plexuses?
cardiac, pulmonary, and paravertebral