FUNCTIONAL ANATOMY AND PHYSIOLOGY

PHYSIOLOGY+MLT
DEPARTMENT OF PHYSIOLOGY UNIVERSITY OF SINDH
JAMSHORO
MISS FATIMA WAHID MANGRIO
ANATOMY AND PHYSIOLOGY DEFINED

Two branches of science—anatomy and physiology—provide the foundation for understanding

the body’s parts and functions. Anatomy is the science of body structures and the relationships
among them. It was first studied by dissection the careful cutting apart of body structures to
study their relationships.Whereas anatomy deals with structures of the body, physiology is the
science of body functions—how the body parts work. Because structure and function are so
closely related, you will learn about the human body by studying its anatomy and physiology
together. The structure of a part of the body often reflects its functions. For example, the bones of
the skull join tightly to form a rigid case that protects the brain. The bones of the fingers are more
loosely joined to allow a variety of movements. The walls of the air sacs in the lungs are very
thin, permitting rapid movement of inhaled oxygen into the blood. The lining of the urinary
bladder is much thicker to prevent the escape of urine into the pelvic cavity, yet its construction
allows for considerable stretching.

LEVELS OF STRUCTURAL ORGANIZATION AND BODY SYSTEMS

● 1 Chemical level

This very basic level can be compared to the letters of the alphabet and includes atoms, the
smallest units of matter that participate in chemical reactions, and molecules, two or more atoms
joined together. Certain atoms, such as carbon (C), hydrogen (H), oxygen (O), nitrogen (N),
phosphorus (P), calcium (Ca), and sulfur (S), are essential for maintaining life. Two familiar
molecules found in the body are deoxyribonucleic acid (DNA), the genetic material passed from
one generation to the next, and glucose, commonly known as blood sugar.

● 2 Cellular level

Molecules combine to form cells, the basic structural and functional units of an organism that
are composed of chemicals. Just as words are the smallest elements of language that make sense,
cells are the smallest living units in the human body. Among the many kinds of cells in your
body are muscle cells, nerve cells, and epithelial cells.

● 3 Tissue level There are just four basic types of tissues in your body: epithelial tissue,
connective tissue, muscular tissue, and nervous tissue. Epithelial tissue covers body surfaces,
lines hollow organs and cavities, and forms glands. Connective tissue connects, supports, and
protects body organs while distributing blood vessels to other tissues. Muscular tissue contracts
to make body parts move and generates heat. Nervous tissue carries information from one part of
the body to another through nerve impulses.

● 4 Organ level At the organ level different types of tissues are joined together. organs are
structures that are composed of two or more different types of tissues; they have specific
functions and usually have recognizable shapes. Examples of organs are the stomach, skin,
bones, heart, liver, lungs, and brain. The stomach’s outer covering is a layer of epithelial tissue
and connective tissue that reduces friction when the stomach moves and rubs against other
organs. Underneath are three layers of a type of muscular tissue called smooth muscle
tissue,which contracts to churn and mix food and then push it into the next digestive organ, the
small intestine. The innermost lining is an epithelial tissue layer that produces fluid and
chemicals responsible for digestion in the stomach.

● 5 System level A system consists of related organs with a common function. An example of
the system level, also called the organsystem level, is the digestive system, which breaks down
and absorbs food. Its organs include the mouth, salivary glands, pharynx (throat), esophagus
(food tube), stomach, small intestine, large intestine, liver, gallbladder, and pancreas. Sometimes
an organ is part of more than one system. The pancreas, for example, is part of both the digestive
system and the hormone-producing endocrine system.

● 6 Organismal level An organism,any living individual. All the parts of the human body
functioning together constitute the total organism.
BASIC ANATOMICAL TERMINOLOGY
Anatomical Position

Anatomical positions are universally accepted as the starting points for positional references to
the body. In anatomical position the subject is standing erect and facing the observer, the feet are
together, and the arms are hanging at the sides with the palms facing forward.
Body parts Regions

The body can generally be described to have areas of:

Axial body part: - It is the part of the body near the axis of the body. This includes head, neck,
thorax (chest), abdomen, and pelvis.

Appendicular body part: - It is the part of the body out of the axis line. This includes the upper
and lower extremities.

It is customary to subdivide the abdominal area into nine regions or more easily in to four
quadrants.
Body planes and sections

Body planes are imaginary surfaces or planes lines that divide the body in to sections. This helps
for further identification of specific areas.

Sagittal plane: - divides the body into right and left half.

– Mid sagittal plane: - divides body into equal left and right halves.
- Para sagittal plane: - divides body into unequal left and right

Frontal plane: - divides the body into asymmetrical antererior and posterior sections.

Transverse plane: - divides the body into upper and lower body section.

Oblique plane: - divides the body obliquely into upper and lower section.

Body Cavities

The cavities of the body house the internal organs, which commonly referred to as the viscera.
The two main body cavities are the larger ventral (anterior) and the smaller, dorsal (posterior)
body cavity.

The ventral body cavity constitutes the thoracic cavity and the abdomino-pelvic body cavity.

The Thoracic cavity houses lung and heart. It is protected by the rib cage & associated
musculature and the sternum anteriorly. It consists of the right and left pleural cavities and
mediastinum (the portion of tissues and organs that separates the left and right lung).

Abdomino-pelvic Cavity extends from the diaphragm inferior to the floor of the pelvis. It is
divided into superior abdominal and inferior pelvic cavity by imaginary line passing at upper
pelvis.

Abdominal cavity contains the stomach, intestine, liver, spleen and gallbladder.
The pelvic cavity contains urinary bladder, rectum, and portions of the reproductive
organs.
TISSUE

Cells are highly organized units. But in multicultural organisms, they do not function in
isolation. They work together in-group of similar cells called tissue. Tissue is a group of similar
cell and their intercellular substance that have a similar embryological origin and function
together to perform a specialized activity. A science that deals with the study of a tissue is
Histology.

Body tissues can be classified into four basic types according to their structure and function

1 Epithelial tissues cover body surfaces and line hollow organs, body cavities, and ducts; they
also forms glands. This tissue allows the body to interact with both its internal and external
environments.

2. Connective tissues protect and support the body and its organs. Various types of connective
tissues bind organs together, store energy reserves as fat, and help provide the body with
immunity to disease-causing organisms.

3. Muscular tissues are composed of cells specialized for contraction and generation of force. In
the process, muscular tissues generate heat that warms the body.

4. Nervous tissue detects changes in a variety of conditions inside and outside the body and
responds by generating electrical signals called nerve action potentials (nerve impulses) that
activate muscular contractions and glandular secretions.

COMPARISON BETWEEN EPITHELIAL AND CONNECTIVE TISSUES

Before examining epithelial tissues and connective tissues in more detail, let’s compare these
two widely distributed tissues . Major structural differences between an epithelial tissue and a
connective tissue are immediately obvious under a light microscope. The first obvious difference
is the number of cells in relation to the extracellular matrix (the substance between cells). In an
epithelial tissue many cells are tightly packed together with little or no extracellular matrix,
whereas in a connective tissue a large amount of extracellular material separates cells that are
usually widely scattered.

The second obvious difference is that an epithelial tissue has no blood vessels, whereas most
connective tissues have significant networks of blood vessels. Because epithelial tissues lack
blood vessels and form surfaces, they are always found immediately adjacent to blood-vessel-
rich connective tissues, which enable them to make the exchanges with blood necessary for the
delivery of oxygen and nutrients and the removal of wastes that are critical processes for their
survival and function.
EPITHELIAL TISSUES

Epithelial tissues covers body surface, lines body cavity & ducts and form glands. They are
subdivided in to: Epithelial tissues may be divided into two types.

(1) Covering and lining epithelium forms the outer covering of the skin and some internal
organs. It also forms the inner lining of blood vessels, ducts, and body cavities, and the interior
of the respiratory, digestive, urinary, and reproductive systems.

(2) Glandular epithelium makes up the secreting portion of glands such as the thyroid gland,
adrenal glands, and sweat glands.

Classification of Epithelial Tissues

Types of covering and lining epithelial tissues are classified according to two characteristics: the
arrangement of cells into layers and the shapes of the cells.

1. Arrangement of cells in layers

The cells are arranged in one or more layers depending on function:
a. Simple epithelium is a single layer of cells that functions in diffusion, osmosis,
filtration, secretion, or absorption. Secretion is the production and release of substances
such as mucus, sweat, or enzymes. Absorption is the intake of fluids or other substances
such as digested food from the intestinal tract.

b. Pseudostratified epithelium appears to have multiple layers of cells because the cell
nuclei lie at different levels and not all cells reach the apical surface, but it is actually a
simple epithelium because all its cells rest on the basement membrane. Cells that do
extend to the apical surface may contain cilia; others (goblet cells) secrete mucus.

c. Stratified epithelium consists of two or more layers of cells that protect underlying
tissues in locations where there is considerable wear and tear.

2. Cell shapes

Epithelial cells vary in shape depending on their function:

a. Squamous cells are thin, which allows for the rapid passage of substances through them.

b. Cuboidal cells are as tall as they are wide and are shaped like cubes or hexagons. They may
have microvilli at their apical surface and function in either secretion or absorption.

c. Columnar cells are much taller than they are wide, like columns, and protect underlying
tissues. Their apical surfaces may have cilia or microvilli, and they often are specialized for
secretion and absorption.
d. Transitional cells change shape, from squamous to cuboidal and back, as organs such as the
urinary bladder stretch (distend) to a larger size and then collapse to a smaller size.

When we combine the two characteristics (arrangements of layers and cell shapes), we come up
with the following types of epithelial tissues:

I. Simple epithelium

A. Simple squamous epithelium

B. Simple cuboidal epithelium

C. Simple columnar epithelium (nonciliated and ciliated)

D. Pseudostratified columnar epithelium (nonciliated and ciliated)

Stratified epithelium

A. Stratified squamous epithelium (keratinized, when surface cells are dead and become
hardened, and nonkeratinized, when surface cells remain alive)*

B. Stratified cuboidal epithelium*

C. Stratified columnar epithelium*

D. Transitional epithelium
Simple epithelium

a) Simple – Squamous epithelium, contain single layer of flat, scale like resemble tiled floor. It
is highly adapted to diffusion, osmosis & filtration. Thus, it lines the air sacs of lung, in kidneys,
blood vessels and lymph vessels.

b) Simple – cuboidal epithelium, Flat polygon that covers the surface of ovary, lines the
anterior surface of lens of the eye, retina & tubules of kidney

c) Simple – columnar epithelium, Similar to simple cuboidal. It is modified in several ways

depending on location & function. It lines the gastro-intestinal tract gall bladder, excretory ducts
of many glands. It functions in secretions, absorption, protection & lubrication.

Stratified epithelium

It is more durable, protects underlying tissues form external environment and from wear & tear.

a) Stratified Squamous epithelium: In this type of epithelium, the outer cells are flat. Stratified
squamous epithelium is subdivided in to two based on presence of keratin. These are Non-
Keratnized and Keratinized stratified squamous epithelium. Non-Keratnized stratified squamous
epithelium is found in wet surface that are subjected to considerable wear and tear. Example: -
Mouth, tongue and vagina. In Keratinized, stratified squamous epithelium the surface cell of this
type forms a tough layer of material containing keratin. Example: skin. Keratin, is a waterproof
protein, resists friction and bacterial invasion.

b) Stratified cuboidal epithelium, rare type of epithelium. It is found in seat glands duct,
conjunctiva of eye, and cavernous urethra of the male urogenital system, pharynx & epiglottis.
Its main function is secretion.

c) Stratified columnar epithelium, uncommon to the body. Stratified columnar epithelium is

found in milk duct of mammary gland & anus layers. It functions in protection and secretion.

Transitional epithelium The distinction is that cells of the outer layer in transitional epithelium
tend to be large and rounded rather than flat. The feature allows the tissue to be stretched with
out breakage. It is found in Urinary bladder, part of Ureters & urethra.

Pseudo stratified epithelium Lines the larger excretory ducts of many glands, epididymis, parts
of male urethra and auditory tubes. Its main function is protection & secretion.

Glandular Epithelium

The function of glandular epithelium is secretion, which is accomplished by glandular cells that
often lie in clusters deep to the covering and lining epithelium. A gland may consist of a single
cell or a group of cells that secrete substances into ducts (tubes), onto a surface, or into the blood.
All glands of the body are classified as either endocrine or exocrine. The secretions of endocrine
glands , called hormones, enter the interstitial fluid and then diffuse directly into the bloodstream
without flowing through a duct. Endocrine glands will be described in detail in Chapter 18.
Endocrine secretions have farreaching effects because they are distributed throughout the body
by the bloodstream.

Exocrine glands secrete their products into ducts that empty onto the surface of a covering and
lining epithelium such as the skin surface or the lumen of a hollow organ. The secretions of
exocrine glands have limited effects and some of them would be harmful if they entered the
bloodstream. As you will learn later in the text, some glands of the body, such as the pancreas,
ovaries, and testes, are mixed glands that contain both endocrine and exocrine tissue.

Structural Classification of Exocrine Glands

Exocrine glands are classified as unicellular or multicellular. As the name implies, unicellular
glands are single-celled glands. Goblet cells are important unicellular exocrine glands that
secrete mucus directly onto the apical surface of a lining epithelium. Most exocrine glands are
multicellular glands, composed of many cells that form a distinctive microscopic structure or
macroscopic organ. Examples include sudoriferous (sweat), sebaceous (oil), and salivary glands.
Multicellular glands are categorized according to two criteria:

(1) whether their ducts are branched or unbranched and

(2) the shape of the secretory portions of the gland . If the duct of the gland does not branch, it is
a simple gland.

If the duct branches, it is a compound gland. Glands with tubular secretory parts are tubular
glands; those with rounded secretory portions are acinar glands, also called alveolar glands.
Tubuloacinar glands have both tubular and more rounded secretory parts.

Combinations of these features are the criteria for the following structural classification scheme
for multicellular exocrine glands:

I. Simple glands

A. Simple tubular. Tubular secretory part is straight and attaches to a single unbranched duct.
Example: glands in the large intestine.

B. Simple branched tubular Tubular secretory part is branched and attaches to a single
unbranched duct. Example: gastric glands.

C. Simple coiled tubular Tubular secretory part is coiled and attaches to a single unbranched
duct. Example: sweat glands.
D. Simple acinar Secretory portion is rounded and attaches to a single unbranched duct.
Example: glands of the penile urethra.

E. Simple branched acinar Rounded secretory part is branched and attaches to a single
unbranched duct. Example: sebaceous glands.

II. Compound glands

A. Compound tubular Secretory portion is tubular and attaches to a branched duct. Example:
bulbourethral (Cowper’s) glands.

B. Compound acinar Secretory portion is rounded and attaches to a branched duct. Example:
mammary glands.

C. Compound tubuloacinar Secretory portion is both tubular and rounded and attaches to a
branched duct. Example: acinar glands of the pancreas.

GENERAL CHARACTERISTICS

1 Embryologic origin

-developed only from mesoderm

2 The connective tissue consists of a cells and extracellular matter excreted by cells.(The
first obvious difference is the number of cells in relation to the extracellular matrix (the
substance between cells). In an epithelial tissue many cells are tightly packed together
 with little or no extracellular matrix, whereas in a connective tissue a large amount of
extracellular material separates cells that are usually widely scattered. )

3 Connective tissues are highly vascularized

4 Generally function to connect and support the other tissues of the body.

5 TYPES OF CONNECTIVE TISSUES

1 Areolar (Loose) Connective tissue

(1) Fibroblasts

(a) principle type of cell

(b) Secrete protein into the space between the cells.

(there are two types of protein synthesized and secreted by the fibroblast)

(a) Collagen protein fibers

confer strength to the tissue

(b) Elastic protein fibers

confer elasticity to the tissue

Areolar connective tissues is the most widely distributed tissues in the body serving the support
and nourish ( via the blood vessels) the other tissues of the body.

 2 macrophages

Engulf foreign agents

3 mast cells

secrete histamine and other chemical mediators of inflammation.

LOCAL INFLAMMATION ( injury causes mast cells to secrete histamine)

(1) Local dilation of blood vessels ---- erythmeia

(2) Local increase permeability of blood vessels--- edema

(3) Local stimulation of pain fibres----- pain

The vasodilation and increased permeability of blood vessels associated with inflammation
enhance delivery of helpful cells. These include phagocytic white blood cells called neutrophils;
monocytes, which develop into macrophages that
  2 Adipose (fat) Connective tissues

adipose tissues provides a reserve of food (for energy) insulate against heat loss,support and
protect the organs it encloses , Reduces heat loss through skin

LOCATION

(1) Undere the skin (subcutaneous fat)

(2) Aroumd the kidney and eyeball

(3) Buttocks and breast

(4) DENSE FIBROUS CONNECTIVE TISSUES

(a) Cells present

-Fibroblasts

(b) Intercelular matter

- Principally collagen fibers protein secreted by the fibroblast which confer strength
to the tissues.

Collagen fibers are not living (are protein structures secreted by fibroblasts), so damaged tendons
and ligaments heal very slowly.

(c) There are 2 sub types of dense fibrous connective tissues(based upon how the collagen
fiber proteins are arranged)

1 Regularly arranged dense fibrous C.T

(a) The protein fibres arranged in parallel bundles

(b) Location

1 Tendon- cords that connect muscles to bones

2 ligaments-cords that connect bones together

3 Dura matter-fibrous C.T sheet that encloses the brain and spinal cord

4 Fascia-fibrous C.T sheet encloses muscles

5 perichondrium- fibrous C.T that encloses bones and cartilages

2 Irregular arranged dense fibrous C.T

(a) the protein fibers are arranged intervoven,running in all direction

(b) Location

1 dermis of the skin

2 scar tissues

 Cartilages

(a) Cells present

Chondrocytes-usually arranged in grouping of 2 to 4 cells,surrounded by a pocket of fluid

called a lacuna (lake)

(b) intercellular matter-protein gell containg protein fibers

(c) cartilage contain no blood vessels-and is thus exception to the general pattern of C.T

(d) there are 3 sub types of CARTILAGE (based upon the nature of the intercellular matter)
Bone Tissues

(a) cells present- Osteocytes each surrounded by a pocket of fluid calle laucana

(b) intercellular matter:

1 calcium salts (calcium phosphate (Harder) Ca(Po4)2,calcium carbonate (Softer) Caco3)

2 collagen protein fibers intervoven in the calcium salts

(c) Bone tissues are highly vascularized

(d) Bone tissues only capable of growing in width

There are 2 types of Bone tissues

(a) Compact Bone Tissues

- -The osteocytes are arranged in concentric circles,called interversion system(oseous)

- Compact bone is very hard and high amount of calcium is present.

(b) Spongy bones tissues

- The osteocytes arranged in spongy network.

And spongy bones are more porous.

 There are 2 types of bone cells

Osteoblasts—secrete calcium mineral(form bone tissues ossification)

Osteoclast—breakdown calcium mineral(Bone resorption)

Decrease Estrogen level in females causes the decreased activity of osteoblast

 Diaphysis

Shaft of the bone

 Epihysis

(1) Proximal epiphysis

(2) Distal epiphysis

(3) Epiphgyseal plates

Location of ossifying cartilage prior to completion of bone growth

 Medulary(marrow) Cavity

(1) Red marrow

(2) Yellow marrow

 (a) Outer compact bone

 (b) Inner spongy bone

  The medullary cavity (medulla, innermost part) is the central cavityof bone shafts
where red bone marrow and/or yellow bone marrow (adipose tissue) is stored; hence,
the medullary cavity is also known as the marrow cavity.

Liquid Connective Tissue

BLOOD TISSUE Blood tissue(or simply blood) is a connective tissue with a liquid extracellular
matrix and formed elements. The extracellular matrix is called blood plasma. The blood plasma
is a pale yellow fluid that consists mostly of water with a wide variety of dissolved substances—
nutrients, wastes, enzymes, plasma proteins, hormones, respiratory gases, and ions. Suspended in
the blood plasma are formed elements—red blood cells (erythrocytes), white blood cells
(leukocytes), and platelets (thrombocytes) (Table 4.8). Red blood cellstransport oxygen to body
cells and remove some carbon dioxide from them. White blood cells are involved in
phagocytosis, immunity, and allergic reactions. Platelets participate in blood clotting.

LYMPH Lymphis the extracellular fluid that flows in lymphatic vessels. It is a connective tissue
that consists of several types of cells in a clear liquid extracellular matrix that is similar to blood
plasma but with much less protein. The composition of lymph varies from one part of the body to
another. For example, lymph leaving lymph nodes includes many lymphocytes, a type of white
blood cell, in contrast to lymph from the small intestine, which has a high content of newly
absorbed dietary lipids.

MUSCULAR TISSUES

Muscular tissues consist of elongated cells called muscle fibers or myocytes that can use ATP to
generate force. As a result, muscular tissues produce body movements, maintain posture, and
generate heat. They also provides protection. Based on their location and certain structural and
functional features, muscular tissues are classified into three types: skeletal, cardiac, and smooth
NERVOUS TISSUE

Despite the awesome complexity of the nervous system, it consists of only two principal types of
cells: neurons and neuroglia. Neurons or nerve cells, are sensitive to various stimuli. They
convert stimuli into electrical signals called nerve action potentials (nerve impulses) and conduct
these action potentials to other neurons, to muscle tissue, or to glands. Most neurons consist of
three basic parts: a cell body and two kinds of cell processes—dendrites and axons. The cell
body contains the nucleus and other organelles. Dendrites are tapering, highly branched, and
usually short cell processes (extensions). They are the major receiving or input portion of a
neuron. The axon of a neuron is a single, thin, cylindrical process that may be very long. It is the
output portion of a neuron, conducting nerve impulses toward another neuron or to some other
tissue. Even though neuroglia do not generate or conduct nerve impulses, these cells do have
many important supportive functions.
EXCITABLE CELLS

Neurons and muscle fibers are considered excitable cellsbecause they exhibit electrical
excitability, the ability to respond to certain stimuli by producing electrical signals such as action
potentials. Action potentials can propagate (travel) along the plasma membrane of a neuron or
muscle fiber due to the presence of specific voltage-gated ion channels. When an action potential
forms in a neuron, the neuron releases chemicals called neurotransmitters, which allow neurons
to communicate with other neurons, muscle fibers, or glands. When an action potential occurs in
a muscle fiber, the muscle fiber contracts, resulting in activities such as the movement of the
limbs, the propulsion of food through the small intestine, and the movement of blood out of the
heart and into the blood vessels of the body.