Anatomy and Physiology 5th Edition is available as a Whiteboard eTextbook and Student eTextbook. Whiteboard eTextbooks are online interactive versions of the printed textbook that enable teachers to: ●● Display interactive pages to their class ●● Add notes and highlight areas ●● Add double page spreads into lesson plans Student eTextbooks are downloadable versions of the printed textbooks that teachers can assign to students. Students can: ●● Download and view them on any device or browser ●● Add, edit and synchronise notes across two devices ●● Access their personal copy on the move Find out more and sign up for a free trial – visit: www.hoddereducation.co.uk/dynamiclearning Helen McGuinness Anatomy & Physiology 9781510435179.indb 1 04/10/18 4:48 PM Although every effort has been made to ensure that website addresses are correct at time of going to press, Hodder Education cannot be held responsible for the content of any website mentioned in this book. It is sometimes possible to find a relocated web page by typing in the address of the home page for a website in the URL window of your browser. Hachette UK’s policy is to use papers that are natural, renewable and recyclable products and made from wood grown in sustainable forests. The logging and manufacturing processes are expected to conform to the environmental regulations of the country of origin. Orders: please contact Bookpoint Ltd, 130 Milton Park, Abingdon, Oxon OX14 4SB. Telephone: (44) 01235 827720. Fax: (44) 01235 400454. Email [email protected] Lines are open from 9 a.m. to 5 p.m., Monday to Saturday, with a 24-hour message answering service. You can also order through our website: www.hoddereducation.co.uk ISBN: 978 1510 435179 © Helen McGuinness 2018 First published in 2018 by Hodder Education, An Hachette UK Company Carmelite House 50 Victoria Embankment London EC4Y 0DZ www.hoddereducation.co.uk Impression number 10 9 8 7 6 5 4 3 2 1 Year 2021 2020 2019 2018 All rights reserved. Apart from any use permitted under UK copyright law, no part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying and recording, or held within any information storage and retrieval system, without permission in writing from the publisher or under licence from the Copyright Licensing Agency Limited. Further details of such licences (for reprographic reproduction) may be obtained from the Copyright Licensing Agency Limited, Saffron House, 6–10 Kirby Street, London EC1N 8TS. Cover photo © Sebastian Kaulitzki/123RF.com Illustrations by Barking Dog Art Typeset in India by Integra Software Services Pvt. Ltd, Pondicherry, India Printed in Slovenia A catalogue record for this title is available from the British Library. 9781510435179.indb 2 04/10/18 4:48 PM Contents Acknowledgements iv Howtousethisbook vi 1 Anintroductiontoanatomyandphysiology:howthebodyisorganised 1 2 Cellsandtissues 10 3 Theskin,hairandnails 37 4 Theskeletalsystem 96 5 Themuscularsystem 128 6 Thecardiovascularsystem 173 7 Thelymphaticsystemandimmunity 211 8 Therespiratorysystem 230 9 Thenervoussystem 246 10 Theendocrinesystem 278 11 Thereproductivesystem 299 12 Thedigestivesystem 318 13 Therenalsystem 341 Index 353 9781510435179.indb 3 04/10/18 4:48 PM Acknowledgements Whilstpreparingtheoriginaltextofthisbookbackintheearly1990s,I neverdreameditwouldbeincirculationforover20yearsandnowbeinits fifthedition,withanaccompanyingworkbook. Firstly,Iwouldliketoextendmymostsignificantthankstomyhusband Markforhisconstantlove,help,supportandunderstanding,alongwithhis constructivecommentsmadeintheupdatingofthisbook. Tomylatemum,Valerie,whoseeternallove,wordsofencouragementand beliefinmyabilitiescontinuetomotivateandinspiremetothisday. TomydearfriendDeeChase(akaMumDee),forherconstantlove,belief, supportandencouragementofmyworkandwriting. ToDrNathanMoss,forhelpincheckingtheaccuracyofthetexton pathologies. IwillalwaysbegreatlyindebtedtoDeirdreMoynihanforherprofessional helpandcontributionsthroughoutthepreparationoftheoriginaltextback in1995whenthebookwasinitsinfancy. SpecialthanksgotoLindaBiles,HeadofBeautyTherapyatChichester College,whohasencouragedandsupportedtheupdateofthislatestedition andofferedherinvaluablesuggestionsandconstructivecomments. Iwouldliketothankallthestudents,collegesandlecturerswhohaveused thisbookoverthepast20yearsandwhohavebeenmostencouragingand supportiveofmywork. Thisbookisdevotedtoourbeautifuldaughter,Grace. HelenJ.McGuinness Picture credits Thepublisherswouldliketothankthefollowingforpermissiontoreproducecopyrightmaterial: pp.1,10,37©Nobilior/stock.adobe.com;p.13©AlexeyBezrodny/123RF;p.21©Designua/stock. adobe.com;p.47©Reineg/stock.adobe.com;p.49©Designua/stock.adobe.com;p.51l ©Meyeview/ Shutterstock.com,r ©DaxiaoProductions/stock.adobe.com;p.52©JoAnnSnover/stock.adobe.com;p.55 l ©JuergenFaelchle/Shutterstock.com,r ©Mediscan/AlamyStockPhoto;p.56l ©BiophotoAssociates/ SciencePhotoLibrary,tr ©vchalup/stock.adobe.com,br ©BigFootProductions/Shutterstock.com;p.57 t ©Guentermanaus/Shutterstock.com,m ©TonyMcConnell/SciencePhotoLibrary, b ©DrP.Marazzi/ SciencePhotoLibrary;p.58©Ipen/Shutterstock.com;p.59©KiselevAndreyValerevich/Shutterstock.com; p.61t ©goodluz/stock.adobe.com,2nd©Iconogenic/stock.adobe.com,3rd ©Rido/stock.adobe.com,4th ©kmwphotography,b ©Diegocervo/stock.adobe.com;p.72tl ©KyryloGlivin/Shutterstock,bl © DrP.Marazzi/SciencePhotoLibrary,tr ©MEDICALPHOTONHSLOTHIAN/SCIENCEPHOTOLIBRARY PRINCESSMARGARETROSEORTHOPAEDICHOSPITAL,br ©NatalyStudio/Shutterstock.com;p.73tl © DrJeremyBurgess/SciencePhotoLibrary,bl ©SciencePhotoLibrary,tr ©Mediscan/AlamyStockPhoto, br ©DrP.Marazzi/SciencePhotoLibrary;p.74tl ©Pictoplay/Shutterstock.com,bl Ccolephoto/istock,tr ©DrP.Marazzi/SciencePhotoLibrary,br ©Ohishiftl/stock.adobe.com;p.75tl ©JohnRadcliffeHospital/ iv 9781510435179.indb 4 04/10/18 4:48 PM SciencePhotoLibrary,ml ©SciencePhotoLibrary,bl ©DrP.Marazzi/SciencePhotoLibrary,tr ©Jajavenue/Shutterstock.com,br Simon_l/istock;p.76tl ©DrP.Marazzi/SciencePhotoLibrary,ml © DrP.Marazzi/SciencePhotoLibrary,bl ©DrP.Marazzi/SciencePhotoLibrary,tr ©artem_goncharov/ stock.adobe.com,br ©DrP.Marazzi/SciencePhotoLibrary;p.77t ©WesternOphthalmicHospital/ SciencePhotoLibrary,b ©SciencePhotoLibrary;p.78tl ©DrP.Marazzi/SciencePhotoLibrary,ml © DrChrisHale/SciencePhotoLibrary,bl ©DrP.Marazzi/SciencePhotoLibrary,tr ©SueFord/SciencePhoto Library,br ©CNRI/SciencePhotoLibrary;p.79tl ©BIOPHOTOASSOCIATES/SciencePhotoLibrary,bl © CNRI/SciencePhotoLibrary,tr ©DrP.Marazzi/SciencePhotoLibrary,br ©JohnWilson/SciencePhoto Library;p.80tl ©BSIP/SciencePhotoLibrary,bl ©DrP.Marazzi/SciencePhotoLibrary,r ©Kalcutta/ Shutterstock.com;p.81t ©CDC/BSIPSA/AlamyStockPhoto,b ©DrP.Marazzi/SciencePhotoLibrary; p.82©DrP.Marazzi/SciencePhotoLibrary;p.83©DrP.Marazzi/SciencePhotoLibrary;p.84l © DrP.Marazzi/SciencePhotoLibrary,r ©ISM/SciencePhotoLibrary;p.85tl ©Nancynan/Shutterstock. com,bl ©DrP.Marazzi/SciencePhotoLibrary,r ©SciencePhotoLibrary;p.86l ©J.F.Wilson/Science PhotoLibrary,tr©Dr.P.Marazzi/SciencePhotoLibrary,br ©SciencePhotoLibrary;p.87 ©Dr.P.Marazzi/SciencePhotoLibrary;p.88tl ©Dr.P.Marazzi/SciencePhotoLibrary,bl ©Dr.P.Marazzi/ SciencePhotoLibrary,r ©Dr.P.Marazzi/SciencePhotoLibrary;p.89t ©CNRI/SciencePhotoLibrary,b ©Dr.P.Marazzi/SciencePhotoLibrary;p.90©Dr.P.Marazzi/SciencePhotoLibrary;p.96©Nobilior/ stock.adobe.com;p.99©Designua/stock.adobe.com;p.120l ©JohnR.Foster/SciencePhotoLibrary,r ©SueFord/SciencePhotoLibrary;p.121©Horus2017/Shutterstock.com;p.128©Nobilior/stock.adobe. com;p.130©AndreaDanti/stock.adobe.com;p.135©PeterLamb/123RF;p.138©SebastianKaulitzki/ stock.adobe.com;p.139©7activestudio/stock.adobe.com;p.140©Lukaves/123RF;p.173©Nobilior/ stock.adobe.com;p.175©Designua/stock.adobe.com;p.177©Designua/123RF;p.178©Designua/ stock.adobe.com;p.211©Nobilior/stock.adobe.com;p.221l ©PIXOLOGICSTUDIO/SciencePhoto Library,r ©AlilaMedicalMedia/stock.adobe.com;p.222©Nerthuz/stock.adobe.com;p.230©Nobilior/ stock.adobe.com;p.233©PeterHermesFurian/stock.adobe.com;p.246©Nobilior/stock.adobe.com; p.252©Joshya/stock.adobe.com;p.259©Udaix/123RF;p.262©ChristosGeorghiou/stock.adobe.com; p.263©PeterLamb/123RF;p.266©Vonuk/stock.adobe.com;p.278©Nobilior/stock.adobe.com;p.283 ©Designua/123RF;p.284©Reineg/stock.adobe.com;p.290©Designua/123RF;p.299©Nobilior/stock. adobe.com;p.306©Tigatelu/stock.adobe.com;pp.318,341©Nobilior/stock.adobe.com. Everyefforthasbeenmadetotraceandacknowledgeownershipofcopyright.Thepublisherswillbeglad tomakesuitablearrangementswithanycopyrightholderswhomithasnotbeenpossibletocontact. v 9781510435179.indb 5 04/10/18 4:48 PM How to use this book DearColleague, Thisbook,nowinitsfifthedition,hasbeendesignedforthosestudying beautytherapy,complementarytherapiesoranysubjectthatrequiresa soundfoundationknowledgeofanatomyandphysiology. Thiseditionhasbeencompletelyrevisedtobringitinlinewiththelatest anatomyandphysiologyspecificationsoftheTechnical/AdvancedLevel qualifications. Aswellasnewandupdatedcontent,additionalnewfeaturesincludean expandedintroductorychapteronhowthebodyisorganised,keyword glossariesattheendofthechapter,newandimprovedillustrationsand photographs,andexpandedend-of-chapterrevisionsummariesandtest yourknowledgequestions. Eachchaptergivesanoverviewofasystemandwhyitisofsignificancetoa therapist,hasalistoflearningobjectives,andisfullofinterestingfactsand informationtohelpstimulateyourlearning. Attheendofeachchapterthereisalinktootherbodysystemstohelp toputthesubjectintocontext,showinghowthebodysystemsworkasa wholetokeepusinbalance,alongwithacomprehensiverevisionsummary andtestyourknowledgequestionsinmultiplechoiceandnewexam-style formats. Onceyouhavestudiedthecontentsofthistextbook,thereisanew accompanyingworkbookavailabletohelptestyourknowledgeandprepare youforassessmentsandexaminations.Contentsoftheworkbookinclude arangeofactivitiesincludingadditionalmultiplechoiceandexam-style questions,labelling,matchingthekeywords,sorting,andfillinginthe blanks. AnatomyandphysiologyisafascinatingsubjectandIsincerelyhopethat thisneweditionprovidesyouwithanimprovedlearningexperience. HelenJ.McGuinness Answersareavailableonlineatwww.hoddereducation.co.uk/Anatomy-and- Physiology-Extras vi 9781510435179.indb 6 04/10/18 4:48 PM An introduction 1 to anatomy and physiology: how the body is organised Introduction Before we begin the fascinating journey of learning about how the body works, let’s look at the terminology associated with the study of the human body. ● Anatomy is the study of the structure and location of body parts. ● Physiology is the study of the function of body parts. It is very important to co-ordinate these two subjects because knowledge of structure is incomplete without the knowledge of function, and the knowledge of function is incomplete without the knowledge of structure. ● Pathology is the study of disease in the body. At the end of each chapter in this book there is a section on the common pathologies associated with a system of the body. OBJECTIVES By the end of this chapter you will understand: ● anatomical directional terminology used to give a precise description of a body part ● anatomical planes, which divide the body into sections ● anatomical regional terms, which refer to specific areas of the body ● the main body cavities that divide the body and its internal organs into sections. 9781510435179.indb 1 04/10/18 4:48 PM Anatomy & Physiology The body as a map KEY FACT Knowing where parts of the Thebodymaybelikenedtoamapandthekeytolocatingand body are located will help your understandingthepartsofthebodyisdirectionalterminology. understanding as you build up a picture of how they function. Anatomical terminology Whenstudyinganatomyandphysiology,youshouldusedirectional In practice terminologytogiveprecisedescriptionswhenreferringtotheexact Think of the structure of the locationofabodypartorstructure.Inanatomicalterminology,all heart and all its chambers and partsofthebodyaredescribedinrelationtootherbodypartsusinga valves. Visualising the individual standardisedbodypositioncalledtheanatomical position. structures (the anatomy), can help Inthisposition,thebodyiserectandfacingforwards,armstotheside, you to understand how the blood palmsarefacingforwardswiththethumbstotheside,andthefeet flows through the heart and how slightlyapartwithtoespointingforwards.Thereisanimaginaryline the heart beats. You are relating runningdownthecentreormidlineofthebody. anatomy to function or physiology. Learninganatomicalterminologyislikelearninganewlanguage! Superior Medial Proximal Superficial Anterior (ventral) Posterior (dorsal) Inferior Lateral Distal Deep p Anatomical terms Anatomical directional terms TheanatomicaltermsinTable1.1willhelpyoutobespecificwhen describingthepositionofabodypart. Study tip The directional terms have been organised into pairs for ease of learning; once you know one term, it is easier to learn the opposite term. 2 9781510435179.indb 2 04/10/18 4:48 PM
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