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296 Pages·2006·19.04 MB·english
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The British Medical Association FAMILY W E N DOCTOR HOME ADVI SER Medical Editors D T S & D S D R ONY MITH R UE AVIDSON A Dorling Kindersley Book LONDON,NEWYORK,MUNICH,MELBOURNE,DELHI BRITISH MEDICAL ASSOCIATION CHAIRMANOFTHECOUNCIL Dr Ian Bogle TREASURER Dr W J Appleyard CHAIRMANOFTHEJOURNALCOMMITTEE Sir Anthony Grabham MEDICAL EDITORS AND CONSULTANTS MEDICALEDITORS Tony Smith MABMBCH, Sue Davidson MBBSMRCPMRCGPDRCOG MEDICALCONSULTANTS Sir Peter Beale KBEFRCPFFCMFFOMDTM&H, Peter Cantillon MSc MRCGP, Mark Furman MRCPCH, Stephen Hughes MRCPCH, Warren Hyer MBChBMRCPMRCPCH, Penny Preston MBChBMRCGP, Andrew Shennan MBBSMRCOGMD, Frances Williams MAMBBChirMRCPDTM&HMRCPCH DORLING KINDERSLEY EDITORIALMANAGER Andrea Bagg SENIORARTEDITOR Marianne Markham SENIOREDITORS Mary Atkinson, Nicki Lampon, Andrew Macintyre EDITORS Jolyon Goddard, Katie John, Janet Mohun, Teresa Pritlove, Hazel Richardson ARTEDITORS Janice English, Chris Walker DESIGNASSISTANCE Sara Freeman DTP DESIGNERS Julian Dams, John Goldsmid, Jason Little, Louise Paddick PICTURERESEARCHASSISTANT Marie Osborn PRODUCTIONMANAGER Michelle Thomas OUT-OF-HOUSETECHNICALSERVICESMANAGER Nicola Erdpresser SENIORMANAGINGEDITOR Martyn Page MANAGINGARTEDITOR Louise Dick ARTDIRECTOR Bryn Walls DK INDIA MANAGINGEDITOR Prita Maitra MANAGINGARTEDITOR Shuka Jain PROJECTEDITOR Atanu Raychaudhuri EDITORS Chandana Chandra, Sudhanshu Gupta PROJECTDESIGNER Sabyasachi Kundu DESIGNER Sukanto Bhattacharjya DTP COORDINATORANDSOFTWARETRAINER Jacob Joshua DTPDESIGNER Shailesh Sharma HEADOFPUBLISHING Anita Roy The British Medical Association New Family Doctor Home Adviser is not a substitute for medical diagnosis. You are advised always to consult your doctor for specific information on personal health matters. The naming of any organization, product, or alternative therapy in this book does not imply BMA endorsement; the omission of any such names does not indicate BMA disapproval. First published in Great Britain in 1986 by Dorling Kindersley Limited, London First published in paperback in 1989, reprinted 1990 Second edition 1992, reprinted 1992, 1994, 1995, 1996, 1997 Third edition 2001 Published in the United Kingdom by Dorling Kindersley Limited 80 Strand, London WC2R 0RL A Penguin Company 4 6 8 10 9 7 5 3 Copyright © 1986, 1992, 2001 Dorling Kindersley Limited, London All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the copyright owner. A CIP catalogue record for this book is available from the British Library. ISBN 0-7513-2168-0 Colour reproduction by Colourscan, Singapore Printed and bound in Spain by AGT, Toledo see our complete catalogue at www.dk.com F OREWORD Attitudes to illness have changed enormously in recent years. People now expect that treatment of even the most serious disorders is likely to be successful. In general, people are more knowledgable about health. When they or their children become ill, they want to know the likely cause of their symptoms and how quickly they may expect to get better. At the same time, we are now more self-reliant. Most of us realize that the majority of common, minor illnesses such as a cold or an attack of diarrhoea do not need expert medical assessment or complex drug treatments. These disorders are self-limiting – we can expect to get better, even if no treatment is given. The problem for people without medical training is that some symptoms such as a headache or a cough may be the first warning of a serious illness. Few events can be more alarming or make a parent feel more helpless than the sudden illness of a child – especially in children too young to describe their symptoms clearly. For how long does a sensible person deal with the problem at home? When should you call your doctor or talk to an information service such as NHS Direct? And when do you need to make an urgent visit to the hospital’s accident and emergency department? Following the easy-to-read charts in this book will help you to tell the difference between minor problems and conditions that need immediate medical attention. No book can teach you how to make a medical diagnosis, and this is not a guide to being your own doctor. What it does do, however, is to tell you when and for how long you may safely wait for things to get better naturally. It gives practical advice on the use of home remedies and over-the-counter drugs and so encourages self-reliance when that makes sense. If you do need to see a doctor, the charts tell you whether you need emergency help, an urgent appointment, an appointment within 24 hours, or just a routine one. This book will give you the information you need to make the best use of your doctor. The charts in this book have been developed by doctors and reviewed by medical experts. We hope that this book will make an important contribution to giving people more control over their own health. DR TONY SMITH & DR SUE DAVIDSON MEDICAL EDITORS CONTENTS C ONTENTS HOW TO USE THIS BOOK.........................8 30 Hearing problems..........................104 SYMPTOM CHARTS 31 Runny or blocked nose...............106 43–288 32 Sore throat.........................................107 YOUR BODY AND HEALTH 33 Coughing...........................................108 9–42 HOW TO USE THE CHARTS..................44 34 Breathing problems.......................110 System-by-system chartfinder..................46 35 Mouth problems.............................112 YOUR BODY...................................................10 Symptom-by-symptom chartfinder.......48 36 Teeth problems................................114 Skeleton..............................................................10 37 Eating problems..............................116 Muscles...............................................................11 CHARTS FOR CHILDREN 38 Vomiting in children.....................118 49–144 Cardiovascular system................................12 39 Abdominal pain..............................120 Respiratory system.......................................13 Contents.............................................................49 40 Diarrhoea in children...................122 Nervous system..............................................14 CHILDREN: BABIES 41 Constipation.....................................124 The senses.........................................................15 UNDER ONE...........................................50–65 42 Abnormal-looking faeces...........125 Digestive system.............................................16 1 Sleeping problems in babies........50 43 Urinary problems...........................126 Endocrine system..........................................17 2 Excessive crying................................52 44 Toilet-training problems.............128 Lymphatic system..........................................17 3 Fever in babies...................................54 45 Genital problems in boys...........130 Urinary system................................................18 4 Vomiting in babies...........................56 46 Genital problems in girls............132 Male reproductive system.........................19 5 Diarrhoea in babies.........................58 47 Painful arm or leg..........................133 Female reproductive system.....................20 6 Feeding problems..............................60 48 Joint and back problems............134 Conception and pregnancy.......................21 7 Slow weight gain...............................62 49 Foot problems.................................136 The newborn baby.......................................23 8 Skin problems in babies.................64 50 Limping..............................................138 TGhroe wgrtho wchinagr tcsh...i.l..d....................................................................................2246 CHILDREN: ALL AGES....................66–138 CHILDREN: ADOLESCENTS.......139–144 9 Feeling generally unwell................66 51 Adolescent weight problems.....139 HEALTHY LIVING........................................28 10 Tiredness...............................................68 52 Adolescent behaviour A healthy diet..................................................28 11 Sleeping problems in children....70 problems.............................................140 53 Problems with puberty Exercise..............................................................29 12 Growth problems.............................72 in boys.................................................142 Alcohol...............................................................30 13 Excessive weight gain.....................74 54 Problems with puberty Tobacco..............................................................31 14 Fever in children...............................76 in girls..................................................143 Drugs...................................................................31 15 Rash with fever.................................78 55 Adolescent skin problems..........144 Sex and health................................................32 16 Skin problems in children............80 Stress...................................................................32 17 Hair, scalp, and nail problems...82 GENERAL CHARTS FOR ADULTS Safety and health...........................................33 18 Itching....................................................84 145–240 19 Lumps and swellings.......................85 PROFESSIONAL HEALTHCARE..............35 20 Dizziness, fainting, and Contents..........................................................145 Healthcare throughout life.......................35 seizures..................................................86 56 Feeling unwell..................................146 Visiting your doctor.....................................35 21 Headache..............................................88 57 Tiredness............................................147 Health checks and screening...................36 22 Confusion and/or drowsiness.....90 58 Loss of weight.................................148 Immunization..................................................37 23 Clumsiness...........................................92 59 Overweight........................................150 24 Speech difficulties.............................93 60 Difficulty in sleeping....................152 MEDICAL TESTS..........................................38 25 Behaviour problems........................94 61 Fever.....................................................154 Testing samples..............................................38 26 School difficulties.............................96 62 Excessive sweating.........................156 Physiological tests.........................................39 27 Eye problems......................................98 63 Headache...........................................158 Imaging tests....................................................39 28 Disturbed or impaired vision...100 64 Feeling faint and passing out...160 Endoscopy.........................................................42 29 Painful or irritated ear.................102 65 Dizziness............................................162 6 CONTENTS 66 Numbness and/or tingling.........163 110 Painful joints....................................228 142 Weight problems and 67 Forgetfulness and/or 111 Painful shoulder.............................230 pregnancy..........................................279 confusion............................................164 112 Painful arm.......................................231 143 Vaginal bleeding in 68 Twitching and/ortrembling......166 113 Painful leg..........................................232 pregnancy..........................................280 69 Pain in the face................................167 114 Painful knee......................................234 144 Abdominal pain in 70 Difficulty in speaking...................168 115 Swollen ankles.................................235 pregnancy..........................................281 71 Disturbing thoughts and 116 Foot problems.................................236 145 Skin changes in pregnancy........282 feelings.................................................169 117 Back pain...........................................238 146 Swollen ankles in pregnancy....283 72 Depression.........................................170 118 Painful or stiff neck......................240 147 Back pain in pregnancy..............284 73 Anxiety................................................172 148 Recognizing the onset of 74 Lumps and swellings....................174 labour..................................................285 149 Breast problems and 75 Itching.................................................175 CHARTS FOR MEN pregnancy..........................................286 76 Hair and scalp problems............176 241–254 150 Depression after childbirth.......288 77 General skin problems................178 Contents..........................................................241 78 Skin problems affecting 119 Bladder control problems the face................................................180 in men..................................................242 FIRST AID 79 Skin discoloration and 120 Problems with the penis.............244 289–302 moles....................................................182 121 Erection difficulties.......................246 80 Rash with fever...............................184 122 Ejaculation problems...................247 FIRST AID......................................................290 81 Nail problems..................................185 123 Testes and scrotum ABC of resuscitation.................................290 82 Painful or irritated eye................186 problems............................................248 Action in an emergency...........................291 83 Disturbed or impaired 124 Painful intercourse in men........249 Recovery position.......................................292 vision...................................................188 125 Low sex drive in men..................250 Artificial respiration..................................293 84 Hearing problems..........................190 126 Fertility problems in men..........252 Choking..........................................................294 85 Noises in the ear............................192 127 Contraception choices Cardiopulmonary resuscitation 86 Earache...............................................193 for men................................................254 (CPR)............................................................296 87 Runny or blocked nose...............194 Shock................................................................298 88 Sore throat........................................195 Anaphylactic shock...................................298 89 Hoarseness or loss of voice.......196 CHARTS FOR WOMEN Severe bleeding............................................299 255–288 90 Wheezing............................................197 Severe burns..................................................299 91 Coughing............................................198 Contents..........................................................255 Unconsciousness..........................................300 92 Shortness of breath.......................200 128 Breast problems..............................256 Major seizures..............................................300 93 Chest pain.........................................202 129 Bladder control problems Spinal injury..................................................301 94 Palpitations.......................................204 in women...........................................258 Fractures.........................................................301 95 Teeth problems...............................206 130 Absent periods................................260 Swallowed poisons.................................... 302 96 Mouth problems............................208 131 Heavy periods..................................262 Bites and stings............................................302 97 Difficulty in swallowing.............209 132 Painful periods................................263 98 Vomiting............................................210 133 Irregular vaginal bleeding..........264 DRUGS GUIDE AND 99 Recurrent vomiting.......................212 134 Abnormal vaginal discharge.....266 USEFUL ADDRESSES 100 Abdominal pain..............................214 135 Genital irritation............................268 303–313 136 Lower abdominal pain 101 Recurrent abdominal pain........216 in women...........................................269 102 Swollen abdomen..........................218 DRUGS GUIDE.............................................304 137 Painful intercourse in 103 Wind....................................................219 women.................................................270 How drugs affect you...............................304 104 Diarrhoea..........................................220 138 Low sex drive in women............272 Using drugs safely.......................................304 105 Constipation....................................221 139 Fertility problems in women....274 A–Z of drugs.................................................305 106 Abnormal-looking faeces...........222 140 Contraception choices USEFUL ADDRESSES.................................311 107 Anal problems.................................223 for women.........................................276 108 General urinary problems.........224 141 Nausea and vomiting 109 Painful urination............................226 in pregnancy.....................................278 INDEX & ACKNOWLEDGMENTS.....314 7 HOW TO USE THIS BOOK H OW TO USE THIS BOOK The major part of this book consists of 150 question-and- healthy precedes the charts, and, after them, you can find answer symptom charts, which help you determine the information on dealing with major emergencies. The book possible cause of a symptom and what to do. Background concludes with useful information on drugs and how to information on how the body works and how to keep it contact support groups or find further health information. 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armpr tsln it gt nyen g9toittm o imeyso hhnytrwfseht,hdn a,g li 0e diy o tos i eaeel rnds’ebpteo g tidp ,tas°y yupd if hnno h u aeh enu tgeh. e.arslvutrh iiadgo2faLsaoeynpsdu healtrhis ni ttnle g srto s9nkcatd esrpts rthdnett eoah gdtagt.hd0nthoii oecpeoshidrhehi to em )eetr vgsopo tte oiss.ev e eht hn h ototercehban’aricSsn oesettnhco ynfe nodtrsL stir .isrrlphyd itsco nohlaebmo ia yig miisaalwol,guiss.mi c i hw f ulaLviOsrykaoett tid eosih nocKtfer-tp(fsrglo atun dfhtosrnei b te iherm. s orwohtgenc tptueuehTherhrh’ emue solpse tetAtaeatec rhpr bakcnoo BbeeooerbemtnCr rdee tpaeeysanscoaciktnshhi,git inti nohbggnee .t c thiIaonfeu n awsageniuh r tweuihc nmaehc y boatsoryn te 5sbropbaecr lstleitauohoahCmcstciuchenaeokisil tgnnlaa igatti onoar VhshVrnna ueeaai,dmipcma nahaYtcnp thdptdpblnideaio.molme2uuia odnrur 9l’l’tdsessaw pss 0 ehc nm,thVse) o iscue(.elrniErs teapcaasedfee.ltdpydlor bei cRumtot o nhAkbHtrneiHbw’ietsd gB,leasoe i t euh v csbeaCaahattkdail ed tdecaon fnwn no at broid mdttisdflaeaLipimdyunl rceotearbdtenk’gdssoadsyia d t pib ictn ouseoklntnl yl oo te2RfHsahTbotfipnlfaIdopeouneloreapleholegnco mara.ctigaBdeldWImiWImieouc lg cfmfml dknirod rsaoWfT ororonehf n yoyoora we dpcpnit savtoteoaowfAAhsitvvloaehinooyheenn nyah e ttmueue iled e td dhe ddw rk oent t afRR ifneh htait ysehse n, i rewil fyahkrhosabru untodbde ael aiNNhsreokeelp.enylaessstpfmt e ldt nd ocaup o poo rocWe meo,n iosvtsII tontunko eruerwhettstithhaNN fchthlcfi chroritetvpdcte opa attththae aehti rue i nnsGGfomhnnaee abnoaho r mdtsttti eyestn r vyehthpipshs,uu sth hworp ip t eevue ic b nni eusotpie iortaillnfnrhovl lttlsitfn eebymrmio eaheiaoet ant;scsodohtl h .lpsnsi sgit vkhdteiin iirie ns snitmettriyt ewc hsth ji kejh.iutu hn s oe’peiinesvoarnhrma n ydeybbiht aynro e dch’a r(rr a(sd epkewpatnesm otn,cai.ao ni.g e3dmf3phpdt ntwgoeefh0 h0euaeeu erop ias1.i1lbnrnn.rn vttlr.st)) g, ge,ddh,o,to ahlt desedinmaioshn ressooy Hhacn t dtwe thfgoi ehnhndaatlaeuedo sneroeii.n.tkdtfst 11cyvapttIisiwoAtsofacA4ymhayctbgsnnhouhhaaetionhorntooierrnrchffve ro acloreecu aeeteuu Saattln aifoetIaSci adi chsfi depv l tnnanl rfia amfmffseaetnLataeutselea f i ictt tipknhanl hhuycerpwpndm fnial ’anicleyu bsev td oa fco dloaieio g n.ighaoyoi aitas u,n2ib lnininhu muadaaes ncs mPloinnutygaally ra imsar .de lthlal,yi,atut guh eh odosi lt nm ab ahhliTsninemoksa t r tiior easn ut d Fcmturoesr esfbac ssoftie amdhevnoanhseot r’ ni la heeelerkes1d onaepyv seba fi i . enle ot e.smparneS 1f gn hpycuboirp cenhu G ade apc, ⁄nai t tguehhrl2deleu lvaoceonll hieth ,iettar-diai hriflrreh aei g rp,fhiugsaenlraeupiomcct n tesa. acdt eftrhi ctveta honeekter loce2nylIht ht,a’n;dye teplwitbcte sd efiitr.d yeniglhsooieem oote.alss.oI o pheui rNpcocxPhsofn ,lreln lkinlol yhi oncnw ahg hb siascnogtci hameeehh2hivlslmdhfscowneedon tolauiueh eei oarl nlnmdsdtdaootya s heiinwhgot n.pb us .i ldbbLRwofeetenewl entiertgo da,Irhdeea cei a s emncitto,ats my . uni hshn kousanat r ysOd tnetooutfcpb nthl htehvypceshiylthelonie oitoeoelef waens avyattna ua nsi 2liftd(Saai fidn n rcsbtoptnods–oienbo hgthiynor.coraei tdo e r2oteemjynettiultfnhsu ucCoh 9uhhohen atayol iaretbne5yuteeaoneouio yet au t rrso1 )rrt,lnghscuy ssi wt;d iee t1reh vlhort l,roi osf⁄oti htr. u2am an giwuhi, inye tlntriu Gcnycsnhilshafg hxo i,pe lt tgrt drtttwye hbii.ocovioselhh ov y.r myioty ere emir Iwsenah.aIolt o ,nec faxi hhpf rseo’f2l mi nutdh so rttsee rhyrbbf hhte s ee ru eesordotwav vrbm, eeslohanesv buoi sealigotarmetodeaiaetw dauo nec aua cidwa ,tht ga srstkslth5bnh itgeamdtbcIah .tl ot.sifhh ayefrnhyni sooleihIol vge oogeann tiStsofl dmerroaeo.mrh iuutcitoskLc ht g gnl t bvekocefoh trTath lhioiena opahh hirvendoeunenehcansuliooh d.ione g lss htot3d ogtcst,ao tkh Ietk e shoeate.h a u( f grfs phmtiaspai a.naesnhiorttoeglnpssthd woga ra dtsaedt.e t vti2oiatobrh t nerycfo9iy Rvere,eoaS.ho eu4is aeailtcnIv eausln–e3tsuhrwatersssurtfs,is t icp2 heiwki dcesavntahmnmtnegscusut 9iin hseesle,hnas6aiuntt et’ema u5mdesth iCtnhlresif.s rsik lsnrh) clo cesclcsoetw’ .eho tleosekhci rf ichwotoef ahfaleiahb ocn etmtsrintakrcynauteeleiahpsot cgo rsatcch.,e on,it icuhs soaC rav,ab3htic tTptmsv1cs ennarpaohieed uio1l.argbrldlc.aoa u ⁄ ySbppl lk2ho2imt(eUapcl cu,miurvi.raPcep9t petse tmau atsleell nieennsB0 piybhspuoceaolt rynce’ ess o) uh l os rcdseanco.oaec aotd . fier2heaaomf t hamrua,nnwendb(Inu s lo 9l r seddal bmfyh ytosd eu feolwpsh 6s aou i aoudea int .aff oienlnpci– l b eht.rcouvdktaA nohdn eeohvr2eoe enie onul eeBtni s tnifk9 c chyaxra gnsotC. poemt mLamoeteo7 hthgfirhgfru W nmooeiu i ioo)ovaoipota,nfnrdrle e huiluofu’sbostg–cgsblh, te hntr eoatdd,e h thnlideedr rauoom .onei notorvs ws’s tics re ecgia4pkbpman atfmiitbuuerilromvieoceenlrlsdsitasapi’oyuesne eaICt sh tn h fgglakeoo Ph ieytn, evrr,R ua,oas cd vie oniir outrie 6st(fpsIscreaidavprts ndgtrn fpa fhpiteeiovcmficl.o yi g gaatcd tsca2ptebeafttanii nenohntrpohbcvnie3rr9.rniritrrtCAe2ciss yeicmveraeiuu a 0s nsrd .ns C9ire t aeaBh oo iilath)i6oaehe Coangvuair6t.liefPstftCcio thyalaneno gi eitm–iic shI orR ocsrra sn s fh psecfkb2ernpeoiau nye n r ce ranc geaci9eooulwore(f tn dto c;to empko sttsa l7lch fr sptulrs ing ipv t.p ptiifimafoa)ee.bscuilhfl ti hltde i..na s a ov iHiiCrecl ml2hreaprprosauIrat sloueeriryarc.b9reifughaueansa tto o enutbl11a6Cs cvlialeetlot pteaonnsesl( hwih –t.cafiii aap tedmpbe nrt, nohokace2iaItr ietl, uyn.rter(rffhl otni 9tei2enyr,e s s of lergnivi eabtt1s7doa9toeti me n,hhueavenieoet)tra2ns,e.etehrero c ).,eatr,sna. h. YfCcasoliresosofoOt c nu wemtotN iaoecef cTt annlthhlEn htsa isN sgeso f ( ri bTpfncot oShhpdtuhoea. pL6t ekrh mIt– oSsbei7nf aT oi )i nicS nnsolh eif tkshoavht.Teres raItmh rantseae d, vagl a itetcrnwdhioroogdyeaumn sirystp e ispyito.n :hmirns eat p,hhat ta eeyoctn oo motsunhti vh tceneeeh ensraettrasdtrt 292 293 CHARTFINDERS The system-by-system chartfinder (pp.46–47) groups the charts by Drugs guide and DRUGS GUIDE USEFUL ADDRESSES body system or process, and the symptom- uTaciAnfanoonduhdcrsnddmedl cud ie rthbiDdiseiffoeoesirfrnu wsneupsegrag, rsle ltso atn op hhfnGat ire euldoceiuads rosvloie tdnim odnhdtedflh ea iiritsonetinen imevefoal ole dssns srrsi ids dsmyat3 reeofae5ease nus e tlsomsydi foheff eaas nsosc,jon.w uottudsrpe .r dlp diceUnroerpucussrhl getgufo fs ogud ngrwrlereoosouurppkss, DDADsecSppvsatbtptabnpvoHAtdnPSraobdamfpdlSActs(atFtOtbiehpooyhhhheiouaobtrpovcafoeeorooageuesfohrlrdld oa pn i r.el Rrneeo empoeteeeymspmeceerdwrdh3eimreahvetrmo afc dtueaeior lyepyy bd 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rgr nm enaeptr aoe akorlasha ayasnnsgfac dneilrra s–f;etuS st isfr lrss m olriel l tyt liaoeirtoesallos nso tdeybda riiiaobefecbc hadg sdd eh lncrycsade lym ot cdttun npoenrram e es)sk o aa aeihct or tfere trrbotrra,mtirefojaxc pdeeacbi,gi esufae n fd ueu poftavhdupon t tnbyiootse bf kascieseeyaeeas ga r ud sihpsrheapyanpg s eayccaxaw tn vuccdiot ncdinostt)fnsdrcsnsnarrstner lobt i atr mta.eta clhlkdce yGetooiuu ihv iomlussaboigtnte ni powfi,aerzmtfllstnrobaryha ar e edc uynhdoey aecle.neetr iooisesemodst)nssoiaancbns deoaha uped a r eh e,r ttitc ienDgrduafatn,tob tryt z dtrau yndscml lir ee c ruh ahsic deageohnaretasedtwseym encoe c eosructaren orgnesh,eetybfot ,i,db i.a eaebnde ui aiumUr e e(u di s hrus)odnfnedtonn eean boaneadd d.neastsreto.h ttkbginr es bgact3faawrawitetpcOsfspptSPoSoPSfPbmoifeSVucmatmTc(phdstrdtolu g f,ru encncirw ang efennsi threoooliHrothea treth ahobicacfrarcpufesoens iyndesslrrfrlfroescuesvavg eiheuvai 1lOhs sdeorees eprfriid edleoatoefeeceyk azar rte fpadcloneeeeeou piTETfosonrart rovttfgtene adaheenrWDysgwrfrc mirh aeiiaRoi ieablffnma .ermt0 dtcetyeS ttseamilihprspmvseri fand yeyema dbrcmuauovrreidoscoelttaem toxcc hsaf.ghuyrrnltpecvrrp oymeddot mmeet ereoeitc ydncSTnnueiheehr dtIetDu lye aataeitn k l opcree(teitolso ybp iaaneoe enraaeicseear e a uhyr lAirllncadmiednds nodAmotduId aidiidrieyoars rreerseotccdacn t)ai cydis nlyarrl ogaa,tsta Benfiovnusevuchratttnor rdstd stes yanenaaeaznuh pesc ttn rb orslbaoc ishomeol tytftetnosrom rei hfs i e ta, igstandhdtse ioocD.Lpnnooi gert ,l od stpuR lt e e p tstclaosyfabiee ucteeroemocdnsoh enaes muesamocatm uanitdoodfna b s a pi yEiii pria(dm.enu,sletteocpaad pno,aer ee,, gd h a leeasce prt rort ooybnbut nle inogelnnonr rg ehsoney sD gu bN ra c i ebcrnv otststanii nht sMivaseotomp sra onmcr ileg ld nor e(nsty ane rourtfarnn lcduirdsScse lrneerdeut iooaelieefat aelg teh tyralltaw ns(ppeiaytttoapsve euoiperseidecms,cmi tonrb5tneaee u tss ostontpyddfItntssui Ig ai gsttnifn,i csrseO s rfro oui 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chr.dmahr1ii.ua.ceoeo.uuao.avoakeolrpkscattunurlireti.tgtst.guophsate.e.knu.iuse3.ddok kr1ns1. btInsbltCiohNusoeyRt eb-eDosps Oj dakyaeEa,mp,SgclX lttptS ep hthwsr-hteoe RIoewfi rptiE e mnhyrsiF tioydiaa hnEmcuert Rheefx tpus ahE ctc(trreNpirohttlo lhfpCm abiscen.rEos3astrd-So. n1raieenkn4nrf.fo –Tedo(3tphr r ec1.mfr4aion9nn8auc)dt e )gcid soawhoi nrltovpheo.euhca rtttatsa b tyykehoeoeveutue iy crtoayoully 304 305 8 YOUR BODY AND HEALTH Y B OUR ODY & H EALTH Understanding how your body works and how to look after yourself are essential if you want to stay healthy. This section starts by explaining the structure and function of the major body systems. It then looks at how you can modify your lifestyle to prevent health problems from developing. The final parts of the section describe how you can make the best use of the help that health professionals offer and how medical problems are investigated should they occur. 9 YOUR BODY AND HEALTH Y OUR BODY Skeleton Types of joint Joints are formed where two or more bones meet. Different types The skeleton provides form, support, and protection for the of joint allow for differing degrees of movement. A few joints, such body. It consists of 206 bones, with further support from as those in the skull, are fixed. Semimovable joints, such as those cartilage (a tough, fibrous material). The axial skeleton – the in the spine, provide stability and some flexibility. The majority of skull, spine, and ribcage – consists of 80 bones and protects joints, known as synovial joints, move freely. The main types of the brain, spinal cord, heart, and lungs. The appendicular synovial joint, and their planes of movement, are illustrated below. skeleton has 126 bones and consists of the limb bones, collarbones, shoulder blades, and bones of the pelvis. All bones are living tissue with cells that are constantly replacing old bone with new material. Bones contain a soft, fatty material Skull called bone marrow; this is PIVOT JOINT Jawbone BALL-AND- surrounded by spongy bone, (mandible) SOCKET JOINT which is in turn surrounded by denser compact bone. The Collarbone marrow in the bones of the (clavicle) spine, skull, ribs, and pelvis manufactures blood cells. Shoulder blade ELLIPSOIDAL JOINT SADDLE JOINT (scapula) Breastbone (sternum) Humerus Rib PLANE JOINT HINGE JOINT Spine The spine Cervical The spine, also known as the vertebral Ulna vertebrae column, maintains the body in an (7 bones) upright position, supports the head, and Radius encloses and protects the spinal cord. It consists of 33 bones called vertebrae. Wrist bones (carpals) Joints and discs of fibrous tissue between most of the vertebrae make the spine Hand bones flexible, while ligaments and muscles (metacarpals) Thoracic stabilize it and control movement. vertebrae Finger bones (12 bones) (phalanges) Pelvis Kneecap (patella) Femur Soft Fibrous core covering Lumbar Compact Spongy Bone Fibula vertebrae SECTION OF INTERVERTEBRAL DISC bone bone marrow (5 bones) Tibia Intervertebral disc Vertebra Ankle bones (tarsals) Areas where ribs Foot bones are attached (metatarsals) Sacrum (5 fused bones) Ligaments Toe bones Coccyx THORACIC STRUCTURE OF BONE (phalanges) (4 fused bones) VERTEBRAE 10 YOUR BODY AND HEALTH Muscles Types of muscle The three types of muscle are skeletal muscle, which covers and Muscles are fibrous bundles of tissue that move the body, moves the skeleton; cardiacmuscle, which forms the walls of the maintain its posture, and work internal organs such as heart; and smooth muscle, found in the walls of the digestive tract, the heart, intestines, and bladder. These functions are the blood vessels, and the genital and urinary tracts. Each type of performed by three different types of muscle (right), of muscle has a different function and consists of fibres of a particular which skeletal muscle makes up the greatest bulk. shape. Skeletal muscle, which moves the limbs and body, is formed Muscles are controlled by signals from the nervous system. of long, strong, parallel fibres. This type of muscle is able to contract quickly and powerfully, but can Skeletal muscle can be controlled consciously, while the other Long, parallel fibres work at maximum strength only types work automatically. Most skeletal muscles connect for short periods of time. Heart two adjacent bones. One end of the muscle is attached by muscle pumps blood around a flexible cord of fibrous tissue called a tendon; the other is the body. It comprises short, attached by a tendon or by a sheet of connective tissue. The branching, interlinked fibres that skeletal muscles not only move parts of the body but also form a network within the walls help to maintain the posture when a person is standing, of the heart. This type of muscle sitting, or lying down. The names of some muscles suggest can work continually without their functions. Extensors straighten joints, flexors bend tiring. Smooth muscle carries out functions such as moving joints, adductors move limbs towards the body, abductors food through the digestive tract. pull limbs outwards, and erectors raise or hold up parts of It is composed of short, spindle- the body. Some of the main skeletal muscles are illustrated shaped fibres that are connected below. Deeper muscles are shown on the left of each image to form sheets, and can work for and the more superficial muscles are shown on the right. SKELETAL MUSCLE prolonged periods. Occipitofrontal Temporoparietal Temporoparietal How muscles work Splenius Orbicular of mouth Orbicular of eye of head Semispinalis of head Smaller pectoral Movement occurs when signals Greater pectoral Erector Trapezius from the nervous system cause Internal of spine muscles to contract. Conscious intercostal Deltoid Deltoid movements of the body are External produced by the interaction of Latissimus intercostal dorsi skeletal muscles, bones, and joints. Most muscles connect one Biceps of arm bone to another and cross a joint. When a muscle contracts, it pulls Deep Triceps flexor of of arm on the bones to move them. fingers Many muscles are found in pairs, Extensor one on each side of a joint, and of fingers produce opposing movements. Gluteus For example, in the upper arm the minimus triceps contracts to pull Ulnar Quadrate the arm straight and extensor of thigh the biceps contracts of wrist to bend the arm. Triceps contracts Internal oblique of Biceps relaxes abdomen Abductor of finger Gluteus Long maximus adductor of thigh Sartorius Biceps STRAIGHTENING THE ARM Popliteal of thigh Gracilis Rectus of thigh Gastrocnemius Triceps relaxes Gastrocnemius Anterior Soleus tibial Posterior Long extensor tibial Achilles of toes tendon Long Short extensor Short flexor of of big toe extensor big toe of toes Biceps contracts Abductor of big toe BENDING THE ARM FRONT VIEW BACK VIEW 11

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