Second Edition Essentials of Anatomy & Physiology Kenneth S. Saladin Georgia College Robin K. McFarland Cabrillo College Digital Authors Christina A. Gan Highline Community College Heather N. Cushman Tacoma Community College sal65541_fm_i-xxii.indd 1 20/12/16 5:00 pm ESSENTIALS OF ANATOMY & PHYSIOLOGY, 2ND EDITION Published by McGraw-Hill Education, 2 Penn Plaza, New York, NY 10121. Copyright © 2018 by McGraw-Hill Education. All rights reserved. Printed in the United States of America. Previous editions © 2014. No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written consent of McGraw-Hill Education, including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. 1 2 3 4 5 6 7 8 9 LMN 21 20 19 18 17 16 ISBN 978-0-07-296554-4 MHID 0-07-296554-1 Chief Product Officer, SVP Products & Markets: G. 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Fuller Design: David Hash Content Licensing Specialists: Lori Hancock/Lorraine Buczek Cover Image: ©Tanya Constantine/Blend Images/Getty Images Design Icons: (stethoscope): © Nathan Blaney/Getty Images RF; (rock climbing): © Image Source RF; (tent): © Carson Ganci/Design Pics RF Compositor: MPS Limited Printer: LSC Communications All credits appearing on page or at the end of the book are considered to be an extension of the copyright page. Library of Congress Cataloging-in-Publication Data Names: Saladin, Kenneth S., author. | McFarland, Robin, author. | Gan, Christina A., author. | Cushman, Heather N., author. Title: Essentials of anatomy & physiology / Kenneth S. Saladin, Georgia College & State University, Robin K. McFarland, Cabrillo College ; digital authors, Christina A. Gan, Highline Community College, Heather N. Cushman, Tacoma Community College. Other titles: Essentials of anatomy and physiology Description: Second edition. | New York, NY : McGraw-Hill Education, [2018] Identifiers: LCCN 2016052225 | ISBN 9780072965544 (alk. paper) Subjects: LCSH: Human physiology—Textbooks. | Human anatomy—Textbooks. Classification: LCC QP34.5 .S232 2018 | DDC 612—dc23 LC record available at https://lccn.loc.gov/2016052225 The Internet addresses listed in the text were accurate at the time of publication. The inclusion of a website does not indicate an endorsement by the authors or McGraw-Hill Education, and McGraw-Hill Education does not guarantee the accuracy of the information presented at these sites. mheducation.com/highered sal65541_fm_i-xxii.indd 2 20/12/16 5:00 pm Brief Contents About the Authors iv PART 4 Table of Contents v Circulation and Defense Taking Anatomy & Physiology to New Heights x Making Anatomy & Physiology Intriguing and Inspiring xii 12 The Circulatory System I: Blood 388 Acknowledgments xxi 13 The Circulatory System II: The Heart and Blood Vessels 414 PART 1 14 The Lymphatic System and Immunity 466 Organization of the Body 1 The Study of Anatomy and Physiology 1 PART 5 2 Life, Matter, and Energy 31 Intake and Output 3 The Cellular Level of Organization 61 15 The Respiratory System 499 4 Histology—The Tissue Level of Organization 95 16 The Urinary System 525 17 The Digestive System 558 PART 2 18 Nutrition and Metabolism 596 Support and Movement 5 The Integumentary System 127 PART 6 6 The Skeletal System 146 Human Life Cycle 7 The Muscular System 201 19 The Reproductive System 628 20 Human Development and Aging 672 PART 3 Internal Coordination Appendix A: Answer Keys A-1 Appendix B: Health Science Careers A-8 8 The Nervous System I: Nerve Cells, the Spinal Cord, Appendix C: Symbols, Weights, and Measures A-11 and Reflexes 252 Appendix D: Biomedical Word Roots, Prefixes, and Suffixes A-13 9 The Nervous System II: The Brain, Cranial Nerves, and Autonomic Nervous System 285 Appendix E: Periodic Table of the Elements A-17 10 The Sense Organs 324 Glossary G-1 11 The Endocrine System 360 Index I-1 iii sal65541_fm_i-xxii.indd 3 20/12/16 5:00 pm About the Authors KENNETH S. SALADIN is a Professor of Biology at Georgia College in Milledgeville, Georgia, where he has taught since 1977. Ken teaches human anatomy and physiology, introductory medical physiology, histology, animal behavior, and natural history of the Gala´pagos Islands. He has also previously taught introductory biology, general zoology, sociobiology, parasitology, and biomedical etymology. Ken is a member of the Human Anatomy and Physiology Society, American Physiological Society, Society for Integrative and Comparative Biology, and American Association for the Advancement of Science. He is the author of the best-selling textbooks Anatomy & Physiology: The Unity of Form and Function and Human Anatomy. Ken and his wife Diane have two adult children. © Tim Vacula ROBIN MCFARLAND has taught anatomy and physiology at Cabrillo College in Aptos, California, since 1998. She earned a Ph.D. in physical (biological) anthropology from the University of Washington, where she studied the relationship between body fat and reproduction in primates. Robin subsequently conducted research on comparative ape anatomy with colleagues at the University of California, Santa Cruz. Robin is a member of the Human Anatomy and Physiology Society, a member of the American Association of Anatomists, and a par- ticipant in the Physiology Education Community of Practice (PECOP) sponsored by the American Physiological Society. She was a contributing author to Human Anatomy, second edition, by Ken Saladin. She and her husband Jeff have two children, Reid and Madeleine. Robin enjoys hiking and climbing mountains. Courtesy of Robin McFarland CHRISTINA A. GAN, digital coauthor for Connect, has been teaching anatomy and physiology, microbiol- ogy, and general biology at Highline Community College in Des Moines, Washington, since 1994. Before that, she taught at Rogue Community College in Medford, Oregon, for 6 years. She earned her M.A. in biology from Humboldt State University, researching the genetic variation of mitochondrial DNA in various salmonid species, and is a member of the Human Anatomy and Physiology Society. When she is not in the classroom or developing digital media, she is climbing, mountaineering, skiing, kayaking, sailing, cycling, and mountain biking through- out the Pacific Northwest. © Chris Gan/Yuen Lui Studios HEATHER N. CUSHMAN, digital coauthor for Connect, teaches anatomy and physiology at Tacoma Community College in Tacoma, Washington, and is a member of the Human Anatomy and Physiology Society. She received her Ph.D. in Neuroscience from the University of Minnesota in 2002, and completed a postdoctoral fellowship at the Vollum Institute at Oregon Health & Science University in Portland, Oregon, where she studied sensory transduction and the cellular and molecular mechanisms of muscle pain. She currently resides in Tacoma, Washington, and enjoys climbing, camping, and hiking with her husband Ken and their daughter Annika. Dedicated to everyone who's ever danced in the rain .—K.S.S. © JC Penney Portraits/ This book is dedicated to my students, who inspire and delight me.—R.K.M. Lifetouch Portrait Studios, Inc. The authors would enjoy hearing from colleagues and students alike who use this book and may wish to offer suggestions for our next edition, or encouragement to continue doing certain things the way we have. Such feedback is invaluable for improving a textbook, and the authors will endeavor to answer all correspondence. Kenneth S. Saladin, Ph.D. Robin K. McFarland, Ph.D. Georgia College, Milledgeville, Georgia Cabrillo College, Aptos, California [email protected] [email protected] iv sal65541_fm_i-xxii.indd 4 20/12/16 5:00 pm Table of Contents About the Authors iv Chapter 2 Table of Contents v Life, Matter, and Energy 31 Taking Anatomy & Physiology to New Heights x Making Anatomy & Physiology Intriguing and Inspiring xii 2.1 Atoms, Ions, and Molecules 32 Acknowledgments xxi 2.2 Water, Acids, and Bases 38 2.3 Organic Compounds 41 PART 1 Perspectives on Health 52 Organization of the Body 2.4 Energy and Chemical Reactions 54 Career Spotlight: Medical Technologist 57 Study Guide 58 Chapter 3 The Cellular Level of Organization 61 3.1 The General Structure of Cells 62 3.2 The Cell Surface 64 3.3 The Cell Interior 76 3.4 The Life Cycle of Cells 85 Perspectives on Health 90 Career Spotlight: Cytotechnologist 91 Study Guide 92 © Eye of Science/Science Source Chapter 4 Chapter 1 Histology—The Tissue Level of Organization 95 The Study of Anatomy and Physiology 1 4.1 The Study of Tissues 96 4.2 Epithelial Tissue 99 1.1 Anatomy—The Structural Basis of Human Function 2 4.3 Connective Tissue 106 1.2 Physiology—Dynamic Processes in the Living Body 8 4.4 Nervous and Muscular Tissues—The Excitable Tissues 114 Perspectives on Health 9 Perspectives on Health 117 1.3 The Human Body Plan 13 4.5 Glands and Membranes 118 1.4 The Language of Medicine 24 4.6 Tissue Growth, Development, Repair, and Death 121 Career Spotlight: Radiologic Technologist 27 Career Spotlight: Histotechnician 123 Study Guide 28 Study Guide 124 v sal65541_fm_i-xxii.indd 5 20/12/16 5:00 pm PART 2 Chapter 7 Support and Movement The Muscular System 201 7.1 Muscular Tissue and Cells 202 7.2 Physiology of Skeletal Muscle 210 7.3 Cardiac and Smooth Muscle 219 7.4 Anatomy of the Muscular System 222 Perspectives on Health 224 Aging of the Muscular System 247 Career Spotlight: Massage Therapist 247 Connective Issues 248 Study Guide 249 PART 3 Internal Coordination © Eye of Science/Science Source Chapter 5 The Integumentary System 127 5.1 The Skin and Subcutaneous Tissue 128 Perspectives on Health 134 5.2 Accessory Organs 136 Aging of the Integumentary System 141 Career Spotlight: Dermatology Nurse 141 Connective Issues 142 Study Guide 143 Chapter 6 © Sciepro/Science Photo Library/Getty Images RF The Skeletal System 146 6.1 Skeletal Structure and Function 147 Chapter 8 6.2 Bone Development and Metabolism 153 The Nervous System I: Nerve Cells, the Spinal Cord, Perspectives on Health 157 and Reflexes 252 6.3 The Axial Skeleton 158 6.4 The Appendicular Skeleton 175 8.1 Cells and Tissues of the Nervous System 253 6.5 Joints 184 8.2 The Physiology of Neurons 261 Aging of the Skeletal System 196 Perspectives on Health 269 Career Spotlight: Orthopedic Nurse 196 Connective Issues 197 Study Guide 198 vi sal65541_fm_i-xxii.indd 6 20/12/16 5:01 pm 8.3 The Spinal Cord, Spinal Nerves, and Reflexes 270 PART 4 Career Spotlight: Occupational Therapist 281 Circulation and Defense Study Guide 282 Chapter 9 The Nervous System II: The Brain, Cranial Nerves, and Autonomic Nervous System 285 9.1 Overview of the Brain 286 9.2 Principal Divisions of the Brain 293 9.3 Multiregional Brain Functions 300 9.4 The Cranial Nerves 307 9.5 The Autonomic Nervous System 309 Perspectives on Health 317 Aging of the Nervous System 318 Career Spotlight: Electroneurodiagnostic Technologist 319 Connective Issues 320 Study Guide 321 © Dr. Yorgos Nikas/Science Source Chapter 10 Chapter 12 The Sense Organs 324 The Circulatory System I: Blood 388 10.1 Receptors and Sensations 325 10.2 The General Senses 328 12.1 Introduction 389 10.3 The Chemical Senses—Taste and Smell 331 12.2 Erythrocytes 393 10.4 The Ear—Equilibrium and Hearing 335 12.3 Leukocytes 399 10.5 The Eye and Vision 344 Perspectives on Health 403 Perspectives on Health 355 12.4 Platelets 405 Aging of the Sense Organs 356 Career Spotlight: Phlebotomist 409 Career Spotlight: Optician 356 Connective Issues 410 Study Guide 357 Study Guide 411 Chapter 11 Chapter 13 The Endocrine System 360 The Circulatory System II: The Heart and 11.1 Overview of the Endocrine System 361 Blood Vessels 414 11.2 Endocrine Physiology 364 13.1 Overview of the Cardiovascular System 415 11.3 The Hypothalamus and Pituitary Gland 367 13.2 Gross Anatomy of the Heart 418 11.4 Other Endocrine Glands and Tissues 373 Perspectives on Health 424 Perspectives on Health 381 13.3 Physiology of the Heart 425 11.5 Stress Physiology 382 13.4 General Anatomy of Blood Vessels 433 Aging of the Endocrine System 383 13.5 Physiology of Circulation 438 Career Spotlight: Diabetes Educator 383 13.6 Circulatory Routes and Blood Vessels 444 Connective Issues 384 Aging of the Circulatory System 460 Study Guide 385 Career Spotlight: Electrocardiographic Technician 461 Connective Issues 462 Study Guide 463 vii sal65541_fm_i-xxii.indd 7 20/12/16 5:01 pm Chapter 14 Chapter 16 The Lymphatic System and Immunity 466 The Urinary System 525 14.1 The Lymphatic System 467 16.1 Functions of the Urinary System 526 14.2 Innate Immunity 476 16.2 Anatomy of the Kidney 528 14.3 Features of Adaptive Immunity 482 16.3 Glomerular Filtration 534 14.4 Cellular and Humoral Immunity 487 16.4 Tubular Reabsorption and Secretion 539 Perspectives on Health 493 16.5 Water Conservation 541 Aging of the Lymphatic and Immune Systems 494 Perspectives on Health 543 Career Spotlight: Public Health Nurse 494 16.6 Urine Storage and Elimination 544 Connective Issues 495 16.7 Fluid, Electrolyte, and Acid–Base Balance 548 Study Guide 496 Aging of the Urinary System 553 Career Spotlight: Dialysis Technician 553 Connective Issues 554 PART 5 Study Guide 555 Intake and Output Chapter 17 The Digestive System 558 17.1 Overview of the Digestive System 559 17.2 The Mouth Through Esophagus 563 17.3 The Stomach 567 Perspectives on Health 574 17.4 The Liver, Gallbladder, and Pancreas 574 17.5 The Small Intestine 579 17.6 Chemical Digestion and Absorption 583 17.7 The Large Intestine 587 Aging of the Digestive System 591 Career Spotlight: Dental Hygienist 591 Connective Issues 592 Study Guide 593 © Susumu Nishinaga/Science Source Chapter 18 Chapter 15 Nutrition and Metabolism 596 The Respiratory System 499 18.1 Nutrition 597 15.1 Functions and Anatomy of the Respiratory System 500 Perspectives on Health 605 15.2 Pulmonary Ventilation 510 18.2 Carbohydrate Metabolism 606 Perspectives on Health 515 18.3 Lipid and Protein Metabolism 610 15.3 Gas Exchange and Transport 516 18.4 Metabolic States and Metabolic Rate 614 Aging of the Respiratory System 520 18.5 Energy Balance and Appetite Regulation 617 Career Spotlight: Respiratory Therapist 520 18.6 Body Heat and Thermoregulation 620 Connective Issues 521 Career Spotlight: Dietitian 624 Study Guide 522 Study Guide 625 viii sal65541_fm_i-xxii.indd 8 20/12/16 5:01 pm PART 6 Chapter 20 Human Life Cycle Human Development and Aging 672 20.1 Fertilization and Preembryonic Development 673 20.2 The Embryonic and Fetal Stages 680 Perspectives on Health 690 20.3 The Neonate 691 20.4 Aging, Senescence, and Death 696 Career Spotlight: Genetic Counselor 700 Study Guide 701 Appendix A: Answer Keys A-1 Appendix B: Health Science Careers A-8 Appendix C: Symbols, Weights, and Measures A-11 Appendix D: Biomedical Word Roots, Prefixes, and Suffixes A-13 Appendix E: Periodic Table of the Elements A-17 Glossary G-1 Index I-1 © David M. Phillips/Science Source Chapter 19 The Reproductive System 628 19.1 Essentials of Sexual Reproduction 629 19.2 The Male Reproductive System 630 19.3 The Female Reproductive System 638 19.4 The Production and Union of Sex Cells 646 Perspectives on Health 660 19.5 Pregnancy, Childbirth, and Lactation 661 Aging of the Reproductive System 667 Career Spotlight: Midwife 667 Connective Issues 668 Study Guide 669 ix sal65541_fm_i-xxii.indd 9 20/12/16 5:01 pm
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