GLOBAL GLOBAL EDITION EDITION For these Global Editions, the editorial team at Pearson has collaborated with educators across the world to address a wide range of subjects and requirements, equipping students with the best possible A learning tools. This Global Edition preserves the cutting-edge approach n aF and pedagogy of the original, but also features alterations, customization, tu o n and adaptation from the North American version. m d ya m & e Pn ht ya sls io o l of g y E EL DE IV Fundamentals of TE ION NT H Anatomy & Physiology BM a ra tr ht i on loi • m N ELEVENTH EDITION e wa t h Martini • Nath • Bartholomew This is a special edition of an established title widely used by colleges and universities throughout the world. Pearson published this exclusive edition for the benefit of students outside the United States and Canada. If you EG purchased this book within the United States or Canada, DL ITO you should be aware that it has been imported without IOB A the approval of the Publisher or Author. NL Pearson Global Edition Martini_11_129222987X_Final.indd 1 15/09/17 7:38 AM + Chapters Clinical Cases 1 An Introduction to Anatomy SmartArt Homeostatic Regulation Using A&P to Save a Life 48 and Physiology 47 2 The Chemical Level of Organization 73 What Is Wrong with My Baby? 74 3 The Cellular Level SmartArt Protein Synthesis: Transcription The Beat Must Go On! 112 of Organization Protein Synthesis: Translation 111 4 The Tissue Level of Organization 160 The Rubber Girl 161 5 The Integumentary System 198 He Has Fish Skin! 199 6 Bones and Bone Structure SmartArt Endochondral Ossification 226 A Case of Child Abuse? 227 The Hormones Regulating Calcium Ion Metabolism 7 The Axial Skeleton 254 Knocked Out 255 8 The Appendicular Skeleton 289 Timber!! 290 9 Joints 311 What’s the Matter with the Birthday Girl? 312 10 Muscle Tissue SmartArt Motor Units and Recruitment 337 Keep on Keepin’ on 338 Anaerobic vs Aerobic Production of ATP 11 The Muscular System 382 Downward-Facing Dog 383 12 Nervous Tissue 435 Did President Franklin D. Roosevelt Really Have Polio? 436 13 The Spinal Cord, Spinal Nerves, SmartArt The Reflex Arc Prom Night 480 and Spinal Reflexes 479 14 The Brain and Cranial Nerves 511 The Neuroanatomist’s Stroke 512 15 Sensory Pathways and the Somatic Nervous System 558 Living with Cerebral Palsy 559 16 The Autonomic Nervous System and Higher-Order Functions 581 Remember Me? 582 17 The Special Senses 611 A Chance to See 612 18 The Endocrine System SmartArt The Pancreas and Regulation 656 Stones, Bones, and Groans 657 of Blood Glucose 19 Blood 702 Crisis in the Blood 703 20 The Heart S martArt The Cardiac Cycle 734 A Needle to the Chest 735 The Conducting System of the Heart 21 Blood Vessels and Circulation 773 Did Ancient Mummies Have Atherosclerosis? 774 22 The Lymphatic System and Immunity SmartArt The Immune Response 831 Isn’t There a Vaccine for That? 832 23 The Respiratory System SmartArt Partial Pressures 880 No Rest for the Weary 881 24 The Digestive System SmartArt Structure and Function 930 An Unusual Transplant 931 of the Liver Lobule 25 Metabolism, Nutrition, and Energetics 985 The Miracle Supplement 986 26 The Urinary System SmartArt Structure of the Nephron 1022 A Case of “Hidden” Bleeding 1023 27 Fluid, Electrolyte, and Acid–Base Balance 1067 When Treatment Makes You Worse 1068 28 The Reproductive System 1101 And Baby Makes Three? 1102 29 Development and Inheritance 1149 The Twins That Looked Nothing Alike 1150 A01_MART9867_11_GE_VWT.indd 1 19/09/17 5:24 PM Spotlight Figures 1–2 Levels of Organization 2–4 Chemical Notation 3–1 Anatomy of a Model Cell 3–7 Protein Synthesis, Processing, and Packaging 3–22 Overview of Membrane Transport 3–23 Stages of a Cell’s Life Cycle 3–24 DNA Replication 4–21 Inflammation and Regeneration 5–3 The Epidermis 6–11 Endochondral Ossification 6–17 Types of Fractures and Steps in Repair 7–4 Sectional Anatomy of the Skull 8–14 Sex Differences in the Human Skeleton 9–2 Joint Movement 10–10 Events at the Neuromuscular Junction 10–11 Excitation-Contraction Coupling 10–12 The Contraction Cycle and Cross-Bridge Formation 11–3 Muscle Action 12–8 Processes that Produce the Resting Membrane Potential 12–13 Generation of an Action Potential 12–14 Propagation of an Action Potential 13–8 Structure, Function, and the Peripheral Distribution of Spinal Nerves (T – L) 13–14 Spinal Reflexes 1 2 14–4 Formation and Circulation of Cerebrospinal Fluid 15–8 Somatic Sensory Pathways 16–2 The Autonomic Nervous System 17–2 Olfaction and Gustation 17–13 Refractive Problems 17–16 Photoreception 18–2 Structural Classification of Hormones 18–3 G Proteins and Second Messengers 18–18 Diabetes Mellitus 18–20 The General Adaptation Syndrome 19–1 The Composition of Whole Blood 19–8 Hemolytic Disease of the Newborn 20–9 Heart Disease and Heart Attacks 20–13 Cardiac Arrhythmias 21–33 Congenital Heart Problems 22–21 Cytokines of the Immune System 23–13 Pulmonary Ventilation 23–25 Control of Respiration 24–15 The Regulation of Gastric Activity 24–27 The Chemical Events of Digestion 25–4 The Electron Transport Chain and ATP Formation 25–10 Absorptive and Postabsorptive States 26–16 Summary of Renal Function 27–18 The Diagnosis of Acid–Base Disorders 28–12 Hormonal Regulation of Male Reproduction 28–24 Hormonal Regulation of Female Reproduction 29–5 Extra-embryonic Membranes and Placenta Formation A01_MART9867_11_GE_VWT.indd 2 19/09/17 5:24 PM Get Ready for a Whole New Mastering Experience NEW! Ready-to-Go Teaching Modules help instructors find the best assets to use before, during, and after class to teach the toughest topics in A&P. Created by teachers for teachers, these curated sets of teaching tools save you time by highlighting the most effective and engaging animations, videos, quizzing, coaching and active learning activities from Pearson Mastering A&P. A01_MART9867_11_GE_VWT.indd 3 19/09/17 5:24 PM Help Students Use Art More Effectively NEW! SmartArt Videos help students navigate select, complex pieces of art for some of the toughest topics in A&P. Author Kevin Petti walks students through several figures and provides additional background and detail. The videos can be accessed via QR codes in the book and offer accompanying assignments through Pearson Mastering A&P. A01_MART9867_11_GE_VWT.indd 4 19/09/17 5:24 PM Title Spotlight Figures provide highly visual one- and two-page presentations of tough topics in the book, with a particular focus on physiology. SPOTLIGHT Figure 10–11 > Go to Pearson Mastering > Study Area > Menu > Animations & Videos > NEW! Pearson ™ > A&P > Excitation-Contraction Coupling Excitation–Contraction Coupling Mastering A&P references within the Action potential chapter direct students to specific digital resources, 1 Neural Control Axon terminal such as tutorials, Excitation Excitation Sarcolemma A skeletal muscle fiber contracts animations, and videos, when stimulated by a motor neuron at a neuromuscular junction. The T tubule Cytosol that will help further their stimulus arrives in the form of an action potential at the axon terminal. understanding of key Sarcoplasmic reticulum concepts in the course. 2 Calcium Excitation ion release The action potential causes the release Ca2+ Ca2+ ATP of ACh into the synaptic cleft, which leads to excitation—the production of an action potential in the sarcolemma. 3 Release of Calcium Ions Thick-thin This action potential travels along the filament interaction sarcolemma and down T tubules to the Ca2+ Myosin tail triads. This triggers the release of (thick filament) calcium ions (Ca2+) from the terminal cisternae of the sarcoplasmic reticulum. Tropomyosin Cross-bridge Troponin formation G-actin Ca2+ 4 Contraction Cycle Begins (thin filament) Ca2+ Nebulin The contraction cycle begins when Active site the calcium ions (Ca2+) bind to troponin, resulting in the exposure of the active sites on the thin filaments. This allows cross-bridge formation and will In a resting sarcomere, the When calcium ions enter Cross-bridge continue as long as ATP is available. tropomyosin strands cover the sarcomere, they bind to formation then (See Spotlight Figure 10-11 for the the active sites on the thin troponin, which rotates and occurs, and the filaments, preventing swings the tropomyosin contraction cycle details of the contraction cycle.) cross-bridge formation. away from the active sites. begins. 5 Sarcomere Shortening Muscle fiber contraction As the thick and thin filaments interact, the sarcomeres shorten, pulling the ends of the muscle fiber closer together. leads to 6 Generation of Muscle Tension Tension production During the contraction, the entire skeletal muscle shortens and produces a pull, or tension, on the tendons at either end. M10_MART9867_11_GE_C10.indd 352 21/08/17 10:59 AM A01_MART9867_11_GE_VWT.indd 5 19/09/17 5:24 PM Systems Integration in the Classroom NEW! Build Your Knowledge features show how each body system influences the others. As students progress through the book, they will build their knowledge about how the body systems work together to maintain homeostasis. A01_MART9867_11_GE_VWT.indd 6 19/09/17 5:24 PM and Beyond Title Clinical Cases get students motivated for their future careers. + CLINICAL CASE He Has Fish Skin! Each chapter opens with a story-based Clinical Case I shook his hand and immediately I knew lasted all of 15 minutes and then Grandpa related to the chapter content something was different about him. When brought the gang back to the air-conditioned Will clasped my hand between both of his, I comfort of the house. He sank back into the and ends with a Clinical Case felt like my hand was sandwiched between recliner. He was flushed and breathing hard, two sheets of thick, shaggy sandpaper. There but his shirt stayed dry and crisp—there Wrap-Up. was none of the moistness or warmth of a wasn’t a bead of sweat visible on him. The usual handshake. These hands belonged to boys climbed onto his lap, laughing, as he Grandpa Will. encircled them with those coarse hands. Grandpa Will’s grandsons adored him, “Oh, Grandpa, you feel like a fish!” What is and the feeling was mutual! They lured him happening with Grandpa Will’s integu- into chasing them around the backyard. mentary system? To find out, turn to the Because it was a hot summer day, play Clinical Case Wrap-Up on p. 225. 5 An Introduction to the Integumentary The general functions of the integumentary system, which System are summarized in Figure 5–2, include the following: You are probably more familiar with the skin than with any ■■ Protection of underlying tissues and organs against impact, other organ system. No other organ system is as accessible, abrasion, fluid loss, and chemical attack. large, and underappreciated as the integumentary system. ■■ Excretion of salts, water, and organic wastes by glands. Often referred to simply as the integument (in-TEG-u.-ment), ■■ Maintenance of normal body temperature through either insu- this system makes up about 16 percent of your total body lation or evaporative cooling, as needed. weight. Its surface, 1.592 m2 16.1921.5 sq. ft. in area, is con- ■■ Production of melanin, which protects underlying tissue from tinually abraded, attacked b1y microorganism2s, irradiated by ultraviolet (UV) radiation. sunlight, and exposed to environmental chemicals. The integu- mentary system is your body’s first line of defense against an ■■ Production of keratin, which protects against abrasion and repels water. often hostile environment. It’s the place where you and the outside world meet. ■■ Synthesis of vitamin D3, a steroid that is converted to calcitriol, The integumentary system has two major parts: the cuta- a hormone important to normal calcium ion metabolism. neous membrane, or skin, and the accessory structures ■■ Storage of lipids in adipocytes in the dermis and in adipose (Figure 5–1). tissue in the subcutaneous layer. 1. The cutaneous membrane has two components: the epider- ■■ Detection of touch, pressure, pain, vibration, and tempera- mis (epi-, above), or superficial epithelium, and the dermis, ture stimuli, and the relaying of that information to the 2. aTnh eu nacdceerslsyoinryg satrreuac toufr ecso ninncelcutdiveeC htaisislru iaenns.di hcaira folll icNles,o exot-es anppreoprvvoiedueas isnryf sotwermmi.at (thiWoinen ca obnosuitd tehr et heexstee rgneanle eranlv siernosnems, ewnhti, cihn crine glands, and nails. They aree emvbeerdyde dc ihn athpe dteermr isa nd eCxhpapatenr 1d5. )upon and project up to or above the sutrofapce iocf sth ej uepsidte rmdiiss. cuss■■eCdoo.r dTinhatieony o f the immune response to pathogens and The integument does not function in isolation. An exten- cancers in the skin. sive network of blood vessels branpchrees tsheronugth dthies deearmsise. s and pathologies Nerve fiber endings and sensory recepatolros mnogn itwor ittohuc ht, hpreesi-r rel5a-t1io Tnhseh eipp itdoe rmis is a protective sure, temperature, and pain, providing valuable information to covering composed of layers with the central nervous system about then stoater mof tahel bfoudyn.ction. various functions Deep to the dermis is a layer of loose connective tissue called the subcutaneous layer (hypodermis). The subcutaneous Learning Outcome Describe the main structural features of the layer separates the integument from the deep fascia around epidermis, and explain the functional significance of each. other organs, such as muscles and bones. p. 179 Although The epidermis is a stratified squamous epithelium. Recall from the subcutaneous layer is often considered separate from the Chapter 4 that such an epithelium provides physical protection integument, we will consider it in this chapter because its con- for the dermis, prevents water loss, and helps keep microorgan- nective tissue fibers are interwoven with those of the dermis. isms outside the body. p. 167 199 M05_MART9867_11_GE_C05.indd 199 21/08/17 10:47 AM Clinical Terms end every chapter with a list of relevant clinical terms and definitions. A01_MART9867_11_GE_VWT.indd 7 19/09/17 5:24 PM Continuous Learning Before, During, and After Class Dynamic Study Modules enable students to study more effectively on their own. With the Dynamic Study Modules mobile app, students can quickly access and learn the concepts they need to be more successful on quizzes and exams. NEW! Instructors can now select which questions to assign to students. NEW! SmartArt Videos help students navigate some of the complex figures in the text. They are accessible via QR code in the book and are assignable in Pearson Mastering A&P. A01_MART9867_11_GE_VWT.indd 8 19/09/17 5:24 PM with Pearson Mastering A&P™ Title Learning Catalytics is a “bring your “My students are so busy and engaged own device” (laptop, smartphone, or tablet) answering Learning Catalytics questions engagement, assessment, and classroom during lecture that they don’t have time intelligence system. Students use their device for Facebook.” to respond to open-ended questions and —Declan De Paor, Old Dominion University then discuss answers in class based on their responses. A01_MART9867_11_GE_VWT.indd 9 19/09/17 5:24 PM