2927T_fm_i-xxiv.qxd 11/20/08 5:48 AM Page iv 2927T_fm_i-xxiv.qxd 11/20/08 5:48 AM Page i eighth edition Introduction to the Human Body the essentials of anatomy and physiology GERARD J. TORTORA Bergen Community College BRYAN DERRICKSON Valencia Community College JOHN WILEY & SONS, INC. 2927T_fm_i-xxiv.qxd 11/20/08 5:48 AM Page ii Executive Editor Bonnie Roesch Project Editor Lorraina Raccuia Executive Marketing Manager Clay Stone Development Editor Karen Trost Production Manager Lucille Buonocore Senior Production Editor Elizabeth Swain Cover Designer Madelyn Lesure Text Designer Karin Gerdes Kincheloe Senior Illustration Editor Anna Melhorn Photo Manager Hilary Newman Senior Media Editor Linda Muriello Media Project Manager Bonnie Roth Program Assistant Lauren Morris Outside Production Manager Suzanne Ingrao Cover image ©2005 Lois Greenfield Illustration and photo credits follow the Glossary. This book was typeset by Aptara®, Inc., and printed and bound by Quebecor Dubuque. The cover was also printed by Quebecor Dubuque. The paper in this book was manufactured by a mill whose forest management programs include sustained yield harvesting of its timberlands. Sustained yield harvesting principles ensure that the number of trees cut each year does not exceed the amount of new growth. Copyright © 2010, 2007, 2004, 2001, 1997, 1994, 1991, 1987 by Biological Sciences Text- books, Inc. and Bryan Derrickson This title published by John Wiley & Sons, Inc. 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, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copy- right Act, without either the prior written permission of the Publisher or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (508) 750-8400, fax (508) 750-4470. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 605 Third Avenue, New York, NY 10158-0012, (212)805-6008, E-mail: [email protected]. Library of Congress Cataloging-in-Publication Data Tortora, Gerard J. Introduction to the human body: the essentials of anatomy and physiology / Gerard J. Tortora, Bryan Derrickson. — 8th ed. p. cm. Includes index. ISBN 978-0-470-23016-9 (cloth) 1. Human physiology. 2. Human anatomy. I. Derrickson, Bryan. II. Title. QP36.T67 2010 612—dc22 2008036347 Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 2927T_fm_i-xxiv.qxd 11/20/08 5:48 AM Page iii ABOUT THE AUTHORS Jerry Tortora Above all, Jerry is devoted to his students and their aspi- is Professor of Biology and rations. In recognition of this commitment, Jerry was the re- former Biology Coordinator cipient of MACUB’s 1992 President’s Memorial Award. In at Bergen Community Col- 1996, he received a National Institute for Staff and Organiza- lege in Paramus, New Jersey, tional Development (NISOD) excellent award from the Uni- where he teaches human versity of Texas and was selected to represent Bergen Com- anatomy and physiology as munity College in a campaign to increase awareness of the well as microbiology. He re- contributions of community colleges to higher education. ceived his bachelor’s degree in Jerry is the author of several best-selling science text- biology from Fairleigh Dickinson University and his master’s books and laboratory manuals, a calling that often requires an degree in science education from Montclair State College. additional 40 hours per week beyond his teaching responsibil- He is a member of many professional organizations, includ- ities. Nevertheless, he still makes time for four or five weekly ing the Human Anatomy and Physiology Society (HAPS), aerobic workouts that include biking and running. He also the American Society of Microbiology (ASM), American As- enjoys attending college basketball and professional hockey sociation for the Advancement of Science (AAAS), National games and performances at the Metropolitan Opera House. Education Association (NEA), and the Metropolitan Associa- tion of College and University Biologists (MACUB). Bryan Derrickson Learning Academy), which sets the standards for the acquisi- is Professor of Biology at Va- tion of tenure by faculty members. Nationally, he is a mem- lencia Community College in ber of the Human Anatomy and Physiology Society (HAPS) Orlando, Florida, where he and the National Association of Biology Teachers (NABT). teaches human anatomy and Bryan has always wanted to teach. Inspired by several physiology as well as general biology professors while in college, he decided to pursue biology and human sexuality. physiology with an eye to teaching at the college level. He is He received his bachelor’s degree in biology from More- completely dedicated to the success of his students. He par- house College and his Ph.D. in Cell Biology from Duke ticularly enjoys the challenges of his diverse student popula- University. Bryan’s study at Duke was in the Physiology Divi- tion, in terms of their age, ethnicity, and academic ability, and sion within the Department of Cell Biology, so while his de- finds being able to reach all of them, despite their differences, gree is in Cell Biology his training focused on physiology. At a rewarding experience. His students continually recognize Valencia, he frequently serves on faculty hiring committees. Bryan’s efforts and care by nominating him for a campus He has served as a member of the Faculty Senate, which is award known as the “Valencia Professor Who Makes Valencia the governing body of the college, and as a member of the A Better Place To Start.” Bryan has received this award three Faculty Academy Committee (now called the Teaching and times. iii 2927T_fm_i-xxiv.qxd 11/20/08 5:48 AM Page iv 2927T_fm_i-xxiv.qxd 11/20/08 5:48 AM Page v PREFACE Introduction to the Human Body: The Essentials of Anatomy and Physiology, Eighth Edition, is designed for courses in hu- man anatomy and physiology or in human biology. It assumes no previous study of the human body. The successful approach of the previous editions—to provide students with a basic understanding of the structure and functions of the human body with an emphasis on homeostasis—has been retained. In the development of the eighth edition, we focused on improving the ac- knowledged strengths of the text. Most importantly, our students continue to remind us of • Chapter 9 A fully revised chapter that provides a their needs for—and of the power of—simplicity, directness, clearer understanding of nervous tissue structure and and clarity. To meet these needs, each chapter has been writ- function. ten and revised to include: • Chapter 10 Revisions that clarify how the brain and • clear, compelling, and up-to-date discussions of anatomy spinal cord process sensory and motor information. and physiology • Chapter 17 Significantly revised sections on cell-medi- • expertly executed and generously sized art ated immunity and antibody-mediated immunity along with updated illustrations. • classroom-tested pedagogy • Chapter 21 Revised sections on tubular reabsorption • outstanding student study support and tubular secretion. As we revised the content for this edition we kept our fo- All clinical applications have been reviewed for currency cus on these important criteria for success in the anatomy and have been redesigned into Clinical Connection Boxes, and physiology classroom and have refined or added new ele- to be more easily recognizable within the chapter content. ments to enhance the teaching and learning process. Many of the entries in the Common Disorders sections at NEW TO THIS EDITION chapters’ end now have new illustrations. All Medical Ter- minology and Conditions sections, also at the end of chap- TEXT UPDATES ters, have been updated. Every chapter in this edition of Principles of Anatomy and ART AND DESIGN Physiology incorporates a host of improvements to both the text and the art developed by us and suggested by reviewers, The simple design of the eighth edition allows the illustra- educators, or students. Some noteworthy text changes in- tions to be the focal point on each page. Each page or 2-page clude the following: spread is carefully laid out to place related text, figures, and tables near one another, minimizing the need for page turn- • Chapter 3 A revision of the section on transport across ing while reading a topic. You’ll notice the re-design for the the plasma membrane, which now begins with a discus- updated Clinical Connections within each chapter. sion of passive processes (simple diffusion, facilitated dif- An outstanding illustration program has always been a fusion, and osmosis) followed by a discussion of active signature feature of this text. Beautiful artwork, carefully processes (primary active transport, secondary active chosen photographs and photomicrographs, and unique ped- transport, and transport in vesicles, which includes endo- agogical enhancements all combine to make the visual appeal cytosis, exocytosis, and transcytosis). and usefulness of the illustration program in Introduction to • Chapter 5 A new section on tattooing and body pierc- the Human Bodydistinctive. ing and a revised section on sun damage. Continuing in this tradition, you will find exciting new three-dimensional illustrations gracing the pages of nearly • Chapter 6 A revised section on bone formation. every chapter in the text. Significantly, all of the illustrations • Chapter 7 Revised discussions of fibrous joints, types in Chapter 7 on the skeleton are new, as well as all of the il- of synovial joints, and a new section on knee replace- lustrations in Chapter 8 on muscles. These new illustrations ments. are among the best that we have ever seen in an anatomy and physiology textbook and truly support the visual learner in • Chapter 8 A revised discussion of connective tissue meeting the challenge of learning so many anatomical components. structures. v 2927T_fm_i-xxiv.qxd 11/21/08 1:24 AM Page vi vi Preface Thoughtful revisions have been made to many of the figures depicting both anatomy and physiology throughout the text. These include enhanced use of color for visual impact Epicranial aponeurosis OCCIPITO- and to better engage students, and clarifying details for better FRONTALIS (FRONTAL BELLY) understanding of processes. New or revised illustrations can TEMPORALIS ORBICULARIS be found in nearly every chapter of the text. Photomicro- OCULI Nasalis graphs and cadaver photographs are included throughout as OCCIPITOFRONTALIS (OCCIPITAL BELLY) well, and are often paired with an illustration to provide even Zygomatic arch ZMYAGJOORMATICUS more clarity for students. Mandible BUCCINATOR MASSETER ORBICULARIS ORIS Sternocleidomastoid Depressor labii inferioris LEVATOR SCAPULAE LEVATOR SCAPULAE Trapezius Clavicle 3 First rib PLATYSMA TRAPEZIUS 4 5 6 Scapula 7 Right lateral superficial view 1 PECTORALIS MINOR 2 Humerus Sternum 3 Sagittal suture SERRATUS 4 ANTERIOR SERRATUS Coronal suture ANTERIOR 5 FRONTAL BONE Ribs 6 6 PARIETAL BONE External intercostals 7 7 SPHENOID BONE Optic foramen (canal) Internal Rectus intercostals 8 abdominis 8 Squamous suture (cut) Orbit TEMPORAL BONE 9 9 10 10 LACRIMAL BONE NASAL BONE ETHMOID BONE PALATINE BONE (a) Anterior deep view (b) Anterior deeper view Pofe erpthemndoiicdu blaorn pelate Middle nasal concha RENAL CORPUSCLE ICNG O Fl o NE m1CR0e5HIr–Ou1AlaR2 r5 fNmiltALra/SmtiAionnL o rf afltuei:d that is ZYGOMATIC BONE isotonic to blood Antigen-presenting VF O i l tM esroEeludRt essu bpsretasenncte isn: bwloaotedr (aenxdc eapllt MAXILLA cell (APC) PROXIMAL CONVOLUTED TUBULE parmoitneoin as)c iidnsc,l ucdreinagt inioinnes,, gulruicc oasceid, Reabsorption (into blood) of filtered: Costimulation Arenctoiggennition WNK+aa + t e r 666555%%% (osmosis) MECReAOenaRNbtLVasYOlo fPrLopUArtRaTioETmnD Oe( iTnFnUt oDB IbSUloTLoAEdL) of: MANDIBLE Ihnealpcteivre HGACUmIrCl–ue Oica n o 3o –s ae c i d s 118550000000%–%%%90% CWNCaaIa–+2 t+ e r 155v0a%%–ri1a5b%le ((sotsimmuolsaitse)d by (b) Anterior view T cell Ca2+, Mg2+ variable parathyroid hormone) Secretion (into urine) of: H+ variable LTAUSBTU LPEA RATN DO FC ODILSLTEACLT CINOGN DVUOCLUTTED MHC Ammonia variable Reabsorption (into blood) of: Urea variable Water 5–9% (insertion of water Antigen Tan cteigllen Creatinine small amount cAhDaHn)nels stimulated by Ahecltpivearted InactTiv ec ehllelperreceptor ReabsorpLtiOoOn P(i nOtoF bHloEoNdL) Eof: H NCa+O 3 – voa1anl–dr 4iHoa%s+b tls ee(ers oactinrmmeeotu)ioulanntte, dd ebpyends T cell Water 15% (osmosis in Urea variable descending limb) Secretion (into urine) of: Na+ 20–30% (ascending limb) K+ variable amount to C(plroonliafel rsaetlieocnt iaonnd CKHC+aCI– 2 O + , 3 M– g 2 + 2v13a005r–%–ia32 b00(al%%es c(eansdceinngd liinmgb l)imb) Urine H + v(amhlaedoaramjuiiankseatbtao glefisnoe t raa ac smdchiiisaeod ntu–(aHnnbre+tays l sps inteu)otmakpes) differentiation) Secretion (into urine) of: Tubular fluid leaving the collecting duct is dilute when ADH level is low and Urea variable concentrated when ADH level is high. Formation of helper T cell clone: MP3 DOWNLOADS An exciting new feature has been added to the illustration program for this edition. MP3 Active helper T cells Memory helper T cells (secrete IL-2) (long-lived) downloads linked to identified illustrations in each chapter give the students the opportunity to hear while they study—as they would in lec- ture—about the importance and relevance of the structures or concepts that are depicted. These illustrations are identi- fied in each chapter by a distinctive icon. 2927T_fm_i-xxiv.qxd 11/21/08 12:42 AM Page vii Preface vii COMPLETE TEACHING AND LEARNING POWERANATOMY by Allen, Harper and Baxley Developed in PACKAGE conjunction with Primal Pictures, U.K., this online human anatomy laboratory manual combines beautiful 3-D images The eighth edition of Introduction to the Human Body is ac- of the human body with text, exercises, and review questions companied by a host of dynamic resources designed to help focused on the undergraduate anatomy and anatomy & phys- you and your students maximize your time and energy. iology student. Users can rotate the images, click on linked Please contact your Wiley representative for details about terms to see structures, and then answer self-assessment these and other resources or visit our website at www.wiley questions to test their knowledge. .com/college/tortora. WILEYPLUS is a powerful online tool that NEW!—REAL ANATOMY provides students and instructors with an Mark Nielsen and Shawn Miller of the University of Utah integrated suite of teaching and learning led a team of media and anatomical experts in the creation of resources in one easy-to-use website. With this powerful new DVD, Real Anatomy. Their extensive ex- WileyPLUS, students will come to class better prepared for perience in undergraduate anatomy classrooms and cadaver your lectures, get immediate feedback and context-sensitive laboratories as well as their passion for the subject matter help on assignments and quizzes, and have access to a full shine through in this new, user-friendly program with its in- range of interactive learning resources, including a complete tuitive interface. The 3-D imaging software allows students online version of their text. A description of some of the re- to dissect through numerous layers of a three-dimensional sources available to students within WileyPLUS appears on real human body to study and learn the anatomical structures the front endpapers of this text. Instructors benefit as well; all of all body systems from multiple perspectives. Histology is of the tools and resources to prepare and present dynamic lec- viewed via a virtual microscope at varied levels of magnifica- tures as well as assess student progress and learning are in- tion. Professors can use the program to capture and cus- cluded. New within WileyPLUS, Quickstart is an organizing tomize images from a large database of stunning cadaver tool that makes it possible for you to spend less time preparing photographs and clear histology micrographs for presenta- lectures and grading quizzes and more time teaching and in- tions, quizzing, or testing. teracting with students. Ask your sales representative to set you up with a test drive, or view a demo online. INTERACTIONS: EXPLORING THE FUNCTIONS OF THE HUMAN BODY 3.0 by Lancraft et. al. Covering all body sys- NEW! ESSENTIALS LAB MANUAL within WILEYPLUS tems, this dynamic and highly acclaimed program includes This unique web-based lab manual includes 32 exercises anatomical overviews linking form and function; rich anima- specifically designed to help students apply their knowledge tions of complex physiological processes, a variety of creative of anatomy and physiology, which can be used in a laboratory interactive exercises, concept maps to help students make the classroom or an online or hybrid laboratory section. connections, and animated clinical case studies. The 3.0 re- lease boasts enhancements based on user feedback, including VISUAL LIBRARY FOR ANATOMY AND PHYSIOLOGY 4.0 A coverage of ATP; the building blocks of proteins; and der- cross-platform DVD includes all of the illustrations from the matomes; a new overview on Special Senses; cardiac muscle; textbookinthreeformats:labeled,unlabeled,andunlabeledwith and a revised animation on muscle contraction. Interactions is leader lines. The Visual Library also contains many additional available in one DVD or in a web-based version, and is fully in- illustrations and photographs that could easily enhance lecture tegrated into WileyPLUS. orlab.Searchforimagesbychapter,orbyusingkeywords. POWERPHYS by Allen, Harper, Ivlev, and Lancraft. This ex- COMPANION WEBSITES A dynamic website for students, ceptional resource includes ten self-contained lab modules for rich with many activities for review and exploration, includes exploring physiological principles. Each module contains ob- self-quizzes for each chapter, review exercises, and weblinks. jectives with illustrated and animated review material, pre-lab An access code is bundled with each new text. A dedicated quizzes, pre-lab reporting, data collection and analysis, and a companion website for instructors provides many resources full lab report with discussion and application questions. Ex- for preparing and presenting lectures. Additionally, this web- periments contain randomly generated data, allowing users to site provides a web version of the Visual Library for Anatomy experiment multiple times, but still arrive at the same conclu- and Physiology, additional critical thinking questions with an- sions. Available as a stand-alone product, PowerPhys is also swers, an editable test bank, a computerized test bank, trans- bundled with every new copy of the Allen and Harper Human parencies on demand, and clicker questions. These websites Anatomy and PhysiologyLaboratory Manual. can be accessed through www.wiley.com/college/tortora. 2927T_fm_i-xxiv.qxd 11/20/08 5:49 AM Page viii ESSENTIALS OF ANATOMY AND PHYSIOLOGY LABORATORY Laboratory Guide are available to package at no additional MANUAL by Allen and Harper This brief manual has been cost with the main laboratory manual or as stand-alone dis- design specifically to focus on the needs of a one-semester section guides, depending on your dissection needs. course and to minimize the expense to the-student of an expanded full-color manual for use in a lab. The clear and consise presentation of very hands-on activities and experi- PHOTOGRAPHIC ATLAS OF THE HUMAN BODY 2E by Tortora ments enhances students’ ability to both visualize anatomical This resource is loaded with excellent cadaver photographs structures and understand key physiological topics. The and micrographs. The high-quality imagery can be used in Cat Dissection Laboratory Guide and Fetal Pig Dissection the classroom, laboratory, or for studying and review.