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Essential Study Partner for Anatomy and Physiology is a R&D Center is the opportunity to see what new text- complete buy naprosyn 250mg fast delivery, interactive student study tool packed with hun- books purchase 250mg naprosyn visa, animations cheap naprosyn 500 mg on line, and simulations McGraw-Hill is work- dreds of animations and more than 800 learning activities buy 250 mg naprosyn amex. You can teractive diagrams and quizzes make learning core concepts also learn about other opportunities to review as well as stimulating and fun cheap naprosyn 250 mg with amex. This manual also includes a list- Human Anatomy, Sixth Edition ing of transparencies and multimedia resources that correlate with Kent Van De Graaff has authored a comprehensive laboratory each text chapter and provides answers to the Knowledge Check, manual specifically designed to accompany Human Anatomy, sixth Essay, and Critical Thinking questions that appear in the text. This laboratory manual emphasizes learning anatomical structures through visual observation, palpation, and knowledge of Test Item File the functional relationship of one body system to another. It fo- The Test Item File contains fill-in-the-blank, multiple choice, cuses primarily on the human organism, but also contains cat dis- and true/false questions specifically designed to complement sections and selected organ dissections. Instructors using WebCT, Blackboard, Human Anatomy text, the companion lab manual utilizes a well- or PageOut can access the Test Item File online. Coloring and labeling activities placed throughout the chapters reinforce recognition of anatomical structures, and labo- MicroTest is a computerized test generator that is free upon re- ratory reports at the end of each chapter encourage students to quest to qualified adopters. The test generator contains the com- synthesize concepts covered in both lab and lecture. MicroTest requires no programming experience and is designed to work on both Win- dows and Macintosh platforms. Instructor’s Manual ® for the Laboratory Manual This online manual is housed within the instructor Online Learning Center. It provides answers to the lab report questions, PageOut is McGraw-Hill’s exclusive tool for creating your own as well as overviews on how to present each laboratory exercise, website for your anatomy course. It requires no knowledge of materials lists, and additional topics for discussion. Transparencies This set of transparency acetates includes 200 full-color illustra- In addition to the materials specifically designed to accom- tions from the text that have been chosen for their value in rein- pany Human Anatomy, McGraw-Hill offers the following supple- forcing lecture presentations. Visual Resource Library Regional Human Anatomy: A Laboratory Workbook For Accessed through the instructor site at the Online Learning Use With Models and Prosections by Frederick E. Grine, Center and also available on CD-ROM, the Visual Resource Li- State University of New York—Stony Brook. Organized with a brary contains labeled and unlabeled versions of the key illustra- regional approach to human anatomy, this workbook utilizes tions and photos from the book, as well as all tables. You can coloring and labeling activities to simplify the learning of quickly preview images and incorporate them into PowerPoint or anatomy. Brief text descriptions of key anatomical structures other presentation programs to create your own multimedia pre- are grouped with detailed illustrations that can be colored and sentations. You can also remove and replace labels to suit your labeled to reinforce the material presented. Instructor’s Manual Anatomy and Physiology Laboratory Manual-Fetal Pig by Accessed via the Online Learning Center, the instructor’s manual Terry R. Prince provides in- color photos of the dissected fetal pig with corresponding labeled structional support in the use of the textbook. This online multimedia program contains vivid, high- emphasizes learning through the process of color association. The program helps The Coloring Guide provides a thorough review of anatomical students easily identify and review the corresponding struc- and physiological concepts. A set of two interactive CD- ROMs that cover each body system and demonstrate clinical ACKNOWLEDGMENTS concepts, histology, and physiology with animated three- Preparing a new edition of a text is a formidable task that in- dimensional and other images. And in the case of this text, even family members were Paolini, San Diego State University. My sincere gratitude is extended to faculty and stu- full-color, high-resolution light micrograph images and 35 scan- dents who have used previous editions of this text and have ning electron micrograph images of selected tissue sections typi- taken the time to suggest ways to improve it. Each image has labels thinking of others who will be using the text in the future, and at that can be clicked on or off, has full explanatory legends, offers the same time, ensuring a future for the text. Ronald Galli, colleagues at Weber State University, who were especially supportive of my efforts in preparing this edition. Feedback from conscientious students is espe- logical processes that are narrated and animated in vibrant cially useful and appreciated. Several physicians contributed clinical input to this edi- Life Science Animations (LSA) videotape series contains 53 tion.

Muscular System © The McGraw−Hill Anatomy 250 mg naprosyn with visa, Sixth Edition Companies 500 mg naprosyn fast delivery, 2001 290 Unit 4 Support and Movement (a) (b) (c) (d) FIGURE 9 purchase 500mg naprosyn with mastercard. Muscular System © The McGraw−Hill Anatomy buy naprosyn 500 mg online, Sixth Edition Companies cheap naprosyn 250mg online, 2001 Chapter 9 Muscular System 291 FIGURE 9. Muscular System © The McGraw−Hill Anatomy, Sixth Edition Companies, 2001 292 Unit 4 Support and Movement FIGURE 9. Source: From Hollingsworth JW, Hashizuma A, Jabbn S: Correlations Between Tests of Aging in Hiroshima Subjects: An Attempt to Define Physiologic Age. She also notes pain in the area order a CT scan (L = lumbar vertebrae; P = of her left hip and left lower quadrant of her psoas major muscle). On physical exam, she has a QUESTIONS PP L mild fever and slight tenderness on the left 1. What is the fluid collection indicated side of her abdomen, and you note that by the arrow on the CT scan? Muscular System © The McGraw−Hill Anatomy, Sixth Edition Companies, 2001 Chapter 9 Muscular System 293 CLINICAL PRACTICUM 9. Why is the knee held in a slightly superiorly displaced, and the knee is ex- flexed position? Most hernias occur in the normally injection into a heavily muscled area to muscle. The most common shinsplints Tenderness and pain on the four common hernia types: site is the buttock. Motor neurons conduct nerve impulses to and the maintenance of posture and body the more movable attachment. Muscle bundles, called impulses away from the muscle fiber to all muscle tissue are irritability, fasciculi, are covered by perimysium. Muscles muscles include those that act on the that oppose or reverse the actions of other girdles and those that move the segments muscles are antagonists. Muscular System © The McGraw−Hill Anatomy, Sixth Edition Companies, 2001 294 Unit 4 Support and Movement Skeletal Muscle Fibers and Types of (d) The A bands stay the same length Naming of Muscles (pp. Each skeletal muscle fiber is a and thin) do not shorten during of shape, location, attachment, multinucleated, striated cell. Most muscles are paired; that is, the right membrane called a sarcolemma. The neuromuscular junction is the area a Z line, and the subunit between two consisting of the motor end plate and the Muscles of the Axial Skeleton Z lines is called the sarcomere. They are summarized in the thin (actin) myofilaments over and and the muscle fibers it innervates. An eyebrow is drawn toward the midline the quadriceps femoris muscle may act on (a) one motor unit per muscle fiber. Which of the following is not used as a (c) the nasalis (d) the vastus lateralis means of naming muscles? A flexor of the shoulder joint is flexes the ankle joint and inverts the foot (b) action (a) the pectoralis major. Muscular System © The McGraw−Hill Anatomy, Sixth Edition Companies, 2001 Chapter 9 Muscular System 295 Essay Questions 10. Give three examples of synergistic muscle 17–year-old male lost function of his right multinucleated. Describe the special characteristics of identify the antagonistic muscle group happen to the function of the affected muscle tissue that are essential for muscle for each. Define fascia, aponeurosis, and compartments of the muscles of the muscles relative to the shoulder, elbow, retinaculum. Based on function, describe exercises that the muscle fibers and fasciculi within fossa. Describe the structures that are would strengthen the following muscles: muscle. Firmly press your fingers on the front, (c) the triceps, (d) the pronator teres, disadvantages of pennate-fibered muscles?

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Its distinctive feature is pericardial friction rub purchase naprosyn 500mg without a prescription, a transi- racic artery and the great saphenous vein generic naprosyn 250mg online. The most common cause of myocardial ischemia is athero- sclerosis of the coronary arteries buy cheap naprosyn 250 mg online. The adequacy of blood flow is which also may be referred to the left shoulder and arm discount naprosyn 500mg on line, as well relative—it depends on the metabolic requirements of the tissue as to other areas cheap 250 mg naprosyn. People with angina frequently take nitroglycerin may allow sufficient blood flow at rest but may produce ischemia or related drugs that help relieve the ischemia and pain. These when the heart is stressed by exercise or emotional factors drugs are effective because they stimulate vasodilation, which (fig. In patients with this condition, angioplasty or coro- improves circulation to the heart and decreases the work that the nary artery bypass surgery may be performed (fig. Myocardial ischemia is associated with increased concen- Myocardial cells are adapted to respire aerobically and can- trations of blood lactic acid produced by anaerobic respiration of not respire anaerobically for more than a few minutes. This condition often causes substernal pain, chemia and anaerobic respiration continue for more than a few Van De Graaff: Human VI. Circulatory System © The McGraw−Hill Anatomy, Sixth Edition Body Companies, 2001 Chapter 16 Circulatory System 595 FIGURE 16. Lumen of vessel minutes, necrosis (cellular death) may occur in the areas most de- prived of oxygen. A sudden, irreversible injury of this kind is called a myocardial infarction, or MI. Myocardial ischemia may be detected by characteristic (a) changes in the ECG (fig. The diagnosis of myocardial in- farction is aided by examining the blood concentration of vari- ous enzymes that are released from the damaged cells. Vascular Disorders Atherosclerotic plaques Hypertension, or high blood pressure, is the most common type of vascular disorder. In hypertension, the resting systolic blood pressure exceeds 140 mmHg and the diastolic exceeds 90 mmHg. An estimated 22 million adult Americans are afflicted by hyper- tension. About 15% of the cases are the result of other body problems, such as kidney diseases, adrenal hypersecretion, or ar- teriosclerosis, and are diagnosed as secondary hypertension. Pri- mary hypertension is more common and cannot be attributed to any particular body dysfunction. If hypertension is not controlled by diet, exercise, or drugs that reduce the blood pressure, it can damage various vital body organs, such as the heart or kidneys. An embolism, or embolus, is a de- tached thrombus that travels through the bloodstream and lodges The causes of atherosclerosis are not well understood, but so as to obstruct or occlude a blood vessel. An embolism lodged the disease seems to be associated with improper diet, smoking, in a coronary artery is called a coronary embolism; in a vessel of hypertension, obesity, lack of exercise, and heredity. Aneurysms are caused by weakening of the tunicas and may rup- arteriosclerosis: Gk. In prolonged lymphadenitis, an abscess usually forms in the nodal tissue. If an infection is not contained by localized lymph nodes, lymphangitis may ensue. In this condition, red streaks can be seen through the skin extending proximally from the infected area. The term lymphoma is used to describe primary malignan- cies within lymphoid tissues. Lymphomas are generally classified as Hodgkin’s disease lymphomas or non-Hodgkin’s lym- phomas. Hodgkin’s disease manifests itself as swollen lymph Saccular aneurysm Fusiform aneurysm nodes in the neck and then progresses to involve the spleen, (a) liver, and bone marrow. Non-Hodgkin’s lymphomas include an array of specific and more obscure lymphatic cancers. The lymphatic system is also frequently infected by metas- tasizing carcinomas.

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The Although they originate in the epidermal layer purchase naprosyn 500mg mastercard, all of the glands body and nail bed appear pinkish because of the underlying vas- of the skin are located in the dermis cheap naprosyn 250 mg with amex, where they are physically cular tissue generic naprosyn 500mg line. The sides of the nail body are protected by a nail supported and receive nutrients naprosyn 500mg with mastercard. Integumentary System © The McGraw−Hill Anatomy generic 500mg naprosyn overnight delivery, Sixth Edition Companies, 2001 118 Unit 4 Support and Movement Sebaceous gland Sweat gland FIGURE 5. The coiled structure of the ductule portion of the gland (see ar- rows) accounts for its discontinuous appearance. If the ducts of sebaceous glands become blocked for some reason, the glands may become infected, result- ing in acne. Sex hormones regulate the production and secretion of sebum, and hyperactivity of sebaceous glands can result in se- rious acne problems, particularly during teenage years. Sudoriferous Glands Eccrine Commonly called sweat glands, sudoriferous glands excrete per- Apocrine sweat gland spiration, or sweat, onto the surface of the skin. Perspiration is sweat gland composed of water, salts, urea, and uric acid. It serves not only for evaporative cooling, but also for the excretion of certain FIGURE 5. Sweat glands are most numerous on the palms, soles, axil- lary and pubic regions, and on the forehead. They are coiled and to as exocrine, because they are externally secreting glands that tubular (fig. These glands are formed before birth and function in evap- Sebaceous Glands orative cooling (figs. Apocrine sweat glands are much larger than the eccrine with hair follicles, because they develop from the follicular ep- glands. They are holocrine glands (see chapter 4) where they secrete into hair follicles. Integumentary System © The McGraw−Hill Anatomy, Sixth Edition Companies, 2001 Chapter 5 Integumentary System 119 Rib 13. List the three types of integumentary glands and describe the structure and function of each. A few of the many diseases and disorders of Lactiferous sinus the integumentary system are briefly discussed here. Ampulla Lobule Inflammatory Conditions (Dermatitis) Inflammatory skin disorders are caused by immunologic hyper- Lobe sensitivity, infectious agents, poor circulation, or exposure to en- vironmental assaults such as wind, sunlight, or chemicals. Some people are allergic to certain foreign proteins and, because of this inherited predisposition, experience such hypersensitive reac- FIGURE 5. Lesions, as applied to inflammatory conditions, are de- fined as more or less circumscribed pathologic changes in the tis- sue. Some of the more common inflammatory skin disorders and Mammary glands, found within the breasts, are specialized their usual sites are illustrated in fig. Washing away the dried residue of perspiration and infections (measles and chicken pox); bacteria, such as staphylo- sebum eliminates dirt. Excessive bathing, however, can wash off the coccus (impetigo); sexually transmitted diseases; leprosy; fungi natural sebum and dry the skin, causing it to itch or crack. Cerumen is a water and insect repellent, and also keeps type of benign neoplastic growth of melanocytes. These warts are usually treated effectively with Knowledge Check liquid nitrogen or acid. A different type of wart, called a venereal wart, occurs in the anogenital region of affected sexual partners. Indicate which portion is alive and Risk factors for cervical cancer may be linked to venereal warts, discuss what causes the cells in a hair to die. Integumentary System © The McGraw−Hill Anatomy, Sixth Edition Companies, 2001 Developmental Exposition system. The epidermis and the hair, glands, and nails of the skin The Integumentary System develop from the ectodermal germ layer (exhibits I, II, and III). EXPLANATION By 6 weeks, the ectodermal layer has differentiated into an Both the ectodermal and mesodermal germ layers (see chapter 4) outer flattened periderm and an inner cuboidal germinal (basal) function in the formation of the structures of the integumentary layer in contact with the mesenchyme.

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