Tag: Anatomy

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    – ## Chapter_008.rtf – 20250929_023041.jpg – 20250929_022813.jpg **## Chapter_008.rtf** 8-6 Audio Chapter Summaries Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies. Copyright © 2025 by Elsevier Inc. All rights…

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    – ## Chapter_008.rtf

    – 20250929_023041.jpg
    – 20250929_022813.jpg

    **## Chapter_008.rtf**

    8-6

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 08: Muscular System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 8: Muscular System.****

    **A few quick facts begin your review of the muscular system:**

    **Muscular tissue enables the body and its parts to move.**

    **Movement is caused by muscle cells (called**
    **_fibers_) either shortening or contracting. All muscle fibers specialize in contraction.**

    **Muscle movement occurs when chemical energy (obtained from food) is converted into mechanical energy.**

    **Three types of muscle tissue exist in the body: skeletal, cardiac, and smooth muscle tissue.**

    **Skeletal muscle is also called**
    **_striated_ or**
    **_voluntary muscle._ The term striated refers to crosswise stripes or striations visible with a microscope. Remember that with skeletal muscle, contractions can be voluntarily controlled.**

    **Cardiac muscle composes the bulk of the heart. Cardiac muscle fibers are branched, and they have unique dark bands called**
    **_intercalated disks._ Cardiac muscle fiber interconnections allow the heart to contract efficiently as a unit.**

    **Nonstriated or involuntary muscle—also called**
    **_smooth_ or**
    **_visceral muscle_,**
    **lacks striations when seen under a microscope; it appears smooth. It is found in the walls of hollow structures such as the digestive tract and blood vessels. Contractions of involuntary or smooth muscle are not under voluntary control.**

    **Discussion of the structure of skeletal muscle can be divided into general structural information and microscopic structure.**

    **Muscles are considered organs; they are mainly striated muscle fibers and connective tissue. Connective tissue forms “wrappers” around each muscle fiber, around fascicles (groups) of muscle fibers, and around the entire muscle; fascia surrounds muscle organs and nearby structures. Most skeletal muscles extend from one bone across a joint to another bone.**

    **The regions of a skeletal muscle include its origin, insertion, and body.**

    **The origin is the attachment to the bone that remains relatively stationary or fixed when movement at the joint occurs.**

    **The insertion is the point of attachment to the bone that moves when a muscle contracts.**

    **The body is the main part of the muscle.**

    **Muscles attach to bone by tendons, which are strong cords or sheets of fibrous connective tissue that extend from the muscle organ; some tendons are enclosed in synovial-lined tubes called tendon sheaths and are lubricated by synovial fluid.**

    **Bursae are small synovial-lined sacs containing a small amount of synovial fluid; they are located between some tendons and underlying bones.**

    **Muscle fibers can be seen microscopically.**

    **Contractile cells are called**
    **_muscle fibers_; connective tissue holds muscle fibers in parallel groupings.**

    **Each skeletal muscle fiber has a unique cytoskeleton structure. Fibers of the cytoskeleton form cylinders made up of myofilaments: Thick myofilaments contain myosin; Thin myofilaments contain mainly actin. The basic functional or contractile units called**
    **_sarcomeres_ are separated from each other by dark bands called**
    **_Z lines._**

    **Muscle fiber contraction is explained by the sliding filament model.**

    **Thick and thin myofilaments slide past each other to contract.**

    **Remember that contraction requires calcium and energy-rich ATP molecules.**

    **Do you recall the functions of skeletal muscle? They are movement, posture, and heat production.**

    **Muscles produce movement by pulling on bones as a muscle contracts.**

    **Most muscles cause movements by pulling on bones across movable joints.**

    **The insertion bone is pulled closer to the origin bone. Movement occurs at the joint between the origin and the insertion.**

    **Groups of muscles usually contract to produce a single movement. The prime mover is mainly responsible for producing a given movement. A synergist helps the prime mover produce a given movement, but an antagonist opposes the action of a prime mover in any given movement.**

    **Posture is facilitated by skeletal muscle, because a continuous, low-strength muscle contraction called**
    **_tonic contraction_ (or muscle tone) enables us to maintain stable body position.**

    **In a tonic contraction, only a few of a muscle’s fibers shorten at one time. It produces no movement of body parts and maintains muscle tone called**
    **_posture_ by counteracting the pull of gravity**
    **_._**
    **__Good posture favors the best body functioning.__**

    **_Survival depends on the body’s ability to maintain a constant body temperature._**

    **_Contraction of muscle fibers produces most of the heat required to maintain normal body temperature._**

    **_A fever is an elevated body temperature and is often a sign of illness._**

    **_Hypothermia is a body temperature below the setpoint._**

    **_Note that fatigue caused by repeated muscle stimulation without adequate periods of rest results in reduced strength of muscle contraction._**

    **_Repeated muscular contraction depletes cellular ATP stores and outstrips the ability of the blood supply to replenish oxygen and nutrients._**

    **_Contraction in the absence of adequate oxygen produces lactic acid, which contributes to muscle soreness._**

    **_Be sure you also recall the meaning of the terms,_**
    **__excess post-exercise consumption or recovery oxygen uptake_ _._ They are used to describe the metabolic efforts required to burn excess lactic acid that may accumulate during prolonged periods of exercise._**

    **_This increased metabolism helps restore energy and oxygen reserves to setpoint or resting levels._**

    **_Remember that other body systems have a role in movement as well._**

    **_Muscle functioning is influenced by many other parts of the body. Respiratory, circulatory, nervous, muscular, and skeletal systems play essential roles in producing normal movements. Pathological conditions in other body organ systems can dramatically affect movement. Examples include multiple sclerosis, brain hemorrhage, and spinal cord injury._**

    **_Interaction between the nervous system and the muscular system is essential for body movement. Stimulation of a muscle by a nerve impulse is required before a muscle can shorten and produce movement._**

    **_A motor neuron is a nerve cell that transmits an impulse to a muscle, causing contraction. A single motor neuron, with the muscle fibers it innervates and thus controls, is called a motor unit._**

    **_The neuromuscular junction (abbreviated NMJ) is the point of contact between a nerve ending and a muscle fiber. Chemicals called neurotransmitters cross the NMJ to trigger contraction in muscle. Acetylcholine is the neurotransmitter operating at each neuromuscular junction._**

    **_Next, we’ll review information about a muscle stimulus._**

    **_A muscle will contract only if an applied stimulus reaches a certain level of intensity. A threshold stimulus is the minimal level of stimulation required to cause a muscle fiber to contract._**

    **_Once stimulated by a threshold stimulus, a muscle fiber will contract completely, a response called_**
    **__all or none.__**

    **_Different muscle fibers in a muscle are controlled by different motor units having different threshold-stimulus levels. Although individual muscle fibers always respond all or none to a threshold stimulus, the muscle as a whole does not. Different motor units responding to different threshold stimuli permit a muscle as a whole to execute contractions of graded force._**

    **_The types of skeletal muscle contraction include twitch, tetanic, isometric, and isotonic._**

    **_Twitch contractions are laboratory phenomena, not typical muscle activity; they are a single contraction of muscle fibers caused by a single threshold stimulus._**

    **_Tetanic contractions are sustained muscular contractions caused by stimuli hitting a muscle in rapid succession._**

    **_Isometric contractions do not produce movement; the muscle as a whole does not shorten (The word part “iso-“ means “same” and “metric” refers to measure or length; that is, why isometric contractions describe contractions where the muscle does not shorten.) Although no movement occurs, tension within the muscle increases._**

    **_Isotonic contractions produce movement at a joint because the muscle changes length. Most types of body movements (such as walking and running) are produced by isotonic contractions. Isotonic contractions can be divided into concentric and eccentric contractions._**

    **_In concentric contractions, the muscle shortens and the insertion end of the muscle moves toward the point of origin._**

    **_In eccentric contractions, the muscle lengthens under tension, thus moving the insertion away from the origin._**

    **_Exercise, if regular and properly practiced, improves muscle tone and posture, results in more efficient heart and lung functioning, and reduces fatigue._**

    **_Muscles physically change in relation to the amount of work they normally do. Prolonged inactivity causes disuse atrophy (think “use it or lose it”)._**

    **_Regular exercise increases muscle size, called_**
    **__hypertrophy.__**

    **_Strength training is exercise involving contraction of muscles against challenging resistance. It increases the numbers of myofilaments in each muscle fiber, and as a result, the total mass of the muscle increases. Strength training does not increase the_**
    **__number_ of muscle fibers._**

    **_Endurance training is exercise that increases a muscle’s ability to sustain moderate exercise over a long period; it is sometimes called_**
    **__aerobic training._ It allows more efficient delivery of oxygen and nutrients to a muscle via increased blood flow. Endurance training does not usually result in muscle hypertrophy._**

    **_Next, we’ll review the movements produced by skeletal muscle contractions._**

    **_Angular movements include flexion, extension, abduction, and adduction._**

    **_Flexion decreases an angle._**

    **_Extension increases an angle._**

    **_Abduction moves a body part away from the midline._**

    **_Adduction moves a body part toward the midline._**

    **_Circular movements include rotation, circumduction, supination, and pronation._**

    **_Rotation is movement around a longitudinal axis._**

    **_Circumduction occurs when the distal end of a body part is moved in a circle._**

    **_Supination and pronation are hand positions that result from twisting of the forearm. To recall which movement is which term, form your hands into a soup bowl. Your forearms are now_**
    **__sup_ inated._**

    **_Special movements, those not easily described with general terms, include dorsiflexion, plantar flexion, inversion, and eversion._**

    **_Dorsiflexion and plantar flexion are foot movements that result in upward and downward ankle movement._**

    **_Inversion and eversion are sideways foot movements._**

    **_Be sure to review the skeletal muscle groups and the specific muscles in each group._**

    **_Muscles of the head and neck include the facial muscles, muscles of mastication, and the sternocleidomastoid and trapezius._**

    **_Be sure you can identify these facial muscles: the orbicularis oculi, orbicularis oris, and zygomaticus._**

    **_Muscles of mastication include the masseter and temporal muscles._**

    **_The sternocleidomastoid muscle, named for its origins and insertion, flexes the head._**

    **_The trapezius muscle elevates the shoulders and extends the head._**

    **_Muscles that move the upper extremities include the pectoralis major, which flexes the arm; the latissimus dorsi, which extends the arm; the deltoid, which abducts the arm; the biceps brachii, which flexes the forearm; and the triceps brachii, which extends the forearm._**

    **_Muscles of the trunk include the abdominal and respiratory muscles._**

    **_Be sure you can distinguish these abdominal muscles from each other: the rectus abdominis, external oblique, internal oblique, and the transversus abdominis._**

    **_Respiratory muscles include the intercostal muscles, and the dome-shaped diaphragm._**

    **_The last muscle group to review are the muscles that move the lower extremities._**

    **_The iliopsoas flexes the thigh, and the gluteus maximus extends the thigh._**

    **_Adductor muscles adduct the thighs._**

    **_The three hamstring muscles flex the leg; they are the semimembranosus, semitendinosus, and biceps femoris._**

    **_The four quadriceps femoris muscles extend the leg._**

    **_There is one rectus femoris in the quadriceps, and there are three vastus muscles._**

    **_The tibialis anterior dorsiflexes the foot while the gastrocnemius plantar flexes the foot. The fibularis group or peroneus group of muscles also flexes the foot._**

    **_This concludes the audio review of chapter 8._**

    **20250929_023041.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250929-023041-jpg)

    **20250929_022813.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250929-022813-jpg)

    **20250929_022813.jpg**

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    **## Chapter_008.rtf**

    8-6

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 08: Muscular System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 8: Muscular System.****

    **A few quick facts begin your review of the muscular system:**

    **Muscular tissue enables the body and its parts to move.**

    **Movement is caused by muscle cells (called**
    **_fibers_) either shortening or contracting. All muscle fibers specialize in contraction.**

    **Muscle movement occurs when chemical energy (obtained from food) is converted into mechanical energy.**

    **Three types of muscle tissue exist in the body: skeletal, cardiac, and smooth muscle tissue.**

    **Skeletal muscle is also called**
    **_striated_ or**
    **_voluntary muscle._ The term striated refers to crosswise stripes or striations visible with a microscope. Remember that with skeletal muscle, contractions can be voluntarily controlled.**

    **Cardiac muscle composes the bulk of the heart. Cardiac muscle fibers are branched, and they have unique dark bands called**
    **_intercalated disks._ Cardiac muscle fiber interconnections allow the heart to contract efficiently as a unit.**

    **Nonstriated or involuntary muscle—also called**
    **_smooth_ or**
    **_visceral muscle_,**
    **lacks striations when seen under a microscope; it appears smooth. It is found in the walls of hollow structures such as the digestive tract and blood vessels. Contractions of involuntary or smooth muscle are not under voluntary control.**

    **Discussion of the structure of skeletal muscle can be divided into general structural information and microscopic structure.**

    **Muscles are considered organs; they are mainly striated muscle fibers and connective tissue. Connective tissue forms “wrappers” around each muscle fiber, around fascicles (groups) of muscle fibers, and around the entire muscle; fascia surrounds muscle organs and nearby structures. Most skeletal muscles extend from one bone across a joint to another bone.**

    **The regions of a skeletal muscle include its origin, insertion, and body.**

    **The origin is the attachment to the bone that remains relatively stationary or fixed when movement at the joint occurs.**

    **The insertion is the point of attachment to the bone that moves when a muscle contracts.**

    **The body is the main part of the muscle.**

    **Muscles attach to bone by tendons, which are strong cords or sheets of fibrous connective tissue that extend from the muscle organ; some tendons are enclosed in synovial-lined tubes called tendon sheaths and are lubricated by synovial fluid.**

    **Bursae are small synovial-lined sacs containing a small amount of synovial fluid; they are located between some tendons and underlying bones.**

    **Muscle fibers can be seen microscopically.**

    **Contractile cells are called**
    **_muscle fibers_; connective tissue holds muscle fibers in parallel groupings.**

    **Each skeletal muscle fiber has a unique cytoskeleton structure. Fibers of the cytoskeleton form cylinders made up of myofilaments: Thick myofilaments contain myosin; Thin myofilaments contain mainly actin. The basic functional or contractile units called**
    **_sarcomeres_ are separated from each other by dark bands called**
    **_Z lines._**

    **Muscle fiber contraction is explained by the sliding filament model.**

    **Thick and thin myofilaments slide past each other to contract.**

    **Remember that contraction requires calcium and energy-rich ATP molecules.**

    **Do you recall the functions of skeletal muscle? They are movement, posture, and heat production.**

    **Muscles produce movement by pulling on bones as a muscle contracts.**

    **Most muscles cause movements by pulling on bones across movable joints.**

    **The insertion bone is pulled closer to the origin bone. Movement occurs at the joint between the origin and the insertion.**

    **Groups of muscles usually contract to produce a single movement. The prime mover is mainly responsible for producing a given movement. A synergist helps the prime mover produce a given movement, but an antagonist opposes the action of a prime mover in any given movement.**

    **Posture is facilitated by skeletal muscle, because a continuous, low-strength muscle contraction called**
    **_tonic contraction_ (or muscle tone) enables us to maintain stable body position.**

    **In a tonic contraction, only a few of a muscle’s fibers shorten at one time. It produces no movement of body parts and maintains muscle tone called**
    **_posture_ by counteracting the pull of gravity**
    **_._**
    **__Good posture favors the best body functioning.__**

    **_Survival depends on the body’s ability to maintain a constant body temperature._**

    **_Contraction of muscle fibers produces most of the heat required to maintain normal body temperature._**

    **_A fever is an elevated body temperature and is often a sign of illness._**

    **_Hypothermia is a body temperature below the setpoint._**

    **_Note that fatigue caused by repeated muscle stimulation without adequate periods of rest results in reduced strength of muscle contraction._**

    **_Repeated muscular contraction depletes cellular ATP stores and outstrips the ability of the blood supply to replenish oxygen and nutrients._**

    **_Contraction in the absence of adequate oxygen produces lactic acid, which contributes to muscle soreness._**

    **_Be sure you also recall the meaning of the terms,_**
    **__excess post-exercise consumption or recovery oxygen uptake_ _._ They are used to describe the metabolic efforts required to burn excess lactic acid that may accumulate during prolonged periods of exercise._**

    **_This increased metabolism helps restore energy and oxygen reserves to setpoint or resting levels._**

    **_Remember that other body systems have a role in movement as well._**

    **_Muscle functioning is influenced by many other parts of the body. Respiratory, circulatory, nervous, muscular, and skeletal systems play essential roles in producing normal movements. Pathological conditions in other body organ systems can dramatically affect movement. Examples include multiple sclerosis, brain hemorrhage, and spinal cord injury._**

    **_Interaction between the nervous system and the muscular system is essential for body movement. Stimulation of a muscle by a nerve impulse is required before a muscle can shorten and produce movement._**

    **_A motor neuron is a nerve cell that transmits an impulse to a muscle, causing contraction. A single motor neuron, with the muscle fibers it innervates and thus controls, is called a motor unit._**

    **_The neuromuscular junction (abbreviated NMJ) is the point of contact between a nerve ending and a muscle fiber. Chemicals called neurotransmitters cross the NMJ to trigger contraction in muscle. Acetylcholine is the neurotransmitter operating at each neuromuscular junction._**

    **_Next, we’ll review information about a muscle stimulus._**

    **_A muscle will contract only if an applied stimulus reaches a certain level of intensity. A threshold stimulus is the minimal level of stimulation required to cause a muscle fiber to contract._**

    **_Once stimulated by a threshold stimulus, a muscle fiber will contract completely, a response called_**
    **__all or none.__**

    **_Different muscle fibers in a muscle are controlled by different motor units having different threshold-stimulus levels. Although individual muscle fibers always respond all or none to a threshold stimulus, the muscle as a whole does not. Different motor units responding to different threshold stimuli permit a muscle as a whole to execute contractions of graded force._**

    **_The types of skeletal muscle contraction include twitch, tetanic, isometric, and isotonic._**

    **_Twitch contractions are laboratory phenomena, not typical muscle activity; they are a single contraction of muscle fibers caused by a single threshold stimulus._**

    **_Tetanic contractions are sustained muscular contractions caused by stimuli hitting a muscle in rapid succession._**

    **_Isometric contractions do not produce movement; the muscle as a whole does not shorten (The word part “iso-“ means “same” and “metric” refers to measure or length; that is, why isometric contractions describe contractions where the muscle does not shorten.) Although no movement occurs, tension within the muscle increases._**

    **_Isotonic contractions produce movement at a joint because the muscle changes length. Most types of body movements (such as walking and running) are produced by isotonic contractions. Isotonic contractions can be divided into concentric and eccentric contractions._**

    **_In concentric contractions, the muscle shortens and the insertion end of the muscle moves toward the point of origin._**

    **_In eccentric contractions, the muscle lengthens under tension, thus moving the insertion away from the origin._**

    **_Exercise, if regular and properly practiced, improves muscle tone and posture, results in more efficient heart and lung functioning, and reduces fatigue._**

    **_Muscles physically change in relation to the amount of work they normally do. Prolonged inactivity causes disuse atrophy (think “use it or lose it”)._**

    **_Regular exercise increases muscle size, called_**
    **__hypertrophy.__**

    **_Strength training is exercise involving contraction of muscles against challenging resistance. It increases the numbers of myofilaments in each muscle fiber, and as a result, the total mass of the muscle increases. Strength training does not increase the_**
    **__number_ of muscle fibers._**

    **_Endurance training is exercise that increases a muscle’s ability to sustain moderate exercise over a long period; it is sometimes called_**
    **__aerobic training._ It allows more efficient delivery of oxygen and nutrients to a muscle via increased blood flow. Endurance training does not usually result in muscle hypertrophy._**

    **_Next, we’ll review the movements produced by skeletal muscle contractions._**

    **_Angular movements include flexion, extension, abduction, and adduction._**

    **_Flexion decreases an angle._**

    **_Extension increases an angle._**

    **_Abduction moves a body part away from the midline._**

    **_Adduction moves a body part toward the midline._**

    **_Circular movements include rotation, circumduction, supination, and pronation._**

    **_Rotation is movement around a longitudinal axis._**

    **_Circumduction occurs when the distal end of a body part is moved in a circle._**

    **_Supination and pronation are hand positions that result from twisting of the forearm. To recall which movement is which term, form your hands into a soup bowl. Your forearms are now_**
    **__sup_ inated._**

    **_Special movements, those not easily described with general terms, include dorsiflexion, plantar flexion, inversion, and eversion._**

    **_Dorsiflexion and plantar flexion are foot movements that result in upward and downward ankle movement._**

    **_Inversion and eversion are sideways foot movements._**

    **_Be sure to review the skeletal muscle groups and the specific muscles in each group._**

    **_Muscles of the head and neck include the facial muscles, muscles of mastication, and the sternocleidomastoid and trapezius._**

    **_Be sure you can identify these facial muscles: the orbicularis oculi, orbicularis oris, and zygomaticus._**

    **_Muscles of mastication include the masseter and temporal muscles._**

    **_The sternocleidomastoid muscle, named for its origins and insertion, flexes the head._**

    **_The trapezius muscle elevates the shoulders and extends the head._**

    **_Muscles that move the upper extremities include the pectoralis major, which flexes the arm; the latissimus dorsi, which extends the arm; the deltoid, which abducts the arm; the biceps brachii, which flexes the forearm; and the triceps brachii, which extends the forearm._**

    **_Muscles of the trunk include the abdominal and respiratory muscles._**

    **_Be sure you can distinguish these abdominal muscles from each other: the rectus abdominis, external oblique, internal oblique, and the transversus abdominis._**

    **_Respiratory muscles include the intercostal muscles, and the dome-shaped diaphragm._**

    **_The last muscle group to review are the muscles that move the lower extremities._**

    **_The iliopsoas flexes the thigh, and the gluteus maximus extends the thigh._**

    **_Adductor muscles adduct the thighs._**

    **_The three hamstring muscles flex the leg; they are the semimembranosus, semitendinosus, and biceps femoris._**

    **_The four quadriceps femoris muscles extend the leg._**

    **_There is one rectus femoris in the quadriceps, and there are three vastus muscles._**

    **_The tibialis anterior dorsiflexes the foot while the gastrocnemius plantar flexes the foot. The fibularis group or peroneus group of muscles also flexes the foot._**

    **_This concludes the audio review of chapter 8._**

    **20250929_023041.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250929-023041-jpg)

    **20250929_022813.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250929-022813-jpg)

    **## Chapter_008.rtf**

    8-6

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 08: Muscular System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 8: Muscular System.****

    **A few quick facts begin your review of the muscular system:**

    **Muscular tissue enables the body and its parts to move.**

    **Movement is caused by muscle cells (called**
    **_fibers_) either shortening or contracting. All muscle fibers specialize in contraction.**

    **Muscle movement occurs when chemical energy (obtained from food) is converted into mechanical energy.**

    **Three types of muscle tissue exist in the body: skeletal, cardiac, and smooth muscle tissue.**

    **Skeletal muscle is also called**
    **_striated_ or**
    **_voluntary muscle._ The term striated refers to crosswise stripes or striations visible with a microscope. Remember that with skeletal muscle, contractions can be voluntarily controlled.**

    **Cardiac muscle composes the bulk of the heart. Cardiac muscle fibers are branched, and they have unique dark bands called**
    **_intercalated disks._ Cardiac muscle fiber interconnections allow the heart to contract efficiently as a unit.**

    **Nonstriated or involuntary muscle—also called**
    **_smooth_ or**
    **_visceral muscle_,**
    **lacks striations when seen under a microscope; it appears smooth. It is found in the walls of hollow structures such as the digestive tract and blood vessels. Contractions of involuntary or smooth muscle are not under voluntary control.**

    **Discussion of the structure of skeletal muscle can be divided into general structural information and microscopic structure.**

    **Muscles are considered organs; they are mainly striated muscle fibers and connective tissue. Connective tissue forms “wrappers” around each muscle fiber, around fascicles (groups) of muscle fibers, and around the entire muscle; fascia surrounds muscle organs and nearby structures. Most skeletal muscles extend from one bone across a joint to another bone.**

    **The regions of a skeletal muscle include its origin, insertion, and body.**

    **The origin is the attachment to the bone that remains relatively stationary or fixed when movement at the joint occurs.**

    **The insertion is the point of attachment to the bone that moves when a muscle contracts.**

    **The body is the main part of the muscle.**

    **Muscles attach to bone by tendons, which are strong cords or sheets of fibrous connective tissue that extend from the muscle organ; some tendons are enclosed in synovial-lined tubes called tendon sheaths and are lubricated by synovial fluid.**

    **Bursae are small synovial-lined sacs containing a small amount of synovial fluid; they are located between some tendons and underlying bones.**

    **Muscle fibers can be seen microscopically.**

    **Contractile cells are called**
    **_muscle fibers_; connective tissue holds muscle fibers in parallel groupings.**

    **Each skeletal muscle fiber has a unique cytoskeleton structure. Fibers of the cytoskeleton form cylinders made up of myofilaments: Thick myofilaments contain myosin; Thin myofilaments contain mainly actin. The basic functional or contractile units called**
    **_sarcomeres_ are separated from each other by dark bands called**
    **_Z lines._**

    **Muscle fiber contraction is explained by the sliding filament model.**

    **Thick and thin myofilaments slide past each other to contract.**

    **Remember that contraction requires calcium and energy-rich ATP molecules.**

    **Do you recall the functions of skeletal muscle? They are movement, posture, and heat production.**

    **Muscles produce movement by pulling on bones as a muscle contracts.**

    **Most muscles cause movements by pulling on bones across movable joints.**

    **The insertion bone is pulled closer to the origin bone. Movement occurs at the joint between the origin and the insertion.**

    **Groups of muscles usually contract to produce a single movement. The prime mover is mainly responsible for producing a given movement. A synergist helps the prime mover produce a given movement, but an antagonist opposes the action of a prime mover in any given movement.**

    **Posture is facilitated by skeletal muscle, because a continuous, low-strength muscle contraction called**
    **_tonic contraction_ (or muscle tone) enables us to maintain stable body position.**

    **In a tonic contraction, only a few of a muscle’s fibers shorten at one time. It produces no movement of body parts and maintains muscle tone called**
    **_posture_ by counteracting the pull of gravity**
    **_._**
    **__Good posture favors the best body functioning.__**

    **_Survival depends on the body’s ability to maintain a constant body temperature._**

    **_Contraction of muscle fibers produces most of the heat required to maintain normal body temperature._**

    **_A fever is an elevated body temperature and is often a sign of illness._**

    **_Hypothermia is a body temperature below the setpoint._**

    **_Note that fatigue caused by repeated muscle stimulation without adequate periods of rest results in reduced strength of muscle contraction._**

    **_Repeated muscular contraction depletes cellular ATP stores and outstrips the ability of the blood supply to replenish oxygen and nutrients._**

    **_Contraction in the absence of adequate oxygen produces lactic acid, which contributes to muscle soreness._**

    **_Be sure you also recall the meaning of the terms,_**
    **__excess post-exercise consumption or recovery oxygen uptake_ _._ They are used to describe the metabolic efforts required to burn excess lactic acid that may accumulate during prolonged periods of exercise._**

    **_This increased metabolism helps restore energy and oxygen reserves to setpoint or resting levels._**

    **_Remember that other body systems have a role in movement as well._**

    **_Muscle functioning is influenced by many other parts of the body. Respiratory, circulatory, nervous, muscular, and skeletal systems play essential roles in producing normal movements. Pathological conditions in other body organ systems can dramatically affect movement. Examples include multiple sclerosis, brain hemorrhage, and spinal cord injury._**

    **_Interaction between the nervous system and the muscular system is essential for body movement. Stimulation of a muscle by a nerve impulse is required before a muscle can shorten and produce movement._**

    **_A motor neuron is a nerve cell that transmits an impulse to a muscle, causing contraction. A single motor neuron, with the muscle fibers it innervates and thus controls, is called a motor unit._**

    **_The neuromuscular junction (abbreviated NMJ) is the point of contact between a nerve ending and a muscle fiber. Chemicals called neurotransmitters cross the NMJ to trigger contraction in muscle. Acetylcholine is the neurotransmitter operating at each neuromuscular junction._**

    **_Next, we’ll review information about a muscle stimulus._**

    **_A muscle will contract only if an applied stimulus reaches a certain level of intensity. A threshold stimulus is the minimal level of stimulation required to cause a muscle fiber to contract._**

    **_Once stimulated by a threshold stimulus, a muscle fiber will contract completely, a response called_**
    **__all or none.__**

    **_Different muscle fibers in a muscle are controlled by different motor units having different threshold-stimulus levels. Although individual muscle fibers always respond all or none to a threshold stimulus, the muscle as a whole does not. Different motor units responding to different threshold stimuli permit a muscle as a whole to execute contractions of graded force._**

    **_The types of skeletal muscle contraction include twitch, tetanic, isometric, and isotonic._**

    **_Twitch contractions are laboratory phenomena, not typical muscle activity; they are a single contraction of muscle fibers caused by a single threshold stimulus._**

    **_Tetanic contractions are sustained muscular contractions caused by stimuli hitting a muscle in rapid succession._**

    **_Isometric contractions do not produce movement; the muscle as a whole does not shorten (The word part “iso-“ means “same” and “metric” refers to measure or length; that is, why isometric contractions describe contractions where the muscle does not shorten.) Although no movement occurs, tension within the muscle increases._**

    **_Isotonic contractions produce movement at a joint because the muscle changes length. Most types of body movements (such as walking and running) are produced by isotonic contractions. Isotonic contractions can be divided into concentric and eccentric contractions._**

    **_In concentric contractions, the muscle shortens and the insertion end of the muscle moves toward the point of origin._**

    **_In eccentric contractions, the muscle lengthens under tension, thus moving the insertion away from the origin._**

    **_Exercise, if regular and properly practiced, improves muscle tone and posture, results in more efficient heart and lung functioning, and reduces fatigue._**

    **_Muscles physically change in relation to the amount of work they normally do. Prolonged inactivity causes disuse atrophy (think “use it or lose it”)._**

    **_Regular exercise increases muscle size, called_**
    **__hypertrophy.__**

    **_Strength training is exercise involving contraction of muscles against challenging resistance. It increases the numbers of myofilaments in each muscle fiber, and as a result, the total mass of the muscle increases. Strength training does not increase the_**
    **__number_ of muscle fibers._**

    **_Endurance training is exercise that increases a muscle’s ability to sustain moderate exercise over a long period; it is sometimes called_**
    **__aerobic training._ It allows more efficient delivery of oxygen and nutrients to a muscle via increased blood flow. Endurance training does not usually result in muscle hypertrophy._**

    **_Next, we’ll review the movements produced by skeletal muscle contractions._**

    **_Angular movements include flexion, extension, abduction, and adduction._**

    **_Flexion decreases an angle._**

    **_Extension increases an angle._**

    **_Abduction moves a body part away from the midline._**

    **_Adduction moves a body part toward the midline._**

    **_Circular movements include rotation, circumduction, supination, and pronation._**

    **_Rotation is movement around a longitudinal axis._**

    **_Circumduction occurs when the distal end of a body part is moved in a circle._**

    **_Supination and pronation are hand positions that result from twisting of the forearm. To recall which movement is which term, form your hands into a soup bowl. Your forearms are now_**
    **__sup_ inated._**

    **_Special movements, those not easily described with general terms, include dorsiflexion, plantar flexion, inversion, and eversion._**

    **_Dorsiflexion and plantar flexion are foot movements that result in upward and downward ankle movement._**

    **_Inversion and eversion are sideways foot movements._**

    **_Be sure to review the skeletal muscle groups and the specific muscles in each group._**

    **_Muscles of the head and neck include the facial muscles, muscles of mastication, and the sternocleidomastoid and trapezius._**

    **_Be sure you can identify these facial muscles: the orbicularis oculi, orbicularis oris, and zygomaticus._**

    **_Muscles of mastication include the masseter and temporal muscles._**

    **_The sternocleidomastoid muscle, named for its origins and insertion, flexes the head._**

    **_The trapezius muscle elevates the shoulders and extends the head._**

    **_Muscles that move the upper extremities include the pectoralis major, which flexes the arm; the latissimus dorsi, which extends the arm; the deltoid, which abducts the arm; the biceps brachii, which flexes the forearm; and the triceps brachii, which extends the forearm._**

    **_Muscles of the trunk include the abdominal and respiratory muscles._**

    **_Be sure you can distinguish these abdominal muscles from each other: the rectus abdominis, external oblique, internal oblique, and the transversus abdominis._**

    **_Respiratory muscles include the intercostal muscles, and the dome-shaped diaphragm._**

    **_The last muscle group to review are the muscles that move the lower extremities._**

    **_The iliopsoas flexes the thigh, and the gluteus maximus extends the thigh._**

    **_Adductor muscles adduct the thighs._**

    **_The three hamstring muscles flex the leg; they are the semimembranosus, semitendinosus, and biceps femoris._**

    **_The four quadriceps femoris muscles extend the leg._**

    **_There is one rectus femoris in the quadriceps, and there are three vastus muscles._**

    **_The tibialis anterior dorsiflexes the foot while the gastrocnemius plantar flexes the foot. The fibularis group or peroneus group of muscles also flexes the foot._**

    **_This concludes the audio review of chapter 8._**

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    – ## Chapter_005.rtf – ## Chapter_006.rtf – 20250915_014532.jpg **## Chapter_005.rtf** 5-3 Audio Chapter Summaries Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies. Copyright © 2025 by Elsevier Inc. All rights …

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    5-3

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 05: Organ Systems**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 5: Organs and Systems.****

    **An organ is a structure made up of two or more kinds of tissues organized in such a way that they can**
    **_together_ perform a more complex function than can any tissue alone.**

    **An organ**
    **_system_ is a group of organs arranged in such a way that they can together, perform a more complex function than can any organ alone.**

    **Knowledge of individual organs and how they are organized into groups makes the understanding of how a particular organ system functions as a whole more meaningful.**

    **Now we’ll review the basic structures and functions of the body’s organ systems.**

    **The integumentary system has only one organ, the skin, but it has many appendages (or attached structures).**

    **Skin appendages include the hair, nails, microscopic sense receptors, sweat glands, and oil glands.**

    **The primary function of the integumentary system is protection. Additional functions include regulation of body temperature, synthesis of chemicals, and its use as a sense organ.**

    **The skeletal system is comprised of bones, cartilage, ligaments, and joints.**

    **Bones are the organs of the skeletal system. There are 206 named bones in the skeleton, but additional variable bones occur in each individual.**

    **Cartilage connects and cushions joined bones.**

    **Ligaments are bands of fibrous tissue that hold bones together.**

    **Joints are the connections between bones that make movement possible.**

    **The skeletal system functions as the supporting framework for the entire body. It protects the brain and internal organs, and provides movement with joints and muscles. It also stores minerals and forms blood cells.**

    **The next system to review is the muscular system.**

    **Muscles are the primary organs of the muscular system and are divided into three types: voluntary or striated skeletal muscle; involuntary or smooth muscle tissue in the walls of some organs; and cardiac muscle in the wall of the heart.**

    **The muscular system functions in movement, maintenance of body posture, and production of heat.**

    **If you hear the term “skeletomuscular system,” this simply means a combination of the skeletal and muscular systems.**

    **The nervous system can be considered a communications system of the body.**

    **It also integrates body functions, controls body functions, and is involved in the recognition of sensory stimuli.**

    **The nervous system is divided structurally into the central nervous system (or CNS), which includes the brain and spinal cord, and the peripheral nervous system (or PNS), which includes the cranial nerves and their branches, the spinal nerves and their branches, and the sense organs.**

    **The endocrine system consists of ductless glands that secrete signaling hormones directly into the blood.**

    **Its functions are the same as the nervous system—communication, integration, and control. However, in the endocrine system, control is slow and of long duration.**

    **The term neuroendocrine system is a combination of nervous and endocrine systems.**

    **Examples of functions regulated by hormones: include growth, metabolism, reproduction, and fluid and electrolyte balance.**

    **The cardiovascular system is also called the**
    **_circulatory system_.**

    **It includes the heart and blood vessels.**

    **Functions of the cardiovascular system are transportation of substances throughout the body, regulation of body temperature, and immunity (or body defense).**

    **The next systems to review are the lymphatic and immune systems.**

    **Structures of the lymphatic system include the lymphatic vessels, lymph nodes and tonsils, thymus, spleen, and red bone marrow.**

    **The lymphatic system functions in transportation of lymph, and in immunity.**

    **Structures of the immune system include unique cells and defensive protein compounds.**

    **Phagocytes and secretory cells are the unique cells.**

    **Antibodies and complements are the defensive protein compounds.**

    **Functions of the immune system include phagocytosis of bacteria, as well as chemical reactions that provide protection from harmful agents.**

    **You may be familiar with some of the functions of the next system, the respiratory system.**

    **It is involved in the exchange of waste gas (carbon dioxide) for oxygen in the alveoli of the lungs; infiltration of irritants from inspired air, and in regulation of acid-base balance.**

    **Structures of the respiratory system include the nose, pharynx, larynx, trachea, bronchi, and lungs.**

    **Functions of the next system, the digestive system, are also likely familiar to you.**

    **They include mechanical and chemical breakdown of food (called digestion), absorption of nutrients, and elimination of undigested waste product—referred to as**
    **_feces._**

    **In addition, the appendix holds bacteria that assist digestion.**

    **Structures of the digestive system are considered either primary organs or accessory organs.**

    **Primary organs form the alimentary canal, called the gastrointestinal (or GI) tract. They are the mouth, pharynx, esophagus, stomach, small and large intestines, rectum, and anal canal.**

    **Accessory organs assist the digestive process. Accessory organs include the teeth, salivary glands, tongue, liver, gallbladder, pancreas, and appendix.**

    **The next system to review, the urinary system, includes these structures: the kidneys, ureters, urinary bladder, and urethra.**

    **In males, the urethra is part of both the urinary and the reproductive systems.**

    **Functions of the urinary system are “clearing,” or cleaning the blood of waste products, which are excreted from the body as**
    **_urine;_ electrolyte balance; water balance; and acid-base balance.**

    **The reproductive systems ensure survival of genes and produce sex cells: sperm in the male: ova in the female.**

    **These systems also transfer and fertilize sex cells; develop, birth, and nourish offspring, and produce sex hormones.**

    **Structures of the reproductive system of the male include the testes, which are the gonads of the male, as well as other structures including the vas deferens, urethra, prostate, and external genitalia, the penis and scrotum.**

    **Structures of the reproductive system of the female include the ovaries, which are the gonads of the female, as well as other structures: the uterus, uterine (or fallopian) tubes, vagina, external genitalia (also called the vulva), and the mammary glands, the medical term for breasts.**

    **As you review the individual body systems, keep in mind the concept of the body as a whole. No one body system functions entirely independently of other systems. All body systems are structurally and functionally interrelated and interdependent.**

    **This concludes the audio review of Chapter 5.**

    **## Chapter_006.rtf**

    6-5

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 06: Skin & Membranes**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 6: Skin** **&** **Membranes.****

    **First, we’ll review body membranes. The classification of body membranes divides them into two types: connective tissue membranes and epithelial membranes.**

    **Connective tissue membranes are composed largely of various types of connective tissue.**

    **They do not contain epithelial components.**

    **Connective tissue membranes produce a lubricant called**
    **_synovial fluid._**
    **__Examples of connective tissue membranes are the synovial membranes lining the joint capsules that surround and attach the ends of articulating bones in movable joints and in the lining of bursal sacs.__**

    **_Epithelial membranes are composed of epithelial tissue and an underlying layer of connective tissue._**

    **_There are three types of epithelial membranes: cutaneous, serous, and mucous membranes._**

    **_The skin is the cutaneous membrane, the first type of epithelial membrane._**

    **_Serous membranes, the second type of epithelial membranes, are simple squamous epithelium on a connective tissue basement membrane._**

    **_Serous membranes have layers: The parietal layer lines the wall of a body cavity; the visceral layer covers organs within a body cavity._**

    **_Examples of serous membranes include the pericardium, which has parietal and visceral layers that line a fibrous sac around the heart and a visceral layer that covers the heart wall._**

    **_The pleura is another example of a serous membrane: parietal and visceral layers of the pleura line the walls of the thoracic cavity and cover the lungs._**

    **_The peritoneum is a third example of a serous membrane. Its parietal and visceral layers line the walls of the abdominal cavity and cover the organs in that cavity._**

    **_Diseases, such as pleurisy and peritonitis, can affect serous membranes._**

    **_Pleurisy is inflammation of the serous membranes that line the chest cavity and cover the lungs._**

    **_Peritonitis is inflammation of the serous membranes in the abdominal cavity that line the walls and cover the abdominal organs._**

    **_The third type of epithelial membranes, mucous membranes, line body surfaces that open directly to the exterior. Mucous membranes produce mucus, a thick secretion that keeps the membranes soft and moist._**

    **_Next, we’ll review the skin._**

    **_There are five main functions of the skin: protection, temperature regulation, sense organ activity, excretion, and synthesis of vitamin D._**

    **_Protection by the skin is the body’s first line of defense against infection by microbes, UV rays from sun, harmful chemicals, and cuts and tears._**

    **_The mechanisms of temperature regulation by the skin include regulation of sweat secretion and regulation of flow of blood close to the body surface. The skin can release almost 3000 calories of body heat per day!_**

    **_Skin also functions as an enormous sense organ; receptors serve as receivers for the body, keeping it informed of changes in its environment._**

    **_Skin functions in excretion because sweat can rid the body of ions and wastes._**

    **_The synthesis of vitamin D by the skin is another vital function._**

    **_**Now that you have reviewed skin’s functions, it’s time to review its structure. Skin structure contains two primary layers called**_**
    **_**_epidermis_ and**_**
    **_**_dermis._**_**
    **_**_The epidermis is the outermost and thinnest primary layer of skin._**_**

    **_**_It is composed of several layers of stratified squamous epithelium. The stratum germinativum, the innermost (or deepest) layer of cells, continually reproduces, and new cells move toward the surface._**_**

    **_**_As cells approach the surface, they are filled with a tough, waterproof protein called_**_**
    **_**__keratin_ and eventually flake off. The outermost layer of keratin-filled cells is called the stratum corneum._**_**

    **_**_Skin pigment is created by pigment-producing cells called melanocyte cells. They are found in the basal layer of stratum germinativum._**_**

    **_**_The brown pigment melanin produced by melanocytes is distributed to other epithelial cells, giving skin a darker color. The amount and type of melanin, determined by genes, helps produce basic skin color._**_**

    **_**_Skin color changes include additional pigmentation as a reaction to sunlight; a pink flush that indicates increased blood volume or_**_**
    **_**_**in** creased blood oxygen, and cyanosis, a bluish color that indicates_**_**
    **_**_**de** creased blood oxygen level._**_**

    **_**_At the dermal-epidermal junction, there is a gluelike layer between the dermis and epidermis._**_**

    **_**_Small bumps called dermal papillae help stabilize the junction._**_**

    **_**_Blisters are caused by breakdown of the union between cells or primary layers of skin._**_**

    **_**_The dermis is the deeper and thicker of the two primary skin layers._**_**

    **_**_It is composed largely of connective tissue. The upper papillary layer of dermis is characterized by parallel rows of tiny bumps called_**_**
    **_**__dermal papillae._ Ridges and grooves in the dermis form a pattern unique to each individual, which are the basis of fingerprinting. They also improve grip for tool use and walking._**_**

    **_**_The deeper reticular layer of the dermis is filled with a network of tough, interlacing, collagenous, and stretchable elastic fibers. The number of elastic fibers decreases with age and contributes to wrinkle formation. The dermis also contains nerve endings, muscle fibers, hair follicles, sweat and sebaceous glands, and many blood vessels._**_**

    **_**_The subcutaneous tissue is also called the_**_**
    **_**__superficial fascia_ or hypodermis. It is located deep to the dermis but is not part of the skin. Loose fibrous and adipose tissues are prominent in the subcutaneous tissue._**_**

    **_**_Several structures are associated with skin. They include hair, nails, and skin receptors._**_**

    **_**_Next, we’ll review information about hair, an accessory skin structure._**_**

    **_**_The soft hair of the fetus and newborn is called_**_**
    **_**__lanugo._ Hair growth requires epidermal tubelike structures called_**_**
    **_**__hair follicles.__**_**

    **_**_Hair growth begins from hair papilla._**_**

    **_**_The hair roots lie hidden in follicles; the external visible part of hair is called the_**_**
    **_**__shaft.__**_**

    **_**_Smooth muscle of the skin that produces “goose bumps” are called arrector pili. They cause hair to stand up straight._**_**

    **_**_Nails, another accessory skin structure, are produced by epidermal cells over the terminal ends of fingers and toes._**_**

    **_**_The visible part of each nail is called the_**_**
    **_**__nail body.__**_**

    **_**_The nail root lies in a groove and is hidden by the cuticle._**_**

    **_**_The crescent-shaped area nearest the root is called the_**_**
    **_**__lunula, so named for its moon-like curve.__**_**

    **_**_The nail bed may change color with changes in blood flow._**_**

    **_**_Skin receptors include sensory nerve endings for touch and pressure._**_**

    **_**_Sensory nerve endings make it possible for skin to act as a sense organ._**_**

    **_**_Tactile (or Meissner) corpuscles, one type of sensory nerve ending, are capable of detecting light touch._**_**

    **_**_Another type, lamellar (or pacinian) corpuscles, are capable of detecting pressure._**_**

    **_**_Skin glands include two types of sweat or sudoriferous glands, as well as sebaceous or oil glands._**_**

    **_**_The first type of sweat, or sudoriferous, glands we will review is the eccrine sweat gland. The eccrine sweat glands are the most numerous, important, and widespread of the sweat glands. They produce perspiration or sweat, which flows out through pores on the skin surface. They function throughout life and assist in body heat regulation._**_**

    **_**_The second type of sweat or sudoriferous glands are the apocrine glands. They are found primarily in the axilla and around genitalia. The apocrine glands secrete a thicker secretion that is different from eccrine perspiration. The breakdown of this secretion by skin bacteria produces odor._**_**

    **_**_Sebaceous glands are not sweat glands. Sebaceous glands secrete oil or sebum for hair and skin. The level of secretion increases during adolescence, and the amount of secretion is regulated by sex hormones. The sebum in sebaceous gland ducts may darken to form a blackhead._**_**

    **_**_**It is important to understand the causes and types of skin cancer.**_**_**

    **_**_**Causes of skin cancer include genetic predisposition; the sun’s ultraviolet radiation damaging skin cell DNA, causing mistakes during mitosis; and viral infection.**_**_**

    **_**_**There are several types of skin cancer: squamous cell carcinoma, basal cell carcinoma, melanoma, and Kaposi sarcoma.**_**_**

    **_**_**Squamous cell carcinoma, a common type of skin cancer is slow growing, and lesions begin as painless, hard, raised nodules. However, it will metastasize.**_**_**

    **_**_**Basal cell carcinoma is the most common type of skin cancer.**_**_**

    **_**_**It originates in cells at the**_**_**
    **_**_**_base_ of the epidermis—often on the upper face.**_**_**

    **_**_**Lesions begin as small, raised areas that erode in the center, bleed, and crust over.**_**_**

    **_**_**Basal cell carcinoma is less likely to metastasize than other skin cancer types.**_**_**

    **_**_**Melanoma is the most serious form of skin cancer.**_**_**

    **_**_**It may develop from benign, pigmented moles or excess ultraviolet radiation.**_**_**

    **_**_**The incidence of melanoma in the United States is increasing.**_**_**

    **_**_**The fourth type of skin cancer, Kaposi sarcoma, is caused by Kaposi sarcoma–associated herpes virus, abbreviated KSHV.**_**_**

    **_**_**Kaposi sarcoma manifests as purple papules on the skin surface, which quickly metastasize internally.**_**_**

    **_**_**In evaluating a skin lesion, use the ABCDE rule of self-examination: check for A,**_**_**
    **_**_****a** symmetry, B,**_**_**
    **_**_****b** order, C,**_**_**
    **_**_****c** olor, D,**_**_**
    **_**_****d** iameter and E, whether it is**_**_**
    **_**_****e** volving or changing over time.**_**_**

    **_**_**Next, we’ll review burns.**_**_**

    **_**_**Treatment of burns and recovery or survival from them depends on the total area involved and the severity or depth of the burn.**_**_**

    **_**_**Body surface area involved in a burn is estimated using the “rule of nines” in adults.**_**_**

    **_**_**The rule of nines divides the body into 11 areas of 9% each, to equal 99% of the body.**_**_**

    **_**_**An additional 1% of body surface area is around the genitals.**_**_**

    **_**_**Burns are classified based on the depth or thickness of tissue involvement.**_**_**

    **_**_**In first-degree or “partial-thickness” burns, only the surface layers of epidermis involved.**_**_**

    **_**_**Second-degree burns, which are a deeper type of partial-thickness burn, involve the deep epidermal layers and always cause injury to the upper layers of the dermis.**_**_**

    **_**_**Third-degree or “full-thickness” burns are characterized by complete destruction of the epidermis and dermis.**_**_**

    **_**_**In third-degree burns, the lesion is**_**_**
    **_**_****_in_** sensitive to pain because of the destruction of nerve endings immediately after injury; intense pain is soon experienced after the initial injury.**_**_**

    **_**_**Note that the risk of infection is increased in third-degree burns.**_**_**

    **_**_**Fourth-degree burns are full-thickness burns that extend to muscle or bone.**_**_**

    **_**_**This concludes the audio review of chapter 6.**_**_**

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    **## Chapter_005.rtf**

    5-3

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 05: Organ Systems**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 5: Organs and Systems.****

    **An organ is a structure made up of two or more kinds of tissues organized in such a way that they can**
    **_together_ perform a more complex function than can any tissue alone.**

    **An organ**
    **_system_ is a group of organs arranged in such a way that they can together, perform a more complex function than can any organ alone.**

    **Knowledge of individual organs and how they are organized into groups makes the understanding of how a particular organ system functions as a whole more meaningful.**

    **Now we’ll review the basic structures and functions of the body’s organ systems.**

    **The integumentary system has only one organ, the skin, but it has many appendages (or attached structures).**

    **Skin appendages include the hair, nails, microscopic sense receptors, sweat glands, and oil glands.**

    **The primary function of the integumentary system is protection. Additional functions include regulation of body temperature, synthesis of chemicals, and its use as a sense organ.**

    **The skeletal system is comprised of bones, cartilage, ligaments, and joints.**

    **Bones are the organs of the skeletal system. There are 206 named bones in the skeleton, but additional variable bones occur in each individual.**

    **Cartilage connects and cushions joined bones.**

    **Ligaments are bands of fibrous tissue that hold bones together.**

    **Joints are the connections between bones that make movement possible.**

    **The skeletal system functions as the supporting framework for the entire body. It protects the brain and internal organs, and provides movement with joints and muscles. It also stores minerals and forms blood cells.**

    **The next system to review is the muscular system.**

    **Muscles are the primary organs of the muscular system and are divided into three types: voluntary or striated skeletal muscle; involuntary or smooth muscle tissue in the walls of some organs; and cardiac muscle in the wall of the heart.**

    **The muscular system functions in movement, maintenance of body posture, and production of heat.**

    **If you hear the term “skeletomuscular system,” this simply means a combination of the skeletal and muscular systems.**

    **The nervous system can be considered a communications system of the body.**

    **It also integrates body functions, controls body functions, and is involved in the recognition of sensory stimuli.**

    **The nervous system is divided structurally into the central nervous system (or CNS), which includes the brain and spinal cord, and the peripheral nervous system (or PNS), which includes the cranial nerves and their branches, the spinal nerves and their branches, and the sense organs.**

    **The endocrine system consists of ductless glands that secrete signaling hormones directly into the blood.**

    **Its functions are the same as the nervous system—communication, integration, and control. However, in the endocrine system, control is slow and of long duration.**

    **The term neuroendocrine system is a combination of nervous and endocrine systems.**

    **Examples of functions regulated by hormones: include growth, metabolism, reproduction, and fluid and electrolyte balance.**

    **The cardiovascular system is also called the**
    **_circulatory system_.**

    **It includes the heart and blood vessels.**

    **Functions of the cardiovascular system are transportation of substances throughout the body, regulation of body temperature, and immunity (or body defense).**

    **The next systems to review are the lymphatic and immune systems.**

    **Structures of the lymphatic system include the lymphatic vessels, lymph nodes and tonsils, thymus, spleen, and red bone marrow.**

    **The lymphatic system functions in transportation of lymph, and in immunity.**

    **Structures of the immune system include unique cells and defensive protein compounds.**

    **Phagocytes and secretory cells are the unique cells.**

    **Antibodies and complements are the defensive protein compounds.**

    **Functions of the immune system include phagocytosis of bacteria, as well as chemical reactions that provide protection from harmful agents.**

    **You may be familiar with some of the functions of the next system, the respiratory system.**

    **It is involved in the exchange of waste gas (carbon dioxide) for oxygen in the alveoli of the lungs; infiltration of irritants from inspired air, and in regulation of acid-base balance.**

    **Structures of the respiratory system include the nose, pharynx, larynx, trachea, bronchi, and lungs.**

    **Functions of the next system, the digestive system, are also likely familiar to you.**

    **They include mechanical and chemical breakdown of food (called digestion), absorption of nutrients, and elimination of undigested waste product—referred to as**
    **_feces._**

    **In addition, the appendix holds bacteria that assist digestion.**

    **Structures of the digestive system are considered either primary organs or accessory organs.**

    **Primary organs form the alimentary canal, called the gastrointestinal (or GI) tract. They are the mouth, pharynx, esophagus, stomach, small and large intestines, rectum, and anal canal.**

    **Accessory organs assist the digestive process. Accessory organs include the teeth, salivary glands, tongue, liver, gallbladder, pancreas, and appendix.**

    **The next system to review, the urinary system, includes these structures: the kidneys, ureters, urinary bladder, and urethra.**

    **In males, the urethra is part of both the urinary and the reproductive systems.**

    **Functions of the urinary system are “clearing,” or cleaning the blood of waste products, which are excreted from the body as**
    **_urine;_ electrolyte balance; water balance; and acid-base balance.**

    **The reproductive systems ensure survival of genes and produce sex cells: sperm in the male: ova in the female.**

    **These systems also transfer and fertilize sex cells; develop, birth, and nourish offspring, and produce sex hormones.**

    **Structures of the reproductive system of the male include the testes, which are the gonads of the male, as well as other structures including the vas deferens, urethra, prostate, and external genitalia, the penis and scrotum.**

    **Structures of the reproductive system of the female include the ovaries, which are the gonads of the female, as well as other structures: the uterus, uterine (or fallopian) tubes, vagina, external genitalia (also called the vulva), and the mammary glands, the medical term for breasts.**

    **As you review the individual body systems, keep in mind the concept of the body as a whole. No one body system functions entirely independently of other systems. All body systems are structurally and functionally interrelated and interdependent.**

    **This concludes the audio review of Chapter 5.**

    **## Chapter_006.rtf**

    6-5

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 06: Skin & Membranes**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 6: Skin** **&** **Membranes.****

    **First, we’ll review body membranes. The classification of body membranes divides them into two types: connective tissue membranes and epithelial membranes.**

    **Connective tissue membranes are composed largely of various types of connective tissue.**

    **They do not contain epithelial components.**

    **Connective tissue membranes produce a lubricant called**
    **_synovial fluid._**
    **__Examples of connective tissue membranes are the synovial membranes lining the joint capsules that surround and attach the ends of articulating bones in movable joints and in the lining of bursal sacs.__**

    **_Epithelial membranes are composed of epithelial tissue and an underlying layer of connective tissue._**

    **_There are three types of epithelial membranes: cutaneous, serous, and mucous membranes._**

    **_The skin is the cutaneous membrane, the first type of epithelial membrane._**

    **_Serous membranes, the second type of epithelial membranes, are simple squamous epithelium on a connective tissue basement membrane._**

    **_Serous membranes have layers: The parietal layer lines the wall of a body cavity; the visceral layer covers organs within a body cavity._**

    **_Examples of serous membranes include the pericardium, which has parietal and visceral layers that line a fibrous sac around the heart and a visceral layer that covers the heart wall._**

    **_The pleura is another example of a serous membrane: parietal and visceral layers of the pleura line the walls of the thoracic cavity and cover the lungs._**

    **_The peritoneum is a third example of a serous membrane. Its parietal and visceral layers line the walls of the abdominal cavity and cover the organs in that cavity._**

    **_Diseases, such as pleurisy and peritonitis, can affect serous membranes._**

    **_Pleurisy is inflammation of the serous membranes that line the chest cavity and cover the lungs._**

    **_Peritonitis is inflammation of the serous membranes in the abdominal cavity that line the walls and cover the abdominal organs._**

    **_The third type of epithelial membranes, mucous membranes, line body surfaces that open directly to the exterior. Mucous membranes produce mucus, a thick secretion that keeps the membranes soft and moist._**

    **_Next, we’ll review the skin._**

    **_There are five main functions of the skin: protection, temperature regulation, sense organ activity, excretion, and synthesis of vitamin D._**

    **_Protection by the skin is the body’s first line of defense against infection by microbes, UV rays from sun, harmful chemicals, and cuts and tears._**

    **_The mechanisms of temperature regulation by the skin include regulation of sweat secretion and regulation of flow of blood close to the body surface. The skin can release almost 3000 calories of body heat per day!_**

    **_Skin also functions as an enormous sense organ; receptors serve as receivers for the body, keeping it informed of changes in its environment._**

    **_Skin functions in excretion because sweat can rid the body of ions and wastes._**

    **_The synthesis of vitamin D by the skin is another vital function._**

    **_**Now that you have reviewed skin’s functions, it’s time to review its structure. Skin structure contains two primary layers called**_**
    **_**_epidermis_ and**_**
    **_**_dermis._**_**
    **_**_The epidermis is the outermost and thinnest primary layer of skin._**_**

    **_**_It is composed of several layers of stratified squamous epithelium. The stratum germinativum, the innermost (or deepest) layer of cells, continually reproduces, and new cells move toward the surface._**_**

    **_**_As cells approach the surface, they are filled with a tough, waterproof protein called_**_**
    **_**__keratin_ and eventually flake off. The outermost layer of keratin-filled cells is called the stratum corneum._**_**

    **_**_Skin pigment is created by pigment-producing cells called melanocyte cells. They are found in the basal layer of stratum germinativum._**_**

    **_**_The brown pigment melanin produced by melanocytes is distributed to other epithelial cells, giving skin a darker color. The amount and type of melanin, determined by genes, helps produce basic skin color._**_**

    **_**_Skin color changes include additional pigmentation as a reaction to sunlight; a pink flush that indicates increased blood volume or_**_**
    **_**_**in** creased blood oxygen, and cyanosis, a bluish color that indicates_**_**
    **_**_**de** creased blood oxygen level._**_**

    **_**_At the dermal-epidermal junction, there is a gluelike layer between the dermis and epidermis._**_**

    **_**_Small bumps called dermal papillae help stabilize the junction._**_**

    **_**_Blisters are caused by breakdown of the union between cells or primary layers of skin._**_**

    **_**_The dermis is the deeper and thicker of the two primary skin layers._**_**

    **_**_It is composed largely of connective tissue. The upper papillary layer of dermis is characterized by parallel rows of tiny bumps called_**_**
    **_**__dermal papillae._ Ridges and grooves in the dermis form a pattern unique to each individual, which are the basis of fingerprinting. They also improve grip for tool use and walking._**_**

    **_**_The deeper reticular layer of the dermis is filled with a network of tough, interlacing, collagenous, and stretchable elastic fibers. The number of elastic fibers decreases with age and contributes to wrinkle formation. The dermis also contains nerve endings, muscle fibers, hair follicles, sweat and sebaceous glands, and many blood vessels._**_**

    **_**_The subcutaneous tissue is also called the_**_**
    **_**__superficial fascia_ or hypodermis. It is located deep to the dermis but is not part of the skin. Loose fibrous and adipose tissues are prominent in the subcutaneous tissue._**_**

    **_**_Several structures are associated with skin. They include hair, nails, and skin receptors._**_**

    **_**_Next, we’ll review information about hair, an accessory skin structure._**_**

    **_**_The soft hair of the fetus and newborn is called_**_**
    **_**__lanugo._ Hair growth requires epidermal tubelike structures called_**_**
    **_**__hair follicles.__**_**

    **_**_Hair growth begins from hair papilla._**_**

    **_**_The hair roots lie hidden in follicles; the external visible part of hair is called the_**_**
    **_**__shaft.__**_**

    **_**_Smooth muscle of the skin that produces “goose bumps” are called arrector pili. They cause hair to stand up straight._**_**

    **_**_Nails, another accessory skin structure, are produced by epidermal cells over the terminal ends of fingers and toes._**_**

    **_**_The visible part of each nail is called the_**_**
    **_**__nail body.__**_**

    **_**_The nail root lies in a groove and is hidden by the cuticle._**_**

    **_**_The crescent-shaped area nearest the root is called the_**_**
    **_**__lunula, so named for its moon-like curve.__**_**

    **_**_The nail bed may change color with changes in blood flow._**_**

    **_**_Skin receptors include sensory nerve endings for touch and pressure._**_**

    **_**_Sensory nerve endings make it possible for skin to act as a sense organ._**_**

    **_**_Tactile (or Meissner) corpuscles, one type of sensory nerve ending, are capable of detecting light touch._**_**

    **_**_Another type, lamellar (or pacinian) corpuscles, are capable of detecting pressure._**_**

    **_**_Skin glands include two types of sweat or sudoriferous glands, as well as sebaceous or oil glands._**_**

    **_**_The first type of sweat, or sudoriferous, glands we will review is the eccrine sweat gland. The eccrine sweat glands are the most numerous, important, and widespread of the sweat glands. They produce perspiration or sweat, which flows out through pores on the skin surface. They function throughout life and assist in body heat regulation._**_**

    **_**_The second type of sweat or sudoriferous glands are the apocrine glands. They are found primarily in the axilla and around genitalia. The apocrine glands secrete a thicker secretion that is different from eccrine perspiration. The breakdown of this secretion by skin bacteria produces odor._**_**

    **_**_Sebaceous glands are not sweat glands. Sebaceous glands secrete oil or sebum for hair and skin. The level of secretion increases during adolescence, and the amount of secretion is regulated by sex hormones. The sebum in sebaceous gland ducts may darken to form a blackhead._**_**

    **_**_**It is important to understand the causes and types of skin cancer.**_**_**

    **_**_**Causes of skin cancer include genetic predisposition; the sun’s ultraviolet radiation damaging skin cell DNA, causing mistakes during mitosis; and viral infection.**_**_**

    **_**_**There are several types of skin cancer: squamous cell carcinoma, basal cell carcinoma, melanoma, and Kaposi sarcoma.**_**_**

    **_**_**Squamous cell carcinoma, a common type of skin cancer is slow growing, and lesions begin as painless, hard, raised nodules. However, it will metastasize.**_**_**

    **_**_**Basal cell carcinoma is the most common type of skin cancer.**_**_**

    **_**_**It originates in cells at the**_**_**
    **_**_**_base_ of the epidermis—often on the upper face.**_**_**

    **_**_**Lesions begin as small, raised areas that erode in the center, bleed, and crust over.**_**_**

    **_**_**Basal cell carcinoma is less likely to metastasize than other skin cancer types.**_**_**

    **_**_**Melanoma is the most serious form of skin cancer.**_**_**

    **_**_**It may develop from benign, pigmented moles or excess ultraviolet radiation.**_**_**

    **_**_**The incidence of melanoma in the United States is increasing.**_**_**

    **_**_**The fourth type of skin cancer, Kaposi sarcoma, is caused by Kaposi sarcoma–associated herpes virus, abbreviated KSHV.**_**_**

    **_**_**Kaposi sarcoma manifests as purple papules on the skin surface, which quickly metastasize internally.**_**_**

    **_**_**In evaluating a skin lesion, use the ABCDE rule of self-examination: check for A,**_**_**
    **_**_****a** symmetry, B,**_**_**
    **_**_****b** order, C,**_**_**
    **_**_****c** olor, D,**_**_**
    **_**_****d** iameter and E, whether it is**_**_**
    **_**_****e** volving or changing over time.**_**_**

    **_**_**Next, we’ll review burns.**_**_**

    **_**_**Treatment of burns and recovery or survival from them depends on the total area involved and the severity or depth of the burn.**_**_**

    **_**_**Body surface area involved in a burn is estimated using the “rule of nines” in adults.**_**_**

    **_**_**The rule of nines divides the body into 11 areas of 9% each, to equal 99% of the body.**_**_**

    **_**_**An additional 1% of body surface area is around the genitals.**_**_**

    **_**_**Burns are classified based on the depth or thickness of tissue involvement.**_**_**

    **_**_**In first-degree or “partial-thickness” burns, only the surface layers of epidermis involved.**_**_**

    **_**_**Second-degree burns, which are a deeper type of partial-thickness burn, involve the deep epidermal layers and always cause injury to the upper layers of the dermis.**_**_**

    **_**_**Third-degree or “full-thickness” burns are characterized by complete destruction of the epidermis and dermis.**_**_**

    **_**_**In third-degree burns, the lesion is**_**_**
    **_**_****_in_** sensitive to pain because of the destruction of nerve endings immediately after injury; intense pain is soon experienced after the initial injury.**_**_**

    **_**_**Note that the risk of infection is increased in third-degree burns.**_**_**

    **_**_**Fourth-degree burns are full-thickness burns that extend to muscle or bone.**_**_**

    **_**_**This concludes the audio review of chapter 6.**_**_**

    **20250915_014532.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250915-014532-jpg)

    **## Chapter_005.rtf**

    5-3

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 05: Organ Systems**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 5: Organs and Systems.****

    **An organ is a structure made up of two or more kinds of tissues organized in such a way that they can**
    **_together_ perform a more complex function than can any tissue alone.**

    **An organ**
    **_system_ is a group of organs arranged in such a way that they can together, perform a more complex function than can any organ alone.**

    **Knowledge of individual organs and how they are organized into groups makes the understanding of how a particular organ system functions as a whole more meaningful.**

    **Now we’ll review the basic structures and functions of the body’s organ systems.**

    **The integumentary system has only one organ, the skin, but it has many appendages (or attached structures).**

    **Skin appendages include the hair, nails, microscopic sense receptors, sweat glands, and oil glands.**

    **The primary function of the integumentary system is protection. Additional functions include regulation of body temperature, synthesis of chemicals, and its use as a sense organ.**

    **The skeletal system is comprised of bones, cartilage, ligaments, and joints.**

    **Bones are the organs of the skeletal system. There are 206 named bones in the skeleton, but additional variable bones occur in each individual.**

    **Cartilage connects and cushions joined bones.**

    **Ligaments are bands of fibrous tissue that hold bones together.**

    **Joints are the connections between bones that make movement possible.**

    **The skeletal system functions as the supporting framework for the entire body. It protects the brain and internal organs, and provides movement with joints and muscles. It also stores minerals and forms blood cells.**

    **The next system to review is the muscular system.**

    **Muscles are the primary organs of the muscular system and are divided into three types: voluntary or striated skeletal muscle; involuntary or smooth muscle tissue in the walls of some organs; and cardiac muscle in the wall of the heart.**

    **The muscular system functions in movement, maintenance of body posture, and production of heat.**

    **If you hear the term “skeletomuscular system,” this simply means a combination of the skeletal and muscular systems.**

    **The nervous system can be considered a communications system of the body.**

    **It also integrates body functions, controls body functions, and is involved in the recognition of sensory stimuli.**

    **The nervous system is divided structurally into the central nervous system (or CNS), which includes the brain and spinal cord, and the peripheral nervous system (or PNS), which includes the cranial nerves and their branches, the spinal nerves and their branches, and the sense organs.**

    **The endocrine system consists of ductless glands that secrete signaling hormones directly into the blood.**

    **Its functions are the same as the nervous system—communication, integration, and control. However, in the endocrine system, control is slow and of long duration.**

    **The term neuroendocrine system is a combination of nervous and endocrine systems.**

    **Examples of functions regulated by hormones: include growth, metabolism, reproduction, and fluid and electrolyte balance.**

    **The cardiovascular system is also called the**
    **_circulatory system_.**

    **It includes the heart and blood vessels.**

    **Functions of the cardiovascular system are transportation of substances throughout the body, regulation of body temperature, and immunity (or body defense).**

    **The next systems to review are the lymphatic and immune systems.**

    **Structures of the lymphatic system include the lymphatic vessels, lymph nodes and tonsils, thymus, spleen, and red bone marrow.**

    **The lymphatic system functions in transportation of lymph, and in immunity.**

    **Structures of the immune system include unique cells and defensive protein compounds.**

    **Phagocytes and secretory cells are the unique cells.**

    **Antibodies and complements are the defensive protein compounds.**

    **Functions of the immune system include phagocytosis of bacteria, as well as chemical reactions that provide protection from harmful agents.**

    **You may be familiar with some of the functions of the next system, the respiratory system.**

    **It is involved in the exchange of waste gas (carbon dioxide) for oxygen in the alveoli of the lungs; infiltration of irritants from inspired air, and in regulation of acid-base balance.**

    **Structures of the respiratory system include the nose, pharynx, larynx, trachea, bronchi, and lungs.**

    **Functions of the next system, the digestive system, are also likely familiar to you.**

    **They include mechanical and chemical breakdown of food (called digestion), absorption of nutrients, and elimination of undigested waste product—referred to as**
    **_feces._**

    **In addition, the appendix holds bacteria that assist digestion.**

    **Structures of the digestive system are considered either primary organs or accessory organs.**

    **Primary organs form the alimentary canal, called the gastrointestinal (or GI) tract. They are the mouth, pharynx, esophagus, stomach, small and large intestines, rectum, and anal canal.**

    **Accessory organs assist the digestive process. Accessory organs include the teeth, salivary glands, tongue, liver, gallbladder, pancreas, and appendix.**

    **The next system to review, the urinary system, includes these structures: the kidneys, ureters, urinary bladder, and urethra.**

    **In males, the urethra is part of both the urinary and the reproductive systems.**

    **Functions of the urinary system are “clearing,” or cleaning the blood of waste products, which are excreted from the body as**
    **_urine;_ electrolyte balance; water balance; and acid-base balance.**

    **The reproductive systems ensure survival of genes and produce sex cells: sperm in the male: ova in the female.**

    **These systems also transfer and fertilize sex cells; develop, birth, and nourish offspring, and produce sex hormones.**

    **Structures of the reproductive system of the male include the testes, which are the gonads of the male, as well as other structures including the vas deferens, urethra, prostate, and external genitalia, the penis and scrotum.**

    **Structures of the reproductive system of the female include the ovaries, which are the gonads of the female, as well as other structures: the uterus, uterine (or fallopian) tubes, vagina, external genitalia (also called the vulva), and the mammary glands, the medical term for breasts.**

    **As you review the individual body systems, keep in mind the concept of the body as a whole. No one body system functions entirely independently of other systems. All body systems are structurally and functionally interrelated and interdependent.**

    **This concludes the audio review of Chapter 5.**

    **## Chapter_006.rtf**

    6-5

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 06: Skin & Membranes**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 6: Skin** **&** **Membranes.****

    **First, we’ll review body membranes. The classification of body membranes divides them into two types: connective tissue membranes and epithelial membranes.**

    **Connective tissue membranes are composed largely of various types of connective tissue.**

    **They do not contain epithelial components.**

    **Connective tissue membranes produce a lubricant called**
    **_synovial fluid._**
    **__Examples of connective tissue membranes are the synovial membranes lining the joint capsules that surround and attach the ends of articulating bones in movable joints and in the lining of bursal sacs.__**

    **_Epithelial membranes are composed of epithelial tissue and an underlying layer of connective tissue._**

    **_There are three types of epithelial membranes: cutaneous, serous, and mucous membranes._**

    **_The skin is the cutaneous membrane, the first type of epithelial membrane._**

    **_Serous membranes, the second type of epithelial membranes, are simple squamous epithelium on a connective tissue basement membrane._**

    **_Serous membranes have layers: The parietal layer lines the wall of a body cavity; the visceral layer covers organs within a body cavity._**

    **_Examples of serous membranes include the pericardium, which has parietal and visceral layers that line a fibrous sac around the heart and a visceral layer that covers the heart wall._**

    **_The pleura is another example of a serous membrane: parietal and visceral layers of the pleura line the walls of the thoracic cavity and cover the lungs._**

    **_The peritoneum is a third example of a serous membrane. Its parietal and visceral layers line the walls of the abdominal cavity and cover the organs in that cavity._**

    **_Diseases, such as pleurisy and peritonitis, can affect serous membranes._**

    **_Pleurisy is inflammation of the serous membranes that line the chest cavity and cover the lungs._**

    **_Peritonitis is inflammation of the serous membranes in the abdominal cavity that line the walls and cover the abdominal organs._**

    **_The third type of epithelial membranes, mucous membranes, line body surfaces that open directly to the exterior. Mucous membranes produce mucus, a thick secretion that keeps the membranes soft and moist._**

    **_Next, we’ll review the skin._**

    **_There are five main functions of the skin: protection, temperature regulation, sense organ activity, excretion, and synthesis of vitamin D._**

    **_Protection by the skin is the body’s first line of defense against infection by microbes, UV rays from sun, harmful chemicals, and cuts and tears._**

    **_The mechanisms of temperature regulation by the skin include regulation of sweat secretion and regulation of flow of blood close to the body surface. The skin can release almost 3000 calories of body heat per day!_**

    **_Skin also functions as an enormous sense organ; receptors serve as receivers for the body, keeping it informed of changes in its environment._**

    **_Skin functions in excretion because sweat can rid the body of ions and wastes._**

    **_The synthesis of vitamin D by the skin is another vital function._**

    **_**Now that you have reviewed skin’s functions, it’s time to review its structure. Skin structure contains two primary layers called**_**
    **_**_epidermis_ and**_**
    **_**_dermis._**_**
    **_**_The epidermis is the outermost and thinnest primary layer of skin._**_**

    **_**_It is composed of several layers of stratified squamous epithelium. The stratum germinativum, the innermost (or deepest) layer of cells, continually reproduces, and new cells move toward the surface._**_**

    **_**_As cells approach the surface, they are filled with a tough, waterproof protein called_**_**
    **_**__keratin_ and eventually flake off. The outermost layer of keratin-filled cells is called the stratum corneum._**_**

    **_**_Skin pigment is created by pigment-producing cells called melanocyte cells. They are found in the basal layer of stratum germinativum._**_**

    **_**_The brown pigment melanin produced by melanocytes is distributed to other epithelial cells, giving skin a darker color. The amount and type of melanin, determined by genes, helps produce basic skin color._**_**

    **_**_Skin color changes include additional pigmentation as a reaction to sunlight; a pink flush that indicates increased blood volume or_**_**
    **_**_**in** creased blood oxygen, and cyanosis, a bluish color that indicates_**_**
    **_**_**de** creased blood oxygen level._**_**

    **_**_At the dermal-epidermal junction, there is a gluelike layer between the dermis and epidermis._**_**

    **_**_Small bumps called dermal papillae help stabilize the junction._**_**

    **_**_Blisters are caused by breakdown of the union between cells or primary layers of skin._**_**

    **_**_The dermis is the deeper and thicker of the two primary skin layers._**_**

    **_**_It is composed largely of connective tissue. The upper papillary layer of dermis is characterized by parallel rows of tiny bumps called_**_**
    **_**__dermal papillae._ Ridges and grooves in the dermis form a pattern unique to each individual, which are the basis of fingerprinting. They also improve grip for tool use and walking._**_**

    **_**_The deeper reticular layer of the dermis is filled with a network of tough, interlacing, collagenous, and stretchable elastic fibers. The number of elastic fibers decreases with age and contributes to wrinkle formation. The dermis also contains nerve endings, muscle fibers, hair follicles, sweat and sebaceous glands, and many blood vessels._**_**

    **_**_The subcutaneous tissue is also called the_**_**
    **_**__superficial fascia_ or hypodermis. It is located deep to the dermis but is not part of the skin. Loose fibrous and adipose tissues are prominent in the subcutaneous tissue._**_**

    **_**_Several structures are associated with skin. They include hair, nails, and skin receptors._**_**

    **_**_Next, we’ll review information about hair, an accessory skin structure._**_**

    **_**_The soft hair of the fetus and newborn is called_**_**
    **_**__lanugo._ Hair growth requires epidermal tubelike structures called_**_**
    **_**__hair follicles.__**_**

    **_**_Hair growth begins from hair papilla._**_**

    **_**_The hair roots lie hidden in follicles; the external visible part of hair is called the_**_**
    **_**__shaft.__**_**

    **_**_Smooth muscle of the skin that produces “goose bumps” are called arrector pili. They cause hair to stand up straight._**_**

    **_**_Nails, another accessory skin structure, are produced by epidermal cells over the terminal ends of fingers and toes._**_**

    **_**_The visible part of each nail is called the_**_**
    **_**__nail body.__**_**

    **_**_The nail root lies in a groove and is hidden by the cuticle._**_**

    **_**_The crescent-shaped area nearest the root is called the_**_**
    **_**__lunula, so named for its moon-like curve.__**_**

    **_**_The nail bed may change color with changes in blood flow._**_**

    **_**_Skin receptors include sensory nerve endings for touch and pressure._**_**

    **_**_Sensory nerve endings make it possible for skin to act as a sense organ._**_**

    **_**_Tactile (or Meissner) corpuscles, one type of sensory nerve ending, are capable of detecting light touch._**_**

    **_**_Another type, lamellar (or pacinian) corpuscles, are capable of detecting pressure._**_**

    **_**_Skin glands include two types of sweat or sudoriferous glands, as well as sebaceous or oil glands._**_**

    **_**_The first type of sweat, or sudoriferous, glands we will review is the eccrine sweat gland. The eccrine sweat glands are the most numerous, important, and widespread of the sweat glands. They produce perspiration or sweat, which flows out through pores on the skin surface. They function throughout life and assist in body heat regulation._**_**

    **_**_The second type of sweat or sudoriferous glands are the apocrine glands. They are found primarily in the axilla and around genitalia. The apocrine glands secrete a thicker secretion that is different from eccrine perspiration. The breakdown of this secretion by skin bacteria produces odor._**_**

    **_**_Sebaceous glands are not sweat glands. Sebaceous glands secrete oil or sebum for hair and skin. The level of secretion increases during adolescence, and the amount of secretion is regulated by sex hormones. The sebum in sebaceous gland ducts may darken to form a blackhead._**_**

    **_**_**It is important to understand the causes and types of skin cancer.**_**_**

    **_**_**Causes of skin cancer include genetic predisposition; the sun’s ultraviolet radiation damaging skin cell DNA, causing mistakes during mitosis; and viral infection.**_**_**

    **_**_**There are several types of skin cancer: squamous cell carcinoma, basal cell carcinoma, melanoma, and Kaposi sarcoma.**_**_**

    **_**_**Squamous cell carcinoma, a common type of skin cancer is slow growing, and lesions begin as painless, hard, raised nodules. However, it will metastasize.**_**_**

    **_**_**Basal cell carcinoma is the most common type of skin cancer.**_**_**

    **_**_**It originates in cells at the**_**_**
    **_**_**_base_ of the epidermis—often on the upper face.**_**_**

    **_**_**Lesions begin as small, raised areas that erode in the center, bleed, and crust over.**_**_**

    **_**_**Basal cell carcinoma is less likely to metastasize than other skin cancer types.**_**_**

    **_**_**Melanoma is the most serious form of skin cancer.**_**_**

    **_**_**It may develop from benign, pigmented moles or excess ultraviolet radiation.**_**_**

    **_**_**The incidence of melanoma in the United States is increasing.**_**_**

    **_**_**The fourth type of skin cancer, Kaposi sarcoma, is caused by Kaposi sarcoma–associated herpes virus, abbreviated KSHV.**_**_**

    **_**_**Kaposi sarcoma manifests as purple papules on the skin surface, which quickly metastasize internally.**_**_**

    **_**_**In evaluating a skin lesion, use the ABCDE rule of self-examination: check for A,**_**_**
    **_**_****a** symmetry, B,**_**_**
    **_**_****b** order, C,**_**_**
    **_**_****c** olor, D,**_**_**
    **_**_****d** iameter and E, whether it is**_**_**
    **_**_****e** volving or changing over time.**_**_**

    **_**_**Next, we’ll review burns.**_**_**

    **_**_**Treatment of burns and recovery or survival from them depends on the total area involved and the severity or depth of the burn.**_**_**

    **_**_**Body surface area involved in a burn is estimated using the “rule of nines” in adults.**_**_**

    **_**_**The rule of nines divides the body into 11 areas of 9% each, to equal 99% of the body.**_**_**

    **_**_**An additional 1% of body surface area is around the genitals.**_**_**

    **_**_**Burns are classified based on the depth or thickness of tissue involvement.**_**_**

    **_**_**In first-degree or “partial-thickness” burns, only the surface layers of epidermis involved.**_**_**

    **_**_**Second-degree burns, which are a deeper type of partial-thickness burn, involve the deep epidermal layers and always cause injury to the upper layers of the dermis.**_**_**

    **_**_**Third-degree or “full-thickness” burns are characterized by complete destruction of the epidermis and dermis.**_**_**

    **_**_**In third-degree burns, the lesion is**_**_**
    **_**_****_in_** sensitive to pain because of the destruction of nerve endings immediately after injury; intense pain is soon experienced after the initial injury.**_**_**

    **_**_**Note that the risk of infection is increased in third-degree burns.**_**_**

    **_**_**Fourth-degree burns are full-thickness burns that extend to muscle or bone.**_**_**

    **_**_**This concludes the audio review of chapter 6.**_**_**

    **20250915_014532.jpg**

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    ## **Letter Challenge – Addressing a Colleague's Behavior** ### **Overview** Imagine: You're a Licensed Practical Nurse (LPN) working alongside a fellow LPN, Sarah Thompson, in the emergency department. You've noticed a decline in Sarah's usual focus and efficiency, potentially impacting patient car…

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    ## **Letter Challenge – Addressing a Colleague's Behavior**
    ### **Overview**
    Imagine: You're a Licensed Practical Nurse (LPN) working alongside a fellow LPN, Sarah Thompson, in the emergency department. You've noticed a decline in Sarah's usual focus and efficiency, potentially impacting patient care.
    ### **Instructions**
    #### **Draft and Design a Letter**
    Write a brief, personal letter to Sarah addressing this change in behavior.
    The letter should be formatted according to the professional standards found in the required reading materials for this module.
    You can opt to use a free letter template from Microsoft Word, Canva, or similar, as long it adheres to the standards expected of your audience.
    #### **Additional Assignment Expectations**
    – Focus on the Impact: Frame your concerns around how Sarah's behavior is potentially affecting patient care and teamwork.
    – Compassion & Support: Express your concern with empathy and offer your support in addressing any underlying issues.
    – Confidentiality & Professionalism: Maintain a confidential and professional tone throughout the letter.
    – Constructive Approach: Focus on offering solutions and collaborating to improve the situation.

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    – ## Chapter_007.rtf – 20250920_051545.jpg **## Chapter_007.rtf** 7-4 Audio Chapter Summaries Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies. Copyright © 2025 by Elsevier Inc. All rights reserved, including th…

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    **## Chapter_007.rtf**

    7-4

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 07: Skeletal System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 7: Skeletal System.****

    **The skeletal system has many functions!**

    **It supports and gives shape to the body.**

    **It protects internal organs and helps make movements possible when bones at moveable joints are pulled by muscles.**

    **The skeletal system also stores vital substances, including calcium and fat. Hormones regulate calcium storage: calcitonin increases storage and parathyroid hormone reduces stores of calcium.**

    **Fat is stored in the cavities of some bones.**

    **Another vital function of bone is hematopoiesis, blood cell formation in red bone marrow.**

    **To review the structure of bones, you need to recall the four major types, which are based on the overall shape of the bone:**

    **Long bones, for example, the humerus (or upper arm),**

    **Short bones, such as the carpals (or wrist) bones,**

    **Flat bones, such as the frontal or skull bone, and**

    **Irregular bones, for example, the vertebrae (they make up the spinal column).**

    **Some also recognize a sesamoid (or round) bone category for bones such as the patella or kneecap.**

    **The structure of long bones contains several terms with which you should be familiar.**

    **The diaphysis or shaft is the hollow tube of hard compact bone.**

    **The medullary cavity is the hollow area inside the diaphysis that contains yellow marrow.**

    **The epiphyses, or ends of the bone, are spongy bone that contain red bone marrow.**

    **Articular cartilage covers the epiphyses and functions as a cushion.**

    **The periosteum is the strong membrane covering bone everywhere except at joint surfaces.**

    **The endosteum is the thin membrane lining the medullary cavity.**

    **The structure of flat bones differs from that of long bones. Flat bones have a spongy bone layer sandwiched between two compact bone layers. Diploe is the term for the spongy bone layer of a flat bone.**

    **It is also important for you to understand the microscopic structure of bones.**

    **There are two types of bone: cancellous or spongy bone, and compact bone.**

    **The texture of cancellous (or spongy) bone results from needlelike threads of bone called**
    **_trabeculae_ surrounded by a network of open spaces. Cancellous bone is found in the epiphyses of bones. The spaces of spongy bone contain red bone marrow.**

    **The structural unit of compact bone is an osteon, a calcified matrix arranged in multiple layers or rings, each called a concentric lamella.**

    **Bone cells are called**
    **_osteocytes_ and are found inside spaces called**
    **_lacunae_, which are connected by tiny tubes called**
    **_canaliculi._**

    **Cartilage both resembles and differs from bone.**

    **Cartilage cells are called**
    **_chondrocytes._**

    **The matrix of cartilage is gellike and lacks blood vessels.**

    **Listen on to find out cartilage’s functions in bone development.**

    **Bone development involves making and remodeling bone tissue.**

    **Before birth, bone structure consists of cartilage and fibrous structures. Three types of bone cells are involved: osteoblasts, osteocytes, and osteoclasts.**

    **Osteoblasts build new bone matrix by encrusting collagen fibers with calcium crystals. (think “b-b: blasts build”) Osteocytes are inactive osteoblasts.**

    **Osteoclasts dissolve bone, releasing calcium ions for reabsorption into the bloodstream.**

    **Remodeling is a combined action of making and dissolving bone matrix that eventually sculpts bone into the adult shape.**

    **There are two types of ossification: endochondral and intramembranous.**

    **In endochondral ossification, cartilage models are gradually replaced by calcified bone.**

    **In intramembranous ossification, fibrous membranes are ossified into hard bone plates.**

    **For example, fontanels of newborns are soft, not-yet-ossified regions.**

    **Next, we’ll review the major bones of the skeleton.**

    **The skeleton can be divided into central**
    **_axial_ and peripheral**
    **_appendicular_ regions. The axial skeleton includes 80 bones: bones of the skull, vertebral column, and thorax, as well as the hyoid bone of the neck, the only bone in the body that does not directly connect with another bone.**

    **The skull has 8 bones of the cranium, 14 in the face, and 6 in the middle ear.**

    **Within the skull are spaces called paranasal sinuses.**

    **The vertebral column or spine has 24 total vertebrae: 7 cervical, 12 thoracic, and 5 lumbar, as well as the sacrum and coccyx.**

    **The thorax contains 24 ribs and the sternum. Those are all the bones of the axial skeleton.**

    **The appendicular skeleton contains 126 bones of the upper and lower extremities.**

    **The 64 bones of the upper extremity include bones of the pectoral or shoulder girdle, the arm and forearm, and the wrist and hand.**

    **The pectoral girdle has 2 scapulae and 2 clavicles.**

    **Each arm has a humerus and each forearm has a radius and an ulna, for a total of 6 bones.**

    **The wrists and hands contain 16 carpal bones, 10 metacarpal bones, and 28 phalanges.**

    **The 62 bones of the lower extremity include the pelvic or hip girdle, the thigh and leg, and the ankle and foot.**

    **The pelvic girdle has 2 coxal bones.**

    **The thighs and legs contain a total of 2 femurs, 2 patellas, 2 tibias, and 2 fibulas.**

    **The ankles and feet have a total of 14 tarsal bones, 10 metatarsal bones, and—just like the hands—28 phalanges.**

    **Note that the arched structure of the foot provides dynamic support for the entire skeleton.**

    **Skeletal variations include male and female differences, age differences, and environmental factors.**

    **A comparison of male and female skeletons reveals that the male skeleton is generally larger. The shape of the pelvis is different; the male pelvis is deep and narrow, whereas the female pelvis is shallow and broad.**

    **The size of the pelvic inlet also differs: the female pelvic inlet is generally wider, normally large enough for a baby’s head to pass through it.**

    **Similarly, the pubic angle, the angle between the pubic bones, is generally wider in females.**

    **Age differences apply to both men and women.**

    **Bones enlarge and become more ossified until maturity at age 25. Bones actively remodel (dissolve and rebuild) in middle adulthood, then bones become less dense during the elderly years.**

    **Environmental factors influencing the skeleton include nutrition and mechanical stress.**

    **Nutrition affects growth and maintenance of bone tissue. Mechanical stress, including exercise, affects bone remodeling.**

    **Next, we’ll review joints. An articulation is a joint between two or more bones. Every bone except the hyoid (which anchors the tongue) connects to at least one other bone.**

    **There are three kinds of joints: synarthroses, amphiarthroses, and diarthroses.**

    **Synarthroses permit no movement; fibrous connective tissue grows between articulating bones. For example, sutures of the skull are synarthroses.**

    **Amphiarthroses allow slight movement. In amphiarthroses, cartilage connects articulating bones; for example, in the symphysis pubis.**

    **Diarthroses are freely moveable joints. Most joints belong to this class.**

    **There is a common structure to freely moveable joints; the joint capsule and ligaments hold adjoining bones together, but permit movement at the joint.**

    **Articular cartilage covers the ends of bones where they form joints with other bones.**

    **A synovial membrane lines the joint capsule and secretes lubricating fluid. The space between joint ends of bones is termed the joint cavity.**

    **A bursa is a fluid-filled pouch that absorbs shock; inflammation of a bursa is called**
    **_bursitis._**

    **Some different types of joints are the ball-and-socket, hinge, pivot, saddle, gliding, and condyloid types. Different kinds of movements are determined by the structure of each joint.**

    **This concludes the audio review of Chapter 7.**

    **20250920_051545.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250920-051545-jpg-10404841)

    **20250920_051545.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250920-051545-jpg-10404841)

    **## Chapter_007.rtf**

    7-4

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 07: Skeletal System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 7: Skeletal System.****

    **The skeletal system has many functions!**

    **It supports and gives shape to the body.**

    **It protects internal organs and helps make movements possible when bones at moveable joints are pulled by muscles.**

    **The skeletal system also stores vital substances, including calcium and fat. Hormones regulate calcium storage: calcitonin increases storage and parathyroid hormone reduces stores of calcium.**

    **Fat is stored in the cavities of some bones.**

    **Another vital function of bone is hematopoiesis, blood cell formation in red bone marrow.**

    **To review the structure of bones, you need to recall the four major types, which are based on the overall shape of the bone:**

    **Long bones, for example, the humerus (or upper arm),**

    **Short bones, such as the carpals (or wrist) bones,**

    **Flat bones, such as the frontal or skull bone, and**

    **Irregular bones, for example, the vertebrae (they make up the spinal column).**

    **Some also recognize a sesamoid (or round) bone category for bones such as the patella or kneecap.**

    **The structure of long bones contains several terms with which you should be familiar.**

    **The diaphysis or shaft is the hollow tube of hard compact bone.**

    **The medullary cavity is the hollow area inside the diaphysis that contains yellow marrow.**

    **The epiphyses, or ends of the bone, are spongy bone that contain red bone marrow.**

    **Articular cartilage covers the epiphyses and functions as a cushion.**

    **The periosteum is the strong membrane covering bone everywhere except at joint surfaces.**

    **The endosteum is the thin membrane lining the medullary cavity.**

    **The structure of flat bones differs from that of long bones. Flat bones have a spongy bone layer sandwiched between two compact bone layers. Diploe is the term for the spongy bone layer of a flat bone.**

    **It is also important for you to understand the microscopic structure of bones.**

    **There are two types of bone: cancellous or spongy bone, and compact bone.**

    **The texture of cancellous (or spongy) bone results from needlelike threads of bone called**
    **_trabeculae_ surrounded by a network of open spaces. Cancellous bone is found in the epiphyses of bones. The spaces of spongy bone contain red bone marrow.**

    **The structural unit of compact bone is an osteon, a calcified matrix arranged in multiple layers or rings, each called a concentric lamella.**

    **Bone cells are called**
    **_osteocytes_ and are found inside spaces called**
    **_lacunae_, which are connected by tiny tubes called**
    **_canaliculi._**

    **Cartilage both resembles and differs from bone.**

    **Cartilage cells are called**
    **_chondrocytes._**

    **The matrix of cartilage is gellike and lacks blood vessels.**

    **Listen on to find out cartilage’s functions in bone development.**

    **Bone development involves making and remodeling bone tissue.**

    **Before birth, bone structure consists of cartilage and fibrous structures. Three types of bone cells are involved: osteoblasts, osteocytes, and osteoclasts.**

    **Osteoblasts build new bone matrix by encrusting collagen fibers with calcium crystals. (think “b-b: blasts build”) Osteocytes are inactive osteoblasts.**

    **Osteoclasts dissolve bone, releasing calcium ions for reabsorption into the bloodstream.**

    **Remodeling is a combined action of making and dissolving bone matrix that eventually sculpts bone into the adult shape.**

    **There are two types of ossification: endochondral and intramembranous.**

    **In endochondral ossification, cartilage models are gradually replaced by calcified bone.**

    **In intramembranous ossification, fibrous membranes are ossified into hard bone plates.**

    **For example, fontanels of newborns are soft, not-yet-ossified regions.**

    **Next, we’ll review the major bones of the skeleton.**

    **The skeleton can be divided into central**
    **_axial_ and peripheral**
    **_appendicular_ regions. The axial skeleton includes 80 bones: bones of the skull, vertebral column, and thorax, as well as the hyoid bone of the neck, the only bone in the body that does not directly connect with another bone.**

    **The skull has 8 bones of the cranium, 14 in the face, and 6 in the middle ear.**

    **Within the skull are spaces called paranasal sinuses.**

    **The vertebral column or spine has 24 total vertebrae: 7 cervical, 12 thoracic, and 5 lumbar, as well as the sacrum and coccyx.**

    **The thorax contains 24 ribs and the sternum. Those are all the bones of the axial skeleton.**

    **The appendicular skeleton contains 126 bones of the upper and lower extremities.**

    **The 64 bones of the upper extremity include bones of the pectoral or shoulder girdle, the arm and forearm, and the wrist and hand.**

    **The pectoral girdle has 2 scapulae and 2 clavicles.**

    **Each arm has a humerus and each forearm has a radius and an ulna, for a total of 6 bones.**

    **The wrists and hands contain 16 carpal bones, 10 metacarpal bones, and 28 phalanges.**

    **The 62 bones of the lower extremity include the pelvic or hip girdle, the thigh and leg, and the ankle and foot.**

    **The pelvic girdle has 2 coxal bones.**

    **The thighs and legs contain a total of 2 femurs, 2 patellas, 2 tibias, and 2 fibulas.**

    **The ankles and feet have a total of 14 tarsal bones, 10 metatarsal bones, and—just like the hands—28 phalanges.**

    **Note that the arched structure of the foot provides dynamic support for the entire skeleton.**

    **Skeletal variations include male and female differences, age differences, and environmental factors.**

    **A comparison of male and female skeletons reveals that the male skeleton is generally larger. The shape of the pelvis is different; the male pelvis is deep and narrow, whereas the female pelvis is shallow and broad.**

    **The size of the pelvic inlet also differs: the female pelvic inlet is generally wider, normally large enough for a baby’s head to pass through it.**

    **Similarly, the pubic angle, the angle between the pubic bones, is generally wider in females.**

    **Age differences apply to both men and women.**

    **Bones enlarge and become more ossified until maturity at age 25. Bones actively remodel (dissolve and rebuild) in middle adulthood, then bones become less dense during the elderly years.**

    **Environmental factors influencing the skeleton include nutrition and mechanical stress.**

    **Nutrition affects growth and maintenance of bone tissue. Mechanical stress, including exercise, affects bone remodeling.**

    **Next, we’ll review joints. An articulation is a joint between two or more bones. Every bone except the hyoid (which anchors the tongue) connects to at least one other bone.**

    **There are three kinds of joints: synarthroses, amphiarthroses, and diarthroses.**

    **Synarthroses permit no movement; fibrous connective tissue grows between articulating bones. For example, sutures of the skull are synarthroses.**

    **Amphiarthroses allow slight movement. In amphiarthroses, cartilage connects articulating bones; for example, in the symphysis pubis.**

    **Diarthroses are freely moveable joints. Most joints belong to this class.**

    **There is a common structure to freely moveable joints; the joint capsule and ligaments hold adjoining bones together, but permit movement at the joint.**

    **Articular cartilage covers the ends of bones where they form joints with other bones.**

    **A synovial membrane lines the joint capsule and secretes lubricating fluid. The space between joint ends of bones is termed the joint cavity.**

    **A bursa is a fluid-filled pouch that absorbs shock; inflammation of a bursa is called**
    **_bursitis._**

    **Some different types of joints are the ball-and-socket, hinge, pivot, saddle, gliding, and condyloid types. Different kinds of movements are determined by the structure of each joint.**

    **This concludes the audio review of Chapter 7.**

    **20250920_051545.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250920-051545-jpg-10404841)

    **## Chapter_007.rtf**

    7-4

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 07: Skeletal System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 7: Skeletal System.****

    **The skeletal system has many functions!**

    **It supports and gives shape to the body.**

    **It protects internal organs and helps make movements possible when bones at moveable joints are pulled by muscles.**

    **The skeletal system also stores vital substances, including calcium and fat. Hormones regulate calcium storage: calcitonin increases storage and parathyroid hormone reduces stores of calcium.**

    **Fat is stored in the cavities of some bones.**

    **Another vital function of bone is hematopoiesis, blood cell formation in red bone marrow.**

    **To review the structure of bones, you need to recall the four major types, which are based on the overall shape of the bone:**

    **Long bones, for example, the humerus (or upper arm),**

    **Short bones, such as the carpals (or wrist) bones,**

    **Flat bones, such as the frontal or skull bone, and**

    **Irregular bones, for example, the vertebrae (they make up the spinal column).**

    **Some also recognize a sesamoid (or round) bone category for bones such as the patella or kneecap.**

    **The structure of long bones contains several terms with which you should be familiar.**

    **The diaphysis or shaft is the hollow tube of hard compact bone.**

    **The medullary cavity is the hollow area inside the diaphysis that contains yellow marrow.**

    **The epiphyses, or ends of the bone, are spongy bone that contain red bone marrow.**

    **Articular cartilage covers the epiphyses and functions as a cushion.**

    **The periosteum is the strong membrane covering bone everywhere except at joint surfaces.**

    **The endosteum is the thin membrane lining the medullary cavity.**

    **The structure of flat bones differs from that of long bones. Flat bones have a spongy bone layer sandwiched between two compact bone layers. Diploe is the term for the spongy bone layer of a flat bone.**

    **It is also important for you to understand the microscopic structure of bones.**

    **There are two types of bone: cancellous or spongy bone, and compact bone.**

    **The texture of cancellous (or spongy) bone results from needlelike threads of bone called**
    **_trabeculae_ surrounded by a network of open spaces. Cancellous bone is found in the epiphyses of bones. The spaces of spongy bone contain red bone marrow.**

    **The structural unit of compact bone is an osteon, a calcified matrix arranged in multiple layers or rings, each called a concentric lamella.**

    **Bone cells are called**
    **_osteocytes_ and are found inside spaces called**
    **_lacunae_, which are connected by tiny tubes called**
    **_canaliculi._**

    **Cartilage both resembles and differs from bone.**

    **Cartilage cells are called**
    **_chondrocytes._**

    **The matrix of cartilage is gellike and lacks blood vessels.**

    **Listen on to find out cartilage’s functions in bone development.**

    **Bone development involves making and remodeling bone tissue.**

    **Before birth, bone structure consists of cartilage and fibrous structures. Three types of bone cells are involved: osteoblasts, osteocytes, and osteoclasts.**

    **Osteoblasts build new bone matrix by encrusting collagen fibers with calcium crystals. (think “b-b: blasts build”) Osteocytes are inactive osteoblasts.**

    **Osteoclasts dissolve bone, releasing calcium ions for reabsorption into the bloodstream.**

    **Remodeling is a combined action of making and dissolving bone matrix that eventually sculpts bone into the adult shape.**

    **There are two types of ossification: endochondral and intramembranous.**

    **In endochondral ossification, cartilage models are gradually replaced by calcified bone.**

    **In intramembranous ossification, fibrous membranes are ossified into hard bone plates.**

    **For example, fontanels of newborns are soft, not-yet-ossified regions.**

    **Next, we’ll review the major bones of the skeleton.**

    **The skeleton can be divided into central**
    **_axial_ and peripheral**
    **_appendicular_ regions. The axial skeleton includes 80 bones: bones of the skull, vertebral column, and thorax, as well as the hyoid bone of the neck, the only bone in the body that does not directly connect with another bone.**

    **The skull has 8 bones of the cranium, 14 in the face, and 6 in the middle ear.**

    **Within the skull are spaces called paranasal sinuses.**

    **The vertebral column or spine has 24 total vertebrae: 7 cervical, 12 thoracic, and 5 lumbar, as well as the sacrum and coccyx.**

    **The thorax contains 24 ribs and the sternum. Those are all the bones of the axial skeleton.**

    **The appendicular skeleton contains 126 bones of the upper and lower extremities.**

    **The 64 bones of the upper extremity include bones of the pectoral or shoulder girdle, the arm and forearm, and the wrist and hand.**

    **The pectoral girdle has 2 scapulae and 2 clavicles.**

    **Each arm has a humerus and each forearm has a radius and an ulna, for a total of 6 bones.**

    **The wrists and hands contain 16 carpal bones, 10 metacarpal bones, and 28 phalanges.**

    **The 62 bones of the lower extremity include the pelvic or hip girdle, the thigh and leg, and the ankle and foot.**

    **The pelvic girdle has 2 coxal bones.**

    **The thighs and legs contain a total of 2 femurs, 2 patellas, 2 tibias, and 2 fibulas.**

    **The ankles and feet have a total of 14 tarsal bones, 10 metatarsal bones, and—just like the hands—28 phalanges.**

    **Note that the arched structure of the foot provides dynamic support for the entire skeleton.**

    **Skeletal variations include male and female differences, age differences, and environmental factors.**

    **A comparison of male and female skeletons reveals that the male skeleton is generally larger. The shape of the pelvis is different; the male pelvis is deep and narrow, whereas the female pelvis is shallow and broad.**

    **The size of the pelvic inlet also differs: the female pelvic inlet is generally wider, normally large enough for a baby’s head to pass through it.**

    **Similarly, the pubic angle, the angle between the pubic bones, is generally wider in females.**

    **Age differences apply to both men and women.**

    **Bones enlarge and become more ossified until maturity at age 25. Bones actively remodel (dissolve and rebuild) in middle adulthood, then bones become less dense during the elderly years.**

    **Environmental factors influencing the skeleton include nutrition and mechanical stress.**

    **Nutrition affects growth and maintenance of bone tissue. Mechanical stress, including exercise, affects bone remodeling.**

    **Next, we’ll review joints. An articulation is a joint between two or more bones. Every bone except the hyoid (which anchors the tongue) connects to at least one other bone.**

    **There are three kinds of joints: synarthroses, amphiarthroses, and diarthroses.**

    **Synarthroses permit no movement; fibrous connective tissue grows between articulating bones. For example, sutures of the skull are synarthroses.**

    **Amphiarthroses allow slight movement. In amphiarthroses, cartilage connects articulating bones; for example, in the symphysis pubis.**

    **Diarthroses are freely moveable joints. Most joints belong to this class.**

    **There is a common structure to freely moveable joints; the joint capsule and ligaments hold adjoining bones together, but permit movement at the joint.**

    **Articular cartilage covers the ends of bones where they form joints with other bones.**

    **A synovial membrane lines the joint capsule and secretes lubricating fluid. The space between joint ends of bones is termed the joint cavity.**

    **A bursa is a fluid-filled pouch that absorbs shock; inflammation of a bursa is called**
    **_bursitis._**

    **Some different types of joints are the ball-and-socket, hinge, pivot, saddle, gliding, and condyloid types. Different kinds of movements are determined by the structure of each joint.**

    **This concludes the audio review of Chapter 7.**

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