By R. Esiel. University of Connecticut.

The increased pulse pressure is distributed V1 V2 V V2 evenly around the same mean arterial pressure buspirone 10mg on-line. The change in volume ( V1) causes the change astolic pressure increases. The same change in volume ( V2) at a higher initial volume causes a change in pressure ( P2) equal to P1. The Effect of Changes in Cardiac Output Balanced by change in volume ( V1) causes the change in pressure ( P1). Mean arte- same change in volume ( V2) at a higher initial volume causes a rial pressure may remain constant despite a change in car- much larger change in pressure ( P2). A good exam- 254 PART IV BLOOD AND CARDIOVASCULAR PHYSIOLOGY A Exercise ↑SV ↑HR ↓SVR ↑CO B ↑Pulse pressure (↑systolic ↓diastolic) Little change in mean arterial pressure FIGURE 15. Heart rate (HR) and stroke volume (SV) increase, resulting in an increase in car- diac output (CO). However, dilation of resistance vessels in skeletal muscle lowers systemic vascular resistance (SVR), balanc- ing the increase in cardiac output and causing little change in C mean arterial pressure. In this new steady state, systolic, diastolic, and mean arterial pressures are all higher. The increase in mean arterial pressure (to 107 mm Hg) results in a decrease in arterial compliance (see FIGURE 15. The increase in pulse pressure results from both on arterial pressure with constant cardiac out- higher stroke volume and decreased arterial compliance. When cardiac output is held constant by lowering heart rate, there is no change in mean arterial pressure (93 mm Hg) and systolic pressure increases while diastolic pressure de- Effect of Increased SVR. B, Effect of increased heart rate and stroke volume with of the larger arteries transiently decreases. If cardiac output no change in mean arterial pressure because of decreased SVR. Pulse pressure increases around an unchanged mean arte- until it is sufficient to drive the blood out of the larger ves- rial pressure, and systolic pressure is higher and diastolic pressure sels and into the smaller vessels at the same rate as it enters is lower than the control.

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On physical exam purchase buspirone 5 mg without prescription, you find nothing remarkable with the exception that the patient is now walking with a no- ticeable limp. A conventional radiograph (left) and a CT scan (right) of the hip are shown here. Skeletal System: The © The McGraw−Hill Anatomy, Sixth Edition Appendicular Skeleton Companies, 2001 194 Unit 4 Support and Movement Chapter Summary Pectoral Girdle and Upper Extremity notch, and the radial notch. Anteriorly, each (b) Proximally, distinguishing features of (a) Proximally, distinguishing features of clavicle articulates with the sternum at the radius include the head and neck the femur include the head, fovea the sternoclavicular joint. Distally, they include the acromial and sternal process and ulnar notch. The hand contains 27 bones including epicondyles, the lateral and medial costal tuberosity. The thumb lacks a middle The linea aspera is a roughened ridge include the spine, acromion, and phalanx. The pelvic girdle is formed by two ossa borders; and superior, inferior, and the os coxae and distally with the coxae, united anteriorly at the symphysis lateral angles. Each os coxae consists of an ilium, lateral condyles, intercondylar anatomical neck, and an ischium, and pubis. Distally, they features of the os coxae include an Distally, they include the medial include medial and lateral obturator foramen and an acetabulum, the malleolus and fibular notch. The epicondyles, coronoid and olecranon latter of which is the socket for anterior crest is a sharp ridge fossae, a capitulum, and a trochlea. The antebrachium contains the ulna include the body, ramus, ischial 7 tarsal bones, 5 metatarsal bones, (medially) and the radius (laterally). The great toe lacks a (a) Proximally, distinguishing features of (c) Distinguishing features of the pubis middle phalanx. The clavicle articulates with (d) the clavicle arranged in two transverse rows of (a) the scapula and the humerus. The proximal process of the ulna is (b) All of the carpal bones are considered (c) the manubrium and the scapula. Skeletal System: The © The McGraw−Hill Anatomy, Sixth Edition Appendicular Skeleton Companies, 2001 Chapter 7 Skeletal System: The Appendicular Skeleton 195 (d) The trapezium, trapezoid, capitate, 2.

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Endocrine System © The McGraw−Hill Anatomy cheap buspirone 5mg overnight delivery, Sixth Edition Coordination Companies, 2001 456 Unit 5 Integration and Coordination Hypothalamus Pineal gland Pituitary gland Thyroid gland Parathyroid gland Thymus Adrenal gland Pancreas Ovary Testis FIGURE 14. Glands of the Endocrine System In addition to the glands just mentioned, several others may be considered part of the endocrine system because they The endocrine glands are distributed throughout the body have endocrine functions. The pituitary gland, the hypothalamus, and the pineal the lower median neck region; the stomach; the kidneys; the mu- gland are associated with the brain within the cranial cavity. The cosal cells of the duodenum; and the placenta, associated with the thyroid gland and parathyroid glands are located in the neck. The principal endocrine glands of the body, their hor- adrenal glands and pancreas are located within the abdominal re- mones, and the effects of these hormones are listed in table 14. The gonads (ovaries) of the female are located within the pelvic cavity, whereas the gonads (testes) of the male are located in the scrotum. The pancreas and gonads are frequently classified as mixed Hormones and Their Actions glands because they have exocrine as well as endocrine functions. Hormones are specific organic substances that act as the chemi- The endocrine system is unique in that its glands are widely cal messengers of the endocrine system. The three basic kinds of scattered throughout the body, with no anatomical continuity. Endocrine System © The McGraw−Hill Anatomy, Sixth Edition Coordination Companies, 2001 Chapter 14 Endocrine System 457 TABLE 14. Endocrine System © The McGraw−Hill Anatomy, Sixth Edition Coordination Companies, 2001 458 Unit 5 Integration and Coordination TABLE 14. Most of the hormones of the body are Cytoplasm proteins, including calcitonin from the thyroid gland and hor- Nucleus mones secreted by the pituitary gland, the pancreas, and the DNA parathyroid glands. Protein hormones cannot be administered Cell orally because the peptide bonds would be split during the hy- membrane drolytic reaction of digestion; thus, they must be injected intra- venously, intramuscularly, or subcutaneously. The types of atoms attached to the rings determine the specific mRNA Translocation kind of steroid. There are more than 20 steroid hormones in the body, including such common ones as cortisol, cortisone, estrogen, Carrier protein mRNA progesterone, and testosterone.