Learn Human anatomy from scratch
1What anatomy is and why it matters
Anatomy is the study of the structure of the body: what the parts are called, where they lie and how they are connected. Physiology, a separate subject, studies how those parts work.
Doctors, nurses and therapists use anatomy every day. To give an injection, feel a pulse or understand an injury, you need to know exactly what lies under the skin at that spot.
The body is built in levels. Each level is made of the one below it:
- Cells, the smallest living units, such as muscle cells and nerve cells.
- Tissues, groups of similar cells doing one job. There are four basic types: epithelial, connective, muscle and nervous tissue.
- Organs, made of several tissues, such as the heart, the liver or the skin.
- Organ systems, groups of organs that work together, such as the cardiovascular, respiratory, digestive, nervous and musculoskeletal systems.
The skin is the largest organ of the body. The liver is the largest internal organ.
Self-check Which order goes from the smallest to the largest level of organisation?
- Cells, organs, tissues, organ systems
- Cells, tissues, organs, organ systems
- Organs, tissues, cells, organ systems
- Tissues, cells, organs, organ systems
Answer: Cells, tissues, organs, organ systems. Cells group into tissues, tissues build organs, and organs work together in systems. Putting organs before tissues is the usual slip: an organ such as the heart contains several tissues.
2The anatomical position and directions
Every direction in anatomy refers to one standard posture, the anatomical position: standing upright, facing forward, arms at the sides, palms facing forward and feet together.
Directions are always given from the patient’s point of view. “Left” means the patient’s left, even when the patient faces you.
The most important direction terms come in pairs:
- Superior (towards the head) and inferior (towards the feet).
- Anterior or ventral (towards the front) and posterior or dorsal (towards the back).
- Medial (towards the midline of the body) and lateral (away from the midline).
- Proximal (closer to where a limb attaches to the trunk) and distal (further away). These two are used for limbs.
- Superficial (closer to the skin) and deep (further inside).
Three planes cut the body. The sagittal plane divides it into left and right parts. The coronal (frontal) plane divides it into front and back. The transverse (axial) plane divides it into upper and lower parts.
In the anatomical position the thumb points away from the body. So the radius, the forearm bone on the thumb side, is lateral, and the ulna is medial.
Self-check Compared with the elbow, where is the wrist?
- Deep
- Distal
- Proximal
- Superior
Answer: Distal. The wrist is further from where the arm attaches to the trunk, so it is distal. Proximal is the opposite direction, and in the anatomical position the wrist is below the elbow, so it is inferior, not superior.
3The main systems at a glance
Skeleton and joints. An adult has about 206 bones. The femur (thigh bone) is the longest; the ossicles of the middle ear are the smallest.
- The spine has 7 cervical, 12 thoracic and 5 lumbar vertebrae, then the sacrum (5 fused vertebrae) and the coccyx.
- There are 12 pairs of ribs, one pair for each thoracic vertebra. The breastbone is the sternum; the collarbone is the clavicle.
- In a synovial joint the bone ends move freely. The hip and shoulder are ball-and-socket joints; the elbow and knee are hinge joints.
Muscles. A tendon attaches muscle to bone. A ligament connects bone to bone. There are three kinds of muscle tissue:
- Skeletal muscle: striated (striped) and voluntary. It moves the skeleton.
- Cardiac muscle: striated and involuntary. It is found only in the heart.
- Smooth muscle: not striated and involuntary. It lines the gut, blood vessels and bladder.
Heart and vessels. The heart has four chambers: two atria on top that receive blood and two ventricles below that pump it out. Arteries carry blood away from the heart; veins carry blood back to it.
Nervous system. The central nervous system is the brain and the spinal cord. Twelve pairs of cranial nerves and 31 pairs of spinal nerves form most of the peripheral nervous system.
- The cerebrum is the largest part of the brain. Its occipital lobe holds the primary visual cortex.
- The cerebellum coordinates movement and balance. The medulla, in the brainstem, holds the centres for breathing and heart rate.
- In an adult the spinal cord ends at about the level of vertebrae L1–L2.
Breathing and digestion. The diaphragm is the main muscle of breathing. The right lung has three lobes and the left lung has two. The liver makes bile and the gallbladder stores it.
Self-check Which type of muscle tissue is striated and involuntary?
- All three types
- Cardiac muscle
- Skeletal muscle
- Smooth muscle
Answer: Cardiac muscle. Cardiac muscle is striped like skeletal muscle but works without conscious control. Skeletal muscle is striated but voluntary; smooth muscle is involuntary but not striated.
4How to work out an anatomy question
Anatomy questions reward a fixed way of thinking more than memorising lists. Use these steps:
- Place the structure: which region of the body and which system it belongs to.
- Translate the words. Many names describe the part: “cost-” is rib, “hepat-” is liver, “nephr-” is kidney, “pulmon-” is lung.
- Recall the relations: what the structure is attached to, what supplies it with blood or nerves, what lies next to it.
- For a route (blood, urine, a nerve signal), trace it one stage at a time and say each stage aloud.
- For an injury case, ask what the damaged structure normally does. The loss of that job is the symptom.
- Remove options from the wrong region or the wrong system first, then choose between the rest.
Example of step 5: the radial nerve supplies the muscles that extend the wrist. Damage to it after a fracture of the humerus shaft causes “wrist drop”.
5A worked example
Trace the route one stage at a time. Try to name the next stage before you open it.
Worked exampleBlood from the right arm returns to the heart in the superior vena cava. Which chambers and valves does it pass, in order, before it reaches the aorta?
1Both venae cavae empty into the right atrium. This blood is low in oxygen (deoxygenated), because the arm has used the oxygen.
2From the right atrium the blood passes the tricuspid valve into the right ventricle.
3The right ventricle pumps the blood through the pulmonary valve into the pulmonary trunk and the pulmonary arteries, which lead to the lungs.
These arteries carry deoxygenated blood. They are arteries because they carry blood away from the heart.
4In the lung capillaries the blood picks up oxygen. The pulmonary veins bring it to the left atrium.
5The blood passes the mitral (bicuspid) valve into the left ventricle. The left ventricle has the thickest wall and pumps the blood through the aortic valve into the aorta.
6Each side has one atrium, one valve, one ventricle, then one more valve. Every vessel that leaves a ventricle is an artery. The route fits both rules.
Answer Right atrium → tricuspid valve → right ventricle → pulmonary valve → lungs → left atrium → mitral valve → left ventricle → aortic valve → aorta.
6Common mistakes
- Thinking that arteries always carry oxygen-rich blood. The pulmonary arteries carry deoxygenated blood; the pulmonary veins carry oxygenated blood.
- Mixing up tendons (muscle to bone) and ligaments (bone to bone).
- Using your own left and right instead of the patient’s.
- Mixing up the cerebrum (thinking, senses, voluntary movement) and the cerebellum (coordination and balance).
- Saying the gallbladder makes bile. The liver makes it; the gallbladder stores and concentrates it.
- Forgetting the anatomical position: palms face forward, so the radius is lateral.
Self-check Which vessel carries deoxygenated blood?
- A coronary artery
- A pulmonary vein
- The aorta
- The pulmonary artery
Answer: The pulmonary artery. The pulmonary artery takes blood from the right ventricle to the lungs to collect oxygen. Choosing a pulmonary vein comes from the rule “veins carry deoxygenated blood”, which is false for the lung circulation.
7How exam questions look
- Easy (key terms and facts): names, locations and numbers. For example the longest bone, the number of rib pairs, or what “proximal” means.
- Medium (applying the concepts): relations between structures. Which nerve supplies a muscle, which valve lies between two chambers, which vessel you use for a pulse.
- Hard (cases and analysis): a short clinical case. You link an injury, a lesion or a symptom to the structure involved, such as a nerve injury after a fracture or the coronary artery behind an infarct.
For hard cases, ask what the structure normally does and where it runs. The symptom is almost always the loss of that function, below or beyond the point of damage.
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