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Pathological Anatomy

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Princess Moreno June 30, 2020 Anatomy

Owing to church prohibitions against dissection, European medicine in the Middle Ages relied upon Galen’s mixture of fact and fancy rather than on direct observation for its anatomical knowledge, though some dissections were authorized for teaching purposes. In the early 16th century, the artist Leonardo da Vinci undertook his own dissections, and his beautiful and accurate anatomical drawings cleared the way for Flemish physician Andreas Vesalius to “restore” the science of anatomy with his monumental De humani corporis fabrica libri septem (1543; “The Seven Books on the Structure of the Human Body”), which was the first comprehensive and illustrated textbook of anatomy. As a professor at the University of Padua, Vesalius encouraged younger scientists to accept traditional anatomy only after verifying it themselves, and this more critical and questioning attitude broke Galen’s authority and placed anatomy on a firm foundation of observed fact and demonstration.

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Even to this day, scientists are newly discovering organs that were previously overlooked or have been mistakenly identified as other existing tissues. In 2018, scientists had discovered a new, body-wide organ called the Interstitium that exists right under the skin.

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When a body is dissected, its structures are cut apart in order to observe their physical attributes and their relationships to one another. Dissection is still used in medical schools, anatomy courses, and in pathology labs. In order to observe structures in living people, however, a number of imaging techniques have been developed. These techniques allow clinicians to visualize structures inside the living body such as a cancerous tumor or a fractured bone.

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Anatomists take two general approaches to the study of the body’s structures: regional and systemic. Regional anatomy is the study of the interrelationships of all of the structures in a specific body region, such as the abdomen. Studying regional anatomy helps us appreciate the interrelationships of body structures, such as how muscles, nerves, blood vessels, and other structures work together to serve a particular body region. In contrast, systemic anatomy is the study of the structures that make up a discrete body system—that is, a group of structures that work together to perform a unique body function. For example, a systemic anatomical study of the muscular system would consider all of the skeletal muscles of the body.

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Scientific names for the parts and structures of the human body are usually in Latin; for example, the name musculus biceps brachii denotes the biceps muscle of the upper arm. Some such names were bequeathed to Europe by ancient Greek and Roman writers, and many more were coined by European anatomists from the 16th century on. Expanding medical knowledge meant the discovery of many bodily structures and tissues, but there was no uniformity of nomenclature, and thousands of new names were added as medical writers followed their own fancies, usually expressing them in a Latin form.

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It then moves into the small intestine where the food is broken down even more because of the bile secreted by the liver and powerful, digestive enzymes from the pancreas. This is the stage at which nutrients are absorbed from the food.

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