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| Preface | p. xi |
| Introduction | p. 1 |
| The General & Cellular Basis of Medical Physiology | p. 1 |
| Introduction | p. 1 |
| General Principles | p. 1 |
| Functional Morphology of the Cell | p. 8 |
| Structure & Function of DNA & RNA | p. 18 |
| Transport Across Cell Membranes | p. 28 |
| The Capillary Wall | p. 36 |
| Intercellular Communication | p.... MORE |
| Homeostasis | p. 49 |
| Aging | p. 49 |
| Section I References | p. 49 |
| Physiology of Nerve & Muscle Cells | p. 51 |
| Excitable Tissue: Nerve | p. 51 |
| Introduction | p. 51 |
| Nerve Cells | p. 51 |
| Excitation & Conduction | p. 54 |
| Ionic Basis of Excitation & Conduction | p. 58 |
| Properties of Mixed Nerves | p. 60 |
| Nerve Fiber Types & Function | p. 60 |
| Neurotrophins | p. 62 |
| Neuroglia | p. 63 |
| Excitable Tissue: Muscle | p. 65 |
| Introduction | p. 65 |
| Skeletal Muscle | p. 65 |
| Cardiac Muscle | p. 78 |
| Smooth Muscle | p. 82 |
| Synaptic & Junctional Transmission | p. 86 |
| Introduction | p. 86 |
| Synaptic Transmission | p. 87 |
| Neuromuscular Transmission | p. 118 |
| Initiation of Impulses in Sense Organs | p. 122 |
| Introduction | p. 122 |
| Sense Organs & Receptors | p. 122 |
| The Senses | p. 122 |
| Generation of Impulses in Different Nerves | p. 124 |
| "Coding" of Sensory Information | p. 125 |
| Section II References | p. 128 |
| Functions of the Nervous System | p. 129 |
| Reflexes | p. 129 |
| Introduction | p. 129 |
| Monosynaptic Reflexes: The Stretch Reflex | p. 130 |
| Polysynaptic Reflexes: The Withdrawal Reflex | p. 135 |
| General Properties of Reflexes | p. 137 |
| Cutaneous, Deep, & Visceral Sensation | p. 139 |
| Introduction | p. 139 |
| Pathways | p. 139 |
| Touch | p. 142 |
| Proprioception | p. 143 |
| Temperature | p. 143 |
| Pain | p. 143 |
| Other Sensations | p. 148 |
| Vision | p. 150 |
| Introduction | p. 150 |
| Anatomic Considerations | p. 150 |
| The Image-Forming Mechanism | p. 155 |
| The Photoreceptor Mechanism | p. 159 |
| Responses in the Visual Pathways & Cortex | p. 163 |
| Color Vision | p. 166 |
| Other Aspects of Visual Function | p. 168 |
| Eye Movements | p. 171 |
| Hearing & Equilibrium | p. 173 |
| Introduction | p. 173 |
| Anatomic Considerations | p. 173 |
| Hair Cells | p. 176 |
| Hearing | p. 178 |
| Vestibular Function | p. 186 |
| Smell & Taste | p. 188 |
| Introduction | p. 188 |
| Smell | p. 188 |
| Taste | p. 191 |
| Receptor Organs & Pathways | p. 191 |
| Alert Behavior, Sleep, & the Electrical Activity of the Brain | p. 195 |
| Introduction | p. 195 |
| The Thalamus & the Cerebral Cortex | p. 195 |
| The Reticular Formation & the Reticular Activating System | p. 195 |
| Evoked Cortical Potentials | p. 196 |
| The Electroencephalogram | p. 197 |
| Physiologic Basis of the EEG, Consciousness, & Sleep | p. 199 |
| Control of Posture & Movement | p. 205 |
| Introduction | p. 205 |
| General Principles | p. 205 |
| Corticospinal & Corticobulbar System | p. 206 |
| Cerebellum | p. 220 |
| The Autonomic Nervous System | p. 226 |
| Introduction | p. 226 |
| Anatomic Organization of Autonomic Outflow | p. 226 |
| Chemical Transmission at Autonomic Junctions | p. 228 |
| Responses of Effector Organs to Autonomic Nerve Impulses | p. 231 |
| Central Regulation of Visceral Function | p. 235 |
| Introduction | p. 235 |
| Medulla Oblongata | p. 235 |
| Hypothalamus | p. 236 |
| Relation to Cyclic Phenomena | p. 238 |
| Hunger | p. 240 |
| Thirst | p. 243 |
| Control of Posterior Pituitary Secretion | p. 245 |
| Control of Anterior Pituitary Secretion | p. 251 |
| Temperature Regulation | p. 254 |
| Neural Basis of Instinctual Behavior & Emotions | p. 260 |
| Introduction | p. 260 |
| Anatomic Considerations | p. 260 |
| Limbic Functions | p. 260 |
| Sexual Behavior | p. 261 |
| Other Emotions | p. 263 |
| Motivation & Addiction | p. 264 |
| Brain Chemistry & Behavior | p. 266 |
| "Higher Functions of the Nervous System": Conditioned Reflexes, Learning, & Related Phenomena | p. 270 |
| Introduction | p. 270 |
| Methods | p. 270 |
| Learning & Memory | p. 270 |
| Functions of the Neocortex | p. 276 |
| Section III References | p. 280 |
| Endocrinology, Metabolism, & Reproductive Function | p. 282 |
| Energy Balance, Metabolism, & Nutrition | p. 282 |
| Introduction | p. 282 |
| Energy Metabolism | p. 282 |
| Intermediary Metabolism | p. 285 |
| Carbohydrate Metabolism | p. 289 |
| Protein Metabolism | p. 295 |
| Fat Metabolism | p. 302 |
| Nutrition | p. 313 |
| The Thyroid Gland | p. 320 |
| Introduction | p. 320 |
| Anatomic Considerations | p. 320 |
| Formation & Secretion of Thyroid Hormones | p. 321 |
| Transport & Metabolism of Thyroid Hormones | p. 324 |
| Effects of Thyroid Hormones | p. 326 |
| Regulation of Thyroid Secretion | p. 329 |
| Clinical Correlates | p. 331 |
| Endocrine Functions of the Pancreas & Regulation of Carbohydrate Metabolism | p. 336 |
| Introduction | p. 336 |
| Islet Cell Structure | p. 336 |
| Structure, Biosynthesis, & Secretion of Insulin | p. 337 |
| Fate of Secreted Insulin | p. 338 |
| Effects of Insulin | p. 339 |
| Mechanism of Action | p. 341 |
| Consequences of Insulin Deficiency | p. 343 |
| Insulin Excess | p. 347 |
| Regulation of Insulin Secretion | p. 348 |
| Glucagon | p. 351 |
| Other Islet Cell Hormones | p. 354 |
| Effects of Other Hormones & Exercise on Carbohydrate Metabolism | p. 355 |
| Hypoglycemia & Diabetes Mellitus in Humans | p. 356 |
| The Adrenal Medulla & Adrenal Cortex | p. 359 |
| Introduction | p. 359 |
| Adrenal Morphology | p. 359 |
| Adrenal Medulla | p. 361 |
| Adrenal Cortex | p. 364 |
| Physiologic Effects of Glucocorticoids | p. 372 |
| Pharmacologic & Pathologic Effects of Glucocorticoids | p. 374 |
| Regulation of Glucocorticoid Secretion | p. 375 |
| Effects of Mineralocorticoids | p. 378 |
| Regulation of Aldosterone Secretion | p. 381 |
| Role of Mineralocorticoids in the Regulation of Salt Balance | p. 383 |
| Summary of the Effects of Adrenocortical Hyper- & Hypofunction in Humans | p. 383 |
| Hormonal Control of Calcium Metabolism & the Physiology of Bone | p. 385 |
| Introduction | p. 385 |
| Calcium & Phosphorus Metabolism | p. 385 |
| Bone Physiology | p. 387 |
| Vitamin D & the Hydroxycholecalciferols | p. 390 |
| The Parathyroid Glands | p. 393 |
| Calcitonin | p. 396 |
| Effects of Other Hormones & Humoral Agents on Calcium Metabolism | p. 398 |
| The Pituitary Gland | p. 399 |
| Introduction | p. 399 |
| Morphology | p. 400 |
| Intermediate-Lobe Hormones | p. 401 |
| Growth Hormone | p. 402 |
| Physiology of Growth | p. 409 |
| Pituitary Insufficiency | p. 412 |
| Pituitary Hyperfunction in Humans | p. 413 |
| The Gonads: Development & Function of the Reproductive System | p. 415 |
| Introduction | p. 415 |
| Sex Differentiation & Development | p. 415 |
| Pituitary Gonadotropins & Prolactin | p. 425 |
| The Male Reproductive System | p. 428 |
| The Female Reproductive System | p. 437 |
| Pregnancy | p. 452 |
| Lactation | p. 455 |
| Endocrine Functions of the Kidneys, Heart, & Pineal Gland | p. 458 |
| Introduction | p. 458 |
| The Renin-Angiotensin System | p. 458 |
| Erythropoietin | p. 463 |
| Hormones of the Heart & Other Natriuretic Factors | p. 464 |
| Pineal Gland | p. 467 |
| Section IV References | p. 469 |
| Gastrointestinal Function | p. 471 |
| Digestion & Absorption | p. 471 |
| Introduction | p. 471 |
| Carbohydrates | p. 471 |
| Proteins & Nucleic Acids | p. 475 |
| Lipids | p. 477 |
| Absorption of Water & Electrolytes | p. 479 |
| Absorption of Vitamins & Minerals | p. 481 |
| Regulation of Gastrointestinal Function | p. 483 |
| Introduction | p. 483 |
| General Considerations | p. 483 |
| Gastrointestinal Hormones | p. 486 |
| Mouth & Esophagus | p. 492 |
| Stomach | p. 495 |
| Exocrine Portion of the Pancreas | p. 501 |
| Liver & Biliary System | p. 502 |
| Small Intestine | p. 508 |
| Colon | p. 512 |
| Section V References | p. 516 |
| Circulation | p. 517 |
| Circulating Body Fluids | p. 517 |
| Introduction | p. 517 |
| Blood | p. 517 |
| Lymph | p. 548 |
| Origin of the Heartbeat & the Electrical Activity of the Heart | p. 549 |
| Introduction | p. 549 |
| Origin & Spread of Cardiac Excitation | p. 550 |
| The Electrocardiogram | p. 552 |
| Cardiac Arrhythmias | p. 556 |
| Electrocardiographic Findings in Other Cardiac & Systemic Diseases | p. 563 |
| The Heart as a Pump | p. 567 |
| Introduction | p. 567 |
| Mechanical Events of the Cardiac Cycle | p. 567 |
| Cardiac Output | p. 572 |
| Dynamics of Blood & Lymph Flow | p. 579 |
| Introduction | p. 579 |
| Functional Morphology | p. 579 |
| Biophysical Considerations | p. 584 |
| Arterial & Arteriolar Circulation | p. 589 |
| Capillary Circulation | p. 593 |
| Lymphatic Circulation & Interstitial Fluid Volume | p. 595 |
| Venous Circulation | p. 596 |
| Cardiovascular Regulatory Mechanisms | p. 599 |
| Introduction | p. 599 |
| Local Regulation | p. 599 |
| Substances Secreted by the Endothelium | p. 600 |
| Systemic Regulation by Hormones | p. 603 |
| Systemic Regulation by the Nervous System | p. 604 |
| Circulation Through Special Regions | p. 614 |
| Introduction | p. 614 |
| Cerebral Circulation | p. 614 |
| Coronary Circulation | p. 623 |
| Splanchnic Circulation | p. 627 |
| Cutaneous Circulation | p. 628 |
| Placental & Fetal Circulation | p. 630 |
| Cardiovascular Homeostasis in Health & Disease | p. 633 |
| Introduction | p. 633 |
| Compensations for Gravitational Effects | p. 633 |
| Exercise | p. 635 |
| Inflammation & Wound Healing | p. 638 |
| Shock | p. 639 |
| Hypertension | p. 644 |
| Heart Failure | p. 646 |
| Section VI References | p. 648 |
| Respiration | p. 649 |
| Pulmonary Function | p. 649 |
| Introduction | p. 649 |
| Properties of Gases | p. 649 |
| Anatomy of the Lungs | p. 650 |
| Mechanics of Respiration | p. 651 |
| Gas Exchange in the Lungs | p. 662 |
| Pulmonary Circulation | p. 664 |
| Other Functions of the Respiratory System | p. 666 |
| Gas Transport Between the Lungs & the Tissues | p. 669 |
| Introduction | p. 669 |
| Oxygen Transport | p. 669 |
| Carbon Dioxide Transport | p. 672 |
| Regulation of Respiration | p. 675 |
| Introduction | p. 675 |
| Neural Control of Breathing | p. 675 |
| Regulation of Respiratory Activity | p. 676 |
| Chemical Control of Breathing | p. 676 |
| Nonchemical Influences on Respiration | p. 682 |
| Respiratory Adjustments in Health & Disease | p. 685 |
| Introduction | p. 685 |
| Effects of Exercise | p. 685 |
| Hypoxia | p. 687 |
| Hypoxic Hypoxia | p. 688 |
| Other Forms of Hypoxia | p. 694 |
| Oxygen Treatment | p. 695 |
| Hypercapnia & Hypocapnia | p. 696 |
| Other Respiratory Abnormalities | p. 696 |
| Diseases Affecting the Pulmonary Circulation | p. 698 |
| Effects of Increased Barometric Pressure | p. 698 |
| Artificial Respiration | p. 699 |
| Section VII References | p. 700 |
| Formation & Excretion of Urine | p. 702 |
| Renal Function & Micturition | p. 702 |
| Introduction | p. 702 |
| Functional Anatomy | p. 702 |
| Renal Circulation | p. 706 |
| Glomerular Filtration | p. 709 |
| Tubular Function | p. 711 |
| Water Excretion | p. 717 |
| Acidification of the Urine & Bicarbonate Excretion | p. 723 |
| Regulation of Na[superscript +] & Cl[superscript -] Excretion | p. 726 |
| Regulation of K[superscript +] Excretion | p. 727 |
| Diuretics | p. 728 |
| Effects of Disordered Renal Function | p. 729 |
| Filling of the Bladder | p. 730 |
| Emptying of the Bladder | p. 730 |
| Regulation of Extracellular Fluid Composition & Volume | p. 733 |
| Introduction | p. 733 |
| Defense of Tonicity | p. 733 |
| Defense of Volume | p. 733 |
| Defense of Specific Ionic Composition | p. 734 |
| Defense of H[superscript +] Concentration | p. 734 |
| Section VIII References | p. 742 |
| Self-Study: Objectives, Essay Questions, & Multiple-Choice Questions (black edges) | p. 743 |
| Answers to Quantitative & Multiple-Choice Questions (black edges) | p. 810 |
| Appendix | p. 813 |
| General References | p. 813 |
| Normal Values & the Statistical Evaluation of Data | p. 813 |
| Abbreviations & Symbols Commonly Used in Physiology | p. 816 |
| Some Standard Respiratory Symbols | p. 823 |
| Equivalents of Metric, United States, & English Measures | p. 823 |
| Greek Alphabet | p. 824 |
| Index | p. 825 |
| Table of Contents provided by Rittenhouse. All Rights Reserved. |