Chapter 1: A Framework for Human Physiology 1
The Scope of Human Physiology 2
Mechanism and Causality 2
A Society of Cells 3
Cells: The Basic Units of Living Organisms 3
Tissues 4
Organs and Organ Systems 5
The Internal Environment and Homeostasis 5
Body-Fluid Compartments 7
Summary 9
Key Terms 9
Review Questions 9
Part One: Basic Cell Functions
Chapter 2: Chemical Composition of the Body 11
Atoms 12
Atomic Number 12
Atomic Weight 12
Atomic Composition of the Body 13
Molecules 13
Covalent Chemical Bonds 13
Molecular Shape 13
Ions 14
Free Radicals 15
Polar Molecules 16
Hydrogen Bonds 16
Water 17
Solutions 18
Molecular Solubility 18
Concentration 18
Hydrogen Ions and Acidity 20
Classes of Organic Molecules 21
Carbohydrates 21
Lipids 24
Proteins 25
Nucleic Acids 30
Summary 33
Key Terms 35
Review Questions 35
Chapter 3: Cell Structure 37
Microscopic Observations of Cells 38
Membranes 41
Membrane Structure 41
Membrane Junctions 43
Cell Organelles 45
Nucleus 45
Ribosomes 46
Endoplasmic Reticulum 46
Golgi Apparatus 47
Endosomes 48
Mitochondria 48
Lysosomes 49
Peroxisomes 49
Cytoskeleton 49
Summary 51
Key Terms 51
Review Questions 51
Chapter 4: Protein Activity and Cellular Metabolism 53
Section A Protein Binding Sites 54
Binding Site Characteristics 54
Chemical Specificity 54
Affinity 55
Saturation 56
Competition 57
Regulation of Binding Site Characteristics 57
Allosteric Modulation 57
Covalent Modulation 59
Section A Summary 59
Section A Key Terms 60
Section A Review Questions 60
Section B Enzymes and Chemical Energy 60
Chemical Reactions 60
Determinants of Reaction Rates 61
Reversible and Irreversible Reactions 61
Law of Mass Action 62
Enzymes 62
Cofactors 63
Regulation of Enzyme-Mediated Reactions 64
Substrate Concentration 64
Enzyme Concentration 64
Enzyme Activity 65
Multienzyme Metabolic Pathways 66
ATP 67
Section B Summary 69
Section B Key Terms 69
Section B Review Questions 70
Section C Metabolic Pathways 70
Cellular Energy Transfer 70
Glycolysis 70
Krebs Cycle 73
Oxidative Phosphorylation 75
Reactive Oxygen Species 77
Carbohydrate, Fat, and Protein Metabolism 77
Carbohydrate Metabolism 77
Fat Metabolism 80
Protein and Amino Acid Metabolism 82
Fuel Metabolism Summary 84
Essential Nutrients 85
Vitamins 86
Section C Summary 87
Section C Key Terms 88
Section C Review Questions 88
Chapter 4 Thought Questions 88
Chapter 5: Genetic Information and Protein Synthesis 91
Genetic Code 92
Protein Synthesis: 94
Transcription: mRNA Synthesis 94
Translation: Polypeptide Synthesis 96
Regulation of Protein Synthesis 99
Protein Degradation 100
Protein Secretion 100
Replication and Expression of Genetic Information 103
Replication of DNA 103
Cell Division 104
Mutation 107
Cancer 109
Genetic Engineering 110
Summary 112
Key Terms 113
Review Questions 114
Clinical Terms 114
Thought Questions 114
Chapter 6: Movement of Molecules Across Cell Membranes 115
Diffusion 116
Magnitude and Direction of Diffusion 116
Diffusion Rate versus Distance 118
Diffusion through Membranes 118
Mediated-Transport Systems 122
Facilitated Diffusion 124
Active Transport 124
Osmosis 130
Extracellular Osmolarity and Cell Volume 132
Endocytosis and Exocytosis 134
Endocytosis 134
Exocytosis 135
Epithelial Transport 136
Glands 138
Summary 139
Key Terms 140
Review Questions 140
Thought Questions 141
Part Two: Biological Control Systems
Chapter 7: Homeostatic Mechanisms and Cellular Communication 143
Section A Homeostatic Control Systems 144
General Characteristics 144
Feedforward Regulation 147
Components of Homeostatic Control Systems 147
Reflexes 147
Local Homeostatic Responses 149
Intercellular Chemical Messengers 150
Paracrine/Autocrine Agents 150
Conclusion 152
Processes Related to Homeostasis 152
Acclimatization 152
Biological Rhythms 153
Regulated Cell Death: Apoptosis 154
Aging 155
Balance in the Homeostasis of Chemicals 156
Section A Summary 157
Section A Key Terms 158
Section A Review Questions 158
Section B Mechanisms by which Chemical Messengers Control Cells 159
Receptors 159
Regulation of Receptors 161
Signal Transduction Pathways 162
Pathways Initiated by Intracellular Receptors 162
Pathways Initiated by Plasma-Membrane Receptors 163
Receptors and Gene Transcription 170
Cessation of Activity in Signal Transduction Pathways 171
Section B Summary 172
Section B Key Terms 173
Section B Review Questions 173
Chapter 7 Clinical Terms 174
Chapter 7 Thought Questions 174
Chapter 8: Neural Control Mechanisms 175
Section A Neural Tissue 176
Structure and Maintenance of Neurons 176
Functional Classes of Neurons 179
Glial Cells 180
Neural Growth and Regeneration 181
Section A Summary 182
Section A Key Terms 182
Section A Review Questions 182
Section B Membrane Potentials 182
Basic Principles of Electricity 182
The Resting Membrane Potential 183
Graded Potentials and Action Potentials 188
Graded Potentials 188
Action Potentials 189
Section B Summary 196
Section B Key Terms 197
Section B Review Questions 197
Section C Synapses 197
Functional Anatomy of Synapses 198
Excitatory Chemical Synapses 199
Inhibitory Chemical Synapses 200
Activation of the Postsynaptic Cell 200
Synaptic Effectiveness 202
Modification of Synaptic Transmission by Drugs and Disease 203
Neurotransmitters and Neuromodulators 204
Acetylcholine 205
Biogenic Amines 205
Amino Acid Neurotransmitters 207
Neuropeptides 207
Miscellaneous 208
Neuroeffector Communication 208
Section C Summary 208
Section C Key Terms 209
Section C Review Questions 209
Section D Structure of the Nervous System 209
Central Nervous System: Spinal Cord 209
Central Nervous System: Brain 210
Brainstem 212
Cerebellum 212
Forebrain 212
Peripheral Nervous System 215
Autonomic Nervous System 217
Blood Supply, Blood-Brain Barrier Phenomena, and Cerebrospinal Fluid 222
Section D Summary 223
Section D Key Terms 224
Section D Review Questions 224
Chapter 8 Clinical Terms 225
Chapter 8 Thought Questions 225
Chapter 9: The Sensory Systems 227
Section A General Principles 228
Receptors 228
The Receptor Potential 229
Neural Pathways in Sensory Systems 230
Sensory Units 230
Ascending Pathways 230
Association Cortex and Perceptual Processing 232
Factors That Affect Perception 232
Primary Sensory Coding 233
Stimulus Type 233
Stimulus Intensity 234
Stimulus Location 234
Stimulus Duration 236
Central Control of Afferent Information 237
Section A Summary 238
Section A Key Terms 239
Section A Review Questions 239
Section B Specific Sensory Systems 239
Somatic Sensation 239
Touch-Pressure 239
Sense of Posture and Movement 240
Temperature 240
Pain 240
Vision 243
Light 243
The Optics of Vision 244
Photoreceptor Cells 246
Neural Pathways of Vision 248
Color Vision 249
Eye Movement 250
Hearing 250
Sound 250
Sound Transmission in the Ear 251
Hair Cells of the Organ of Corti 254
Neural Pathways in Hearing 255
Vestibular System 256
The Semicircular Canals 256
The Utricle and Saccule 257
Vestibular Information and Dysfunction 257
Chemical Senses 258
Taste 258
Smell 258
Section B Summary 260
Section B Key Terms 261
Section B Review Questions 261
Chapter 9 Clinical Terms 261
Chapter 9 Thought Questions 262
Chapter 10: Principles of Hormonal Control Systems 263
Hormone Structures and Synthesis 266
Amine Hormones 266
Peptide Hormones 267
Steroid Hormones 267
Hormone Transport in the Blood 270
Hormone Metabolism and Excretion 270
Mechanisms of Hormone Action 272
Hormone Receptors 272
Events Elicited by Hormone-Receptor Binding 272
Pharmacological Effects of Hormones 273
Inputs That Control Hormone Secretion 271
Control by Plasma Concentrations of Mineral Ions or Organic Nutrients 274
Control by Neurons 274
Control by Other Hormones 275
Control Systems Involving the Hypothalamus and Pituitary 275
Posterior Pituitary Hormones 275
The Hypothalamus and Anterior Pituitary 275
Candidate Hormones 284
Types of Endocrine Disorders 285
Hyposecretion 285
Hypersecretion 285
Hyporesponsiveness and Hyperresponsiveness 286
Summary 286
Key Terms 287
Review Questions 288
Clinical Terms 288
Thought Questions 288
Chapter 11: Muscle 291
Section A Skeletal Muscle 292
Structure 292
Molecular Mechanisms of Contraction 295
Sliding-Filament Mechanism 295
Roles of Troponin, Tropomyosin, and Calcium in Contraction 301
Excitation-Contraction Coupling 302
Membrane Excitation: The Neuromuscular Junction 305
Mechanics of Single-Fiber Contraction 308
Twitch Contractions 308
Load-Velocity Relation 309
Frequency-Tension Relation 309
Length-Tension Relation 311
Skeletal-Muscle Energy Metabolism 312
Muscle Fatigue 313
Types of Skeletal-Muscle Fibers 314
Whole-Muscle Contraction 316
Control of Muscle Tension 317
Control of Shortening Velocity 318
Muscle Adaptation to Exercise 318
Lever Action of Muscles and Bones 319
Skeletal-Muscle Disease 321
Section A Summary 322
Section A Key Terms 323
Section A Review Questions 324
Section B Smooth Muscle 324
Structure 325
Contraction and Its Control 325
Cross-Bridge Activation 325
Sources of Cytosolic Calcium 327
Membrane Activation 328
Types of Smooth Muscle 330
Section B Summary 331
Section B Key Terms 332
Section B Review Questions 332
Chapter 11 Clinical Terms 332
Chapter 11 Thought Questions 332
Chapter 12: Control of Body Movement 333
Motor Control Hierarchy 333
Voluntary and Involuntary Actions 336
Local Control of Motor Neurons 337
Interneurons 337
Local Afferent Input 337
The Brain Motor Centers and the Descending Pathways They Control 342
Cerebral Cortex 342
Subcortical and Brainstem Nuclei 343
Cerebellum 344
Descending Pathways 345
Muscle Tone 346
Abnormal Muscle Tone 346
Maintenance of Upright Posture and Balance 347
Walking 349
Summary 349
Key Terms 350
Review Questions 350
Clinical Terms 350
Thought Questions 350
Chapter 13: Consciousness and Behavior 351
States of Consciousness 352
Electroencephalogram 352
The Waking State 353
Sleep 353
Neural Substrates of States of Consciousness 354
Coma and Brain Death 355
Conscious Experiences 357
Directed Attention 357
Neural Mechanisms for Conscious Experiences 358
Motivation and Emotion 360
Motivation 360
Emotion 361
Altered States of Consciousness 362
Schizophrenia 362
The Mood Disorders: Depressions and Bipolar Disorders 363
Psychoactive Substances, Dependence, and Tolerance 363
Learning and Memory 365
Memory 366
The Neural Basis of Learning and Memory 366
Cerebral Dominance and Language 368
Conclusion 370
Summary 370
Key Terms 371
Review Questions 371
Clinical Terms 371
Thought Questions 371
Part Three
Coordinated Body Functions
Chapter 14: Circulation 373
Section A Blood 374
Plasma 375
The Blood Cells 375
Erythrocytes 375
Leukocytes 379
Platelets 380
Regulation of Blood Cell Production 380
Section A Summary 382
Section A Key Terms 382
Section A Review Questions 382
Section B Overall Design of the Cardiovascular System 382
Pressure, Flow, and Resistance 384
Section B Summary 387
Section B Key Terms 387
Section B Review Questions 387
Section C The Heart 387
Anatomy 387
Cardiac Muscle 389
Heartbeat Coordination 390
Sequence of Excitation 390
Cardiac Action Potentials and Excitation of the SA Node 392
The Electrocardiogram 393
Excitation-Contraction Coupling 394
Refractory Period of the Heart 395
Mechanical Events of the Cardiac Cycle 396
Mid-Diastole to Late Diastole 396
Systole 398
Early Diastole 399
Pulmonary Circulation Pressures 399
Heart Sounds 400
The Cardiac Output 400
Control of Heart Rate 400
Control of Stroke Volume 401
Measurement of Cardiac Function 405
Section C Summary 405
Section C Key Terms 406
Section C Review Questions 406
Section D The Vascular System 407
Arteries 407
Arterial Blood Pressure 407
Measurement of Systemic Arterial Pressure 409
Arterioles 410
Local Controls 411
Extrinsic Controls 413
Endothelial Cells and Vascular Smooth Muscle 414
Arteriolar Control in Specific Organs 415
Capillaries 415
Anatomy of the Capillary Network 417
Velocity of Capillary Blood Flow 417
Diffusion across the Capillary Wall: Exchanges of Nutrients and Metabolic End Products 419
Bulk Flow across the Capillary Wall: Distribution of the Extracellular Fluid 420
Veins 422
Determinants of Venous Pressure 423
The Lymphatic System 424
Mechanism of Lymph Fow 425
Section D Summary 426
Section D Key Terms 427
Section D Review Questions 427
Section E Integration of Cardiovascular Function: Regulation of Systemic Arterial Presseure 428
Baroreceptor Reflexes 432
Arterial Baroreceptors 432
The Medullary Cardiovascular Center 434
Operation of the Arterial Baroreceptor Reflex 434
Other Baroreceptors 436
Blood Volume and Long-Term Regulation of Arterial Pressure 436
Other Cardiovascular Reflexes and Responses 436
Section E Summary 438
Section E Key Terms 438
Section E Review Questions 438
Section F Cardiovascular Patterns in Health and Disease 438
Hemorrhage and Other Causes of Hypotension 438
Shock 439
The Upright Posture 441
Exercise 442
Maximal Oxygen Consumption and Training 444
Hypertension 446
Heart Failure 446
Coronary Artery Disease and Heart Attacks 449
Section F Summary 451
Section F Key Terms 452
Section F Review Questions 452
Section G Hemostasis: The Prevention of Blood Loss 452
Formation of a Platelet Plug 453
Blood Coagulation: Clot Formation 454
Anticlotting Systems 458
Factors That Oppose Clot Formation 458
The Fibrinolytic System 458
Anticlotting Drugs 459
Section G Summary 460
Section G Key Terms 461
Section G Review Questions 461
Chapter 14 Clinical Terms 461
Chapter 14 Thought Questions 461
Chapter 15: Respiration 463
Organization of the Respiratory System 464
The Airways and Blood Vessels 464
Site of Gas Exchange: The Alveoli 466
Relation of the Lungs to the Thoracic (Chest) Wall 467
Ventilation and Lung Mechanics 468
The Stable Balance between Breaths 469
Inspiration 470
Expiration 471
Lung Compliance 471
Airway Resistance 474
Lung Volumes and Capacities 475
Alveolar Ventilation 476
Exchange of Gases in Alveoli and Tissues 478
Partial Pressures of Gases 478
Alveolar Gas Pressures 480
Alveolar-Blood Gas Exchange 482
Matching of Ventilation and Blood Flow in Alveoli 483
Gas Exchange in the Tissues 483
Transport of Oxygen in Blood 483
Effect of PO2 on Hemoglobin Saturation 484
Effects of Blood PCO2, Hð+ Concentration, Temperature, and DPG Concentration on Hemoglobin Saturation 487
Transport of Carbon Dioxide in Blood 488
Transport of Hydrogen Ions between Tissues and Lungs 489
Control of Respiration 490
Neural Generation of Rhythmical Breathing 490
Control of Ventilation by PO2, PCO2, and Hð+ Concentration 491
Control of Ventilation during Exercise 495
Other Ventilatory Responses 497
Hypoxia 498
Emphysema 499
Acclimatization to High Altitude 499
Nonrespiratory Functions of the Lungs 500
Summary 500
Key Terms 502
Review Questions 503
Clinical Terms 504
Thought Questions 504
Chapter 16
The Kidneys and Regulation of Water and Inorganic Ions 505
Section A Basic Principles of Renal Physiology 506
Renal Functions 506
Structure of the Kidneys and Urinary System 507
Basic Renal Processes 510
Glomerular Filtration 512
Tubular Reabsorption 513
Tubular Secretion 515
Metabolism by the Tubules 516
Regulation of Membrane Channels and Transporters 516
"Division of Labor" in the Tubules 516
The Concept of Renal Clearance 516
Micturition 517
Section A Summary 519
Section A Key Terms 519
Section A Review Questions 520
Section B Regulation of Sodium, Water, and Potassium Balance 520
Total-Body Balance of Sodium and Water 520
Basic Renal Processes for Sodium and Water 521
Primary Active Sodium Reabsorption 521
Coupling of Water Reabsorption to Sodium Reabsorption 521
Urine Concentration: The Countercurrent Multiplier System 523
Renal Sodium Regulation 525
Control of GFR 526
Control of Sodium Reabsorption 526
Renal Water Regulation 530
Baroreceptor Control of Vasopressin Secretion 531
Osmoreceptor Control of Vasopressin Secretion 531
A Summary Example: The Response to Sweating 532
Thirst and Salt Appetite 532
Potassium Regulation 534
Renal Regulation of Potassium 535
Section B Summary 536
Section B Key Terms 537
Section B Review Questions 537
Section C Calcium Regulation 538
Effector Sites for Calcium Homeostasis 538
Bone 538
Kidneys 539
Gastrointestinal Tract 539
Hormonal Controls 539
Parathyroid Hormone 540
1,25-Dihydroxyvitamin D3 541
Calcitonin 541
Metabolic Bone Diseases 542
Section C Summary 542
Section C Key Terms 542
Section C Review Questions 542
Section D Hydrogen-Ion Regulation 543
Sources of Hydrogen-Ion Gain or Loss 543
Buffering of Hydrogen Ions in the Body 544
Integration of Homeostatic Controls 544
Renal Mechanisms 544
Bicarbonate Handling 545
Addition of New Bicarbonate to the Plasma 545
Renal Responses to Acidosis and Alkalosis 547
Classification of Acidosis and Alkalosis 547
Section D Summary 548
Section D Key Terms 548
Section D Review Questions 548
Section E Diuretics and Kidney Disease 549
Diuretics 549
Kidney Disease 549
Hemodialysis, Peritoneal Dialysis, and Transplantation 550
Section E Summary 551
Chapter 16 Clinical Terms 551
Chapter 16 Thought Questions 551
Chapter 17: The Digestion and Absorption of Food 553
Overview: Functions of the Gastrointestinal Organs 555
Structure of the Gastrointestinal Tract Wall 559
Digestion and Absorption 562
Carbohydrate 562
Protein 562
Fat 563
Vitamins 565
Water and Minerals 565
Regulation of Gastrointestinal Processes 566
Basic Principles 566
Mouth, Pharynx, and Esophagus 569
Stomach 571
Pancreatic Secretions 578
Bile Secretion 579
Small Intestine 581
Large Intestine 583
Pathophysiology of the Gastrointestinal Tract 584
Ulcers 584
Vomiting 585
Gallstones 585
Lactose Intolerance 586
Constipation and Diarrhea 586
Summary 587
Key Terms 590
Review Questions 590
Clinical Terms 591
Thought Questions 591
Chapter 18: Regulation of Organic Metabolism, Growth, and Energy Balance 593
Section A Control and Integration of Carbohydrate, Protein, and Fat Metabolism 594
Events of the Absorptive and Postabsorptive States 594
Absorptive State 594
Postabsorptive State 597
Endocrine and Neural Control of the Absorptive and Postabsorptive States 599
Insulin 600
Glucagon 603
Epinephrine and Sympathetic Nerves to Liver and Adipose Tissue 604
Other Hormones 604
Summary of Hormonal Controls 606
Fuel Homeostasis in Exercise and Stress 606
Diabetes Mellitus 607
Hypoglycemia as a Cause of Symptoms 610
Regulation of Plasma Cholesterol 610
Section A Summary 612
Section A Key Terms 613
Section A Review Questions 613
Section B Control of Growth 613
Bone Growth 613
Environmental Factors Influencing Growth 613
Hormonal Influences on Growth 613
Growth Hormone and Insulin-like Growth Factors 615
Thyroid Hormones 616
Insulin 616
Sex Hormones 617
Cortisol 617
Compensatory Growth 618
Section B Summary 618
Section B Key Terms 618
Section B Review Questions 618
Section C Regulation of Total-Body Energy Balance and Temperature 619
Basic Concepts of Energy Expenditure 619
Metabolic Rate 619
Regulation of Total-Body Energy Stores 621
Control of Food Intake 622
Overweight and Obesity 623
Eating Disorders: Anorexia Nervosa and Bulimia 625
What Should We Eat? 625
Regulation of Body Temperature 626
Mechanisms of Heat Loss or Gain 626
Temperature-Regulating Reflexes 627
Temperature Acclimatization 630
Fever and Hyperthermia 630
Section C Summary 632
Section C Key Terms 633
Section C Review Questions 633
Chapter 18 Clinical Terms 633
Chapter 18 Thought Questions 634
Chapter 19: Reproduction 635
Section A General Terminology and Concepts 636
General Principles of Gametogenesis 637
Section A Summary 639
Section A Key Terms 639
Section A Review Question 639
Section B Male Reproductive Physiology 639
Anatomy 639
Spermatogenesis 641
Transport of Sperm 644
Erection 644
Ejaculation 646
Hormonal Control of Male Reproductive Functions 646
Control of the Testes 646
Testosterone 647
Section B Summary 648
Section B Key Terms 648
Section B Review Questions 649
Section C Female Reproductive Physiology 649
Anatomy 649
Ovarian Function 651
Oogenesis 651
Follicle Growth 652
Formation of the Corpus Luteum 653
Sites of Secretion of Ovarian Hormones 654
Control of Ovarian Function 654
Follicle Development and Estrogen Secretion during the Early and Middle Follicular Phases 656
LH Surge and Ovulation 657
The Luteal Phase 658
Uterine Changes in the Menstrual Cycle 659
Other Effects of Estrogen and Progesterone 661
Androgens in Women 662
Female Sexual Response 663
Pregnancy 663
Egg Transport 663
Sperm Transport and Capacitation 663
Fertilization 664
Early Development, Implantation, and Placentation 665
Hormonal and Other Changes during Pregnancy 668
Parturition 669
Lactation 673
Contraception 677
Infertility 677
Section C Summary 678
Section C Key Terms 679
Section C Review Questions 679
Section D The Chronology of Reproductive Function 680
Sex Determination 680
Sex Differentiation 680
Differentiation of the Gonads 680
Differentiation of Internal and External Genitalia 681
Sexual Differentiation of the Central Nervous System and Homosexuality 681
Puberty 681
Menopause 683
Section D Summary 684
Section D Key Terms 684
Section D Review Questions 685
Chapter 19 Clinical Terms 685
Chapter 19 Thought Questions 685
Chapter 20: Defense Mechanisms of the Body 687
Section A Immunology: Defenses Against Foreign Matter 688
Cells Mediating Immune Defenses 688
Cytokines 690
Nonspecific Immune Defenses 690
Defenses at Body Surfaces 691
Inflammation 691
Interferons 695
Specific Immune Defenses 696
Overview 696
Lymphoid Organs and Lymphocyte Origins 697
Functions of B Cells and T Cells 698
Lymphocyte Receptors 701
Antigen Presentation to T Cells 702
NK Cells 704
Development of Immune Tolerance 704
Antibody-Mediated Immune Responses: Defenses against Bacteria, Extracellular Viruses, and Toxins 705
Defenses against Virus-Infected Cells and Cancer Cells 710
Systemic Manifestations of Infection 712
Factors That Alter the Body's Resistance to Infection 714
Acquired Immune Deficiency Syndrome (AIDS) 715
Antibiotics 716
Harmful Immune Responses 716
Graft Rejection 716
Transfusion Reactions 717
Allergy (Hypersensitivity) 718
Autoimmune Disease 720
Excessive Inflammatory Responses 720
Section A Summary 722
Section A Key Terms 724
Section A Review Questions 725
Section B Toxicology: The Metabolism of Environmental Chemicals 725
Absorption 727
Storage Sites 727
Excretion 727
Biotransformation 727
Section B Summary 728
Section B Key Terms 728
Section B Review Questions 728
Section C Resistance to Stress 728
Functions of Cortisol in Stress 729
Functions of the Sympathetic Nervous System in Stress 730
Other Hormones Released During Stress 730
Psychological Stress and Disease 731
Section C Summary 731
Section C Key Terms 731
Section C Review Questions 732
Chapter 20 Clinical Terms 732
Chapter 20 Thought Questions 732
Appendix A
Answers to Thought Questions 733
Appendix B
Glossary 743
Appendix C
English and Metric Units 776
Appendix D
Electrophysiology Equations 777
Appendix E
Outline of Exercise Physiology 778
Credits 779
References for Figure Adaptations 780
Index 781