Anatomy and Physiology for Veterinary Technicians and Nurses - Lori Asprea - E-Book

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Lori Asprea

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Beschreibung

Updated anatomy guide for veterinary practitioners and students with case studies, detailed dissection images, and review questions

The Second Edition of Anatomy and Physiology for Veterinary Technicians and Nurses is a comprehensive guide to veterinary anatomy and physiology applicable to clinical practice, with case studies, detailed dissection images, review question, and supporting drawings, tables, and diagrams often overlooked in many comparable lab manuals available.

This new edition consists of twenty-six chapters. It has been reorganized to provide a better flow of chapters and includes new chapters on special senses and sensory physiology as well as extended coverage of feline species. The book has also been updated with relevant diseases in each physiology chapter, more detailed and frequent images, more added online images, and additional study materials for students.

In Anatomy and Physiology for Veterinary Technicians and Nurses, readers will find:

  • Matching materials for the physiologic functions of the systems dissected, labeled, and observed to combine both didactic and psychomotor learning concepts
  • Information on skeletal, joint, cardiovascular, respiratory, and muscle anatomy as well as the anatomy of the nervous, endocrine, digestive, reproductive, and urinary systems
  • Discussion on cells and immunity, functions of common integument, osteology, physiology of joints and muscles, neurophysiology, and renal physiology
  • Details pertaining to both mammal and non-mammal species such as avians
  • New, detailed case studies and critical thinking questions

The updated edition of Anatomy and Physiology for Veterinary Technicians and Nurses is an essential reference for veterinary technicians and nursing students seeking clear guidance on the subject.

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Table of Contents

Cover

Table of Contents

Title Page

Copyright Page

Preface

Acknowledgments

About the Companion Website

Section 1: Anatomy

1 Directional and Anatomical Terms

Introduction

Directional Terms

Additional Terminology

Review Questions

2 Anatomy of the Common Integument

Introduction

Skin

Pads

Haircoat

Claws

Hooves and Horns

Review Questions

3 Anatomy of the Senses

Introduction

General Senses

Special Senses

Review Questions

4 Skeletal Anatomy

Introduction

Vocabulary

Bone Categories

The Skeleton

The Appendicular Skeleton

The Axial Skeleton

Equines

Review Questions

5 Joint Anatomy

Introduction

Movement

Joint Types

The Skull

The Ribs and Vertebral Column

The Pelvis and The Hip

The Shoulder and Thoracic Limb

The Pelvic Limb

Review Questions

6 Muscle Anatomy

Introduction

Cellular Anatomy

Skeletal Muscle

Review Questions

7 Anatomy of the Nervous System

Introduction

The Neuron

The Synapse

The Meninges

The Brain

Cranial Nerves

The Spinal Cord

Peripheral Nervous System

Review Questions

8 Anatomy of the Endocrine System

Introduction

The Hypothalamus

The Pituitary

Pineal Gland

The Peripheral Endocrine System

Review Questions

9 Anatomy of the Urinary Tract

Introduction

The Kidneys

The Ureters

The Urinary Bladder

The Urethra

Avian

Review Questions

10 Cardiovascular Anatomy

Introduction

The Heart

Peripheral Circulation

The Named Arteries

The Named Veins

Review Questions

11 Respiratory Anatomy

Introduction

Entry into the Respiratory System

The Larynx

The Trachea and Lungs

The Pleura

The Anatomy of Breathing

Species Differentiation

Clinical Considerations

Review Questions

12 Gastrointestinal Anatomy

Introduction

Canines and Felines

Species Variation

Review Questions

13 Reproductive Anatomy

Introduction

The Female

The Male

Review Questions

Section 2: Physiology

14 The Cell and Hematology

Introduction

Mammalian Cell Anatomy

The Production of Energy

Mammalian Cell Boundaries

Hematology

Review Questions

15 Functions of the Common Integument

Introduction

Skin

Glands

Hair

The Pads

Claws, Nails, and Hooves

Antlers, Horns, and Beaks

Review Questions

16 Sensory Physiology

Introduction

Receptors and Signals

The Visual System

Proprioception and Equilibrium

The Auditory System

The Olfactory System

The Gustatory System

The Tactile System

Specialized Receptors

Review Questions

17 Osteology

Introduction

The Growth of Bones

Bone Marrow

Cartilage

Avians

Review Questions

18 Physiology of Joints

Introduction

The Immoveable Joints

The Moveable Joints

Review Questions

19 Muscle Physiology

Introduction

Striated Muscle

Non‐Striated Muscle

Innervation

Review Questions

20 Neurophysiology

Introduction

The Neuron

The Action Potential

Signal Transmission

Central and Peripheral Functions

The Brain

The Autonomic Nervous System

Review Questions

21 Endocrine Physiology

Introduction

Endocrine Glands

Regulation of Hormones

Hormone Types

Hypothalamus and Pituitary Gland

The Thyroid Gland

Parathyroid Gland

The Adrenal Gland

The Pancreas and Insulin

Other Endocrine Activities

Prostaglandins and Pheromones

Review Questions

22 Renal Physiology

Introduction

The Nephron

Acid–Base Balance

Blood Pressure and the Renal System

Uremia

Anemia and the Kidney

Species Differences

Review Questions

23 Cardiovascular Physiology

Introduction

Cardiac Muscle

The Heartbeat

Cardiac Output

Flow Through the Heart and Back

Blood Pressure

Autonomic Nervous System Involvement

The Lymphatic System

Review Questions

24 Respiratory Physiology

Introduction

The Basics

Ventilation and Temperature

Residual Capacity

Thoracic Pressure

The Nervous System and Respiration

The Rhythmicity of Breathing

Gas Exchange

Hemoglobin

Carbon Dioxide

Chemoreceptors

Mechanisms to Increase Oxygenation

Species Differences

Review Questions

25 Digestive Physiology

Introduction

The Entryway

The Stomach

Entering the Small Intestine

The Colon

The Liver

Species Differentiation

Review Questions

26 Reproductive Physiology

Introduction

The Female

Hormonal Control

The Male

Fertilization and Pregnancy

Parturition

Review Questions

Appendix 1: Dissection Notes

Muscle Dissection

Accessing the Internal Organs

Appendix 2: The Cranial Nerves

Appendix 3: Selected Muscle Origins and Insertions

Appendix 4: Common Abbreviations

Glossary

References

Bibliography

Further Reading

Index

End User License Agreement

List of Tables

Chapter 1

Table 1.1 Prefixes.

Table 1.2 Suffixes.

Table 1.3 Root words.

Chapter 5

Table 5.1 Examples of synovial joints, their locations and movement descrip...

Chapter 7

Table 7.1 The Cranial Nerves.

Chapter 12

Table 12.1 Canine and feline dental formula.

Chapter 13

Table 13.1 This table outlines the terms used for each sex within each spec...

Table 13.2 The term for the young of each animal.

Table 13.3 Each animal has a differing normal number of mammary glands and ...

Chapter 20

Table 20.1 The effects of each side of the autonomic nervous system.

Chapter 21

Table 21.1 Column 1 shows what the hypothalamus produces to influence the r...

Table 21.2 See below for a summary of each endocrine gland, what it produce...

List of Illustrations

Chapter 1

Figure 1.1

Our clinical case with the area of concern noted in red on the hi

...

Figure 1.2 Directional terms as they pertain to the feline/canine skeleton. ...

Figure 1.3 A laceration is noted on this patient, described as “an approxima...

Figure 1.4 The different sections of the thoracic and pelvic limbs with the ...

Chapter 2

Figure 2.1 Layers of the skin. The epidermis ends at the stratum basale, and...

Figure 2.2 The melanocyte with the cell body in the deepest layer of the epi...

Figure 2.3 Pads of the feline and canine paw.

Figure 2.4 Chestnuts and ergots found on the distal equine limbs.

Figure 2.5 A single strand of hair showing the three layers: the cuticle, th...

Figure 2.6 Types of feathers. “Clipping” a bird’s wings refers to trimming t...

Figure 2.7 The anatomical terms for parts of the horse hoof.

Chapter 3

Figure 3.1 A single taste bud with gustatory cells to help perceive taste. T...

Figure 3.2 Nares and the external alar fold. Note that because of this anato...

Figure 3.3 A bisected cat skull showing the bony fold called nasal turbinate...

Figure 3.4 The external, middle, and inner ear. Note the placement of the os...

Figure 3.5 The organ of Corti. The gelatinous tectorial membrane will move w...

Figure 3.6 The Macula contains a gelatinous matrix similar to the tectorial ...

Figure 3.7 The crista ampullaris, or crista, has a gelatinous cupula that is...

Figure 3.8 The anatomical features of the eye. The ciliary body is made of t...

Figure 3.9 A representation of rod and cone photoreceptors from the retina. ...

Figure 3.10 The chambers of the eye. Note that the aqueous compartment has t...

Figure 3.11

The microscope results from an ear cytology on our patient, Roo,

...

Chapter 4

Figure 4.1 Types of bones. The sesamoid bones shown here are the patellae, w...

Figure 4.2 Features of long bones. The femur is on the left and the humerus ...

Figure 4.3 Landmarks of the scapula.

Figure 4.4 The humerus. Note that cats have a foramen to the medial side of ...

Figure 4.5 The radius and ulna. In normal anatomy, these two bones sit snugl...

Figure 4.6 The carpal bones, metacarpals, and the thoracic limb paw, or the ...

Figure 4.7 Features of the femur in two views.

Figure 4.8 The tibia and fibula. In the living animal, these two bones are a...

Figure 4.9 The bones of the tarsus and pelvic limb paw, or the pes. Each pha...

Figure 4.10 The bones of the pelvis.

Figure 4.11 View of the pelvis with acetabulum magnified to reveal the labru...

Figure 4.12 The mandible with mandibular symphysis highlighted. The mandibul...

Figure 4.13 The bones of the lateral view of the skull as seen on a feline....

Figure 4.14 The external auditory meatus on the canine skull.

Figure 4.15 The bones of the ventral view of the skull as seen on a feline....

Figure 4.16 A caudal view of the skull showing the foramen magnum where the ...

Figure 4.17 The shape of the skull has an effect on everything from how the ...

Figure 4.18 The ribcage with a subset of the sternum. Note the preservation ...

Figure 4.19 The vertebrae as viewed on the whole animal as well as lateral a...

Figure 4.20 The parts of the vertebrae. Each vertebrae contains a spinous pr...

Figure 4.21 The atlas, or cervical vertebrae 1 (C1), and the axis, or cervic...

Figure 4.22 A comparison of the anatomical features of each type of vertebra...

Figure 4.23 The equine lower limb. The caudal‐most bone, distal to the navic...

Figure 4.24 The bovine limb has two digits, each with the same three phalang...

Figure 4.25 The avian skeleton. Note the fused bones as well as the prominen...

Figure 4.26

The view inside the mouth of the puppy. Notice that the distal m

...

Chapter 5

Figure 5.1 A canine in a point position showing both flexion and extension o...

Figure 5.2 The named suture joints of the skull.

Figure 5.3 The syndesmosis joint between the radius and ulna of the forelimb...

Figure 5.4 The mandibular symphysis, an example of a symphysis joint.

Figure 5.5 An example of the components of a synovial joint, all of which co...

Figure 5.6 Examples of synovial joints. From left to right: the condyloid or...

Figure 5.7 The temporomandibular joint (TMJ), a synovial joint in the skull....

Figure 5.8 The costochondral joint, a fibrous joint in the ribcage.

Figure 5.9 The joints and bones of the manus.

Chapter 6

Figure 6.1 A comparison of the three different types of muscle cells: skelet...

Figure 6.2 The skeletal muscle cell with organelles.

Figure 6.3 A single sarcomere in the relaxed state.

Figure 6.4 The smooth muscle cell relaxed and contracted. Note that the beha...

Figure 6.5 The structure of a muscle and fascicles.

Figure 6.6 The platysma is a superficial muscle encompassing most of the hea...

Figure 6.7 Muscle atrophy in the temporalis muscle of a dog with chronic dis...

Figure 6.8 The superficial muscles of the lateral thorax.

Figure 6.9 The pectoral muscles and xiphihumeralis.

Figure 6.10 The deep thoracic muscles. Latissimus dorsi and trapezius are re...

Figure 6.11 The superficial muscles of the abdomen.

Figure 6.12 The deep abdominal muscles with latissimus dorsi and external ab...

Figure 6.13 Muscles of the antebrachium.

Figure 6.14 Superficial muscles of the lateral pelvic limb.

Figure 6.15 Superficial muscles of the medial pelvic limb.

Figure 6.16 Deep muscles of the lateral pelvic limb.

Figure 6.17 Belle’s tail with the characteristic extension and sharp droop d...

Chapter 7

Figure 7.1 The neuron with myelin sheath.

Figure 7.2 The synapse. A presynaptic axon terminal communicates with a post...

Figure 7.3 The sections of the brain: cerebrum, cerebellum, and brainstem. A...

Figure 7.4 The lobes of the brain.

Figure 7.5 The bisected brain.

Figure 7.6 The blood

brain barrier. Note the tight junctions between t...

Figure 7.7 The cranial nerves as they emerge from the ventral side of the br...

Figure 7.8 The vagus nerve (from the Latin root word for “wanderer”) is the ...

Figure 7.9 The brachial plexus and the sciatic or ischiatic nerve.

Chapter 8

Figure 8.1 The thyroid and parathyroid glands viewed with the animal in dors...

Figure 8.2 The adrenal glands just beyond the cranial pole of the kidney.

Figure 8.3 The bisected adrenal gland showing the cortex and medulla. The ar...

Chapter 9

Figure 9.1 The general structure of the urinary system, which starts at the ...

Figure 9.2 The kidney. In dogs and cats, the kidney is surrounded by the ren...

Figure 9.3 The bisected kidney. Note that the size of the animal will limit ...

Figure 9.4 The nephron. This image also appears in Chapter 22.

Figure 9.5 The trigone in the dissected bladder.

Chapter 10

Figure 10.1 The layers of the heart and surrounding tissues.

Figure 10.2 The great vessels of the heart.

Figure 10.3 The great vessels of the heart and the major valves with normal ...

Figure 10.4 The chambers of the heart and internal features.

Figure 10.5 The palpable, or easily felt, lymph nodes: the submandibular, th...

Figure 10.6 The thoracic arteries.

Figure 10.7 The abdominal arteries.

Figure 10.8 The thoracic veins.

Figure 10.9 The abdominal veins. Note duplicity of the left renal vein, whic...

Figure 10.10 The abdominal vessels.

Chapter 11

Figure 11.1 The nares and nasal philtrum.

Figure 11.2 A bisected canine head. Note the complex folding of the nasal co...

Figure 11.3 The lungs with the trachea splitting into the main bronchi and t...

Figure 11.4 The trachea with cartilaginous rings.

Figure 11.5 The lobes of the lungs. Note that the heart has been removed.

Figure 11.6 The avian air sacs.

Chapter 12

Figure 12.1 The hard palate overlies the palatine bone. Its rugae (ridges) a...

Figure 12.2 Position of the teeth: the upper teeth are rooted in the incisiv...

Figure 12.3 The modified Triadan chart is a way of identifying each tooth by...

Figure 12.4 Parts of the tooth. The crown is covered by enamel. The bulk of ...

Figure 12.5 Sections of the stomach. The animal’s head is toward the top of ...

Figure 12.6 The lobes of the liver.

Figure 12.7 The duodenum is the next portion of the gastrointestinal tract a...

Figure 12.8 The ileum enters the cecum, which in dogs and cats is vestigial,...

Figure 12.9 The dental pad is not actually pictured here; the lines point to...

Figure 12.10 Features of the bovine gastrointestinal tract. Note the bovine ...

Figure 12.11 The cloaca is the common exit from the avian body for the diges...

Chapter 13

Figure 13.1 The female reproductive system. The animal's head is toward the ...

Figure 13.2 The infundibulum with fimbriae which will gently guide and accep...

Figure 13.3 The female reproductive system with the ventral vagina canal rem...

Figure 13.4 The canine vulva. A normal, partially haired vulva compared to t...

Figure 13.5 The mammary gland and alveoli.

Figure 13.6 The nipples of a canine. Note that the normal paired nipples are...

Figure 13.7 The testicle.

Chapter 14

Figure 14.1 Red blood cell smears that have been prepared using a Romanowsky...

Figure 14.2 A hemoglobin molecule. Hemoglobin is comprised of four globin ch...

Figure 14.3 A microscopic view of the bone marrow to focus on the large Mega...

Figure 14.4 A comparison of each type of white blood cell organized from mos...

Chapter 15

Figure 15.1 In the living animal, the anal glands appear as a pinhole‐sized ...

Figure 15.2 Horn grows out from the cornual process. In bovines, the interio...

Chapter 16

Figure 16.1 The nictitating membrane or “third eyelid” in a hospitalized cat...

Figure 16.2 The parts of the eye. The anterior and posterior chambers are fi...

Figure 16.3 The macula and the cupula which participate in proprioception an...

Figure 16.4 A cat having a Flehmen response when presented with an unfamilia...

Chapter 17

Figure 17.1 (1) Epiphysis, (2) metaphysis, (3) cortical bone, (4) endosteum,...

Chapter 18

Figure 18.1 Gomphosis with the periodontal ligament identified.

Chapter 19

Figure 19.1 The skeletal muscle cell with organelles identified. Note the sm...

Figure 19.2 The sarcomere at rest and contracted. Note that in the contracti...

Chapter 20

Figure 20.1 The neuron schematic as well as a microscopic view of the neuron...

Figure 20.2 The sections of the spinal cord schematic.

Figure 20.3 The sections of the preserved spinal cord as seen through the mi...

Figure 20.4 The wave of depolarization with the absolute and relative refrac...

Figure 20.5 The vagus and trigeminal nerves exit the brain stem. The optic n...

Chapter 21

Figure 21.1 Examples of positive and negative feedback loops. In the positiv...

Chapter 22

Figure 22.1 The nephron. Note that this schematic also appears in Chapter 9....

Figure 22.2 The urinary system of a male as noted by the presence of the pro...

Chapter 23

Figure 23.1 The direct control of the heartbeat arises from the sinoatrial n...

Figure 23.2 The anatomy of the EKG wave.

Chapter 24

Figure 24.1 The expansion of the thorax allows the diaphragm to expand, and ...

Figure 24.2 The alveolus. The venules and arterioles pass around the alveolu...

Chapter 25

Figure 25.1 The modified Triadan chart is a way of identifying each tooth by...

Figure 25.2 Goblet cells.

Chapter 26

Figure 26.1 The developing oocyte and surrounding follicle in the ovary as s...

Figure 26.2 The seminiferous tubules of the testicle under the microscope. E...

Figure 26.3 Spermatozoa.

Guide

Cover Page

Table of Contents

Title Page

Copyright Page

Preface

Acknowledgments

About the Companion Website

Begin Reading

Appendix 1 Dissection Notes

Appendix 2 The Cranial Nerves

Appendix 3 Selected Muscle Origins and Insertions

Appendix 4 Common Abbreviations

Glossary

References

Index

WILEY END USER LICENSE AGREEMENT

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Anatomy and Physiology for Veterinary Technicians and Nurses

A Clinical Approach

Second Edition

Lori Asprea

Long Island University, Rockville Centre, NY, USA

Copyright © 2026 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies.

Published by John Wiley & Sons, Inc., Hoboken, New Jersey.Published simultaneously in Canada.

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Library of Congress Cataloging‐in‐Publication Data Applied for:Paperback ISBN: 9781394229208

Cover Design: WileyCover Images: Courtesy of Lori Asprea

Preface

The author and the illustrators have all been students at one point in their lives. Some of us have also been teachers and practitioners of veterinary science. We have long talked about putting together a book that reflects how we think about the subjects of anatomy and physiology. For one thing, we sought to have the anatomy and the physiology portions of the book as two separate sections. In some veterinary technology programs, anatomy and physiology are taught as separate courses or in separate portions. Even when they are combined, it can be more helpful to build on the foundation of a complete understanding of anatomy in order to understand the complexity of physiology.

We all agree that adding clinical scenarios makes the information more interesting and, thus, easier to remember. Anatomy and physiology are not part of our curriculum for the sake of theory. A good understanding of anatomy and physiology is the backbone of more advanced areas of study, such as pathology, nutrition, disease, and more. The aim of the study of these topics is to be able to apply this knowledge to daily practice in a clinic, hospital, or research facility.

In this second edition, we have tried to increase the materials included in each chapter, as well as include additional chapters that might be helpful. We have also presented all new case presentations, questions, and some critical thinking questions to stoke curiosity. We have also added more images, illustrations, figures, and appendices. We fervently hope that this work will be of use. We hope equally as much that you, the reader, will let us know what information you would like added or subtracted as we move forward.

We hope that you find this book worthwhile, not only for current study but also for frequent reference. There are also online components that will be of help for people who learn best with visual images rather than written narrative.

Acknowledgments

It is absolutely impossible to write and illustrate a book like this without the support and guidance of dozens of people. It is possible to go on for pages of excruciating detail thanking everyone who has helped us with this project. However, in deference to the reader, we shall endeavor to be brief.

The guidance of our teachers has sustained us and carried us to this moment. We thank the faculty and staff at all the colleges we have attended. We thank our family and friends for their tremendous forbearance. I particularly thank our students for their enthusiasm, their patience, and their encouragement, not to mention their perfect timing when it comes to asking that one last question …

Our good friends at Wiley are, of course, the ones who made this all happen. To Ritu and Atul, and the entire team of incredible people there, our deepest gratitude.

Lori Asprea would like to honor a few special people: the Veterinary Technology faculty at Long Island University; Dr. Seetha Tamma, a dear friend and advisor; the Schwarzman Animal Medical Center; Robin Gelman for her gorgeous illustrations; Olivia Davir for her beautiful artwork and help; my husband Brian, who seems to have an endless supply of patience and encouragement; and finally, Dr. Robin Sturtz, without whom not a single bit of this would have ever come to fruition. Robin Gelman would like to dedicate this book to her husband, Sam Gelman, her inspiration.

Lastly, we all would like to thank the animals in our lives that contribute so much love. Each animal that we have had the honor to know and care for fuels the passion for our field. They are the reason we have constant companionship, even when we work on projects like this, and they don’t understand why we’ve been staring at the glowing screen for so long.

L.A.C.

About the Companion Website

This book is accompanied by a companion website:

www.wiley.com/go/asprea/anatomy_vettech2e 

The website includes:

Study questions

Answer Keys

Labelling quizzes

A dissection video

Chapter wise figures from the book

Teaching PowerPoints

Section 1Anatomy

1Directional and Anatomical Terms

Clinical Case: Georgia, a 5‐Year‐Old Female Spayed Domestic Short Hair

A veterinary technician is assisting a doctor with an appointment. While handling the patient, the technician notices a lump on the patient’s hind leg, as shown in Figure 1.1. While reading this chapter, think about the appropriate terminology that should be noted in the patient record for an accurate description of the mass.

Figure 1.1Our clinical case with the area of concern noted in red on the hind limb.

Introduction

The study of anatomy is, put simply, the study of the structure of organisms. It involves looking at architecture, at the different positions, shapes, and sizes of various living tissues. As one might imagine, the anatomy of different species has some things in common and some things that are quite diverse. The structure of the heart is very similar in dogs and cats; it is quite different in equines and reptiles. The kidneys of the dolphin look very different from those of the dog, although they function in the same way. By understanding the differences in anatomy among animals, we can have a greater appreciation for how their body systems function. This understanding is the basis of recognizing states of health and disease.

There are a number of different ways to organize how one looks at anatomy. Gross anatomy refers to features that can be seen with the naked eye. Developmental anatomy is the study of how anatomy changes as the fetus becomes a puppy or a kitten. Topographic anatomy refers to the relation to the parts of the whole (e.g., how the different parts of the kidneys and the connecting conduits make up the urinary system). Regional anatomy refers to the structures of a given area of the body; if one looks at the head, for example, as one unit, it will involve the study of all the muscles, blood vessels, bones, and other tissues that are present. Imaging anatomy refers to the anatomical features as they are seen on a good radiograph. Applied anatomy refers to the anatomy that is most important surgically or for medical treatment. In planning orthopedic surgery, for instance, it is necessary to know not only the structure of the bones but also the local muscles and blood vessels. Most of us use a systems approach when learning anatomy. For example, we study all the bones in the skeletal system, all the muscles in the muscular system, or all the organs in the urinary system.

One of the most important issues in studying anatomy is the understanding of directional terms. If one is asked to find a particular spot on an animal, describing it as “on the leg” is not precise enough. Describing a location using appropriate directional terms makes this much clearer. While the acquisition of vocabulary can be tedious, it is integral to effectively communicate with our clients, veterinarians, and other members of the patient‐care team as well as keep accurate medical records. In other words, good anatomic vocabulary contributes to excellent patient care.

Directional Terms

Directional terms in veterinary medicine are very different from those used in human medicine. The human head is “up” from the hips, while it is “forward” in the dog. This is another reason why it is important to use the proper terms. It is also important to understand that many of these terms are used while referring to, or in relation to, anatomical landmarks to make the description clear. This is the same as when one is giving directions for travel. We don’t say, “The store is far away on Main Street.” We say, “The store is on Main Street, in between avenue A and avenue B, across from the diner.” This tells us exactly where the store is using landmarks around it; in the same way, we use anatomical directional terms to be specific about which body part we are discussing.

Anatomical terminology has many unique terms, prefixes, and suffixes which are derived from Latin and Ancient Greek. As such, these terms for direction can correlate to the terms for the location on the body. Going toward the head is cranial or moving cranially, referring to the cranium or skull. Going in the opposite direction, toward the tail, is caudal or moving caudally, from the Latin word “caud” meaning tail. Going toward the top of the animal that faces the ceiling is moving in a dorsal direction, referring to moving toward the dorsum or “back/spine.” From the top downward is moving in a ventral direction referring to the ventrum or ground‐facing side of the animal from the Latin term for “belly.” Moving toward the center or midline of the animal or a specific limb is considered medial, while moving from the midline toward the side of the animal is lateral.

On the appendages, such as the limbs and tail, or even pinna (ear flaps), we use some special terms. Closer to the body on the appendage is proximal, while moving away from the body on the appendage is moving in a distal direction (Figure 1.2). For example, the elbow is proximal (nearer to the body) than the carpus (wrist). Alternately, you could say the carpus is distal (further from the body) to the elbow. When using these terms to describe a lesion, mass, or injury, we could say, “There is an approximately 6 cm wound immediately distal to the lateral elbow on the right forelimb” (Figure 1.3). This tells us the size of the wound, that it is just below (or farther away from) the elbow on the lateral (outer facing) side of the animal on the right leg. Being described in such a way leaves no room for error when communicating with anyone on the patient care team or in written records.

There are other specialized terms used for direction on the limbs and head. Previously, we discussed that the term cranial was moving toward the head, but once we reach the head, a different term is used: rostral. Rostral is used in the place of cranial only on the head and means toward the nose, derived from Middle English and Old French to mean the “bony beak.” The term rostral remains paired with caudal as its opposite on the head. As an example, one could say “The nose is rostral to the eyes” or “The ears are caudal to the nose” (Figure 1.3).

Additional Terminology

Features of the limbs also get special names. The front legs are referred to as the thoracic limbs, while the rear legs as the pelvic limbs. The shoulder and elbow in dogs are, in medical terms, the scapulohumeral and humeroradioulnar joints, respectively, although they are commonly referred to as shoulder and elbow in discussions with clients and others on the patient care team. The next joint distal to the elbow is the carpus, which is the equivalent of the human wrist. On the pelvic limb, the joint between the femur and tibia is the femorotibial joint, commonly known as the stifle, which is equivalent to the human knee. The next joint going distally is the tarsus. The common name for the tarsus is the hock, a term generally reserved for large animals, all of which is equivalent to the human ankle.

Figure 1.2 Directional terms as they pertain to the feline/canine skeleton. Also noted are some of the major joints.

Figure 1.3 A laceration is noted on this patient, described as “an approximately 6 cm wound immediately distal to the lateral elbow on the right forelimb.” Note the importance of directional and location terms.

Figure 1.4 The different sections of the thoracic and pelvic limbs with the plantar and palmar surfaces noted.

The part of the thoracic limb from the shoulder to the elbow is referred to as the brachium; the area from the elbow to the carpus is referred to as the antebrachium. The area from the head of the femur (the proximal‐most bone of the pelvic limb) to the stifle is called the femoral area. The area from the stifle to the tarsus is technically called the crus, although this term is not commonly used in a clinical setting; the distal pelvic limb is less precise but often used in general practice (Figure 1.4).

When considering the trunk, we have used terms like caudal, dorsal, and ventral. These terms also apply to the limbs. The front of the leg from the shoulder going distally to the paw is the dorsal section, with the back of that same area as the caudal section. On the thoracic limb, the area from the carpus distally, on the caudal surface, and around to and including the ventral surface of the paw that meets the ground is known as the palmar surface. On the pelvic limb, the analogous area from the tarsus to the bottom of the paw is the plantar surface (Figure 1.4).

There are specific names for other parts of the body. The part of the body that includes the chest and abdomen is referred to as the trunk. As discussed earlier, the proper name for the ventral part of the abdomen is the ventrum, while the proper name for the top of the trunk is the dorsum. The lateral surface of the part of the trunk caudal to the chest is the flank.

The part of the trunk from the neck to the caudal ribs is referred to as the thorax. The abdomen refers both to the outer surface (the skin) of the ventrum and to the space within it, extending from the caudal ribs to the pelvis. The space within the thorax is called the thoracic cavity, and the space within the abdomen is called the abdominal cavity. Note, however, that some of the features of each of these cavities are lined by a membrane. The pleural membrane, within the thorax, surrounds the lungs and lines the walls of the thoracic cavity. The area bordered by this membrane is considered to be within the pleural cavity. Similarly, the membrane surrounding some of the organs and lining the interior walls of the abdomen is called the peritoneal membrane, or peritoneum, and that space is called the peritoneal cavity. These cavities and tissues will be discussed again throughout the anatomy and physiology chapters of this text where relevant.

Along with directional and basic anatomical terminology, which allows us to accurately describe the location we desire, we also need to understand the medical language used to discuss these features. Veterinary medical terminology, like any other medical terminology, is a language in and of itself. It is based on a series of prefixes, suffixes, and root words that allow for endless combinations in an effort to accurately describe physiological processes, anatomical parts, diseases, syndromes, and a myriad of other things in medicine. Please refer to Tables 1.1–1.3 for the most common list of these terms along with examples of their use.

Table 1.1 Prefixes.

Term

Referring to

Example

a/an‐

without, not

Anemia – without blood – refers to a low red blood cell count

ab

away from

Abductor – muscle(s) that moves the limb away from the body

ad

toward

Adductor – muscle(s) that move the limb toward the body

ante‐

before, in front of

Antebrachium – before the brachium (lower portion of the limb)

anti‐

against

Antibacterial – an agent (drug, cleanser etc.) against bacteria

auto‐

self

Autoantibodies – antibodies against one’s own tissues

brady‐

slow

Bradycardia – slow heartbeat

bi‐

two

Bilateral – both/two sides

bucco‐

cheek

Buccal pouch – space in between cheek and gums – used for medicine administration

circum‐

around or surrounding

Circumduct – moving a limb around in a circular way

crypto‐

hidden

Cryptorchidism – one or both testicles are undescended and remain in the abdominal cavity

cyan‐

blue

Cyanosis – mucous membranes or skin appearing blue due to lack of oxygen

cyt‐

cell

Cytology – study of cells

dis‐

apart, away

Dissect – cut apart

dys‐

abnormal, bad

Dysplasia – abnormal growth

ex/exo‐

out of, outside, external

Exoskeleton – an outer covering in invertebrates analogous to mammalian skeleton

endo‐

inside

Endoscopy – to look or examine inside with a specialized tool

epi‐

upon, on

Epiglottis – the covering on the trachea

erythr/o‐

red

Erythrocyte – red blood cell

eu‐

good

Eupneic – breathing well/normally. Euthanasia – good death

extra‐

beyond, outside of

Extraocular – just outside the eye

hemi‐

one half

Hemiplegia – paralysis of one side of the body

hetero‐

different

Heterozygous – two different forms of one gene

home/o‐

same

Homeostasis – a steady, balanced state maintained by living things

hyper‐

excess, too much

Hyperthermia – too high of body temperature; febrile

hypo‐

below, under, too little

Hypothermia – too low of body temperature

infra‐

beneath

Infraorbital – beneath the bony orbit of the eye

inter‐

between

Interdigital – in between the digits of the paw or hoof

intra‐

inside, within

Intraocular – within the eye

iso‐

equal, like

Isosthenuria – urine with the same concentration of protein‐free plasma

leuk/o‐

white

Leukocyte – white blood cell

lith‐

stone

Lithotripsy – a procedure using sound waves to break up stones in the body

macro‐

large, long

Macrophage – a type of large white blood cell

melan/o‐

black

Melanocyte – a pigment‐producing cell

meso‐

middle

Mesoderm – the middle layer in a developing embryo

meta‐

beyond

Metacarpus – the bones beyond the carpus

micro‐

small, minute

Microhepatica – small liver

myo‐

muscle

Myocardium – the muscle layer of the heart

necro‐

death

Necrosis – tissue death

neo‐

new

Neonate – newborn

pan‐

everything, all

Panzootic – involving all animals

para‐

next to, alongside

Parathyroid – an organ alongside the thyroid gland

peri‐

around, enclosing

Pericardium – the tissue around the heart

poly‐

many, multiple

Polydactyl – multiple (excessive) digits

post‐

after

Postrenal – after the kidneys, referring to illness

pre‐

before

Prerenal – before the kidneys, referring to illness

pseudo‐

false

Pseudopregnancy – false pregnancy

re‐

again, backward

Reflux – return of fluid backward from it should be – acid reflux from the stomach into the esophagus

retro‐

backward, behind

Retropharyngeal space – area behind the pharynx

semi‐

partially, half

Semilunar – half‐moon shaped, referring to the cardiac valves

sub‐

below, under

Sublingual – under the tongue. Subcutaneous – under the skin

supra‐

above, over

Suprarenal– above the kidney

sy/syl/sym‐

together, joined

Symphysis – a joint where two bones come together; pubic symphysis or mandibular symphysis

trans‐

across, over

Transection – to cut across something

tachy‐

rapid, swift

Tachycardia – fast heart rate

ultra‐

extremely, beyond

Ultrasound – sounds beyond the limit we can hear; sound technology used for imaging

Table 1.2 Suffixes.

Term

Referring to

Example

‐ac

pertaining to

Cardiac – pertaining to the heart

‐algia

pain

Neuralgia – nerve pain

‐ate

having, possessing

Caudate – having a tail

‐blast/o/ic

bud, germ

Osteoblast – a cell that builds the matrix for bone

‐centesis

puncture

Thoracocentesis – puncturing the thoracic cavity with a needle to remove air or fluid

‐cyte

cell

Leukocyte – white blood cell

‐cytosis

referring to cells, many

Leukocytosis – too many white blood cells

‐ectomy

excision, removal

Orchiectomy – surgical removal of the testicles

‐emesis

vomiting

Hematemesis – vomiting blood

‐emia

blood, in the blood

Hyperphosphatemia – excess phosphorus in the blood

‐genesis

origin, beginning of

Pathogenesis – the origin and development of the problem

‐gram

drawn, written

Electrocardiogram – a graph of the heart’s electrical function on the surface of the skin

‐graph

to write

Electrocardiograph – the machine that creates the graph for the electrocardiogram

‐ia

condition of

Hyperglycemia – the condition of having too much sugar in the blood

‐iasis/osis/sis

condition of

Trichiasis – condition of having hair grow in the wrong direction (eyelash)

‐ism

condition of

Hyperthyroidism – condition of having an overactive thyroid gland

‐itis

inflammation of

Sinusitis – inflammation of the sinuses

‐lith

stone

Cystolith – bladder stone

‐logy

study of

Osteology – the study of bones

‐lysis

break down, destruction

Hemolysis – destruction of red blood cells

‐megaly

enlargement

Splenomegaly – an enlarged spleen

‐meter

measuring device

Sphygmomanometer – a manual blood pressure measuring device

‐oid

resembling, like

Fibroid – having a fibrous‐like appearance

‐oma

tumor, cancer

Lipoma – fatty tumor; carcinoma – a malignant tumor of epithelial cells

‐ostomy

opening

Tracheostomy – an opening in the trachea, usually to help breathing

‐otomy

incision

Laparotomy – an incision made into the abdominal wall/cavity

‐pathy

disease

Enteropathy – disease of the small intestine

‐penia

lack of, deficiency

Lymphopenia – deficiency of lymphocytes

‐pexy

fixation

Gastropexy – surgically fixating the stomach to the body wall

‐phagia/phagy

eating

Dysphagia – difficulty eating; polyphagia – eating too much

‐plasia

growth, formation

Neoplasia – new growth, generally referring to a tumor

‐plasty

surgical reconstruction

Episioplasty/Vulvoplasty – surgery to reconstruct the vulva

‐plegia

paralysis

Hemiplegia – paralysis of one side of the body

‐pnea

breath, respiration

Dyspnea – abnormal breathing

‐rrhea

flow or discharge

Diarrhea – flowing watery feces

‐rrhexis

rupture

Enterorrhexis – rupture of the intestine

‐scopy

to examine with a tool

Gastroscopy – to look or examine inside the stomach with a specialized tool

‐stasis

level, unchanging

Homeostasis – a steady, balanced state, maintained by living things

‐stomy

creating an opening

Colostomy – a surgical hole in the colon for waste removal

‐tomy

incising

Tracheotomy – cutting into the trachea

‐tome

cutting instrument

Osteotome – a bone‐cutting instrument

‐trophy

growth

Hypertrophy – increased size or growth of tissue

‐uria

presence in urine

Hematuria – presence of blood in the urine

Table 1.3 Root words.

Term

Referring to

Example

abdomin/o

abdomen

Abdominocentesis – puncturing (with a needle) into the abdominal cavity to remove fluid

aden/o

gland

Adenoma – a benign tumor of a gland

adip/o

fat

Adipose tissue – fatty tissue

arter/o

artery

Arteriole – a small artey

brachi

arm

Brachium – the upper portion of the forelimb. Antebrachium – the lower portion of the forelimb

brachy

short

Brachycephalic – shorter than the average skull length (example: English Bulldog, Pug)

bronch/o

bronchus

Bronchoscopy – using a special tool to see inside the bronchi/ main branches in the lungs

carcin/o

cancer

Carcinoma – cancer of the epithelial tissue, possible in many organ systems

cardi/o

heart

Cardiomegaly – an enlarged heart

carp/o

wrist

Metacarpus – the bones between the wrist and phalanges

cephal/o

head

Mesocephalic – an average‐ or medium‐sized skull length (example: Labrador Retriever)

cerebell/o

cerebellum

Cerebellar hypoplasia – a disease in which the cerebellum fails to grow properly

in utero

cerebr/o

brain, cerebrum

Cerebrospinal fluid – fluid that surrounds the entire brain and spinal cord

col/o

colon/large intestine

Colectomy – surgical removal of a part or all of the colon

cyt/o

cell

Cytotoxin – an agent toxic to living cells

cyst

pouch, bladder

Cystitis – an inflammation of the urinary bladder (“cyst” can refer to the gallbladder as well)

dactyl

digit

Polydactyl – a condition of too many digits per paw

derm/a/o

skin

Dermatology a branch of medicine focusing on the skin and integument

dextr/o

right side

Oculus Dexter (abbrev: OD) – right eye

dolich/o

long, narrow

Dolichocephalic – a longer than average skull length (example: Greyhound, Borzoi)

duct/o

to lead, to carry

Abduction – to lead the limb away from the body

encephala/o

brain

Encephalopathy – any disease or disorder of the brain

enter/o

intestine/small intestine

Gastroenteritis – an inflammation of the stomach and small intestine

esthes/o

nerve sensations

Feline hyperesthesia – a condition in which the patient is extremely sensitive to touch

gastr/o

stomach

Gastrotomy – a surgical incision into the stomach

gingiv/o

gum

Gingivitis – inflammation of the gums

gloss/o

tongue

Glossopharyngeal nerve – a cranial nerve that helps controls tongue movement and more

glyc/gluc/o

(blood) sugar

Hypoglycemia – too low level of sugar in the blood

gnath/o

jaw

Prognathism (mandibular) – a term for an underbite

hemat/o

blood

Hematopoiesis – formation of blood cells

hepat/o

liver

Microhepatica – an abnormally small liver

iatro

medicine, healing

Iatrogenic – illness caused by medical treatment or interventions

ile/o

ileum

Ileocecolic junction – where the ileum, cecum, and colon meet in the digestive tract

jejun/o

jejunum

Jejunostomy tube – a feeding tube placed directly into the jejunum of the small instesine

lingu/o

tongue

Sublingual – under the tongue

mammo/mast

mammary glands

Mastitis – inflammation and infection of the mammary gland(s)

metri/o/a

uterus

Pyometra – pus‐filled uterus

nephro

kidney, nephrons

Nephrology – the study of the kidney and its functions

neuro

nerve, nervous system

Neurology – the branch of medicine that deals with the nervous system

ocul/o

relating to the eye, vision

Intraocular pressure – the amount of pressure inside the eye

onych/o

nail, claw

Onychectomy – a removal of the claws; a declaw

ophthalm/o

relating to the eye

Ophthalmoscope – a tool used to look into the eye to view the retina and other structures

orchi/o

testicle

Orchiectomy – removal of the testicle(s); a neuter

oro

mouth

Oropharynx – an area comprised of the mouth and throat

osseo, oste/o

bony

Osteosarcoma – a cancer of the bones

oto

ear

Otitis externa – an inflammation and infection of the outer ear

path

abnormal, disease

Pathology – a branch of medicine focused on the study and diagnosis of diseases

pharyng/o

pharynx

Nasopharyngoscopy – a procedure to look into the back of the nasal passages and throat

phleb/o

vein

Phlebotomy – removal of blood from veins, usually for laboratory testing

pneum/o

air, breathing, lungs

Pneumothorax – air in the thoracic cavity outside of the lungs

pod/o

foot

Pododermatitis – an inflammation and infection of the skin around the toes and foot

poiesis

creation, formation

Erythropoiesis – formation of red blood cells in the body

poikilo

irregular, varied

Poikilocytosis – an increase in abnormally shaped red blood cells

pulmo/n

lungs

Pulmonary thromboembolism – a blood clot that gets stuck in the blood vessels of the lungs

pyelo

renal pelvis

Pyelonephritis – an infection and inflammation of the renal pelvis and kidney

pyo

pus

Pyoderma – a skin infection that forms pus‐filled blisters or pustules

ren/o

kidney

Adrenal gland – a gland next to the kidney

rhin/o

nose

Rhinoscopy – using a special tool to see into the nasal passages

sinister/o

left side

Auris Sinister (abbrev: AS) – left ear

stoma

mouth, opening

Urethrostomy – an opening made in the urethra to allow urine to pass out of the body

tars/o

ankle or eyelid

Tarsus – the “ankle.” Tarsorrhaphy – partially or completely sewing the eyelids together

therm/o

heat

Hyperthermia – an elevated body temperature

thorac/o

thorax or chest

Thoracotomy – opening the thoracic cavity

trache/o

trachea

Rhinotracheitis – an infectious disease that causes inflammation of the nose and trachea

trich

hair

Trichobezoar – a mass of hair formed in the stomach, a hairball

ure/uro

urine or urea

Uroabdomen – urine freely floating in the abdomen as a result of urinary tract injury

ven

vein

Venule – a small vein

Clinical Case Resolution: Georgia

In the example at the beginning of this chapter, a problem was noted with Georgia’s “hind leg.” This language is not appropriately descriptive for a medical record. Using the terminology learned in this chapter, we should describe this finding as follows: The patient has an approximately 3 cm mass (to describe size) on the left pelvic limb (to describe the side of the patient and limb) proximal to the lateral tarsus (to describe the exact location on the limb).

Review Questions

Define the terms medial, rostral, and dorsal.

Which is more cranial, the thoracic limb or the pelvic limb?

The caudal paw area on the thoracic limb is referred to as the _____ surface.

True or false: The stifle is caudal to the tail.

Define the term “topographic anatomy.”

Go back to the case about Georgia and look at the provided

Figure 1.1

. Describe the mass that was found in relation to the stifle using appropriate directional and anatomical terms.

Refer to

Figure 1.3

where a laceration was described. Describe the injury in relation to the hip using appropriate directional and anatomical terms.

Which of the following terms refers to the liver?

Gastric

Hepatic

Pleural

Renal

Which of the following terms refers to inflammation?

Sarcoma

Hyperthyroid

Bradycardia

Pancreatitis

Which of the following terms refers to muscle?

Leukocyte

Myocardium

Polydactyl

Ultrasound

Extra terminology practice: Use

Tables 1.1

1.3

to deduce the meaning of the incorrect answer choices for questions 8, 9, and 10. Example: Gastric – referring to the stomach from the root word “gastr/o.”

2Anatomy of the Common Integument

Clinical Case: Poppy, An Approximately 2‐Year‐Old Female Intact Mixed Breed Dog

This patient is presented to the clinic for an initial examination. The owners report that they found Poppy 2 days ago on the street. Upon examination, it is noted that there are multiple spots of alopecia (missing hair) along the chest and forelimbs, along with erythema (reddened skin) and pruritus (itching). Poppy is also of a thin body condition.

The term integument refers to a broad range of tissues. Knowing the composition and structure of these elements contributes to a broader understanding of the function of this system. This will lead to the ability to recognize what happens in disease states such as the one described above.

Introduction

The integument is a collective term for aspects of bodily structure that are formed of connective tissue and epithelia. Connective tissue is a collection of proteins, fibrous material, and ground elements that form many parts of the mammalian body. An epithelial cell has a specific microscopic structure. Features such as skin, skin glands, fur/whiskers, hooves, horns, and claws are epithelial structures that are parts of the integument. This chapter will focus on the anatomical parts of the integument where the physiological functions will be discussed in Chapter 15. The primary focus is on companion mammals, while certain species‐specific characteristics are discussed throughout.

Skin

Mammalian skin is a complex organ that serves many functions and contains many important parts. The superficial‐most, or outermost layer, is the epidermis. Deep to the epidermis is the dermis. There is a layer of fat and connective tissue deep to the dermis called the subcutaneous layer or the hypodermis. The subcutaneous layer is not skin but is a part of the integument. See Figure 2.1 for a depiction of these layers.

The epidermis has several important specialized cells as well as multiple layers. The specialized cells we can find in the epidermis are keratinocytes, melanocytes, Merkel cells, and Langerhans cells.

Keratinocytes are found throughout the epidermis but begin in the deepest layer. They produce keratin, a tough, fibrous, and waterproof protein that provides skin and other parts of the integument with their strength.

Another specialized cell in the epidermis is melanocytes. Melanocytes have their cell body at the deepest portion of the epidermis with finger‐like projections reaching into the upper layers. See Figure 2.2 for the melanocyte structure. Melanocytes are responsible for producing melanin, which is a type of pigment that gives color to skin and hair, as well as feathers and scales.

Merkel cells are found in the junction where the deepest layer of the epidermis meets the dermis. Merkel cells are specialized sensory cells that perceive light touch. They are connected to nerve endings that can receive touch sensations and send that information to the brain for processing.

Figure 2.1 Layers of the skin. The epidermis ends at the stratum basale, and the dermis ends at the subcutaneous layer.

Figure 2.2 The melanocyte with the cell body in the deepest layer of the epidermis while projections reach up through the layers, depositing melanin. The amount and type of melanin creates a variety of colors.

The last specialized cell that can be found in the epidermis to be discussed is the Langerhans cell. The Langerhans cell can be found in the skin and many other areas of the body. The primary job of this specialized cell is to act as a bodyguard in the skin. It is able to recognize foreign invaders like viruses and bacteria and alert the immune system to take action, thereby protecting the body.

These specialized cells can be found in the layers of the epidermis. Although the epidermis is the outermost portion of skin, it too can be broken down into five individual layers. The deepest layer of cells that make up the epidermis is the stratum basale or basal layer. This layer is where new keratinocytes develop and undergo rapid division. These germinal cells will travel up through the layers of the epidermis undergoing keratinization. The next layer above the stratum basale is the stratum spinosum or the “spiny” layer. Here the keratinocytes that have moved up take on a spiny appearance microscopically, hence their alternate name. The next layer is the stratum granulosum where cells begin to lose their nuclei and glycolipids are introduced to help waterproof the skin. Above the stratum granulosum is the stratum lucidum or “clear” layer. This thin layer is comprised of a few rows of flattened cells and is only visible in thick‐skinned areas like the foot pads. The final and outermost layer of the epidermis is the stratum corneum. This layer is comprised of dead cells that have completely keratinized or cornified. When you are looking at a patient or yourself, the layer of skin you see with the naked eye is the stratum corneum. Refer to Figure 2.1 to view these layers.