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Forensic Pathology for Police - Brainshare Public Online Library

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92 6 Overview of Anatomy and Physiology<br />

have no postmortem laboratory test available to make a diagnosis. Determining the<br />

cause of death in these cases requires knowing the medical history of the person (<strong>for</strong><br />

example, knowing that the person had a history of epilepsy) and then ruling out all<br />

other causes of death.<br />

Body Regions and Compartments<br />

From an anatomic standpoint, the human body can be divided into various regions,<br />

each of which contains structural supporting elements (bone, cartilage, and connective<br />

tissue), muscles, joints and ligaments that allow <strong>for</strong> movement, and blood<br />

vessels that supply oxygen and nutrition. The head region includes the intracranial<br />

cavity, within which the brain resides, as well as the sinuses, the nasal cavity, the<br />

oral cavity, and the pharynx (the back of the throat, where nasal and oral cavities<br />

merge). The neck contains numerous structures, including blood vessels, structures<br />

that are part of the gastrointestinal system and the respiratory system, and a portion<br />

of the vertebral column and spinal cord. The remainder of the body can be divided<br />

into the extremities (two upper extremities or arms; two lower extremities or legs)<br />

and the trunk region.<br />

The trunk includes everything other than the head and neck and the extremities.<br />

There are four body cavities contained within the trunk (Disc Images 6.1 and 6.2).<br />

The dome-shaped diaphragm muscle separates the chest cavities above from the<br />

abdominal, or peritoneal, cavity below. The chest cavities include two pleural, or<br />

thoracic, cavities, within which the lungs reside, and the pericardial cavity (the heart<br />

sac), within which the heart resides. The peritoneal (abdominal) cavity contains<br />

most of the remainder of the trunk organs, including the liver, spleen, stomach, and<br />

a large portion of the intestines. The lowermost portion of the peritoneal cavity is<br />

referred to as the pelvis region.<br />

Not all of the organs within the trunk region actually reside within the body<br />

cavities. Some, in fact, are behind the actual cavities themselves. Within the chest,<br />

the “mediastinum” is an area above the pericardial sac and medial (towards the<br />

middle) to the pleural cavities. The mediastinum contains the aorta, pulmonary arteries,<br />

trachea, mainstem bronchi, thymus, and a portion of the esophagus. Within the<br />

abdomen and pelvis, the kidneys, adrenal glands, most of the pancreas, portions of<br />

the intestines, and the aorta and inferior vena cava are actually behind the peritoneal<br />

cavity, in what is considered the “retroperitoneum” (which literally means behind<br />

the peritoneum).<br />

Specific Organ Systems<br />

Integumentary System (Skin)<br />

Although it may seem a bit unusual to consider the skin (the integument) as an<br />

organ, the skin can certainly be considered an organ, since it represents a specific<br />

grouping of cells and tissues that exists in a specific location and per<strong>for</strong>ms specific

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