| Unit 1 | Mechanisms of Disease |  | 
| 1 | Cell Structure and Function | 1 | 
 | Functional Components of the Cell | 2 | 
 | Cell Metabolism and Energy Sources | 7 | 
 | Cell Membrane Transport, Signal Transduction, and Generation of Membrane Potentials | 9 | 
 | Body Tissues | 14 | 
| 2 | Tissue Adaptation and Injury | 24 | 
 | Cellular Adaptation | 24 | 
 | Cell Injury and Death | 27 | 
| 3 | Genetic Control of Cell Function | 36 | 
 | Genetic Control of Cell Function | 36 | 
 | Chromosomes | 41 | 
 | Patterns of Inheritance | 44 | 
 | Gene Mapping and Technology | 46 | 
| 4 | Genetic and Congenital Disorders | 50 | 
 | Genetic and Chromosomal Disorders | 50 | 
 | Disorders Due to Environmental Influences | 58 | 
| 5 | Alterations in Cell Growth and Replication: Neoplasia | 64 | 
 | Concepts of Cell Growth | 64 | 
 | Characteristics of Benign and Malignant Neoplasms | 67 | 
 | Carcinogenesis and Causes of Cancer | 72 | 
 | Clinical Features | 77 | 
 | Childhood Cancers | 81 | 
| 6 | Alterations in Fluids, Electrolytes, and Acid-Base Balance | 84 | 
 | Composition and Compartmental Distribution of Body Fluids | 84 | 
 | Sodium and Water Balance | 90 | 
 | Potassium Balance | 99 | 
 | Calcium and Magnesium Balance | 103 | 
 | Acid-Base Balance | 108 | 
| Unit 2 | Alterations in Body Defenses |  | 
| 7 | Stress and Adaptation | 121 | 
 | Homeostasis | 122 | 
 | Stress | 123 | 
 | Disorders of the Stress Response | 128 | 
| 8 | The Immune Response | 134 | 
 | The Immune System | 134 | 
 | Developmental Aspects of the Immune System | 148 | 
| 9 | Inflammation, Tissue Repair, and Fever | 150 | 
 | The Inflammatory Response | 150 | 
 | Tissue Repair and Wound Healing | 157 | 
 | Temperature Regulation and Fever | 161 | 
| 10 | Alterations in the Immune Response | 168 | 
 | Allergic and Hypersensitivity Disorders | 168 | 
 | Transplantation Immunopathology | 174 | 
 | Autoimmune Disorders | 175 | 
 | Immunodeficiency Disorders | 178 | 
| Unit 3 | Alterations in the Hematologic System |  | 
| 11 | Alterations in White Blood Cells | 191 | 
 | Hematopoietic and Lymphoid Tissue | 191 | 
 | Non-neoplastic Disorders of White Blood Cells | 194 | 
 | Neoplastic Disorders of Hematopoietic and Lymphoid Origin | 197 | 
| 12 | Alterations in Hemostasis and Blood Coagulation | 205 | 
 | Mechanisms of Hemostasis | 205 | 
 | Hypercoagulability States | 209 | 
 | Bleeding Disorders | 210 | 
| 13 | Alterations in Red Blood Cells | 216 | 
 | The Red Blood Cell | 216 | 
 | Anemia | 220 | 
 | Polycythemia | 227 | 
 | Age-Related Changes in Red Blood Cells | 227 | 
| Unit 4 | Alterations in the Cardiovascular System |  | 
| 14 | Structure and Function of the Cardiovascular System | 231 | 
 | Organization of the Circulatory System | 232 | 
 | Principles of Blood Flow | 233 | 
 | The Heart as a Pump | 236 | 
 | Blood Vessels and the Peripheral Circulation | 246 | 
 | Neural Control of Circulatory Function | 251 | 
| 15 | Alterations in Blood Flow | 254 | 
 | Disorders of the Arterial Circulation | 254 | 
 | Disorders of the Venous Circulation | 266 | 
 | Disorders of Blood Flow Caused by Extravascular Forces | 269 | 
| 16 | Alterations in Blood Pressure | 274 | 
 | Control of Blood Pressure | 274 | 
 | Hypertension | 279 | 
 | Orthostatic Hypotension | 287 | 
| 17 | Alterations in Cardiac Function | 291 | 
 | Disorders of the Pericardium | 291 | 
 | Coronary Heart Disease | 294 | 
 | Myocardial and Endocardial Disease | 302 | 
 | Valvular Heart Disease | 308 | 
 | Heart Disease in Infants and Children | 312 | 
| 18 | Heart Failure and Circulatory Shock | 320 | 
 | Heart Failure | 320 | 
 | Circulatory Failure (Shock) | 330 | 
 | Heart Failure in Children and the Elderly | 336 | 
| Unit 5 | Alterations in the Respiratory System |  | 
| 19 | Structure and Function of the Respiratory System | 339 | 
 | Structural Organization of the Respiratory System | 340 | 
 | Exchange of Gases Between the Atmosphere and the Lungs | 344 | 
 | Exchange and Transport of Gases | 351 | 
 | Control of Breathing | 356 | 
| 20 | Alterations in Respiratory Function: Infectious Disorders and Neoplasia | 359 | 
 | Respiratory Tract Infections | 359 | 
 | Cancer of the Lung | 367 | 
 | Respiratory Disorders in Infants and Children | 369 | 
| 21 | Alterations in Respiratory Function: Disorders of Gas Exchange | 376 | 
 | Disorders of Lung Inflation | 376 | 
 | Obstructive Airway Disorders | 380 | 
 | Interstitial Lung Diseases | 390 | 
 | Pulmonary Vascular Disorders | 392 | 
 | Respiratory Failure | 395 | 
| Unit 6 | Alterations in the Urinary System |  | 
| 22 | Control of Kidney Function | 401 | 
 | Kidney Structure and Function | 402 | 
 | Tests of Renal Function | 412 | 
| 23 | Alterations in Renal Function | 415 | 
 | Congenital and Hereditary Disorders of the Kidney | 415 | 
 | Obstructive Disorders | 417 | 
 | Urinary Tract Infections | 421 | 
 | Disorders of Glomerular Function | 425 | 
 | Tubulointerstitial Disorders | 429 | 
 | Neoplasms | 430 | 
| 24 | Renal Failure | 433 | 
 | Acute Renal Failure | 433 | 
 | Chronic Renal Failure | 436 | 
 | Renal Failure in Children and Elderly Persons | 443 | 
| 25 | Alterations in Urine Elimination | 446 | 
 | Control of Urine Elimination | 446 | 
 | Alterations in Bladder Function | 449 | 
 | Cancer of the Bladder | 456 | 
| Unit 7 | Alterations in the Gastrointestinal System |  | 
| 26 | Structure and Function of the Gastrointestinal System | 459 | 
 | Structure and Organization of the Gastrointestinal Tract | 460 | 
 | Innervation and Motility | 463 | 
 | Hormonal and Secretory Function | 466 | 
 | Digestion and Absorption | 468 | 
 | Anorexia, Nausea, and Vomiting | 471 | 
| 27 | Alterations in Gastrointestinal Function | 473 | 
 | Disorders of the Esophagus | 473 | 
 | Disorders of the Stomach | 476 | 
 | Disorders of the Small and Large Intestines | 480 | 
| 28 | Alterations in Hepatobiliary Function | 494 | 
 | The Liver and Hepatobiliary System | 494 | 
 | Disorders of the Liver | 500 | 
 | Disorders of the Gallbladder and Extrahepatic Bile Ducts | 510 | 
 | Disorders of the Exocrine Pancreas | 513 | 
| 29 | Alterations in Body Nutrition | 517 | 
 | Regulation of Food Intake and Energy Metabolism | 517 | 
 | Overnutrition and Obesity | 521 | 
 | Undernutrition | 524 | 
| Unit 8 | Alterations in the Endocrine System |  | 
| 30 | Organization and Control of the Endocrine System | 529 | 
 | The Endocrine System | 529 | 
| 31 | Alterations in Pituitary, Thyroid, Parathyroid, and Adrenal Function | 538 | 
 | General Aspects of Altered Endocrine Function | 538 | 
 | Pituitary and Growth Hormone Disorders | 539 | 
 | Thyroid Disorders | 545 | 
 | Parathyroid Hormone Disorders | 551 | 
 | Disorders of Adrenal Cortical Function | 552 | 
| 32 | Diabetes Mellitus | 560 | 
 | Energy Metabolism | 560 | 
 | Diabetes Mellitus | 565 | 
| Unit 9 | Alterations in the Male and Female Reproductive Systems |  | 
| 33 | Alterations in the Male Reproductive System | 581 | 
 | Physiologic Basis of Male Reproductive Function | 581 | 
 | Disorders of the Penis, the Scrotum and Testes, and the Prostate | 587 | 
 | Disorders in Childhood and Aging Changes | 597 | 
| 34 | Alterations in the Female Reproductive System | 602 | 
 | Structure and Function of the Female Reproductive System | 602 | 
 | Disorders of the Female Reproductive Organs | 607 | 
 | Menstrual Disorders | 619 | 
 | Disorders of the Breast | 622 | 
| 35 | Sexually Transmitted Diseases | 627 | 
 | Infections of the External Genitalia | 627 | 
 | Vaginal Infections | 630 | 
 | Vaginal-Urogenital-Systemic Infections | 632 | 
| Unit 10 | Alterations in the Nervous System |  | 
| 36 | Organization and Control of the Nervous System | 637 | 
 | Nervous Tissue Cells | 637 | 
 | Nerve Cell Communication | 641 | 
 | Development and Organization of the Nervous System | 644 | 
 | The Spinal Cord and Brain | 651 | 
 | The Autonomic Nervous System | 660 | 
| 37 | Alterations in Brain Function | 667 | 
 | Brain Injury | 668 | 
 | Cerebrovascular Disease | 679 | 
 | Infections and Neoplasms | 685 | 
 | Seizure Disorders | 688 | 
 | Dementias | 691 | 
| 38 | Alterations in Neuromuscular Function | 696 | 
 | The Organization and Control of Motor Function | 696 | 
 | Skeletal Muscle and Peripheral Nerve Disorders | 702 | 
 | Basal Ganglia and Cerebellum Disorders | 709 | 
 | Upper and Lower Motoneuron Disorders | 713 | 
 | Spinal Cord Injury | 716 | 
| 39 | Pain | 725 | 
 | Organization and Control of Somatosensory Function | 725 | 
 | Pain | 731 | 
 | Alterations in Pain Sensitivity and Special Types of Pain | 739 | 
 | Headache | 741 | 
 | Pain in Children and Older Adults | 744 | 
| 40 | Alterations in Special Sensory Function | 747 | 
 | The Eye and Disorders of Vision | 747 | 
 | The Ear and Disorders of Auditory Function | 763 | 
 | The Vestibular System and Maintenance of Equilibrium | 772 | 
| Unit 11 | Alterations in the Skeletal and Integumentary Systems |  | 
| 41 | Structure and Function of the Skeletal System | 779 | 
 | Characteristics of Skeletal Tissue | 779 | 
 | Skeletal Structures | 785 | 
| 42 | Alterations in the Skeletal System: Trauma, Infection, and Developmental Disorders | 789 | 
 | Injury and Trauma of Musculoskeletal Structures | 789 | 
 | Bone Infections | 799 | 
 | Neoplasms | 802 | 
 | Disorders of Skeletal Growth and Development in Children | 805 | 
| 43 | Alterations in the Skeletal System: Metabolic and Rheumatoid Disorders | 814 | 
 | Metabolic Bone Disease | 814 | 
 | Rheumatic Disorders | 820 | 
 | Rheumatic Diseases in Children and the Elderly | 832 | 
| 44 | Alterations in Skin Function and Integrity | 835 | 
 | Structure of the Skin | 835 | 
 | Manifestations of Skin Disorders | 839 | 
 | Skin Damage Caused by Ultraviolet Radiation | 841 | 
 | Primary Disorders of the Skin | 842 | 
 | Nevi and Skin Cancers | 853 | 
 | Age-Related Skin Manifestations | 857 | 
 | Glossary | 863 | 
| Appendix A | Lab Values | 873 | 
| Appendix B | Weblinks | 875 | 
 | Index | 879 |