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-


                                                                           -


                                                                           pointers


long                                                                        ---
long bone, flat bone, cubic bone                                                   bones


                                                           epiphysis                   
              shaft          long bones-       diaphysis                               



                                                   longbones
                  cubicbones-
-                                                     -
                                                                       flat/irregularbone




                                      articularcartilage




               peri             --       os     periosteum




                      fibroustissue --


                           elasticfibers




                                           1
-
                                  vascularization




                          nutrientartery




-




    innervation




                  2
-
                            -
               --




fibula                          tibia




                -
                    -


 compactbone




         3
corticalbone


                                      --spongybone
trabecula




                             spongy            bone-




-
                                                                                shaft
metapysis


                                                       endosteum


                                                       medullarycavity


               -                            bonemarrow                   osteomedulla




                       ---


long
                   cubic      bones                     short      bones       bones


                                                           flate bones



                                        4
--




      articulation/joint                           --
                                   -----
sternum




                                           wrist




                               -




                           5
-



                                               -


-
                                               ballandsocket


    acetabulum    socket




sliding gliding            ----


                                                   (trochlea)


                             sliding gliding




                            6
flexion
                                                         extension
                         extension- flexion                       sliding


                                                        Facet


             -
                                       facet               ulna




                                     --        Pivot
C1                   axis-                C2
                                     


                                                        gliding




            epiphysis-             articularcartilage
articular
                                               - hyalinecartilage           cartilage




                             --


ball


                                           7
socket-                                         and      socket




          intraarticularspace




-
                                    articular           capsule
-




                                         ----



                                extracapsular   #
                                           intracapsularfracture




                       8
---



                        osteoarthritis
                                              osteomyelitis




                                         --




                   ligament


      tendon                              --     Ligament




                                     CapsularLigaments




               9
scapula                                    clavicle-
                                           ---
                                                     Accessory           Ligaments
 capsularligaments




     sprain




                                       -




--              Avulsion           Fracture




 intra-articular           space


 Synovial
                                                                                     Membrane


 intra        articular    -                     Synovia
                                                                             -          space




                                                    10
-
                                               -




intra articular -
                                                                         space
articular                                                                  -
                                     fibrocartilage                        disc
-
                                                          sternoclavicularjoint



                    insertion   -            origin




                                     -


                                                      -



                                    11
--
                                                                                    Thorax




    pulmonaryaa. / v.                                               –--                                
                                                         (IVC&SVC Inferior&SuperiorVenaCava
                                                                                                       


(thoracicspinalcord)           T1-T12                                                                  
        parasympatheticnerves (Vagus) thoracicsymphathetictrunk (DRG
                                                                                    --                 
                                    T
                                                               T
                  thoracicduct                   lymphnodes          ---                               


                                                              esophagus                                
                                                                                                       


T1-T12                                                          ----
                                          sternum
                        true
                                         false
                                                                                              floating


                                                                             -           -
                                                                            --


                               spinous



                                                               --         sternum
jugularnotch-                                                                             manubrium


-                                                        body-                                    T2



                                                   12
xiphoidprocess


      xiphiloid                        --


                          body-                  sternumangle-




                             T2             sternal angle-




                  - SuperiorThoracicAperture
SVC
                  inlet
                                  T1




                    13
--                                         –InferiorThoracicAperture
           Xiphoid-        T12                  costalmargin




 IVC                  --




                                                   - MidSternalLine    
                                                - MidClavicularLine    
                                                  - MidAxillaryLine    




                                                       jugularnotch
thoracic                              --               SternalAngle
                                                               duct


                                 14
-
                                                       -
                     T1 & C7--                    spinousprocess-
                                       T10-11




sparecapacity   --                              recess




       recess
                                                                            -
                            apexoflung-
                                        --                              -




                                  15
apex                                             midsternalline-
                                            mid sternal line         --   -
-




-




                                                                --
                                       externalintercostalmuscles             
    external                                                     ---
                                         internalintercostalmuscles           
               internal                                         ---
                                       innermostintercostalmuscles            


                             --


                    major/   minorpectoralis




                                  16
oblique




                                               -
                              internal-                                                 external




 groove                       Vein,   Artery,       Nerve --     VAN
             VAN                          --


--
 -            VAN-     VAN-           costal groove
                                                                            innermost- internal
 internal thoracic -
                              -                                                             artery




                                               groove -



                                                               --Inferiorandsuperiorvenacava




                                          T1-T12                                       --      CNS
 Dorsal   Root   -        CNS                             --                PNS
                                                                                         Ganglia




                                               17
---




CNS



                                    --


      ----




       -                post-            post- pre




                                -



             18
-           -
 serous              membrane                        ---




               parietal         pleura
interlobal -              visceral pleura
                                                       -fissures




                                                 -


                                             -




                                   19
pleural      effusion




                                               Costal                                            pleura


                                  apex-        costal         pleura-              Cervical      pleura
                                                                        neck-




superpleural                                                                                  membrane
transverse -
                                                                          C7                     process
scalenous                 -
                                                                                                 muscle


scalenus
transverse                           -                          minimus                          muscle
                                                                                            C7   process
                                               cervical membrane-
root          of          lung-                                               Mediastinal        pleura
                          Pulmanory         hilus-
Pulmonary                                                                 -
                                   pulmonary         veins     bronchus                          aretery
inferior                lobe-            suprior               lobe-


                                                     hilus-


lymph nodes        Hilus-
-                                                                             pulmonary nerve plexus



                                                   20
root of -                         mediastunum-
                                      root of lung-                          lung


root -
                                 visceral pleura-                       of lung
                         esophagous
pulmonary                                      visceral pleura-
                                                                      ligament
                                       -
                                                                          Hilus
                                  Diaphragmatic                            pleura
costophrenic
                                                                            angle
               pleural                         cavity-



                                                                      -Pleumothorax
                                                              -




                                                                  -
-                          visceral        pleura-




                                21
collapse




             -plleuromediastunum


          Pleural     effusion




                                           -




-                    sternal              angle-
                                                             manubrium




                     midline                           --        trachea-
                                     bronchi-          carina-



elastic
                                                   fibrous       membrane



                                          22
longitudinal       fibers
  elastic                                            fiberstransverse
 -          transverse            fibers-                                                         fibrous
                                                                                             longitudinal
                                        – mucus membrane-




                                         --                Carina
  mainbronchus                                             brunchi          right&LeftPrincipalBronchus
                   endotrachial         tube



                                                                                 bronchus-


                                                                        -- right principal bronchus-




                                                                        -



                                                                right         main           bronchus-
                                         -                     superiorlobebronchus
                                                                                             lobarbronchi
                                -
  Segmental               Bronchi-
                                    apex                apicalsegmentalbronchus-



                                         posteriorsegmentalbronchus
---
                  - superior-                               lateral              posterior
                         posterior lateral inferior                                               inferior




                                                      23
-       superiorlobeBronchus-
                                                                                anteriorsegmentalbronchus
                                                                                   lateral        anterior


                                                               superiorlobebronchus-
lobe bronchus                             -             main                                 right bronchus-
             middle lobe bronchus-                                        middle lobe bronchus               --
                  lateral           medial        segmentalbronchi
-        middle     lobe        bronchu-
                                         epicalbasal           segmentalbronchus                rightbronchus
    inferiorlobe-                                                epicalsegmentalbronchusofinferiorlobe
                                               middlelobe-                                    rightbronchus-
          medialsegmentalbronchusofinferiorlobe/medialbasalsegmentalbronchus
    -             right               bronchus-
                          posteriorbasal
                          -                                                      anteriorbasal
                                                                                                  lateralbasal




                                                                               leftprincipalbronchus-


                                                            superiorlobarbronchus
- superiordivision
-             superiorlobebronchus-                                 superior division-         inferiordivision
           anteriorsegmentalbronchus                              superior                             division
                      apicoposterior-                    apicoposterior
                                                apicalsegmental-             posteriorsegmental-


lingularbronchus               --                                   inferior         division-
                                              Middlelobebronchus
medial-             middle lobe
                              inferiorlingular- superiorlingular-                 lingular-           lateral-
             superior                            lobe                          bronchus-
-
                                    middle lobe-            lingular bronchus-                superior division




                                                    24
superior             lobe           -
                      lingular                                                                         bronchus
                                    lingularpneumonia                      -
                                    left                                                             bronchus-
                     medialbasalbronchus
                             --                                            bronchi-
                                                                  bronchioli
                                 terminalbronchiolus
                                                                                      alveoli
-          alveoli                          alveolarsac
                                    alveolar                                                                sacs


-                            lobulus                                    alveolar                            sacs
                                                                                                         lobulus
lobulus                                                                 lobules
                                                             broncho-
                                                                                         pulmonarysegment
segmental                               segmental      bronchus
    -                                        broncho       pulmonary    segment                        bronchus
                                                  medial basal
                                                                                                              




                                                                               lobe



                            superior       lobe
- superior                        inferior lobe                  middle lobe
                                                     lingular-                 middle-                   inferior
horizontal- oblique                                               interlobarfissure
                                                                           obliquefissure




                     pulmonary hilus                                pulmonaryHilus              --
           2pulmonaryveins-                            principalbronchi-                 pulmonaryartery



                                                      25
-
inferior                                                               middle --      superior
pulmonarynerveplexus     hilus-                                                              lobe
-    principal     bronchus-                     anterior-         posterior      anterior
-          anterior-           posterior-    principal bronchus-                     posterior
lymph                                                        -            lymphnodes       hilus
                                                                                        nodes




                                             -


                                                                                     --




                                                                      explorative laparotomy



    MRI




                                                                           Glandulartissue 
                                                                               AreolarTissue 
                                                                               FibrousTissue 
                                                                                 FattyTissue 


                                                                                               




                                            26
superficial                 fascia-




                                                                                    ---




mid        axillary   line-
-
              ) axilla-                         Axillary Tail
           pectoral lymph nodes-                   deep fascia-




                                                                  ---




-     pectoralis major-                   deep fascia-
                           - external oblique aponeurosis-              serratus anterior



       -



                                               27
deep                                                        -
loose                areolar                tissue                                                  fascia


                   Mamma submammaryspace RertomammarySpace
retromammary                          -
                                                                                                    space




 retromammary         space-
 pectoralis                       major-                 deep                          fascia-


                                                                          pectoralis             major-
                                           pectoralis major-
                                                                                                      --


                                                 pectoralis major-            axillary tail


---                                                             Nipple-
                                                                   lactiferousducts


                                                       sinusoflactiferousduct



- circularfibers                  -                                                                nipple
-       erection                                                                       longitudinalfibers
                                                                   -                               nipple




                                             nipple-       retraction          longitudinal      fibers-
                      retracted       nipple-



                                                28
retracted


                                                        retraction    erection


                                                     --                       Areola        nipple-


                                                                                                      areola
 -                                                                                    areola-
                                                                areolarglands                         areola
                                                      areola-
 -                                nipple-
                                                                                                      areola


  areolar                                                             -
                                                                                                      glands
      -                                                                     I.V.
  sebaceousglands                                areolar                                              glands


---


           sweatglands         areolar        glands
                      sebaceous glands- sweat glands                      areolar glands-
                                                                                   subcutaneous       fat




  pectoralis        major-       deep       fascia                           --
                                   Cooper       suspensoryligaments


          areola-    nipple-


  suspensory            -
                                                                                                  ligaments


           suspensory        ligaments-              fibrous     tissue     contractures




                                                       29
glandulartissue-
                             -       subareolarspace-
                                                                                                 deep


-                        alveolus                                        alveoli-
-             lobules lobulus                         alveoli                                  alveoli
areolartissue                        lobules                                                   lobules
                   areolar tissue   lobe-                                lobe
                                                                                         lobulus
    -                                                            lobe
                            lactiferousducts                    --                              lobes
                                                 lobe-                              lactiferous ducts


                                                      lactiferous                     ducts-
lactiferous                              ducts




                                                                         --
pectoralis                      major-                          retromammary                    space


                                                         -




                                                 30
alveoli-             lobules-               lobe


                                    areolar tissue       lactiferous duct-
                                                        elasticfibers
         transverse                                    longitudinal
                                               basementmembrane
myoepithelialcells


                                           columnarepithelium
                                           columnar                  epithelium-
sinus-     nipple-
                                           stratifiedsquamousepithelium-



columnar
                               stratified squamous epithelium                                epithelium


                                           alveoli-
-
-                                                                                        hypothalamus
                                                                      oxytocin           hypothalamus
myoepithelial         -
                                                                                                     cells




                           Oesterogens
                          corpusluteum-                            progesterone



lactiferous -                                       alveoli
pseudo-alveoli                                        glandular-                                    ducts
                                                                                   alveoli



           placenta-           corpus luteum-



                                               31
prolactin
                          GrowthHormone
  growth                                                                    -
                                                                                   hormone
                                adenohypophysis-




              hibernate                                               alveoli-
  menopause-




  –                                                                      alveoly



  -




                                                                  -


                                                                 Witches'              Milk



                           -
---                                                           axillary artery-
  thoraco-acromial               superiorthoracic,                        lateralthoracic


                                                --- anteriorintercostalarteries
                                                     internal/mammarythoracicartery
                                    anterior thoracic arteries



                                     32
- axillaryvein-                        areola-                     venouscircle
                                                                                  internalthoracicvein


                                                                 T4-6-




                                                                                     -
axillarylymphnodes-                   superficial lymph nodes-                    lymph nodes
                                                                           deep lymph nodes
                                                                            axillary lymph nodes-
                                                                                    -- Axial/Apical
                                                                 lateral
                                            central                                 lateral -
                               posterior              sub-scapular
pectoral      lymph    -
                  anterior                                                 axillary tail-       nodes
lymph                                                                                             -
                                       lymphaticducts                                             nodes




                                                           -- Ductal Carcinoma In Situ (DCIS)
    in     situ   ducts-
myoepithelial         cells-


                                                           myoepithelial   cells-


DCIS                   myoepithelial                    cells-


myoepithelial cells                                   --     Infiltrate/Invasive Ductal Carcinoma




                                                 33
MRI



--




                Pectoralis Major                                 -- Mastectomy
                                                         -         Lumpectomy




 lymph -                     axilla-
                                             lymph nodes-                nodes


 lymphatic                                                   -
                                                                         ducts


 sentinal                                                node-
 lymph                   -
 lymph      -                                                            node
                                                                         node


                                            lymph node



                                       34
-




                                                      -


                                                                             -




                             vertebra
-coelomic
  1.               cavity                                      3.

                                    aorta                                   Pleura
                                      gut
                                    Coelomic cavity                       Dorsal
                                                                          mesocardium
                                 Coelomic wall

    Pleura       Hearttube                                Visceral      Parietal
                                                          pericardium   pericardium
    .                                                         4.




parietal pericardium          Visceral pericardium




                                                 35
transverse sinus
pulmonary vein (4), superior & inferior vena                                 pulmonary trunk aorta
apex-                                                                                         cava
oblique sinus
                                                          ----
                                            transverse sinus


fibrous              pericardium




                                                                    ----



                                            left          auricle


                                                     coronary        sinus
SA      node                    crista   terminalis




                        LA


               RA



                    V



                                                36
(fossa              ovalis)




                                                             --




       -




                                             interventricularseptum)         -


       pulmonary          - aorta-
                                                                                  trunk
-
                                                    membranous intraventricular septum



                                      blue      babies



pulmonary                             trunk                                  --




    left     subclavian      artery
left       pulmonary      artery




                                       37
CO2


pulmonary          trunk                                           --Ligamentum          arteriosum




                     cusps
                                                                            cusps--
right auricle            ---------Right coronary artery            Right & left coronary sinus



 Left         coronary          artery
                              left anterior descending       left auricle


 circumflex                                 branch
circumflex     -         AV      node
                                                                      branch of left coronary artery


                                                                                  --Coronary   sinus
                                                             anterior cardiac veins


              coronary                    artery-



                                                                              :




                                                         -

                                   ----




                                                    38
-
                            -
                       --


                       -
                  --




                                    -


-



                                        -




    Trans-
                                Esophageal Echo


                                -




             39
-
      parietal     pleura              Parietal    Pericardium---
      pulmonary trunk-           SVC       --
                 Fibrous                           Pericardium-


                 epicardial                     Visceral Pericardium--


C3,                        C4,                    C5              phrenic-



                                             parietal pericardium-




                                                       -
                                                                     Myocardium




                                 40
4Valves



                                                                               ConductionSystem



 ion                     flux


                                      Coronary A&V                                   BloodSupply



                                                              -




                                     --                            -
        SinusVenarum                          Sinus      Venosus
--         rightauricle-
     CristaTerminallis
                                                -
                                                                                               SVC   
                                                                                          --- IVC    
                                                                          Coronary Venous Sinus      
                                                                   right atrio-ventricular canal     
                                                            Foramen Ovale         -- Fossa Ovale     
                                tricuspid            -

                                                                          -----




                                               41
--        ForamenOvale-




Septum
                                              Septum Secundum-           Primum




               ChordaeTendineae                                     --
                                                                 papillarymuscles


           SinusArteriosus        TrabeculaeCarnae




Trabeculae Carnae
 AorticVestibule



                                    42
leftauricle                                                 -


                                                                     -




                                                     Pulmonary                   Trunk-
cusps                                          PulmonaricValve


                             --                                            AorticValve-
right&left -                                                                         cusp
                                                                         coronary arteries



-


         mitral-             tricuspid-
                                                    -
                      septum


                                                                 -




                                                                            -




                                          43
SANode-
                                                             SVC-


                                                                    -




-                      AV    Node-
Common Bundle Of                                  AV Node-     coronary venous sinus
                            crux-                                                      Hiss


                                    -                                         RightBundle
-                                                                              LeftBundle
                                                                                    bundles
                                                                            PurkinjeFibers




                                                                        -




RCA LCA           --


-          LCA-                 LCA-                                        cusp-
- interventricular                               groove-                               LAD
coronary                                     -                           LeftCurcumflexCA
                                    -                                               groove
                                                                        LeftMarginalArtery



                                        44
,coronary                                                cusp-                RCA-
                                                                                     groove
-                            rightmarginalbranch
interventricular -              posteriordescending-                              circumflex
                                               apex-                   LAD-          groove




- left circumflex-     right posterior descending- LAD-
                                                                                        RCA


                                                                              -




                                                                   -


-
VITAMINC: Vascular, Infectious, Traumatic,
                                  Autoimmune, Metabolic, Idiopathic, Neoplastic, Congenital




                                          45
----           Hypertrophic       Cardiomyopathy        




                  mitral                     regurgitation




                                                                           Dilated Cardiomyopathy         



                                                                                        Sterling
                                                                                     Sterling



Congestive   Heart
                                                                                                Failure




                               -               VITAMINC
                                                                                        Endocarditis      


         Aortic            &             Mitral              Stenosis           +     Regurgitation       
Rheumatic         Heart            Disease
                                                         A        -




                                                  46
--


                 Arrhythmia



      Coronary      Artery    disease       ---




                                   -
                                        elastic lamina   -- TunicaIntima
                                                         -- TunicaMedia
                                                         TunicaAdventitia




                                              -------


-   tunica                         media-
                                                                   intima




                              47
--


                        Angina    Pectoris


-



collaterals   --


                                                            lumen



                   -




                                         PlaqueRupture



                                                         thrombus




                       48
-



    Acute        Thrombotic       Occlusion
                   Tissue Plasminogen Activator Streptokinase
 Balloon Angioplasty               -- slow atheriosclerotic occlusion




---                                                                          --


                                                           --




                                                                   -----
                       internal      thoracic
internal     -
                                                                                  thoracic




                                                    -




                                                -


                                                                        --




                                           49
--      LAD
                                 LAD
                  -



                                          -
                      X-   Ray         ---------X-   Ray




                                                      CT




                                                     MRI




              -




 ----




                           50
-




---


                           chordae       tendinae
  -




 --
                                                                 aortic        stenosis




                                                            --
                                         SA         node
  left & right bundle -           AV node-
                                                                               branches


 --                       AV        Node-




      Sick   sinus   syndrome                                             AV   Node-
                                   AV-
                                                      ---
                            IVC




                                              51
-




                Atherothrombosis




                Plaque   rupture



          CVA




VF




     52
Werner       Forssmann




                                              -      Aortic        Stenosis



                          -------------




                                          -Cleft       mitral        valve



                                      -




                                                              --
-   condacting air ways
                                                         respiratory ways


                                          -



                             53
--




-                                                                                Stridor



                                                                 -Congenital     Stridor
laryngomalacia




              -


                                                                    Vocal Cord Paralysis


                                          -


     Subglotic Mangioma        ---




                                                     -


                                          --




Tracheomalacia


inominate                                      brachiocephalic              trunk
                                                                                 artery
    double aortic arch



                                     54
apnea
                                                                 CO2



                                                    ------
   Tracheo-
                                                                       esophageal     fistula


                                     atresia




                                                                  -



       Congenital Cystic Adenomatoid Malformation                      ---
                                                                        Congenital Lung Cyst




                                                     ----Pulmonary             Sequestration




----
                                                      grunting




                                           55
bochdalek    -


                                        ---



Right
                                                    Lung Agenesis
                                 -



                             -


                                                        -
                   --


          inguinal hernia




          -




                                              ---




ventral                                             -
                                                            hernia




                            56
SuperficialFascia-


 superficial            fascia-
 trunk-                superficial            fascia-
                                                                                  -
--                                                                         SuperficialLayerofSuperficialFascia
                                                                                             FattyAreolar
 -                                                                                           inguinalligament
                                                                                                     scrotum


 -       fatty     areolar           layer-                                                      DartosMuscle
                                                             superficiallayerofsuperficialfaciaofperineum
                                                             --                 DeepLayerofSuperficialFascia
     FasciaLatea



                                                 deep                 layer
 membranous/                 -                                                    fundiformligamentofpenis
                                                                  deeplayerofsuperficialfasciaofperineum



 superficial       -
 deep                    -                                                                               layer
                                                                                                         layer


                                                                       -




                                                                                             -


                                  superficialfascia-
 -
         Rectus                                                                             RectusAbdominis
                                                                              Rectus




                                                        57
--                                              -        origin    --         ExternalOblique
illiaccrest-                               serratusanterior


                Aponeurosis     aponeurosis
                                                                                        tendon


                                                 ExternalObliqueAponeurosis
                                                    midline-
LineaAlba-
                                                                                              -




                              symphysispubis-
-      illiac    crest-
                                         --                             sympysis           pubis
-       ASIS              AnteriorSuperiorIlliacSpine
symphysis                                            -                             PubicTubercle
                                     inguinalligament-                                     pubis


                               Inguinal Ligament-                         Inguinal Ligament-


                --


                                           femoralartery-                   externalilliacartery




                                                58
external                  oblique                       -
subcotanuos/Superficial                              Inguinal                            Ring
                                                    Inguinal Canal


                                                                     --                      InternalOblique
         external
                                      -–   inguinalligament-                  illiaccrest-         origin-
inguinal                                                        ligament


                                                                --


                                                                              internalobliqueaponeurosis
                             - rectusabdominis-
PosteriorLayer- AnteriorLayer                                             -                      arcuateline
external    oblique   -               rectus      abdominis-
external oblique -                    internal oblique-                                          aponeurosis
rectus     -                   internal        oblique-                                          aponeurosis
linea                                                                          -                  abdominis
                                                                                                        alba
internal                                oblique                                     -
rectus                             abdominis-                                                    aponeurosis


                                                   --                               TransversusAbdominis
                          origin                                                   transversus
- illiaccrest-                     internal-
-thoracolumbar                                                                            inguinalligament
                                                                                                       facia


                                                        aponeurosis-
rectus                abdominis-



                                                   59
Superior -        inferiorlayer superiorlayer -
                                            -
-                      rectus      abdominis-                            transversus   abdominis-         Layer
                        posterior          layer           of       internal       oblique         aponeurosis
     -
rectus        -                             inferior            layer-            tranversus         abdominis
linea -            internal oblique        aponeurosis-            anterior layer-                   abdominis
rectus    -                     external    oblique         aponeurosis-                                   alba
                                                                                                     abdominis




RectusSheath              rectus abdominis-
                           rectus                                                abdominis-
                                                       -                          aponeurosis
                                                            aponeurosis
anterior layer of internal           external oblique aponeurosis                        anteriorrectussheath
                   inferior layer of transversus abdominis aponeurosis-                   oblique aponeurosis
superior layer of -             posterior layer of internal oblique                    posteriorrectussheath
                                                                                       transversus abdominis



-                                 rectus           sheath
                                                                                             transversalisfascia


rectus                                                                   -
    -                                        SemicircularLine ArcuateLine                                sheath
                                                                         SemilunarLine            rectus sheath


                                                                                         A
                                                                    rectus                           sheath-
                                                                   internal -
                                                                                                        oblique
                                                                                                   aponeurosis
                                                                                   -      aponeurosis-
                                                                   anterior        -           externaloblique
                                                                    rectus                               sheath
                                                                     -
                                                                                                         rectus


                                                       60
transversus                                                 -                                          abdominis
                                           rectus sheath-                                               abdominis



--                                                                       arcuate          line-         B
 transversus        -        inferior         layer-         internal          oblique
                                                                                                        abdominis


                                                                                             transversalisfascia-


 thoraco-lumbar         fascia-
 Inguinal        ligament-                                       iliac     crest-
-                                                 iliacus-                           iliacfascia-
                                                                                                     pecten pubis



 -                                                                                           RectusAbdominis-
--                                   xiphoid        process-                                                 origin
                        rectus                                             abdominis


                                              IntersectionTendons


 linea                           -      intersection                                 tendons-
         -                                                                                                    alba
                                              semilunarline-                               rectus       abdominis
                                                       semilunar line-
 .Rectus                                      -                                    .pyramidalis-
 pubic       -                       Rectus       Abdominis-                                            Abdominis
                                                             rectus abdonomis muscle-                    symphisis




                                                        61
rectus -
                                  --                                  flexion         abdominis
            PsoasMajor
            inguinal ligament-


                                                                                       psoas-




rectus          -
                                                                                     abdonomis




    -                      InguinalCanal


external               -                                superficialinguinalring-
-                                                                                        oblique
-                                     internal    oblique-                      deepinguinalring
-                   spermatic cord-                                               spermaticcord
           --                                                VasDeference = Deferentduct
           round      ligament    of          uterus-                     spermatic        cord




                                         62
--



--
                umbilicus-                  umbilical       hernia
 deep -
                             deep inguinal ring-                                         inguinal ring




 inguinal             ligament                        --             ReflectedPartofInguinalLigament
                                        linea alba-
 pecten     -                           inguinal        ligament             --Lacunar      Ligament
                                                                                                pubis
 lacunar                                    --                              Pectineal       Ligament
                                   pecten                  pubis-                           ligament


                         lacunar     ligament-




                                                 63
--Conjoint               Tendon
reflected part of
internal       -                                                                           inguinal     ligament
inguinal                                                                               -                 oblique
transversus         -                                                     tendinae                      ligament
pecten         -                        conjoint       tendon-                   abdominis        aponeurosis
rectus                  -      anterior                 layer-                                             pubis
                              interfoveolar ligament                                                     sheath
transversus             abdominis          -
                                                                   superior      ramus-           aponeurosis
                                                            superficial inguinal ring-



                                    external oblique aponeurosis-                     IntercruralFibers
           -                deep-
                                                                                                        external
                                               .                                                         oblique
                                         superficial        inguinal          ring-


                                          internal oblique muscle-




-        Vas       Deferens-                                  spermatic       cord-
-                           spermatic                                                                      cord
                                    internalspermaticfascia                                             vascord
                                                             externalspermaticfascia                  Cremaster




                                                       64
external oblique aponeurosis-                   external spermatic fascia-
-                  internal spermatic fascia-           internal oblique-             cremaster-
 -                              Vas         dferens-                        transversus       abdominis



                                                        --            cremaster-


               cremasteric             reflex



 inguinal                         InguinalTriangle --           (hesselbach
          semilunarline                                        ---
                                                inguinalligamrnt                                    canal
 rectus                   inferiorepigastricvein&artery --                            rectus abdominis
                                      conjoint tendon-                                        abdominis




--                                              Inguinal                                           Hernia


                                                                  -             inguinal hernia
 inguinal                                                              --      Direct inguinal hernia
                                                                                                  triangle


                                                   65
Inguinal                            -
                              superficial inguinal ring-                                      Triangle
deep       inguinal                                            --     Indirect     Inguinal    Hernia
                                                                                                  ring
                                                     Indirect- direct




superficial           -
inguinal                                                                                          ring




                                                                scrotum-



inguinal                             -
                                                                                                canal



                          -




                                                           -
                                                                                   –-
                                  MESH


                                                                    ilioinguinal                nerve


                                                                                    ---



                                              66
MESH


     Inferior ilioinguinal nerve-                                           recurrence

 fermoral
                   lacunar ligament-                                             hernia




                                             -


                                                                             -




                                                          ---
                                                                            Peritonitis



                                       perforation




  parietalperitoneum




 parietal
              visceralperitoneum                                            peritoneum
-- visceral      parietal                            --         Mesentery


                                           67
-                                                                         mesentery
               lessersac- greatersac-                                           sacs




 pubis -   linea alba-
                                                                           symphysis


                                               extra-peritoneal tissue




 -                                mide line-             –
--                                 -                                     caudatelobe
                                                                               neck




                                        68
Lesser - Greater sac
  omentalbursa                                                                             sac
                                epiploicforamen




---


                               LigamentumTeres               fibrous        cord
        .round   ligament                                                          teres
                                              --                   obliteratedumbilicalvein



  falciform         falciformligament      parietal   peritoneum
                                                                                      ligament




--




                                                      falciform ligament-




                                         69
-
                                                                                           coronaryligament
 right                    -
 visceral                                                                     peritoneum-                lobe




 coronary                                          ligament-


                                  coronary                     ligament-
 -                right       lobe-
                                                                                   righttriangularligament



                     barearea                                       coronary ligament-
-




 -
 left -                                                          falciform-         lefttriangularligament
 left     lobe-                                                                         triangular   ligament


 -            left        triangular         ligament-
--          fissureforligamentumvenosum                               left        lobe-          caudatelobe
 visceral                  left       lobe
                                                                             fissure-            peritoneum


                                                         70
fissure for -                               visceral peritoneum
-                                                ligamentum                                    venosum
                                      -                                                          fissure
                                  -                                                              fissure
                                                                                       lesseromentum
fundus       ----
visceral                                                                               lessercurvature
                                                                                             peritoneum
                                                                                             majorcurve


                                          greateromentum            mostanterior
                                                   greater                 omentum-
    greater omentum-          mostposterior        --

                                                                                   greater omentum-
greater        -                                       -
                        midline-                                                              omentum


-
                                          transverse       colon-                     most     posterior
-
                                                                                               pancreas
transverse                    -
mesentry        of                transversemesocolon-                                             colon
                                                                                              transverse
                                                                                                  colon
transverse           mesocolon-
    visceral         peritoneum




visceral
                                                                                             peritoneum
-


                                                  71
parietal              peritoneum




                                                              greatersac-


 omentalbursa-               lesser         sac-                                  lessersac
 -                                                            greater sac
                                                                           lesser                     sac
 caudate                        -
 caudate                  lobe-                                                                      lobe
 -
 -                                                                      fissureforligamentumvenosum
 -                        lesser omentum-                                                          fissure
 minorcurve, -                                                                         greater omentum
                -                                                visceral peritoneum-              fundus
 hepato-duodenal                      ligamnet                - hepato-gastric                   ligament



--
 greater -                               greater omentum-           anterior
 -                           greater omentum-           posterior                               omentum
 -                  transverse colon-
                                    --                                         transverse      mesocolon
 epiploic                 lesser omentum-                            lesser sacs-    greater
 - greater-                                                                                      foramen
 lesser     -                                                                                       lesser
                                                        left&right gastric arteries-            omentum




                                                   72
parietal                   -
 hepato-                                                           peritoneum
--      peritonealrecess                                         renalligament


 (renalimpression)
 Sub-     Hepato-renalPouch                 -           recess
                                       Morison'sPouch            hepaticPouch


 - visceral
                                 -- Ascites                           parietal


                           Morison's    Pouch
 morison's                  -
 -B                                                                     pouch
 morison's                             -                                    C
                                                                        pouch




--




                                                73
sigmoidcolon                   --
visceral                  peritoneum-
                     sigmoidmesocolon-



                                seminalvesicle


 Douglas     Recto-VesiclePouch
                                             rectouterinepouch


             para-
                      -                                          rectalfossa
                                                                   fossa


     trunk                                                  --


                                           ascites




                                  74
-                               Sacro-GenitalFold                             neck-
 -                       rectovesicle              pouch-                                 folds
                    pararectal                                                            fossa


 -          sacro                       genital              fold-
                                          fold-                         sacrogenitalligament
                    --
 para-
-- vasdeferens                                                                     vesiclefossa
 para-vesicle                           fossa
                              round ligament
                               fold
                                                                                       ligament



                                                                 para-rectal       fossae-
                                                            --


                                                             pararectal fossa


                      folds




                         -




                                                  75
urachus
                                                  --                 medianumbilicalfold/ligament


             medialumbilicalfolds
                                                                       obliteratedumbilicalarteries


                      -                    lateralumbilicalfolds
                                                                          inferiorepigastricarteries


                                                                                                  fold
                           .SupraVesicalFossae              medial- median umbilical fold-
                                            MedialInguinalFossae                lateral- medial-
lateral                                      -- LateralInguinalFossae                 lateral-
                                                                                                 inguinal
                                                                                                   fossa
                                 vaginal                                              process


-
                                                                                   lateral inguinal fossa
                                        umbilical          folds-    inguinal           fossae-
femoralfossae-                Lateral           Inguinal            Fossae-



                                    transverse colon                          --
                   parietal                peritoneum-          linea                   alba-
-
                                    cecum-                          ascending                      colon
                          mesentery         -




                                             76
IVC-
                          -
superior -                                                                                     mesentery
                          mesentery-                                                           mesentery




visceral                         -                        mesentery-
                                             -                                                 peritoneum
                                            -                                                         IVC
parietal                                -                                                      mesentery
ascending -                                              descendingcolon-                      peritoneum
                                                                          sigmoidcolon-             colon


IVC-                                                     transverse     colon            --
linea                 -
                                                   falciformligament-                                alba


                                                                      lessersac-
lesser                                 omentum-


                                                                                   greater omentum-
-          greater omentum-                 posterior
                                                                                    parietal peritoneum
                                                        caudate lobe                          --
                                     Greater Omentum-                                     --
                    rightfreeborder-                              omental       bursa-
greater               omentum-                                          great            omentum-
                                            -    head-
                                                                                                     neck
-          greater omentum-            leftfreeborder                               --
                                                          transverse               mesocolon-        root




                                                  77
spleno--                                                       line        alba-
                                                                                         renalligament
--                   gastro-splenicligament


 -                                     lesser              omentum
                                                                       fissureofligamentumvenosum
 splenorenal -                         gastro splenic ligament-
                                                     shortgastricarteries-                     ligament


 -
                         linea alba-                                                  subhepaticpouch
     reno splenar-                     gastro splenic-                                 splenic recess
 right&leftgastropancreaticligament
 hepaticartery                                                                -
                                         leftgastricartery



 gastro splenic                                                              epipoicforamen-
 reno                                                                               splenar-   ligament
                                 gastrophrenicligament


                                        epipoic        foramen-




                                                            -                       greateromentum-
 greater -                                                      greater omentum-
                                                                                               omentum


                             perforation-



                                                                       --


                                         greater         omentum-                 transverse      colon




                                                78
recesses
 retro-cecalrecess         recess   cecum-             recess   mesoappendix-
                                                           recess-




                 -                                 -




                                               -


                                                                            -


                                                                                esophgous-




                                                                        -


--                              fibrouscoat




 fibrous
                                                                                       coat
                 --




                                              79
thoracotomy
                      laparotomy



 fibrous
--                                                           coat


-                             fibrous   coat




                 CT



           ---




                                                mucousmembrane
                                               ---




                         80
reflux
 mucous          membrane               --


--




     -                                              leftcrus-            rightcrus
                                                                                     inspiration




 diaphragmatic              --
 esophagealhiatus                                               hiatal       hernia hernia
                                  - reflux




                                                                 anatomic            sphincter
                                                     -
 -




                             left&rightvagus                                    stamic


         Inferior Middle Superior-- GastricNerves   -
                                                                            -


                                               celiacplexus-




                                          81
----                   vagotomy




                          gastric nerves               selectinve vagotomy




                               hepaticnerveplexus-


   left&rightgastric   shortgastric        -
                                                              left&rightgastroomental


                                                     rugae-


   -
                                                                               rugae


                                                                                  -
                                                                  spincter    pylorus



                          --




                                      -




                                           82
visceral     peritoneum                  --        intra     peritoneal
transverse     -                           ileum-          jejunum-
                                                                                                      colon
                                     sub/retroperitoneal
           splenorenal ligament                                                            --


-                                                                                      jejunum-
mesentery-                                                                                            ileum
-                                     jejunum-                                                  mesentery
                                                                                                      ileum
          rugae-              circularfolds
                                                                     transverse folds rugae-
                                                                          circular folds-
circular           folds      terminalileum-                                        circular        folds



intestinalvilli-                              mucous                 membrane-



-       muscularismucosa
-                                                                          villi-      mucousmembrane
                                                                                                        villi



Crohn’s                                                                       ---
                                                                                                    Disease


                      villi   intestinal


                                                                --
-                                             intestinalvilli
                                                                                                thoracicduct



                                  lymphfollicles                --
lymph
                                                        lymph follicles                                node



                                                   83
-- Solitary Lymph Follicles
                                                               Aggregated Lymph Follicles
                                      PeyerPatches


---             germinationcenters                     aggergate+solitary


  lymph                                       node
                                                                                           follicle



                                                          -
 --                   appendicesomenalis appendicesepiploica                                          
  caecum, appendix, Rectum



                   ileum- caecum -    omentum-                                       reccesses
                                                                      Superiorileocaecal recess
                                                                         Inferiorileocaecal recess
                                                                              Retrocaecal recess




---




                                                                                          caecum


                                                                    --
                                                                                                      
  longitudial
  circular                                   fibers-                                        fibers




                                            84
---      longitudonalfibers
                                                                                                   TaeniaColi
  transverse                                                                           Taenia       Libera
                                                                                                     colon
  transverse                                                                     -- Taenia Mesocolica
                                                                                                     colon
  transverse                                                             --        Taenia       Omentalis
                                                                                                     colon
                                                                                                taenia coli
  taenia     -         taenia      coli                                                     -–Haustrations      
 -        longitudonal                    fibers-                                                        coli
                              circular fibers-        circular fibers-                                 taenia
                                                                   taenia-
                                                    haustrations



                                                           solitary            lymphfollicles
                      mucus membrane-



                                  mocus membrane-
                                                                               longitudinalfolds                


  transverse      -                                                          transversepermanentfolds           
                                                                                                        folds


  longitudinal                   transverse folds
  longitudinal                                                                                         fibers
                                                                                                       fibers



 - analcolumns                  vertical folds        -
  anal
                      superiorrectalvein                        superiorrectalartery                  column
  anal                                                -
                  analvalve                                                                          columns
               analsinus                   anal valve



                                                          85
-                                    rectalvenousplexus
  folds                  --
--Internal         hemorhorids                              hemorrhoids
 superior                                  rectal
--External              hemoroids                                                                       vein
  external                          venous                      plexus



                                    pectinateline      anal                       sinus-
  spinal                          cord


 internal
                                                                                              hemorrhoids
 external            -
                                                                                               hemerroids




                                                                         -




 -                                              L2                        portalvein-
     -                                                                             splenicvein-        SMV
 portal        -                         IVC-
                                                                                                        vein
  gastroduodenalartery-
 lesser             -                                                                   bileduct-
 bile      -                  hepaticartery-    bile    duct-                                       omentum


                                                       86
hepaticarteryproper-                                                                              duct


 -                             portal triad-                                      portal vein-
                        -                               lesser omentum-           hepato-duodenalligament
                                                                      -


                     hepaticnerveplexus-               lymphnodes,            lymphducts
 lesser         -
                                                  perivascularfibrouscapsule                            omentum
                                                                          gilson'scapsule
 -
                                                                           perivascular       fibrous      capsul



 portal     -
                                              portal hypertension -                                          vein


--shortgastricveins                                                              splenic                  vein-


--                                                                                    gastrosplenicligament



 -    &leftportalveinsright-                                      porta hepatis-
  ductusvenosus                          IVC-                                                                 left
 -        ligamentumvenosum-                         ductus                                       venosus
                                                                                                           fissure


                    superiormesentericvein --                                     portal vein-
      vein-                                                               SMA-                          mesentery
--                                SMA-                                       pancreaticoduodenalveins
 -                                                      splenicartery
                                           --                                  SMV-         pancreticoduodenal


                    illealveins                               jejunalveins
  appendix-           cecum-         terminal ileum-                          ileocolicvein
--                                ascending            colon-                        rightcolicveins
  SMV-                                         transverse       colon                         middlecolicveins



                                                       87
superior -                    SMV                rightgastroepiploic (omental) vein --
                                                                                              mesenteric vein


   splenic             vein             --         portal             vein-
                    splenic                                        artery-
  -                                          splenic          vein-
             leftgastroomentalvein-                                                        shortgastricveins
                               splenic veins-            pancreaticveins-
  -         inferiormesentericvein-            splenic                        --
  -             IMV-                                                                                       IMA
 -    IMA-       superiorrectalvein, sigmoidbranches, Leftcolicvein-                             splenic vein
  splenic                        - IMV-                                                                     IMV
  duodenojejunal                        -                     duodenojejunalflexure-                       vein
                                                                                                       flexure
                    -
                                                                                                     rightcrus


   left     &     right       gastric   veins-
  cysticvein-                                                    portal vein-
          paraumbilicalveins ---                                         portal    vein-
  portal
                portal vein-                                      ligamentum teres-                        vein



---
                                                                                     portal      hypertension
 --                                           portal veins
                                                                                               cirrhosis




  -
  left gastric -                                                                              esophagealveins
                    coronaryveins / vasabrevis                                                             veins




                                                         88
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אנטומיה א סיכום עינת תוספות ברלה 2011

  • 1. - - pointers long --- long bone, flat bone, cubic bone bones epiphysis  shaft long bones- diaphysis  longbones cubicbones- - - flat/irregularbone articularcartilage peri -- os periosteum fibroustissue -- elasticfibers 1
  • 2. - vascularization nutrientartery - innervation 2
  • 3. - - -- fibula tibia - - compactbone 3
  • 4. corticalbone --spongybone trabecula spongy bone- - shaft metapysis endosteum medullarycavity - bonemarrow osteomedulla --- long cubic bones short bones bones flate bones 4
  • 5. -- articulation/joint -- ----- sternum wrist - 5
  • 6. - - - ballandsocket acetabulum socket sliding gliding ---- (trochlea) sliding gliding 6
  • 7. flexion extension extension- flexion sliding Facet - facet ulna -- Pivot C1 axis- C2  gliding epiphysis- articularcartilage articular - hyalinecartilage cartilage -- ball 7
  • 8. socket- and socket intraarticularspace - articular capsule - ---- extracapsular # intracapsularfracture 8
  • 9. --- osteoarthritis osteomyelitis -- ligament tendon -- Ligament CapsularLigaments 9
  • 10. scapula clavicle- --- Accessory Ligaments capsularligaments sprain - -- Avulsion Fracture intra-articular space Synovial Membrane intra articular - Synovia - space 10
  • 11. - - intra articular - space articular - fibrocartilage disc - sternoclavicularjoint insertion - origin - - 11
  • 12. -- Thorax pulmonaryaa. / v. –--  (IVC&SVC Inferior&SuperiorVenaCava  (thoracicspinalcord) T1-T12  parasympatheticnerves (Vagus) thoracicsymphathetictrunk (DRG --  T T thoracicduct lymphnodes ---  esophagus   T1-T12 ---- sternum true false floating - - -- spinous -- sternum jugularnotch- manubrium - body- T2 12
  • 13. xiphoidprocess xiphiloid -- body- sternumangle- T2 sternal angle- - SuperiorThoracicAperture SVC inlet T1 13
  • 14. -- –InferiorThoracicAperture Xiphoid- T12 costalmargin IVC -- - MidSternalLine  - MidClavicularLine  - MidAxillaryLine  jugularnotch thoracic -- SternalAngle duct 14
  • 15. - - T1 & C7-- spinousprocess- T10-11 sparecapacity -- recess recess - apexoflung- -- - 15
  • 16. apex midsternalline- mid sternal line -- - - - -- externalintercostalmuscles  external --- internalintercostalmuscles  internal --- innermostintercostalmuscles  -- major/ minorpectoralis 16
  • 17. oblique - internal- external groove Vein, Artery, Nerve -- VAN VAN -- -- - VAN- VAN- costal groove innermost- internal internal thoracic - - artery groove - --Inferiorandsuperiorvenacava T1-T12 -- CNS Dorsal Root - CNS -- PNS Ganglia 17
  • 18. --- CNS -- ---- - post- post- pre - 18
  • 19. - - serous membrane --- parietal pleura interlobal - visceral pleura -fissures - - 19
  • 20. pleural effusion Costal pleura apex- costal pleura- Cervical pleura neck- superpleural membrane transverse - C7 process scalenous - muscle scalenus transverse - minimus muscle C7 process cervical membrane- root of lung- Mediastinal pleura Pulmanory hilus- Pulmonary - pulmonary veins bronchus aretery inferior lobe- suprior lobe- hilus- lymph nodes Hilus- - pulmonary nerve plexus 20
  • 21. root of - mediastunum- root of lung- lung root - visceral pleura- of lung esophagous pulmonary visceral pleura- ligament - Hilus Diaphragmatic pleura costophrenic angle pleural cavity- -Pleumothorax - - - visceral pleura- 21
  • 22. collapse -plleuromediastunum Pleural effusion - - sternal angle- manubrium midline -- trachea- bronchi- carina- elastic fibrous membrane 22
  • 23. longitudinal fibers elastic fiberstransverse - transverse fibers- fibrous longitudinal – mucus membrane- -- Carina mainbronchus brunchi right&LeftPrincipalBronchus endotrachial tube bronchus- -- right principal bronchus- - right main bronchus- - superiorlobebronchus lobarbronchi - Segmental Bronchi- apex apicalsegmentalbronchus- posteriorsegmentalbronchus --- - superior- lateral posterior posterior lateral inferior inferior 23
  • 24. - superiorlobeBronchus- anteriorsegmentalbronchus lateral anterior superiorlobebronchus- lobe bronchus - main right bronchus- middle lobe bronchus- middle lobe bronchus -- lateral medial segmentalbronchi - middle lobe bronchu- epicalbasal segmentalbronchus rightbronchus inferiorlobe- epicalsegmentalbronchusofinferiorlobe middlelobe- rightbronchus- medialsegmentalbronchusofinferiorlobe/medialbasalsegmentalbronchus - right bronchus- posteriorbasal - anteriorbasal lateralbasal leftprincipalbronchus- superiorlobarbronchus - superiordivision - superiorlobebronchus- superior division- inferiordivision anteriorsegmentalbronchus superior division apicoposterior- apicoposterior apicalsegmental- posteriorsegmental- lingularbronchus -- inferior division- Middlelobebronchus medial- middle lobe inferiorlingular- superiorlingular- lingular- lateral- superior lobe bronchus- - middle lobe- lingular bronchus- superior division 24
  • 25. superior lobe - lingular bronchus lingularpneumonia - left bronchus- medialbasalbronchus -- bronchi- bronchioli terminalbronchiolus alveoli - alveoli alveolarsac alveolar sacs - lobulus alveolar sacs lobulus lobulus lobules broncho- pulmonarysegment segmental segmental bronchus - broncho pulmonary segment bronchus medial basal  lobe superior lobe - superior inferior lobe middle lobe lingular- middle- inferior horizontal- oblique interlobarfissure obliquefissure pulmonary hilus pulmonaryHilus -- 2pulmonaryveins- principalbronchi- pulmonaryartery 25
  • 26. - inferior middle -- superior pulmonarynerveplexus hilus- lobe - principal bronchus- anterior- posterior anterior - anterior- posterior- principal bronchus- posterior lymph - lymphnodes hilus nodes -  -- explorative laparotomy MRI Glandulartissue  AreolarTissue  FibrousTissue  FattyTissue   26
  • 27. superficial fascia- --- mid axillary line- - ) axilla- Axillary Tail pectoral lymph nodes- deep fascia- --- - pectoralis major- deep fascia- - external oblique aponeurosis- serratus anterior - 27
  • 28. deep - loose areolar tissue fascia Mamma submammaryspace RertomammarySpace retromammary - space retromammary space- pectoralis major- deep fascia- pectoralis major- pectoralis major- -- pectoralis major- axillary tail --- Nipple- lactiferousducts sinusoflactiferousduct - circularfibers - nipple - erection longitudinalfibers - nipple nipple- retraction longitudinal fibers- retracted nipple- 28
  • 29. retracted retraction erection -- Areola nipple- areola - areola- areolarglands areola areola- - nipple- areola areolar - glands - I.V. sebaceousglands areolar glands --- sweatglands areolar glands sebaceous glands- sweat glands areolar glands- subcutaneous fat pectoralis major- deep fascia -- Cooper suspensoryligaments areola- nipple- suspensory - ligaments suspensory ligaments- fibrous tissue contractures 29
  • 30. glandulartissue- - subareolarspace- deep - alveolus alveoli- - lobules lobulus alveoli alveoli areolartissue lobules lobules areolar tissue lobe- lobe lobulus - lobe lactiferousducts -- lobes lobe- lactiferous ducts lactiferous ducts- lactiferous ducts -- pectoralis major- retromammary space - 30
  • 31. alveoli- lobules- lobe areolar tissue lactiferous duct- elasticfibers transverse longitudinal basementmembrane myoepithelialcells columnarepithelium columnar epithelium- sinus- nipple- stratifiedsquamousepithelium- columnar stratified squamous epithelium epithelium alveoli- - - hypothalamus oxytocin hypothalamus myoepithelial - cells Oesterogens corpusluteum- progesterone lactiferous - alveoli pseudo-alveoli glandular- ducts alveoli placenta- corpus luteum- 31
  • 32. prolactin GrowthHormone growth - hormone adenohypophysis- hibernate alveoli- menopause- – alveoly - - Witches' Milk - --- axillary artery- thoraco-acromial superiorthoracic, lateralthoracic --- anteriorintercostalarteries internal/mammarythoracicartery anterior thoracic arteries 32
  • 33. - axillaryvein- areola- venouscircle internalthoracicvein T4-6- - axillarylymphnodes- superficial lymph nodes- lymph nodes deep lymph nodes axillary lymph nodes- -- Axial/Apical lateral central lateral - posterior sub-scapular pectoral lymph - anterior axillary tail- nodes lymph - lymphaticducts nodes -- Ductal Carcinoma In Situ (DCIS) in situ ducts- myoepithelial cells- myoepithelial cells- DCIS myoepithelial cells- myoepithelial cells -- Infiltrate/Invasive Ductal Carcinoma 33
  • 34. MRI -- Pectoralis Major -- Mastectomy - Lumpectomy lymph - axilla- lymph nodes- nodes lymphatic - ducts sentinal node- lymph - lymph - node node lymph node 34
  • 35. - - - vertebra -coelomic 1. cavity 3. aorta Pleura gut Coelomic cavity Dorsal mesocardium Coelomic wall Pleura Hearttube Visceral Parietal pericardium pericardium . 4. parietal pericardium Visceral pericardium 35
  • 36. transverse sinus pulmonary vein (4), superior & inferior vena pulmonary trunk aorta apex- cava oblique sinus ---- transverse sinus fibrous pericardium ---- left auricle coronary sinus SA node crista terminalis LA RA V 36
  • 37. (fossa ovalis) -- - interventricularseptum) - pulmonary - aorta- trunk - membranous intraventricular septum blue babies pulmonary trunk -- left subclavian artery left pulmonary artery 37
  • 38. CO2 pulmonary trunk --Ligamentum arteriosum cusps cusps-- right auricle ---------Right coronary artery Right & left coronary sinus Left coronary artery left anterior descending left auricle circumflex branch circumflex - AV node branch of left coronary artery --Coronary sinus anterior cardiac veins coronary artery- : - ---- 38
  • 39. - - -- - -- - - - Trans- Esophageal Echo - 39
  • 40. - parietal pleura Parietal Pericardium--- pulmonary trunk- SVC -- Fibrous Pericardium- epicardial Visceral Pericardium-- C3, C4, C5 phrenic- parietal pericardium- - Myocardium 40
  • 41. 4Valves ConductionSystem ion flux Coronary A&V BloodSupply - -- - SinusVenarum Sinus Venosus -- rightauricle- CristaTerminallis - SVC  --- IVC  Coronary Venous Sinus  right atrio-ventricular canal  Foramen Ovale -- Fossa Ovale  tricuspid - ----- 41
  • 42. -- ForamenOvale- Septum Septum Secundum- Primum ChordaeTendineae -- papillarymuscles SinusArteriosus TrabeculaeCarnae Trabeculae Carnae AorticVestibule 42
  • 43. leftauricle - - Pulmonary Trunk- cusps PulmonaricValve -- AorticValve- right&left - cusp coronary arteries - mitral- tricuspid- - septum - - 43
  • 44. SANode- SVC- - - AV Node- Common Bundle Of AV Node- coronary venous sinus crux- Hiss - RightBundle - LeftBundle bundles PurkinjeFibers - RCA LCA -- - LCA- LCA- cusp- - interventricular groove- LAD coronary - LeftCurcumflexCA - groove LeftMarginalArtery 44
  • 45. ,coronary cusp- RCA- groove - rightmarginalbranch interventricular - posteriordescending- circumflex apex- LAD- groove - left circumflex- right posterior descending- LAD- RCA - - - VITAMINC: Vascular, Infectious, Traumatic, Autoimmune, Metabolic, Idiopathic, Neoplastic, Congenital 45
  • 46. ---- Hypertrophic Cardiomyopathy  mitral regurgitation Dilated Cardiomyopathy  Sterling Sterling Congestive Heart Failure - VITAMINC Endocarditis  Aortic & Mitral Stenosis + Regurgitation  Rheumatic Heart Disease A - 46
  • 47. -- Arrhythmia Coronary Artery disease --- - elastic lamina -- TunicaIntima -- TunicaMedia TunicaAdventitia ------- - tunica media- intima 47
  • 48. -- Angina Pectoris - collaterals -- lumen - PlaqueRupture thrombus 48
  • 49. - Acute Thrombotic Occlusion Tissue Plasminogen Activator Streptokinase Balloon Angioplasty -- slow atheriosclerotic occlusion --- -- -- ----- internal thoracic internal - thoracic - - -- 49
  • 50. -- LAD LAD - - X- Ray ---------X- Ray CT MRI - ---- 50
  • 51. - --- chordae tendinae - -- aortic stenosis -- SA node left & right bundle - AV node- branches -- AV Node- Sick sinus syndrome AV Node- AV- --- IVC 51
  • 52. - Atherothrombosis Plaque rupture CVA VF 52
  • 53. Werner Forssmann - Aortic Stenosis ------------- -Cleft mitral valve - -- - condacting air ways respiratory ways - 53
  • 54. -- - Stridor -Congenital Stridor laryngomalacia - Vocal Cord Paralysis - Subglotic Mangioma --- - -- Tracheomalacia inominate brachiocephalic trunk artery double aortic arch 54
  • 55. apnea CO2 ------ Tracheo- esophageal fistula atresia - Congenital Cystic Adenomatoid Malformation --- Congenital Lung Cyst ----Pulmonary Sequestration ---- grunting 55
  • 56. bochdalek - --- Right Lung Agenesis - - - -- inguinal hernia - --- ventral - hernia 56
  • 57. SuperficialFascia- superficial fascia- trunk- superficial fascia- - -- SuperficialLayerofSuperficialFascia FattyAreolar - inguinalligament scrotum - fatty areolar layer- DartosMuscle superficiallayerofsuperficialfaciaofperineum -- DeepLayerofSuperficialFascia FasciaLatea deep layer membranous/ - fundiformligamentofpenis deeplayerofsuperficialfasciaofperineum superficial - deep - layer layer - - superficialfascia- - Rectus RectusAbdominis Rectus 57
  • 58. -- - origin -- ExternalOblique illiaccrest- serratusanterior Aponeurosis aponeurosis tendon ExternalObliqueAponeurosis midline- LineaAlba- - symphysispubis- - illiac crest- -- sympysis pubis - ASIS AnteriorSuperiorIlliacSpine symphysis - PubicTubercle inguinalligament- pubis Inguinal Ligament- Inguinal Ligament- -- femoralartery- externalilliacartery 58
  • 59. external oblique - subcotanuos/Superficial Inguinal Ring Inguinal Canal -- InternalOblique external -– inguinalligament- illiaccrest- origin- inguinal ligament -- internalobliqueaponeurosis - rectusabdominis- PosteriorLayer- AnteriorLayer - arcuateline external oblique - rectus abdominis- external oblique - internal oblique- aponeurosis rectus - internal oblique- aponeurosis linea - abdominis alba internal oblique - rectus abdominis- aponeurosis -- TransversusAbdominis origin transversus - illiaccrest- internal- -thoracolumbar inguinalligament facia aponeurosis- rectus abdominis- 59
  • 60. Superior - inferiorlayer superiorlayer - - - rectus abdominis- transversus abdominis- Layer posterior layer of internal oblique aponeurosis - rectus - inferior layer- tranversus abdominis linea - internal oblique aponeurosis- anterior layer- abdominis rectus - external oblique aponeurosis- alba abdominis RectusSheath rectus abdominis- rectus abdominis- - aponeurosis aponeurosis anterior layer of internal external oblique aponeurosis anteriorrectussheath inferior layer of transversus abdominis aponeurosis- oblique aponeurosis superior layer of - posterior layer of internal oblique posteriorrectussheath transversus abdominis - rectus sheath transversalisfascia rectus - - SemicircularLine ArcuateLine sheath SemilunarLine rectus sheath A rectus sheath- internal - oblique aponeurosis - aponeurosis- anterior - externaloblique rectus sheath - rectus 60
  • 61. transversus - abdominis rectus sheath- abdominis -- arcuate line- B transversus - inferior layer- internal oblique abdominis transversalisfascia- thoraco-lumbar fascia- Inguinal ligament- iliac crest- - iliacus- iliacfascia- pecten pubis - RectusAbdominis- -- xiphoid process- origin rectus abdominis IntersectionTendons linea - intersection tendons- - alba semilunarline- rectus abdominis semilunar line- .Rectus - .pyramidalis- pubic - Rectus Abdominis- Abdominis rectus abdonomis muscle- symphisis 61
  • 62. rectus - -- flexion abdominis PsoasMajor inguinal ligament- psoas- rectus - abdonomis - InguinalCanal external - superficialinguinalring- - oblique - internal oblique- deepinguinalring - spermatic cord- spermaticcord -- VasDeference = Deferentduct round ligament of uterus- spermatic cord 62
  • 63. -- -- umbilicus- umbilical hernia deep - deep inguinal ring- inguinal ring inguinal ligament -- ReflectedPartofInguinalLigament linea alba- pecten - inguinal ligament --Lacunar Ligament pubis lacunar -- Pectineal Ligament pecten pubis- ligament lacunar ligament- 63
  • 64. --Conjoint Tendon reflected part of internal - inguinal ligament inguinal - oblique transversus - tendinae ligament pecten - conjoint tendon- abdominis aponeurosis rectus - anterior layer- pubis interfoveolar ligament sheath transversus abdominis - superior ramus- aponeurosis superficial inguinal ring- external oblique aponeurosis- IntercruralFibers - deep- external . oblique superficial inguinal ring- internal oblique muscle- - Vas Deferens- spermatic cord- - spermatic cord internalspermaticfascia vascord externalspermaticfascia Cremaster 64
  • 65. external oblique aponeurosis- external spermatic fascia- - internal spermatic fascia- internal oblique- cremaster- - Vas dferens- transversus abdominis -- cremaster- cremasteric reflex inguinal InguinalTriangle -- (hesselbach semilunarline --- inguinalligamrnt canal rectus inferiorepigastricvein&artery -- rectus abdominis conjoint tendon- abdominis -- Inguinal Hernia - inguinal hernia inguinal -- Direct inguinal hernia triangle 65
  • 66. Inguinal - superficial inguinal ring- Triangle deep inguinal -- Indirect Inguinal Hernia ring Indirect- direct superficial - inguinal ring scrotum- inguinal - canal - - –- MESH ilioinguinal nerve --- 66
  • 67. MESH Inferior ilioinguinal nerve- recurrence fermoral lacunar ligament- hernia - - --- Peritonitis perforation parietalperitoneum parietal visceralperitoneum peritoneum -- visceral parietal -- Mesentery 67
  • 68. - mesentery lessersac- greatersac- sacs pubis - linea alba- symphysis extra-peritoneal tissue - mide line- – -- - caudatelobe neck 68
  • 69. Lesser - Greater sac omentalbursa sac epiploicforamen --- LigamentumTeres fibrous cord .round ligament teres -- obliteratedumbilicalvein falciform falciformligament parietal peritoneum ligament -- falciform ligament- 69
  • 70. - coronaryligament right - visceral peritoneum- lobe coronary ligament- coronary ligament- - right lobe- righttriangularligament barearea coronary ligament- - - left - falciform- lefttriangularligament left lobe- triangular ligament - left triangular ligament- -- fissureforligamentumvenosum left lobe- caudatelobe visceral left lobe fissure- peritoneum 70
  • 71. fissure for - visceral peritoneum - ligamentum venosum - fissure - fissure lesseromentum fundus ---- visceral lessercurvature peritoneum majorcurve greateromentum mostanterior greater omentum- greater omentum- mostposterior -- greater omentum- greater - - midline- omentum - transverse colon- most posterior - pancreas transverse - mesentry of transversemesocolon- colon transverse colon transverse mesocolon- visceral peritoneum visceral peritoneum - 71
  • 72. parietal peritoneum greatersac- omentalbursa- lesser sac- lessersac - greater sac lesser sac caudate - caudate lobe- lobe - - fissureforligamentumvenosum - lesser omentum- fissure minorcurve, - greater omentum - visceral peritoneum- fundus hepato-duodenal ligamnet - hepato-gastric ligament -- greater - greater omentum- anterior - greater omentum- posterior omentum - transverse colon- -- transverse mesocolon epiploic lesser omentum- lesser sacs- greater - greater- foramen lesser - lesser left&right gastric arteries- omentum 72
  • 73. parietal - hepato- peritoneum -- peritonealrecess renalligament (renalimpression) Sub- Hepato-renalPouch - recess Morison'sPouch hepaticPouch - visceral -- Ascites parietal Morison's Pouch morison's - -B pouch morison's - C pouch -- 73
  • 74. sigmoidcolon -- visceral peritoneum- sigmoidmesocolon- seminalvesicle Douglas Recto-VesiclePouch rectouterinepouch para- - rectalfossa fossa trunk -- ascites 74
  • 75. - Sacro-GenitalFold neck- - rectovesicle pouch- folds pararectal fossa - sacro genital fold- fold- sacrogenitalligament -- para- -- vasdeferens vesiclefossa para-vesicle fossa round ligament fold ligament para-rectal fossae- -- pararectal fossa folds - 75
  • 76. urachus -- medianumbilicalfold/ligament medialumbilicalfolds obliteratedumbilicalarteries - lateralumbilicalfolds inferiorepigastricarteries fold .SupraVesicalFossae medial- median umbilical fold- MedialInguinalFossae lateral- medial- lateral -- LateralInguinalFossae lateral- inguinal fossa vaginal process - lateral inguinal fossa umbilical folds- inguinal fossae- femoralfossae- Lateral Inguinal Fossae- transverse colon -- parietal peritoneum- linea alba- - cecum- ascending colon mesentery - 76
  • 77. IVC- - superior - mesentery mesentery- mesentery visceral - mesentery- - peritoneum - IVC parietal - mesentery ascending - descendingcolon- peritoneum sigmoidcolon- colon IVC- transverse colon -- linea - falciformligament- alba lessersac- lesser omentum- greater omentum- - greater omentum- posterior parietal peritoneum caudate lobe -- Greater Omentum- -- rightfreeborder- omental bursa- greater omentum- great omentum- - head- neck - greater omentum- leftfreeborder -- transverse mesocolon- root 77
  • 78. spleno-- line alba- renalligament -- gastro-splenicligament - lesser omentum fissureofligamentumvenosum splenorenal - gastro splenic ligament- shortgastricarteries- ligament - linea alba- subhepaticpouch reno splenar- gastro splenic- splenic recess right&leftgastropancreaticligament hepaticartery - leftgastricartery gastro splenic epipoicforamen- reno splenar- ligament gastrophrenicligament epipoic foramen- - greateromentum- greater - greater omentum- omentum perforation- -- greater omentum- transverse colon 78
  • 79. recesses retro-cecalrecess recess cecum- recess mesoappendix- recess- - - - - esophgous- - -- fibrouscoat fibrous coat -- 79
  • 80. thoracotomy laparotomy fibrous -- coat - fibrous coat CT --- mucousmembrane --- 80
  • 81. reflux mucous membrane -- -- - leftcrus- rightcrus inspiration diaphragmatic -- esophagealhiatus hiatal hernia hernia - reflux anatomic sphincter - - left&rightvagus stamic Inferior Middle Superior-- GastricNerves - - celiacplexus- 81
  • 82. ---- vagotomy gastric nerves selectinve vagotomy hepaticnerveplexus- left&rightgastric shortgastric - left&rightgastroomental rugae- - rugae - spincter pylorus -- - 82
  • 83. visceral peritoneum -- intra peritoneal transverse - ileum- jejunum- colon sub/retroperitoneal splenorenal ligament -- - jejunum- mesentery- ileum - jejunum- mesentery ileum rugae- circularfolds transverse folds rugae- circular folds- circular folds terminalileum- circular folds intestinalvilli- mucous membrane- - muscularismucosa - villi- mucousmembrane villi Crohn’s --- Disease villi intestinal -- - intestinalvilli thoracicduct lymphfollicles -- lymph lymph follicles node 83
  • 84. -- Solitary Lymph Follicles Aggregated Lymph Follicles PeyerPatches --- germinationcenters aggergate+solitary lymph node follicle - -- appendicesomenalis appendicesepiploica  caecum, appendix, Rectum ileum- caecum - omentum- reccesses Superiorileocaecal recess Inferiorileocaecal recess Retrocaecal recess --- caecum --  longitudial circular fibers- fibers 84
  • 85. --- longitudonalfibers TaeniaColi transverse Taenia Libera colon transverse -- Taenia Mesocolica colon transverse -- Taenia Omentalis colon taenia coli taenia - taenia coli -–Haustrations  - longitudonal fibers- coli circular fibers- circular fibers- taenia taenia- haustrations solitary lymphfollicles mucus membrane- mocus membrane- longitudinalfolds  transverse - transversepermanentfolds  folds longitudinal transverse folds longitudinal fibers fibers - analcolumns vertical folds - anal superiorrectalvein superiorrectalartery column anal - analvalve columns analsinus anal valve 85
  • 86. - rectalvenousplexus folds -- --Internal hemorhorids hemorrhoids superior rectal --External hemoroids vein external venous plexus pectinateline anal sinus- spinal cord internal hemorrhoids external - hemerroids - - L2 portalvein- - splenicvein- SMV portal - IVC- vein gastroduodenalartery- lesser - bileduct- bile - hepaticartery- bile duct- omentum 86
  • 87. hepaticarteryproper- duct - portal triad- portal vein- - lesser omentum- hepato-duodenalligament - hepaticnerveplexus- lymphnodes, lymphducts lesser - perivascularfibrouscapsule omentum gilson'scapsule - perivascular fibrous capsul portal - portal hypertension - vein --shortgastricveins splenic vein- -- gastrosplenicligament - &leftportalveinsright- porta hepatis- ductusvenosus IVC- left - ligamentumvenosum- ductus venosus fissure superiormesentericvein -- portal vein- vein- SMA- mesentery -- SMA- pancreaticoduodenalveins - splenicartery -- SMV- pancreticoduodenal illealveins jejunalveins appendix- cecum- terminal ileum- ileocolicvein -- ascending colon- rightcolicveins SMV- transverse colon middlecolicveins 87
  • 88. superior - SMV rightgastroepiploic (omental) vein -- mesenteric vein splenic vein -- portal vein- splenic artery- - splenic vein- leftgastroomentalvein- shortgastricveins splenic veins- pancreaticveins- - inferiormesentericvein- splenic -- - IMV- IMA - IMA- superiorrectalvein, sigmoidbranches, Leftcolicvein- splenic vein splenic - IMV- IMV duodenojejunal - duodenojejunalflexure- vein flexure - rightcrus left & right gastric veins- cysticvein- portal vein- paraumbilicalveins --- portal vein- portal portal vein- ligamentum teres- vein --- portal hypertension -- portal veins cirrhosis - left gastric - esophagealveins coronaryveins / vasabrevis veins 88