DETAILED MORPHOLOGICAL DESCRIPTION of the LIVER and Biotechnological Letters,Vol 16,No 2
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MEDD 411 - Gross Anatomy 2019 Department of Cellular and Physiological Sciences University of British Columbia
MEDD 411 - Gross Anatomy 2019 Department of Cellular and Physiological Sciences University of British Columbia Authors: Claudia Krebs, Wayne Vogl, Majid Doroudi, Majid Alimohammadi and Olusegun Oyedele Artwork: Nan Cheney, Claudia Krebs, Wayne Vogl, Paige Blumer, Yamen Taha, Rebecca Comeau, Emma Woo, Megan Leong, Mark Dykstra, Connor Dunne, Curtis Logan, Olivia Holuszko, Monika Fejtek ~ a ~ Table of Contents Click the headings below to visit that section: Questions, Comments and Suggestions • i Program Policies at all Four Sites (UBC, UNBC, UVic, UBC-O) • ii Recommended Texts and Other Learning Materials • iv General Notes on Anatomical Terminology • 01 The Back and Posterior Scapular Region • 02 Spinal Cord and Spinal Nerves • 06 Dissection of the Pectoral Region • 09 General Organization of Thoracic Walls, Pleural Cavities and Lungs • 13 Middle Mediastinum and Heart • 18 Superior and Posterior Mediastinum • 23 Anterior Abdominal Wall and Inguinal Region • 27 The Foregut Organs and Vessels • 32 The Midgut / Hindgut Organs and Vessels • 37 The Pelvis Walls and Viscera • 41 The Perineum • 44 ~ b ~ Questions, comments and suggestions should be directed to: Dr. Claudia Krebs tel: 604 827 5694 e-mail: [email protected] Dr. Wayne Vogl tel: 604 822 2395 e-mail: [email protected] Dr. Majid Doroudi tel: 604 822 7224 e-mail: [email protected] Dr. Majid Alimohammadi tel: 604 822 7545 e-mail: [email protected] Dr. Lien Vo e-mail: [email protected] Dr. Olusegun Oyedele e-mail: [email protected] Anatomy Technical Staff Matthew Tinney Tien Pham Grant Regier tel: 604 822 6332 604 822 2578 ~ i ~ Program Policies at all Four Sites (UBC, UNBC, UVic, UBCO) 1. -
Anatomy of the Dog the Present Volume of Anatomy of the Dog Is Based on the 8Th Edition of the Highly Successful German Text-Atlas of Canine Anatomy
Klaus-Dieter Budras · Patrick H. McCarthy · Wolfgang Fricke · Renate Richter Anatomy of the Dog The present volume of Anatomy of the Dog is based on the 8th edition of the highly successful German text-atlas of canine anatomy. Anatomy of the Dog – Fully illustrated with color line diagrams, including unique three-dimensional cross-sectional anatomy, together with radiographs and ultrasound scans – Includes topographic and surface anatomy – Tabular appendices of relational and functional anatomy “A region with which I was very familiar from a surgical standpoint thus became more comprehensible. […] Showing the clinical rele- vance of anatomy in such a way is a powerful tool for stimulating students’ interest. […] In addition to putting anatomical structures into clinical perspective, the text provides a brief but effective guide to dissection.” vet vet The Veterinary Record “The present book-atlas offers the students clear illustrative mate- rial and at the same time an abbreviated textbook for anatomical study and for clinical coordinated study of applied anatomy. Therefore, it provides students with an excellent working know- ledge and understanding of the anatomy of the dog. Beyond this the illustrated text will help in reviewing and in the preparation for examinations. For the practising veterinarians, the book-atlas remains a current quick source of reference for anatomical infor- mation on the dog at the preclinical, diagnostic, clinical and surgical levels.” Acta Veterinaria Hungarica with Aaron Horowitz and Rolf Berg Budras (ed.) Budras ISBN 978-3-89993-018-4 9 783899 9301 84 Fifth, revised edition Klaus-Dieter Budras · Patrick H. McCarthy · Wolfgang Fricke · Renate Richter Anatomy of the Dog The present volume of Anatomy of the Dog is based on the 8th edition of the highly successful German text-atlas of canine anatomy. -
Ligaments -Two-Layered Folds of Peritoneum That Attached the Lesser Mobile Solid Viscera to the Abdominal Wall
Ingegneria delle tecnologie per la salute Fondamenti di anatomia e istologia aa. 2019-20 Lesson 7. Digestive system and peritoneum Peritoneum, abdominal vessel and spleen PERITONEUM: General features = a thin serous membrane that line walls of abdominal and pelvic cavities and cover organs within these cavities •Parietal peritoneum -lines walls of abdominal and pelvic cavities •Visceral peritoneum -covers organs •Peritoneal cavity - potential space between parietal and visceral layer of peritoneum, in male, is a closed sac, but in female, there is a communication with exterior through uterine tubes, uterus, and vagina Function • Secretes a lubricating serous fluid that continuously moistens associated organs • Absorb • Support viscera Peritoneum Histology The peritoneum is a serosal membrane that consists of a single layer of mesothelial cells and is supported by a basement membrane. The layer is attached to the body wall and viscera by a glycosaminoglycan matrix that contains collagen fibers, vessels, nerves, macrophages, and fat cells. relationship between viscera and peritoneum • Intraperitoneal viscera -viscera completely surrounded by peritoneum, example, stomach, superior part of duodenum, jejunum, ileum, cecum, vermiform appendix, transverse and sigmoid colons, spleen and ovary • Interperitoneal viscera -most part of viscera surrounded by peritoneum, example, liver, gallbladder, ascending and descending colon, upper part of rectum, urinary bladder and uterus • Retroperitoneal viscera -some organs lie on the posterior abdominal -
Porta Hepatis) - Bile Ducts, Portal Vein, Hepatic Arteries
10 Al-Mohtaseb Faisal Nimri Shada gharaibeh The Liver continued The superior surface of the liver You can see * The right and left lobes. * Cut edge of the Falciform ligament. * The coronary ligament, continues on both sides as: * The left triangular ligament * The right triangular ligament * Between the edges of the coronary ligament is the Bare area of the liver (where there is no peritoneum covering the liver). * Groove for the inferior vena cava and the 3 hepatic veins that drain in it. * Cut edge of the Falciform ligament. * Caudate lobe of the liver more or less wrapping around the groove of the inferior vena cava * Fundus of gall bladder * Ligamentum teres → Relations of the superior surface • Diaphragm (the diaphragm is above the liver and is related to the anterior, superior and posterior surfaces of the liver but the visceral surface of the liver doesn’t have relations with the diaphragm). The diaphragm separates the Pleura & lung and the Pericardium & heart from the liver. 1 | P a g e → Relations of the liver anteriorly • Diaphragm • Rt & Lt pleura and lung (separated from the liver by the diaphragm) • Costal cartilage • Xiphoid process • Anterior abdominal wall → Relations of the liver posteriorly • Diaphragm • Rt. Kidney • Supra renal gland • Transverse colon (hepatic flexure) • Duodenum • Gall bladder • I.V.C • Esophagus • Fundus of stomach (pay attention to the impressions in the picture they are important) → lobes of the liver • Right Lobe • Left lobe • Quadrate lobe • Caudate lobe (the quadrate and caudate lobes are similar -
Digestive System
Naziha Sultan Ahmed, BVMS, MSc Scientific degree (Assis. Prof.), Department of Anatomy College of Veterinary Medicine, University of Mosul, Mosul, Iraq https://orcid.org/0000-0002-2856-8277 https://www.researchgate.net/profile/Naziha_Ahmed Anatomy | Part 18| 2nd year 2019 Digestive System Fixation of the liver (Ligaments of the liver): 1-Lesser omentum: consist of two parts: a/Hepatogastric ligament: connect between hepatic porta and lesser curvature of the stomach . b/Hepatoduodenal ligament: connect between hepatic porta and the cranial part of the duodenum. 2-Coronary ligament: connect between the parietal (diaphragmatic ) surface of liver, with the diaphragm and the caudal vena cava. 3-Falciform ligament: connect between the notch of round ligament in the liver and the sternal part of the diaphragm. 4-Round ligament: the residue (remnants) of the umbilical vein of the fetus. 5-Hepatorenal ligament: connect between the right lobe of liver and the right kidney. 6-Right & left triangular ligaments: connect between the dorsal border of right and left lobes of the liver and the diaphragm . Both ligaments continue medially with the coronary ligament. CouAnatomy | Digestive system | Assis. Prof. Naziha Sultan Ahmed Page | 1 The pancreas: Pancreas has V-shape. It consists of base and two limbs (right & left limbs). *In horse: large pancreas body perforated by portal vein and long left limb, with short right limb (because of large size of cecum in horse ). The horse pancreas has two ducts: 1-Chief pancreatic duct: opens with bile duct at the major duodenal papilla. 2-Accessory pancreatic duct: opens at the minor duodenal papilla. *In dog: pancreas notched by the portal vein. -
Greater Omentum Connects the Greater Curvature of the Stomach to the Transverse Colon
Dr. ALSHIKH YOUSSEF Haiyan General features The peritoneum is a thin serous membrane Consisting of: 1- Parietal peritoneum -lines the ant. Abdominal wall and the pelvis 2- Visceral peritoneum - covers the viscera 3- Peritoneal cavity - the potential space between the parietal and visceral layer of peritoneum - in male, is a closed sac - but in the female, there is a communication with the exterior through the uterine tubes, the uterus, and the vagina ▪ Peritoneum cavity divided into Greater sac Lesser sac Communication between them by the epiploic foramen The peritoneum The peritoneal cavity is the largest one in the body. Divided into tow sac : .Greater sac; extends from diaphragm down to the pelvis. Lesser Sac .Lesser sac or omental bursa; lies behind the stomach. .Both cavities are interconnected through the epiploic foramen(winslow ). .In male : the peritoneum is a closed sac . .In female : the sac is not completely closed because it Greater Sac communicates with the exterior through the uterine tubes, uterus and vagina. Peritoneum in transverse section The relationship between viscera and peritoneum Intraperitoneal viscera viscera is almost totally covered with visceral peritoneum example, stomach, 1st & last inch of duodenum, jejunum, ileum, cecum, vermiform appendix, transverse and sigmoid colons, spleen and ovary Intraperitoneal viscera Interperitoneal viscera Retroperitoneal viscera Interperitoneal viscera Such organs are not completely wrapped by peritoneum one surface attached to the abdominal walls or other organs. Example liver, gallbladder, urinary bladder and uterus Upper part of the rectum, Ascending and Descending colon Retroperitoneal viscera some organs lie on the posterior abdominal wall Behind the peritoneum they are partially covered by peritoneum on their anterior surfaces only Example kidney, suprarenal gland, pancreas, upper 3rd of rectum duodenum, and ureter, aorta and I.V.C The Peritoneal Reflection The peritoneal reflection include: omentum, mesenteries, ligaments, folds, recesses, pouches and fossae. -
ABDOMINOPELVIC CAVITY and PERITONEUM Dr
ABDOMINOPELVIC CAVITY AND PERITONEUM Dr. Milton M. Sholley SUGGESTED READING: Essential Clinical Anatomy 3 rd ed. (ECA): pp. 118 and 135141 Grant's Atlas Figures listed at the end of this syllabus. OBJECTIVES:Today's lectures are designed to explain the orientation of the abdominopelvic viscera, the peritoneal cavity, and the mesenteries. LECTURE OUTLINE PART 1 I. The abdominopelvic cavity contains the organs of the digestive system, except for the oral cavity, salivary glands, pharynx, and thoracic portion of the esophagus. It also contains major systemic blood vessels (aorta and inferior vena cava), parts of the urinary system, and parts of the reproductive system. A. The space within the abdominopelvic cavity is divided into two contiguous portions: 1. Abdominal portion that portion between the thoracic diaphragm and the pelvic brim a. The lower part of the abdominal portion is also known as the false pelvis, which is the part of the pelvis between the two iliac wings and above the pelvic brim. Sagittal section drawing Frontal section drawing 2. Pelvic portion that portion between the pelvic brim and the pelvic diaphragm a. The pelvic portion of the abdominopelvic cavity is also known as the true pelvis. B. Walls of the abdominopelvic cavity include: 1. The thoracic diaphragm (or just “diaphragm”) located superiorly and posterosuperiorly (recall the domeshape of the diaphragm) 2. The lower ribs located anterolaterally and posterolaterally 3. The posterior abdominal wall located posteriorly below the ribs and above the false pelvis and formed by the lumbar vertebrae along the posterior midline and by the quadratus lumborum and psoas major muscles on either side 4. -
Common Surgeries Performed on Exotic Companion Mammals Peter G
Common Surgeries Performed on Exotic Companion Mammals Peter G. Fisher, DVM, DABVP (Exotic Companion Mammal) Pet Care Veterinary Hospital, Virginia Beach, VA, USA FERRETS Adrenal Disease A ventral midline incision is made 1–2 cm caudal to the xiphoid process and extended caudally beyond the umbilicus to allow good visualization of the cranial and mid abdomen. A complete exploration of the abdomen should be performed to rule out metastasis, insulinoma, or other concurrent disease. It is ideal to visually and palpably inspect both adrenals before deciding on whether to resect either one or both. The left gland is more accessible, and may be found embedded in the fat and connective tissue cranial to the left kidney. To visualize the left adrenal gland, the spleen and much of the small intestines must be gently exteriorized and kept moist with warm isotonic saline during the surgery. In cases of less obvious adrenal enlargement gentle manipulation will allow location by palpation. Careful blunt and sharp dissection around the adrenal gland will allow more complete visualization of the gland and its blood supply. Cotton tipped applicators and Metzenbaum scissors may be used in conjunction for blunt and sharp dissection respectively in order to tease the adrenal away from the surrounding fat. Vascular clamps [Weck Hemoclips®, Teleflex Medical, RTP, NC] are essential in ligation of the fine adrenal vasculature. The right adrenal gland is cranial and medial to the right kidney, and is more difficult to excise due to its frequent adherence to the vena cava and location just dorsal to the caudate liver lobe. -
Two Cases of Advanced Gastric Carcinoma Mimicking a Malignant Gastrointestinal Stromal Tumor
J Gastric Cancer 2015;15(1):68-73 http://dx.doi.org/10.5230/jgc.2015.15.1.68 Case Report Two Cases of Advanced Gastric Carcinoma Mimicking a Malignant Gastrointestinal Stromal Tumor Ha Song Shin, Sung Jin Oh, and Byoung Jo Suh Department of Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea Gastric cancer that mimics a submucosal tumor is rare. This rarity and the normal mucosa covering the protuberant tumor make it dif- ficult to diagnosis with endoscopy. We report two cases of advanced gastric cancer that mimicked malignant gastrointestinal stromal tu- mors preoperatively. In both cases, the possibility of cancer was not completely ruled out. In the first case, a large tumor was suspected to be cancerous during surgery. Therefore, total gastrectomy with lymph node dissection was performed. In the second case, the first gross endoscopic finding was of a Borrmann type II advanced gastric cancer-like protruding mass with two ulcerous lesions invading the anterior wall of the body. Therefore, subtotal gastrectomy with lymph node dissection was performed. Consequently, delayed treatment of cancer was avoided in both cases. If differential diagnosis between malignant gastrointestinal stromal tumor and cancer is uncertain, a surgical approach should be carefully considered due to the possible risk of adenocarcinoma. Key Words: Stomach neoplasms; Gastrointestinal stromal tumors Introduction tastases in GIST, regional lymph node dissection is not performed. Herein, we report two cases of advanced gastric cancer (AGC) that Gastric cancer that mimics a submucosal tumor (SMT) is rare, mimicked malignant GIST and that were treated with palliative with a reported incidence of 0.1% to 0.63%.1 As the surface of the total gastrectomy and laparoscopy-assisted distal gastrectomy, re- tumor is covered with mucosa that appears normal, it is difficult to spectively. -
SPLANCHNOLOGY Part I. Digestive System (Пищеварительная Система)
КАЗАНСКИЙ ФЕДЕРАЛЬНЫЙ УНИВЕРСИТЕТ ИНСТИТУТ ФУНДАМЕНТАЛЬНОЙ МЕДИЦИНЫ И БИОЛОГИИ Кафедра морфологии и общей патологии А.А. Гумерова, С.Р. Абдулхаков, А.П. Киясов, Д.И. Андреева SPLANCHNOLOGY Part I. Digestive system (Пищеварительная система) Учебно-методическое пособие на английском языке Казань – 2015 УДК 611.71 ББК 28.706 Принято на заседании кафедры морфологии и общей патологии Протокол № 9 от 18 апреля 2015 года Рецензенты: кандидат медицинских наук, доцент каф. топографической анатомии и оперативной хирургии КГМУ С.А. Обыдённов; кандидат медицинских наук, доцент каф. топографической анатомии и оперативной хирургии КГМУ Ф.Г. Биккинеев Гумерова А.А., Абдулхаков С.Р., Киясов А.П., Андреева Д.И. SPLANCHNOLOGY. Part I. Digestive system / А.А. Гумерова, С.Р. Абдулхаков, А.П. Киясов, Д.И. Андреева. – Казань: Казан. ун-т, 2015. – 53 с. Учебно-методическое пособие адресовано студентам первого курса медицинских специальностей, проходящим обучение на английском языке, для самостоятельного изучения нормальной анатомии человека. Пособие посвящено Спланхнологии (науке о внутренних органах). В данной первой части пособия рассматривается анатомическое строение и функции системы в целом и отдельных органов, таких как полость рта, пищевод, желудок, тонкий и толстый кишечник, железы пищеварительной системы, а также расположение органов в брюшной полости и их взаимоотношения с брюшиной. Учебно-методическое пособие содержит в себе необходимые термины и объём информации, достаточный для сдачи модуля по данному разделу. © Гумерова А.А., Абдулхаков С.Р., Киясов А.П., Андреева Д.И., 2015 © Казанский университет, 2015 2 THE ALIMENTARY SYSTEM (systema alimentarium/digestorium) The alimentary system is a complex of organs with the function of mechanical and chemical treatment of food, absorption of the treated nutrients, and excretion of undigested remnants. -
Abdominal Foregut & Peritoneum Development
Abdominal Foregut & Peritoneum Development - Transverse View Gastrointestinal System > Embryology > Embryology Key Concepts • The peritoneum is a continuous serous membrane that covers the abdominal wall and viscera. - Parietal layer of the peritoneum lines the body wall - Visceral layer envelops the viscera, aka, the organs - In some places, the visceral layer extends from the organs as folds that form ligaments, omenta, and mesenteries. • Viscera is categorized by their relationship to the peritoneum: - Intraperitoneal organs are covered by visceral peritoneum; as we'll see, the stomach is an example of this. - Retroperitoneal organs lie between the body wall and the parietal peritoneum (the kidneys, for example, are retroperitoneal). - Some organs are said to be secondarily retroperitoneal, because during their early embryologic stages, they are enveloped in visceral peritoneum, but later fuse to the body wall and are covered only by parietal peritoneum. Week 5 Just prior to rotation of the stomach. Diagram instructions: draw the outer surface and body wall, and indicate that the body wall is lined by parietal peritoneum. • Organs at the midline, from dorsal to ventral: - Abdominal aorta - Stomach; branches of the right and left vagus nerves extend along the sides of the stomach - Liver • Peritoneal coverings and ligaments: - Dorsal mesogastrium anchors the stomach to the posterior body wall - Visceral peritoneum covers the stomach - Ventral mesogastrium connects the stomach to the liver - Falciform ligament anchors the liver to the ventral body wall As you may recall, the dorsal mesogastrium is a portion of the dorsal mesentery, and the ventral mesogastrium and falciform ligament arose from the ventral mesentery. It's helpful to remember that "gastric," as in mesogastrium, = refers 1 / 2 to the stomach. -
When the Going Gets Tough: Improving Outcomes of Colonoscopy
When the Going Gets Tough: Improving Outcomes of Colonoscopy Jenifer R. Lightdale, MD, MPH, FAAP Division Chief, Gastroenterology Chief Quality Officer UMass Memorial Children’s Medical Center Professor of Pediatrics University of Massachusetts 1 Faculty Disclosures – Mead‐Johnson – Perrigo – Norgine – Medtronic Objectives • Identify core skills required to perform pediatric colonoscopy • Discuss evidence‐based estimates of procedural volume required to achieve competence • Review basic and advanced measures which may help during “difficult colonoscopy” • Recognize the value of implementing CQA/CQI to improving procedural outcomes 1 Colonoscopy • A common and established endoscopic procedure for the diagnosis and treatment of many large bowel disorders • Often perceived by patients as inconvenient and painful • Recognized by physicians to be variably challenging to perform Witte, Enns, 2007; Bourque, Rex, 2012 A “typical” colon is rarely configured like this… Rather more often something like this! 2 Indications for Pediatric Colonoscopy 3 ASGE, Colonoscopy Core Curriculum, 2012 Core Skills for Pediatric Colonoscopy • Gastrointestinal Endoscopy Competency Assessment Tool for pediatric colonoscopy (GiECATKIDS) • Developed by Catharine M. Walsh, MD, PhEd • Via a Delphi method – >40 pediatric gastroenterologists from across North America – Heterogeneous group with broad expertise – 5 rounds of surveys (~76% participants all 5!) Walsh, GIE, 2014; Walsh, 2014, JPGN; Walsh, JPGN, 2014 Core Skills for Pediatric Colonoscopy • 3 main competency domains – Technical (psychomotor skill) – Cognitive (knowledge) – Integrative (judgment, clinical reasoning) Technical Integrative Cognitive skills skills skills Walsh, GIE, 2014; Walsh, 2014, JPGN; Walsh, JPGN, 2014 4 GiECATKIDS Global Rating Scale Walsh, 2014, JPGN GiECATKIDS GRS Likert Scale Walsh, GIE, 2014; Walsh, 2014, JPGN; Walsh, JPGN, 2014 GiECATKIDS Checklist Items (1=Y, 0=not done/N) • Pre‐procedure – Technical (1) • i.e.