MSS 1. a Patient Presented to a Traumatologist with a Trauma Of
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Anatomical Overview
IKOdontogenetic infection is spreaded Možné projevy zlomenin a zánětů IKPossible signs of fractures or inflammations Submandibular space lies between the bellies of the digastric muscles, mandible, mylohyoid muscle and hyoglossus and styloglossus muscles IK IK IK IK IK Submandibulární absces Submandibular abscess IK Sběhlý submandibulární absces Submandibular abscess is getting down IK Submental space lies between the mylohyoid muscles and the investing layer of deep cervical fascia superficially IK IK Spatium peritonsillare IK IK Absces v peritonsilární krajině Abscess in peritonsilar region IK Fasciae Neck fasciae cervicales Demarcate spaces • fasciae – Superficial (investing): • f. nuchae, f. pectoralis, f. deltoidea • invests m. sternocleidomastoideus + trapezius • f. supra/infrahyoidea – pretrachealis (middle neck f.) • form Δ, invests infrahyoid mm. • vagina carotica (carotic sheet) – Prevertebral (deep cervical f.) • Covers scaleni mm. IK• Alar fascia Fascie Fascia cervicalis superficialis cervicales Fascia cervicalis media Fascia cervicalis profunda prevertebralis IKsuperficialis pretrachealis Neck spaces - extent • paravisceral space – Continuation of parafaryngeal space – Nervous and vascular neck bundle • retrovisceral space – Between oesophagus and prevertebral f. – Previsceral space – mezi l. pretrachealis a orgány – v. thyroidea inf./plx. thyroideus impar • Suprasternal space – Between spf. F. and pretracheal one IK– arcus venosus juguli 1 – sp. suprasternale suprasternal Spatia colli 2 – sp. pretracheale pretracheal 3 – -
Ministry of Education and Science of Ukraine Sumy State University 0
Ministry of Education and Science of Ukraine Sumy State University 0 Ministry of Education and Science of Ukraine Sumy State University SPLANCHNOLOGY, CARDIOVASCULAR AND IMMUNE SYSTEMS STUDY GUIDE Recommended by the Academic Council of Sumy State University Sumy Sumy State University 2016 1 УДК 611.1/.6+612.1+612.017.1](072) ББК 28.863.5я73 С72 Composite authors: V. I. Bumeister, Doctor of Biological Sciences, Professor; L. G. Sulim, Senior Lecturer; O. O. Prykhodko, Candidate of Medical Sciences, Assistant; O. S. Yarmolenko, Candidate of Medical Sciences, Assistant Reviewers: I. L. Kolisnyk – Associate Professor Ph. D., Kharkiv National Medical University; M. V. Pogorelov – Doctor of Medical Sciences, Sumy State University Recommended for publication by Academic Council of Sumy State University as а study guide (minutes № 5 of 10.11.2016) Splanchnology Cardiovascular and Immune Systems : study guide / С72 V. I. Bumeister, L. G. Sulim, O. O. Prykhodko, O. S. Yarmolenko. – Sumy : Sumy State University, 2016. – 253 p. This manual is intended for the students of medical higher educational institutions of IV accreditation level who study Human Anatomy in the English language. Посібник рекомендований для студентів вищих медичних навчальних закладів IV рівня акредитації, які вивчають анатомію людини англійською мовою. УДК 611.1/.6+612.1+612.017.1](072) ББК 28.863.5я73 © Bumeister V. I., Sulim L G., Prykhodko О. O., Yarmolenko O. S., 2016 © Sumy State University, 2016 2 Hippocratic Oath «Ὄμνυμι Ἀπόλλωνα ἰητρὸν, καὶ Ἀσκληπιὸν, καὶ Ὑγείαν, καὶ Πανάκειαν, καὶ θεοὺς πάντας τε καὶ πάσας, ἵστορας ποιεύμενος, ἐπιτελέα ποιήσειν κατὰ δύναμιν καὶ κρίσιν ἐμὴν ὅρκον τόνδε καὶ ξυγγραφὴν τήνδε. -
Neck Formation and Growth. MAIN TOPOGRAPHIC REGIONS in NECK
Neck formation and growth. MAIN TOPOGRAPHIC REGIONS IN NECK. ANATOMICAL BACKGROUND FOR URGENT LIFE SAVING PERFORMANCES. orofac Ivo Klepáček orofac Vymezení oblasti krku Extent of the neck region Sensitivní oblasti V1, V2, V3., plexus cervicalis orofac * * * * * orofac** * orofac orofac orofaccranial middle caudal orofac orofac Clinical classification of neck lymph nodes orofacClinical classification of neck lymphatic nodes: I - VI Nodi lymphatici out of regiones above: Perifacial, periparotic, retroauricular, suboccipital, retropharyngeal Metastasa v krčních uzlinách Metastasis in cervical orofaclymphonodi TOPOGRAPHIC REGIONS orofacand SPACES Regio colli anterior anterior neck triangle Trigonae : submentale, submandibulare, caroticum (musculare), regio suprasternalis Triangles : submental, submandibular, carotic (muscular), orofacsuprasternal region podkožní sval na povrchové krční fascii r. colli nervi facialis ovládá napětí kůže krku Platysma orofac proc. mastoideus manubrium sterni, clavicula Sternocleidomastoid m. n.accessorius (XI) + branches sternocleidomastoideus from plexus cervicalis orofac Punctum nervosum (Erb ´s point) : there C5 and C6 nerves are connected, + branches from suprascapulari and subclavian nerves orofacWilhelm Heinrich Erb (1840 - 1921), German neurologist orofac orofac mm. suprahyoid suprahyoidei and et mm. infrahyoid orofacinfrahyoidei muscles orofac Thyroid gland and vascular + nerve bundle in neck orofac orofac Žíly veins orofac štítná žláza příštitné orofactělísko a. thyroidea inferior n. laryngeus inferior -
Clinical Anatomy of the Neck Region
MINISTRY OF HEALTH OF THE REPUBLIC OF MOLDOVA STATE UNIVERSITY OF MEDICINE AND PHARMACY "NICOLAE TESTEMIȚANU" DEPARTMENT TOPOGRAPHIC ANATOMY AND OPERATIVE SURGERY Gheorghe GUZUN, Radu TURCHIN, Boris TOPOR, Serghei SUMAN CLINICAL ANATOMY OF THE NECK REGION Methodical recommendations for students CHISINAU, 2017 CZU 611.93(076.5) C 57 Lucrarea a fost aprobată de Consiliul Metodic Central al USMF “Nicolae Testemițanu”; proces-verbal nr. 2 din 10.03.2017 Autori: Gheorghe GUZUN – dr. med, conf. univ. Radu TURCHIN – dr.șt.med., conf. univ. Boris TOPOR – dr.hab.șt.med., prof. univ. Serghei SUMAN – dr.hab.șt.med., conf. univ. Recenzenți: Ilia catereniuc – dr.hab.șt.med., prof. univ. Nicolae Fruntașu – dr.hab.șt.med., prof. univ. Machetare: Serghei Suman – dr.hab.șt.med., conf. univ. DESCRIEREA CIP A CAMEREI NAȚIONALE A CĂRȚII Clinical anatomy of the neck region : Methodical recommendations for students / Gheorghe Guzun, Radu Turchin, Boris Topor [et al.] ; State Univ. of Medicine and Pharmacy "Nicolae Testemiţanu", Dep. Topographic Anatomy and Operative Surgery. – Chişinău : S. n., 2017 (Tipogr. "Print-Caro"). – 52 p. : fig. 100 ex. ISBN 978-9975-56-466-3. 611.93(076.5) C 57 ISBN 978-9975-56-466-3. CEP Medicina, 2017 Gheorghe Guzun, Radu Turchin, Viorel Nacu, Boris Topor, 2017. © Gheorghe Guzun, 2017 CLINICAL ANATOMY OF THE NECK The upper limit of the neck (cefalocervical limit) is a conventional line that crosses the lower jaw (basis of mandible) and its angle, the bottom of the external auditory canal, the apex of mastoid process (procesuus mastoideus) and superior nuchal line (linea nuchae superior) to the external occipital protuberance (occipitalis external protuberance). -
Fascia and Spaces on the Neck: Myths and Reality Fascije I Prostori Vrata: Mit I Stvarnost
Review/Pregledni članak Fascia and spaces on the neck: myths and reality Fascije i prostori vrata: mit i stvarnost Georg Feigl* Institute of Anatomy, Medical University of Graz, Graz, Austria Abstract. The ongoing discussion concerning the interpretation of existing or not existing fas- ciae on the neck needs a clarification and a valid terminology. Based on the dissection experi- ence of the last four decades and therefore of about 1000 cadavers, we investigated the fas- cias and spaces on the neck and compared it to the existing internationally used terminology and interpretations of textbooks and publications. All findings were documented by photog- raphy and the dissections performed on cadavers embalmed with Thiel´s method. Neglected fascias, such as the intercarotid fascia located between both carotid sheaths and passing be- hind the visceras or the Fascia cervicalis media as a fascia between the two omohyoid mus- cles, were dissected on each cadaver. The ”Danger space” therefore was limited by fibrous walls on four sides at level of the carotid triangle. Ventrally there was the intercarotid fascia, laterally the alar fascia, and dorsally the prevertebral fascia. The intercarotid fascia is a clear fibrous wall between the Danger Space and the ventrally located retropharyngeal space. Lat- ter space has a continuation to the pretracheal space which is ventrally limited by the middle cervical fascia. The existence of an intercarotid fascia is crucial for a correct interpretation of any bleeding or inflammation processes, because it changes the topography of the existing spaces such as the retropharyngeal or “Danger space” as well. As a consequence, the existing terminology should be discussed and needs to be adapted. -
Topographic Anatomy of the Head
O. V. Korencov, G. F. Tkach TOPOGRAPHIC ANATOMY OF THE HEAD Study guide Ministry of Education and Science of Ukraine Ministry of Health of Ukraine Sumy State University O. V. Korencov, G. F. Tkach TOPOGRAPHIC ANATOMY OF THE HEAD Study guide Recommended by Academic Council of Sumy State University Sumy Sumy State University 2016 УДК 611.91(075.3) ББК 54.54я73 K66 Reviewers: L. V. Phomina – Doctor of Medical Sciences, Professor of Vinnytsia National Medical University named after M. I. Pirogov; M. V. Pogorelov – Doctor of Medical Sciences, Professor of Sumy State University Recommended for publication by Academic Council of Sumy State University as а study guide (minutes № 5 of 11.02.2016) Korencov O. V. K66 Topographic anatomy of the head : study guide / O. V. Korencov, G. F. Tkach. – Sumy : Sumy State University, 2016. – 81 р. ISBN 978-966-657-607-4 This manual is intended for the students of medical higher educational institutions of IV accreditation level, who study Human Anatomy in the English language. Посібник рекомендований для студентів вищих медичних навчальних закладів IV рівня акредитації, які вивчають анатомію людини англійською мовою. УДК 611.91(075.3) ББК 54.54я73 © Korencov O. V., Tkach G. F., 2016 ISBN 978-966-657-607-4 © Sumy State University, 2016 TOPOGRAPHIC ANATOMY OF THE HEAD The head is subdivided into two following departments: the brain and facialohes. They are shared by line from the glabella to the supraorbital edge along the zygomatic arch to the outer ear canal. The brain part consists of fornix and base of the skull. The fornix is divided into fronto- parieto-occipital region, paired temporal and mastoid area. -
Atlas of Topographical and Pathotopographical Anatomy of The
Contents Cover Title page Copyright page About the Author Introduction Part 1: The Head Topographic Anatomy of the Head Cerebral Cranium Basis Cranii Interna The Brain Surgical Anatomy of Congenital Disorders Pathotopography of the Cerebral Part of the Head Facial Head Region The Lymphatic System of the Head Congenital Face Disorders Pathotopography of Facial Part of the Head Part 2: The Neck Topographic Anatomy of the Neck Fasciae, Superficial and Deep Cellular Spaces and their Relationship with Spaces Adjacent Regions (Fig. 37) Reflex Zones Triangles of the Neck Organs of the Neck (Fig. 50–51) Pathography of the Neck Topography of the neck Appendix A Appendix B End User License Agreement Guide 1. Cover 2. Copyright 3. Contents 4. Begin Reading List of Illustrations Chapter 1 Figure 1 Vessels and nerves of the head. Figure 2 Layers of the frontal-parietal-occipital area. Figure 3 Regio temporalis. Figure 4 Mastoid process with Shipo’s triangle. Figure 5 Inner cranium base. Figure 6 Medial section of head and neck Figure 7 Branches of trigeminal nerve Figure 8 Scheme of head skin innervation. Figure 9 Superficial head formations. Figure 10 Branches of the facial nerve Figure 11 Cerebral vessels. MRI. Figure 12 Cerebral vessels. Figure 13 Dural venous sinuses Figure 14 Dural venous sinuses. MRI. Figure 15 Dural venous sinuses Figure 16 Venous sinuses of the dura mater Figure 17 Bleeding in the brain due to rupture of the aneurism Figure 18 Types of intracranial hemorrhage Figure 19 Different types of brain hematomas Figure 20 Orbital muscles, vessels and nerves. Topdown view, Figure 21 Orbital muscles, vessels and nerves. -
Acute Phlegmonous Esophagitis As a Complication of Retropharyngeal Abscess
臨床耳鼻:第 29 卷 第 1 號 2018 ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• J Clinical Otolaryngol 2018;29:119-122 증 례 Acute Phlegmonous Esophagitis as a Complication of Retropharyngeal Abscess Sang Hoon Lee, MD1, Jinchoon Lee, MD, PhD2, Geun Hyung Park, MD1 and Soo Kweon Koo, MD, PhD1 1Department of Otolaryngology-Head and Neck Surgery, Busan Saint Mary’s Hospital, Busan; and 2Department of Otolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea - ABSTRACT - Phlegmon refers to a spreading diffuse inflammation of connective tissue with formation of an exudate or pus. Phlegmonous infections may affect any region of the gastrointestinal tract. The stomach is the region most fre- quently involved; infections at other sites have been but rarely reported. Acute phlegmonous esophagitis is a very rare disease involving both the submucosal and muscular layers of the esophagus, with sparing of the mu- cosal layer. Acute esophageal esophagitis is commonly associated with acute phlegmonous gastritis; any asso- ciation with a deep neck infection is very rare. We report herein a case of acute phlegmonous esophagitis devel- oping as a complication of a retropharyngeal abscess treated via incision and drainage and prescription of long- term antibiotics. Thus, we did not perform esophageal surgery. We also review the relevant literature. (J Clinical Otolaryngol 2018;29:119-122) KEY WORDS:Retropharyngeal abscessㆍEsophagitisㆍAirway obstruction. the rarity of the condition, neither the pathogenesis Introduction nor the clinical manifestations of acute phlegmonous esophagitis have been elucidated. The predisposing A deep neck infection can potentially affect the spac- factors are diverse, including immunocompromised es within, and the fascial compartment of, the head status, alcoholism, diabetes, peptic ulcer disease, and and neck. -
Work Book in Нuman Anatomy Locomotion Apparatus
Ministry of Health of the Republic of Belarus, Educational Establishment “Vitebsk State Order of Peoples’ Friendship Medical University” Work Book in Нuman Anatomy Locomotion apparatus Допущено Министерством образования Республики Беларусь в качестве учебного пособия для иностранных студентов учреждений высшего образования по специальности «Лечебное дело» Vitebsk – 2021 УДК 611.1: 611.3:611.4(075) ББК 28.706я73 У 76 Reviewers: V.V. Roudenok Vice rector, Professor of the Department of Normal Anato- my Belarusian state medical university, MD, DSc, PhD; Department of Human Anatomy with a erative surgery and topographic anat- omy Gomel state medical university (Head of the Department V.N. Zda- novich, MD,PhD, docent); T.I. Golikova Associate Professor of the Department of Modern Translation Technologies Minsk State Linguistic University, PhD, docent. Usovich, А.К. У 76 Work Book in Нuman Anatomy. Locomotion apparatus: textbook / A.K. Usovich, I.A. Piatsko, D.A. Tolyaronok, Y.E. Yusifov. – Vitebsk: VSMU, 2020.– 174p. ISBN 978-985-580-046-1 The work book is intended for clinically oriented study of hu- man musculoskeletal system anatomy. It contains assessing criteria of students’ competence and exam questions. The work book was com- pleted by accordance with the program on Human Anatomy for medi- cal students, studying the specialty 1 79 01 01 (General Medicine) (Minsk, 2014). It is a teaching aid supplementary to textbooks and at- lases. The book is intended for medical students. ISBN 978-985-580-046-1 УДК 611.1: 611.3:611.4(075) ББК 28.706я73 © A.K. Usovich, I.A. Piatsko, D.A. Tolyaronok, Y.E. -
Programs on Speciality “General Medicine”
Programs on speciality “General Medicine” ANESTHESIOLOGY AND REANIMATOLOGY «Anesthesiology - Reanimatology - is a science about anesthesia and control of the vital functions of organism and about regeneration and time their prosthetic repair in the acute situations in surgical practice at operative measures and trauma, and in wide clinical practice at infringements of the part of respiratory organs, circulation, endocrine system, processes of metabolism, etc., i.e. a science about resuscitation of organism, pathogenesis, prophylaxis and treatment of terminal states» - the citation from programs (page 3). Studying of this discipline lasts 30 hours (the 6 th year). The program on Anesthesiology and Reanimatology consists of the following sections: 1. Basic and particular problems of Anesthesiology. Definition of Anesthesiology as a discipline about the methods of anesthesia and protection of organism against surgical aggression, control or time replacement of the vital functions of the patient during operation and in the nearest postoperative period. Physiology of pain. Estimation of a physical state of the patient before anesthesia, an assessment of the operation - аnesthesiolgical hazard. Choice of a method of anesthesia. Premedication, its purposes, means of premedication. Classification of the methods of anesthesia. General Anaesthesia. Theories of narcosis. Clinic of narcosis. Grades of anesthesia. The equipment for narcosis. The sceme of the narcotic apparatus. Respiratory contours. Auxiliary instruments. Rules of preparation and manipulation with narcotic apparatus. The prevention of explosions, safety precaution regulations. The constituents of General Anaesthesia. Inhalation of narcosis. Inhalation of anesthethics (ether, nitrous oxide, trilenum, ftorotanum, ethrane). Procedure of application, the indication, contraindication, complication, their prophylaxis and treatment. Muscular relaxants. The mechanism of activity, classification, clinical application. -
Nikolay Ivanovich Pirogov
10 Journal of Medical Biography 26(1) 59. Walker TJ. The traces of the Roman occupation left in 65. Dr Walker’s Portrait. The Peterborough and Hunts Peterborough and the surrounding district. Journal of the Standard, 25 December 1915, p.5. British Archaeological Association 1899; 5: 51–62. 66. Death Certificate 1916. Thomas James Walker. General 60. Walker TJ. Notes on two Anglo-Saxon burial places at Register Office. www.gro.gov.uk/gro/content/certificates Peterborough. Journal of the British Archaeological (accessed 19 October 2014). Association 1899; 5: 343–349. 67. The Late Dr Walker: an impressive funeral. The 61. Reviews: Prisoners of war. British Medical Journal 1914; Cambridgeshire Times, 28 July 1916, p.6. 1: 822–823. www.bmj.com/content/bmj/1/2780/820.full 68. Obituary, Dr T. J Walker. Aberdeen Daily Journal,22 (accessed 15 March 2015). July 1916, p.6. http://www.britishnewspaperarchive. 62. Walker TJ. The depot for prisoners of war at Norman cross co.uk/viewer/bl/0000576/19160722/127/0006 (accessed Huntingdonshire 1796–1816. 1st ed. London: Constable & 11 January 2016). Co, 1913, www.gutenberg.org/files/43487/43487-h/43487- 69. General Home News. Newcastle Daily Journal, 22 July h.htm (accessed 29 March 2015). 1916, p.4, http://www.britishnewspaperarchive.co.uk/ 63. Council Minutes 29 June 1915. City of Peterborough viewer/bl/0000569/19160722/009/0004 (accessed 11 Council Minutes 1913–1919 (PAS/PCC/6/1/7): 92–93. January 2016). 64. A Person of Distinction. The Peterborough and Hunts Standard, 21 August 1915, p.7. Journal of Medical Biography 2018, Vol. -
Cervical Fascia 19
Index 1. General Anatomy 2. Development of the Head and Neck 3. Osteology 4. Basic Neuroanatomy and Cranial Nerves 5. The Neck 6. Scalp and Muscles of Facial Expression 7. Parotid Bed and Gland 8. Temporal and Infratemporal Fossae 9. Muscles of Mastication 10. Temporomandibular Joint 11. Pterygopalatine Fossa 12. Nose and Nasal Cavity 13. Paranasal Sinuses 14. Oral Cavity 15. Tongue 16. Pharynx 17. Larynx 18. Cervical Fascia 19. Ear 20. Eye and Orbit 21. Autonomics of the Head and Neck 22. Intraoral Injections General Anatomy 1. 2nd State of deglutition is characterized by: (A) Elevation of larynx (B) Momentory apnea (C) Paristalsis of pharyngoesophageal sphincter (D) Relaxation of pharyngeal constrictors Answer: A 2. Abduction of eyeball is by the action of (A) Lateral rectus, superior oblique and inferior oblique (B) Medial rectus, superior rectus and inferior rectus (C) Superior oblique and superior rectus (D) Inferior oblique and inferior rectus Answer: A 3. Abductors of Larynx are: (A) Posterior crico arytenoids (B) Trenasverse arytenoids (C) Arytenoid Cricothyroid (D) All Answer: A 4. All are paranasal sinuses except: (A) Maxillary (B) Sphenoidal (C) Covernous (D) Ethmoidal. Answer: C 5. All are true about emissary veins of scalp except: (A) Valveless (B) Connect extracranial veins with intracranial venous sinuses (C) Principal vein of scalp (D) Present in loose areolar tissue Answer: C 6. All are true about mandibular nerve except: (A) Sensory branch arises from anterior trunk (B) Supplies muscles of mastication by main trunk (C) Buccal nerve innervates buccinator muscle (D) Nerve to medial pterygoid arises from main trunk Answer: B 7.