The Region of the Axilla
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Prep for Practical II
Images for Practical II BSC 2086L "Endocrine" A A B C A. Hypothalamus B. Pineal Gland (Body) C. Pituitary Gland "Endocrine" 1.Thyroid 2.Adrenal Gland 3.Pancreas "The Pancreas" "The Adrenal Glands" "The Ovary" "The Testes" Erythrocyte Neutrophil Eosinophil Basophil Lymphocyte Monocyte Platelet Figure 29-3 Photomicrograph of a human blood smear stained with Wright’s stain (765). Eosinophil Lymphocyte Monocyte Platelets Neutrophils Erythrocytes "Blood Typing" "Heart Coronal" 1.Right Atrium 3 4 2.Superior Vena Cava 5 2 3.Aortic Arch 6 4.Pulmonary Trunk 1 5.Left Atrium 12 9 6.Bicuspid Valve 10 7.Interventricular Septum 11 8.Apex of The Heart 9. Chordae tendineae 10.Papillary Muscle 7 11.Tricuspid Valve 12. Fossa Ovalis "Heart Coronal Section" Coronal Section of the Heart to show valves 1. Bicuspid 2. Pulmonary Semilunar 3. Tricuspid 4. Aortic Semilunar 5. Left Ventricle 6. Right Ventricle "Heart Coronal" 1.Pulmonary trunk 2.Right Atrium 3.Tricuspid Valve 4.Pulmonary Semilunar Valve 5.Myocardium 6.Interventricular Septum 7.Trabeculae Carneae 8.Papillary Muscle 9.Chordae Tendineae 10.Bicuspid Valve "Heart Anterior" 1. Brachiocephalic Artery 2. Left Common Carotid Artery 3. Ligamentum Arteriosum 4. Left Coronary Artery 5. Circumflex Artery 6. Great Cardiac Vein 7. Myocardium 8. Apex of The Heart 9. Pericardium (Visceral) 10. Right Coronary Artery 11. Auricle of Right Atrium 12. Pulmonary Trunk 13. Superior Vena Cava 14. Aortic Arch 15. Brachiocephalic vein "Heart Posterolateral" 1. Left Brachiocephalic vein 2. Right Brachiocephalic vein 3. Brachiocephalic Artery 4. Left Common Carotid Artery 5. Left Subclavian Artery 6. Aortic Arch 7. -
Brachial-Plexopathy.Pdf
Brachial Plexopathy, an overview Learning Objectives: The brachial plexus is the network of nerves that originate from cervical and upper thoracic nerve roots and eventually terminate as the named nerves that innervate the muscles and skin of the arm. Brachial plexopathies are not common in most practices, but a detailed knowledge of this plexus is important for distinguishing between brachial plexopathies, radiculopathies and mononeuropathies. It is impossible to write a paper on brachial plexopathies without addressing cervical radiculopathies and root avulsions as well. In this paper will review brachial plexus anatomy, clinical features of brachial plexopathies, differential diagnosis, specific nerve conduction techniques, appropriate protocols and case studies. The reader will gain insight to this uncommon nerve problem as well as the importance of the nerve conduction studies used to confirm the diagnosis of plexopathies. Anatomy of the Brachial Plexus: To assess the brachial plexus by localizing the lesion at the correct level, as well as the severity of the injury requires knowledge of the anatomy. An injury involves any condition that impairs the function of the brachial plexus. The plexus is derived of five roots, three trunks, two divisions, three cords, and five branches/nerves. Spinal roots join to form the spinal nerve. There are dorsal and ventral roots that emerge and carry motor and sensory fibers. Motor (efferent) carries messages from the brain and spinal cord to the peripheral nerves. This Dorsal Root Sensory (afferent) carries messages from the peripheral to the Ganglion is why spinal cord or both. A small ganglion containing cell bodies of sensory NCS’s sensory fibers lies on each posterior root. -
Pectoral Muscles 1. Remove the Superficial Fascia Overlying the Pectoralis Major Muscle (Fig
BREAST, PECTORAL REGION, AND AXILLA LAB (Grant's Dissector (16th Ed.) pp. 28-38) TODAY’S GOALS: 1. Identify the major structural and tissue components of the female breast, including its blood supply. 2. Identify examples of axillary lymph nodes and understand the lymphatic drainage of the breast. 3. Identify the pectoralis major, pectoralis minor, and serratus anterior muscles. Demonstrate their bony attachments, nerve supply, and actions. 4. Identify the walls and associated muscles of the axilla. 5. Identify the axillary sheath, axillary vein, and the 6 major branches of the axillary artery. 6. Identify and trace the cords of the brachial plexus and their branches. DISSECTION NOTES: The donor should be in the supine position. Breast 1. The breast or mammary gland is a modified sweat gland embedded in the superficial fascia overlying the anterior chest wall. Refer to Fig. 2.5A for incisions for reflecting skin of the pectoral region to the mid-arm. Do this bilaterally. Within the superficial fascia in front of the shoulder and along the lateral and lower medial portions of the arm locate the cephalic and basilic veins and preserve these for now. Observe the course of the cephalic vein from the arm into the deltopectoral groove between the deltoid and pectoralis major muscles. 2. For those who have a female donor, mobilize the breast by inserting your fingers behind it within the retromammary space and separate it from the underlying deep fascia of the pectoralis major (see Fig. 2.7). An extension of breast tissue (axillary tail) from the superolateral (upper outer) quadrant often extends around the lateral border of the pectoralis major muscle into the axilla. -
Branching Pattern of the Posterior Cord of the Brachial Plexus: a Natomy Section a Cadaveric Study
Original Article Branching Pattern of the Posterior Cord of the Brachial Plexus: natomy Section A A Cadaveric Study PRITI CHAUDHARY, RAJAN SINGLA, GURDEEP KALSEY, KAMAL ARORA ABSTRACT Results: normal branching pattern of the posterior cord was Introduction: Anatomical variations in different parts of the brachial encountered in 52 (86.67%) limbs, the remaining 8 (13.33%) being plexus have been described in humans by many authors, although variants in one form or the other. The upper subscapular nerve, these have not been extensively catalogued. These variations the thoracodorsal nerve and the axillary nerve were seen to arise are of clinical significance for the surgeons, radiologists and the normally in 91.66%, 96.66% and 98.33% of the limbs respectively. anatomists. The posterior division of the upper trunk being the parent of the variants of all these. The lower subscapular nerve had a normal In a study of 60 brachial plexuses which Material and Methods: origin in 96.66% of the limbs, with the axillary nerve being the belonged to 30 cadavers (male:female ratio = 28:02 ) obtained from parent in its variants, while the radial nerve had a normal origin the Department of Anatomy, Govt. Medical College, Amritsar, the in all of the limbs. Almost all the branches of the posterior cord brachial plexuses were exposed as per the standard guidelines. emanated distally on the left side as compared to the right side. The formation and the branching pattern of the posterior cord have been reported here. The upper subscapular, lower subscapular, Conclusion: The present study on adult human cadavers was an thoracodorsal and the axillary nerves usually arise from the posterior essential prerequisite for the initial built up of the data base at the cord of the brachial plexus. -
Lab Exercises: Cardiovascular System Question # 1: Heart & Great Vessels I
Lab Exercises: Cardiovascular System Question # 1: Heart & Great Vessels I Right brachiocephalic vein Brachiocephalic artery Superior vena cava Pulmonary trunk Aorta Right ventricle Left ventricle Right atrium A. E. B. F. C. G. D. H. Copyright © 2011 A.D.A.M., Inc. All rights reserved. Lab Exercises: Cardiovascular System Question # 2: Heart & Great Vessels II Left common carotid artery Brachiocephalic trunk Left subclavian artery Left brachiocephalic vein Left pulmonary artery Inferior vena cava Right pulmonary artery Right pulmonary vein A. E. B. F. C. G. D. H. Copyright © 2011 A.D.A.M., Inc. All rights reserved. Lab Exercises: Cardiovascular System Question # 3: Heart & Great Vessels (Post) Left pulmonary artery Left subclavian artery Right brachiocephalic vein Left common carotid artery Right pulmonary artery Right pulmonary vein Left pulmonary vein Inferior vena cava A. E. B. F. C. G. D. H. Copyright © 2011 A.D.A.M., Inc. All rights reserved. Lab Exercises: Cardiovascular System Question # 4: Arteries of Head & Neck Occipital artery Superficial temporal artery External carotid artery Internal carotid artery Facial artery Vertebral artery Common carotid artery A. E. B. F. C. G. D. Copyright © 2011 A.D.A.M., Inc. All rights reserved. Lab Exercises: Cardiovascular System Question # 5: Arteries of Trunk I Axillary artery Brachiocephailic trunk Right common carotid artery Left common carotid artery Left subclavian artery Axillary artery Arch of aorta Thoracic aorta A. E. B. F. C. G. D. H. Copyright © 2011 A.D.A.M., Inc. All rights reserved. Lab Exercises: Cardiovascular System Question # 6: Arteries of Trunk II Femoral artery Left common iliac artery Superior mesenteric artery Celiac trunk Inferior mesenteric artery Right renal artery Right testicular artery Left renal artery A. -
Microlymphatic Surgery for the Treatment of Iatrogenic Lymphedema
Microlymphatic Surgery for the Treatment of Iatrogenic Lymphedema Corinne Becker, MDa, Julie V. Vasile, MDb,*, Joshua L. Levine, MDb, Bernardo N. Batista, MDa, Rebecca M. Studinger, MDb, Constance M. Chen, MDb, Marc Riquet, MDc KEYWORDS Lymphedema Treatment Autologous lymph node transplantation (ALNT) Microsurgical vascularized lymph node transfer Iatrogenic Secondary Brachial plexus neuropathy Infection KEY POINTS Autologous lymph node transplant or microsurgical vascularized lymph node transfer (ALNT) is a surgical treatment option for lymphedema, which brings vascularized, VEGF-C producing tissue into the previously operated field to promote lymphangiogenesis and bridge the distal obstructed lymphatic system with the proximal lymphatic system. Additionally, lymph nodes with important immunologic function are brought into the fibrotic and damaged tissue. ALNT can cure lymphedema, reduce the risk of infection and cellulitis, and improve brachial plexus neuropathies. ALNT can also be combined with breast reconstruction flaps to be an elegant treatment for a breast cancer patient. OVERVIEW: NATURE OF THE PROBLEM Clinically, patients develop firm subcutaneous tissue, progressing to overgrowth and fibrosis. Lymphedema is a result of disruption to the Lymphedema is a common chronic and progres- lymphatic transport system, leading to accumula- sive condition that can occur after cancer treat- tion of protein-rich lymph fluid in the interstitial ment. The reported incidence of lymphedema space. The accumulation of edematous fluid mani- varies because of varying methods of assess- fests as soft and pitting edema seen in early ment,1–3 the long follow-up required for diagnosing lymphedema. Progression to nonpitting and irre- lymphedema, and the lack of patient education versible enlargement of the extremity is thought regarding lymphedema.4 In one 20-year follow-up to be the result of 2 mechanisms: of patients with breast cancer treated with mastec- 1. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Vessels and Circulation
CARDIOVASCULAR SYSTEM OUTLINE 23.1 Anatomy of Blood Vessels 684 23.1a Blood Vessel Tunics 684 23.1b Arteries 685 23.1c Capillaries 688 23 23.1d Veins 689 23.2 Blood Pressure 691 23.3 Systemic Circulation 692 Vessels and 23.3a General Arterial Flow Out of the Heart 693 23.3b General Venous Return to the Heart 693 23.3c Blood Flow Through the Head and Neck 693 23.3d Blood Flow Through the Thoracic and Abdominal Walls 697 23.3e Blood Flow Through the Thoracic Organs 700 Circulation 23.3f Blood Flow Through the Gastrointestinal Tract 701 23.3g Blood Flow Through the Posterior Abdominal Organs, Pelvis, and Perineum 705 23.3h Blood Flow Through the Upper Limb 705 23.3i Blood Flow Through the Lower Limb 709 23.4 Pulmonary Circulation 712 23.5 Review of Heart, Systemic, and Pulmonary Circulation 714 23.6 Aging and the Cardiovascular System 715 23.7 Blood Vessel Development 716 23.7a Artery Development 716 23.7b Vein Development 717 23.7c Comparison of Fetal and Postnatal Circulation 718 MODULE 9: CARDIOVASCULAR SYSTEM mck78097_ch23_683-723.indd 683 2/14/11 4:31 PM 684 Chapter Twenty-Three Vessels and Circulation lood vessels are analogous to highways—they are an efficient larger as they merge and come closer to the heart. The site where B mode of transport for oxygen, carbon dioxide, nutrients, hor- two or more arteries (or two or more veins) converge to supply the mones, and waste products to and from body tissues. The heart is same body region is called an anastomosis (ă-nas ′tō -mō′ sis; pl., the mechanical pump that propels the blood through the vessels. -
Human Anatomy As Related to Tumor Formation Book Four
SEER Program Self Instructional Manual for Cancer Registrars Human Anatomy as Related to Tumor Formation Book Four Second Edition U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service National Institutesof Health SEER PROGRAM SELF-INSTRUCTIONAL MANUAL FOR CANCER REGISTRARS Book 4 - Human Anatomy as Related to Tumor Formation Second Edition Prepared by: SEER Program Cancer Statistics Branch National Cancer Institute Editor in Chief: Evelyn M. Shambaugh, M.A., CTR Cancer Statistics Branch National Cancer Institute Assisted by Self-Instructional Manual Committee: Dr. Robert F. Ryan, Emeritus Professor of Surgery Tulane University School of Medicine New Orleans, Louisiana Mildred A. Weiss Los Angeles, California Mary A. Kruse Bethesda, Maryland Jean Cicero, ART, CTR Health Data Systems Professional Services Riverdale, Maryland Pat Kenny Medical Illustrator for Division of Research Services National Institutes of Health CONTENTS BOOK 4: HUMAN ANATOMY AS RELATED TO TUMOR FORMATION Page Section A--Objectives and Content of Book 4 ............................... 1 Section B--Terms Used to Indicate Body Location and Position .................. 5 Section C--The Integumentary System ..................................... 19 Section D--The Lymphatic System ....................................... 51 Section E--The Cardiovascular System ..................................... 97 Section F--The Respiratory System ....................................... 129 Section G--The Digestive System ......................................... 163 Section -
Comparative Anatomy of the Pectoral Girdle and Upper Forelimb in Man and the Lower Primates
Comparative anatomy of the pectoral girdle and upper forelimb in man and the lower primates Item Type text; Thesis-Reproduction (electronic) Authors Barter, James T. Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 06/10/2021 05:49:51 Link to Item http://hdl.handle.net/10150/551254 COMPARATIVE ANATOMY OF THE PECTORAL GIRDLE AND UPPER FORELIMB IN MAN AND THE LOWER PRIMATES by James T. Barter A Thesis submitted to the faculty of the Department of Anthropology in partial fulfillment of the requirements for the degree of MASTER OF ARTS in the Graduate College, University of Arizona 1955 Approved: Director of Thesis ET'-H " r n s r - r This thesis has been submitted in partial fnlfillment o f' require ments for an advanced, degree at the University of Arizona and is deposited in the Library to be made available to borrowers under rules of the Library» Brief quotations from this thesis are allowable without special permission, provided that accurate- acknowledgment of source is made* Requests for permission for extended quotation from or reproduction of this manuscript in whole or in part may be granted by the head of the major depart ment or the dean of the Graduate College when in their judgment the proposed use of the; material is in the interests of scholar ship* In a ll other instances, however, permission must be obtained from the author* SIGEBDg T- : i Table of Contents: ' : " . -
Branches of Axillary Artery for PDF 13.5.11
Diagram of branches Acromial Br lar Br icu of axillary artery Clav rtery mial a oacro Thorac Deltoid Br t 1st Par d 2n Superior thoracic artery Anterior Pectoral Br circumflex t Par Pectoralis minor humeral d artery 3r Sub- scapular artery Lateral thoracic artery Circumflex scapular artery Posterior circumflex humeral artery TheFromFrom axillary 1st2nd3rd part part artery (a)superior .(a) (a) subscapular begins The thoracoacromial thoracic at the runs outer– itdown runs border artery within along the of– a the thestoutlong firstfirst subscapularshort ribintercostal trunk,and ends nerve,which space. at projustthe- lowerjectswithin border forwardthe posterior of over terres theaxillary major inner ,fold. where boarder Near it continuesof the pectoralis lower as angle the minor brachial of theand scapula dividesartery. itinto divides four branches.into two, one (i) side clavicular, goes to runs the sideup over of the subclavius chest, the ; (ii) other pectoral to the is deep large surface and runs of Thedownthe latissimusaxillary between artery with the runsthetwo longacrosspectorals subscapular the withsuperior the nerve. externalaspect Near of anterior theits origin axilla thoracic itand gives is markednerve, off a large and by asuppliesbranch, line drawn thethese circumflexfrom muscles; the middle scapular(iii) acromial, of the artery, clavicle usually which to comes apasses point off backhalf-way a common through between trunk the “triangu withthe two the- condylesdeltoid,lar space” andof tothe runs the humerus, back dorsum beneath when of the the scapula. deltoidarm is raisedtoward(b) The to the anteriora right acromion; angle. circumflex and (iv) humeral deltoid runsartery down which beside is a smallthe cephalic artery thatvein, passes in a groove out across between the frontdeltoid of andthe pectoralishumerus, Itmajor,sending is divided and a branch endsinto threein up these to partsthe muscles. -
Anatomical, Clinical, and Electrodiagnostic Features of Radial Neuropathies
Anatomical, Clinical, and Electrodiagnostic Features of Radial Neuropathies a, b Leo H. Wang, MD, PhD *, Michael D. Weiss, MD KEYWORDS Radial Posterior interosseous Neuropathy Electrodiagnostic study KEY POINTS The radial nerve subserves the extensor compartment of the arm. Radial nerve lesions are common because of the length and winding course of the nerve. The radial nerve is in direct contact with bone at the midpoint and distal third of the humerus, and therefore most vulnerable to compression or contusion from fractures. Electrodiagnostic studies are useful to localize and characterize the injury as axonal or demyelinating. Radial neuropathies at the midhumeral shaft tend to have good prognosis. INTRODUCTION The radial nerve is the principal nerve in the upper extremity that subserves the extensor compartments of the arm. It has a long and winding course rendering it vulnerable to injury. Radial neuropathies are commonly a consequence of acute trau- matic injury and only rarely caused by entrapment in the absence of such an injury. This article reviews the anatomy of the radial nerve, common sites of injury and their presentation, and the electrodiagnostic approach to localizing the lesion. ANATOMY OF THE RADIAL NERVE Course of the Radial Nerve The radial nerve subserves the extensors of the arms and fingers and the sensory nerves of the extensor surface of the arm.1–3 Because it serves the sensory and motor Disclosures: Dr Wang has no relevant disclosures. Dr Weiss is a consultant for CSL-Behring and a speaker for Grifols Inc. and Walgreens. He has research support from the Northeast ALS Consortium and ALS Therapy Alliance.