Heart Vein Artery
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Pelvic Anatomyanatomy
PelvicPelvic AnatomyAnatomy RobertRobert E.E. Gutman,Gutman, MDMD ObjectivesObjectives UnderstandUnderstand pelvicpelvic anatomyanatomy Organs and structures of the female pelvis Vascular Supply Neurologic supply Pelvic and retroperitoneal contents and spaces Bony structures Connective tissue (fascia, ligaments) Pelvic floor and abdominal musculature DescribeDescribe functionalfunctional anatomyanatomy andand relevantrelevant pathophysiologypathophysiology Pelvic support Urinary continence Fecal continence AbdominalAbdominal WallWall RectusRectus FasciaFascia LayersLayers WhatWhat areare thethe layerslayers ofof thethe rectusrectus fasciafascia AboveAbove thethe arcuatearcuate line?line? BelowBelow thethe arcuatearcuate line?line? MedianMedial umbilicalumbilical fold Lateralligaments umbilical & folds folds BonyBony AnatomyAnatomy andand LigamentsLigaments BonyBony PelvisPelvis TheThe bonybony pelvispelvis isis comprisedcomprised ofof 22 innominateinnominate bones,bones, thethe sacrum,sacrum, andand thethe coccyx.coccyx. WhatWhat 33 piecespieces fusefuse toto makemake thethe InnominateInnominate bone?bone? PubisPubis IschiumIschium IliumIlium ClinicalClinical PelvimetryPelvimetry WhichWhich measurementsmeasurements thatthat cancan bebe mademade onon exam?exam? InletInlet DiagonalDiagonal ConjugateConjugate MidplaneMidplane InterspinousInterspinous diameterdiameter OutletOutlet TransverseTransverse diameterdiameter ((intertuberousintertuberous)) andand APAP diameterdiameter ((symphysissymphysis toto coccyx)coccyx) -
Vascular Density and Distribution in Neocortex
Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2019 Vascular density and distribution in neocortex Schmid, Franca ; Barrett, Matthew J P ; Jenny, Patrick ; Weber, Bruno Abstract: An amazingly wide range of complex behavior emerges from the cerebral cortex. Much of the information processing that leads to these behaviors is performed in neocortical circuits that span throughout the six layers of the cortex. Maintaining this circuit activity requires substantial quantities of oxygen and energy substrates, which are delivered by the complex yet well-organized and tightly-regulated vascular system. In this review, we provide a detailed characterization of the most relevant anatomical and functional features of the cortical vasculature. This includes a compilation of the available data on laminar variation of vascular density and the topological aspects of the microvascular system. We also review the spatio-temporal dynamics of cortical blood flow regulation and oxygenation, many aspects of which remain poorly understood. Finally, we discuss some of the important implications of vascular density, distribution, oxygenation and blood flow regulation for (laminar) fMRI. DOI: https://doi.org/10.1016/j.neuroimage.2017.06.046 Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-146003 Journal Article Accepted Version The following work is licensed under a Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) License. Originally published at: Schmid, Franca; Barrett, Matthew J P; Jenny, Patrick; Weber, Bruno (2019). Vascular density and distribution in neocortex. -
Transabdominal Pelvic Venous Duplex Evaluation
VASCULAR TECHNOLOGY PROFESSIONAL PERFORMANCE GUIDELINES Transabdominal Pelvic Venous Duplex Evaluation This Guideline was prepared by the Professional Guidelines Subcommittee of the Society for Vascular Ultrasound (SVU) as a template to aid the vascular technologist/sonographer and other interested parties. It implies a consensus of those substantially concerned with its scope and provisions. The guidelines contain recommendations only and should not be used as a sole basis to make medical practice decisions. This SVU Guideline may be revised or withdrawn at any time. The procedures of SVU require that action be taken to reaffirm, revise, or withdraw this Guideline no later than three years from the date of publication. Suggestions for improvement of this Guideline are welcome and should be sent to the Executive Director of the Society for Vascular Ultrasound. No part of this Guideline may be reproduced in any form, in an electronic retrieval system or otherwise, without the prior written permission of the publisher. Sponsored and published by: Society for Vascular Ultrasound 4601 Presidents Drive, Suite 260 Lanham, MD 20706-4831 Tel.: 301-459-7550 Fax: 301-459-5651 E-mail: [email protected] Internet: www.svunet.org Transabdominal Pelvic Venous Duplex Ultrasound PURPOSE Transabdominal pelvic venous duplex examinations are performed to assess for abnormal blood flow in the abdominal and pelvic veins (excluding the portal venous system). The evaluation includes the assessment of abdominal and pelvic venous compressions, abdominal and pelvic venous insufficiency and evaluation of the presence or absence of pelvic varicosities. Note: Abdominal and pelvic venous disorders can be previously referred to as pelvic congestion syndrome or PCS; however, with the expansion of research into the abdominal and pelvic venous system updated nomenclature is imperative to the proper diagnosis and treatment of these conditions. -
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. -
Cardiovascular System Summary Notes the Cardiovascular System
Cardiovascular System Summary Notes The cardiovascular system includes: The heart, a muscular pump The blood, a fluid connective tissue The blood vessels, arteries, veins and capillaries Blood flows away from the heart in arteries, to the capillaries and back to the heart in the veins There is a decrease in blood pressure as the blood travels away from the heart Arterial branches of the aorta supply oxygenated blood to all parts of the body Deoxygenated blood leaves the organs in veins Veins unite to form the vena cava which returns the blood to the heart Pulmonary System This is the route by which blood is circulated from the heart to the lungs and back to the heart again The pulmonary system is exceptional in that the pulmonary artery carries deoxygenated blood and the pulmonary vein carries oxygenated blood Hepatic Portal Vein There is another exception in the circulatory system – the hepatic portal vein Veins normally carry blood from an organ back to the heart The hepatic portal vein carries blood from the capillary bed of the intestine to the capillary bed of the liver As a result, the liver has three blood vessels associated with it Arteries and Veins The central cavity of a blood vessel is called the lumen The lumen is lined with a thin layer of cells called the endothelium The composition of the vessel wall surrounding the endothelium is different in arteries, veins and capillaries Arteries carry blood away from the heart Arteries have a thick middle layer of smooth muscle They have an inner and outer layer of elastic fibres Elastic -
Pelvic Venous Insufficiency — an Often-Forgotten Cause of Chronic Pelvic Pain
Ginekologia Polska 2020, vol. 91, no. 11, 704–708 Copyright © 2020 Via Medica REVIEW PAPER / GYNECOLOGY ISSN 0017–0011 DOI 10.5603/GP.a2020.0093 Pelvic venous insufficiency — an often-forgotten cause of chronic pelvic pain Jacek Szymanski , Grzegorz Jakiel , Aneta Slabuszewska-Jozwiak 1st Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Warsaw, Poland ABSTRACT Chronic pelvic pain is a common health problem that afflicts 39% of women at some time in their life. It is a common challenge for gynecologists, internists, surgeons, gastroenterologists, and pain management physicians. Pelvic venous insufficiency (PVI) accounts for 16–31% of cases of chronic pain but it seems to be often overlooked in differential diagnosis. The aim of this article was to summarize current data concerning PVI. The embolization of insufficient ovarian veins remains the gold standard of therapy but the optimal procedure is yet to be determined. Well-designed randomized trials are required to establish the best treatment modalities. Key words: chronic pelvic pain; pelvic venous insufficiency; pelvic congestion syndrome; embolization Ginekologia Polska 2020; 91, 11: 704–708 The term chronic pelvic pain (CPP) refers to a pain syn- gonadal and pelvic veins. This pathology can result from drome experienced by women that lasts more than six primary vulvar insufficiency, venous outflow obstruction, months and negatively impacts their everyday activities and hormonally mediated vasomotor dysfunction. The term to a high degree, decreasing their quality of life. The pain is PVI should be preferred as it seems to be the closest to the hardly associated with the menstrual cycle and pregnancy pathological background of this condition [3]. -
Anatomy of the Digestive System
The Digestive System Anatomy of the Digestive System We need food for cellular utilization: organs of digestive system form essentially a long !nutrients as building blocks for synthesis continuous tube open at both ends !sugars, etc to break down for energy ! alimentary canal (gastrointestinal tract) most food that we eat cannot be directly used by the mouth!pharynx!esophagus!stomach! body small intestine!large intestine !too large and complex to be absorbed attached to this tube are assorted accessory organs and structures that aid in the digestive processes !chemical composition must be modified to be useable by cells salivary glands teeth digestive system functions to altered the chemical and liver physical composition of food so that it can be gall bladder absorbed and used by the body; ie pancreas mesenteries Functions of Digestive System: The GI tract (digestive system) is located mainly in 1. physical and chemical digestion abdominopelvic cavity 2. absorption surrounded by serous membrane = visceral peritoneum 3. collect & eliminate nonuseable components of food this serous membrane is continuous with parietal peritoneum and extends between digestive organs as mesenteries ! hold organs in place, prevent tangling Human Anatomy & Physiology: Digestive System; Ziser Lecture Notes, 2014.4 1 Human Anatomy & Physiology: Digestive System; Ziser Lecture Notes, 2014.4 2 is suspended from rear of soft palate The wall of the alimentary canal consists of 4 layers: blocks nasal passages when swallowing outer serosa: tongue visceral peritoneum, -
Lymph and Lymphatic Vessels
Cardiovascular System LYMPH AND LYMPHATIC VESSELS Venous system Arterial system Large veins Heart (capacitance vessels) Elastic arteries Large (conducting lymphatic vessels) vessels Lymph node Muscular arteries (distributing Lymphatic vessels) system Small veins (capacitance Arteriovenous vessels) anastomosis Lymphatic Sinusoid capillary Arterioles (resistance vessels) Postcapillary Terminal arteriole venule Metarteriole Thoroughfare Capillaries Precapillary sphincter channel (exchange vessels) Copyright © 2010 Pearson Education, Inc. Figure 19.2 Regional Internal jugular vein lymph nodes: Cervical nodes Entrance of right lymphatic duct into vein Entrance of thoracic duct into vein Axillary nodes Thoracic duct Cisterna chyli Aorta Inguinal nodes Lymphatic collecting vessels Drained by the right lymphatic duct Drained by the thoracic duct (a) General distribution of lymphatic collecting vessels and regional lymph nodes. Figure 20.2a Lymphatic System Outflow of fluid slightly exceeds return Consists of three parts 1. A network of lymphatic vessels carrying lymph 1. Transports fluid back to CV system 2. Lymph nodes 1. Filter the fluid within the vessels 3. Lymphoid organs 1. Participate in disease prevention Lymphatic System Functions 1. Returns interstitial fluid and leaked plasma proteins back to the blood 2. Disease surveillance 3. Lipid transport from intestine via lacteals Venous system Arterial system Heart Lymphatic system: Lymph duct Lymph trunk Lymph node Lymphatic collecting vessels, with valves Tissue fluid Blood Lymphatic capillaries Tissue cell capillary Blood Lymphatic capillaries capillaries (a) Structural relationship between a capillary bed of the blood vascular system and lymphatic capillaries. Filaments anchored to connective tissue Endothelial cell Flaplike minivalve Fibroblast in loose connective tissue (b) Lymphatic capillaries are blind-ended tubes in which adjacent endothelial cells overlap each other, forming flaplike minivalves. -
Pelvic Venous Reflux Diseases
Open Access Journal of Family Medicine Review Article Pelvic Venous Reflux Diseases Arbid EJ* and Antezana JN Anatomic Considerations South Charlotte General and Vascular Surgery, 10512 Park Road Suite111, Charlotte, USA Each ovary is drained by a plexus forming one major vein *Corresponding author: Elias J. Arbid, South measuring normally 5mm in size. The left ovarian plexus drains into Charlotte General and Vascular Surgery, 10512 Park Road left ovarian vein, which empties into left renal vein; the right ovarian Suite111, Charlotte, NC 28120, USA plexus drains into the right ovarian vein, which drains into the Received: November 19, 2019; Accepted: January 07, anterolateral wall of the inferior vena cava (IVC) just below the right 2020; Published: January 14, 2020 renal vein. An interconnecting plexus of veins drains the ovaries, uterus, vagina, bladder, and rectum (Figure 1). Introduction The lower uterus and vagina drain into the uterine veins and Varicose veins and chronic venous insufficiency are common then into branches of the internal iliac veins; the fundus of the uterus disorders of the venous system in the lower extremities that have drains to either the uterine or the ovarian plexus (utero-ovarian and long been regarded as not worthy of treatment, because procedures salpingo ovarian veins) within the broad ligament. Vulvoperineal to remove them were once perceived as worse than the condition veins drain into the internal pudendal vein, then into the inferior itself. All too frequently, patients are forced to learn to live with them, gluteal vein, then the external pudendal vein, then into the saphenous or find "creative" ways to hide their legs. -
Normal 3T MR Anatomy of the Prostate Gland and Surrounding Structures
Hindawi Advances in Medicine Volume 2019, Article ID 3040859, 9 pages https://doi.org/10.1155/2019/3040859 Review Article Normal 3T MR Anatomy of the Prostate Gland and Surrounding Structures K. Sklinda ,1 M. Fra˛czek,2 B. Mruk,1 and J. Walecki1 1MD PhD, Dpt. of Radiology, Medical Center of Postgraduate Education, CSK MSWiA, Woloska 137, 02-507 Warsaw, Poland 2MD, Dpt. of Radiology, Medical Center of Postgraduate Education, CSK MSWiA, Woloska 137, 02-507 Warsaw, Poland Correspondence should be addressed to K. Sklinda; [email protected] Received 24 September 2018; Accepted 17 December 2018; Published 28 May 2019 Academic Editor: Fakhrul Islam Copyright © 2019 K. Sklinda et al. +is is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Development on new fast MRI scanners resulted in rising number of prostate examinations. High-spatial resolution of MRI examinations performed on 3T scanners allows recognition of very fine anatomical structures previously not demarcated on performed scans. We present current status of MR imaging in the context of recognition of most important anatomical structures. 1. Introduction also briefly present benign prostate hypertrophy (BPH) which is the most common condition of the prostate, oc- Aging of the society together with growing consciousness of curring in most patients over 50 years of age. the role of early detection of oncologic diseases leads to globally occurring rise in number of detected cases of 2. Imaging Protocol prostate cancer. Widely used transrectal sonography of the prostate gland despite additional support of contrast media According to PI-RADS v2, T1W and T2W sequences should and elastography does not provide sufficient sensitivity or be obtained for all prostate mpMR exams [1]. -
Review Article
JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY 2008, 59, Suppl 2, 231238 www.jpp.krakow.pl Review article H. CICHO¯-LACH, K. CELIÑSKI, M. S£OMKA, B. KASZTELAN-SZCZERBIÑSKA PATHOPHYSIOLOGY OF PORTAL HYPERTENSION Department of Gastroenterology Medical University of Lublin, Poland In last years significant progress in recognizing mechanisms of portal hypertension pathophysiology was done. However, some unclear topics in this disease still exist. Portal hypertension is primarily caused by the increase in resistance to portal outflow and secondly by an increase in splanchnic blood flow. Portal hypertension is associated with changes in the intrahepatic, systemic, and portosystemic collateral circulation. Alterations in vasoreactivity (vasodilation and vasoconstriction) play a central role in the pathophysiology of portal hypertension by contributing to increased intrahepatic resistance, hyperdynamic circulation, and expansion of the collateral circulation. Among vasoactive substances which are activated in portal hypertension nitric oxide (NO) is considered as the most important vasodilator. Endothelin-1 and cyclooxygenase-derived prostaglandins are the main vasoconstrictor factors. The imbalance between the hyperresponsiveness and overproduction of vasoconstrictors and the hyporesponsiveness and impaired production of vasodilators are the mechanisms responsible of the increased vascular tone in the sinusoidal area of the liver. New concepts in the pathophysiology of portal hypertension find the significant role of hepatic stellate cells activated by endothelial factors which cause vascular remodeling as an adaptive response of the portal vessels wall. The most frequent causes of portal hypertension include portal vein thrombosis, storage diseases of the liver, hepatic cirrhosis (independent of etiology), hepatic veins thrombosis and schistosomiasis. Understanding the pathophysiology of portal hypertension could be of great utility in preventing and curing the complications of portal hypertension, such as esophageal varices, hepatic encephalopathy, ascites. -
Anatomy of Pelvic Leak Points in the Context of Varicose Veins Anatomie Von Becken-Leckage-Punkten Im Zusammenhang Mit Varizen
Published online: 2021-01-18 Schwerpunktthema Anatomy of Pelvic leak points in the context of varicose veins Anatomie von Becken-Leckage-Punkten im Zusammenhang mit Varizen Author Roberto Delfrate Affiliation have their origin in pelvic leaks points, this incidence is 4 times Figlie San Camillo Hospital, Cremona, Italy higher in multiparous than in nulliparous. Claude Franceschi first analyzed and described the reflux pathways for this pelvic Key words leak points. The most frequently involved escape points or parietal pelvic leak points PLPs, varicose veins of pelvic origin “Pelvic Leak Points” are the perineal points (PP), draining Schlüsselwörter through the labial region to the leg and the inguinal points parietale Becken-Leckage-Punkte, PLPs, Varizen mit pelvinem through the inguinal ring (IP). Others are the Clitoridian point Ursprung (CP), gluteal points (GP) and obturatorian point (OP). Their in- vestigation has to be performed in standing position and published online 18.01.2021 using Valsalva – but the most important part of the investiga- tion is the anatomic knowledge about the different pathways. Bibliography Phlebologie 2021; 50: 42–50 ZUSAMMENFASSUNG DOI 10.1055/a-1309-0968 Venennetze des Beckens (eigenständig oder nicht) können ISSN 0939-978X Ausgangspunkt für einen Reflux in die oberflächlichen Beinve- © 2021. Thieme. All rights reserved. nen sein. Sie sind häufig an Rezidiven nach klassischen Venen- Georg Thieme Verlag KG, Rüdigerstraße 14, behandlungen beteiligt, da sie in diesem Zusammenhang 70469 Stuttgart, Germany nicht mitbehandelt werden. Studien auf der Grundlage ver- Correspondence schiedener Untersuchungen (Klinik, Ultraschall, Phlebografie) Dr. Roberto Delfrate kommen zu dem Ergebnis, dass bei etwa 10 % der Frauen mit Figlie San Camillo Hospital, Cremona, 56 Fabio Filzi st, Varizen die Ursache in den pelvinen Leckagen liegt.