EM-II-Thorax1-Dr-Tamás-Judit-2020.02.24.pdf
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This document provides an overview of the topographical and surface anatomy of the thorax, with a focus on the regional lymph nodes and their clinical relevance. It describes the bony framework and contents of the thoracic cavity, as well as relevant surgical approaches and procedures. Key points covered include the boundaries of the thoracic inlet and outlet, landmarks on the ventral thorax surface, thoracic incisions and operations, muscles and innervation patterns, lymphatic drainage pathways including those of the breast, and reconstructive procedures following breast surgery.
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𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
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𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
Event Link:- https://meetups.mulesoft.com/events/details/mulesoft-mysore-presents-mule-event-processing-models/
Agenda
● What is event processing in MuleSoft?
● Types of event processing models in Mule 4
● Distinction between the reactive, parallel, blocking & non-blocking processing
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shivani Yasaswi - https://www.linkedin.com/in/shivaniyasaswi/
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
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আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
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Mule event processing models | MuleSoft Mysore Meetup #47
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Your Skill Boost Masterclass: Strategies for Effective Upskilling
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EM-II-Thorax1-Dr-Tamás-Judit-2020.02.24.pdf
- 1. Topographical and surface anatomy of the thorax, clinical relevance Regional lymphnodes with special reference to the mamma Dr. Judit Tamás Semmelweis University Faculty of Medicine I. Department of Surgery
- 2. BONY FRAMEWORK OF THE THORAX THORACIC CAVITY - superior thoracic aperture (Th2) Borders: Th1, 1st ribs, sternum, pleura „open” - inferior thoracic aperture (Th10) Borders: Th12, 11-12th ribs, costal arch, xiphoid process diaphragm costal arch
- 3. CONTENTS – palpation, percussion, auscultation
- 4. CONTENTS – palpation, percussion, auscultation
- 5. CONTENTS – chest X-ray
- 7. STERNOTOMY
- 8. LANDMARKS ON THE VENTRAL SURFACE OF THE THORAX Jugular Th2 2nd rib/ Th4-5 4th IC space / Th8 Subcostal plane – L3
- 9. TOPOGRAPHICALLY RELEVANT PLANES OF THE THORAX
- 10. MUSCLES
- 11. NEXT SLIDE
- 15. VERTEBRAE
- 17. BLOOD SUPPLY
- 18. VEINS
- 19. INTERCOSTAL SPACE – vessels & nerves
- 22. TENSION PTX HEART DISPLACINT INTO THE RIGHT
- 26. THORACIC OUTLET SYNDROME • Brachial plexus • Subclavian artery • Positional • Static • Pancoast tumor • Cervical rib • Muscle enlargement • 1st rib fixation
- 28. Burning or silent nipple after augmentation Innervation of the nipple anterior and lateral cutaneous branches of the third through fifth intercostal nerves the fourth lateral cutaneous branch
- 29. PECTUS CARINATUM
- 30. PECTUS EXCAVATUM
- 33. FOSSA AXILLARIS
- 34. LYMPHATIC DRAINAGE OF BREAST Sappey – subareolar plexus 75% - axilla 15% - internal mammar Upper – supraclavicular Lower- infradiaphragmatic
- 35. SENTINEL LYMPH NODE BIOPSY – 99m Tc
- 36. BREAST CANCER – RECONSTRUCTIVE SURGERY • GENERAL SURGEON • PLASTIC SURGEON • „BREAST SURGEON” • Double attack : against life + against feminity (John Bostwick)
- 38. VASCULAR SUPPLY OF BREAST - internal mammary artery branches - lateral thoracic artery - thoracodorsal artery - intercostal perforators - thoracoacromial artery
- 44. Autologous reconstruction is the best
- 45. Autologous reconstruction is the best
- 46. LATISSIMUS DORSI MYOCUTAN FLAP
- 47. TRAM Transverse rectus abdominis muscle
- 48. Nipple sparing subcutan mastectomy primer augmentation + TiO2 mesh
- 49. Free flaps – microsurgery – microanastomosis
- 50. MASTOPEXY
- 51. Mastopexy / Reduction Orientation of the pedicle: - maximize vascularity and sensation to the nipple - optimizing aesthetic out-come Formation of pedicle: - wide as possible to maximize vascularity - narrow enough for sufficient reduction
- 52. MALE BREAST • No lobules or alveoli • BUT CANCER!!!! GINECOMASTY
- 53. THANK YOU FOR YOUR ATTENTION