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‫صدر‬ ‫جوف‬ ‫از‬ ‫کورونال‬ ‫مقطع‬
`
MEDIASTINUM
• DIFFINATION: SPACE BETWEEN TWO LUNGS
• BUNDARIES: STERNUM ANTERIORLY, VERTBRAL COLUMN
POSTERIORLY, MEDISTINAL PLEURA ON TWO SIDES, SUP
THORACIC APERTUR SUPERIORLYM, AND DIAPPHRAGM
INFERIORLY.
• DIVISION: IMAGINARY LINE PASSING FROM STERNAL ANGLE
ANTERIORLY TO INTERVERTEBRAL BETWEEN T4 & T5
POSTERIORLY DIVIDS THE MEDIASTINUM INTO SUP
MEDIASTINUM ABOVE AND INFERIOR MEDIASTINUM
BELOW
• THE INFERIOR MEDIASTINUM IS DIVIDED FURTHER BY
PERICARDIUM INTO ANT, MIDDLE AND POSTERIOR
MEDIASTINUM.
‫ابطی‬ ‫دخولی‬ ‫فوحه‬ ‫با‬ ‫صدر‬ ‫ارتباط‬
DIAPHRAGM
• PARTS
I. STERNAL PART
II. COSTAL PART
III. LUMBAR PART
• OPENINGS
A. AORTIC OPENING (AORTA, THORACIC
DUCT, AZYGUS VEIN)
B. ESOPHAGEAL OPENING (ESOPHAGUS,
RT&LT VAGUS NERVES, ESOPHAGEAL
BRANCH OF LT GASTRIC ART.)
C. CAVAL OPENING (IVC, RT PHRENIC
NERVE)
D. STERNOCOSTAL FISSURE (SUP
EPIGASTRIC VESSELS)
E. OPENINGS FOR GREATER, LESSER
&LOWEST SPELANCHNIC NERVES
&SYMPATHETIC CHAIN
DIAPHRAM VESSELS & NERVES
a. VESSELS:
PERICARDICOPHRENIC,
MUSCULOPHRENIC, SUP
PHRENIC ART, INFERIOR
PHRENIC ARTERIES.
b. NERVES:
1. MOTOR: PHRENIC
NERVES
2. SENSORY: PHRENIC
NERVES FOR CENTRAL
PART, LOWER SIX
THORACIC NERVES FOR
PERIPHERAL PARTS
Recess
‫وجه‬ ‫مجاورت‬
‫راست‬ ‫ریه‬ ‫انسی‬
‫چ‬ ‫ریه‬ ‫مجاورت‬
‫پ‬
Bronchopulmonary seg
Blood vessels of pericardium
• Internal thoracic artery
• Pericardiophrenic artery
• Musculophrenic artery
• Inferior phrenic artery
• Thoracic artery
• Veins
• Azygos system of veins
• Internal thoracic vein
• Inferior phrenic veins
Position and Orientation of the Heart
Anterior surface of Heart
External Sulci
The Ventricles – Pump blood
The Heart has 4 Chambers
The Atria – receive blood
R Atrium – receives blood from body (IVC, SVC).
R Ventricle – Pumps blood to Lungs (PT).
L Atrium – receives blood from lungs (L&R PV).
L Ventricle – Pumps blood to Body (Aorta).
Coronary sinus
• Heart Tissue
• Pericardial Sac
• Fibroskeleton
• Valves
• Surface Structures
The Heart
(one-way-flow)
Pericardial Sac and Location of the Heart in the
Thoracic Cavity
Epicardium
Visceral pericardium (a serous membrane)
Endocardium
Endothelium
and CT of inner
surface
Myocardium
Cardiac Muscle (thickest layer of heart)
Sectional Anatomy of the Heart
119
120
124
Coronary
Circulation
Blood
Supply
to the
Heart!
The Autonomic Innervation
of the Heart
Superior Mediastinum
‫علوی‬ ‫منصف‬ ‫در‬ ‫موجود‬ ‫های‬ ‫ساختمان‬
‫منصف‬ ‫در‬ ‫تایمس‬ ‫غده‬
‫علوی‬
‫چ‬ ‫و‬ ‫راست‬ ‫براکیوسیفالیک‬ ‫های‬ ‫ورید‬
‫پ‬
‫بین‬ ‫علوی‬ ‫ورید‬
‫چپ‬ ‫الضلعی‬
‫آن‬ ‫شعبات‬ ‫و‬ ‫ابهر‬ ‫قوس‬
‫قصی‬ ‫مفصل‬ ‫علوی‬ ‫کنار‬
‫ترقوی‬
Thyroid ima artery
‫حنجروی‬ ‫راجعه‬ ‫عصب‬
‫چ‬
‫پ‬
Rt Vagus
Rt
Phrenic
Left Vagus
•Posterior Mediastinum
‫خلفی‬ ‫منصف‬ ‫در‬ ‫مری‬
‫چپ‬ ‫و‬ ‫راست‬ ‫اعصاب‬
‫مری‬ ‫شبکه‬ ‫و‬ ‫واګوس‬
‫صدری‬ ‫ابهر‬
Azygos System in Posterior
Mediastinum
‫صدری‬ ‫قنات‬
Sympathetic Trunk in Posterior
Mediastinum
Surface Anatomy
Heart Valves and Heart Sounds
• Closure of AV
valves creates 1st
heart sound
‘Lub’
• Closure of semilunar
valves creates 2nd heart
sound
‘Dupp’
Stethoscope Placement
206
•Abdomen
DIAPHRAGM
• PARTS
I. STERNAL PART
II. COSTAL PART
III. LUMBAR PART
• OPENINGS
A. AORTIC OPENING (AORTA, THORACIC
DUCT, AZYGUS VEIN)
B. ESOPHAGEAL OPENING (ESOPHAGUS,
RT&LT VAGUS NERVES, ESOPHAGEAL
BRANCH OF LT GASTRIC ART.)
C. CAVAL OPENING (IVC, RT PHRENIC
NERVE)
D. STERNOCOSTAL FISSURE (SUP
EPIGASTRIC VESSELS)
E. OPENINGS FOR GREATER, LESSER
&LOWEST SPELANCHNIC NERVES
&SYMPATHETIC CHAIN
L1 Level
Left to
Right
Shunts
‫عبور‬
‫تمامی‬
‫خون‬
‫از‬ ‫هضمی‬
‫کبد‬
Dr. Hidayat Danish MD
•Prevertebral Plexus
•Regional Anatomy
•Topography of
Abdomen
•Abdominal Wall
Abdominal Wall
•Inguinal Region or the
Groin
Inguinal Canal
‫مغبنی‬ ‫کانال‬ ‫حدود‬
Ant Wall : Apponeurosis of ext. oblique M
Post Wall : The fascia transversalis
Inf Wall : (Floor)inguinal ligament
Sup Wall : lowest fascia of internal oblique and
transversalis
‫مغبنی‬ ‫کانال‬ ‫حدود‬
Cord
• The spermatic cord : is a collection of strs. that pass through the
inguinal canal to & from the testis , it is formed from :
• 1- The vas deferens .
• 2- the testicular artery .
• 3- The testicular veins (pampiniform plexus).
• 4- Testicular lymph nodes .
• 5- autonomic Nn.
• 6-processus vaginalis .
• 7- Cremasteric A.
• 8- Artery to vas deferens .
Greater Omentum
Meso Colon
Anatomy of Esophagus
Relations of the Stomach
Small Intestine
‫عشر‬ ‫اثنا‬ ‫مختلف‬ ‫های‬ ‫قسمت‬
Descending Colon:
It is 25 cm long , extended from the
Splenic flexure downward to pelvic
brim to continue with Sigmoid
Colon
The Sigmoid Colon:
It is 35 cm long begins at the Pelvic
brim to continue with the Rectum
at S3 level.
It is attached to the post wall of
Pelvis by the sigmoid mesocolon
The Rectum :
It is 13 cm long begins in front of S3
as the continuation of Sigmoid colon
to Pass downward fallowing the
curve of sacrum & coccyx to the tip
of the coccyx where it pierce the
pelvic diaphragm & continues with
anal canal. It dilated lower part is
called the ampulla.
The Anal Canal :
It is 5 cm long extended from the
pelvic diaphragm to the anus
opening & surronded by the anal
Sphincter
Cecum
Bile Ducts
•Enteric Nervous System
‫بطن‬ ‫خلف‬ ‫ناحیه‬
‫حاجز‬ ‫حجاب‬
DIAPHRAGM
• PARTS
I. STERNAL PART
II. COSTAL PART
III. LUMBAR PART
• OPENINGS
A. AORTIC OPENING (AORTA, THORACIC
DUCT, AZYGUS VEIN)
B. ESOPHAGEAL OPENING (ESOPHAGUS,
RT&LT VAGUS NERVES, ESOPHAGEAL
BRANCH OF LT GASTRIC ART.)
C. CAVAL OPENING (IVC, RT PHRENIC
NERVE)
D. STERNOCOSTAL FISSURE (SUP
EPIGASTRIC VESSELS)
E. OPENINGS FOR GREATER, LESSER
&LOWEST SPELANCHNIC NERVES
&SYMPATHETIC CHAIN
•Abdominal Aorta
•Inferior Vena
Cava
•Abdominal Prevertebral
Plexus
•The Pelvis
Deep perineal Pouch
‫بطن‬ ‫با‬ ‫لگن‬ ‫ارتباط‬
‫حوصلی‬ ‫دیافراگم‬
‫سفلی‬ ‫اطراف‬ ‫با‬ ‫حوصله‬ ‫ارتباط‬
‫اینجا‬ ‫از‬ ‫بطن‬ ‫با‬ ‫ارتباط‬
Perineal Dermatomes
E & PE for control of
erection
Anal triangle
Hypogastric N
Pelvic
Splanchnic
Nerves S2-S4
Inf hypogastric plexus
Prostat
‫عجانی‬ ‫جسم‬ ‫در‬ ‫عجان‬ ‫و‬ ‫حوصله‬ ‫زمین‬ ‫فاسیا‬ ‫و‬ ‫عضالت‬ ‫اتصال‬
‫جنس‬ ‫دو‬ ‫هر‬ ‫در‬ ‫احلیل‬ ‫مسیر‬
‫حوصلی‬ ‫دیافراگم‬
Deep perineal Pouch
‫عجانی‬ ‫فضاعمیق‬ ‫و‬ ‫عجانی‬ ‫غشا‬ ‫موقعیت‬
•Nerves of the Pelvis
Pudendal Nerve
‫رحمی‬ ‫شریان‬
•Perineum
•‫عجان‬
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