The document summarizes the branches of the abdominal aorta. It describes the celiac trunk, superior mesenteric artery, and inferior mesenteric artery as the three anterior branches that arise from the abdominal aorta and supply the gastrointestinal viscera. The celiac trunk divides into the left gastric artery, splenic artery, and common hepatic artery. The superior mesenteric artery has five branches including the inferior pancreaticoduodenal artery and jejunal/ileal arteries. The inferior mesenteric artery has three branches including the left colic artery and sigmoid arteries.
anatomy of duodenum, location or position of duodenum, parts of duodenum, relations of each parts of duodenum, ligaments of treitz, visceral and peritoneal relation of duodenum, blood supply of duodenum, innervation of duodenum, clinical aspects of duodenum, duodenal ulcer, diverticulum, deodinitis, duodenal obstruction
The main artery of the lower limb is the femoral artery. It is a continuation of the external iliac artery (terminal branch of the abdominal aorta). The external iliac becomes the femoral artery when it crosses under the inguinal ligament and enters the femoral triangle.
In the femoral triangle, the profunda femoris artery arises from the posterolateral aspect of the femoral artery. It travels posteriorly and distally, giving off three main branches:
Perforating branches – Consists of three or four arteries that perforate the adductor magnus, contributing to the supply of the muscles in the medial and posterior thigh.
Lateral femoral circumflex artery – Wraps round the anterior, lateral side of the femur, supplying some of the muscles on the lateral aspect of the thigh.
Medial femoral circumflex artery – Wraps round the posterior side of the femur, supplying its neck and head. In a fracture of the femoral neck this artery can easily be damaged, and avascular necrosis of the femur head can occur.
anatomy of duodenum, location or position of duodenum, parts of duodenum, relations of each parts of duodenum, ligaments of treitz, visceral and peritoneal relation of duodenum, blood supply of duodenum, innervation of duodenum, clinical aspects of duodenum, duodenal ulcer, diverticulum, deodinitis, duodenal obstruction
The main artery of the lower limb is the femoral artery. It is a continuation of the external iliac artery (terminal branch of the abdominal aorta). The external iliac becomes the femoral artery when it crosses under the inguinal ligament and enters the femoral triangle.
In the femoral triangle, the profunda femoris artery arises from the posterolateral aspect of the femoral artery. It travels posteriorly and distally, giving off three main branches:
Perforating branches – Consists of three or four arteries that perforate the adductor magnus, contributing to the supply of the muscles in the medial and posterior thigh.
Lateral femoral circumflex artery – Wraps round the anterior, lateral side of the femur, supplying some of the muscles on the lateral aspect of the thigh.
Medial femoral circumflex artery – Wraps round the posterior side of the femur, supplying its neck and head. In a fracture of the femoral neck this artery can easily be damaged, and avascular necrosis of the femur head can occur.
neuronal organelles
the neuron contains all the regular organelles of the eukaryotic cells. however, rough endoplasmic
reticulum, free ribosomes and polyribosomes of the neurons are collectively referred to as the nissl
(chromophil) bodies (granules).
these organelles are responsible for the intense basophilia of the neuronal perikaryon and are absent in the
axon hillock and in the axon (see diagram 3.).
neurofibrils, neurofilaments, microtubules and microfilaments are widely distributed in the cell body, axon
and dendrites.
golgi complex and lysosomes are restricted to the cell body while mitochondria are widely distributed in all
parts of the neuron but are particularly abundant at the axonal terminals.
inclusion bodies:
the neuron also contains inclusion bodies, which have variable distribution in the nervous system, e.g.:
melanin pigments (neuromelanin) are found in the substantia nigra of the midbrain and locus coeruleus of
the pons in the brainstem
lipofuscin (lipochrome) pigments are found in the spinal cord, medulla oblongata, sensory and
sympathetic ganglia. they are stored in granules derived from lysosomes. lipofuscin appears from the age
of 8 and increases with age. they may appear in other nerve cells but never found in the purkinje cells of
the cerebellum.
other inclusion bodies include:
zinc metal in the hippocampus of the brain
iron metal in the occolomotor nucleus of the midbrain
calcium and magnesium salts (brain sand) in the pineal gland.
synaptic vesicles are membrane-bound sacs of neurotransmitter located at the boutons terminaux of axons.
the axon :( see diagram 3a and 3b)
the characteristic features of the axon are:
a.it arises from the region of the cell body called the axon hillock
b.it is often longer than the dendrites but of uniform diameter.
c.a typical neuron possesses only one axon.
d.its plasmalemma is called the axolemma and its cytoplasm the axoplasm.
e.it contains all neuronal organelles except nissl bodies and golgi complex.
f.may have collateral branches.
g.may be covered by myelin sheath for insulation and rapid conduction of impulses.
h.conducts impulses away from the cell body.
i.its terminal branches are called telodendria, which terminate in dilated terminals (boutons
terminaux) that are involved in formation of contact points called synapses.
j.the initial segment is often involved in inhibitory axo-axonal synapses.
the dendrite (see diagram 3.)
the characteristic features of the dendrite are:
a.it is often shorter than the axon and tapers from the cell body hence the diameter is not
uniform.
b.it has numerous branches.
Brainstem
Last part of brain
The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem.[1] It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing.[2] The medulla contains the cardiac, respiratory, vomiting and vasomotor centers, and therefore deals with the autonomic functions of breathing, heart rate and blood pressure as well as the sleep wake cycle.
During embryonic development, the medulla oblongata develops from the myelencephalon. The myelencephalon is a secondary vesicle which forms during the maturation of the rhombencephalon, also referred to as the hindbrain.
The bulb is an archaic term for the medulla oblongata.[1] In modern clinical usage, the word bulbar (as in bulbar palsy) is retained for terms that relate to the medulla oblongata, particularly in reference to medical conditions. The word bulbar can refer to the nerves and tracts connected to the medulla, and also by association to those muscles innervated, such as those of the tongue, pharynx and larynx.
DIFFERNENT types of therapies involved and used by psychiatrists in the world. A small overview/look in the world of treatment of psychiatry, which will help tackle the different day to day patients and practices to give solution to them.
To know basic etiology of this disease and difference between duodenal ulcer and peptic ulcer as well as how we can approach if children having peptic ulcer disease. By conservative and surgical means
COMMON ILIAC ARTERY
slide 3
LEVEL- fourth lumbar vertebra
Size-5cm {2-in.}
Regions supplied-pelvic mus,pelvic org,external gentalias, lower limbs
Division- right and left iliac artery
Gives rise to- internal and external i.arteries
slide 7
Internal iliac artery
Primary artery of pelvis
Bifurcation-anterior to sacroiliac joint level of lumbosacral intervertebral disc
Posteriorly-desend into pelvis and divide into anterior and posteror divisions
Regions supply-medial mus of thigh, pelvic muscle wall, pelvic org, e. genetalias, buttox.
slide 9
External iliac artery
Larger than internal iliac artery
Descend along the medial border of psoas major mus following pelvic brim, pass posterior to midportion of inguinal ligaments, and femoral arteries as they pass beneath inguinal ligament and enter thigh
Regions supply-lower abdominal wall, cremaster muscles in males and round ligament of uterus in females and lower limb.
slide 10
Inferior epigastric artery deep circumflex iliac arteries
Femoral artery
-Right femoral artery
-Right deep artery of thigh(deep peroneal)
Popliteal artery
-Anterior tibial
-Posterior tibial
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This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
2. ABDOMINAL AORTA
• IT BEGINS AT THE AORTIC
HIATUS OF THE DIAPHRAGM,
ANTERIOR TO THE LOWER
BORDER OF VERTEBRA T7.
• IT DESCENDS TO THE LEVEL OF
VERTEBRA L4 IT IS SLIGHTLY TO
THE LEFT OF MIDLINE.
• THE TERMINAL BRANCHES OF
THE ABDOMINAL AORTA ARE THE
TWO COMMON ILIAC ARTERIES. 2
4. ANTERIOR BRANCHES OF THE ABDOMINAL
AORTA
• CELIAC ARTERY.
• SUPERIOR MESENTERIC ARTERY.
• INFERIOR MESENTERIC ARTERY.
• THE THREE ANTERIOR BRANCHES
SUPPLY THE GASTROINTESTINAL
VISCERA.
4
5. BASIC CONCEPT
• FORE GUT
• CELIAC TRUNK
• MID GUT
• SUPERIOR MESENTERIC
ARTERY
• HIND GUT
• INFERIOR MESENTERIC
ARTERY
coeliac trunk
SMA
IMA
5
6. CELIAC TRUNK
• IT ARISES FROM THE ABDOMINAL
AORTA IMMEDIATELY BELOW THE
AORTIC HIATUS OF THE
DIAPHRAGM ANTERIOR TO THE
UPPER PART OF VERTEBRA L I .
• IT DIVIDES INTO THE:
• LEFT GASTRIC ARTERY,
• SPLENIC ARTERY,
• COMMON HEPATIC ARTERY.
6
9. SUPERIOR MESENTERIC ARTERY
• IT ARISES FROM THE ABDOMINAL
AORTA IMMEDIATELY 1CM BELOW THE
CELIAC ARTERY ANTERIOR TO THE
LOWER PART OF VERTEBRA LI.
• IT IS CROSSED ANTERIORLY BY THE
SPLENIC VEIN AND THE NECK OF
PANCREAS.
• POSTERIOR TO THE ARTERY ARE THE
LEFT RENAL VEIN, THE UNCINATE
PROCESS OF THE PANCREAS, AND THE
INFERIOR PART OF THE DUODENUM.
9
10. ANASTOMOSES AND HAS FIVE BRANCHES
• INFERIOR PANCREATICODUODENAL ARTERU
• JEJUNAL AND ILEAL ARTERIES
• ILEOCOLIC ARTERIES
• RIGHT COLIC ARTERY
• MIDDLE COLIC ARTERY
11.
12. INFERIOR MESENTERIC ARTERY
• IT IS THE SMALLEST OF THE THREE
ANTERIOR BRANCHES OF THE
ABDOMINAL AORTA AND ARISES
ANTERIOR TO THE BODY OF VERTEBRA
L3.
• INITIALLY, THE INFERIOR MESENTERIC
ARTERY DESCENDS ANTERIORLY TO THE
AORTA AND THEN PASSES TO THE LEFT
AS IT CONTINUES INFERIORLY.
12
13. ANASTOMOSES AND HAS THREE BRANCHES
• LEFT COLIC ARTERY
• SIGMOID ARTERIES
• SUPERIOR RECTAL ARTERY