The axilla is a pyramid-shaped space bounded by the upper arm, chest wall, and scapula. It contains neurovascular structures passing from the neck to the upper limb, including the brachial plexus, axillary artery and vein, and lymph nodes. The walls of the axilla are formed by specific muscles like pectoralis major anteriorly and subscapularis posteriorly. The axilla allows for movement of the arm and transmission of major blood vessels and nerves.
rectus sheath, the sheath covering rectus muscle of anterior abdominal wall, formation of the sheath, the muscles involved in ts formation, and the contents the sheath is covering
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Anatomy of axilla with Dr- Ameera Al-Humidi .pptxAmeera Al-Humidi
The axilla is the anatomical region under the shoulder joint where the arm connects to the shoulder.
The axilla has five anatomic borders: superior, anterior, posterior, lateral, and medial walls.
The borders of the axilla are composed of muscles, including the serratus anterior, coracobrachialis, and short head of the biceps
The axillary walls are used as landmarks by surgeons to prevent damage to the neurovascular structures within the axilla during surgery
The contents of the axilla include muscles, nerves, vessels, and lymphatics
The axillary artery and vein, brachial plexus, and axillary lymph nodes are some of the neurovascular structures found in the axilla
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Dr Junaid Ahmad (MBBS FCPS) is the best plastic surgeon in Lahore. He is a well known, trained and expert in his field. He is MBBS and FCPS in Plastic and Recosntructive Surgery. He is a post graduate of the College of Physicians and Surgeons Pakistan which is oldest and best institute for post graduation in this area of the world. He is doing his practice in Lahore, Pakistan. He is always kind to the patients and listens them carefully as it is part of modern clinical skill and training. He is expert in both cosmetic as well as reconstructive surgery. He is also skin cancer and burn expert. A few of Dr Junaid Ahmad expertise are listed here..... call 03104037071
Funky professor slideshow: Forearm Superficial Flexors
View The Funky Professor videos here: http://publishing.rcseng.ac.uk/journal/video?videoTaxonomy=FUNK
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Dentine, unlike enamel, has the ability to react to the progression of caries due to the presence of odontoblasts. Odontoblasts can respond to irritation by depositing minerals in the dentinal tubules
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Tooth resorption is the progressive loss of dentine and cementum by the action of osteoclasts. This is a physiological process in the exfoliation of the primary dentition, caused by osteoclast differentiation due to pressure exerted by the erupting permanent tooth
Nutrition and dental caries. Promotion of sound dietary practices is an essential component of caries management, along with fluoride exposure and oral hygiene practices. ... Fermentable carbohydrates interact dynamically with oral bacteria and saliva, and these foods will continue to be a major part of a healthful diet.
Dentinogenesis imperfecta (DI) is a genetic disorder of tooth development. This condition is a type of dentin dysplasia that causes teeth to be discolored (most often a blue-gray or yellow-brown color) and translucent giving teeth an opalescent sheen.
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Tooth decay, also known as dental caries is an epidemic, microbiological contagious disease of the teeth that ends in localized dissolution and damage of the calcified structure of the teeth. ... The time factor is significant for the commencement and development of caries in teeth.
Dental radiographs are commonly called X-rays. Dentists use radiographs for many reasons: to .... Detect any presence or position of unerupted teeth.2-D Conventional radiographs provide excellent images for most dental radiographic needs. Their primary use is to supplement the clinical examination by providing insight into the internal structure of teeth and supporting bone to reveal caries, periodontal and periapical diseases, and other osseous conditions.
Amelogenesis imperfecta is a disorder of tooth development. This condition causes teeth to be unusually small, discolored, pitted or grooved, and prone to rapid wear and breakage
The traditional method of detecting dental caries in clinical practice is a visual‐tactile examination often with supporting radiographic investigations.
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Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
6. Definition
• It is a pyramid shaped space between the
upper part of the arm and the lateral wall of
the chest
• Important Nerves, Blood and Lymph vessels
travel through it from root of the neck to the
upper limb
7. AXILLA
• A pyramid-shaped
space between the
upper part of the
arm and the side of
the chest through
which major
neurovascularneurovascular
structures pass
between neck &
thorax and upper
limbs.
• Axilla has an apex, a
base and four walls.
8. Axilla is a space
4 Sided pyramid
Apex connected to the neck=Inlet
Base Arm pit= Outlet
Anterior wall
Posterior wall
Medial wall
Lateral wall
9.
10. Boundaries of the
Axilla
Apex:
Is directed upwards &
medially to the root of
the neck.
It is called
• Cervicoaxillary canal.
It is bounded, by 3
bones:
• Clavicle anteriorly.
• Upper border of the
scapula posteriorly.
• Outer border of the
first rib medially.
C
L
A
V
I
C LE
1
R
I
B
13. • Posterior wall:
• Is formed by:
• Subscapularis.
• Latissimus
dorsi.
• Teres major
muscles.
14. The medial wall:
It is wide and
formed by:
• Serratus anterior.
• Upper 4-5 ribs &
Intercostal
muscles .
15. The lateral wall:
It is narrow and
formed by:
• Coracobrachialis.
• Biceps brachii.
• Bicepital groove
of the humerus.
16. Contents of The
Axilla
• Cords and branches of
the brachial plexus
• Axillary artery and its
branches.
• Axillary vein and its
tributaries.
• Axillary lymph nodes.
• Axillary lymphatic
vessels
• Axillary fat.
• Loose connective
tissue.
The neurovascular bundle is enclosed in connective tissue sheath,
called ‘axillary sheath’
Axillary a. & v.
Brachial
plexus
17.
18. Apex
• Upper end of axilla or APEX is directed into
the root of neck
• Bounded in anteriorly by the clavicle
• Posteriorly by upper border of scapula
• Medially by outer border of the 1st
rib
19. Base
• Lower end or Base is bounded in front by the
anterior axillary fold formed by pectoralis
major muscle
• Posterior by posterior axillary fold formed by
the tendons of latissimus dorsi and teres
major muscles
• Medially by the chest wall
20. Walls of The Axilla
• Anterior wall:
By the pectoralis major, Subclavius and
pectoralis minor muscles
• Posterior wall:
By the subscapularis, Latissimus dorsi and
teres major muscles
21. Walls of The Axilla
• Medial wall:
By the upper 4 or 5 ribs and intercostal spaces
covered by serratus anterior muscle
• Lateral wall:
By the coracobrachialis and biceps muscles in
the bicipital groove of humerus
22. Base
• The Base of axilla is formed by the skin
• stretching between the anterior and
• posterior walls
23. Clavipectoral Fascia
• It is a strong sheet of connective tissue
• Split above to enclose the subclavius muscle
and is attached to the clavicle
• Below it splits to enclose the pectoralis minor
muscle
• Then continues downward as the suspensory
ligament of the axilla
• Then joins the fascial floor of armpit
24. Contents of Axilla
• Axillary artery and its branches
• Axillary vein and its tributaries
• Lymph vessels and lymph nodes
• Important nerve plexus the “Brachial Plexus”
which innervates the upper limb
25. Axillary Artery
• Is a continuation of subclavian artery
• Begins at the outer border of the 1st
rib
• Ends at the lower border of teres major
• It continues as the brachial artery
• Closely related to brachial plexus cords
• Enclosed with them in the axillary sheath
• Axillary sheath is continuous with the
prevertebral fascia
• Pectoralis minor divides it into 3 parts
26. 1st
Part of Axillary Artery
• Extends from the outer border of the 1st
rib to the upper border of pectoralis minor
27.
28. Relation
• Anterior: Pectoralis major, covering fascia,
skin, cephalic vein
• Posterior: Long thoracic nerve
• Lateral: Three cords of brachial plexus
• Medial: Axillary vein
30. Relation
• Anterior: Pectoralis minor and major, covering
fascia and skin
• Posterior: Posterior cord of brachial plexus
• Lateral: Lateral cord of brachial plexus
• Medial: medial cord of brachial plexus and
axillary vein
31. 3rd
Part of Axillary Artery
• Extends from lower border of pectoralis minor
to the lower border of teres major
32. Relation
• Anterior: Pectoralis major, medial root of the
median nerve
• Posterior: subscapularis, latissimus dorsi and
teres major
• Lateral: Coracobrachialis, biceps, humerus
• Medial: Ulnar nerve, axillary vein, medial
cutaneous nerve of the arm
33. Branches
• Branches of axillary artery supply the thoracic
wall and the shoulder region
• 1st
Part: Highest thoracic artery
• 2nd
Part: Thoracoacromial and lateral thoracic
arteries
• 3rd
Part: Subscapular artery, anterior and
posterior circumflex humeral arteries
34. Pectoralis Major
• Origin: Medial half of clavicle, sternum, upper
6 costal cartilages
• Insertion: Lateral lip of bicipital groove of the
humerus
• NS: Medial and Lateral pectoral Nerve from
medial and lateral pectoral cords of brachial
plexus
• Action: Adducts the arm and rotates it
medially, some fibers also cause flexion of arm
35.
36. Subclavius
• Origin: From the first costal cartilage
• Insertion: Fibers move upward and laterally
into the inferior surface of clavicle
• NS: Nerve to the subclavius from upper trunk
of brachial plexus
• Action: Depresses the clavicle and steadies the
bone
37. Pectoralis Minor
• Origin: From 3rd
, 4th
and 5th
ribs
• Insertion: Coracoid Process
• NS: Medial pectoral nerve, a branch of the
medial cord of brachial plexus
• Action: Pulls the shoulder downward and
forward. Elevates the ribs of origin
38.
39. Subscapularis
• Origin: Subscapular fossa on the anterior
surface of scapula
• Insertion: On the lesser tuberosity of the
humerus
• NS: Upper and Lower subscapular nerves
• Action: Medially rotates the arm and stabilizes
the shoulder joint
40.
41. Latissimus Dorsi
• Origin: Posterior part of the iliac crest, lumbar fascia
and spines of lower 6 thoracic vertebrae, lower 3 ribs
• Insertion: Floor of the bicipital groove of humerus
with teres major
• NS: Thoracodorsal nerve from posterior cord of
brachial plexus
• Action: Extends, adducts and medially rotates the
arm
42.
43. Teres Major
• Origin: lower third of the lateral border of
scapula
• Insertion: Medial lip of bicipital groove of
humerus
• NS: Lower subscapular nerve from posterior
cord of brachial plexus
• Action: Adducts and medially rotates the arm
44. Serratus Anterior
• Origin: From Outer surface of upper 8 ribs
• Insertion: Medial border of scapula in the
region of inferior angle
• NS: Long thoracic nerve
• Action: Draws the scapula forward, rotates it