This document provides an overview of the bones and structures that make up the male and female pelvis. It discusses the bones (innominate bones, sacrum, coccyx), articulations, walls, inlet, outlet, cavity and floors of the pelvis. It also describes the muscles that comprise the pelvic diaphragm and floor. Finally, it reviews the nerves, blood vessels and organs contained within the male and female pelvis, including differences in structures like the prostate and penis in males versus the uterus, fallopian tubes and vagina in females.
HUMAN ANATOMY
regional anatomy
regional anatomy of pelvic
changsha medical university lecture
csmu lecture by an chen
uploaded by Prabesh raj jamkatel
pelvics
ovaries, fallopian tube, component of internal genitalia, location of ovarie, boundaries of ovaries,external features of ovaries,ligaments of ovaries, support of ovaries, broad ligament, mesovarium, mesosalpinx, mesometrium, round ligament of uterus, blood supply and lymphatics of ovaries, prts of fallopian tube, blood supply of fallopian tube, ectopic pregnancy, polycystic ovaries,
HUMAN ANATOMY
regional anatomy
regional anatomy of pelvic
changsha medical university lecture
csmu lecture by an chen
uploaded by Prabesh raj jamkatel
pelvics
ovaries, fallopian tube, component of internal genitalia, location of ovarie, boundaries of ovaries,external features of ovaries,ligaments of ovaries, support of ovaries, broad ligament, mesovarium, mesosalpinx, mesometrium, round ligament of uterus, blood supply and lymphatics of ovaries, prts of fallopian tube, blood supply of fallopian tube, ectopic pregnancy, polycystic ovaries,
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
ANATOMY OF UTERUS
ANATOMY OF OVARY
ANATOMY OF FALLOPIAN TUBES
ANATOMY OF UTERUS &ITS APPENDAGES
ANATOMY OF CERVIX
ANATOMY OF UTERUS PPT
BLOOD SUPPLY, NERVE SUPPLY, LYMPHATIC DRAINAGE
HISTOLOGY
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
ANATOMY OF UTERUS
ANATOMY OF OVARY
ANATOMY OF FALLOPIAN TUBES
ANATOMY OF UTERUS &ITS APPENDAGES
ANATOMY OF CERVIX
ANATOMY OF UTERUS PPT
BLOOD SUPPLY, NERVE SUPPLY, LYMPHATIC DRAINAGE
HISTOLOGY
Fundamentals of pelvis, perineum and male genitalia anatomy. contains short notes with atlas. easy for self study of preclinical and clinical students and residents. clinically important common correlations are included. well animated power point presentation.
Urine Acidification is quite a dry and lengthy topic, it's quite hard to keep a track on it's every extrusion and intrusion so here I broke the process in steps. Hope it becomes easy for you :)
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
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
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
4. THE PELVIS:
It is the lower part of the trunk between the abdomen and the
lower limb.
THE BONES:
1. Innominate Bones ( Illium, Ischium & Pubis)
2. Sacrum.
3. Coccyx
4
5. Fig. The Bones Of Pelvis.
1. Innominate
Bones:
Forms the Lateral
and Anterior wall.
2. Sacrum and
Coccyx:
Part of the vertebral
column and forms
the back wall.
5
18. ii) Pelvic Outlet:
Notches:
1. Three wide notches.
2. Anteriorly, the pubic arch is in between the ischiopubic rami
below the pubic symphysis.
3. Laterally, are the two sciatic notches which are divided by
Sacrotuberous Ligament & Sacrospinous Ligament.
18
28. 3.Lateral wall:
o Formed by parts of hip bones.
o Pelvic Inlet.
o Obturator membrane.
o Sacrotuberous Ligament.
o Sacrospinous Ligament
o Obturator Internus Ligament.
28
31. 4.Inferior wall:
o Supports Pelvic Viscera.
o Formed by Pelvic Diaphragm.
o In order to allow for urination and defecation, there are a
few gaps in the structure. There are two ‘holes’ that
have significance:
a) The urogeninital hiatus – An anteriorly situated gap, which
allows passage of the urethra (and the vagina in females).
b) The Ano-rectal hiatus – A centrally positioned gap, which
allows passage of the anal canal.
( Pelvic Floor)
31
34. Pelvic Diaphragm:
o Funnel-shaped.
o There are three components:
1. Levator ani muscles (largest component).
2. Coccygeus muscle.
3. Fascia coverings of the muscles.
34
35. 1.Levator Ani Muscles:
o It is a broad sheet of sub-muscles.
o It is composed of three separate paired muscles.
a. Pubo-coccygeus muscle.
b. Pubo-rectalis muscle.
c. Illio-coccygeus muscle.
o Acting together they raise the pelvic floor and assist
the abdominal muscles in forced expiration activities
35
36. a. Pubo-coccygeus :
o The muscle fibres of the pubococcygeus arise from the body of
the pubic bone and the anterior aspect of the tendinous arch.
o The fibres travel around the margin of the urogenital hiatus and
run posteriomedially,attaching at
the coccyx and anococcygeal ligament.
o As the fibres run inferiorly and medially, some fibres divide and
loop around the prostate in males (levator prostatae) and
around the vagina in females (pubovaginalis).
36
38. b. Pubo-rectalis :
o The puborectalis muscle is a U-shaped sling, extending from
the bodies of the pubic bones, past the urogenital hiatus,
around the anal canal.
o Its tonic contraction bends the canal anteriorly, creating the
anorectal angle (90degrees) at the anorectal junction (where
the rectum meets the anus).
o The main function of this thick muscle is to maintain faecal
continence – during defecation this muscle relaxes.
38
42. c. Illeococcygeus :
o The iliococcygeus has thin muscle fibres.
o Starts anteriorly at the ischial spines and posterior aspect of
the tendinous arch.
o They attach posteriorly to the coccyx and the anococcygeal
ligament.
42
44. 2. Coccygeus :
o The coccygeus is the smaller part.
o The levator ani muscles situated anteriorly.
o It originates from the ischial spines and travels to the lateral
aspect of the sacrum and coccyx, along the sacrospinous
ligament.
o Supports the Pelvic Viscera and flexes the coccyx.
44
52. Organs
•RENAL TRACT:
a. Ureters:
– Originate at Renal Pelvis
– Path initially medial to vertebrae
and at pelvic brim take infero-
posterior path
– Oblique entry into bladder avoids
urinary reflux
– Arterial supply via gonadal, renal,
vesical, vaginal and aortic
branches
– Autonomic innervation.
52
53. Organs
b. Bladder:
• Trigonal structure.
• Wall has 3 layers of smooth
muscles: inner circular and
middle/outer longitudinal layers
• Arterial supply from superior and
inferior vesical nerves:
sympathetic closes bladder neck
whilst parasympathetic relaxes
detrusor muscle to allow for
miturition
53
59. 59
Uterus:
Fallopian(Uterine)
Tube opens into it.
Uterine artery
Sympathetic and
parasympathetic
innervation from
pelvic plexus
Venous plexus
drain to rectal and
vesical veins
Ovaries:
Attached to
posterior aspect
of broad ligament
Ovarian artery
Sympathetics from
aortic plexus and
parasympathetics
from pelvic plexus.
Right ovarian
vein drains to
IVC whilst left to
left renal vein
Female
Viscera:
60. 60
Fallopian
tubes:
Run in free edge
of broad
ligament
Ovarian and
uterine
arteries
Vagina:
Opens into
vaginal
vestibule
Vaginal
artery
Sympathetic supply from
pelvic plexus and somatic
sensory innervation from
ilioinguinal and pudendal
nerves
Venous drainage
from pelvic floor
plexus to internal
iliac
Clitoris:
Female
equivalent of
penis
Nerve supply
via pudendal
Female
Viscera:
62. 62
- Testicular (gonadal artery)
- Pampiniform plexus drain to
testicular veins.
-Testicular vein drains to IVC on
right and left renal artery on left.
Testes:
Male
Viscera:
64. 64
M
A
L
E
V
I
S
C
E
R
A
Prostate:
oMulti-lobar (5) with posterior groove.
oApex at the bottom and base at top .
oSmooth muscle.
oContains prostatic urethra
oArterial supply from inferior vesical,
middle rectal and occasionally pudendal
arteries.
oDrains to venous plexus and then to
internal iliac vein.
oSympathetic nerves promote ejaculation
and smooth muscle contraction whilst
parasympathetics promote erection.
66. 66
M
A
L
E
V
I
S
C
E
R
A
• Receives ejaculatory
ducts, bulbourethral
and urethral glands.
• Arterial supply from
urethral artery, deep
artery to penis and
dorsal artery of penis.
• Drainage via
superficial and deep
dorsal veins of penis.
• Nerves are
sympathetic and
parasympathetics for
ejaculation and
erection.
• Sensory supply to skin
and glans of penis
from pudendal nerve.
Penis: