Regional Anatomy of Neck Krajiny krku Krajiny krku •Trigonum colli anterius > Krajiny krku •Trigonum colli laterale > sejmout0011 •1 – trigonum submentale •2 – trigonum submandibulare •3 – trigonum caroticum •4 – trigonum omotrapezium •5 – trigonum omoclaviculare •9 – trigonum omotracheale • Krajiny krku •Fossa supraclavicularis major •Fossa supraclavicularis minor •Fossa jugularis > •Hyoid bone Platysma •PLATYSMA Fascie krku •Lamina superficialis •Lamina pretrachealis •Lamina prevertebralis Regio scm •Trigonum •submentale > Regio submandibularis-spodina •Trigonum •submandibulare > Gl sejmout0010 •Béclard’s angle • •Pirogov’s tringle > Trigonum caroticum-povrch •Trigonum •caroticum > Plexus cervicalis sejmout0015 Regio infrahyoidea •Trigonum •musculare •(omo- •tracheale) > Pretracheální žilní pleteň Gll • • •coniotomy •(cricothyrotomy) •tracheotomy Tracheostomy Regio scm • •Regio sternocleidomastoidea > Plexus cervicalis N sejmout0018 •Trigonum scalenovertebrale Plexus cervicalis •Trigonum colli laterale > Regio colli lateralis •Trigonum omoclaviculare •Trigonum omotrapezium > • •REGIONAL ANATOMY OF THE THORAX •Regio infraclavicularis •(trig. delto-, clavipectorale) •Regio pectoralis •Regio axillaris •Regio mammaria •Regio sternalis •Regio hypochondriaca dx. et sin. •Regio vertebralis •Regio suprascapularis •Regio scapularis •Regio infrascapularis •Regio axillaris •Linea mediana anterior •Linea sternalis •Linea parasternalis •Linea medioclavicularis •Linea axillaris ant. •Linea axillaris media •Linea axillaris post. •Linea scapularis •Linea paravertebralis •Linea mediana post. http://classconnection.s3.amazonaws.com/776/flashcards/1426776/png/screen_shot_2013-09-03_at_43958_ pm-140E5C62CC80E18296E.png •MAMMA FEMININA •Areola mammae •Glandulae areolares • (Montgomery) •Papilla mammae •Area cribriformis papillae •GLANDULA MAMMARIA •Processus axillaris •15 – 20 lobi mammae •Ductus lactifer • •Lymphatic drainage of the breast • • • • • • • • • • • • - nll. axillares • - nll. parasternales • - nll. supraclaviculares • - nll. intercostales • - nll. mediastinales ant. Fig. 789 Lymphatic drainage of the mammary gland and location of the regional lymph nodes. Note the connections between the lymphatic vessels of both sides and the lymphatic drainage into the intrathoracic lymph nodes. Fig. 789 Lymphatic drainage of the mammary gland and location of the regional lymph nodes. Note the connections between the lymphatic vessels of both sides and the lymphatic drainage into the intrathoracic lymph nodes. •Superficial cervical vessels •Intercostal vessels •Veins ® subclavian vein • •VAN •A. thoracica interna •Aa. intercostales post. •A. thoracica lat. •A. thoracodorsalis •A. cervicalis superficialis PROJECTION OF ORGANS ONTO THE THORACIC WALL •Cupula pleurae • = Apex pulmonis • •Area interpleuralis sup. •(thymica) •Area interpleuralis inf. •(pericardiaca) •Fissura obliqua •Fissura horizontalis MEDIASTINUM mediastinum •T8 fields REGIONAL ANATOMY OF THE ABDOMEN > > •LINEA XIPHISTERNALIS > •LINEA SUBCOSTALIS > •LINEA INTERSPINALIS > •EPIGASTRIUM > • •MESOGASTRIUM > •HYPOGASTRIUM > •REGIO EPIGASTRICA > •REGIO HYPOCHONDRIACA •DEXTRA ET SINISTRA • • > • •REGIO UMBILICALIS > • • •REGIO LATERALIS •DEXTRA ET SINISTRA > • •REGIO PUBICA > • • •REGIO INGUINALIS •DEXTRA ET SINISTRA > PROJECTION OF ORGANS ONTO THE ABDOMINAL WALL File:McBurney's point.jpg •McBurney's point •Lanz’s point • •4 •URETER • 1.pars abdominalis 2.pars pelvina 3.pars intramuralis • ostium ureteris • •LANZ •Labbe’s triangle • •Fundus vesicae biliaris: •Murphy's point ABDOMINAL WALL •SKIN •CAMPER •SCARPA •ABDOMINAL WALL •PANNICULUS ADIPOSUS • •VV. SUBCUTANEAE ABD. • •V. THORACOEPIGASTRICA •V. EPIGASTRICA SPF. •V. CIRCUMFLEXA ILIUM SPF. • •VV. PARAUMBILICALES • • • •PORTAL-CAVAL / PORTAL-SYSTEMIC •ANASTOMOSES • 1.Vv. gastricae – vv. oesophageae 2.Vv. paraumbilicales • (caput Medusae, Burrow’s veins) 3.Plexus rectalis - hemorrhoids 4.Retzius’ veins 5.Vv. hepaticae – vv. phrenicae •A. EPIGASTRICA SPF. •A. CIRCUMFLEXA ILIUM SPF. •AA. INTERCOSTALES •A. SUBCOSTALIS •AA. LUMBALES •A. EPIGASTRICA SUP. •NN. INTERCOSTALES •PLEXUS LUMBALIS •VASA INTERCOSTALIA •NODI LYMPHATICI AXILLARES •NODI LYMPHATICI INGUINALES SPF. •Vagina m. recti abdominis •A. EPIGASTRICA SUP. •A. EPIGASTRICA INF. •A. CIRCUMFLEXA ILIUM PROF. •AA. INTERCOSTALES •A. SUBCOSTALIS •AA. LUMBALES • •CANALIS INGUINALIS • •CANALIS INGUINALIS •CANALIS INGUINALIS • •Posterior wall: •Fascia transversalis • - trigonum inguinale • (Hesselbachi) • - lig. interfoveolare • - anulus inguinalis prof. • •Inguinal hernia -direct -indirect - •CANALIS FEMORALIS •Femoral hernia •*Lacuna vasorum – anulus femoralis •Lacuna musculorum •* CAVITAS PERITONEALIS •CAVITAS PERITONEALIS • • - pars supramesocolica • - pars inframesocolica • • •Pars supramesocolica •(truncus coeliacus) • •Pars inframesocolica • • SPATIUM RETROPERITONEALE •REGIONAL ANATOMY • • OF THE PELVIS • > • > •REGIO PERINEALIS •ANUS •RAPHE •GLANDULAE CIRCUMANALES •REGIO ANALIS •DIAPHRAGMA PELVIS •DEEP PERINEAL POUCH (DIAPHRAGMA UROGENITALE) •FOSSA ISCHIOANALIS (-RECTALIS) •DIAPHRAGMA PELVIS • •- M. LEVATOR ANI – M. ILIOCOCCYGEUS • – M. PUBOCOCCYGEUS • – M. PUBORECTALIS •- M. COCCYGEUS • •Arcus tendineus •m. levatoris ani • •Hiatus •urogenitalis •– •– •FOSSA ISCHIOANALIS •(ISCHIORECTALIS) •CANALIS PUDENDALIS (ALCOCK) •REGIO UROGENITALIS •SPATIUM PERINEI SUPERFICIALE •(SUPERFICIAL PERINEAL POUCH) -M. ISCHIOCAVERNOSUS -M. BULBOSPONGIOSUS -M. SPHINCTER ANI EXTERNUS •PERINEAL MEMBRANE SPATIUM PERINEI PROFUNDUM (DEEP PERINEAL POUCH) -M. TRANSVERSUS PERINEI PROF. -( M. TRANSVERSUS PERINEI SPF.) -M. SPHINCTER URETHRAE EXTERNUS -M. COMPRESSOR URETHRAE •CAVUM PELVIS • •EXCAVATIO RECTOVESICALIS •LIGAMENTUM LATUM UTERI •LIGAMENTUM TERES UTERI •Median section through •the male pelvis • • •1. excavatio rectovesicalis •Median section through •the female pelvis • • 1.excavatio rectouterina (Douglas) 2.excavatio vesicouterina •Illustrations and photographs were copied from: •Atlas der Anatomie des Menschen/Sobotta. •Putz,R., und Pabst,R. 20. Auflage. München: •Urban & Schwarzenberg, 1993 •Netter: Interactive Atlas of Human Anatomy. •Windows Version 2.0 •Čihák R: Anatomie 2 (Splanchnologia). Avicenum, •zdravotnické nakladatelství, Praha, 1988. •