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introdution 1. Bone structures: substance, marrow, periosteum formation Ossification of endochondral process =Cartilage model---epiphyseal plate 2. Synovial joints: Essential structures: articular surface, capsule, and cavity) accessory structures: labrum, articular disc, ligaments Classification: hinge, pivot, saddle, ball-socket, ellipsoidal, plane Spinal nerve Functional components Basic Terminology in Nervous System Main differences between somatic motor and visceral motor n Autonomic nerves Sympathetic n. Lower center of sympathetic n. Peripheral part -pre / postsynaptic fiber white and gray conmmunicating rami three fates of pre/ post ganglionic fibers paravertebral ganglia- sympathetic trunk-chain prevertebral gangliaParasympathetic n.: Lower center: parasympathetic n. in cranial portion at brain stem Parasympathetic ganglia Head Cerebral and facial cranial bones paired and unpaired Nasal sinuses and their commmunicating Oral cavity: proper and vestibular parts Tongue, shape , Structures of tongue, Lingual mucous papillae(taste buds) , muscle Isthmus fauces Palate : soft and hard Deciduous and permanent teeth Major salivary glands(parotid glands and so on) and their opennings Parts of pharynx with their structures Neck 1. Introduction of neck Subdivisions of cervical triangles Cervical deep fascia -three layers Sternocleidomastoid m.(SCM), the other ms. of neck Bones in neck Arteries and veins : carotid artery and jugular vein Branches of external carotid artery(ECA) Main tributaries of internal jugular vein Nerves in the neck 1. cervical plexus, The formation of cervical plexus : Ventral rami of C1-C4 • Branches, cutaneous branches(lesser occipital, great auricular; transverse cervical, supraclavicular ) • phrenic nerve. 2. brachial plexus 3. vagus n, The course and branches and its innervation 4. cervical sympathetic n. 2. Anterior part of neck (1) Contents and relationships in carotid triangle Common carotid artery and external/internal carotid artery, the branches of external carotid artery: Bifurcation, two receptors. Internal jugular veins (2) Contents in muscular triangle Thyroid gland, shape : lateral lobes and isthmus -true and false coverings Blood Supply (3) Larynx location Laryngeal cartilages: thyroid cartilage, arytenoid/ cricoid cartilage, epiglottis , Conus elasticus, Laryngeal cavity: vocal folds, vestibular folds Rima glottidis Vestibule, ventricle and infraglottic cavity innervation of larynx (4) trachea Pharynx • Location • Subdivisions and structures: • Nasopharynx(pharyngeal tonsils) oropharynx(palatine tonsils); laryngopharynx(piriform recesses) • Esophagus 3. Sternocleidomastoid region , Posterior Triangle and Root of the neck Contents margined or covered by SCM 3 segments of subclavian artery Venous angle Scalenus fissure with its contents Triangle of vertebral A Relationships related with M. scalenus anterior. Thorax 1 . Thoracic cage Composition of thoracic cage Features of Rib and Sternum Chest wall, superior thoracic aperture 2. Muscles: Pectoral major/minor, anterior serratus External/internal/innermost intercostals , diaphragm: hiatus 3.Intercostal nerve and artery 11 pair Intercostal nerve: anterior rami of T1-T11, subcostal nerve Posterior intercostal artery 4 .Internal thoracic artery 2. Lung General features of lung, cardiac notch, apex, three surfaces. Borders horizontal/oblique fissure. Lobes Pulmonary root = Root of lung : contents and arrangement The difference between left and right main Bronchi Bronchopulmonary segments 3. Pleura parietal pleura and visceral pleura pleural recesses Costodiaphragmatic recesses 3. Heart (1) External appearance Apex, base, surfaces, grooves (2) Chambers of the heart Right atrium/left atrium Fossa ovalis, pectinate muscles, openings Right ventricle/left ventricle papillary muscles, tendinous cords , trabeculae carneae Septomarginal trabecula Tricuspid / mitral complex Tricuspid/mitral valve; pulmonary/aortic valve, conus arteriosus /aortic vestibule (outflow part) Structure of the heart: endocardium, muscle, epicardium (3) Conduction system of heart: SA, AV node, bundle (4) Right and left coronary artery: Main branches and supplying (5)Coronary sinus (6)Pericardium and Pericardium sinus Mediastinum Superior mediastinum Contents in superior mediastinum: layers and relationships Relations of aortic arch Triangule of ductus arteriosus = triangle of arterial duct 3. Posterior mediastinum Three constrictions Esophagus Relations of esophagus Thoracic aorta & its branches Azygos system lymphatic duct Nerves in thorax: phrenic, vagus nerve, recurrent laryngeal nerve Sym. Chain Structures passing at sternal angle Structures at right and left aspects of mediastinum Upper and lower esophageal triangles