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Cross Sectional Anatomy Chris Kowtko, MSRS, R.T. (R)(M) ABDOMEN Musculo-Skeletal System Psoas muscle Crura of Diaphragm Vertebra Ilium Pubic Ribs ABDOMEN Digestive system Esophagus Stomach Small intestine Large intestine Accessory organs • Liver & gall bladder • Bile ducts • Pancreas Esophagus Anterior to vertebral bodies; aorta Posterior & medial to stomach Stomach Fundus-superior to EG junction; very posterior Body-more anterior than fundus Pylorusretroperitoneal & medial Small Intestine Duodenumretroperitoneal Jejunum-anterior midabdomen Ileum-anterior in pelvis Large intestine Cecum-retroperitoneal Ascending colonretroperitoneal Hepatic flexure-posterior Transverse colon-most anterior Splenic flexure-most superior Descending colonretroperitoneal Sigmoid colonanterior Rectumretroperitoneal Accessory Organs Liver Right lobe Left lobe Quadrate lobe Caudate lobe Falciform ligament Ligamentum venosum Gall bladder Pancreas Head Tail Body Lymphatic System Spleen LUQ Posterior to stomach Endocrine System Adrenal Glands Retroperitoneal Superior poles of kidneys Urinary System Kidneys Ureters Urinary Bladder Urethra Kidneys Retroperitoneal Cortex-doughnut Rt-post. to liver Lt-post. to stomach, pancreas, spleen Ureters Retroperitoneal Ant. to IIA & IIV; Post. to EIA & EIV Urinary Bladder Post. to symphysis Urethra Vascular System Arterial Phase Venous Phase Hepatic-Portal system Veins larger in diameter Upper abd-Veins anterior to arteries Lower abd/Pelvisarteries anterior to veins ABDOMEN Abdominal Aorta Fairly midline Celiac Trunk Branches: Left Gastric Splenic artery Hepatic artery Superior Mesenteric Artery Just below Celiac Same level as Lt renal vein entering IVC Renal Arteries Inferior to SMA Rt-longer Lt-superior to Rt Common Iliac Arteries Bifurcation of Aorta Level of L4 Superior to formation of IVC Internal iliac arteries Posterior to external External iliac arteries IIA posterior to EIA ABDOMEN Venous Phase Inferior vena cava Renal v. Common iliac v. Internal iliac v. External iliac v. Hepatic-Portal System Hepatic v. Portal v. Splenic v. Superior mesentaric v. Inferior mesentaric v. Internal & External Iliac veins Common Iliac veins Inferior Vena Cava Ascends on Rt side of Aorta Largest vein Retroperitoneal Renal veins Lateral aspects of IVC Lt-longer; Anterior to aorta Hepatic veins Drain into IVC Superior to Portal vein Most superior of liver vessels Hepatic Portal System Porta Hepatis Portal vein: IMV SMV Splenic vein CHEST Cardiovascular System Heart Great vessels • • • • • Aorta Superior vena cava Inferior vena cava Pulmonary artery Pulmonary vein Respiratory System Trachea Primary bronchii R & L lung Respiratory System Trachea Primary bronchii R & L lung Heart 4 chambers • • • • Right atrium Right ventricle Left atrium Left ventricle Right Atrium Right Ventricle most anterior Left Atrium most superior most posterior Left ventricle most inferior Arterial Phase Aortic arch • Brachiocephalic a. • R Common carotid a. • R Subclavian a. • L Common carotid a. • L Subclavian a. Aortic Arch Ascending Aorta Descending Aorta Venous Phase Superior vena cava •R&L Brachiocephalic v. Superior Vena Cava Pulmonary Phase Pulmonary trunk/artery • R & L Pulmonary Arteries Pulmonary veins 2 from Right 2 from Left