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Atlas A Lecture Outline A-1 Copyright (c) The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Atlas A (Orientation to Anatomy) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Thyroid cartilage of larynx Thyroid gland • • • • • Anatomical position Anatomical planes Directional terms Body regions Body cavities and membranes • Organ systems • Visual survey of the body Brachial nerve plexus Brachiocephalic v. Subclavian v. Subclavian a. Aortic arch Superior vena cava Coracobrachialis m. Humerus Axillary v. Axillary a. Cephalic v. Brachial v. Brachial a. Heart Lobes of lung Spleen Stomach Large intestine Small intestine Cecum Appendix Tensor fasciae latae m. Penis (cut) Pectineus m. Adductor longus m. Gracilis m. Ductus deferens Epididymis Testis Scrotum Adductor magnus m. Rectus femoris m. Figure A.14 A-2 Anatomical Position Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. • • • • Person stands erect Feet flat on floor Arms at sides Palms, face & eyes facing forward • Standard frame of reference for anatomical descriptions & dissection © McGraw-Hill Companies/Joe DeGrandis, photographer Figure A.1 A-3 Forearm Positions Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. • When supinated – palms face forward or upward – radius & ulna are parallel • When pronated – palms face rearward or downward – radius & ulna are crossed Figure A.2 A-4 Anatomical Planes and Sections Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Frontal plane Transverse plane • Section implies actual cut or slice to reveal internal anatomy • Plane implies an imaginary flat surface passing through the body – Sagittal plane divides body into right and left regions • median (midsagittal) plane divides body or organ into equal halves Sagittal plane © McGraw-Hill Companies/Joe DeGrandis, photographer Figure A.3 – Frontal (coronal) plane divides body into anterior (front) & posterior (back) portions – Transverse (horizontal) plane divides the body into superior (upper) & inferior (lower) portions A-5 Anatomical Sections Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) Sagittal section (b) Frontal section (c) Transverse section Sagittal Frontal Figure A.4 Transverse A-6 Directional Terms Ventral / Dorsal Anterior /Posterior Superior / Inferior Proximal / Distal Medial / Lateral Superficial / Deep Cephalic Rostral Caudal • Intermediate directions - often given as combinations of these terms (ex. dorsolateral) • Different meanings for humans and four-legged animals – anterior = ventral surface of human – front of chest & abdomen – anterior (cranial) in a four-legged animal is head end – posterior = dorsal surface of human – last in locomotion – back side – posterior (caudal) in a four-legged animal is tail end A-7 Body Regions • Axial region = head, neck, & trunk – thoracic region = trunk above diaphragm – abdominal region = trunk below diaphragm • divided into quadrants • divided into nine regions by tic-tac-toe grid • Appendicular region = upper & lower limbs – upper limb • arm (brachial region), forearm (antebrachial region), wrist (carpal region), hand (manual region), fingers (digits) – lower limb • thigh (femoral region), leg (crural region), ankle (tarsal region), foot (pedal region), toes (digits) A-8 Abdominal Quadrants and Regions Quadrants Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant Regions Hypochondriac region Subcostal line Epigastric region Lumbar region Umbilical region Intertubercular line Inguinal region Midclavicular line (a) Hypogastric region (c) Figure A.6 A-9 Anatomical Terminology (ventral) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cephalic r. (head) Facial r. (face) Cervical r. (neck) Upper limb: Acromial r. (shoulder) Thoracic r. (chest): Sternal r. Pectoral r. Axillary r. (armpit) Brachial r. (arm) Cubital r. (elbow) Umbilical r. Antebrachial r. (forearm) Abdominal r. Inguinal r. (groin) Carpal r. (wrist) Pubic r.: Mons pubis Palmar r. (palm) External genitalia: Penis Scrotum Testes Lower limb: Coxal r. (hip) Patellar r. (knee) Lower limb: Femoral r. (thigh) Crural r. (leg) Tarsal r. (ankle) Pedal r. (foot): Dorsum Plantar surface (sole) (a) Anterior (ventral) (b) Anterior (ventral) © McGraw-Hill Companies/Joe DeGrandis, photographer Figure A.5 A-10 Anatomical Terminology (dorsal) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cranial r. Nuchal r. (back of neck) Interscapular r. Scapular r. Vertebral r. Lumbar r. Sacral r. Gluteal r. (buttock) Dorsum of hand Perineal r. Femoral r. Popliteal r. Crural r. Tarsal r. Calcaneal r. (heel) (c) Posterior (dorsal) (d) Posterior (dorsal) © McGraw-Hill Companies/Joe DeGrandis, photographer Figure A.5 A-11 Body Cavities and Membranes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cranial cavity Vertebral canal Thoracic cavity • Major body cavities – cranial cavity – vertebral canal • meninges Diaphragm – thoracic cavity – abdominopelvic cavity Abdominal cavity • abdominal cavity • pelvic cavity Pelvic cavity • Lined by serous membranes (a) Left lateral view Figure A.7 • Filled with viscera A-12 Cranial Cavity & Vertebral Canal Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cranial cavity Vertebral canal – cranial cavity • contains brain • lined with meninges Thoracic cavity Diaphragm – vertebral canal • contains the spinal cord • lined with meninges Abdominal cavity Pelvic cavity (a) Left lateral view Figure A.7 A-13 Thoracic Cavity • Mediastinum - region between lungs – heart, major blood vessels, esophagus, trachea, & thymus Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Thoracic cavity: • Pericardium – around heart – – – – visceral pericardium parietal pericardium pericardial cavity pericardial fluid Pleural cavity Mediastinum Pericardial cavity Diaphragm Abdominopelvic cavity: Abdominal cavity • Pleura – around lungs – – – – visceral pleura parietal pleura pericardial cavity pericardial fluid Pelvic cavity (b) Anterior view Figure A.7 A-14 Pericardial Membranes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Parietal pericardium Pericardial cavity Visceral pericardium Heart Diaphragm (a) Pericardium Figure A.8a A-15 Pleural Membranes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Parietal pleura Pleural cavity Visceral pleura Lung Diaphragm (b) Pleurae Figure A.8b A-16 Abdominopelvic Cavity Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Thoracic cavity: Pleural cavity Mediastinum Pericardial cavity Diaphragm Abdominopelvic cavity: Abdominal cavity Pelvic cavity Figure A.7 (b) Anterior view • Pelvic brim separates abdominal & pelvic cavities – abdominal cavity contains most digestive organs, kidneys & ureters – pelvic cavity contains rectum, urinary bladder, urethra & reproductive organs • Peritoneum - Serous Membranes of Abdominopelvic cavity – visceral peritoneum – parietal peritoneum - peritoneal cavity - peritoneal fluid A-17 Retroperitoneal Organs Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Posterior Back muscles 2nd lumbar vertebra Kidney Spinal cord Liver Renal vein and artery Fat Inferior vena cava Dorsal mesentery Aorta Parietal peritoneum Intestine Visceral peritoneum (serosa) Peritoneal cavity Omentum or other ventral mesentery Anterior Kidneys, Ureters, Adrenal Glands, most of Pancreas, Abdominal portions of Aorta and Inferior Vena Cava Figure A.9 A-18 Intraperitoneal Organs organs encircled by peritoneum and connected to posterior body wall by peritoneal sheets • dorsal mesentery – suspends intestines from posterior abdominal wall – mesocolon – dorsal mesentery of large intestine • ventral mesentery – suspends viscera from anterior abdominal wall – greater omentum – inferolateral border of stomach – overlies intestines - ‘fatty apron’ – lesser omentum – superomedial border of stomach to liver • serosa – outer layer of an organ formed when the visceral peritoneum divides and wraps around the organ A-19 Membranes of Abdominal Cavity Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Diaphragm Liver Serosae Stomach Lesser omentum Pancreas Greater omentum Duodenum Large intestine Dorsal mesentery Small intestine Parietal peritoneum Peritoneal cavity Urinary bladder Visceral peritoneum Rectum Figure A.10 A-20 Potential Spaces • Found between two membranes normally pressed firmly together – not physically attached, may separate, and fill with fluid in unusual situations • Examples – pleural cavity • air or fluid can accumulate between parietal and visceral pleura forming a space – uterus • in a nonpregnant uterus, mucous membranes of walls are in contact A-21 11 Organ Systems • Protection, Support, and Movement – Integumentary System – Skeletal System – Muscular System • Internal Communications & Integration – Nervous System – Endocrine System • Fluid Transport – Circulatory System – Lymphatic System • Defense – Immune (Lymphatic System) • Input and Output – Respiratory System – Urinary System – Digestive System • Reproduction – Reproductive System A-22 Organ Systems (1) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Principal organs: Skin, hair , nails, cutaneous glands Principal functions: Protection, water retention, thermoregulation, vitamin D synthesis, cutaneous sensation, nonverbal communication Integumentary system Principal organs: Bones, cartilages, ligaments Principal functions: Support, movement, protective enclosure of viscera, blood formation, electrolyte and acid–base balance Skeletal system Principal organs: Skeletal muscles Principal functions: Movement, stability , communication, control of body openings, heat production Muscular system Principal organs: Lymph nodes, lymphatic vessels, thymus, spleen, tonsils Principal functions: Recovery of excess tissue fluid, detection of pathogens, production of immune cells, defense against disease Lymphatic system Figure A.11 A-23 Organ Systems (2) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Principal organs: Nose, pharynx, larynx, trachea, bronchi, lungs Principal organs: Kidneys, ureters, urinary bladder , urethra Principal functions: Absorption of oxygen, discharge of carbon dioxide, acid–base balance, speech Principal functions: Elimination of wastes; regulation of blood volume and pressure; stimulation of red blood cell formation; control of fluid, electrolyte, and acid-base balance; detoxification Respiratory system Urinary system Principal organs: Brain, spinal cord, nerves, ganglia Principal functions: Rapid internal communication, coordination, motor control and sensation Nervous system Principal organs: Pituitary gland, pineal gland, thyroid gland, parathyroid glands, thymus, adrenal glands, pancreas, testes, ovaries Principal functions: Hormone production ; internal chemical communication and coordination Endocrine system Figure A.11 A-24 Organ Systems (3) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Principal organs: Heart, blood vessels Principal functions: Distribution of nutrients, oxygen, wastes, hormones, electrolytes, heat, immune cells, and antibodies; fluid, electrolyte, and acid-base balance Circulatory system Principal organs: Teeth, tongue, salivary glands, esophagus, stomach, small and large intestines, liver, gallbladder, pancreas Principal functions: Nutrient breakdown and absorption. Liver functions include metabolism of carbohydrates, lipids, proteins, vitamins, and minerals; synthesis of plasma proteins; disposal of drugs, toxins, and hormones; and cleansing of blood. Digestive system Principal organs: Testes, epididymides, spermatic ducts, seminal vesicles, prostate gland, bulbourethral glands, penis Principal functions: Production and delivery of sperm; secretion of sex hormones Male reproductive system Principal organs: Ovaries, uterine tubes, uterus, vagina, mammary glands Principal functions: Production of eggs; site of fertilization and fetal development; fetal nourishment; birth; lactation; secretion of sex hormones( Female reproductive system Figure A.11 A-25 Superficial Anatomy (female) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Platysma Trapezius m. Clavicle Deltoid m. Pectoralis major m. Cephalic v. Breast Biceps brachii m. External abdominal oblique m. Sheath of rectus abdominis m. Umbilicus Anterior superior spine of ilium Inguinal ligament Tensor fasciae latae m. Sartorius m. Mons pubis Femoral vein Adductor longus m. Great saphenous vein Gracilis m. Vastus lateralis m. Rectus femoris m. Figure A.12 A-26 Visceral Anatomy (male) 1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Internal jugular v. External jugular v. Omohyoid m. Clavicle Internal intercostal mm. External intercostal mm. Costal cartilages Common carotid a. Sternum Subscapularis m. Coracobrachialis m. Lung Pericardium Pleura Diaphragm Liver Stomach Gallbladder External abdominal oblique m. Internal abdominal oblique m. Transverse abdominal m. Greater omentum Large intestine Urinary bladder Penis Scrotum Femoral n. Femoral a. Femoral v. Figure A.13 A-27 Visceral Anatomy (male) 2 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Thyroid cartilage of larynx Thyroid gland Brachial nerve plexus Brachiocephalic v. Subclavian v. Subclavian a. Aortic arch Superior vena cava Coracobrachialis m. Humerus Axillary v. Axillary a. Cephalic v. Brachial v. Brachial a. Heart Lobes of lung Spleen Stomach Large intestine Small intestine Cecum Appendix Tensor fasciae latae m. Penis (cut) Pectineus m. Adductor longus m. Gracilis m. Ductus deferens Epididymis Testis Scrotum Adductor magnus m. Rectus femoris m. Figure A.14 A-28 Retroperitoneal Anatomy (female) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Trachea Superior vena cava Bronchus Esophagus Pleural cavity Hepatic vv. Inferior vena cava Splenic a. Duodenum Lung (sectioned) Thoracic aorta Spleen Adrenal gland Pancreas Superior mesenteric v . Kidney Superior mesenteric a. Abdominal aorta Inferior mesenteric a. Common iliac a. Ureter Ovary Uterine tube Uterus Urinary bladder Pectineus m. Gracilis m. Tensor fasciae latae m. (cut) Sartorius m. (cut) Rectus femoris m. (cut) Adductor brevis m. Vastus intermedius m. Adductor longus m. Adductor longus m. (cut) Vastus lateralis m. Vastus medialis m. Figure A.15 A-29 Dorsal Body Wall (female) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Right common carotid a. Right subclavian a. Left common carotid a. Left subclavian a. Brachiocephalic trunk External intercostal m. Ribs Internal intercostal m. Thoracic aorta Esophagus Diaphragm Abdominal aorta Quadratus lumborum m. Intervertebral disc Lumbar vertebra Iliac crest Psoas major m. Ilium Iliacus m. Sacrum Gluteus medius m. Anterior superior spine of ilium Brim of pelvis Rectum Vagina Urethra Adductor magnus m. Femur Gracilis m. Adductor longus m. Adductor brevis m. Figure A.16 A-30 Median Section of the Head Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Scalp Cranium Cerebrum Frontal sinus Brainstem Nasal cavity Cerebellum Palate Oral cavity Foramen magnum of skull Tongue Spinal cord Epiglottis Pharynx Vertebral column Vocal cord Larynx Intervertebral discs Trachea Esophagus Figure A.17 A-31 © McGraw-Hill Companies/Rebecca Gray, photographer/Don Kincaid, dissections Dissection of Thoracic Cavity Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Internal jugular v. Subclavian v. Nerves Lungs Ribs Heart Diaphragm Figure A.18 A-32 © McGraw-Hill Companies Transverse Section of Thorax Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Anterior Pectoralis major m. Fat of breast Sternum Ventricles of heart Ribs Pericardial cavity Right lung Esophagus Atria of heart Aorta Vertebra Left lung Spinal cord Pleural cavity Posterior © McGraw-Hill Companies/Rebecca Gray, photographer/Don Kincaid, dissections Figure A.19 A-33 Dissection of Abdomen Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Lung Diaphragm Transverse colon Gallbladder Small intestine Mesenteric arteries and veins Mesentery Descending colon Cecum Figure A.20 Sigmoid colon © McGraw-Hill Companies/Rebecca Gray, photographer/Don Kincaid, dissections A-34 Transverse Section of Abdomen Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Duodenum Anterior Stomach Subcutaneous fat Rectus abdominis m. Large intestine Superior mesenteric artery and vein Pancreas Inferior vena cava Liver Kidney Peritoneal cavity Perirenal fat of kidney Peritoneum Aorta Erector spinae m. Vertebra Posterior Spinal cord © McGraw-Hill Companies/Rebecca Gray, photographer/Don Kincaid, dissections Figure A.21 A-35 Median Section of Male Pelvic Region Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Urinary bladder Sigmoid colon Pubic symphysis Seminal vesicle Prostate gland Penis: Root Bulb Rectum Anal canal Shaft: Corpus cavernosum Anus Corpus spongiosum Epididymis Scrotum Glans Testis Figure A.22 (a) Male © The McGraw-Hill Companies, Inc./Dennis Strete, photographer A-36 Median Section of Female Pelvic Region Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Vertebra Red bone marrow Mesentery Intervertebral disc Small intestine Sacrum Sigmoid colon Uterus Cervix Urinary bladder Pubic symphysis Urethra Vagina Rectum Anal canal Anus Labium minus Prepuce Labium majus Figure A.22 (b) Female © McGraw-Hill Companies/Rebecca Gray, photographer/Don Kincaid, dissections A-37