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ویرایش: 4 نویسندگان: Richard Drake, A Wayne Vogl, Adam W M Mitchell سری: Eğitim Tanrısı ISBN (شابک) : 0323393047, 9780323393041 ناشر: Elsevier سال نشر: 2019 تعداد صفحات: 1234 زبان: English فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 190 مگابایت
در صورت تبدیل فایل کتاب Gray’s Anatomy for Students به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب آناتومی گری برای دانش آموزان نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
آسان برای خواندن، فوق العاده مصور و از نظر بالینی مرتبط،Gray's Anatomy for Students، ویرایش چهارم، متنی است که دانشجویان پزشکی برای اطلاعات ضروری در آناتومی انسان استفاده می کنند. این جلد کاملاً تجدید نظر شده بر روی اطلاعات اصلی که دانشآموزان باید بدانند، در قالبی با دسترسی آسان و با ابزارهای چندرسانهای اضافی که مطالعه مؤثر و تسلط بر مطالب را تسهیل میکند، تمرکز دارد. تیمی از نویسندگان متخصص و مشاوران جهانی تجربیات آموزشی و بالینی گسترده خود را به اشتراک می گذارند که بابیش از 1000 تصویر بدیع و بدیعدر سراسر متن برجسته شده است.
Easy to read, superbly illustrated, and clinically relevant,Gray's Anatomy for Students, 4th Edition, is medical students' go-to text for essential information in human anatomy. This fully revised volume focuses on the core information students need to know, in an easy-access format and with additional multimedia tools that facilitate effective study and mastery of the material. A team of expert authors and global advisors share their extensive teaching and clinical experience, highlighted bymore than 1,000 innovative, original illustrationsthroughout the text.
Front Cover 1 The Body ADDITIONAL LEARNING RESOURCES for Chapter 1, The Body, on STUDENT CONSULT (www.studentconsult.com) What is anatomy? How can gross anatomy be studied? Important anatomical terms The anatomical position Anatomical planes Terms to describe location Anterior (ventral) and posterior (dorsal), medial and lateral, superior and inferior Proximal and distal, cranial and caudal, and rostral Superficial and deep Imaging Diagnostic imaging techniques Plain radiography Contrast agents Subtraction angiography Ultrasound Doppler ultrasound Computed tomography Magnetic resonance imaging Diffusion-weighted imaging Nuclear medicine imaging Positron emission tomography Single photon emission computed tomography Image interpretation Plain radiography Chest radiograph Abdominal radiograph Gastrointestinal contrast examinations Urological contrast studies Computed tomography Magnetic resonance imaging Nuclear medicine imaging Safety in imaging Body systems Skeletal system Cartilage Bone Joints Synovial joints Descriptions of synovial joints based on shape and movement Specific types of synovial joints (Fig. 1.20) Solid joints Skin and fascias Skin Fascia Muscular system Cardiovascular system Lymphatic system Lymphatic vessels Lymph nodes Lymphatic trunks and ducts Nervous system Central nervous system Brain Spinal cord Meninges Functional subdivisions of the CNS Somatic part of the nervous system Dermatomes Myotomes Visceral part of the nervous system Terminology Sympathetic system 1. Peripheral sympathetic innervation at the level of origin of the preganglionic fiber 2. Peripheral sympathetic innervation above or below the level of origin of the preganglionic fiber 3. Sympathetic innervation of thoracic and cervical viscera 4. Sympathetic innervation of the abdomen and pelvic regions and the adrenals Parasympathetic system Sacral preganglionic parasympathetic fibers Cranial nerve preganglionic parasympathetic fibers Visceral sensory innervation (visceral afferents) Visceral sensory fibers accompany sympathetic fibers Visceral sensory fibers accompany parasympathetic fibers The enteric system Nerve plexuses Somatic plexuses Visceral plexuses Other systems Clinical cases 2 Back ADDITIONAL LEARNING RESOURCES for Chapter 2, Back, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General description Functions Support Movement Protection of the nervous system Component parts Bones Typical vertebra Muscles Vertebral canal Spinal nerves Relationship to other regions Head Thorax, abdomen, and pelvis Limbs Key features Long vertebral column and short spinal cord Intervertebral foramina and spinal nerves Innervation of the back Regional anatomy Skeletal framework Vertebrae Typical vertebra Cervical vertebrae Atlas and axis Thoracic vertebrae Lumbar vertebrae Sacrum Coccyx Intervertebral foramina Posterior spaces between vertebral arches Joints Joints between vertebrae in the back Symphyses between vertebral bodies (intervertebral discs) Joints between vertebral arches (zygapophysial joints) “Uncovertebral” joints Ligaments Anterior and posterior longitudinal ligaments Ligamenta flava Supraspinous ligament and ligamentum nuchae Interspinous ligaments Back musculature Superficial group of back muscles Trapezius Latissimus dorsi Levator scapulae Rhomboid minor and rhomboid major Intermediate group of back muscles Deep group of back muscles Thoracolumbar fascia Spinotransversales muscles Erector spinae muscles Transversospinales muscles Segmental muscles Suboccipital muscles Spinal cord Vasculature Arteries Veins Meninges Spinal dura mater Arachnoid mater Subarachnoid space Pia mater Arrangement of structures in the vertebral canal Spinal nerves Nomenclature of spinal nerves Surface anatomy Back surface anatomy Absence of lateral curvatures Primary and secondary curvatures in the sagittal plane Useful nonvertebral skeletal landmarks How to identify specific vertebral spinous processes Visualizing the inferior ends of the spinal cord and subarachnoid space Identifying major muscles Clinical cases 3 Thorax ADDITIONAL LEARNING RESOURCES for Chapter 3, Thorax, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General description Functions Breathing Protection of vital organs Conduit Component parts Thoracic wall Superior thoracic aperture Inferior thoracic aperture Diaphragm Mediastinum Pleural cavities Relationship to other regions Neck Upper limb Abdomen Breast Key features Vertebral level TIV/V Venous shunts from left to right Segmental neurovascular supply of thoracic wall Sympathetic system Flexible wall and inferior thoracic aperture Innervation of the diaphragm Regional anatomy Pectoral region Breast Arterial supply Venous drainage Innervation Lymphatic drainage Breast in men Muscles of the pectoral region Pectoralis major Subclavius and pectoralis minor muscles Thoracic wall Skeletal framework Thoracic vertebrae Typical thoracic vertebra Articulation with ribs Ribs Distinct features of upper and lower ribs Rib I Rib II Rib X Ribs XI and XII Sternum Manubrium of the sternum Body of the sternum Xiphoid process Joints Costovertebral joints Joint with head of rib Costotransverse joints Sternocostal joints Interchondral joints Manubriosternal and xiphisternal joints Intercostal spaces Muscles Intercostal muscles External intercostal muscles Internal intercostal muscles Innermost intercostal muscles Subcostales Transversus thoracis muscles Arterial supply Posterior intercostal arteries Anterior intercostal arteries Venous drainage Lymphatic drainage Innervation Intercostal nerves Diaphragm Arterial supply Venous drainage Innervation Movements of the thoracic wall and diaphragm during breathing Pleural cavities Pleura Parietal pleura Peripheral reflections Visceral pleura Pleural recesses Costomediastinal recesses Costodiaphragmatic recesses Lungs Root and hilum Right lung Left lung Bronchial tree Bronchopulmonary segments Pulmonary arteries Right pulmonary artery Left pulmonary artery Pulmonary veins Bronchial arteries and veins Innervation Lymphatic drainage Mediastinum Anterior mediastinum Middle mediastinum Pericardium Fibrous pericardium Serous pericardium Vessels and nerves Heart Cardiac orientation Base (posterior surface) and apex Surfaces of the heart Margins and borders External sulci Cardiac chambers Right atrium Right ventricle Tricuspid valve Pulmonary valve Left atrium Left ventricle Mitral valve Aortic valve Cardiac skeleton Coronary vasculature Coronary arteries Right coronary artery. Left coronary artery. Variations in the distribution patterns of coronary arteries. Cardiac veins Great cardiac vein. Middle cardiac vein. Small cardiac vein. Posterior cardiac vein. Other cardiac veins. Coronary lymphatics Cardiac conduction system Sinu-atrial node Atrioventricular node Atrioventricular bundle Cardiac innervation Parasympathetic innervation Sympathetic innervation Visceral afferents Pulmonary trunk Ascending aorta Other vasculature Superior mediastinum Thymus Right and left brachiocephalic veins Left superior intercostal vein Superior vena cava Arch of aorta and its branches The first branch The second branch The third branch Ligamentum arteriosum Trachea and esophagus Nerves of the superior mediastinum Vagus nerves Right vagus nerve Left vagus nerve Phrenic nerves Right phrenic nerve Left phrenic nerve Thoracic duct in the superior mediastinum Posterior mediastinum Esophagus Relationships to important structures in the posterior mediastinum Arterial supply and venous and lymphatic drainage Innervation Esophageal plexus Thoracic aorta Azygos system of veins Azygos vein Hemiazygos vein Accessory hemiazygos vein Thoracic duct in the posterior mediastinum Sympathetic trunks Branches from the ganglia Surface anatomy Thorax surface anatomy How to count ribs Surface anatomy of the breast in women Visualizing structures at the TIV/V vertebral level Visualizing structures in the superior mediastinum Visualizing the margins of the heart Where to listen for heart sounds Visualizing the pleural cavities and lungs, pleural recesses, and lung lobes and fissures Where to listen for lung sounds Clinical cases 4 Abdomen ADDITIONAL LEARNING RESOURCES for Chapter 4, Abdomen, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General description Functions Houses and protects major viscera Breathing Changes in intraabdominal pressure Component parts Wall Abdominal cavity Inferior thoracic aperture Diaphragm Pelvic inlet Relationship to other regions Thorax Pelvis Lower limb Key features Arrangement of abdominal viscera in the adult Development of the foregut Development of the midgut Development of the hindgut Skin and muscles of the anterior and lateral abdominal wall and thoracic intercostal nerves The groin is a weak area in the anterior abdominal wall Vertebral level LI The gastrointestinal system and its derivatives are supplied by three major arteries Venous shunts from left to right All venous drainage from the gastrointestinal system passes through the liver Portacaval anastomoses Blockage of the hepatic portal vein or of vascular channels in the liver Abdominal viscera are supplied by a large prevertebral plexus Regional anatomy Surface topography Four-quadrant pattern Nine-region pattern Abdominal wall Superficial fascia Superficial layer Deeper layer Anterolateral muscles Flat muscles External oblique Associated ligaments Internal oblique Transversus abdominis Transversalis fascia Vertical muscles Rectus abdominis Pyramidalis Rectus sheath Extraperitoneal fascia Peritoneum Innervation Arterial supply and venous drainage Lymphatic drainage Groin Inguinal canal Deep inguinal ring Superficial inguinal ring Anterior wall Posterior wall Roof Floor Contents Spermatic cord Round ligament of the uterus Inguinal hernias Indirect inguinal hernias Direct inguinal hernias Abdominal viscera Peritoneum Innervation of the peritoneum Peritoneal cavity Omenta, mesenteries, and ligaments Omenta Greater omentum Lesser omentum Mesenteries Mesentery Transverse mesocolon Sigmoid mesocolon Ligaments Organs Abdominal esophagus Stomach Small intestine Duodenum Jejunum Ileum Large intestine Cecum and appendix Colon Rectum and anal canal Liver Diaphragmatic surface Visceral surface Associated ligaments Lobes Gallbladder Pancreas Duct system for bile Spleen Arterial supply Anterior branches of the abdominal aorta Celiac trunk Left gastric artery Splenic artery Common hepatic artery Superior mesenteric artery Inferior pancreaticoduodenal artery Jejunal and ileal arteries Middle colic artery Right colic artery Ileocolic artery Inferior mesenteric artery Left colic artery Sigmoid arteries Superior rectal artery Venous drainage Portal vein Splenic vein Superior mesenteric vein Inferior mesenteric vein Lymphatics Innervation Sympathetic trunks Splanchnic nerves Thoracic splanchnic nerves Lumbar and sacral splanchnic nerves Pelvic splanchnic nerves Abdominal prevertebral plexus and ganglia Parasympathetic innervation Vagus nerves Pelvic splanchnic nerves Enteric system Sympathetic innervation of the stomach Posterior abdominal region Posterior abdominal wall Bones Lumbar vertebrae and the sacrum Pelvic bones Ribs Muscles Psoas major and minor Quadratus lumborum Iliacus Diaphragm Structures passing through or around the diaphragm Domes Blood supply Innervation Viscera Kidneys Relationships to other structures Renal fat and fascia Kidney structure Renal vasculature and lymphatics Ureters Ureteric vasculature and lymphatics Ureteric innervation Suprarenal glands Suprarenal vasculature Suprarenal innervation Vasculature Abdominal aorta Visceral branches Posterior branches Inferior phrenic arteries Lumbar arteries Median sacral artery Inferior vena cava Lymphatic system Pre-aortic and lateral aortic or lumbar nodes (para-aortic nodes) Nervous system in the posterior abdominal region Sympathetic trunks and splanchnic nerves Abdominal prevertebral plexus and ganglia Lumbar plexus Iliohypogastric and ilio-inguinal nerves (L1) Iliohypogastric nerve Ilio-inguinal nerve Genitofemoral nerve (L1 and L2) Lateral cutaneous nerve of thigh (L2 and L3) Obturator nerve (L2 to L4) Femoral nerve (L2 to L4) Surface anatomy Abdomen surface anatomy Defining the surface projection of the abdomen How to find the superficial inguinal ring How to determine lumbar vertebral levels Visualizing structures at the LI vertebral level Visualizing the position of major blood vessels Using abdominal quadrants to locate major viscera Defining surface regions to which pain from the gut is referred Where to find the kidneys Where to find the spleen Clinical cases 5 Pelvis and Perineum ADDITIONAL LEARNING RESOURCES for Chapter 5, Pelvis and Perineum, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General description Functions Contains and supports the bladder, rectum, anal canal, and reproductive tracts Anchors the roots of the external genitalia Component parts Pelvic inlet Pelvic walls Pelvic outlet Pelvic floor Pelvic cavity Perineum Relationship to other regions Abdomen Lower limb Key features The pelvic cavity projects posteriorly Important structures cross the ureters in the pelvic cavity The prostate in men and the uterus in women are anterior to the rectum The perineum is innervated by sacral spinal cord segments Nerves are related to bone Parasympathetic innervation from spinal cord levels S2 to S4 controls erection Muscles and fascia of the pelvic floor and perineum intersect at the perineal body The course of the urethra is different in men and women Regional anatomy Pelvis Bones Pelvic bone Components of the pelvic bone Ilium Pubis Ischium Sacrum Coccyx Joints Lumbosacral joints Sacro-iliac joints Pubic symphysis joint Orientation Differences between men and women True pelvis Pelvic inlet Pelvic wall Ligaments of the pelvic wall Muscles of the pelvic wall Obturator internus Piriformis Apertures in the pelvic wall Obturator canal Greater sciatic foramen Lesser sciatic foramen Pelvic outlet Pelvic floor The pelvic diaphragm Levator ani Coccygeus The perineal membrane and deep perineal pouch Perineal body Viscera Gastrointestinal system Rectum Anal canal Urinary system Ureters Bladder Neck of bladder Urethra In women In men Preprostatic part. Prostatic part. Membranous part. Spongy urethra. Reproductive system In men Testes Epididymis Ductus deferens Seminal vesicle Prostate Bulbo-urethral glands In women Ovaries Uterus Uterine tubes Cervix Vagina Fascia In women In men Peritoneum In women Broad ligament In men Nerves Somatic plexuses Sacral and coccygeal plexuses Sacral plexus Sciatic nerve. Pudendal nerve. Other branches of the sacral plexus. Coccygeal plexus Visceral plexuses Paravertebral sympathetic chain Pelvic extensions of the prevertebral plexus Sympathetic fibers Parasympathetic fibers Visceral afferent fibers Blood vessels Arteries Internal iliac artery Posterior trunk Anterior trunk Ovarian arteries Median sacral artery Veins Lymphatics Perineum Borders and ceiling Perineal membrane and deep perineal pouch Ischio-anal fossae and their anterior recesses Anal triangle Urogenital triangle Structures in the superficial perineal pouch Erectile tissues Clitoris Penis Erection Greater vestibular glands Muscles Ischiocavernosus Bulbospongiosus Superficial transverse perineal muscles Superficial features of the external genitalia In women In men Superficial fascia of the urogenital triangle Somatic nerves Pudendal nerve Other somatic nerves Visceral nerves Blood vessels Arteries Internal pudendal artery Inferior rectal arteries Perineal artery Terminal part of the internal pudendal artery External pudendal arteries Testicular and cremasteric arteries Veins Lymphatics Surface anatomy Surface anatomy of the pelvis and perineum Orientation of the pelvis and perineum in the anatomical position How to define the margins of the perineum Identification of structures in the anal triangle Identification of structures in the urogenital triangle of women Identification of structures in the urogenital triangle of men Clinical cases 6 Lower Limb ADDITIONAL LEARNING RESOURCES for Chapter 6, Lower Limb, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General introduction Function Support the body weight Locomotion Component parts Bones and joints Muscles Relationship to other regions Abdomen Pelvis Perineum Key points Innervation is by lumbar and sacral spinal nerves Nerves related to bone Superficial veins Regional anatomy Bony pelvis Ilium Ischial tuberosity Ischiopubic ramus and pubic bone Acetabulum Proximal femur Greater and lesser trochanters Intertrochanteric line Intertrochanteric crest Shaft of the femur Hip joint Ligaments Gateways to the lower limb Obturator canal Greater sciatic foramen Lesser sciatic foramen Gap between the inguinal ligament and pelvic bone Nerves Femoral nerve Obturator nerve Sciatic nerve Gluteal nerves Ilio-inguinal and genitofemoral nerves Lateral cutaneous nerve of thigh Nerve to quadratus femoris and nerve to obturator internus Posterior cutaneous nerve of thigh Perforating cutaneous nerve Arteries Femoral artery Superior and inferior gluteal arteries and the obturator artery Veins Lymphatics Superficial inguinal nodes Deep inguinal nodes Popliteal nodes Deep fascia and the saphenous opening Fascia lata Iliotibial tract Saphenous opening Femoral triangle Femoral sheath Gluteal region Muscles Deep group Piriformis Obturator internus Gemellus superior and inferior Quadratus femoris Superficial group Gluteus minimus and medius Gluteus maximus Tensor fasciae latae Nerves Superior gluteal nerve Sciatic nerve Nerve to quadratus femoris Nerve to obturator internus Posterior cutaneous nerve of the thigh Pudendal nerve Inferior gluteal nerve Perforating cutaneous nerve Arteries Inferior gluteal artery Superior gluteal artery Veins Lymphatics Thigh Bones Shaft and distal end of femur Patella Proximal end of tibia Tibial condyles and intercondylar areas Tibial tuberosity Shaft of tibia Proximal end of fibula Muscles Anterior compartment Iliopsoas—psoas major and iliacus Quadriceps femoris—vastus medialis, intermedius, and lateralis and rectus femoris Vastus muscles Rectus femoris Patellar ligament Sartorius Medial compartment Gracilis Pectineus Adductor longus Adductor brevis Adductor magnus Obturator externus Posterior compartment Biceps femoris Semitendinosus Semimembranosus Arteries Femoral artery Deep artery of thigh Lateral circumflex femoral artery Medial circumflex femoral artery Perforating arteries Obturator artery Veins Great saphenous vein Nerves Femoral nerve Obturator nerve Sciatic nerve Tibial nerve Common fibular nerve Knee joint Articular surfaces Menisci Synovial membrane Fibrous membrane Ligaments Patellar ligament Collateral ligaments Cruciate ligaments Locking mechanism Vascular supply and innervation Tibiofibular joint Popliteal fossa Contents Tibial and common fibular nerves Popliteal artery and vein Roof of popliteal fossa Leg Bones Shaft and distal end of tibia Shaft and distal end of fibula Joints Interosseous membrane of leg Posterior compartment of leg Muscles Superficial group Gastrocnemius Plantaris Soleus Deep group Popliteus Flexor hallucis longus Flexor digitorum longus Tibialis posterior Arteries Popliteal artery Anterior tibial artery Posterior tibial artery Veins Nerves Tibial nerve Sural nerve Medial calcaneal nerve Lateral compartment of leg Muscles Fibularis longus Fibularis brevis Arteries Veins Nerves Superficial fibular nerve Anterior compartment of leg Muscles Tibialis anterior Extensor hallucis longus Extensor digitorum longus Fibularis tertius Arteries Anterior tibial artery Veins Nerves Deep fibular nerve Foot Bones Tarsal bones Proximal group Talus Calcaneus Intermediate tarsal bone Distal group Metatarsals Phalanges Joints Ankle joint Medial ligament (deltoid ligament) Lateral ligament Intertarsal joints Subtalar joint Talocalcaneonavicular joint Ligaments Calcaneocuboid joint Ligaments Tarsometatarsal joints Metatarsophalangeal joints Deep transverse metatarsal ligaments Interphalangeal joints Tarsal tunnel, retinacula, and arrangement of major structures at the ankle Flexor retinaculum Extensor retinacula Fibular retinacula Arches of the foot Longitudinal arch Transverse arch Ligament and muscle support Plantar aponeurosis Fibrous sheaths of toes Extensor hoods Intrinsic muscles On the dorsal aspect Extensor digitorum brevis and extensor hallucis brevis In the sole First layer Abductor hallucis Flexor digitorum brevis Abductor digiti minimi Second layer Quadratus plantae Lumbricals Third layer Flexor hallucis brevis Adductor hallucis Flexor digiti minimi brevis Fourth layer Dorsal interossei Plantar interossei Arteries Posterior tibial artery and plantar arch Lateral plantar artery Medial plantar artery Dorsalis pedis artery Veins Nerves Tibial nerve Medial plantar nerve Lateral plantar nerve Deep fibular nerve Superficial fibular nerve Sural nerve Saphenous nerve Surface anatomy Lower limb surface anatomy Avoiding the sciatic nerve Finding the femoral artery in the femoral triangle Identifying structures around the knee Visualizing the contents of the popliteal fossa Finding the tarsal tunnel—the gateway to the foot Identifying tendons around the ankle and in the foot Finding the dorsalis pedis artery Approximating the position of the plantar arterial arch Major superficial veins Pulse points Clinical cases 7 Upper Limb ADDITIONAL LEARNING RESOURCES for Chapter 7, Upper Limb, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General description Functions Positioning the hand The hand as a mechanical tool The hand as a sensory tool Component parts Bones and joints Muscles Relationship to other regions Neck Back and thoracic wall Key points Innervation by cervical and upper thoracic nerves Nerves related to bone Superficial veins Orientation of the thumb Regional anatomy Shoulder Bones Clavicle Scapula Proximal humerus Greater and lesser tubercles Surgical neck Joints Sternoclavicular joint Acromioclavicular joint Glenohumeral joint Muscles Trapezius Deltoid Levator scapulae Rhomboid minor and major Posterior scapular region Muscles Supraspinatus and infraspinatus Teres minor and teres major Long head of triceps brachii Gateways to the posterior scapular region Suprascapular foramen Quadrangular space (from posterior) Triangular space Triangular interval Nerves Suprascapular nerve Axillary nerve Arteries and veins Suprascapular artery Posterior circumflex humeral artery Circumflex scapular artery Veins Axilla Axillary inlet Anterior wall Pectoralis major Subclavius Pectoralis minor Clavipectoral fascia Medial wall Serratus anterior Intercostobrachial nerve Lateral wall Posterior wall Subscapularis Teres major and latissimus dorsi Long head of the triceps brachii Gateways in the posterior wall Quadrangular space Triangular space Triangular interval Floor Contents of the axilla Biceps brachii Coracobrachialis Axillary artery Superior thoracic artery Thoraco-acromial artery Lateral thoracic artery Subscapular artery Anterior circumflex humeral artery Posterior circumflex humeral artery Axillary vein Brachial plexus Roots Trunks Divisions Cords Branches (Table 7.7) Branches of the roots Branches of the trunks Branches of the lateral cord Branches of the medial cord Median nerve. Branches of the posterior cord Lymphatics Axillary process of the mammary gland Arm Bones Shaft and distal end of the humerus The condyle The two epicondyles The three fossae Proximal end of the radius Proximal end of the ulna Muscles Coracobrachialis Biceps brachii Brachialis Posterior compartment Arteries and veins Brachial artery Profunda brachii artery Veins Nerves Musculocutaneous nerve Median nerve Ulnar nerve Radial nerve Elbow joint Cubital fossa Forearm Bones Shaft and distal end of radius Shaft and distal end of ulna Joints Distal radio-ulnar joint Interosseous membrane Pronation and supination Muscles involved in pronation and supination Biceps brachii. Supinator. Pronator teres and pronator quadratus. Anconeus. Anterior compartment of the forearm Muscles Superficial layer Flexor carpi ulnaris Palmaris longus Flexor carpi radialis Pronator teres Intermediate layer Flexor digitorum superficialis Deep layer Flexor digitorum profundus Flexor pollicis longus Pronator quadratus Arteries and veins Radial artery Ulnar artery Veins Nerves Median nerve Ulnar nerve Radial nerve Posterior compartment of the forearm Muscles Superficial layer Brachioradialis Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor digiti minimi Extensor carpi ulnaris Anconeus Deep layer Supinator Abductor pollicis longus Extensor pollicis brevis Extensor pollicis longus Extensor indicis Arteries and veins Posterior interosseous artery Anterior interosseous artery Radial artery Veins Nerves Radial nerve Hand Bones Carpal bones Proximal row Distal row Articular surfaces Carpal arch Metacarpals Phalanges Joints Wrist joint Carpal joints Carpometacarpal joints Metacarpophalangeal joints Deep transverse metacarpal ligaments Interphalangeal joints of hand Carpal tunnel and structures at the wrist Palmar aponeurosis Palmaris brevis Anatomical snuffbox Fibrous digital sheaths Extensor hoods Muscles Dorsal interossei Palmar interossei Adductor pollicis Thenar muscles Opponens pollicis Abductor pollicis brevis Flexor pollicis brevis Hypothenar muscles Opponens digiti minimi Abductor digiti minimi Flexor digiti minimi brevis Lumbrical muscles Arteries and veins Ulnar artery and superficial palmar arch Radial artery and deep palmar arch Veins Nerves Ulnar nerve Median nerve Superficial branch of the radial nerve Surface anatomy Upper limb surface anatomy Bony landmarks and muscles of the posterior scapular region Visualizing the axilla and locating contents and related structures Locating the brachial artery in the arm The triceps brachii tendon and position of the radial nerve Cubital fossa (anterior view) Identifying tendons and locating major vessels and nerves in the distal forearm Normal appearance of the hand Position of the flexor retinaculum and the recurrent branch of the median nerve Motor function of the median and ulnar nerves in the hand Visualizing the positions of the superficial and deep palmar arches Pulse points Clinical cases 8 Head and Neck ADDITIONAL LEARNING RESOURCES for Chapter 8, Head and Neck, on STUDENT CONSULT (www.studentconsult.com): Conceptual overview General description Head Major compartments Other anatomically defined regions Neck Compartments Larynx and pharynx Functions Protection Contains upper parts of respiratory and digestive tracts Communication Positioning the head Connects the upper and lower respiratory and digestive tracts Component parts Skull Cervical vertebrae Hyoid bone Soft palate Muscles In the head In the neck Relationship to other regions Thorax Upper limbs Key features Vertebral levels CIII/IV and CV/VI Airway in the neck Cranial nerves Cervical nerves Functional separation of the digestive and respiratory passages Triangles of the neck Regional anatomy Skull Anterior view Frontal bone Zygomatic and nasal bones Maxillae Mandible Lateral view Lateral portion of the calvaria Temporal bone Visible part of the facial skeleton Mandible Posterior view Occipital bone Temporal bones Superior view Inferior view Anterior part Middle part Anterior half Vomer Sphenoid Body Pterygoid processes Greater wing Posterior half Occipital bone Temporal bone Posterior part Occipital bone Temporal bone Cranial cavity Roof Floor Anterior cranial fossa Lesser wings of the sphenoid Middle cranial fossa Sphenoid Sella turcica Fissures and foramina Temporal bone Posterior cranial fossa Boundaries Foramen magnum Grooves and foramina Squamous part of the occipital bone Foramina and fissures through which major structures enter and leave the cranial cavity Meninges Cranial dura mater Dural partitions Falx cerebri Tentorium cerebelli Falx cerebelli Diaphragma sellae Arterial supply Innervation Arachnoid mater Pia mater Arrangement of meninges and spaces Extradural space Subdural space Subarachnoid space Brain and its blood supply Brain Blood supply Vertebral arteries Internal carotid arteries Cerebral arterial circle Venous drainage Dural venous sinuses Superior sagittal sinus Inferior sagittal and straight sinuses Confluence of sinuses, transverse and sigmoid sinuses Cavernous sinuses Superior and inferior petrosal sinuses Cranial nerves Olfactory nerve [I] Optic nerve [II] Oculomotor nerve [III] Trochlear nerve [IV] Trigeminal nerve [V] Ophthalmic nerve [V1] Maxillary nerve [V2] Mandibular nerve [V3] Abducent nerve [VI] Facial nerve [VII] Vestibulocochlear nerve [VIII] Glossopharyngeal nerve [IX] Tympanic nerve Vagus nerve [X] Accessory nerve [XI] Cranial root of the accessory nerve Hypoglossal nerve [XII] Face Muscles Orbital group Orbicularis oculi Corrugator supercilii Nasal group Nasalis Procerus Depressor septi nasi Oral group Orbicularis oris Buccinator Lower group of oral muscles Upper group of oral muscles Other muscles or muscle groups Platysma Auricular muscles Occipitofrontalis Parotid gland Important relationships Facial nerve External carotid artery and its branches Retromandibular vein and its tributaries Arterial supply Innervation Innervation Sensory innervation Ophthalmic nerve [V1] Maxillary nerve [V2] Mandibular nerve [V3] Motor innervation Vessels Arteries Facial artery Transverse facial artery Branches of the maxillary artery Branches of the ophthalmic artery Veins Facial vein Transverse facial vein Intracranial venous connections Lymphatic drainage Scalp Layers Skin Connective tissue (dense) Aponeurotic layer Loose connective tissue Pericranium Innervation Anterior to the ears and the vertex Posterior to the ears and the vertex Vessels Arteries Branches from the ophthalmic artery Branches from the external carotid artery Veins Lymphatic drainage Orbit Bony orbit Roof Medial wall Floor Lateral wall Eyelids Skin and subcutaneous tissue Orbicularis oculi Orbital septum Tarsus and levator palpebrae superioris Conjunctiva Glands Vessels Innervation Lacrimal apparatus Innervation Sensory innervation Secretomotor (parasympathetic) innervation Sympathetic innervation Vessels Fissures and foramina Optic canal Superior orbital fissure Inferior orbital fissure Infra-orbital foramen Other openings Fascial specializations Periorbita Fascial sheath of the eyeball Check ligaments of the medial and lateral rectus muscles Muscles Extrinsic muscles Levator palpebrae superioris Rectus muscles Superior and inferior rectus muscles Medial and lateral rectus muscles Oblique muscles Superior oblique Inferior oblique Extrinsic muscles and eyeball movements Vessels Arteries Veins Innervation Optic nerve Oculomotor nerve Trochlear nerve Abducent nerve Postganglionic sympathetic fibers Ophthalmic nerve [V1] Lacrimal nerve Frontal nerve Nasociliary nerve Ciliary ganglion Parasympathetic root Sensory root Sympathetic root Eyeball Anterior and posterior chambers Lens and vitreous humor Walls of the eyeball Vessels Arterial supply Venous drainage Fibrous layer of the eyeball Sclera Cornea Vascular layer of the eyeball Choroid Ciliary body Iris Inner layer of the eyeball Optic part of the retina Ear External ear Auricle Muscles Innervation Vessels External acoustic meatus Innervation Tympanic membrane Innervation Middle ear Boundaries Tegmental wall Jugular wall Membranous wall Mastoid wall Anterior wall Labyrinthine wall Mastoid area Pharyngotympanic tube Vessels Innervation Auditory ossicles Malleus Incus Stapes Muscles associated with the ossicles Tensor tympani Stapedius Vessels Innervation Internal ear Bony labyrinth Semicircular canals Cochlea Membranous labyrinth Organs of balance Utricle, saccule, and endolymphatic duct Sensory receptors Organ of hearing Cochlear duct Vessels Innervation Facial nerve [VII] in the temporal bone Branches Greater petrosal nerve. Nerve to stapedius and chorda tympani. Transmission of sound Temporal and infratemporal fossae Bony framework Temporal bone Sphenoid bone Maxilla Zygomatic bone Ramus of mandible Temporomandibular joints Joint capsule Extracapsular ligaments Movements of the mandible Masseter muscle Temporal fossa Contents Temporalis muscle Deep temporal nerves Zygomaticotemporal nerve Deep temporal arteries Middle temporal artery Infratemporal fossa Contents Sphenomandibular ligament Medial pterygoid Lateral pterygoid Mandibular nerve [V3] Branches Meningeal branch Nerve to medial pterygoid Buccal nerve Masseteric nerve Deep temporal nerves Nerve to lateral pterygoid Auriculotemporal nerve Lingual nerve Inferior alveolar nerve Chorda tympani and the lesser petrosal nerve Chorda tympani Lesser petrosal nerve Maxillary artery Branches Middle meningeal artery Inferior alveolar artery Deep auricular, anterior tympanic, and accessory meningeal arteries Branches from the second part Pterygoid plexus Pterygopalatine fossa Skeletal framework Sphenoid bone Pterygoid canal Gateways Contents Maxillary nerve [V2] Branches Orbital branches. Greater and lesser palatine nerves. Nasal nerves. Pharyngeal nerve. Zygomatic nerve. Posterior superior alveolar nerve. Infra-orbital nerve. Nerve of the pterygoid canal and the pterygopalatine ganglion Greater petrosal nerve Deep petrosal nerve Pterygopalatine ganglion Innervation of the lacrimal gland Maxillary artery Branches Posterior superior alveolar artery. Infra-orbital artery. Greater palatine artery. Pharyngeal branch. Sphenopalatine artery. Artery of pterygoid canal. Veins Neck Fascia Investing layer Prevertebral layer Pretracheal layer Carotid sheath Fascial compartments Fascial spaces Superficial venous drainage External jugular veins Anterior jugular veins Anterior triangle of the neck Muscles Suprahyoid muscles Stylohyoid Digastric Mylohyoid Geniohyoid Infrahyoid muscles Sternohyoid Omohyoid Thyrohyoid Sternothyroid Vessels Carotid system Common carotid arteries Internal carotid arteries External carotid arteries Veins Nerves Facial nerve [VII] Glossopharyngeal nerve [IX] Vagus nerve [X] Accessory nerve [XI] Hypoglossal nerve [XII] Transverse cervical nerve Ansa cervicalis Elements of the gastrointestinal and respiratory systems Esophagus Trachea Pharynx and larynx Thyroid and parathyroid glands Thyroid gland Arterial supply Superior thyroid artery. Inferior thyroid artery. Venous and lymphatic drainage Recurrent laryngeal nerves Parathyroid glands Location of structures in different regions of the anterior triangle of the neck Posterior triangle of the neck Muscles Vessels External jugular vein Subclavian artery and its branches Transverse cervical and suprascapular arteries Veins Nerves Accessory nerve Cervical plexus Muscular branches Cutaneous branches Brachial plexus Root of the neck Vessels Subclavian arteries Vertebral artery Thyrocervical trunk Inferior thyroid artery. Transverse cervical artery. Suprascapular artery. Internal thoracic artery Costocervical trunk Veins Nerves Phrenic nerves Vagus nerves [X] Recurrent laryngeal nerves Sympathetic nervous system Cervical part of the sympathetic trunk Ganglia Superior cervical ganglion. Middle cervical ganglion. Inferior cervical ganglion. Lymphatics Thoracic duct Lymphatics of the neck Superficial lymph nodes Superficial cervical lymph nodes Deep cervical lymph nodes Pharynx Skeletal framework Anterior vertical line of attachment for the lateral pharyngeal walls First part Second part Third part Pharyngeal wall Muscles Constrictor muscles Superior constrictors Middle constrictors Inferior constrictors Longitudinal muscles Stylopharyngeus Salpingopharyngeus Palatopharyngeus Fascia Gaps in the pharyngeal wall and structures passing through them Nasopharynx Oropharynx Laryngopharynx Tonsils Vessels Arteries Veins Lymphatics Nerves Glossopharyngeal nerve [IX] Larynx Laryngeal cartilages Cricoid cartilage Thyroid cartilage Epiglottis Arytenoid cartilages Corniculate Cuneiform Extrinsic ligaments Thyrohyoid membrane Hyo-epiglottic ligament Cricotracheal ligament Intrinsic ligaments Fibro-elastic membrane of the larynx Conus elasticus (cricovocal membrane) Quadrangular membrane Laryngeal joints Cricothyroid joints Crico-arytenoid joints Cavity of the larynx Division into three major regions Laryngeal ventricles and saccules Rima vestibuli and rima glottidis Intrinsic muscles Cricothyroid muscles Posterior crico-arytenoid muscles Lateral crico-arytenoid muscles Transverse arytenoid muscle Oblique arytenoid muscles Vocalis Thyro-arytenoid muscles Function of the larynx Respiration Phonation Effort closure Swallowing Vessels Arteries Veins Lymphatics Nerves Superior laryngeal nerves Recurrent laryngeal nerves Nasal cavities Lateral wall Regions Innervation and blood supply Skeletal framework Ethmoid bone External nose Paranasal sinuses Frontal sinuses Ethmoidal cells Maxillary sinuses Sphenoidal sinuses Walls, floor, and roof Medial wall Floor Roof Lateral wall Nares Choanae Gateways Cribriform plate Sphenopalatine foramen Incisive canal Small foramina in the lateral wall Vessels Arteries Sphenopalatine artery Greater palatine artery Superior labial and lateral nasal arteries Anterior and posterior ethmoidal arteries Veins Innervation Olfactory nerve [I] Branches from the ophthalmic nerve [V1] Anterior and posterior ethmoidal nerves Branches from the maxillary nerve [V2] Parasympathetic innervation Sympathetic innervation Lymphatics Oral cavity Multiple nerves innervate the oral cavity Skeletal framework Maxillae Palatine bones Sphenoid bone Temporal bone Cartilaginous part of the pharyngotympanic tube Mandible Hyoid bone Walls: the cheeks Buccinator Floor Mylohyoid muscles Geniohyoid muscles Gateway into the floor of the oral cavity Tongue Papillae Inferior surface of tongue Pharyngeal surface Muscles Intrinsic muscles Extrinsic muscles Genioglossus Hyoglossus An important landmark. Styloglossus Palatoglossus Vessels Arteries Veins Innervation Glossopharyngeal nerve [IX] Lingual nerve Facial nerve [VII] Hypoglossal nerve [XII] Lymphatics Salivary glands Parotid gland Submandibular glands Sublingual glands Vessels Innervation Parasympathetic Greater petrosal nerve Chorda tympani Sympathetic Roof—palate Hard palate Soft palate Muscles of the soft palate Tensor veli palatini and the palatine aponeurosis Levator veli palatini Palatopharyngeus Palatoglossus Musculus uvulae Vessels Arteries Ascending palatine artery and palatine branch Greater palatine artery Veins Lymphatics Innervation Greater and lesser palatine nerves Nasopalatine nerve Oral fissure and lips Oropharyngeal isthmus Teeth and gingivae Vessels Arteries Inferior alveolar artery Anterior and posterior superior alveolar arteries Gingival supply Veins Lymphatics Innervation Inferior alveolar nerve Anterior, middle, and posterior superior alveolar nerves Innervation of gingivae Surface anatomy Head and neck surface anatomy Anatomical position of the head and major landmarks Visualizing structures at the CIII/CIV and CVI vertebral levels How to outline the anterior and posterior triangles of the neck How to locate the cricothyroid ligament How to find the thyroid gland Estimating the position of the middle meningeal artery Major features of the face The eye and lacrimal apparatus External ear Pulse points Clinical cases 9 Neuroanatomy Introduction Part I: Nervous system overview Development Terms of orientation Cellular components Nervous system functional organization Part II: Brain Cerebral hemispheres Ventricular system Meninges Cerebral vasculature Venous drainage Part III: Thalamus Part IV: Brainstem Overview External midbrain External pons External medulla oblongata Brainstem internal features Internal midbrain Internal pons Internal medulla oblongata Vascular supply to the brainstem Part V: Spinal cord Overview Spinal meninges External features Internal features Ascending tracts in the spinal cord Anterolateral pathways Posterior column–medial lemniscal pathway Descending tracts in the spinal cord Lateral motor systems Medial motor systems Vascular supply to the spinal cord Part VI: Basal nuclei Corpus striatum Connections of the basal nuclei Part VII: Cerebellum Structures of the cerebellum Afferent cerebellar pathways Efferent cerebellar pathways Vascular supply Part VIII: Visual System Central visual pathway Part IX: Auditory and vestibular system Auditory pathways Cochlea Central auditory pathways Vestibular pathways Central vestibular pathways Part X: Hypothalamus Borders of the hypothalamus Connections to the pituitary Functional divisions of the hypothalamus Lateral zone Medial zone Periventricular zone Summary of connections Part XI: Olfactory and limbic system Olfactory system Limbic system Amygdala Nucleus accumbens Septal nuclei Hippocampal formation Acknowledgments Inside Back Cover Copyright Title Page Dedication Contents Chapter 1: ‘I’m thinking’ – Oh, but are you? Chapter 2: Renegade perception Chapter 3: The Pushbacker sting Chapter 4: ‘Covid’: The calculated catastrophe Chapter 5: There is no ‘virus’ Chapter 6: Sequence of deceit Chapter 7: War on your mind Chapter 8: ‘Reframing’ insanity Chapter 9: We must have it? So what is it? Chapter 10: Human 2.0 Chapter 11: Who controls the Cult? Chapter 12: Escaping Wetiko Postscript Appendix: Cowan-Kaufman-Morell Statement on Virus Isolation Bibliography Index