Showing posts with label Anatomy. Show all posts
Showing posts with label Anatomy. Show all posts

Friday, 25 December 2020

Foramina in the Base of the Skull

 Foramina in the Base of the Skull 


1. Petrotympanic fissure

■ Chorda tympani and often anterior tympanic artery. 


2. Stylomastoid foramen

■ Facial nerve.


3. Incisive canal

■ Nasopalatine nerve and terminal part of the sphenopalatine or greater palatine vessels. 


4. Greater palatine foramen

■ Greater palatine nerve and vessels. 


5. Lesser palatine foramen

■ Lesser palatine nerve and vessels. 


6. Palatine canal

■ Descending palatine vessels and the greater and lesser palatine nerves.


7. Pterygoid canal

■ Runs from the anterior wall of the foramen lacerum to the pterygopalatine fossa and transmits the nerve of the pterygoid canal (vidian nerve).


8. Sphenopalatine foramen

■ Sphenopalatine vessels and nasopalatine nerve.


A. Anterior Cranial Fossa

1. Cribriform plate

■ Olfactory nerves. 


2. Foramen cecum

■ Occasional small emissary vein from nasal mucosa to superior sagittal sinus. 


3. Anterior and posterior ethmoidal foramina

■ Anterior and posterior ethmoidal nerves, arteries, and veins.


B. Middle Cranial Fossa

1. Optic canal

■ Optic nerve, ophthalmic artery, and central artery and vein of the retina. 


2. Superior orbital fissure

■ Oculomotor, trochlear, and abducens nerves; ophthalmic division of trigeminal nerve; and ophthalmic veins.


3. Foramen rotundum

■ Maxillary division of trigeminal nerve.


4. Foramen ovale

■ Mandibular division of trigeminal nerve, accessory meningeal artery, and occasionally lesser petrosal nerve.


5. Foramen spinosum

■ Middle meningeal artery. 


6. Foramen lacerum

■ Nothing passes through this foramen, but the upper part is traversed by the internal carotid artery and greater and deep petrosal nerves en route to the pterygoid canal.


C. Posterior Cranial Fossa

1. Internal auditory meatus

■ Facial and vestibulocochlear nerves and labyrinthine artery. 


2. Jugular foramen

■ Glossopharyngeal, vagus, and spinal accessory nerves and beginning of internal jugular vein. 


3. Hypoglossal canal

■ Hypoglossal nerve and meningeal artery. 


4. Foramen magnum

■ Spinal cord, spinal accessory nerve, vertebral arteries, venous plexus of vertebral canal, and anterior and posterior spinal arteries.


5. Condyloid foramen

■ Condyloid emissary vein. 


6. Mastoid foramen

■ Branch of occipital artery to dura mater and mastoid emissary vein.


7. Carotid canal

■ Internal carotid artery and sympathetic nerves (carotid plexus)


8. Hiatus of facial canal

■ Greater petrosal nerve.


D. Foramina in the Front of the Skull 

1. Zygomaticofacial foramen

■ Zygomaticofacial nerve.


2. Supraorbital notch or foramen

■ Supraorbital nerve and vessels. 


3. Infraorbital foramen

■ Infraorbital nerve and vessels. 


4. Mental foramen

■ Mental nerve and vessels. 

Tuesday, 17 December 2019

Anatomy Actions

1) FLEXION, ADDUCTION, INTERNAL ROTATION OF ARM – PECT MAJOR
2) EXTENSION, ADDUCTION, INTERNAL ROTATION OF ARM – LATTISMUS DORSI
3) INVERSION, DORSIFLEXION OF ANKLE – TIB ANT
4) INVERSION, PLANTAR FLEXION – TIB POSTERIOR
5) FLEXION OF HIP, EXTENSION OF KNEE – RECTUS FEMORIS
6) EXTENSION OF HIP, FLEXION OF KNEE – HAMSTRING MUSCLES
7) FLEXION AND ADDUCTION OF HIP – PECTINEUS
8) ADDUCTION AND EXTENSION OF HIP – ADDUCTOR MAGNUS
9) PROTRACTION OF SCAPULA AND OVER HEAD ABDUCTION OF SHOULDER JT –SERATTUS ANTERIOR
10) FLEXION OF SHOULDER, ELBOW AND SUPINATION – BICEPS
11) FLEXION OF DISTAL INTERPHALANGEAL JOINT OF MEDIAL FOUR FINGERS DONE BY – FDP
12) FLEXION OF MCP, EXTENSION OF IP JOINT, ADDUCTION OF FINGERS – PALMAR INTEROSSEUS
13) FLEXION OF MCP, EXTENSION OF IP JOINT, ABDUCTION OF FINGERS – DORSAL INTEROSSEUS
14) EXTENSION OF HIP, LATERAL ROTATION OF HIP – GLUT MAXIMUS
15) MEDIAL ROTATION, ABDUCTION OF HIP – GLU MEDIUS, MINIMUS
16) ABDUCTION OF SHOULDER JOINT DONE BY
i. 0-150 :SUPRASPINATUS
ii. 15-90 :DELTOID
iii. 90-180 :TRAPEZIUS AND SERATTUS ANTERIOR

Monday, 15 January 2018

Anatomy One Liners

Anatomy One-Liners
1) Ascending colon 12.5cm long
- from the caecum to the inferior surface of  the right lobe of the liver
- usually retroperitoneal
(2) Transverse colon 50cm long 
- from the right colic flexure to the left colic flexure
- suspended by transverse mesocolon attached to the anterior border of the pancreas
(3) Descending colon - 25cm long
- from left colic flexure to the sigmoid colon
- it is narrower than ascending colon
- usually, it is retroperitoneal
(4) Sigmoid colon 37.5cm long
- from pelvic brim to the third piece of the sacrum, where it becomes rectum
- suspended by sigmoid mesocolon


Mesentery:- The mesentery of the small intestine (or) mesentery proper is a broad, fan-shaped fold of peritoneum which suspends the coils of jejunum and ileum from the posterior abdominal wall
Root of mesentery - 15cm long
- directed obliquely downwards and to the right
- It extends from the duodenojejunal flexure on the left side of vertebra L2 to the upper part of the right sacroiliac joint
- It crosses the following :
(1) Third part of duodenum where the superior mesenteric vessels enter into it
(2) The abdominal aorta
(3) The inferior vena cava
(4) The right ureter
(5) The right psoas major

The free or intestinal border is 6meter long, thrown into pleats.


Development of diaphragm by
1. Septum transverum
2.pleuro peritoneal membrane
3.somites (3-5th)
4.ventral pleural sac
5.mesentry of esophagus

Tonsil develop embryologically from 2nd pharyngeal pouch
Parathyroid is developed from 3rd & 4th brachial pouches
Footplate of stapes is developed from otic capsule
Umbilical vesicle attain full development in 4th week of fetus
Urachal fistula result from persistent allantois
Tensor tympani and tensor palatine supplied by trigeminal.Levator palatine supplied by the superior laryngeal nerve.
Derivatives of pharyngeal pouch
1st- tubotympanic recess
2nd-tonsil
3rd-inf parathyroid, thymus
4th-sup parathyroid, thyroid
5th-ultimobranchial body

Mesodermal derivatives of branchial arch
1st-malleus, incus, anterior ligament of malleus, sphenomandibular ligament
2nd-stape, styloid process, stylohyoid ligament, lesser cornu of hyoid, sup part of the hyoid
3rd-greater cornu of hyoid, lower part of the body of hyoid
4n6th-laryngeal cartilage
1st pharyngeal arch cartilage-Meckel cartilage
2nd pharyngeal arch cartilage-Reichert cartilage

TYMPANIC membrane dev from all the three germ layers
Pinna dev from 1st n 2nd pharyngeal arches
Footplate and annular ligament from otic capsule
Left umbilical vein-ligamentum teres
Rt-disappear
Ductus afteriosus-ligamentum arteriosum
Ductus venosus-ligamentum venosum
Septum primum n secondum-fossa ovalis n annulus ovalis respective
Distal umbilical art-median umb ligament
Proximal -sup vesical art
Foregut forms -Oesophagus
- The stomach
- Upper part of duodup to upto the opening of
common bile duct
Midgut forms - Rest of the duodenum
- Jejunum
- The ileum
- The appendix
- The caecum
- The ascending colon
- The right two - thirds of transverse colon
Hindgut forms -Left one-third of transverse colon
- The descending colon
- The sigmoid colon
- Proximal upper part of the rectum

Nerve supply of anal canal
(1) Above the pectinate line
- Sympathetic - Inferior hypogastric plexus - L1 & L2
- Parasympathetic- pelvic splanchnic S2, S3, S4
- Pain is carried by both of them
(2) Below the pectinate line
- somatic
- Inferior rectal S2,S3,S4 - nerves
(3) Sphincters - Internal sphincter - contraction - sympathetic nerve / relaxation - parasympathetic. N
External sphincter - inferior rectal nerve & by perineal branch of 4th sacral. N

Genital tubercle forms - clitoris
- urethral folds forms - labia minora
- genital swelling form - labia majora
- urogenital membrane gets ruptured to form the vestibule

Thursday, 8 June 2017

Mandibular Nerve

Easy way to remember mandibular nerve branches

Trunk( t for T -T M.P)
Tensor tympani
Tensor veil palatine
Medial  pterygoid

Ant division( aunty ma is late for temple)
Aunty- ant div
Ma- masseter
Late- lateral pterygoid
Temple-temporalis

Post division
Ant belly of digastric
Mylohyoid

Sunday, 19 February 2017

Entrapment Syndrome -Nerve involved

Entrapment Syndrome -Nerve involved
Carpal tunnel syndrome -Median nerve (at wrist) (Most Common)
Pronator syndrome -Median nerve (proximally compressed beneath - ligament of struthers, bicipital aponeurosis or origins of pronator teres or flexor digitorum superficialis)
Cubital tunnel syndrome -Ulnar nerve (between two heads of flexor carpi ulnaris)
Guyon's canal syndrome- Ulnar nerve (at wrist)
Thoracic outlet syndrome
Lower trunk of brachial plexus, (C8 and T1) and subclavian vessels (between clavicle and first rib)
Piriformis syndrome -Scaitic nerve
Meralgia paraesthetica -Lateral cutaneous nerve of thigh
Cheralgia paraesthetica -superficial radial nerve
Tarsal tunnel syndrome -Posterior tibial nerve (behind and below medial malleolus) 
Morton's metatarsalgia -lnterdigital nerve compression (usually of 3rd, 4th toe)

Monday, 31 October 2016

Branchial Arches derivatives

*Branchial Arches*

*1st Arch*:
(a Massive list of M’s)
Nerve: Maxillary and Mandibular nerves
Artery: Maxillary artery
Cartilage: Meckel’s Cartilage
                   Mandible + sphenoMandibular ligament
                   Malleus + Incus
Muscles: MAT x 2
- Muscles of Mastication
- Mylohyoid
- Anterior belly of digastric
- Anterior 2/3 of tongue
- Tensor veli palatini
- Tensor tympani

              *2nd arch*: *S*econd
Nerve: *S*eventh nerve (facial nerve)
Artery: Stapedial artery and hyoid artery
Cartilage:  - Stapes
                    - Styloid
                    - Stylohyoid ligament
                    - leSSer horn of hyoid
Muscles:
- Muscles of facial expression (Smiling)
- Stapedius
- Stylohyoid
- poSSSterior belly of digastric

*3rd arch*: think Glossopharyngeal nerve
Nerve: - Glossopharyngeal nerve
Cartilage: - Greater horn of hyoid
Muscle:
- Stylopharyngeus

*4th Arch*: Swallowing + The exceptions to the 6th arch below
Nerve: Superior Laryngeal (branch of vagus)
Cartilage: - Thyroid cartilage
Muscles:
- Pharyngeal constrictors
- Levator veli palatini
- Cricothyroid

*6th Arch*: Speaking (Laryngeal)
Nerve: Recurrent laryngeal (branch of vagus)
Cartilage: All laryngeal cartilages except thyroid cartilage
Muscles:  All instrinsic laryngeal muscles except cricothyroid

Tuesday, 15 March 2016

Bleeding Sources

Cause -source
1)extradural hemorrhage EDH -
Middle meningeal artery
2)subdural hemorrhage SDH- bridging/dipole veins
3)SAH-rupture of congenital berry aneurysm
4)tennis ball injury to eye-circulus iridis major
5)epistaxis in little s area-sphenopalatine artery
6)during tonsillectomy-paratonsillar veins,tonsillar and ascending
Palatine arteries
7)tracheostomy-ishthmus and Inferior thyroid vein
8)hemoptysis,bronchiectasis-bronchial artery
9)gastric ulcer-Lt.gastric,splenic artery
10)duodenal ulcer-gastroduodenal artery
11)hemorrhoids-submucous venous plexus (formed by SRV + IRV)
12)retropubic prostatectomy-dorsal venous plexus
13)hysterectomy-internal iliac artery
14)menstruation-spiral arteries

Monday, 28 December 2015

Ducts

Quick revision of some important ducts :
Bellini’s duct - Straight collecting tubules of the kidney.
Bartholin’s duct - the major duct of the sublingual gland.
Cystic duct - excretory duct of gall bladder.
Gartner’s duct - a remnant of Wolffian duct.
Mullerian duct - bilateral ducts in the embryo that form the uterus, vagina and fallopian tubes.
Wirsung’s duct - pancreatic duct.
Santorini’s duct - accessory pancreatic duct.
Wharton’s duct - duct of submandibular gland.
Vitelline duct - the narrow duct in the embryo that connects the yolk sac with the intestine.
Ducts of Rivinus - 5 to 15 ducts that drain the posterior portion of the sublingual gland.
Stensen’s duct - parotid duct.
Pecquet’s duct - Thoracic duct.
Hensen’s duct - ductus reunions.
Hoffman’s duct - pancreatic duct or Wirsung’s duct.
Bernard’s duct - Accessory pancreatic duct or Santorini’s duct.

Wednesday, 23 September 2015

Anatomy lengths

4 cm long structures in the body
   Inguinal canal
   Female urethra
   Anal canal
   Auditory tube
   Cystic duct
   Optic nerve
   Prostatic urethra
   Left principle bronchus

5 cm long structures in the body
    Male larynx
    Left main bronchus
    Parotid duct
    Submandibular duct
    Lateral lobe of thyroid gland
    Testis
    First part of duodenum
    Neck of femur
    Medial wall of bony orbit
    Lateral wall of bony orbit

7.5 cm long structures in the body
    Anterior wall of vagina
    Virgin uterus
    Second part of duodenum
    Bile duct 

9 cm long structures in the body
    Appendix
    Multiparous uterus
    Posterior wall of vagina 

11 cm long structures in the body
     Trachea
     Kidney
     Uterine tube
     Third part of duodenum 

12 cm long structures in the body
    Pharynx
    Rectum
    Spleen
   
15 cm long structures in the body
    Adductor canal
    Ascending colon
    Pancreas
    Root of mesentry

25 cm long structures in the body
    Oesophagus
    Duodenum
    Ureter
    Descending colon
   
45 cm long structures in the body
    Spinal cord
    Thoracic duct
    Vas deferens
    Sartorius
    Femur
    Transverse colon 

Monday, 21 September 2015

Ribs

True ribs 1 to 7
False ribs 8 to 12
Floating ribs 11, 12
Typical ribs 3 to 9
Atypical ribs 1,2,10,11,12

Atypical intercostal space- only 1st (arrangement of VAN is not followed). Rest all are typical

Typical intercostal nerve- 3 to 6 ICN

7 th rib is the longest
1st rib is the shortest, widest, and most curved
9th rib is the most oblique

Wednesday, 15 July 2015

Vertebra Levels

Adult larynx - c3 to c6
Level of body of hyoid - c3
C3-c4 junction - bifurcation of cca and upper border of thyroid cartilage
C4-c5 level of thyroid cartilage
C6- cricoid cartilage
Begining of trachea
Begining of oesophagus
Apex of lung








Wednesday, 8 July 2015

Tongue Muscles

Q.muscle which helps in protrusion and upper movement of tongue
A.palatoglossus
B.hyoglossus
C.genioglossus
D.styloglossus
------>>>Genioglossus – helps to protrude the tongue, depress the central part of tongue making it concave, and move the tongue to the opposite side

Hyoglossus – helps to depress the tongue
Styloglossus – helps to pull the tongue upwards and backwards
to aid swallowing
Palatoglossus – pulls the soft palate onto the tongue while swallowing

Intrinsic muscles – help in widening, flattening, thickening, lengthening and rolling of the tongue.

Thursday, 18 June 2015

Muscles

Some important muscles and their special names :

Quadrilateral - thyrohyoid.
Straplike - sternohyoid & Sartorius.
Straplike with tendinous intersections - rectus abdominis.
Fusiform - biceps, digastrics etc.
Oblique Fasciculi
Triangular - adductor longus, temporalis.
Shawl muscle - Trapezius.
Guthrie’s muscle - Sphincter urethrae.
Laughing/Smiling muscle - Zygomaticus major.
Unipennate (fibres arranged to insert in a diagonal direction onto the tendon allowing great strength ) - Flexor policis longus, extensor digitorum longus, peroneus tertius.

Multipennate (multiple rows of diagonal fibres, with a central tendon which branches into two or more tendons) - Subscapularis, deltoid.

Circumpennate - Tibialis anterior.
Spiral or Twisted fasciculi - Trapezius, Pectoralis major, Latisimus dorsi, Supinator.
Cruciate muscles - Sternocleidomastoid, Adductor magnus, Masseter.
Subcutaneous muscles - Platysma, Palmaris brevis.
Longest muscle - Sartorius (tailor muscle).
Smallest muscle - Stapedius.
Climbing muscle - Latissimus dorsi (broadest muscle of Back).
Boxer’s muscle - Serratus anterior.
Locking muscles - Popliteus.
Casser’s perforated muscle - Coracobrachialis.
Coiter’s muscle - Corrugator supercilli.
Cowl muscle - Trapezius.
Rider’s muscle - Adductor muscle of thigh.

Valsalva’s muscle - Muscle of Tragus.
Sommering’s muscle - Levator glandulae thyroideae.
Thelle’s muscle - Superficial transverse perinea muscle.
Toynbee’s muscle - Tensor tympani.
Wilson’s muscle -Sphincter urethrae.
Wrinkler muscles of eyebrow - Corrugator supercilli (Coiter’s muscle).
Sibson’s muscle - Scaleneus minimus.
Gavard’s muscle - Oblique fibres in the muscular coat of stomach.
Oehl’s muscle - Strands of muscle fibres in the chordae tendinae of the left A-V valve.

Monday, 1 June 2015

Period of development:

Period of development:

1. Spermatogenesis: 64 days

2. No.of primary oocyte
A. Before birth:- 7 millions
B. After birth:- 7 lakh to 2 million
C. At puberty:- 40,000 to 4 lakh
D. Ovulated:- less than 500

3. Meiotic division
A. M-1: just BEFORE OVULATION by LH
B. M-2: just before fertilization

4. Ovulation: 14 days prior menstruation

5. Fertilization: 48-72 hrs of ovulation

6. Morula (16 cell stage): 3-4th day

7. Implantation: 5-6th day

8. USG:-
A. Gestational ring: 5th WK of LMP
B. Gestational sac: 6th WK of LMP
C. Heart activity: 7th WK of LMP
(Reduce 1 WK in each, in case transvaginal usg is performed)

9. Life span of ovum: 1 day

10. Life span of sperm: 2-3 days

11. Somite: 3rd WK

12. Intra embryonic coelom: 4th WK

13. Brain, Kidney: 5th WK

14. Liver: 5th-10th WK

15. Adrenal: 6th WK

16. Primary ossification in clavicle: 6th WK (in other bones- 8th WK)

17. Physiological hernia appears at 6th WK, reduced at 10 th wk

18. Mammary gland: 7 th WK

19. Genitalia differentiation: 12th WK

20. Liver erythropoieisis: 8-12 wks

21. Urine formation: 9-12 wks

22. Quickening: 20th WK

23. Eye movt: 14th WK

24. Respiration: 26th WK

25. Splenic hemopoeisis: 26-28 wks

26. Pupillary reflex: 30 wks

Saturday, 4 April 2015

Ducts

Quick revision of some important ducts :

Bellini’s duct - Straight collecting tubules of the kidney.
Bartholin’s duct - the major duct of the sublingual gland.
Cystic duct - excretory duct of gall bladder.
Gartner’s duct - a remnant of Wolffian duct.
Mullerian duct - bilateral ducts in the embryo that form the uterus, vagina and fallopian tubes.
Wirsung’s duct - pancreatic duct.
Santorini’s duct - accessory pancreatic duct.
Wharton’s duct - duct of submandibular gland.
Vitelline duct - the narrow duct in the embryo that connects the yolk sac with the intestine.
Ducts of Rivinus - 5 to 15 ducts that drain the posterior portion of the sublingual gland.
Stensen’s duct - parotid duct.
Pecquet’s duct - Thoracic duct.
Hensen’s duct - ductus reunions.
Hoffman’s duct - pancreatic duct or Wirsung’s duct.
Bernard’s duct - Accessory pancreatic duct or Santorini’s duct.

Saturday, 14 March 2015

Dupyterens Contracture


💊1. is a fixed flexion contracture of the hand due to a palmar fibromatosis

💊2. It is an inherited proliferative connective tissue disorder that involves the hand's palmar fascia

💊3. The ring finger and little finger are the fingers most commonly affected.

💊4. The middle finger may be affected in advanced cases, but the index finger and the thumb are not affected as frequently [ V IMP ]

💊5. In patients with this condition, the palmar fascia thickens and shortens so that the tendons connected to the fingers cannot move freely

💊6. Incidence increases after age 40; at this age, men are affected more often than women. Beyond 80 the gender distribution is about even. [ V IMP ]

💊7. The main function of the palmar fascia is to increase grip strength; thus, over time, Dupuytren's contracture decreases patients' ability to hold objects [ V IMP ]

💊8. Patients often report pain, aching and itching. Substance P nerve fibers positively correlate to the 12-fold increase in mast cells in patients

💊9. substance P cells can impact fibroblast proliferation, and is related to Interstitial Cystitis. [ V IMP ]

💊10. Normally, the palmar fascia consists of collagen type I, but in Dupuytren sufferers, the collagen changes to collagen type III, which is significantly thicker than collagen type I. [ V IMP ]

💊11. Treatment is indicated when the so-called table top test is positive. With this test, the patient places his hand on a table. If the hand lies completely flat on the table, the test is considered negative.

💊12. Treatment using radiation therapy begins at an earlier stage. Radiation therapy is most effective when nodules and cords first appear, and before contracture begins.

💊13. Dupuytren's contracture is transferred in the family as a so-called autosomal dominant trait with incomplete penetrance and partial sex-limitation

💊14. the gene for a Dupuytren's contracture is not on an X or Y chromosome (sex chromosome) but on one of the other 44 chromosomes.

💊15. Very rarely, a Dupuytren's contracture occurs in association with an uncommon scarring condition of the penis called Peyronie'sdisease.

💊16. Previous burns or hand injury can lead to scar formation in the palm of the hand that can mimic true a Dupuytren's contracture [ V IMP ]

💊💊17. Most patients with a Dupuytren's contracture require reassurance and stretching exercises with heat application [ V IMP ]

💊18. When the palm is persistently sore with grasping, ultrasound treatments can be helpful. Sometimes local inflammation is best relieved with cortisone injection.

💊19. surgical procedures can remove the scarred tissue to free the fingers and release the tendons. These procedures can return function to a disabled hand

💊20. Sometimes the surgeon can release the scarred tissue by carefully cutting it with a needle. This procedure is referred to as a needle aponeurotomy or needle fasciotomy. [ V IMP ]

💊21. A newer treatment for a Dupuytren's contracture is collagenase (Xiaflex) injection. [ V IMP ]

💊22. Collagenase is an enzyme that breaks up the collagen, which can then loosen the contracted tissue to restore finger mobility. Collagenase is directly injected into the contracted "cord" of scar tissue that causes the Dupuytren's contracture. [ V IMP ]

💊23. The main complication of Dupuytren's contractures is loss of extension of the involved fingers

💊24. A fasciectomy involves removing the thickened connective tissue. There are three variations of the procedure: [ SURGICAL RX ]

💊25. Needle aponeurotomy can be used to treat multiple affected fingers and joints during one setting.


💊26. XIAFLEX is a prescription medicine used to treat adults with Dupuytren’s contracture when a “cord” can be felt. It is not known if XIAFLEX is safe and effective in children under the age of 18.

💊27. The most common side effects with XIAFLEX for the treatment of Dupuytren’s contracture include:swelling of the injection site or the handbruising or bleeding at the injection sitepain or tenderness of the injection site or the handswelling of the lymph nodes (glands) in the elbow or armpititchingbreaks in the skinredness or warmth of the skinpain in the armpit

💊28. Before receiving XIAFLEX, tell your healthcare provider if you have had an allergic reaction to a previous XIAFLEX injection, or have a bleeding problem or any other medical conditions. [ V IMP ]


💊29. Tendon rupture is also a risk of needle aponeurotomy [ V IMP ]

💊30. Collagenase is contraindicatedfor patients who are on anticoagulation, but that is not an issue for needle aponeurotomy because the skin stops bleeding quickly after a puncture wound. [ V IMP ]

💊31. Another potential limitation for collagenase would be lymphedema or prior lymph node surgery on the side being treated.

💊32. A percentage of people will have a lymphatic reaction after collagenase injection. The only other issue is a patient who had previous surgery and has implants in that hand.

Tuesday, 10 March 2015

Bariers

blood thymus barrier? T lymphocytes and macrophages

Blood testis barrier?seratoli cells

Blood brain barrier-astrocytes

Blood nerve barrier-
perineurial cells and endothelial cells originated from endoneurium

Tuesday, 3 March 2015

White matter fibres

The fibers of white matter are classified into three types:
a) Association fibers
b) Commisural fibers
c) Projection fibers
The association fibers connect different parts of the cerebral cortex of the same hemisphere to each other. They are of two types;
a) short association fibers
b) long association fibers
The cingulum, uncinate fasciculus (arcuate fasciculus), superior longitudinal fasciculus, inferior longitudinal fasciculus are examples of long association fibers
Commisural fibers cross the midline and connect identical parts of two hemispheres.
Examples of commisural fibers are Corpus callosusm, anterior and posterior commisure, habenular commisure, HIPPOCAMPAL COMMISURE.
Projection fibres connect the cerebral cortex to other regions of central nervous system below it by corticopetal or ascending and corticofugal or descending fibres
Examples are corona radiata, internal capsule, fornix

Sunday, 8 February 2015

List of named fascia

List of named fascia
*Fascia of Gerota-Renal fascia
*Fascia of Told-anterior renal fascia
*Fascia of Zuckerkandle-Posterior renal fascia
*Fascia of Camper-Superficial fatty layer between umbilicus & pubis
*Fascia of Scarpa-Deep membranous layer between umbilicus & pubis
*Fascia of Colles-Fascia scarpa below the external inguinal ring
*Fascia Colli-Deep cervical fascia
*Fascia of Denonvilliers-Fascia between prostrate & rectum
*Fascia of Sibsons-Suprapleural membrane
*Fascia of Waldeyer-Fascia between rectum & sacrum & coccyx
*Gallaudet's fascia-External oblique fascia
*Fascia Lunata-Fascia of ischiorectal fossa
*External spermatic fascia-Extension of external oblique aponeurosis
*Internal spermatic fascia-Extension of fascia transversal is
*Fascia Cribrosa-Fascia covering saphenous opening
*Fascia Lata-Deep fascia of thigh

Friday, 6 February 2015

Scapula Facts

Scapula FACTS

Winging scapula-injury to thoracic nerve of bell.Prominence of medial border of scapula

Pulsating scapula-CoA,dilatation & tortusity of collaterals around scapula occurs

Fracture scapula-due to violent trauma

Sprengels deformity-scapula remains elevated.failure of descent

Klippel feil deformity-b/l failure of descent of scapula.webbing of neck & limitation of neck movements due to failure of fusion of occipital bone & cervical spine defects is a feature.