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Anatomy Lecture (Trunk)
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117
Anatomy
Undergraduate 3
10/09/2013

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Term
Functions of the Vertebral Column
Definition
Supportive (skull, upper limb, ribs)
Protective
Attachments
Bipedal Posture
Bipedal Locomotion
Term
Unique Structures of the Cervical Vertebrae
Definition
Transverse Foramina
Double Spinous Process
7 vertebrae
Term
Unique Structures of the Thoracic Vertebrae
Definition
Costal Facets
Pronounced Spinous Process
Term
Unique Structures of the Lumbar Vertebrae
Definition
Big Body
Smaller Spinous Process
Term
Sacrum
Definition
Fused together
Term
General Articulations of the Vertebrae (2)
Definition
Superior/ Inferior Articular Processes (Gliding Joint)
Intervertebral Discs (between bodies of vertebrae)
Term
Articulation of C1 and the Skull
Definition
Atlanto-occipital Joint (yes Joint)
Term
Articulation of C1 and C2
Definition
Atlanto-axial Joint (no joint)
Projection on C2 projects through C1
Term
Curves of the spine
Definition
Single anteriorly concave curve at birth
Cervical curve (3-6 months)
Lumbar curve (1 year)
Term
Pathological Curves of the Spine
Definition
Scoliosis - Lateral curvature of the spine
Lordosis - exaggerated lumbar curve
Kyphosis - hump on back, collapsed vertebral bodies
Term
Ligaments of the Spinal Column
Definition
Anterior Longitudinal Ligament - skull to sacrum along the anterior side of the vertebral bodies, limits extension
Posterior Longitudinal Ligament - Skull to sacrum on the posterior aspect of the vertebral bodies, limits flexion
Interspinal Ligamants - run between the spinous processes of adjacent vertebrae, limit flexion
Supraspinal Ligament - Continuous across spinal processes, holds head in place while running
*Nuchal Ligament when going across cervical curve*
Lamenta Flava - Connects adjacent Lamina, limits lateral flexion
Term
Anatomy of the Intervertebral Disc
Definition
Anulus Fibrosous - Concentric rings of cartilage in the intervertebral disc
Nucleous Pulposous - Jelly-like middle of the intervertebral disc
Term
Herniated Disc
Definition
Nucleous Pulposous bursts out of the Anulus Fibrosous, usually posteriorly and laterally (due to the posterior longitudinal ligament), which causes it to impinge on the next lowest spinal nerve
Term
Extrinsic Versus Intrinsic Muscles of the Back
Definition
Intrisic muscles begin and end in the back, true muscles of the back, innervated by the dorsal rami of the spinal nerves
Term
Splenius Muscle
Definition
A: upper thoracic vertebrae
B: Cervical vertebrae and base of skull
Inn: Dorsal Rami of spinal nerves
Action:
Together - cervical extension of column
Individual - lateral flexion and rotation of the cervical column
Term
Iliocostalis Muscle
Definition
A: Iliac Crest
B: Rib to Rib
Inn: Dorsal Rami of spinal nerves
Action:
Together - Extension of the vertebral column
Individual - lateral flexion
Term
Longissimus Muscle
Definition
A,B:Transverse Process to transverse process
Inn: Dorsal Rami of the spinal nerve
Action
Together - extension of the column
Individual - lateral flexion
Term
Spinalis Muscle
Definition
A,B: Spinous Process to Spinous Process
Inn: Dorsal Rami of the spinal nerves
Action
Together - extension of the column
Individual - lateral flexion
Term
Transversospinalis Muscle
Definition
A,B: Transverse process to spinous process
Inn: Dorsal Rami of the spinal nerves
Action: Extension and rotation of the column
Term
Functions of the Spinal Cord
Definition
Sensory Processor
Motor Outflow
Reflexes
Term
Segments of the Spinal Cord
Definition
Segmented by the pairs of spinal nerves that exit from the spinal cord
Term
Components of the Reflex Arc
Definition
Sensory Receptor
Afferent Neuron
Interneuron
Efferecnt Neuron
Target Organ
Term
Location and Contents of the Subarachnoid Space
Definition
space between the arachnoid mater and the arachnoid tubercles
Term
Enlargements and Functions of the Spinal Cord
Definition
Cervical Enlargement - Increased neurons from upper limb
Lumbar Enlargement - Increased neurons from the lower limb
Term
Functions of the Meninges
Definition
Surround
Support
Suspend
Protective
Term
Layers of the Meninges
Definition
Pia Mater - Very thin, most intimate layer with the spinal cord
Arachnoid Mater - Second layer, forms the subarachnoid space with the pia mater
Dura Mater - Outermost and thickest layer of the meninges, connected to the poterior longitudinal ligament. Forms the epidural space between the dura mater and the neural arch
Term
Conus Medularis
Definition
Terminal End of the spinal cord, created by differential growth rates between the vertebral column and the spinal cord
Term
Lumbar Cistern
Definition
Area where Dura and Arachnoid Mater continue down after the spinal cord has terminated. Significant because fluid may be drawn from the cistern without worrying about damaging the cord
Term
Spinal Nerves and Relationships to the Vertebrae
Definition
Exit through transverse foramina of the vertebrae. Due to differential growth rates, many spinal nerves must first travel inferiorly before exiting
Term
Filum Terminale
Definition
Roots the spinal cord to the cottom of the vertebral column
Term
Internal Anatomy of the Spinal Cord
Definition
Dorsal Horn - Cell bodies of interneurons
Ventral Horn - Cell bodies of lower motor neurons
Lateral Horn
White Matter - Myelinated cell processes
Term
Cells and Function of the Grey Matter
Definition
Cell bodies of motor neurons and interneurons
Ventral Root - final common pathway
Term
Cells and Functions of the White Matter
Definition
Myelinated dendrites and axons of sensor, motor, and intreneurons
Afferent - mostly along the outer edge
Efferent - more centralized
Term
Types of Tracts within the White Matter
Definition
Long Ascending Tracts - sensory
Long Descending Tracts - Motor processes of upper neurons
Short Propriospinal Tracts - Cell processes of interneurons
Term
Denticulate Ligament
Definition
Structire of the pia mater which attaches the spinal rootlets to the dura mater
Term
Lower Motor Neuron Injury
Definition
Results in flaccid paralysis, loss of tone of target body, loss of reflex
Term
Upper Motor Neuron Injury
Definition
Results in spastic paralysis, muscles constantly flexed, reflexes remain intact
Term
Spinal Cord Injury
Definition
Above - No change in sensory or motor neuron action
At - Spinal cord severed: loss of motor and sensory action below the corresponding spinal nerve (not necessarily the same level as the injury)
Below - loss of sensory and motor action
Term
Arterial Supply of the Thoracic Wall
Definition
Posterior Wall - Posterior Intercostal Arteries, which originate from the aorta
Anterior Wall - Anterior Intercostal Arteries, which originate from the Internal Thoracic Arteries, which originate from the Subclavian Arteriaes
Term
Venous Return of the Thoracic Wall
Definition
Posterior - Posterior Intercostal Veins empty into the Azygous Vein, which empties into the superior vena cava
Anterior - Anterior Intercostal Veins empty into Internal Thoracic Veins, which empty into subclavian veins, which empty into the superior vena cava
Term
Bony Anatomy of the Rib Cage (Ribs)
Definition
Head of the Rib - articulates with thoracic vertebrae
Tubercle of the Rib - articulates with the thoracic vertebrae
Neck of the Rib - between the head and tubercle
Angle of the Rib - Part of the rib which bends
Costal Groove - groove for the intercostal vessels and nerves
Term
Bony Anatomy of the Rib Cage (Sternum)
Definition
Manubrium - Most superior, flared out area of sternum
Jugular Notch - Curvature in the top of the manubrium
Sternal Angle - Meeting of the Manubrium and the body of the sternum
Costal Notches - Notches in the body of the sternum for the ribs
Xiphoid Process - pointed structure on the inferior aspect of the body of the sternum
Term
Bony Anatomy of the Rib Cage (Vertebrae)
Definition
Costal Facets - Faces on the thoracic vertebrae with which the ribs articulate
Term
External Intercostal Muscles
Definition
Lateral side of the rib cage, face same way as pockets, in between ribs
Term
Internal Intercostal Muscles
Definition
Medial to the external intercosatal muscles, face opposite direction of pockets, in between ribs
Term
Transversus Thoracis
Definition
Posterior surface of the anterior wall of the rib cage, attaches to the sternum and branches out to the ribs
Term
Respiratory Diaphragm
Definition
A: xiphoid process, last 6 ribs, upper three lumbar vertebrae
B: Central Tendon of the diaphragm
Inn: Phrenic Nerves
Action: Increase thoracic cavity volume, increase interabdominal cavity pressure
Forms the inferior border of the thoracic cavity
Term
Expansion of the Rib Cage
Definition
Rib movement - Intercostal muscles and transversus thoracis muscle
Diaphragm - pulls down or pushes up to change pressure
Rib cage moves inferior to superior and moves out anteriorly
Term
Inspiration
Definition
Increase in thoracic cavity volume leads to an increase in lung volume, creating a negative pressure inside the lungs, causing air to rush in
Term
What Structures Pass through the diaphragm
Definition
Abdominal Aorta, Inferior Vena Cava, Greater Splanchnic Nerve, Esophogus, Azygous Vein, Vagus Nerve
Term
Divisions of the Thoracic Cavity
Definition
Right Pleural Cavity - contains right lung
Left Pleural Cavity - contains the left lung
Mediastinum - Contains the heart and inferiorly and superiorly running vessels and structures
Term
Serous Lining of the Lungs
Definition
Parietal Pleura - Forms one side of the continuous balloon, attached to the thoracic wall
Visceral Pleura - Other half of the continuous balloon, close to lungs
Plearal Cavity - Space between the two layers, filled with serous fluid
Term
Air Pathway
Definition
Oral Cavity--> Pharynx--> Trachea--> Primary Bronchi--> Secondary Bronchi--> Tertiary Bronchi--> Bronchioles--> Alveoli
Term
Layers of the Pericardium
Definition
Fibrous Pericardium - Outermost layer, noncontinous
Parietal Pericardium - Middle layer, continuous with the visceral pericardium
Visceral Pericardium - Innermost layer of the pericardium, continuous with the parietal pericardium
Term
Blood Flow Through the Heart
Definition
Right Atrium--> Right Atrioventricular Valve--> Right Ventricle--> Pulmonary Valve--> Pulmonary Trunk--> Pulmonary Arteries--> Lungs--> Pulmonary Veins--> Left Atrium--> Left Atrioventricular Valve--> Left Ventricle--> Aortic Valve--> Ascending Aorta--> Throughout the rest of the body--> Superior and Inferior Vena Cava--> Right Atrium
Term
Great Vessels of the Heart
Definition
Superior Vena Cava - Venous blood from the upper limb, thoracic cavity, and head to the right atrium
Inferior Vena Cava - Venous return of blood from the abdomen and lower limb to the right atrium
Pulmonary Arteries - Carry deoxygenated blood from the right ventricle to the lungs
Pulmonary Veins - Carry oxygenated blood from the lungs to the left atrium
Aorta - Arterial Blood supply to the body from the left ventricle
Term
Atrioventricular Valves
Definition
Blood Flow between the atrium and ventricle
Chordae Tendoneae and Papillary Muscles keep blood from backflowing through the valve during ventricular contraction
Term
Pulmonary Valve
Definition
Between the right ventricle and the pulmonary trunk
Term
Aortic Valve
Definition
Between the left ventricle and the aorta

**Forms the Aortic Sinuses**
Term
Aortic Sinus
Definition
Contain the opening for the coronary arteries, sinuses capture blood for the arteries
Term
Pathologies of the Heart
Definition
Atherosclerosis - Thickening of arterial walls
Ischemia - Restriction of blood supply to tissue
Angina Pectoris - Ischemia of the heart tissue due to obstruction of the coronary vessels
Term
Fetal Blood Flow
Definition
Placenta--> Umbilical Vein--> Umbillicus (belly button)--> Ductus Venosous--> Inferior Vena Cava--> Right Atrium--> Preferentially directed through the Foramen Ovale--> Left Atrium--> Left Ventricle--> Aorta--> Aortic Arch--> Upper limbs and head--> Superior Vena Cava--> Right Atrium--> Preferentially directed into the Right Ventricle--> Pulmonary Trunk--> Ductus Arteriosus--> Left and right Umbilical Arteries--> Placenta
Term
Fetal Shunts
Definition
Ductus Venosous - Allows placental blood to bypass the liver
Ductus Ateriosous - Links the pulmonary trunk to the descending aorta so that deoxygenated blood may return to the placenta
Foramen Ovale - Hole in the interatrial wall, allows for oxygenated blood to flow from right to left atrium
Term
Adult Remnants of the Fetal Shunts
Definition
Ductus Venosous - Ligamentum Venosum
Ductus Ateriosous - Ligamentum Arteriosum
Foramen Ovale - Fossa Ovallis
Term
External Abdominal Oblique
Definition
A: Last 8 ribs
B: Illiac Crest, Inguinal Ligament, Linea Alba
Inn: Spinal Nerves
Function: Increase abdominal pressure, trunk rotation, lateral flexion of trunk
Term
Internal Abdominal Oblique
Definition
A: Illiac Crest
B: Linea Alba
Inn: Spinal Nerves
Functions: Increase interabdominal pressure, lateral flexion and ortation of the trunk
Term
Transversus Abdominus
Definition
A: Last 6 ribs, and illiac crest
B: Linea Alba
Inn: Spinal Nerves
Function: Increase interabdominal pressure, rotation and lateral flexion of the trunk
Term
Rectus Abdominus
Definition
A: Costal Cartilage
B: Pubic Crest
Inn: Spinal Nerves
Function Flexion of the Trunk
Term
Quadratus Lumborum
Definition
A: Lumbar Transverse Processes
B: Illiac Crest
Inn: Spinal Nerve
Action: Stabilization of last rib during inspiration, lateral flexion of the trunk
Term
Functions of the Abdominal Wall Muscles
Definition
Increase Intraabdominal Pressure
Posture
Respiration
Protection of Abdominal Viscera
Trunk Movement
Stabilize Ribs
Term
Rectus Sheath
Definition
Abdominal Obliques and Transversus Abdominus muscles become tendinous as they movemedially, housing the rectus abdominus in a sheath like structure, Interior Abdominal Oblique literally splits
Term
Blood Supply of the Abdominal Wall
Definition
Anterior - Superior Epigastric (name change of Internal Thoracic), Inferior Epigastric (originate from external illiac artery)

Posterior - Lumbar Arteries (originate from the aorta)
Term
Nerve Supply to the GI System
Definition
Parasympathetic - Vagus Nerve, Pelvic Splanchnic Nerves
Sympathetic - Splanchnic Nerves (Greater, Lumbar, and Sacral)
Term
Esophagus
Definition
Long tube reaching from the pharynx to the stomach
Term
Stomach
Definition
Made up of the Fundus, body and pyloric areas, deals mostly in further digetion of food, little absorbtion. Pyloric Sphincter leads to the duodenum
Term
Liver
Definition
Produces Bile for the digestive system
Term
Gall Bladder
Definition
Stores bile created by the liver
Term
Pacrease
Definition
Secretes enzymes used in digetstion
Term
Small Intestine
Definition
Used in absorption of nutrients, made up of the duodenum, jejunum, and the Ileum. Attaches to the large intestine via the ileocecal junction
Term
Large Intestine
Definition
Mainly used in re-absorption of water. Made up of the cecum, ascending colon, transverse colon, descening colon, and sigmoid colon. Vermiform Appendix is attached to the cecum
Term
Rectum and Anal Canal
Definition
End of the digestive system, used in excretion fecal matter
Term
Flow of Bile
Definition
Liver--> Left and Right Hepatic Ducts--> Common Hepatic Duct--> cystic duct--> gall bladder--> cystic duct--> Common Bile Duct--> Pancreatic Duct--> Duodenum
Term
Peritoneum
Definition
Functions - Suspend the gut, vessels and nerves can travel through the double fold
GI System - Intraperitoneal (In the peritoneum)
Urogenital System - Retroperitoneal (Behind the Peritoneum)
Lesser Omentum - Length of Peritoneum that connects the liver to the lesser curvature of the stomach
Greater Omentum - Fatty apron that drapes over the intestines
Parietal Peritoneum - Layer farthest from the organs
Visceral Peritoneum - Layer closest to the organs
Term
Functions of the Mesentery
Definition
Suspend the Intestines, allow nerves and vessels to travel to the intestines
Term
Functions of the Omentum
Definition
Protection, fat storage, wound isolation
Term
Unpaired Arteries of the Abdominal Aorta
Definition
Celiac Trunk
Superior Mesinteric Artery
Inferior Mesinteric Artery
Term
Celiac Trunk Branches
Definition
Left Gastric Artery - stomach, part of esophagus
Splenic Artery - Spleen, pancrease, stomach
Common Hepatic Artery - Liver, stomach, pancrease, proximal duodenum, gall bladder
Term
Superior Mesinteric Artery
Definition
Duodenum, jejunum, ileum, cecum, vermiform appendix, ascending colon, 1st half of the transverse colon
Term
Inferior Mesinteric Artery
Definition
2nd half of the transverse colon, descending colon, sigmoid colon, rectum, anal colon
Term
Paired Arteries of the Abdominal Aorta
Definition
Renal Arteries - to kidneys
Gonadal Arteries - to the ovaries or testes
Lumbar Arteries - Posterior Abdominal Wall
Common Illiac Arteries
External Illiac Arteries
Internal Illiac Arteries - Pelvic Viscera and Gluteal Region
Term
Systemic Blood Flow
Definition
Blood flow from the heart, to the tissues of the body, back to the heart
Term
Portal Blood Flow
Definition
Capillaries in the mesintary collect nutrients from digestion,Join the splenic vein, form the hepatic portal vein which enters the liver. A second group of capillaries form inside the liver, which cleans the blood post-digestion
Term
Male Urinary Tract
Definition
Kidney--> Ureter--> Urinary Bladder--> Urethra
Term
Sperm Pathway
Definition
Testis--> Head of the epididymus--> body of the epididymus--> tail of the epididymus--> Ductus Deferens--> Meets with Seminal Vesicle--> Ejaculatory Duct within the prostate--> Urethra
Term
Testes
Definition
Produce sperm and testosterone
Term
Epididymus
Definition
Storage of sperm until they are mature
Term
Ductus Deferens
Definition
Moves sperm from the epididymus to the prostate
Term
Seminal Vesicle
Definition
Produces 60% of seminal fluid, feeds the sperm and neutralizes vaginal fluids
Term
Ejaculatory Duct
Definition
Path of semen through the prostate
Term
Prostate
Definition
Produces 40% of seminal fluid, feeds sperm and neutralizes vaginal fluid
Term
Bulbourethral Glands
Definition
Neutralize urine in the urethra during ejaculation
Term
Structure of the Penis
Definition
3 erectile columns
2 superior Corpora Cavernosa (sing: Corpus Cavernosum)
1 Inferior Corpus Spongiosum
Glans Penis at the end
Term
Spermatic Cord
Definition
Bundle of vessels and nerves to the testes
Testicular Artery - blood supply to the testicle
Pampiniform Plexus - Venous return to testivular vein and temperature control
Ductus Deferens - Transport sperm from the epididymis to the prostate
Testicular Nerves
Term
Descent of the testes
Definition
At birth - testes inside abdomen, attached to bottom of scrotum via the gubernaculum
The Gubernaculum begins to degenerate, pulling the testses downward
Testes eventually are pulled through the inguinal canal, pulling a number of abdominal structures with it, including a portion of the internal abdominal ablique, which becomes the cremaster muscle
Term
Urinary Tract (Female)
Definition
Kidney--> Ureter--> Urinary Bladder--> Urethra--> Exterior
**Difference from the male - Urethra is completely separated from the genital system**
Term
Path of the Ova
Definition
Ovary--> Peritoneal Space--> Fimbrea of the Uterine Tube--> Uterine Tube--> Uterus
Term
Ovaries
Definition
House the premature eggs. Atatached to the uterus via the ovarian ligament. Pulled down through the abdomen via the gubernaculum, which becomes the ovarian ligament and the round ligament of the uterus
Term
Uterine Tubes
Definition
Ova travels down uterine tubes from the fimbrea of the uterine tube. Site of fertilization
Term
Uterus
Definition
Egg attaches to the uterine wall to begin pregnancy
Term
Vagina
Definition
Sheath leading from the external environment to the uterus.
Term
Location of the Uterus
Definition
Superior to the vagina, typically flexes over the bladder
Term
Vaginal Fornices
Definition
Spaces in the vagina that run from the point of the cervix to where it inserts into the vagina
Term
Peritoneum and the Ovaries
Definition
Peritoneum covers the ovaries, causing the mature egg to burst through the wall and into the peritoneal space. A hole in the visceral peritoneum where the uterine tubes attach allow the egg to find its way inside the uterine tubes
Term
Broad Ligament of the Uterus
Definition
Extension of the Peritoneum that lies over the uterus
Term
Anatomy of the Clitoris
Definition
Corpora Cavernosa - erectile tissue that extends back from the clitoris
Clitoris - external projection, equivalent to the Glans penis
Foreskin of the Clitoris - Hood over the clitoris formed by the Labia Minora
Term
Vestibule of the Vagina
Definition
Between the Labia Minora. Contains the opening for the urethra and the vaginal canal
Term
Labia Majora and Labia Minora
Definition
Labia Majora - Large, outer lips. Contain bulbs of the vestibule
Labia Minora - Small, inner lips. Contain the vestibule of the vagina
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