Lecture 4 Intro to Gross Anatomy Skull

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    Lecture 4: Introduction to Gross Anatomy; Skull

    Introduction to Gross Anatomy

    Objectives

    1.

    Describe the anatomical position, supine and prone position.

    2.

    Use anatomical terms, body sections, body regions, relative positions and directions to describe

    location of structures and abnormalities.

    3.

    Identify the body cavities and their subdivisions: dorsal cavity, cranial cavity, ventral cavity, thoracic

    cavity, mediastinum and abdomino-pelvic cavity.

    4.

    Differentiate the serous membranes: visceral vs. parietal, and indicate their common function.

    5.

    Name the nine regions and four quadrants of the abdomino-pelvic cavity.

    6.

    Use anatomical terms of movement and laterality to describe action of the muscles: flexion,

    extension, abduction, adduction, medial and lateral rotation, circumduction, supination, pronation,

    eversion, inversion, protrusion, retraction, elevation and depression.

    1. Describe the anatomical position, supine and prone position.

    Anatomical positionis a standard position anatomists refer to when they are describing location of

    structures or pathologies. A person in an anatomical position stands erect with their head and eyes

    directed to the front, upper limbs by the sides, palms front, lower limbs close together and toes directed

    to the front.

    A person in a prone or supine position keeps body parts in the same relation to each other as the person

    in an anatomical position. A person in a supine positionlies flat on the back, face up. A person in a

    prone positionlies face down.

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    2. Use anatomical terms, body sections, body regions, relative positions and directions to describe

    location of structures and abnormalities.

    Some clinical terms are based on Greek or Latin words.

    A planeis an imaginary flat surface that passes through the body.

    A sectionis one of the two 2 surfaces (pieces) that results when the body is cut by a plane passing

    through it.

    Medianor midsagittal planepasses vertically through the center of the body and divides body into

    equal left and right halves. There is only one median plane. Planes that run parallel to the median planeare called parasagittal. There can be many parasagittal planes.

    Coronal (frontal) planesare passing vertically at the right angle to the median plane. Coronal planes

    divide body to the anterior and posterior portion. There can be more than one coronal plane.

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    Transverse planesare passing horizontally at the

    right angle to the median and coronal plane.

    Transverse plane divides body to the superior and

    inferior portion.

    Oblique planesare not parallel to the median,

    coronal and transverse planes.

    Terms of laterality: Symmetrical and paired

    structures occurring on the both sides of the body

    or having left and right members are called

    bilateral(kidneys, nostrils).

    Structures which only occur in one side of the body

    are called unilateral (spleen, appendix).

    Ipsilateral refer to the structure or event that

    occurs on the same side of the body, e.g. injury to

    the peripheral nerve in the right arm is causing

    muscle paralysis in the right hand.

    Contralateral means on the opposite side of the

    body, e.g. paralysis of the right arm caused

    hypertrophy of the muscles of the left arm.

    3. Identify the body cavities and their subdivisions: dorsal cavity, cranial cavity, ventral cavity, thoracic

    cavity, mediastinum, abdomino-pelvic cavity.

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    Cavities are spaces or potential spaces

    inside the body.

    Two major cavities are ventral cavity and

    dorsal cavity.

    Ventral cavityis derived from embryonic

    gut, in humans it is divided by diaphragm

    into thoracic (above diaphragm) and

    abdominopelviccavities.

    Dorsal cavitydevelops from the

    embryonic neural tube: in humans it is

    divided into cranialcavitythat is formed

    by the skull and holds the brain and spinal

    (vertebral) canalthat holds the spinal

    cord.

    Body cavities are usually lined by

    connective tissue membranes. Dorsal

    cavity is lined by meninges. Ventral cavity

    is lined by fascia and serous membranes.

    Serous membranes separate and wrap

    organs of the ventral cavity.

    Pleurais a serous membrane around lungs. Pericardiumis a serous membrane around the heart.

    Peritoneumis a serous membrane around the abdominal viscera.

    There are two layers of serous capsule: viscerallayer is the layer closest to the organ, it is difficult to

    remove visceral layer and not damage the organ; parietallayer is the lining of the cavity. The space

    between visceral and parietal layers usually contains a small amount of fluid produced by serous

    membranes.

    Thoracic cavity is filled with lungs and mediastinum -the space between lungs. Heart, esophagus,

    trachea as well as important nerves and blood vessels are located in the mediastinum.

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    5. Name the nine regions and four quadrants of the abdomino-pelvic cavity.

    Abdominopelvic cavityis the largest. It is conventionally divided either into four quadrantsor nine

    regions.

    Abdominal quadrantsare defined by two planes: median and transumbilical, passing through the bellybutton at a right angle to median. (RUQright upper quadrant, LUQleft upper quadrant, RLQright

    lower quadrant and LLQleft lower quadrant).

    Abdominal regions are defined by two vertical midclavicularplanes: passing vertically from middle of

    the clavicle, and two horizontal planes: subcostalplane, through the inferior border of 10thcostal

    cartilage (rib) and transtubercularplane through iliac tubercles (RH - right hypochondriac, E-epigastric,

    LH - left hypochondriac, RLright lateral (lumbar), U-umbilical, LLleft lateral (lumbar), RIright

    inguinal, Ppubic (hypogastric), LI- left inguinal).

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    6. Use anatomical terms of movement and laterality to describe action of the muscles: flexion,

    extension, abduction, adduction, medial and lateral rotation, circumduction, supination, pronation,

    eversion, inversion, protrusion, retraction, elevation, depression.

    Please learn terms of movement: M&A Fig. 1.4 pp. 5-6; Types of JointsTable 1.2 pp. 15; Types ofSynovial Joints Table 1.3. pp. 16 and Bone Markings pp. 11-12.

    Skull

    Objectives

    1.

    Identify the bones of the skull: 8 cranial vs. 14 facial bones.

    2.

    Identify the bone markings of the skull.3.

    Explain structural and functional divisions of the nervous system: central vs. peripheral, somatic

    vs. autonomic, sensory vs. motor.

    4.

    Know the parts of the brain.

    5.

    Identify parts of the spinal cord and location of different types of neurons in spinal cord, spinal

    nerves and adjacent ganglia.

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    1. Identify the bones of the skull: 8 cranial vs. 14 facial bones.

    Identify these

    bones:

    Cranial bones

    (neurocranium):

    frontal, parietal (2),

    temporal (2),

    occipital, sphenoid

    and ethmoid.

    Facial bones

    (viscerocranium):

    nasal (2), maxilla

    (2), lacrimal (2),

    zygomatic (2),

    inferior concha (2),

    palatine (2),

    mandible and

    vomer.

    2. Identify the bone

    markings of the skull.

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    Foramina and apertures: magnum(CN XI, medulla, vertebral arteries and spinal arteries),jugular (CN IX,

    X and XI), carotid canal(internal carotid artery), ovale(CN V-mandibular), lacerum, rotundum (CN V-

    maxillary), spinosum, stylomastoid,optic(CN II), hypoglossal canal (CN XII), superior orbital fissure (CN

    III, IV, V-ophthalmic & max.

    Processes: occipital condyles, mastoid process , styloid pcs (of temporal bone); coronoid process

    (mandible), mental protuberance, zygomatic arch, pterygoid process.

    3. Explain structural and functional divisions of the nervous system: central vs. peripheral, somatic vs.

    autonomic, sensory vs. motor.

    Structurally, the nervous system consists of two major divisions: CNS (central nervous system)and PNS

    (peripheral nervous system).The function of CNS is to integrate and coordinate neural signals and

    perform higher mental functions (thinking and learning). The CNS is made up of brain and spinal cord.

    Brain and spinal cordoccupy the dorsal cavity and constitute the central nervous system. Brain occupies

    the cranial cavity. Spinal cord occupies the vertebral canal. The PNS is located outside of the dorsal

    cavity. It consists of peripheral nerves (cranial and spinal), ganglia, receptors and enteric plexus. The

    function of PNS is to carry signals to and from CNS. Sensoryfibersconduct impulses from receptors

    (sensors) to the CNS. Motorfibersconduct impulses from CNS to the effectors (muscles or glands).

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    Motor division of the nervous system consists of SNS- somatic (voluntary)nervous system, which

    controls skeletal muscles (soma - body), and ANS-autonomic (involuntary or visceral)nervous system,

    which controls cardiac muscle, smooth muscles and glands. ANS is divided into sympathetic and

    parasympathetic divisions.

    Neurocranium accommodates brain, which is the biggest organ of neural system. Floor of the cranium

    has three fossae: anterior, middle and posterior. Please identify the bones that form these fossa and

    contents of each fossa.

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    There are 12 pairs of cranial peripheral nerves, which arise from the brain and exit the cranium through

    foramina.

    There are 31 pairs of spinal nerves, which arise from the spinal cord and exit the vertebral canal through

    the intervertebral foramina.

    4. Know the parts of the brain.

    Identify major parts of the brain: cerebrum, cerebellum, thalamus, hypothalamus, mesencephalon

    (midbrain), pons, medulla, pituitary gland, corpus collosum and nucleiin different plans and sections.

    Identify the parts of the brain in the following gross Anatomy images and CT scans.

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    Ganglia(singularganglion) are

    collections of the neural cell bodies

    located outside of CNS.

    Collections of the neural cell bodies inside

    CNS are referred to as nuclei(singular

    nucleus).

    Blue Box in M&A pp. 498 Fractures of

    Cranium