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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

-> This bone forms much of the base and posterior aspect of the skull.
-> It has a large opening called the foramen magnum, through which the cranial cavity communicates with the vertebral canal.
-> It is also where the spinal cord becomes continuous with the medulla (oblongata) of the brain stem.
-> The occipital bone is saucer-shaped and can be divided into four parts: a squamous part (squama), a basilar part (basioccipital part), and two lateral parts (condylar parts).
-> These four parts develop separately around the foramen magnum and unite at about the age of 6 years to form one bone.
-> On the inferior surfaces of the lateral parts of the occipital bone are occipital condyles, where the skull articulates with C1 vertebra (the atlas) at the atlanto-occipital joints.
-> The internal aspect of the squamous part of the occipital bone is divided into four fossae: the superior two for the occipital poles of the cerebral hemispheres, and the inferior two, called cerebellar fossae, for the cerebellar hemispheres.

 

Internal Ear

  • Osseous labyrinth: a complex system of cavities in the substance of the petrous bone.
  • Membranous labyrinth: filled with endolymph, bathed in perilymph.

Veins of the Face

The Supratrochlear Vein

  • This vessel begins on the forehead from a network of veins connected to the frontal tributaries of the superficial temporal vein.
  • It descends near the medial plane with its fellow on the other side.
  • These veins diverge near the orbits, each joining a supraorbital vein to form the facial vein near the medial canthus (angle of the eye).

 

The Supraorbital Vein

  • This vessel begins near the zygomatic process of the temporal bone.
  • It joins the tributaries of the superficial and middle temporal veins.
  • It passes medially and joins the supratrochlear vein to form the facial vein near the medial canthus.

 

The Facial Vein

  • This vein provides the major venous drainage of the face.
  • It begins at the medial canthus of the eye by the union of the supraorbital and supratrochlear veins.
  • It runs inferoposteriorly through the face, posterior to the facial artery, but takes a more superficial and straighter course than the artery.
  • Inferior to the margin of the mandible, the facial vein is joined by the anterior branch of the retromandibular vein.
  • The facial veins ends by draining into the internal jugular vein.

 

The Superficial Temporal Vein

  • This vein drains the forehead and scalp and receives tributaries from the veins of the temple and face.
  • In the region of the temporomandibular joint, this vein enters the parotid gland.

 

The Retromandibular Vein

  • The union of the superficial temporal and maxillary veins forms this vessel, posterior to the neck of the mandible.
  • It descends within the parotid gland, superficial to the external carotid artery but deep to the facial nerve.
  • It divides into an anterior branch that unites with the facial vein, and a posterior branch that joins the posterior auricular vein to form the external jugular vein.

  • U-shaped bone
  • Body
  • Greater horn
  • Lesser horn
  • Suspended by ligaments from the styloid process
 

The External Nose

  • Noses vary considerably in size and shape, mainly as a result of the differences in the nasal cartilages and the depth of the glabella.
  • The inferior surface of the nose is pierced by two apertures, called the anterior nares (L. nostrils).
  • These are separated from each other by the nasal septum (septum nasi).
  • Each naris is bounded laterally by an ala (L. wing), i.e., the side of the nose.
  • The posterior nares apertures or choanae open into the nasopharynx.

Smooth Muscle

Light microscopic Structure:

cells - long - spindle shaped,  nucleus lies in the widest widest part of the fiber,  when the fiber contract the nucleus become folded, 30 - 200 µm long,between fibres lie endomycium

Electron microscopic structure:

 Mitochondria, ribosomes, golgi, rough EPR, myofilaments are present but no sarcomeres and no Z lines,thin filaments - actin and tropomyosin (7nm), thick filaments - myosin (17nmØ)

- intermediate filaments (10 nm)

- actin and myosin overlap more than in skeletal muscle and can therefore contract more

 A rudimentary sacroplasmic reticulum is present in the form of invaginations on the surface called caveolae , So there are no T-tubules,  Cells communicate through gap junctions.

Dense bodies

Filaments are attached to dense bodies which take the place of the Z line in skeletal muscle

There are two types of dense bodies - cytoplasmic and membrane

contains a percentage actinin (like the Z line)

dense bodies transmit contractile force to adjacent fibres

 

Arrangement:

Fibres can be single or in groups, normally arranged in sheaths,  In the GIT are 2 or 3 layers

Nerve supply:

2 types:

Where it is arranged in layers a few fibres are innervated together

impulse spread through the gap junctions between fibres (slow contraction)

In the iris and the vas deferens each fiber is individually supplied (quick contraction)

3 basic functions
o    protection of respiratory tract during swallowing food/air pathways cross.
    epiglottis provides protection
o    control intra-thoracic pressure (in coughing) -    close off airway to build pressure then rapidly open to release stuff
o    production of sound (in speaking, singing, laughing)

Important structures

o    hyoid bone
o    thyroid cartilage
o    arytenoids cartilage: vocal and muscle process
    sits on slope on posterior side of cricoid - spin and slide
o    cricoid cartilage: signet ring
o    thyroepiglottic ligament

Membranes and ligaments

o    membrane: general; ligament: thickening of membrane
o    folds: free edges of membranes or ligaments
o    names: tell you where located

Important membranes:
    quandrangular/vestibular membrane—from epiglottis to arytenoids
•    inferior edge: false vocal fold
    thyrohyoid membrane
    conus elasticus = cricothyroid = cricovocal
•    superior/medial edge = vocal fold
•    vocal ligaments: true folds, top of cricothyroid membrane

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