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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

EPITHELIUMS

Epithelial Tissue Epithelial tissue covers surfaces, usually has a basement membrane, has little extracellular material, and has no blood vessels. A basement membrane attaches the epithelial cells to underlying tissues. Most epithelia have a free surface, which is not in contact with other cells. Epithelia are classified according to the number of cell layers and the shape of the cells.

 

  • Epitheliums contain no blood vessels.  There is normally an underlying layer of connective tissue
  • Almost all epitheliums lie on a basement membrane.The basement membrane consists of  a basal lamina and  reticular lamina. The reticular lamina is connected to the basal lamina by anchoring fibrils. The reticular lamina may be absent in which case the basement membrane consist only of a basal lamina. The basal lamina consists of a   - lamina densa in the middle (physical barrier) with a lamina lucida on both sides (+charge barrier),The basement membrane is absent in ependymal cells.The basement membrane is not continuous in sinusoidal capillaries.
  • Epitheliums always line or cover something
  • Epithelial cells lie close together with little intercellular space
  • Epithelial cells are strongly connected to one another especially those epitheliums that are subjected to mechanical forces.  

Functions of Epithelium:

→ Simple epithelium involved with diffusion, filtration, secretion, or absorption

→ Stratified epithelium protects from abrasion

→ Squamous cells function in diffusion or filtration

->The two parietal bones (L. paries, wall) form large parts of the walls of the calvaria.
->On the outside of these smooth convex bones, there are slight elevations near the centre called parietal eminences.
->The middle of the lateral surfaces of the parietal bones is crossed by two curved lines, the superior and inferior temporal lines.
->The superior temporal line indicates an attachment of the temporal fascia; the inferior temporal line marks the superior limit of the temporalis muscle.
->The parietal bones articulate with each other in the median plane at the sagittal suture. The medial plane of the body passes through the sagittal suture.
->The inverted V-shaped suture between the parietal bones and the occipital bones is called the lambdoid suture because of its resemblance to the letter lambda in the Greek alphabet.
->The point where the parietal and occipital bones join is a useful reference point called the lambda. It can be felt as a depression in some people.
->In addition to articulation with each other and the frontal and occipital bones, the parietal bones articulate with the temporal bones and the greater wings of the sphenoid bone.
->In foetal and infant skulls, the bones of the calvaria are separated by dense connective tissue membranes at sutures.
->The large fibrous area where several sutures meet are called fonticuli or fontanelles.
->The softness of these bones and looseness of their connections at these sutures enable the calvaria to undergo changes of shape during birth called molding. Within a day or so after birth, the shape of the infant’s calvaria returns to normal.
->The loose construction of the new-born calvaria also allows the skull to enlarge and undergo remodelling during infancy and childhood.

->Relationships between the various bones are constantly changing during the active growth period.
->The increase in the size of the cranium is greatest during the first 2 years, the period of most rapid postnatal growth of the brain.
->The cranium normally increases in capacity until about 15 or 16 years of age; thereafter the cranium usually increases only slightly in size as its bones thicken for 3 to 4 years.

 

MUSCLE

Types:

Skeletal (voluntary)
Cardiac (involuntary)
Smooth (involuntary)

The External Ear

  • The auricle (L. auris, ear) is the visible, shell-like part of the external ear.
  • It consists of a single elastic cartilage that is covered on both surfaces with thin, hairy skin.
  • The external ear contains hairs, sweat glands, and sebaceous glands.
  • The cartilage is irregularly ridged and hollowed, which gives the auricle its shell-like form.
  • It also shapes the orifice of the external acoustic meatus.

 

The Ear Lobule

  • The ear lobule (earlobe) consists of fibrous tissue, fat and blood vessels that are covered with skin.
  • The arteries are derived mainly from the posterior auricular artery and the superficial temporal artery.
  • The skin of the auricle is supplied by the great auricular and auriculotemporal nerves.
  • The great auricular nerve supplies the superior surface and the lateral surface inferior to the external acoustic meatus with nerve fibres from C2.
  • The auriculotemporal nerve supplies the skin of the auricle superior to the external acoustic meatus.

The External Acoustic Meatus

  • This passage extends from the concha (L. shell) of the auricle to the tympanic membrane (L. tympanum, tambourine). It is about 2.5 cm long in adults.
  • The lateral 1/3 of the S-shaped canal is cartilaginous, whereas its medial 2/3 is bony.
  • The lateral third of the meatus is lined with the skin of the auricle and contains hair follicles, sebaceous glands, and ceruminous glands.
  • The latter glands produce cerumen (L. cera, wax).
  • The medial two-thirds of the meatus is lined with very thin skin that is continuous with the external layer of the tympanic membrane.
  • The lateral end of the meatus is the widest part. It has the diameter about that of a pencil.
  • The meatus becomes narrow at its medial end, about 4 mm from the tympanic membrane.
  • The constricted bony part is called the isthmus.
  • Innervation of the external acoustic meatus is derived from three cranial nerves:
  1. The auricular branch of the auriculotemporal nerve (derived from the mandibular, CN V3).
  2. The facial nerve (CN VII) by the branches from the tympanic plexus.
  3. The auricular branch of the vagus nerve (CN X).

The Tympanic Membrane

  • This is a thin, semi-transparent, oval membrane at the medial end of the external acoustic meatus.
  • It forms a partition between the external and middle ears.
  • The tympanic membrane is a thin fibrous membrane, that is covered with very thin skin externally and mucous membrane internally.
  • The tympanic membrane shows a concavity toward the meatus with a central depression, the umbo, which is formed by the end of the handle of the malleus.
  • From the umbo, a bright area referred to as the cone of light, radiates anteroinferiorly.
  • The external surface of the tympanic membrane is supplied by the auriculotemporal nerve.
  • Some innervation is supplied by a small auricular branch of the vagus nerve (CN X); this nerve may also contain some glossopharyngeal and facial nerve fibres.

The Parotid Glands

  • The parotid glands are the largest of the three pairs of salivary glands.
  • Each gland is wedged between the mandible and the sternocleidomastoid muscle and partly covers them.
  • The parotid gland is wrapped with a fibrous capsule (parotid fascia) that is continuous with the deep investing fascia of the neck.
  • Viewed superficially, the parotid gland is somewhat triangular in shape.
  • Its apex is posterior to the angle of the mandible and its base is along the zygomatic arch.
  • The parotid gland overlaps the posterior part of the masseter muscle.
  • The parotid duct (Stensen's duct) is about 5 cm long and 5 mm in diameter.
  • It passes horizontally from the anterior edge of the gland.
  • At the anterior border of the masseter muscle, the parotid duct turns medially and pierces the buccinator muscle.
  • It enters the oral cavity opposite the second maxillary molar.

 

Blood Vessels of the Parotid Gland

  • This gland is supplied by branches of the external carotid artery.
  • The veins from the parotid gland drains into the retromandibular vein, which enters the internal jugular vein.

 

Lymphatic Drainage of the Parotid Gland

  • The lymph vessels of this gland end in the superficial and deep cervical lymph nodes.

 

Nerves of the Parotid Gland

  • These nerves are derived from the auriculotemporal nerve and from the sympathetic and parasympathetic systems.
  • The parasympathetic fibres are derived from the glossopharyngeal nerve (CN IX) through the otic ganglion.
  • Stimulation of these fibres produces a thin watery (serous) saliva to flow from the parotid duct.
  • The sympathetic fibres are derived from the cervical ganglia through the external carotid plexus.
  • Stimulation of these fibres produces a thick mucous saliva.

Nerve Supply of the Muscles of the Orbit (pp. 715-6)

  • Three cranial nerves supply the muscles of the eyeball; the oculomotor (CN III), trochlear (CN IV) and abducent (CN IV) nerves.
  • All three enter the orbit via the superior orbital fissure.
  • The trochlear nerve supplies the superior oblique muscle.
  • The abducent nerve supplies the lateral rectus muscle.
  • The oculomotor nerve supplies everything else.
  • A mnemonic that is used is this formula for this strange sulfate: SO4(LR6)3

The Medial Wall of the Orbit 

  • This wall is paper-thin and is formed by the orbital lamina or lamina papyracea of the ethmoid bone, along with contributions from the frontal, lacrimal, and sphenoid bones (L. papyraceus, "made of papyrus" or parchment paper).
  • There is a vertical lacrimal groove in the medial wall, which is formed anteriorly by the maxilla and posteriorly by the lacrimal bone.
  • It forms a fossa for the lacrimal sac and the adjacent part of the nasolacrimal duct.
  • Along the suture between the ethmoid and frontal bones are two small foramina; the anterior and posterior ethmoidal foramina.
  • These transmit nerves and vessels of the same name.

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