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NEET MDS Synopsis - Lecture Notes

📖 Anatomy

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The Lateral Wall of the Orbit
Anatomy

The Lateral Wall of the Orbit

  • This wall is thick, particularly its posterior part, which separates the orbit from the middle cranial fossa.
  • The lateral wall is formed by the frontal process of the zygomatic bone and the greater wing of the sphenoid bone.
  • Anteriorly, the lateral wall lies between the orbit and the temporal fossa.
  • The lateral wall is partially separated from the roof by the superior orbital fissure.
The Optic Nerve
Anatomy
  • This is the second cranial nerve (CN II) and is the nerve of sight.

Classification

Anatomy

Classification

Epitheliums can be classified on appearance or on function

Classification based on appearance

- Simple - one layer of cells

- Pseudostratified - looks like more than one layer but is not

- Stratified - more than one layer of cells

Simple epitheliums

Simple squamous epithelium

 Cells are flat with bulging or flat nuclei.  Lines the insides of lung alveoli and certain ducts in the kidney

 Forms serous membranes called mesothelium that line cavities like: pericardial ,  peritoneal,  plural

 Lines blood vessels - known as endothelium

Simple cuboidal epithelium

It appears square in cross section,  Found in: - Ducts of salivary glands,  Follicles of the thyroid gland,  Pigment layer in the eye,  Collecting ducts of the kidney, In the middle ear is ciliated type.

Simple columnar

  • Lines the gastrointestinal tract from the stomach to the anal canal,  Some columnar cells have a  secretory function – stomach, peg cells in the oviduct,  Some columnar cells have microvilli on their free border (striated border) – gall bladder, duodenum
  • Microvilli increase the surface area for absorption
  • Some columnar cells have cilia – oviduct, smaller bronchi
  • Cilia transport particles

Pseudostratified

Appears as stratified epithelium but all cells are in contact with the basement membrane.  Has a thick basement membrane. Different cell types make up this epithelium,  Cells that can be found in this type of epithelium are:

  • Columnar cells with cilia or microvilli.
  • Basal cells that do not reach the surface.
  • Goblet cells that secrete mucous.
  • Found in the trachea, epididymus, ductus deferens and female urethra

Stratified epithelium

Classified according to the shape of the surface cells

Stratified squamous epithelium

Has a basal layer that varies from cuboidal to columnar cells that divide to form new cells. Two types are found:

Keratinized:  Mostly forms a dry covering, The middle layers consists of cells that are forming- and filling up with keratin. The superficial cells form a tough non living layer of keratin,  Keratin is a type of protein,  The skin is of this type has  thick skin - found on the hand palms and soles of the feet,  thin skin - found on the rest of the body

Non-keratinized:  Top layer of cells are living cells with nuclei  Forms a wet covering,  The middle layers are polyhedral,  The surface layer consists of flat squamous cells

  • Is found in:  mouth,  oesophagus,  vagina

Stratified cuboidal epithelium

Found: - in the ducts of sweat glands

Stratified columnar epithelium

Found at the back of the eyelid (conjunctiva)

Transitional epithelium

- Sometimes the surface cells are squamous, sometimes cuboidal and sometimes columnar

- The superficial cells are called umbrella cells because they can open and close like umbrellas, when the epithelium stretch and shrink

- Umbrella cells can have 2 nuclei

- Found in the bladder and ureter

The Auditory Ossicles
Anatomy

The Auditory Ossicles

The Malleus

  • Its superior part, the head, lies in the epitympanic recess.
  • The head articulates with the incus.
  • The neck, lies against the flaccid part of the tympanic membrane.
  • The chorda tympani nerve crosses the medial surface of the neck of the malleus.
  • The handle of the malleus (L. hammer) is embedded in the tympanic membrane and moves with it.
  • The tendon of the tensor tympani muscle inserts into the handle.

The Incus

  • Its large body lies in the epitympanic recess where it articulates with the head of the malleus.
  • The long process of the incus (L. an anvil) articulates with the stapes.
  • The short process is connected by a ligament to the posterior wall of the tympanic cavity.

The Stapes

  • The base (footplate) of the stapes (L. a stirrup), the smallest ossicle, fits into the fenestra vestibuli or oval window on the medial wall of the tympanic cavity.

Functions of the Auditory Ossicles

  • The auditory ossicles increase the force but decrease the amplitude of the vibrations transmitted from the tympanic membrane.