Anatomy books

Thursday, December 28, 2023

Rough endoplasmic reticulum vs smooth endoplasmic reticulum

 difference between rough endoplasmic reticulum and smooth endoplasmic reticulum

Bell palsy vs facial palsy due to stroke

 Bell palsy vs facial palsy due to stroke  

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The two most common causes of acute facial paralysis are Bell’s palsy and ischemic stroke or upper motor type of facial paralysis. 

Facial weakness can be caused by strokes in many different locations in the brain and brainstem. Strokes involving the brain typically cause central facial weakness that involves the mouth and spares the eye and forehead.

 Strokes involving the brainstem can sometimes cause weakness of the mouth, eye and forehead–mimicking a peripheral lesion. In these cases however, there will be other focal neurologic deficits. A review of systems and neurologic examination can help to identify signs and symptoms of stroke.

Bell's palsy is a condition that causes sudden weakness in the muscles on one side of the face. In most cases, the weakness is temporary and significantly improves over weeks. 

The weakness makes half of the face appear to droop. Smiles are one-sided, and the eye on the affected side resists closing.


Bell palsy vs facial palsy due to stroke  

Topic

Upper motor type/ stroke

Lower motor type/ bell’s palsy

Age

>60 years

20 -50

Time course

Second to minutes

Few hours to few days

Upper face

Usually not affected

Affected

Lower face

Affected

Affected

Associate symptoms

      Rapid onset of mild weakness to total paralysis on one side of your face — occurring within hours to days

      Facial droop and difficulty making facial expressions, such as closing your eye or smiling

      Drooling

      Pain around the jaw or in or behind your ear on the affected side

      Increased sensitivity to sound on the affected side

      Headache

      A loss of taste

      Changes in the amount of tears and saliva you produce

 

stroke causing isolated left lower facial weakness.

There’s a flattened nasolabial fold & inability to smile on the affected side with sparing of the forehead &  eye closure muscles.

Weakness or numbness in the arm or leg: Weakness or numbness can occur either on the same side as the facial palsy, or on the opposite side,

Difficulty swallowing (dysphagia): Dysphagia secondary to brainstem ischemia




Difference between corticospinal tract and corticonuclear tract

 Difference between corticospinal tract and corticonuclear tract

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Corticonuclear tract

Corticospinal tract

Definition: motor pathway from the motor cortex of the brain to the motor nuclei of cranial nerves within the brainstem.

Definition: motor pathway from the brain’s motor cortex to lower motor neurons located in the anterior horn of the spinal cord’s gray matter. Divided into the anterior corticospinal tract (supplies axial muscles) and the lateral corticospinal tract (supplies muscles of the limbs).

Function: responsible for voluntary movement of the muscles of the face (CN. VII), head and neck (CN. XI). Also involved in phonation, swallowing and facial expression. (CN. VII and IX)

Function: responsible for voluntary movement of the muscles of the limbs and trunk.

Difference between connective tissue mast cell and mucosal mast cell

 Difference between connective tissue mast cell and mucosal mast cell

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Topics

connective tissue mast cell

  mucosal mast cell

Another name

Also known as MCTC mast cell

Also known as MCmast cell

Location

Skin , intestinal submucosa, breast and axillary lymph nodes

Lungs, intestinal mucosa

Granules and its internal structure

Granules with Lattice like internal structure

Granule with a scroll like internal structure

Granules contain

Tryptase and chymase

Only tryptase



Differences between the electrical and chemical synapses.

 Differences between the electrical and chemical synapses.

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Chemical synapses

Electrical synapses

It is present in higher vertebrates.

It is present in both lower and higher vertebrates and invertebrates.

Nerve impulse is transmitted using a neurotransmitter.

Nerve impulse is transmitted using ions.

Unidirectional transmission.

Bi-directional transmission.

Gaps between cells are around 20 nm

Smaller gaps - only 3 - 5 nm

Transmission is relatively slow - several milliseconds.

Transmission is fast - almost instant.

Either inhibitory or excitatory.

Excitatory.

Signal remains strong.

Signal will disappear over time.

Sensitive to pH and hypoxia.

Insensitive to pH and hypoxia.

Vulnerability to fatigue.

Relatively less vulnerable to fatigue.

Difference between pulsation of jugular vein and carotid artery

 Difference between pulsation of jugular vein and carotid artery

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PULSATION OF JUGULAR VEIN

PULSATION OF CAROTID ARTERY

No pulsations palpable.

Palpable pulsations.

Pulsations obliterated by pressure above the clavicle.

Pulsations not obliterated by pressure above the clavicle.

Level of pulse wave decreased on inspiration; increased on expiration.

No effects of respiration on pulse.

Usually two pulsations per systole (x and y descents).

One pulsation per systole.

Prominent descents.

Descents not prominent.

Pulsations sometimes more prominent with abdominal pressure.

No effect of abdominal pressure on pulsation


Thursday, February 23, 2023

Anatomy of thyroid cartilage

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The thyroid cartilage is a substantial shield-shaped structure that is situated near the top of the larynx in the front of the neck (voice box). Due to variations in the size and shape of the larynx, it is frequently referred to as the Adam's apple and is more noticeable in men than in women.

The laryngeal prominence, also referred to as the Adam's apple, is the point where the two halves or plates of hyaline cartilage that make up the thyroid cartilage meet. The superior thyroid notch, which is modest and visible in certain persons, is located in front of the thyroid cartilage.

The larynx and vocal cords are shielded by the thyroid cartilage, which is also crucial for speech production. The muscles of the larynx are in charge of regulating the tension and positioning of the vocal cords during speech and singing. The vocal cords are linked to the rear of the thyroid cartilage. By providing places of attachment for the muscles involved in swallowing, the thyroid cartilage also contributes to this process.

Skin superficial fascia and deep fascia of neck Gold information to memorize

 

Skin superficial fascia and deep fascia of neck  Gold information to memorize

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1.    All cutaneous nerve of neck are derived from cervical plexus except

 

greater occipital nerve which is derived from dorsal ramus of C2 spinal nerve

 

Thickest cutaneous nerve of the body

Greater occipital nerve

 

 

Cutaneous nerve which may pierce clavicle through and through

 

Intermediate supraclavicular nerve

 

Most important superficial vein in the neck

 

external jugular vein

Most commonly used external jugular vein for central venous cannulation catheterization

 

right external jugular vein

Muscle of neck representing panniculus carnosus of lower animals

 

Platysma

 

Cold abscess (tubercular abscess) abscess without signs of acute inflammation like pain and redness

Commonest cause of cold abscess in the neck

 

Tuberculosis of cervical vertebrae

 

Fibrous band connecting thyroid capsule to the cricoid cartilage

 

Ligament of Berry

 

Submandibular region, Gold information to memorize

 

Submandibular region

Gold information to memorize

 

1.    Key muscle of submandibular region

Ans: Hyoglossus

2.    Smallest of the three parts of large salivary glands

Ans : Sublingual salivary gland

3.    Wharton duct

Ans: Submandibular duct

4.    Ducts of Rivinus

Ans: Ducts of sublingual gland

5.    Langley ganglion

Ans: Submandibular ganglion

6.    Most commonly damaged artery during surgical removal of submandibular gland

Ans facial artery

7.    Most commonly damaged nerve during surgical removal of submandibular gland

Ans : lingual nerve damaged during ligation and divison of submandibular duct

 

 

 

Clinical anatomy of scalp


Clinical anatomy of scalp

1.      Which layers of scalp is known as dangerous layer of scalp?

·       4th layer, the subaponeurotic layer of scalp is known as dangerous layer of scalp.

·        Why ?

·       Due to loose spaces blood and pus tent to collect in this space and this space contain emissary veins which connect veins of scalp to the venous sinuses of cranium. So infection from this layer spread into the venous sinuses of cranium.

2.     Functional importance of sub aponeurotic layer of scalp

·       In case children injury of vault, blood from intra cranial hematoma accumulate in 4th layer of scalp, so no sign of intracranial pressure rise was seen

3.      Why bleeding under surface of periosteum of skull bone cause cephalohaematoma

It is a hemorrhage of blood between the skull and the periosteum of particular skull bones. It  is a typically harmless condition that causes blood to pool under a newborn's scalp after a difficult vaginal delivery. Periosteum of skull bone, the innermost layer of scalp is loosely attach to bone except near the suture, so hemorrhage below this layer make shape of individual bone. It is more see in parietal region.

4.     Why a blow on head lead to “black eye’ ?

·       Injury of the scalp causes collection of blood into the 4th layer of scalp, the sub-aponeurotic layer of scalp. Frontalis muscle which cover part of forehead of scalp has no bony attachment and due to gravity blood accumulated in the scalp go downward and accumulate under the eye.

5.     After scalp injury, why blood accumulate under the eye but not goes laterally and posteriorly.?

·       The epicranial aponeurosis of scalp and occipitalis muscles have bony attachments to superficial temporal lines and superior nuchal lines, so blood cannot go laterally and posteriorly  but frontalis muscle has no bony attachment so blood always track downward and settle under the eye.

6.     Why wounds of scalp bleed profusely? 

·       It has two causes

·       The scalp is rich in blood supply

·        For epicranial aponeurosis (or galea aponeurotica) which is a tough layer form by dense fibrous tissue and  scalp blood vessel adhere with it which prevent vasocontriction , so scalp injury bleed more.  

7.     Why transverse scalp injury tend to create  more gap?

Ans Epicranial aponeurosis (or galea aponeurotica), the 2nd layers of the scalp which is  a tough layer made by  dense fibrous tissue which runs from the frontalis muscle anteriorly to the occipitalis posteriorly. So there is a  tension present within the epicranial aponeurosis from anterior posteriorly. So a large gap is created when injury occur in transversely but injury occur in anterior posterior direction is not followed by large gap.    

8.     Caput succedaneum is swelling of the scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex) delivery. 

9.     Clinical anatomy of Caput succedaneum

It  is swelling due to collection of fluid in the  4th layer(loose areolar tissue)  of scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex) delivery. It is subsides with 1-2 days