Anatomy books

Monday, April 18, 2016

Cell cycle: easy and brief description

Cell cycle

Cyclic changes of a cell involving interphase and mitosis is known as the cell cycle.

There are two stages of cell cycle

  1. Inter-phase : divided into three phases:
                            G1 Phase
                             S phase and
                              G2 phase
  1. Mitosis

Interphase
The phase between two mitoses is called inter-phase

Phase
Duration
Synthesize
The G1 phase
it began at the end of M phase
longest duration
the most variable phase of the cell cycle
the RNA and protein synthesis
S phase
 7 to 10 hrs
DNA synthesis
G2 phase

1hr

Accumulation of energy (for mitosis)
Synthesis of tubulin
(for formation of mitotic microtubules)
Synthesize of chromosomal non-histone proteins

G0: Some terminally differentiated cells leave the cell cycle after the M phase and enter Go phase
Example : neuron

Sunday, April 17, 2016

Trigone of urinary bladder

Trigone of urinary bladder: it is situated interior of base of urinary bladder 
Boundary:
Distance between ureter to ureter 2.5 cm
Distance between ureter to urethra 2.5 cm
But in distended bladder it is 5 cm

Inter-ueteric fold is formed by continuity of the longitudinal muscles of ureters across the bladder

Ureteric orifice close by distension of urinary bladder but it open rhythmically in response to ureteric peristalsis and a jet of urine injected into bladder (4 or 5 times a minute normally )
Trigone contain two group of muscles

Superficial trigone muscle :
1.       a triangular layer of muscles, morphologically distinct component of the trigone
2.       it contain small diameter smooth muscle cells
3.       it is a thin muscle layer except at interureteric fold and urethra-ureteric fold where it is thicken
4.       in both sex it is continuous with muscles of ureter and urethra and in male it is also continuous with muscles of ejaculatory duct near the opening  
5.       different from other part of urinary bladder , it is rich in sympathetic supply


Deep trigone detrusor muscle

Sympathetic supply of urinary bladder:
1.       Vasomotor
2.       Inhibit detrusor muscle
1.       Motor to superficial trigone muscle and muscles of bladder neck in male
Parasympathetic supply of urinary bladder
1.       Contraction of detrusor muscle
2.       Sense of filing – travel by parasympathetic system then spinal cord then by tract of gracile
3.       But pain sensation travel by both sympathetic and parasympathetic then lateral spinothalamic tract

Sunday, March 6, 2016

Surface anatomy /living anatomy : important structures with easy points for drawing

Living Anatomy
1.      Frontal sinus
1st point- On the nasion
2nd point- 2.5 cm above the 1st point.
3rd point- At the junction of the medial 1/3 and the lateral 2/3 of the supra- orbital margin.
Join the points.
Related information:
Drainage areas: middle meatus of nasal cavity
Lining epithelium: pseodustratified ciliated columnar epithelium 
Functions of sinus: resonance of voice, lightening the wt of bone 
What is the name of sinus containing bones: pneumatic bone
2.      Parotid duct 
1st point: just in front and below the tragus
2nd point : between the ala of nose and the sharp margin of the upper lip
Join the 1st and 2nd point. The middle third of this line is parotid duct
Related questions:What type of gland it is? Ans: exocrine gland (because it has a duct)
According to the nature of secretion: it is pure serous in nature
Parts of this gland: Parenchyma (glandular portion )and stroma (connective tissue)
Histology: Serous acini are present. (Serous acini are darkly stain and cells of acini contain round nuclei)
Duct is present
Development of glands: Parenchyma: endodermal in origin. Stroma: mesodermal in origin
Opening of parotid duct: at the vestibule of mouth opposite the crown of 2nd molar teeth
3.      Isthmus of thyroid gland
1st point:  1.25 cm below the cricoid cartilage
2nd point: 1.25cm below the 1st point

Draw two 1.25 cm long horizontal lines along the 1st and 2nd point.
 1.      Sternal angle : it is an important bony landmark
It helps counting the number of ribs because the 2nd costal cartilages articulate at this level
It separates the superior mediastinum to inferior mediastinum
It is correspond with lower border of T4 vertebra
2.      Rt border of heart
1st point: On   the upper border   of the right 3rd costal cartilage about 2.5 cm from the median   plane.
2nd point: on   the right 6th costal cartilage about 2.5 cm from the median plane
Join these two points by a convex line towards the right.
SN: (The maximum convexity of which lies at a distance of 3.25am from the median plane in the 4th intercostal space.)
Related questions:
How it is formed?  Ans: it is formed by right atrium
3.      left border of heart
1) 1st    Point – On the lower border of the left 2nd costal cartilage about 2.5 cm from the median plane.
2) 2nd   point- At the apex beat left 5th intercostal space just medial to mid-clavicular line Join   these two points by line with convexity directed upwards and to the left.
Related questions:
How it is formed? Ans: it is formed by left ventricle of the heart
4. Lower border of the Heart
1st point: on   the right 6th costal cartilage about 2.5 cm from the median plane
2nd   point-At the apex beat left 5th intercostal space just medial to mid-clavicular line

Apex of the   Heart
It is situated in the left 5th intercostal space just medial to midclavicular   line.
Related questions:  How it is formed?
Ans: It is formed by only left ventricle of the heart.
Apex of the Lung
1st pointrt/lt  sternoclavicular   joint
 2nd point –at the junction of medial 1/3 and lateral 2/3 of clavicle
Join these two points & the summit of the curve being situated in the neck about 2.5cm above the medial   third of clavicle.    
by which structure  apex of the lung is covered?
Ans:    The apex of the lung is covered by cervical pleura (part of parietal pleura) and supra-pleural membrane
What is suprapleural membrane?
Ans: it is formed by endothoracic fascia
Attachment : internal border of 1st rib and transverse process of C7                                                                                                                                                                                                                                                                    
Arch of the Aorta
1) 1st point –On the right end of the   sternal angle.
2) 2nd point –On the   centre of the manubrium   sterni
3)3rd point- sternal end of left 2nd costal cartilage 
Join the points by a curved line which represents the outer border of the arch of aorta; then the inner   border is drawn   below  &  paralled to it about 2.5 cm apart  .
Importance points :  It is the continuation of ascending aorta and It is continued as descending thoracic aorta
Related questions : What are the branches of arch of aorta?
  1. brachiocephalic artery/ trunk : right common carotid and right subclavian artery
  2. left common carotid artery
  3. left subclavian artery
What is the type of these arteries?  Ans : elastic artery.
Why they known as elastic artery? They contain large numbers of elastic lamina within the tunica media. 




7.      Trans- pyloric plane
It is indicated by a transverse line drawn midway between the jugular notch and the top of the symphysis pubis (or roughly in between the xiphisternal junction and the umbilicus.)
 The following important structures are situated opposite this plan:-
1)      Pyloric part of the stomach.
2)      Fundus of the gall-bladder.
3)      Hilum of the kidneys.
4)      Tip of the 9th costal cartilage.
5)      Origin of the superior mesenteric artery.
6)      Lower border of the body of the 1st lumbar vertebra or upper border of its spine.
7)      Lower end of the spinal cord and beginning of the filum terminale.
Trans-tubercular plane: It is indicated by a transverse line of  the trunk at the level of the tubercle of the iliac crest. It cuts the upper border of the body and spine of the 5th lumbar vertebra.

   Fundus of gall bladder : it is marked at anterior abdominal wall at tip of the 9th costal cartilage (depression in anterior abdominal wall / where transpyloric plane crosses the right costal margin)
9.      Liver
Upper border is marked by joining the following points.
1st point:  in left 5th intercostal space just medial to midclavicular line .
2nd point:  at xiphisternal joint.
3rd point: at upper border of right 5th costal cartilage in right mid-clavicular line 
Lower border:
 4th point  at tip of the right 9th  costal cartilage .
5th point : 1st point of upper border (left 5th intercostal space just medial to midclavicular line )
Right lateral border: join 3rd point to 4th point
Situation of liver:
1.      Right hypochondrium
2.      Epigastric region
3.      Left hypochondrium
4.      Right lumbar region
10.  McBurney’s point : at 1st draw a line from the right anterior superior iliac spine to umbilicus
Then draw a point  at the junction of lateral 1/3 & medial 2/3 of line, and this is the McBurney’s point.
1 Arteria dorsalis pedis
Arteria dorsalis pedis :
1st point: in front of the ankle joint midway between medial and lateral malleolus
2nd point: at the proximal end of the 1st intermetatarsal space
Join the points by a straight line
Related information: It is the continuation of anterior tibial artery 
 1.      Brachial artery
1)      1st point- at the junction of anterior 1/3 and posterior 2/3 of the lateral wall of the axilla
2)      2nd point- 2.5 below and medial to the tendon of the biceps brachii.
Join the points by a straight line.
Related information:  brachial artery is the continuation of axillary artery.
Branches of brachial artery:
  1. Profunda Brachii.
  2. Superior Ulnar Collateral.
  3. Inferior Ulnar Collateral
  4. Nutrient
  5. Muscular
  6. Terminal branches: Radial and ulnar artery
2.      Radial artery
1st point- 2.5 below and medial to the tendon of the biceps brachii .
2nd point- In front of the wrist between the tendon of the flexor carpi radialis medially and the lower part of the anterior border of the radius laterally.(Here, practically feel the pulsation of the artery and put the point over it).
   Join the points by a line with slight outwards convexity at the upper part.
Related informations: Branches radial artery : In the Forearm:
  1.   Radial Recurrent artery,
  2.   Muscular artery 
  3.   Superficial Volar artery
 At the Wrist: Dorsal Carpal artery
    In the hand:
  1. Princeps Pollicis.
  2. Volaris Indicis Radialis.
3.      Median cubital vein
1st point : 2.25 cm above from the medial epicondyle
2nd point : 2.25 cm below from the lateral epicondyle
Join these points by an oblique line
Why median cubital vein choose for intravenous injection?
Ans : it is superficial and fixed on underlying fascia.
Related informations:
Name of the superficial vein of upper limb: cephalic vein, basilic vein, median cubital vein
Name of the deep vein of upper limb: axillary, brachial, ulna and radial vein



Wednesday, February 24, 2016

Portal circulation: easy and brief description

Portal circulation: any part of the systemic circulation in which blood passage through two sets of capillary before draining to the heart

Types :

1. Arterial  portal system, EX: renal portal system
Heart >  artery > 1st set capillary (at renal glomeruli) > arteriole > 2nd set capillary (at capillary plexus surrounding the proximal and distal convoluted tubule of nephron )  > vein > heart


2. Venous portal system : EX: hepatic portal system
Heart > artery > 1st set capillary (GIT) > vein  > 2nd set capillary (liver) > vein > heart . 




What is the importance of portal circulation? 

Ans: if we want to transfer  blood of a particular region to other particular region for purpose then we need portal circulation 

Example: Gut and liver

gut blood vessels rich in nutrient , and nutrient need to metabolized  in liver so, gut veins are not directly drain into IVC , at first it goes to liver then drain into IVC 

Example:  Hypothalamus and pituitary 

The releasing hormones of hypothalamus must transfer to the anterior pituitary and anterior pituitary is stimulated and secretions
of anterior pituitary circulate through systemic circulation 

Tuesday, February 9, 2016

Development of spinal cord (alar and basal plate) : easy and brief description

Development of spinal cord 

Nervous tissue (brain and spinal cord ) is developed from neuroectoderm 
Neuroectoderm is developed from ectoderm 
Part of ectoderm is thickened and form neuroectoderm 
Neuroectoderm detouch from the ectoderm and formed a tube , know as neural tube.

Its cranial end dilated and formed brain and its caudal end remain narrow formed spinal cord .

What is the microscopic structure of neural tube? 

Ans: It is formed by simple columnar epithelium known as neuroepithelium .

From neuroepithelium new neuroblasts are formed by mitosis, they formed a separate layer around the neural tube known as mantle layer .
 Processes, axon and dendrites are begin grow from neuroblast , makes a new later around the mantle layer, known as marginal layer
Again mantle layer is divided into four part.Two ventral part, known as basal plates and
 two dorsal part known as alar part. 
These parts are separated by a sulcus known as sulcus limitans 
Two basal plates are separated by roof plate 
Two alar plates are separated by floor plate 
Basal plates are formed anterior horn of gray matter 
Alar plates are formed posterior horn of gray matter 
So, whole gray matter is came from mantle layer 
white matter is came from marginal layer 
and origin neuroepithelium is converted into ependyma of central canal 
And lumen of neural tube converted into central canal 



Wednesday, February 3, 2016

Optic nerve: easy and brief discussion

Optic nerve: 

Formation: by axon of ganglionic cells of retina 

Functional component: special somatic afferent 

Peculiarities of optic nerve: 

1. it is the prolongation of diencephalon 
2. it is the white matter of brain 
3. it is covered by three meninges of brain 
4. its myelination is derived from oligodendrocyte so it is devoid of neurolemma sheath and no regeneration 
5. pia mater project into nerve and carry blood vessels with it 
Blood supply of optic nerve: superior hypophyseal artery, ophthalmic artery and posterior ciliary artery 

parts of optic nerve with length :

  1. intra orbital part : 25 mm
  2. canalicular part : 5 mm 
  3. intra cranial part  : 10 mm
Total length : 4 cm 

Intra orbital part is longer so eyeball can move without any tension. 


Tuesday, February 2, 2016

Human eye: viva questions with answer

Human eye:

1. How many layers of eye present from outside to inside? 

Ans: outside to inside: fibrous coat ( sclera and cornea ) , vascular coat( iris, ciliary body, choroid , nervous coat (retina)

2. how many layers present in cornea?

Ans: outside to inside

  • lining epithelium: non-keranized stratified squmous epithelium 
  • Bowman's membrane 
  • substantia propria 
  • Descemet's membrane 
  • corneal endothelium 

3. Mention the name of neurons in retina 


Ans: Rods and cone cells, Amacrine, bipolar neuron, ganglionic cells

4. How optic nerve is formed?

Ans:  by axon of ganglionic cells

5. Mention the name of muscles present within the iris ?

Ans : sphincter pupillae and dilator pupillae

6. Mention the secretomotor pathway of the lacrimal gland 

Ans: the preganlionic fibres start in the lacrimatory nucleus(lower pons)
pass through nervus intermedius
the geniculate ganglion
the greater petrosal nerve
the nerve of pterygoid canal
pterygopalatine ganglion
post ganglionic fibres from pterygopalatine ganglion passage through zygomatic nerve
zygomaticotemporal nerve
lacrimal nerve
lacrimal gland

7. Mention the content of orbital cavity.

Ans: Content of orbit

  1. eyeball 
  2. two fascia : orbital and bulbar fascia 
  3. extraocular muscles
  4. Lacrimal glands
  5. Artery: ophthalmic 
  6. Veins: superior and inferior ophthalmic vein 
  7. Nerves: sensory : optic nerve and ophthalmic nerve (branches of trigeminal nerve)            Motor: oculomotor(3rd cranial nerve), trochlear nerve (4th cranial nerve) and abducent nerve (6th cranial nerve) 
  8. Ganglion : ciliary 
  9. Orbital fat 

8. Give nerve supply of extraocular muscles

Ans: SO 4 , LR 6 and rest 3
 Trochlear nerve :Superior oblique
Abducent nerve: Lateral rectus
oculomotor nerve : medial, superior and inferior rectus and inferior oblique muscle

9. Mention the name of branches of ophthalmic artery

Ans: ophthalmic artery is the branch of internal carotid artery
its branches are:

  1. central artery of retina 
  2. supraorbital and supratrochlear artery 
  3. anterior and posterior ethmoidal artery 
  4. posterior ciliary artery
  5. medial palpebral artery 
  6. muscular artery 
  7. lacrimal artery 

10. Why cornea is transparent ? 

Ans: Cornea is transparent. Because

  • it is avascular 
  • melanin absent in corneal epithelium
  • in substantia propria, bundles of collagen fibrils (not fibre) and long slender fibroblasts are parallel in arrangement 
  • The transparency of cornea requires precise regulation of the water content of the stroma, this function regulate by corneal endothelium , if water contain of cornea reduces , it causes aggregation of collagen fibres so cornea become opaque