Anatomy books

Thursday, October 15, 2020

 

Difference between arteriole and venule


Arteriole

Venule

Arterioles distribute blood to capillary beds, the sites of exchange with the body tissues.

 Blood of capillaries lead back to small vessels known as venules that flow into the larger veins and eventually back to the heart.

·         The lumina of arteriole are much smaller than corresponding venule  

 

·         The lumina of venules are much larger  than corresponding arterioles.  

 

·         It is also known as resistance vessel

It is also known as capacitance vessel

·         The walls of the arteriole are much thicker  than venule

 

·         The walls of the veins are much thinner than arterioles

Arteriole provides 50% peripheral resistance

·         Veins and venules can withstand a much lower pressure from the blood flowing through them. Their lumens are correspondingly larger in diameter to allow more blood to flow with less vessel resistance.  

 

Monday, October 12, 2020

Arteriole : lecture note

 

Arteriole

The greatest change in blood pressure and velocity of blood flow occurs at the transition of arterioles to capillaries. An arteriole is a small-diameter blood vessel in the microcirculation that extends and branches out from an artery and leads to capillaries

Arteriole is also known as resistance vessels . Most arterioles can dilate 60% to 100% from their resting diameter, and they can maintain as much as 40% constriction for a long time. Therefore, a large decrease or increase in vascular resistance has a direct effect on distribution of blood flow and systemic arterial pressure.

Arteriole About 10 percent of the total blood volume is in the systemic arterial system at any given

If all the arteries, veins, and capillaries were laid end to end, the total length would be  100,000 km

The diameter of arterioles  are in between  100  to 300 µm.

Arteriole: Like any other blood vessels arteriole is made by three concentric layers (within outward )

Tunica intima ,Tunica media and Tunica adventitia

Tunica intima of arteriole  contain

1. endothelium & its basement membrane

2. Subendothelial connective tissue is formed by loose connective tissue which contain smooth muscle cells

3. Large arteriole contain internal elastic lamina but small arteriole contain no  internal elastic lamina

Tunica media of arteriole contain Circularly arrange smooth muscle cells layers(1-2 cells layer)  with variable amounts of elastin, reticular fibers, and proteoglycans are interposed between the smooth muscle cells

Arteriole  has tunica adventitia which  is composed of collagenous & elastic connective tissues, whose thickness approaches that of the tunica media.

Large arteriole contain external elastic lamina but small arteriole contain no  external elastic lamina  

Arterioles control blood flow to capillary networks by contraction of the smooth muscle cells. Arterioles serve as flow regulators for the capillary beds. In the normal relationship between an arteriole and a capillary network, contraction of the smooth muscle in the wall of an arteriole increases the vascular resistance and reduces or shuts off the blood going to the capillaries.

Arteriole is also known as resistance vessels . Most arterioles can dilate 60% to 100% from their resting diameter, and they can maintain as much as 40% constriction for a long time. Therefore, a large decrease or increase in vascular resistance has a direct effect on distribution of blood flow and systemic arterial pressure.

 

 

Saturday, October 10, 2020

                                               Tunica intima of blood vessel in general

Tunica intima: the innermost layer of the blood vessel.

Tunica intima consists of three components:

1.      Endothelium with its basement membrane

2.      the sub-endothelial connective tissue layer

3.      Internal elastic membrane

Endothelium with its basement membrane: 

1.     A single layer of squamous epithelial cells and the basal lamina of the endothelial cells (a thin extracellular layer composed chiefly of collagen, proteoglycans, and glycoproteins). The squamous cells of endothelium are polygonal, oval, or fusiform, and have very distinct round or oval nuclei.

This endothelium is brought into view most distinctly by staining with silver nitrate.

Several well-characterized markers are employed to identify ECs, including vascular endothelial cadherin, platelet endothelial cell adhesion molecule 1, vascular endothelial growth factor receptors (VEGFRs), and isolectinB4.

During development, most Endothelial Cells derive from the lateral plate mesoderm, and through the process of vasculogenesis, primitive Endothelial Cells coalesce into the initial blood vessel tubes . Subsequently, these initial Endothelial Cell  tubes give rise to further vessels through angiogenesis, a multistep process consisting of Endothelial Cells proliferation, migration, invasion, lumen formation, and tube stabilization. 

                                                                                                    

The sub-endothelial connective tissue layer

  1.  It is consisting of loose connective tissue. Occasional smooth muscle cells are found in the loose connective tissue. In arteries of less than 2 mm in diameter. The thickness is depend on the size of blood vessel.

3.     An elastic or fenestrated layer, which consists of a membrane containing a network of elastic fibers, having principally a longitudinal direction, and in which, under the microscope, small elongated apertures or perforations may be seen, giving it a fenestrated appearance. It was therefore called by Henle the fenestrated membrane. This membrane forms the chief thickness of the inner coat, and can be separated into several layers, some of which present the appearance of a network of longitudinal elastic fibers, and others a more membranous character, marked by pale lines having a longitudinal direction. In minute arteries the fenestrated membrane is a very thin layer; but in the larger arteries, and especially in the aorta, it has a considerable thickness.

 

Internal elastic membrane:

It is  a sheetlike layer or lamella of fenestrated elastic material present within the subendothelial layer of the intima in arteries and arterioles,  is  called the internal elastic membrane. Fenestrations enable substances to diffuse readily through the layer and reach cells deep within the wall of the vessel

Presence of internal elastic lamina  :

Internal elastic lamina is present  in medium sized artery, large sized arterioles , and occationally present in large and medium sized vein

In elastic or large artery it is present but cannot seen clearly.

Absence of internal elastic lamina:

It is absent in small sized arteriole, most of the veins  

 

In dissection, the inner coat (tunica intima) can be separated from the middle (tunica media) by a little maceration, or it may be stripped off in small pieces; but, because of its friability, it cannot be separated as a complete membrane. It is a fine, transparent, colorless structure which is highly elastic, and, after death, is commonly corrugated into longitudinal wrinkles.

                     Difference between tunica intima of large artery and vein 

Tunica intima of large artery

Tunica intima of large vein

Lined by short, polygonal endothelial cells.

 The subendothelial connective tissue is fi broelastic connective tissue which is thicker than the large vein and houses some longitudinally disposed smooth muscle cells.

 

The endothelium with relatively thicker amount of subendothelial connective tissue are always present.

Internal elastic lamina is present but not clearly defined.

Occasionally, a thin internal elastic lamina is observed

Valves are absent

Valves are present


 

Saturday, September 26, 2020

Pterion with clinical importance

Anterior inferior angle of parietal bone forms pterion in children it is called sphenoidal frontanelle
This angle is internally marked by groove for anterior division of middle meningeal artery
What is pterion ? 
Ans union between 4 bones

  1. Frontal bone
  2. Anterior inferior angle of parietal bone
  3. Greater wing of sphenoid
  4. Squamous part of temporal bone

What is the importance of pterion ?
Internal surface of pterion is lodged by anterior division of middle meningeal artery 

Summary of Closure of frontanelle : human skull of children

Summary of Closure of frontanelle
In humans, the sequence of fontanelle closure is as follows
The posterior fontanelle generally closes 2 to 3 months after birth;
The sphenoidal fontanelle is the next to close around 6 months after birth
The mastoid fontanelle closes next from 6 to 18 months after birth; and
The anterior fontanelle is generally the last to close between 12 to 18 months.

Lecture notes of frontanelle of human skull of children

Frontanelle :  
Definition :
A fontanelle is an anatomical feature of the infant human skull. They are soft membranous gaps between the cranial bones.

Clinical importance of frontanelle: 
1. The fontanelle allows the skull to deform during birth to ease its passage through the birth canal 
2. and for expansion of the brain after birth.
3. A sunken fontanelle indicates dehydration 
4. whereas a very tense or bulging anterior fontanelle indicates raised intracranial pressure
 
Number of frontanalle in human skull of children : 4 
  1. anterior frontanelle 
  2. Posterior frontanelle 
  3. sphenoidal frontanelle 
  4. mastoid frontanelle
Anterior frontanelle: 
Anterior superior angle of parietal bone forms bregma in children it is called anterior frontanelle The anterior fontanelle bregmatic fontanelle, frontal fontanelle is the largest fontanelle, and is placed at the junction of the sagittal suture, coronal suture, and frontal suture;
It is lozenge shaped, and measures about 4 cm in its antero posterior and 2.5 cm in its transverse diameter.
The anterior fontanelle typically closes between the ages of 12 and 18 months.
Posterior frontanelle :
Posterior superior angle forms Lambda in children it is called posterior fontanelle
The posterior fontanelle lambdoid fontanelle, occipital fontanelle is a gap between bones in the human skull known as fontanelle, triangular in form and situated at the junction of the sagittal suture and  lambdoidal suture.
It generally closes in 6 to 8 weeks from birth.
A delay in closure is associated with congenital hypothyroidism.
Premature complete ossification of the sutures is called craniosynostosis.
Sphenoidal frontanelle:
Anterior inferior angle of parietal bone forms pterion in children it is called sphenoidal frontanelle
This angle is internally marked by groove for anterior division of middle meningeal artery
What is pterion
Ans union between 4 bones
Frontal bone
Anterior inferior angle of parietal bone
Greater wing of sphenoid
Squamous part of temporal bone
What is the importance of pterion
Internal surface of pterion is lodged by anterior division of middle meningeal artery 
Mastoid frontanelle :
Posterior inferior angle of parietal bone forms asterion in children it is called mastoid frontanelle
Internally a groove is present which lodges sigmoid sinus
Summary of Closure of frontanelle
In humans, the sequence of fontanelle closure is as follows
The posterior fontanelle generally closes 2 to 3 months after birth;
The sphenoidal fontanelle is the next to close around 6 months after birth
The mastoid fontanelle closes next from 6 to 18 months after birth; and
The anterior fontanelle is generally the last to close between 12 to 18 months.

Lecture notes of parietal bone

Parietal bone
Anatomical points
Superior border is longest, thickest and serrated
Superior border lies in median plane
External surface is convex
Anterior inferior angle is acute and internally marked by groove for anterior division of middle meningeal vessel
Morphological type of bone flat bone
 
Structure of bone : inner and outer table: compact bone and middle diploe spongy bone 

ossification intra membranous ossification 

Development paraxial mesoderm 

Parts of parietal bone
 external and internal surface , four borders : anterior , inferior , posterior and superior , four angle anterior superior , anterior inferior , posterior superior and posterior inferior
superior border longest, thickest and serrated and
internally marked by a sulcus known as sagittal sulcus
which lodges superior sagittal sinus
superior border is articulated with opposite parietal bone formed sagittal suture
Granular pit present side of sagittal sulcus which lodge arachnoid granulation
Anterior border is straight and serrated and articulated with frontal bone formed coronal suture

Posterior border is straight and serrated and articulated with occipital bone formed lambdoid suture
 
inferior border irregular and serrated and internally marked by posterior division of middle meningeal artery at the middle of inferior border
Inferior border is articulated with 3 bones
from antero posteriorly
Greater wing of sphenoid bone
Squamous part of temporal bone
mastoid part of temporal bone .
Anterior superior angle of parietal bone forms bregma in children it is called anterior frontanelle
A fontanelle is an anatomical feature of the infant human skull. They are soft membranous gaps between the cranial bones.
The fontanelle allows the skull to deform during birth to ease its passage through the birth canal and for expansion of the brain after birth.
A sunken fontanelle indicates dehydration 
whereas a very tense or bulging anterior fontanelle indicates raised intracranial pressure
The anterior fontanelle bregmatic fontanelle, frontal fontanelle is the largest fontanelle, and is placed at the junction of the sagittal suture, coronal suture, and frontal suture;
It is lozenge shaped, and measures about 4 cm in its antero posterior and 2.5 cm in its transverse diameter.
The anterior fontanelle typically closes between the ages of 12 and 18 months.
Posterior superior angle forms Lambda in children it is called posterior fontanelle
The posterior fontanelle lambdoid fontanelle, occipital fontanelle is a gap between bones in the human skull known as fontanelle, triangular in form and situated at the junction of the sagittal suture and  lambdoidal suture.
It generally closes in 6 to 8 weeks from birth.
A delay in closure is associated with congenital hypothyroidism.
Premature complete ossification of the sutures is called craniosynostosis.
Anterior inferior angle of parietal bone forms pterion in children it is called sphenoidal frontanelle
This angle is internally marked by groove for anterior division of middle meningeal artery
What is pterion
Ans union between 4 bones
Frontal bone
Anterior inferior angle of parietal bone
Greater wing of sphenoid
Squamous part of temporal bone
What is the importance of pterion
Internal surface of pterion is lodged by anterior division of middle meningeal artery
Posterior inferior angle of parietal bone forms asterion in children it is called mastoid frontanelle
Internally a groove is present which lodges sigmoid sinus
Summary of Closure of frontanelle
In humans, the sequence of fontanelle closure is as follows
The posterior fontanelle generally closes 2 to 3 months after birth;
The sphenoidal fontanelle is the next to close around 6 months after birth
The mastoid fontanelle closes next from 6 to 18 months after birth; and
The anterior fontanelle is generally the last to close between 12 to 18 months.
external Surface of parietal bone
Superior temporal line : gives attachment to the temporal fascia and lateral part of epicranial aponeurosis . Above the superior temporal line the bone is covered by the epicranial aponeurosis
inferior temporal line & the area of bone below it form the major part of temporal fossa & provide origin to the temporalis muscle
parietal foramen It is located close to the posterior part of superior border of external surface which transmits an emissary vein connecting the superior sagittal sinus with the veins of the scalp and a meningeal branch from the occipital artery
The external surface of the parietal bone is convex, smooth, and marked near the center by an eminence, the parietal eminence 
parietal tuber
Importance of  parietal eminence 
It indicates the point where ossification commenced
The maximum transverse diameter of skull measures by these points
It acts as a reference point for surface anatomy
Beneath the parietal tuber, the posterior ramus of lateral sulcus of the brain terminates with an upturned end
Opposite the parietal tuber supramarginal gyrus the Wernickes sensory speech area is located
internal surfaces of parietal bone is deeply concave , faces downward and medially
impression of sulci and gyri of cerebrum
impression of anterior division of middle meningeal artery at internal surface of anterior inferior angle
impression of posterior division of middle meningeal artery at middle of inferior border :sagittal sulcus near the superior border which lodge superior sagittal sinus
The margin of superior sagittal sulcus provide attachment to the dural folds the falx cerebri
Granular pits are present near the sagittal sulcus for lodgement of arachnoid granulations through which cerebrospinal fluid is absorbed in the superior sagittal sinus
sulcus for sigmoid sinus is present near the posterior inferior angle
Parietal bone overlaps partially all four major lobes of cerebral hemisphere.
central sulcus
postcentral gyrus
precentral gyrus
intraparietal sulcus
superior parietal lobule
lateral sulcus
supramarginal gyrus
angular gyrus
superior temporal gyrus
The following functional areas of brain are covered by parietal bone
Motor and somesthetic sensory area
Broca’s motor speech area
Wernicke’s sensory speech area
Primary and secondary auditory area
Two imaginary lines may be drawn on the internal surface of parietal bone
A line extends downward and forward from the superior border about 3 to 4 cm behind the anterior superior angle for a distance of about 7.5 cm .It is corresponds with the central sulcus and separates the frontal lobe of the brain in front from the parietal lobe behind
Two imaginary lines may be drawn on the internal surface of parietal bone
2. Another line extending from the anterior inferior angle to the inner aspect of parietal tuber coincides with the posterior ramus of lateral sulcus and intervenes between the frontoparietal lobes above and in front and the occipitotemporal lobes below and behind