Anatomy Flashcards
the other name of the pituitary gland
Hypophysis Cerebri
the master of endocrine glands
Pituitary glands
Hypophysis Cerebri attached to the hypothalamus by
Infundibulum
Pituitary glands are located in
sella turcica of sphenoid bone
Lobes of the pituitary glands
Anterior lobe (Adenohypophysis)
Posterior lobe (Neurohypophysis)
subdivision of the Anterior lobe of the pituitary gland
Pars distalis
Pars intermedia
Pars tuberalis
separated from pars distalis by cleft (remnant of embryonic pouch)
Pars intermedia
the pars tuberalis extends up along …….. and …… surfaces of pituitary stalk
anterior and lateral surfaces of
pituitary stalk
RELATIONS OF PITUITARY GLAND
Superiorly:
Diaphragma sellae:
Inferiorly:
1) Body of sphenoid 2) Sphenoidal air sinus
Laterally:
Cavernous sinus and its contents:
1) Internal carotid artery 2) Abducent nerve
Posteriorly:
1) Dorsum sellae 2) Basilar artery 3) Pons
Arterial supply of pituitary gland
Branches of internal carotid artery
1. Superior hypophyseal artery
2. Inferior hypophyseal artery
Veinous drainage of Pituitary gland
Drain into: Intercavernous sinuses
the shape of each lobe of the thyroid gland
pear shaped
anterior level of the lobes of the thyroid gland
from the middle of the thyroid cartilage to 4th or 5th tracheal rings
anterior level of the isthmus of Thyroid G
2-3-4 tracheal rings
posterior level of the thyroid gland
C5,6,7 and T1
the thyroid gland surrounded by capsules?
capsule of pretracheal fascia
capsule of thyroid gland
anterolateral relation of the thyroid G
- Anterior border of sternomastoid muscle
- Sternohyoid muscle
- Sternothyroid muscle
- Superior belly of omohyoid muscle.
Posterolateral relation of Thyroid G
- Carotid sheath
- Common carotid artery
- Internal jugular vein
- Vagus nerve
Medial relation of thyroid G
- Larynx
- Trachea
- Pharynx
- Esophagus
- Cricothyroid muscle
- External laryngeal nerve
- Recurrent laryngeal nerve
Rounded Posterior border of each lobe of thyroid related to?
- Superior parathyroid gland.
- Inferior parathyroid gland.
- Anastomosis between superior and inferior thyroid arteries.
related anteriorly to the isthmus
sternothyroids
sternohyoid
anterior jagular veins
fascia
skin
related posterior to the isthmus
2,3,4 tracheal rings
related to the upper border of the isthmus
Terminal branches of superior thyroid arteries anastomose along its upper border
the pyramidal lobe connected to hyoid by
fibromuscular band called levator glandulae thyroidae
the embryological origin of levator glandulae thyroidae
thyroglossal duct
Blood Supply Of Thyroid Gland
- Superior thyroid artery
- Inferior thyroid artery
- Thyroida ima artery
Superior thyroid artery
Branch of?
Accompanied by?
external carotid artery
external laryngeal nerve
Inferior thyroid artery
Branch of?
Accompanied by?
thyrocervical trunk
Recurrent laryngeal nerve
Thyroida ima artery branch of
brachiocephalic artery or arch of aorta
Venous Drainage of thyroid gland: and their termination to?
- Superior thyroid vein:
- Drains into internal jugular vein. - Middle thyroid vein:
- Drains into internal jugular vein. - Inferior thyroid vein:
- Receives tributaries from isthmus and lower poles of the gland.
The 2 inferior thyroid veins:
- Anastomose with each other as they descend in front of trachea
- Drain into left brachiocephalic vein.
Lymph Drainage of thyroid gland
deep cervical lymph nodes
paratracheal nodes
Blood Supply and venous drainage of parathyroid glands
Arterial supply to parathyroid glands is from superior and inferior thyroid arteries.
Venous drainage is into superior, middle, and inferior thyroid
veins.
Lymph Drainage of parathyroid gland
Deep cervical and paratracheal lymph nodes
Nerve Supply of parathyroid gland
*Superior or middle cervical sympathetic ganglia
shape of pancreas
elongated organ (J shaped)
length of pancreas
15 cm
level of pancreas
lies obliquely across the posterior abdominal wall, at the level of
the L1 and L2 vertebral bodies
which regions is the surface anatomy of pancreas
epigastric, left hypochondriac, umbilical region
Anterior to the pancreas
Stomach, lesser sac (omental bursa), transverse mesocolon, superior mesenteric artery (anterior to uncinate and posterior to neck of pancreas)
Posterior to pancrease
IVC, aorta, splenic vein, portal vein, left kidney, left suprarenal gland
Superior to pancreas
splenic artery
lateral to pancreas
spleen
lateral to pancreas
spleen
medial to pancreas
Duodenum
superior mesenteric artery
Posterior to?
Anterior to?
the neck of pancreas
uncinate process
Posterior to the neck of pancreas
the superior mesenteric artery and vein and the origin of the portal vein
how the portal vein is formed
union of the superior mesenteric and splenic veins
the body consists of three surfaces and three borders
anterior, inferior, posterior surfaces
anterior, inferior, superior borders
the level of the body of pancreas
L2
relation of the body of pancreas
- forms the floor of the omental bursa
- anterior to aorta, superior mesenteric vessels, splenic vein, left renal vessels, left kidney, left suprarenal gland
the ligament of the tail of the pancreas
splenorenal ligament (lienorenal lig.)
the other name of the main pancreatic duct
Wirsung duct
the ampulla of Vatar
the union of the main pancreatic duct and the bile duct to form the hepatopancreatic duct
where is the hepatopancreatic duct open
into the descending part of the duodenum at the major duodenal papilla
Flow through the ampulla of Vater is controlled by
(hepatopancreatic) sphincter of Oddi
the accessory pancreatic duct opens into
the minor papilla in the descending part of duodenum
blood supply of the pancreas
- splenic artery
- superior and inferior pancreaticoduodenal arteries (branches of the gastroduodenal and superior mesenteric arteries respectively)
origin of superior and inferior pancreaticoduodenal arteries
gastroduodenal and superior mesenteric artery respectively
venous drainage of pancreas
anterior superior PD to superior mesenteric
posterior superior PD to portal vein
AIPD to SM
PIPD to SM
the drainage of bady and tail to the splenic vein
the uncinate process and head is supplied by
superior and inferior pancreaticoduodenal
arteries
Nerve supply
Parasympathetic innervation by vagus nerve
Sympathetic innervation: greater and lesser splanchnic nerves (T5-T12)
Both types of autonomic fibers travel until the celiac ganglion and superior mesenteric plexus, ultimately projecting onto the pancreas
lymph drainage of body and tail of pancreas
pancreaticosplenic lymph nodes
located along the splenic artery
Lymph drainage of head of pancreas
pyloric lymph nodes
lymph is transported to the superior mesenteric or celiac lymph nodes
shape of suprarenal gland
RT: pyramidal
LT: semi-lunar
Size of suprarenal gland
at birth: 1/3 size of the kidney
in adult: 1/30th size of the kidney
relation of right adrenal gland
Anterior: IVC, Right lobe of liver
Posterior: Right crus of diaphragm
relation of left adrenal gland
anterior: stomach, pancreas, spleen
Posterior: left crus of diaphragm
where the arteries, veins, lymphatics, nerves enter through to reach the adrenal gland
Veins and lymphatics leave each gland via the hilum, but
arteries and nerves enter the glands at numerous sites.
the embryological origin of cortex and medulla
- Cortex: derived from the embryonic mesoderm.
- Medulla: derived from the ectodermal neural crest cells.
the cortex of the adrenal gland consists of
- Zona glomerulosa
- Zona fasciculata
- Zona reticularis
secretions of
- Zona glomerulosa
- Zona fasciculata
- Zona reticularis
- aldosterone
- cortisol and small amount of androgen
- secretes androgens as dehydroepiandrosterone
secrete enkephalins?
chromaffin cells of medulla of adrenal gland
Blood supply of adrenal gland and its origin
Superior adrenal artery – arises from the
inferior phrenic artery
Middle adrenal artery – arises from the
abdominal aorta.
Inferior adrenal artery – arises from the
renal arteries.
venous drainage of adrenal gland
right to aorta
left to left renal vein
Lymphatic drainage of adrenal gland
lumbar lymph nodes
Innervation of the adrenal gland
coeliac plexus and greater splanchnic nerves
T10-L1
site of the spleen
in the upper left quadrant of the abdomen inferior to the diaphragm (Left hypochondrium)
Size of the spleen
as clenched fist
3 borders of the spleen
superior, inferior and posteromedial
the inferior and posteromedial has smooth surface and the superior border contain notches
Surfaces of the spleen
Diaphragmatic surface: smooth, in contact with diaphragm and
thoracic cage.
Visceral surface: has impressions, in contact with the other abdominal viscera.
ends of the spleen
anterior broad end and posterior pointed end
Relation of the spleen
Anterior: stomach
Posterior: diaphragm, Left lung, Ribs 9-11
Inferior: left colic flexure
medial: left kidney, tail of pancreas
ligaments of spleen
Gastrosplenic ligament
Splenorenal (lienorenal) ligament
phrenicocolic ligament
Gastrosplenic ligament connection
anterior to the splenic hilum, connects the spleen to the greater
curvature of the stomach