Regional Anatomy of Neck Krajiny krku Krajiny krku Trigonum colli anterius > Krajiny krku Trigonum colli laterale > Krajiny krku Fossa supraclavicularis major Fossa supraclavicularis minor Fossa jugularis > Hyoid bone Fascie krku Lamina superficialis Lamina pretrachealis Lamina prevertebralis sejmout0011 1 – trigonum submentale 2 – trigonum submandibulare 3 – trigonum caroticum 4 – trigonum omotrapezium 5 – trigonum omoclaviculare 9 – trigonum omotracheale Regio scm Trigonum submentale > Regio submandibularis-spodina Trigonum submandibulare > Gl sejmout0010 Béclard’s angle Pirogov’s tringle > Trigonum caroticum-povrch Trigonum caroticum > Plexus cervicalis sejmout0015 Regio infrahyoidea Trigonum musculare (omo- tracheale) > Pretracheální žilní pleteň Gll coniotomy (cricothyrotomy) tracheotomy Tracheostomy Regio scm Regio sternocleidomastoidea > Plexus cervicalis N sejmout0018 Trigonum scalenovertebrale Plexus cervicalis Trigonum colli laterale > Regio colli lateralis Trigonum omoclaviculare Trigonum omotrapezium > REGIONAL ANATOMY OF THE THORAX Regio infraclavicularis (trig. delto-, clavipectorale) Regio pectoralis Regio axillaris Regio mammaria Regio sternalis Regio hypochondriaca dx. et sin. Regio vertebralis Regio suprascapularis Regio scapularis Regio infrascapularis Regio axillaris Linea mediana anterior Linea sternalis Linea parasternalis Linea medioclavicularis Linea axillaris ant. Linea axillaris media Linea axillaris post. Linea scapularis Linea paravertebralis Linea mediana post. Supraclavicular nerves Lateral cutaneous branches of intercostal nerves ® lateral mammary nerves Anterior cutaneous branches of intercostal nerves ® medial mammary nerves Superficial cervical vessels Intercostal vessels Veins ® thoracoepigastric vein lateral thoracic vein internal thoracic vein superior epigastric veins VAN A. thoracica interna Aa. intercostales post. A. thoracica lat. A. thoracodorsalis A. cervicalis superficialis PROJECTION OF ORGANS ONTO THE THORACIC WALL Cupula pleurae = Apex pulmonis Area interpleuralis sup. (thymica) Area interpleuralis inf. (pericardiaca) Fissura obliqua Fissura horizontalis MEDIASTINUM mediastinum T8 fields REGIONAL ANATOMY OF THE ABDOMEN > > LINEA XIPHISTERNALIS > LINEA SUBCOSTALIS > LINEA BISPINALIS > EPIGASTRIUM > MESOGASTRIUM > HYPOGASTRIUM > REGIO EPIGASTRICA > REGIO HYPOCHONDRIACA DEXTRA ET SINISTRA > REGIO UMBILICALIS > REGIO LATERALIS DEXTRA ET SINISTRA > REGIO PUBICA > REGIO INGUINALIS DEXTRA ET SINISTRA > PROJECTION OF ORGANS ONTO THE ABDOMINAL WALL File:McBurney's point.jpg McBurney's point Lanz’s point 4 URETER 1.pars abdominalis 2.pars pelvina 3.pars intramuralis ostium ureteris LANZ Labbe’s triangle ABDOMINAL WALL PANNICULUS ADIPOSUS VV. SUBCUTANEAE ABD. V. THORACOEPIGASTRICA V. EPIGASTRICA SPF. V. CIRCUMFLEXA ILIUM SPF. VV. PARAUMBILICALES PORTAL-CAVAL / PORTAL-SYSTEMIC ANASTOMOSES 1.Vv. gastricae – vv. oesophageae 2.Vv. paraumbilicales (caput Medusae, Burrow’s veins) 3.Plexus rectalis - hemorrhoids 4.Retzius’ veins 5.Vv. hepaticae – vv. phrenicae A. EPIGASTRICA SPF. A. CIRCUMFLEXA ILIUM SPF. AA. INTERCOSTALES A. SUBCOSTALIS AA. LUMBALES A. EPIGASTRICA SUP. NN. INTERCOSTALES N. SUBCOSTALIS N. ILIOHYPOGASTRICUS N. ILIOINGUINALIS NODI LYMPHATICI AXILLARES NODI LYMPHATICI INGUINALES SPF. Vagina m. recti abdominis A. EPIGASTRICA SUP. A. EPIGASTRICA INF. A. CIRCUMFLEXA ILIUM PROF. AA. INTERCOSTALES A. SUBCOSTALIS AA. LUMBALES CANALIS INGUINALIS CANALIS INGUINALIS CANALIS INGUINALIS Posterior wall: Fascia transversalis - falx inguinalis - trigonum inguinale (Hesselbachi) - lig. interfoveolare - anulus inguinalis prof. *Lacuna vasorum – anulus femoralis Lacuna musculorum * CAVITAS PERITONEALIS CAVITAS PERITONEALIS - pars supramesocolica - pars inframesocolica Pars supramesocolica (truncus coeliacus) Pars inframesocolica SPATIUM RETROPERITONEALE REGIONAL ANATOMY OF THE PELVIS > > REGIO PERINEALIS ANUS RAPHE GLANDULAE CIRCUMANALES REGIO ANALIS DIAPHRAGMA PELVIS DIAPHRAGMA UROGENITALE FOSSA ISCHIORECTALIS DIAPHRAGMA PELVIS - M. LEVATOR ANI – M. ILIOCOCCYGEUS - M. PUBOCOCCYGEUS - M. COCCYGEUS Arcus tendineus m. levatoris ani Hiatus urogenitalis CANALIS PUDENDALIS (ALCOCK) REGIO UROGENITALIS CAVUM PELVIS EXCAVATIO RECTOVESICALIS LIGAMENTUM LATUM UTERI LIGAMENTUM OVARII PROPRIUM LIGAMENTUM SUSPENSORIUM OVARII LIGAMENTUM TERES UTERI Median section through the male pelvis 1. excavatio rectovesicalis Median section through the female pelvis 1.excavatio rectouterina (Douglas) 2.excavatio vesicouterina Illustrations and photographs were copied from: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München: Urban & Schwarzenberg, 1993 Netter: Interactive Atlas of Human Anatomy. Windows Version 2.0 Čihák R: Anatomie 2 (Splanchnologia). Avicenum, zdravotnické nakladatelství, Praha, 1988.