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Anatomy - NEETMDS- courses
NEET MDS Lessons
Anatomy

Gross anatomy-study of structures that can be identified with the naked eye; usually involves the use of cadavers

  • Microscopic anatomy (histology)-study of cells that compose tissues and organs; involves the use of a microscope to study the details of the species
  • Developmental anatomy (embryology)-study of an individual from beginning as a single cell to birth
  • Comparative anatomy -comparative study of the animal structure in regard to similar organs or regions

->The sides and base of the skull are formed partly by these bones.
->Each bone consists of four morphologically distinct parts that fuse during development (squamous, petromastoid, and tympanic parts and the styloid process).
->The flat squamous part is external to the lateral surface of the temporal lobe of the brain.
->The petromastoid part encloses the internal ear and mastoid cells and forms part of the base of the skull.
->The tympanic part contains the bony passage from the auricle (external ear), called the external acoustic meatus. The petromastoid part also forms a portion of the bony wall of the tympanic cavity (middle ear). The meatus and tympanic cavity are concerned with the transmission of sound waves.
->The slender, pointed styloid process of the temporal bone gives attachment to certain ligaments and muscles (e.g., the stylohyoid muscle that elevates the hyoid bone).
->The temporal bone articulates at sutures with the parietal, occipital, sphenoid, and zygomatic bones.
->The zygomatic process of the temporal bone unites with the temporal process of the zygomatic bone to form the zygomatic arch. The zygomatic arches form the widest part of the face.
->The head of the mandible articulates with the mandibular fossa on the inferior surface of the zygomatic process of the temporal bone.
->Anterior to the mandibular fossa is the articular tubercle.
->Because the zygomatic arches are the widest parts of the face and are such prominent facial features, they are commonly fractured and depressed. A fracture of the temporal process of the zygomatic bone would likely involve the lateral wall of the orbit and could injure the eye.

 

Gross Features of the Tongue

  • The dorsum of the tongue is divided by a V-shaped sulcus terminalis into anterior oral (presulcal) and posterior pharyngeal (postsulcal) parts.
  • The apex of the V is posterior and the two limbs diverge anteriorly.
  • The oral part forms about 2/3 of the tongue and the pharyngeal part forms about 1/3.

 

Oral Part of the Tongue

  • This part is freely movable, but it is loosely attached to the floor of the mouth by the lingual frenulum.
  • On each side of the frenulum is a deep lingual vein, visible as a blue line.
  • It begins at the tip of the tongue and runs posteriorly.
  • All the veins on one side of the tongue unite at the posterior border of the hyoglossus muscle to form the lingual vein, which joins the facial vein or the internal jugular vein.
  • On the dorsum of the oral part of the tongue is a median groove.
  • This groove represents the site of fusion of the distal tongue buds during embryonic development.

 

The Lingual Papillae and Taste Buds

  • The filiform papillae (L. filum, thread) are numerous, rough, and thread-like.
  • They are arranged in rows parallel to the sulcus terminalis.
  • The fungiform papillae are small and mushroom-shaped.
  • They usually appear are pink or red spots.
  • The vallate (circumvallate) papillae are surrounded by a deep, circular trench (trough), the walls of which are studded with taste buds.
  • The foliate papillae are small lateral folds of lingual mucosa that are poorly formed in humans.
  • The vallate, foliate and most of the fungiform papillae contain taste receptors, which are located in the taste buds.

 

The Pharyngeal Part of the Tongue

  • This part lies posterior to the sulcus terminalis and palatoglossal arches.
  • Its mucous membrane has no papillae.
  • The underlying nodules of lymphoid tissue give this part of the tongue a cobblestone appearance.
  • The lymphoid nodules (lingual follicles) are collectively known as the lingual tonsil.

  •     Part of the axial skeleton; strong, flexible rod
        Supports the head
        Gives base to the ribs
        Encloses the spinal cord
        
    o    Vertebrae
        Consists of 34 bones composing the spinal column
    •    Cervical-7 bones
    •    Thoracic-12 bones
    •    Lumbar-5 bones
    •    Sacral- 5 bones.
    •    Coccygeal-4 to 5 bones

        In the adult the vertebrae of the sacral and coccygeal regions are united into two bones, the sacrum and me coccyx
        
    o    Curvatures-from a lateraI view there are four curves, alternately convex and concave ventrally
        Two convex curves are the cervical and lumbar
        Two concave curves are the thoracic and sacral

    o    Vertebra morphology

        Each vertebra differs in size and shape hut has similar components
        Body-central mass of bone
    •    Weight bearing
    •    Fonns anterior part of the vertebra
    •    Encloses the vertebral foramen
        Pedicles of the arch-two thick columns that extend backward from the body to meet with the laminae of the neural arch 

  •     Process (7)
    •    One spinous, two transverse, two superior articular, and two inferior articular
    o    Spinous process extends backward from the point of the union of thetwo laminae
    o    Transverse processes project laterally at either side from the junction of the lamina and the pedicle
    o    Articular processes arise near the junction of the pedicle and the lamina- superior processes project upward:inferior processes project downward
    •    Surfaces of the processes are smooth

    o    Inferior articular processes of the vertebra fit into the superior articular processes below
    o    Form true joints, but the contacts established serve to restrict movement

    Distinguishing features

    Cervical region- triangular shape

    •    All have foramina in the transverse process upper six transmit the vertebral artery
    •    Spinous processes are short
        o    C3 to C5 are bifurcated
        o    C7 is long-prominence felt at the back of the neck
    •    Have small bodies (except for C1 vertebra)
    •    C1 vertebra (atlas)
    o    No body
    o    Anterior and posterior arch and two lateral masses
    o    Superiorarticular processes articulate with the condyles of the occipital bone
    •    C2 vertebra (axis)-process on the upper surface of the body (dens) forms a pivot about which the axis rotates

    Thoracic region

    •    Presence of facets for articulation with the ribs (distinguishing feature)
    •    Processes are larger and heavier than those of the cervical region
    •    Spinous process is directed downward at a sharp angle
    •    Circular vertebral foramen

     Lumbar region
     
    •    Large and heavy bodies
    •    Four transverse lines separate the bodies of the vertebrae on the pelvic surface
    •    Triangular shape-fitted between the  halves of the pelvis
    •    Four pairs of dorsal sacral foramina communicate with four pairs of pelvic sacral foramina

    Sacral vertebrae 
    •    Five (sometimes six) vertebrae are fused in the adult to form the sacrum
    •    The sacrum articulates above with L5, laterally with the hip bones, and inferiorly with the coccyx.
    •    It has a roughly triangular appearance with a pelvic and dorsal surface, a lateral mass on each side, and a base and apex.
    •    An anesthetic for the spinal nerves may be injected extradurally through the sacral hiatus (caudal analgesia)
    •    The sacral canal (which contains the dura, cauda equina, and filum terminale) extends from the base to the sacral hiatus. 
    •    The apex of the sacrum may be fused with the coccyx.


    Coccygeal vertebrae

    •    Four to five modular pieces fused together
    •    Triangular shape with the base above and the apex below

    F Defects

    •    Lordosis-exaggerated lumbar concavity
    •    Scoliosis-lateral curvature of any region
    •    Kyphosis-exaggerated convexity in the thoracic region

 

Muscles Around the Eyelids

  • The function of the eyelid (L. palpebrae) is to protect the eye from injury and excessive light. It also keeps the cornea moist.

The Orbicularis Oculi Muscle

  • This is the sphincter muscle of the eye.
  • Its fibres sweep in concentric circles around the orbital margin and eyelids.
  • It narrows the eye and helps the flow of tears from the lacrimal sac.
  • This muscle has 3 parts: (1) a thick orbital part for closing the eyes to protect then from light and dust; (2) a thin palpebral part for closing the eyelids lightly to keep the cornea from drying; and (3) a lacrimal part for drawing the eyelids and lacrimal punta medially.
  • When all three parts of the orbicularis oculi contract, the eyes are firmly closed and the adjacent skin becomes wrinkled.
  • The zygomatic branch of the facial nerve (CN VII) supplies it.

The Levator Palpebrae Superioris Muscle

  • This muscle raises the upper eyelid to open the palpebral fissure.
  • It is supplied by the oculomotor nerve (CN III).

The External Nose

  • Noses vary considerably in size and shape, mainly as a result of the differences in the nasal cartilages and the depth of the glabella.
  • The inferior surface of the nose is pierced by two apertures, called the anterior nares (L. nostrils).
  • These are separated from each other by the nasal septum (septum nasi).
  • Each naris is bounded laterally by an ala (L. wing), i.e., the side of the nose.
  • The posterior nares apertures or choanae open into the nasopharynx.

The Lateral Pterygoid Muscle

  • This is a short, thick muscle that has two heads or origin.
  • It is a conical muscle with its apex pointing posteriorly.
  • Origin: superior head—infratemporal surface and infratemporal crest of the greater wing of the sphenoid bone, inferior head—lateral surface of lateral pterygoid plate.
  • Insertion: neck of mandible, articular disc, and capsule of temporomandibular joint.
  • Innervation: mandibular nerve via lateral pterygoid nerve from anterior trunk, which enters it deep surface.
  • Acting together, these muscles protrude the mandible and depress the chin.
  • Acting alone and alternately, they produce side-to-side movements of the mandible.

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