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Body Wall and Cavity. Abdominal Surface and underyling bones Muscular Wall and Hernias Peritoneum and Mesenteries Thorax Surface Ribs and Intercostal Muscles Breast. Bony Landmarks around Abdomen. Iliac crest Anterior superior iliac spine (ASIS) Pubic crest Inguinal ligament
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Body Wall and Cavity Abdominal Surface and underyling bones Muscular Wall and Hernias Peritoneum and Mesenteries Thorax Surface Ribs and Intercostal Muscles Breast
Bony Landmarks around Abdomen • Iliac crest • Anterior superior iliac spine (ASIS) • Pubic crest • Inguinal ligament • Costal margin • Xiphoid process
Abdominal Wall from surface • Rectus abdominus • Linea alba • Iliac crest
Muscles of abdominal wall • Rectus abdominus--vertical midline • Three layers form tube • External oblique (“hands-in-pocket”) • Internal oblique (fibers perpendicular to external) • Transverse abdominus (wraps around)
Muscles of abdominal wall--details Please see Fig. 11.11, M&M for accurate labeling.
Abdominal muscular wall pressurizes abdomen • When? • Cough • Sneeze • Urinate • Defecate • Birth • Lifting For article on abdominal muscles, role of different layers and use of lifting belts: http://www.paulchekseminars.com/articles.cfm?select=16#top
Inguinal hernia results because pressure finds weak spot at inguinal canal
Mesenteries, peritoneum--what is retroperitoneal? (back to basic body plan) [board drawing]
Peritoneal vs Retroperitoneal Laproscopic kidney donation with retroperitoneal access
THORAX SURFACE ANATOMY • Student who cheated in anatomy lab: counted own ribs • Males and Females have same number of ribs (no, Eve wasn’t formed from one of Adam’s)
BONES • STERNUM • manubrium • xiphoid process • RIBS
INTERCOSTAL MUSCLES “COSTAL” = ribs “intercostal” = between the ribs Function in posture, respiration
The Breast • Location • Superior border: 2nd rib • Inferior border: 6th rib • Medial border: Sternum • Lateral border: Midaxillary line • Underlying muscle • Pectoralis major and minor • Part of serratus anterior, external obliques
Mammary Glands (within breast) • Lactiferous (modified sweat) Glands • Breast made of 15-25 lobes (each a compound alveolar gland) • Lobes made of lobules called acini, alveoli • Acini/Alveoli lined w/milk-secreting simple epithelial cells • Lactiferous Ducts of lobes open at nipple • Areola-ring of pigmented skin around nipple • Sebaceous gland produce sebum during nursing • Lobes separated by adipose tissue and suspended by connective tissue = Suspensory Ligaments of the Breasts
Mammary Glands • Lactiferous (modified sweat) Glands • Breast made of 15-25 lobes (each a compound alveolar gland) • Lobes made of lobules called acini, alveoli • Acini/Alveoli lined w/milk-secreting simple epithelial cells • Lactiferous Ducts of lobes open at nipple • Areola-ring of pigmented skin around nipple • Sebaceous gland produce sebum during nursing • Lobes separated by adipose tissue and suspended by connective tissue = Suspensory Ligaments of the Breasts