Caracterização estrutural da interação de serino proteinases de ...
Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.
-
Upload
gregory-reed -
Category
Documents
-
view
220 -
download
3
Transcript of Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.
![Page 1: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/1.jpg)
Abdominal Region I
PA 544
Clinical Anatomy
Tony Serino, Ph.D.
Biology Department
Misericordia Univ.
![Page 2: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/2.jpg)
Peritoneal Cavity
Includes abdominopelvic cavity
![Page 3: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/3.jpg)
Abdominal Regions
Midclavicular planes
Transtubercular plane
Subcostal plane
![Page 4: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/4.jpg)
Abdominal Quadrants
Median Plane
Transumbilical Plane
![Page 5: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/5.jpg)
Peritoneal Cavity
Lesser omenta bursa
Greater omenta bursa (supracolic portion)
Greater omenta bursa(infracolic portion)
![Page 6: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/6.jpg)
Retroperitoneal Position
![Page 7: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/7.jpg)
Bony structures
• Last thoracic vertebra and ribs
• Lumbar vertebrae
• Pelvis
• Sacrum
![Page 8: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/8.jpg)
Lumbar vertebra
![Page 9: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/9.jpg)
Lumbar Vertebra
![Page 10: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/10.jpg)
Pelvis
![Page 11: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/11.jpg)
Innominate (coxal bone)
![Page 12: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/12.jpg)
Sacrum
![Page 13: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/13.jpg)
Camper’s and Scarpa’s Fascia
Aponeurosis of ext. oblique
Inguinal Ligament
Pubis
Scarpa’s (membranous) fascia
Camper’s (fatty) fascia
![Page 14: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/14.jpg)
Potential space below Scarpa’s fascia
Scarpa’s fascia
Ruptured Urethra
![Page 15: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/15.jpg)
Inferior Diaphragm
![Page 16: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/16.jpg)
Abdominal Muscles
![Page 17: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/17.jpg)
Abdominal Wall Layers
![Page 18: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/18.jpg)
Rectus sheath
![Page 19: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/19.jpg)
Superficial Inguinal Ring
Inguinal Ligament
![Page 20: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/20.jpg)
Peritoneal Cavity Mesenteries
![Page 21: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/21.jpg)
Mesenteries
![Page 22: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/22.jpg)
Mesenteries
![Page 23: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/23.jpg)
Greater and Lesser Sac
Omental Foramen
TC
StGreater Sac
Lesser sac
![Page 24: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/24.jpg)
Mesenteries
![Page 25: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/25.jpg)
Digestion
• The reduction through mechanical and chemical means (hydrolysis) of complex food substances into simple monomers and their absorption into the internal environment.
![Page 26: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/26.jpg)
Functions of Digestive System• Motility(Propulsion)
– Ingestion –food enters tract– Mastication -chewing– Deglutition -swallowing – Transportation through tract
(peristalsis)– Mixing– Egestion (Defecation)
• Secretion– Endocrine and Exocrine secretions
• Digestion – mechanical and chemical breakdown
of food• Absorption
– Passage of food particles from external to the internal environment
![Page 27: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/27.jpg)
Major Organs of System
![Page 28: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/28.jpg)
Accessory Organs
Teeth
![Page 29: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/29.jpg)
GI Tract Development
Pylorus
Late Gastrulation Post-gastrula
![Page 30: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/30.jpg)
Basic Histology of Digestive Tract
(LOCI)
(Meissner’s)(Auerbach’s)
![Page 31: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/31.jpg)
Control of Overall GI Tract Activity
![Page 32: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/32.jpg)
Stomach (cadaver)• J-shaped muscular
pouch• Receives bolus and
produces chyme• Liquefies food by
mixing it with HCl and vigorous churning
• Low pH stops amylase activity, but secretes pepsinogen (pepsin) that begins break down of proteins
• Absorbs little except imbibed water, electrolytes, and some drugs (ie. alcohol and aspirin)
![Page 33: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/33.jpg)
Stomach Anatomy
• Mucosa: – simple columnar folded into
rugae
– No villi
– Openings leading to gastric pits and glands
• Muscularis:– Has three layers
![Page 34: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/34.jpg)
Blood supply
![Page 35: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/35.jpg)
Regulation of Gastric Juice
![Page 36: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/36.jpg)
Gastric Emptying
![Page 37: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/37.jpg)
Gastric Emptying
![Page 38: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/38.jpg)
Spleen
![Page 39: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/39.jpg)
Internal Spleen
![Page 40: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/40.jpg)
Adrenal Location and Structure
![Page 41: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/41.jpg)
Adrenal Layers
(Epinephrine (adrenalin))
(Mineralocorticoids,(Aldosterone))
(Glucocorticoids (cortisol))
(Androgens)
![Page 42: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/42.jpg)
GAS (General Adaptation Syndrome)
![Page 43: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/43.jpg)
Adrenal Malfunction• Hypersecretion
Cushing’s syndrome –increase in glucocorticoids– Usually due to over secretion of ACTH by pituitary or from
adrenal cortex tumors stimulating an increase in glucocorticoids. Characteristic obesity of trunk only and development of “buffalo hump” (a fat pad behind the shoulders). Will develop hypertension, atherosclerosis, muscular weakness and fatigue.
Conn’s syndrome –excess amount of aldosterone– Salt imbalance, water retention, BP, muscle weakness
Adrenogenital syndrome –too much androgen– Premature sexual development in children or masculinization in
women
![Page 44: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/44.jpg)
Cushings
(buffalo hump) Obesity of trunk
![Page 45: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/45.jpg)
Adrenogenital syndrome
A 15 yo girl, note typical masculinebuild, under developed breasts, andexcessive body hair
![Page 46: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/46.jpg)
Adrenal Cortex Malfunction
• Hyposecretion –Addison’s disease– Due to decrease amounts of mineral and
glucocorticoids– Can be due to over use of steroids or an
autoimmune mechanism resulting in destruction of the gland
– Dehydration, K+ loss, BP, fatigue, pigmentation deepening (bronzing of skin) may be symptom of loss of negative feedback
![Page 47: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/47.jpg)
Duodenum and Accessory Organs
![Page 48: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/48.jpg)
Duodenal Papilla
![Page 49: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/49.jpg)
Pancreas
![Page 50: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/50.jpg)
Pancreas Histology
![Page 51: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/51.jpg)
Pancreatic Acinus
![Page 52: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/52.jpg)
Exocrine Secretions of Pancreas
![Page 53: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/53.jpg)
Secretion of Pancreatic Juice
![Page 54: Abdominal Region I PA 544 Clinical Anatomy Tony Serino, Ph.D. Biology Department Misericordia Univ.](https://reader036.fdocuments.net/reader036/viewer/2022062717/56649e615503460f94b5c3e4/html5/thumbnails/54.jpg)