WELCOME University of Baghdad College of Nursing Department of Basic Medical Sciences Overview of Anatomy and Physioloy –II Second Year Students Asaad Ismail Ahmad , Ph.D. Electrolyte and Mineral Physiology asaad50.2011@gmail.com 2012 - 2013 ANATOMY AND PHYSIOLOGY - II Brief Contents 1- Cardiovascular System 2- Blood 3- Lymphatic System 4- Urinary System 5- Male Reproductive System 6- Female Reproductive System 7- Sensory Function Asaad Ismail Ahmad, Ph.D in Electrolyte and Mineral Physiology College of Nursing – University of Baghdad / 2012 – 2013 asaad50.2011@gmail.com Text book Martini FH. Fundamentals of Anatomy and Physiology, 5th ed. Prentice Hall, New Jersey, 2001. References: 1.Barrett KE, Barman SM, Boitano S, Brooks HL. Ganong's Review of Medical Physiology, 23rd ed. McGraw Hill, Boston, 2010. 2.Drake RL, Vogl W, Mitchell AWM. Gray's Anatomy for Students. Elsevier, Philadelphia, 2005. 3.Goldberger ,E. 1975.A Primer of Water Electrolyte and Acid-Base Syndromes. 5th ed., Lea and Febiger ,Philadelphia. 4. Martini, FH and Welch K. Applications Manual Fundamentals of Anatomy and Physiology,4th ed., Prentice Hall, NewJersey, 1998. 5.Maxwell, MH and Kleeman CR. 1980.Clinical Disorders of Fluid and Electrolyte Metabolism. McGraw-Hill Book Company, New York. 6.McKinley M, and O'Loughlin VD. Human Anatomy, McGraw Hill, Boston, 2006. 7.Nutrition Foundation.1984.Present Knowledge in Nutrition. 5th ed., Nutrition Foundation, Inc , Washington, D.C. 8.Vander A, Sherman J, Luciano D., Human Physiology, 7th ed., McGraw Hill, Boston, 1998. TWELVETH LECTURE Anatomy of Female Reproductive System 1- Ovaries ( gonads ) 2- Reproductive tract 3- Accessory glands 4- External genitalia Asaad Ismail Ahmad, Ph.D in Electrolyte and Mineral Physiology College of Nursing – University of Baghdad / 2012 – 2013 asaad50.2011@gmail.com FEMALE REPRODUCTIVE ORGANS 1- Ovaries ( gonads ) organ produce gametes and hormones Structures of ovaries 1- Epithelial tissue: outside the ovary called visceral peritonium 2- Tunica albuginea: (dense connective tissue) 3- Cortex: outer layer of ovary 4- Medulla: inner layer of ovary 5- Ovarian follicles: small secretory sac or gland 6- Corpus luteum: progestins secretory mass of follicle cells that developed in the ovary after ovulation TYPES OF CELLS AND HORMONES IN OVARIAN FOLLICLE 1- Follicle cell 2- Zona pellucida 3- Thecal cells produce Androgen Estrogen s 4- Granulosa cells produce Inhibin and enzyme called Aromatase 5- Cells of corpus luteum produce Progesteron and estrogen STAGES OF FOLLICULAR GROWTH IN OVARY AND FORMATION OF CORPUS LUTEUM OOGENESIS p.1037 2- Female Reproductive tract a- Uterine tube b- Uterus c- Vagina a- Uterine tube UTERINE TUBES (FALLOPIAN TUBE, or OVIDUCT) Muscular tubes, 13 cm long each, divided into 1- Fimbriae 2- Infundibulum 3- Ampulla 4- Isthmus Characteristic structure: Ciliated epithelium lining uterine tubes which involve with smooth muscle layers in oocyte transport Fertilization occur near the boundary between ampulla and isthmus of the uterine tube. Fertilization occur 12-24 hours after ovulation. Unfertilized oocytes degenerate in the terminal portion of uterine tubes or within uterus UTERINE TUBES HISTOLOGY OF UTERINE TUBE p.1040 HISTOLOGY OF UTERINE TUBE p.1040 b- UTERUS STRUCTURES OF UTERUS 1- Fundus 2- Body 3- Cervix which compose from a- internal os (internal orifice ) b- cervical canal c- cervical os (external orifice ) UTERUS AND VAGINA UTERUS AND VAGINA LIGAMENTS STABILIZE THE POSITION OF UTERUS IN PELVIC CAVITY 12345- Uterosacral ligament Sensory ligament of ovary Broad ligament Ovarian ligament Round ligament LIGAMENTS THAT STABILIZE THE POSITION OF UTERUS IN PELVIC CAVITY p.1041 STRUCTURES OF UTERINE WALL 1- Endometrium (mucosa) about 10% of the wall 2- Myometrium (thick muscular layer) about 90% of the wall 3- Perimetrium (serosa) very thin layer SMOOTH MUSCLE IN MYOMETRIUM 1- Longitudinal 2- circular 3- oblique STRUCTURES OF UTERINE WALL HISTOLOGICAL STRUCTURES OF ENDOMETRIUM 123456- Simple columenar epithelium Endometrial glands Functional zone Basilar zone Straight artery Spiral artery HISTOLOGICAL STRUCTURES OF ENDOMETRIUM p.1043 BLOOD CIRCULATION SUPPLING THE ENDOMETRIUM 12345- Uterine artery Arcuate artery Radial artery Straight artery Spiral artery CIRCULATORY SUPPLY OF ENDOMETRIUM p.1043 C- VAGINA HISTOLOGICAL STRUCTURES OF VAGINA 1234- Stratified Squamous Epithelium Blood Vessels Lamina Propria Smooth Muscle Fibers HISTOLOGICAL STRUCTURES OF VAGINA p.1045 VAGINA 3- ACCESSORY GLANDS a- Lesser vestibular glands b- Greater vestibular glands C- Paraurethral glands EXTERNAL GENITALIA 1- Clitoris 2- Labium minus 3- Labium majus 4- Greater vestibular glands 5- Lesser vestibular glands 6- Hymen ( membranous fold partly or comletly closing the vaginal orifice PERINEUM IN FEMALE USING SPECULUM DURING EXAMINATION OF VAGINA AND CERVIX CERVICAL CANCER THROUGH A SPECULUM INSERTED INTO VAGINA BLADDER PROLAPSE 5- MAMMARY GLANDS STRUCTURES OF MAMMARY GLANDS 12345- Nipple Areola Lactiferous sinus about 15- 20 sinuses Lactiferous duct Lobes of mammary gland, each contain several lobules 6- Suspensory ligaments 7- Pectoral fat pad STRUCTURES OF MAMMARY GLANDS STRUCTURES OF MAMMARY GLAND SECRETORY LOBULE IN THE MAMMARY GLAND MILK SECRETING CELLS AND ALVEOLUS (apocrine gland) THANK YOU