splanchnology Chapter 4 Introduction 1. The concept and function Splanchnology is a subject that studies the shape, structure and position of the organs of viscera. Viscera includes alimentary system, respiratory system, urinary system and genital system. funtion: The main functions of the viscera are to fulfil the metabolism and maintain the life of species. The main functions of alimentary system are to ingest the food, to secrete enzymes, to absorb the products of the digestive action, and to eliminate the unused residues. The respiratory system is to carry out the gas exchanges -- supply of oxygen for living cells and remove of carbon dioxide resulting from cell metabolism. The primary function of urinary system is to keep the body in homeostasis by removing and restoring selected amount of water and solutes, excreting the various wastes. The functions of genital system are to produce germ cells (ovum and sperm) and to secrete some hormones. 2. General structure of viscera porta hepatis mucosa (submucosa) tubular organs renal hilum muscular coats serosa Parenchymatous organs The visceral surface of the liver hilum/porta The hilum view of right lung The anterior of the left kidney 3. The reference lines of thorax the anterior median line the sternal line the midclavicular line the parasternal line the anterior axillary line the midaxillary line the posterior axillary line the scapular line the posterior median line The 4 abdominal regions right upper abdomen left upper abdomen right lower abdomen left lower abdomen 4 The abdominal regions (9 region ) epigastric left hypochondriac right hypochondriac right lumbar right inguinal (right iliac) umbilical left lumbar left inguinal (left iliac) hypogastric/pubic Chapter 5 Alimentary/digestive system alimentary canal mouth/oral cavity pharynx esophagus duodenum stomach small intestine jejunum large intestine ileum salivary glands alimentary liver gland Pancreas Small gland The upper/lower alimentary canal 1. The oral cavity Palate oral vestibule oral cavity proper Palatopharyngeal The opening arch of the parotid duct Palatoglossal arch 1) Lips 2) Cheek 3) Palate: Palatine tonsil Hard palate Soft palate Uvula Palatine glands tongue Isthmus of fauces Tonsillar fossa 4) Palatine tonsile Sublingual gland Submandibular gland Parotid gland Parotid duct 5) The teeth/dentes deciduous teeth (20): incisors 2, canine 1, molars 2 permanent teeth (32): incisors 2 canine 1 premolars 2 molars 2~3 The basic structure of teeth enamel The shape : dentine crown, neck and root Dental cavity : cavity of crown, root canal cement The tissue : dentine, enamel, cement and dental pulp The periodontal structure: periodontal membrane, alveolar bone and gums/gingiva. gums periodontal membrane 6) The tongue The shapes: apex, body, root of tongue The mucous membrane: filifirm papillae fungiform papillae vallate papillae taste bud foliate papillae The muscle: intrinsic muscle extrinsic muscle: styloglossus hyoglossus genioglossus frenulum of tongue the theopening openingof of auditory auditorytube tube 2. The pharynx 1) Position nasopharynx 2) Parts oropharynx laryngopharynx 3) Communication nasopharynx nasal cavity tympanic cavities of the middle ear oropharynx laryngopharynx oral cavity laryngeal cavity esophagus. The Thesagittal sagittalsection section of ofthe theskull skulland andneck neck The anterior wall of pharynx First constriction 3. Esophagus Esophagus Cervical part 1) The position Trachea Aortic arch 2) The position of the three constriction Principal bronchus Second constriction constriction position Thoracic aorta the beginning (commencement) the first Thoracic partborder of 6th C or lower or the level of cricoid cartilage Third constriction the intersection with left bronchus Abdominal part the second or the level of the sternal angle or thevena lower border of the 4th T Inferior cava the esophageal hiatus the third or the lever of the 10th T The esophagus and its relationships the distance from incisor 15cm 25cm 40cm 4. Stomach/gaster cardia cardia 1)the shape two orifices: two curvature: two surface: lesser lesser curvature curvature angular angular incisure incisure pylorus pylorus 2)the parts cardiac part fundus of stomach body of stomach pyloric antrum pyloric part pyloric canal greater curvature greater curvature 3)The position In middle full left hypochondriac region epigastric region, hypochondriac region epigastric region hypochondriac region and umbilical region; cardia on the left of the eleventh thoracic vertebra, umbilical region pylorus on the right of the first lumbar vertebra. The position of stomach 4)The relation of stomach The anterior surface: The L part is contact with diaphragm The R part is relation with the left and quadrate lobes of live and the anterior abdominal wall. The posterior surface: It is relation with the spleen, the diaphragm, the left suprarenal gland, the upper part of the left kidney, the splenic blood vessels, the pancreas, the left colic flexure, the transverse colon and its mesocolon. These structures form the stomach bed. 5)the musculature and inner surface of stomach The musculature: The wall of stomach has three layer muscle. The outer is longitudinal, the middle circular, the inner lesser curvature oblique and incomplete. At the angular incisure pylorus, the middle circular muscle thicken and form a muscular ring --- pylorus the pyloric sphincter. It can control the pylorus open and close. The inner surface: When the stomach is empty, the mucosa form many ridges and rugae. But the mucosa of pyloric part is smooth. Gastric neoplasm and ulcers, the mucous pattern will be changed and become radiological. cardia greater curvature 5. the small intestine superior part descending part duodenum horizontal part jejunum ascending part ileum The mesentery 6. the large intestine 1) parts caecum vermiform appendix colon rectum anal canal about 1.5 m long 2) The characteristics of the cecum and colon colic bands haustras of colon epiploic appendices 3) The cecum and the vermiform appendix The position of appendix retrocecal and retrocolic in 65.28% pelvic in 31.01% subcecal in 2.26% pre-ileal in 0.4% post-ileal in 1.0% higher and left position McBurney’s point transverse mescolon 4) colon right colic flexure left colic flexure ascending colon transverse colon parts descending colon sigmoid colon sigmoid mescolon 5) rectum sacral flexure two flexures perineal flexure Ampulla of rectum Transverse folds of rectum 6) the anal canal anal column anal valves anal sinuses inner surface dentate line anal pecten white line sphincter ani internus sphincter Columnar epithelium Stratified columnar epithelium sphincter ani externus Stratified squamous epithelium 7. The alimentary gland 1) salivary gland Minor gland Opening of parotid duct parotid gland Major gland submandibular gland sublingual gland sternocleidomatoid masseter muscle Opposite the crown of second upper molar 8. liver/hepar The liver is the largest gland in our body. Food processing factory 1. Functions 1) produce bile 2) synthesis glycogen Nutrients, vitamins, mineral, and other albumin products of digestion(include the poison) 3) detoxification 1) The position R. triangular lig. hepatic portal Caudate lobe v. diaphragm inferior vena cava L. triangular lig. bare area right hypochondriac region epigastric regions left hypochondriac region beneath the diaphragm coronary lig. L. lobe hypochondriac epigastric common bile duct region region portalobe Left hepatis Right lobe R. lobe hypochondriac region behind the ribs falciform lig. 2) The shapes superior surface/ diaphragmatic surface: inferior surface/ visceral surface: proper hepatic a. hepaticgallbladder quadrat duct lobe systic duct lig. teres hepatis gallbladder 3) The lobe of liver diaphragm R. triangular lig. L. triangular lig. caudate lobe On the superior surface: coronary lig. right lobe left lobe R. lobe L. lobe On the inferior surface: L. lobe R. lobe falciform lig. right lobe, left lobe quadrate lobe caudate lobe. lig. teres hepatis quadrate lobe gallbladder 9. The gallbladder and the biliary ducts fundus of gallbladder body of gallblader neck of gallbladder cystic duct right and left hepatic duct common hepatic duct common bile duct 10. The drainage of the bile hepatocyte bile canaliculi intralobular bile ductules R. hepatic duct L. hepatic duct common hepatic duct common bile duct Cystic duct gallbradder hepatopancreatic ampulla Major duodenal papilla 11. The Pancreas position head parts neck body tail exocrine part function endocrine part