Week 4 Day 1 Surface Anatomy -Clavicle -Acromion of scapula -Jugular notch (suprasternal notch) -Manubrium -Sternal angle -Body of sternum -Xiphisternal junction -Xiphoid process -Seventh costal cartilage -Costal margin -Anterior axillary fold (lateral border of pectoralis major) Skeleton of thorax Rib -Head -Neck -Tubercle -Costal angle -Shaft (body) -Costal groove -First rib -Costal cartilage -True ribs (ribs 1-7) -False ribs (ribs 8-10) -Floating ribs (ribs 11 and 12) Sternum -Jugular notch -Manubrium -Sternal angle (T4/T5) -Body -Xiphoid process Scapula -Acromion -Coracoid process Sternoclavicular joint Acromioclavicular joint Serratus anterior Intercostal space/muscles -Intercostal space -External intercostal -External intercostal membrane -Internal intercostal -Innermost intercostal -Intercostal nerve -Posterior intercostal artery and vein -Internal thoracic artery -Anterior intercostal branches Thoracic Wall -Costal parietal pleura -Right/left internal thoracic vessels -Transversus thoracis -Superior epigastric artery -Musculophrenic artery Pleural cavities -Superior thoracic aperture (thoracic inlet) -Trachea -Esophagus -Vagus nerves -Thoracic duct -Inferior thoracic aperture (thoracic outlet) -Diaphragm -Aorta -Inferior vena cava -Esophagus -Vagus nerves -Pleural cavities (left and right) -Mediastinum -Lung -Heart -Parietal pleura -Costal pleura -Mediastinal pleura -Diaphragmatic pleura -Cervical pleura (cupula) -Lines of pleural reflection -Pleural recesses -Costomediastinal recesses (left and right) -Costodiaphragmatic recesses (left and right) -Endothoracic fascia -Visceral pleura (pulmonary pleura) -Pleural cavity -Pulmonary ligament Week 4 Day 2 Lungs Surfaces -Costal -Mediastinal -Diaphragmatic Borders -Anterior, posterior, inferior -Oblique fissure (major fissure) -Horizontal fissure (right lung) (minor/transverse fissure) -Apex -Pericardium -Root of the lung -Phrenic nerve -Pericardiacophrenic vessels -Vagus nerve -Hilum of the lung -Main bronchus -Pulmonary artery -Pulmonary veins -Segmental bronchi -Bronchopulmonary segment -Bronchial artery Right -Lobes (Superior, Middle, Inferior) -Cardiac impression -Esophagus impression -Arch of azygos vein impression -Superior vena cava impression -Superior, middle, and inferior lobar (secondary) bronchi -Eparterial bronchus (right superior lobar bronchus) Left -Lobes (Superior, Inferior) -Cardiac notch -Lingula -Cardiac impression -Aortic arch impression -Thoracic aorta impression -Superior and inferior lobar (secondary) bronchi Mediastinum -Superior boundary (superior thoracic aperture) -Inferior boundary (diaphragm) -Anterior boundary (sternum) -Posterior boundary (bodies T1-T12) -Lateral boundary (parietal pleurae) -Plane of sternal angle (level: superior border of pericardium, bifurcation of trachea, end of ascending aorta, beginning/end of arch of aorta, and beginning of thoracic aorta) -Superior mediastinum -Inferior mediastinum -Anterior mediastinum (thymus) -Middle mediastinum (pericardium, heart, roots of great vessels) -Posterior mediastinum (esophagus, vagus, azygos, thoracic duct, thoracic aorta) Middle Mediastinum -Superior vena cava -Ascending aorta -Arch of aorta -Pulmonary trunk -Ligamentum arteriosum -Left vagus nerve -Left recurrent laryngeal nerve -Right atrium -Right ventricle -Left ventricle -Apex (left ventricle) -Base (left/right atrium) -Parietal layer of serous pericardium -Visceral layer of serous pericardium (epicardium) -Pericardial cavity -oblique pericardial sinus -Transverse pericardial sinus Borders of heart: -Right-right atrium -Inferior-right ventricle and left ventricle -Left-left ventricle -Superior-right/left atria and auricles Week 4 Day 3 Removal of Heart -Ascending aorta -Pulmonary trunk -Superior vena cave -Inferior vena cava -Four pulmonary veins External features -Coronary (atrioventricular) sulcus -Cardiac arteries -Cardiac veins -Anterior interventricular sulcus -Posterior interventricular sulcus -Right atrium/auricle -Right ventricle -Left ventricle -Left atrium/auricle -Aorta/aortic valve -Pulmonary trunk/valve -Superior vena cava -Inferior vena cava -Posterior interventricular sulcus Surfaces of heart -Sternocostal (anterior)-right ventricle -Diaphragmatic (inferior)left/right ventricle -Pulmonary (left)-left ventricle Cardiac veins -Great cardiac vein -Middle cardiac vein -Small cardiac vein -Anterior cardiac veins Coronary arteries -Aortic valve (right, left, posterior semilunar cusps) -Aortic sinus (right, left, posterior) -Opening of the left coronary artery -Anterior interventricular branch -Circumflex branch -Left anterior descending artery (LAD) -Right coronary artery -Anterior right atrial branch -Sinuatrial nodal branch -Marginal branch -Posterior interventricular branch -Artery to the AV node Right Atrium -Pectinate muscles -Crista terminalis -Opening of the SVC -Opening/valve of IVC -Opening/valve of coronary sinus -Fossa ovalis/limbus fossa ovalis -Conducting system of heart -Sinuatrial node -Atrioventricular node -Atrioventricular valve Right Ventricle -Pulmonary valve (3 semilunar cusps: anterior, right and left; each cusp-1 nodule/ 2 lunules) -Anterior wall of right ventricle -Interventricular septum -Chordae tendinea -Opening of right AV valve (3 cusps: anterior, septal, and posterior) (tricuspid) -Papillary muscles (anterior, septal, and posterior) -Trabeculae carneae -Septomarginal trabecula (moderator band) -Opening of pulmonary trunk -Conus arteriosus (infundibulum) Left Atrium -Opening of 4 pulmonary veins -Valve of foramen ovale -Interatrial septum -Opening into left auricle -Opening of left atrioventricular valve Left Ventricle -Aortic valve (3 cusps: right, left, and posterior) -Left atrioventricular valve (bicuspid/mitral valve: anterior/posterior cusps) -Papillary muscles (anterior and posterior) -Chordae tendineae -Trabeculae carneae -Muscular part of interventricular septum -Membranous part of interventricular septum -Openings of coronary arteries -Aortic sinuses -Noncoronary cusp (posterior cusp of aortic valve) Week 5 Day 1 Superior Mediastinum Boundaries: o Superior o Posterior o Anterior o Lateral o Inferior Left brachiocephalic vein Right brachiocephalic vein Superior vena cava Azygos vein Arch of azygos vein Left phrenic nerve Right phrenic nerve Arch of aorta Brachiocephalic trunk Left common carotid artery Left subclavian artery Ligamentum arteriosum Left vagus nerve Left recurrent laryngeal n. Right vagus nerve Right recurrent laryngeal n. Trachea Bifurcation of the trachea Right main bronchus Left main bronchus Tracheobronchial lymph nodes Tracheal rings Carina Posterior wall of pericardium Posterior mediastinum o Superior o Posterior o Anterior o Lateral o Inferior Oblique pericardial sinus Esophagus Thoracic aorta Esophageal plexus Anterior vagal trunk Posterior vagal trunk Posterior intercostals veins Thoracic duct Thoracic aorta Right posterior intercostals arteries Hemiazygos vein Accessory hemiazygos vein Esophageal arteries Left bronchial arteries Posterior intercostals arteries Intercostals nerve Innermost intercostal muscle Sympathetic trunk Sympathetic ganglion White ramus communicans Grey ramus communicans Greater splanchnic nerve Lesser splanchnic nerve Least splanchnic nerve Day 2 (186-194) Atlas (C1) Anterior arch of tubercle Transverse process w/transverse foramen Groove for vertebra art Posterior arch and tubercle Superior articular surface for occipital condyle Axis (C2) Dens Body Transverse process w/ transverse foramen Lamina Spinous process Superior articular facet for atlas Vertebrae (C3-C7) Body Transverse process w/transverse formaen Groove for spinal nerve Lamina Spinous process Vertebra prominens (C7) Pharynx Esophagus Larynx Trachea Thyroid gland Parathyroid gland Boundaries of the visceral part of neck -Posterior: cervical vertebrae -Posteriolateral: scalene muscles -lateral: SCM muscle (sternocleidmastoid) -anterior:infrahyoid muscles Carotid artery Internal carotid artery Internal jugular vein Vagus nerve Carotid sheath Boundaries of Posterior triangle of neck -anterior: posterior border of SCM -Posterior: anterior border of trapezius -inferior: middle 1/3 of clavicle -superficial: superficial layer of deep cervical fascia -deep:muscles of neck covered by vertebral fascia Platysma External jugular vein Cervical plexus Great auricular nerve Lesser occipital nerve Transverse cervical nerve Supraclavicular nerve Accessory nerve (CN XI) Boundaries of anterior triangle of neck -anterior: median line of neck -posterior:inferior border of mandible -superior:inferior border of mandible -superficial:superficial layer of deep cervical fascia -deep:larynx and pharynx Hyoid bone Thyrohyoid membrane Thyroid cartilage Retromandibular vein Posterior auricular vein Anterior jugular vein Contents of the Muscular triangle: -infrahyoid musc -thyroid gland -parathyroid gland Boundaries of the muscular triangle -superolateral: superior belly of omohyoid -inferolateral: anterior border of SCM -medial: median plane of neck Sternohyoid muscle Superior belly of omohyoid musc. Sternothyroid muscle Thyrohyoid Ansa cervicalis Laryngeal prominence Cricothyroid ligament Cricoids cartilage First tracheal ring Isthmus of thyroid gland Submandibular triangle boundaries -superior: inferior border of mandible -anterioinferior: anterior belly of digastrics muscle -posterioinferior: posterior belly of digastric muscle Superficial:superficial layer of deep cervical fascia Deep:mylohyoid and hyoglossus muscle Mastoid process Styloid process Inner aspect of mandible Digastrics fossa Mylohyoid line Submandibular fossa Mylohyoid groove Digastrics o Anterior belly o Posterior belly Intermediate tendon Tendon of stylohyoid muscle Hypoglossal nerve (CN IX) Mylohyoid muscle Submental triangle boundaries -right/left: anterior bellies of digastrics m. -inferior: hyoid bone -superficial: superficial layer of deep cervical fascia -deep: mylohyoid muscle Carotid triangle boundaries -inferomedial: superior belly of omohyoid m. -inferolateral: ant. border of SCM -superior: post. Belly of digastrics m. Tip of the greater horn of the hyoid bone Nerve to thyrohyoid muscle Superior root of ansa cervicalis Inferior root of ansa cervicalis Thyrohyoid membrane Internal branch of the superior laryngeal nerve External branch of the superior laryngeal nerve Superior laryngeal nerve Cricothyroid muscle Carotid sheath Internal jugular Common facial vein Superior thyroid vein Middle thyroid vein External carotid artery Superior thyroid artery Superior laryngeal artery Lingual artery Facial artery Occipital artery Posterior auricular art Bifurcation of common carotid art Carotid sinus Carotid body Internal carotid art Ascending pharyngeal artery Vagus nerve (CN X) Day 3 195-199 Thyroid gland Right/left lobe of thyroid Isthmus of thyroid Pyramidal lobe of thyroid Superior thyroid artery Superior thyroid vein Middle thyroid vein Right/left thyroid vein Thyroidea ima artery Recurrent laryngeal nerve. Parathyroid glands Root (base) of neck Superior thoracic aperture Omohyoid muscle Intermediate tendon of omohyoid m. External jugular vein Subclavian vein Internal jugular vein Brachiocephalic vein Subclavian artery o First part o Second part o Third part Vertebral artery Internal thoracic artery Thyrocervical trunk o Transverse cervical o Suprascapular artery o Inferior thyroid artery Costocervical trunk o Deep cervical artery o Supreme intercostal artery Dorsal scapular artery Thoracic duct Left subclavian vein Left internal jugular vein Right lymphatic duct Vagus nerve Right recurrent laryngeal nerve Left recurrent laryngeal nerve Phrenic nerve Sympathetic trunk Splenius capitis Levator scapulae Anterior scalene Middle scalene Posterior scalene Interscalene triangle o Subclavian vein o Transverse cervical artery o Suprascapular artery Roots of brachial plexus Supraclavicular portion of brachial plexus: roots/trunks/division Week 6 Face Day 1 Surface: -Vertex -Supraorbital margin -Nasal bones -Alveolar process of maxilla -Mental protuberance of mandible -Zygomatic arch -Zygomatic bone -Angle of mandible Cutaneous innervations: -Ophthalmic division (V1): forehead, upper eyelids and nose -Maxillary division (V2): lower eyelid, cheek, and upper lip -Mandibular division (V3): lower face and side of head -Cervical spinal nerves 2 and 3: back of head and area around ear Facial expression motor innervations: -Facial nerve (VII) Superficial Face: -Platysma -Masseter -parotid duct -Parotid gland -Facial nerve (temporal, zygomatic, buccal, mandibular and cervical branches) -Parotid plexus -Buccal fat pad -Buccinator -Buccal nerve (branch of V3) -Facial artery -Inferior labial/superior labial arteries -Angular artery -Facial vein Muscles around Orbital -Orbicular oculi (orbital and palpebral parts) -Palpebral fissure Muscles around Oral -Levator labii superioris -Zygomaticus major -Orbicularis oris -Buccinator -Depressor anguli oris Sensory nerves -Supraorbital (V1) -Infraorbital (V2) -Mental (V3) -Mental foramen -Mental nerve, artery and vein Parotid -Parotid sheath -Facial nerve -Stylomastoid foramen -Parotid duct -Auriculotemporal nerve (V3): postganglionic parasympathetic fiber from otic ganglion -External jugular vein -Maxillary vein -Superficial temporal vein -External carotid artery -Maxillary artery -Superficial temporal artery -Posterior belly of digastrics -Stylohyoid Week 6 Face Day 2 Temporal region: -Temporal fossa (temporalis) [boundaries: superior/posterior-superior temporal line; anterior-frontal/zygomatic; inferior-zygomatic arch; deep-frontal, parietal, temporal, and sphenoid; superficial-temporal fascia] -Infratemporal fossa (pterygoids, V3, and maxillary vessels) [boundaries: lateral-ramus; anterior-maxilla; medial-lateral plate pterygoid process; roof-greater wing of sphenoid] Skeleton: -Superior/inferior temporal lines (parietal) -Temporal fossa (parietal, frontal, squamous temporal and greater wing of sphenoid) -Zygomatic arch (zygomatic of temporal and temporal of zygomatic) -Mandibular fossa and articular tubercle (temporal) -Mandible (laterally: head, neck, notch, coronoid, ramus and angle; internally: lingual, mandibular foramen, and mylohyoid groove) -Pterygomaxillary fissure -Inferior orbital fissure (greater wing of sphenoid and maxilla) -Infratemporal surface (maxilla) -Greater wing of sphenoid -Lateral plate of pterygoid process (sphenoid) -Pterygopalatine fossa -Sphenopalatine foramen Dissection: -Masseter -Temporalis -Inferior alveolar nerve and vessels (mylohyoid nerve) -Mandibular canal -Mandibular teeth -Mental nerve -Lingual nerve (mucosa of anterior 2/3rd tongue and floor of oral cavity) -Maxillary artery -Middle meningeal artery (pass through split in auriculotemporal nerve; supplies dura) -Deep temporal arteries -Masseteric artery -Inferior alveolar artery -Buccal artery Lateral pterygoid: opens jaw/depresses mandible (superior head attaches to infratemporal surface of greater wing of sphenoid; inferior head attaches to lateral surface of lateral plate of pterygoid; posterior attachment to TMJ capsule and neck of mandible) -Medial pterygoid: closes jaw/elevates mandible (attaches to maxilla and medial surface of lateral plate of pterygoid process and ramus) -Chorda tympani (joins posterior side of lingual nerve) -Pterygopalatine fossa -Posterior superior alveolar artery Week 6 Face Day 3 Skull -Crista galli -Cribriform plate -Anterior clinoid process -Posterior clinoid process -Superior border of petrous part of temporal bone -Internal acoustic meatus -Jugular foramen -Hypoglossal canal -Foramen magnum -Groove for sigmoid sinus -Groove for transverse sinus Dura -Cerebral falx (falx cerebri) -Cerebellar tentorium (tentorium cerebella) -Tentorial notch (tentorial incisures) -Cerebellar falx (falx cerebella) Dura venous sinuses -Superior sagittal sinus -Confluence of sinuses -Inferior sagittal sinus -Straight sinus -Great cerebral vein -Transverse sinuses -Sigmoid sinus -Internal jugular vein -Sphenoparietal sinus -Cavernous sinus -Superior petrosal sinus -Inferior petrosal sinus -Basilar plexus Cranial fossa -Ethmoid bone (crista galli and cribriform plate) -Frontal bone (orbital part) -Sphenoid bone (lesser wind, crest, superior orbital fissure, anterior clinoid process, limbus, optic canal, hypophyseal fossa, posterior clinoid process, greater wing: foramen rotundum, ovale and spinosum) -Temporal bone (squamous, petrous: superior border/ridge; groove for sigmoid sinus, internal acoustic meatus) -Occipital bone (clivus, jugular foramen, hypoglossal canal, groove for sigmoid sinus, foramen magnum, groove for transverse sinus, internal occipital protuberance) -Foramen lacerum (sphenoid-greater wing an temporal) -Anterior/middle cranial fossa (sphenoid crests/limbus) -Middle and posterior cranial fossa ( petrous temporal and dorsum sellae Anterior cranial fossa (sphenoid, ethmoid and orbital part of frontal bone): -Olfactory nerve (I) Middle Cranial fossa (temporal lobe of brain; floor: sphenoid and temporal bones): -Middle meningeal artery (foramen spinosum) -Superior petrosal sinus -Optic nerve (II) -Optic canal -Superior orbital fissure -Oculomotor nerve (III) -Trochlear nerve (IV) -Ophthalmic division (V1) -Abducent nerve (VI) -Trigeminal nerve (V) -Trigeminal ganglion -Maxillary division (V2) (foramen rotundum) Mandibular division (V3) (foramen ovale) -Internal carotid artery -Carotid canal -Hypophyseal fossa -Sellar diaphragm (diaphragm sellae) -Anterior/posterior intercavernous sinuses) Posterior cranial fossa -Facial nerve (VII) -Vestibulocochlear nerve (VIII) -Glossopharyngeal nerve (IV) -Vagus nerve (X) -Accessory nerve (XI) -Cervical root of accessory nerve -Hypoglossal nerve (XII) -Hypoglossal canal Week 7 Pg. 235-240 Atlas (C1) o Superior articular facet o Transverse process o Posterior arch o Anterior tubercle Axis o dens Occipital bone o Occipital condyle o Pharyngeal tubercle o Foramen magnum Atlanto-occipital joint Transverse ligament of the atlas Retropharyngeal space Tectorial membrane Cruciate ligament of the atlas Superior longitudinal band Transverse ligament of the atlas Inferior longitudinal band Alar ligaments Sympathetic trunk Superior, middle, inferior cervical sympathetic ganglia Internal carotid nerve Rectus capitus lateralis Rectus capitis anterior Longus capitis Prevertebral fascia Gray rami communicantes Stellate (cervicothoracic) ganglia Longus colli muscle Anterior scalene muscle Pharynx Pharyngeal wall o Buccopharyngeal fascia o Muscular layer o Mucous membrane Inferior pharyngeal constrictor Pharyngeal raphe Middle pharyngeal constrictor musc. Superior pharyngeal constrictor musc. Pterygomandibular raphe Pharyngeal tubercle Pharyngobasilar fascia Stylopharyngeus musc. Glossopharyngeal nerve (CN IX) Pharyngeal plexus of nerves Contents of carotid sheath Vagus nerve (CN X) Accessory nerve (CN XI) Superior laryngeal nerve Pharyngeal branch of vagus nerve Hypoglossal nerve (XII) Nasal bone Frontal bone Cribiform plate Body of sphenoid bone Hard palate Basilar part of occipital bone Foramen magnum Nasopharynx Oropharynx Laryngopharynx Posterior nasal aperture (Choana) Opening of pharyngotypanic tube (Eustachian tube/auditory tube) Torus tubarius Salpingopharyngeal fold Pharyngeal recess Pharyngeal tonsil (adenoid) Oropharynx Palatoglossal fold Fauces Palatopharyngeal fold Palatine tonsil Laryngopharynx Epiglottis Inlet of the larynx Piriform recess Medial, lateral, posterior pharyngeal constrictor Pg. 240-248 Nasal bone Lacrimal bone Maxilla o Frontal process o Anterior nasal aperture o Anterior nasal spine o Palatine process o Incisive canal Nasal septum Middle nasal concha Inferior nasal concha Ethmoid bone o Cribiform plate o Superior nasal concha o Middle nasal concha Sphenoid bone o Opening of the sphenoidal sinus o Sphenoidal sinus o Body o Medial plate of the pterygoid process o Lateral plate of the pterygoid process Palatine bone o Perpendicular plate o Horizontal plate Sphenopalatine foramen Lateral nasal cartilage Septal cartilage Alar cartilage Boundaries of nasal cavity o Roof o Floor o Medial wall o Lateral wall Sphenoethmoidal recess Superior concha Superior meatus Middle concha Middle meatus Inferior concha Vestibule Atrium Perpendicular plate of ethmoid bone Vomer Nasopalatine nerve Sphenopalatine artery Olfactory area Nasolacrimal duct Semilunar hiatus Ethmoidal bulla Opening of frontal sinus Opening of anterior ethmoidal cells Opening of maxillary sinus Opening of middle ethmoid cells Opening of sphenoidal sinus Sphenoidal sinus Ethmoidal cells Maxillary sinus Soft/hard palate Palatine glands Maxilla o Incisive foramen o Alveolar process o Palatine process Palatine bone o Horizontal plate o Greater palatine foramen o Lesser palatine foramina o Posterior nasal spine Sphenoid bone o Hammulus of pterygoid process o Medial plate of pterygoid o Lateral plate of pterygoid process o Scaphoid fossa o Pterygoid canal Inferior orbital fissure Sphenopalatine foramen Pterygopalatine fossa Pterygomaxillary fissure Torus tubarius Opening of pharyngotympanic tube Salpingopalatine fold Torus levatorius Salpingopharyngeal fold Palatoglossal fold Palatopharyngeal fold Palatopharyngeus musc. Salpingopharyngeus musc. Stylopharyngeus musc. Pharyngobasilar fascia Pharygotypanic tube Levator veli palatine musc. Greater palatine nerve and vessels Lesser palatine nerve Palatine tonsil and tonsillar crypts Palatoglossus musc. Glossopharyngeal nerve Sphenopalatine artery Descending palatine artery Posterior lateral nasal artery Posterior septal branch Pterygopalatine ganglia Nerve of the pterygoid canal Contents of Infratemporal fossa o maxillary a. o sphenopalatine a. o descending palatine a. o infraorbital a. o maxillary division of trigeminal (V2) Pg. 249-252 oral vestibule oral cavity proper surface anatomy of oral vestibule o maxilla alveolar process anterior surface infratemporal surface o mandible alveolar process coronoid process tendon of temporalis musc. o Masseter o Communication between oral vestibule and oral cavity proper o Frenulum o Opening of parotid duct Borders of oral cavity proper o Lateral/Anterior: teeth & gums o Superior: hard palate o Inferior: mucosa of tongue and sublingual area o Posterior: palatoglossal folds Tongue o Body o Apex o Median sulcus Sublingual area o Frenulum of tongue o Sublingual fold (plica sublingularis) o Sublingual caruncle o Opening of submandibular duct o Deep lingual veins Parts of the tongue o Root o Body o Apex o Dorsum o Terminal sulcus o Lingual tonsil o Foramen cecum o Median sulcus o Lingual papillae o Body of tongue o Root of tongue o Median glosso-epiglottic fold Epiglottic vallecula Mylohyoid musc. Geniohyoid musc. Genioglossus musc. Frenulum of tongue Sublingual fold Sublingual caruncle Opening of submandibular duct Sublingual gland Submandibular duct Deep part of submandibular gland Lingual nerve Submandibular ganglion Hypoglossal n. Styloglossus musc. Intrinsic musc. Of tongue Lingual artery Deep lingual artery