Ureter Descending colon Sacrum Sigmoid colon Cervix Coccyx Rectum Vagina Anus Tendon levator ani Pelvic bowl m.m.
DIGESTIVE SYSTEM
Stomach Serosa
Abdominal esophagus Z line (zigzag) junction of gastric & esophageal mucosa Cardiac opening Lesser curvature Gastric Pyloric Superior (1st) part canal sphincter m. of duodenum
** = cut L. = Left (l.i.) = large intestine R. = Right (s.i.) = small intestine v. = vein v.v. = veins trans. = transparent
Anus
Hepatic Portal Veins Inferior vena cava R. branch
Hepatic v.v.
Esophagus L. gastric v.
Ghost of the rectum**
Large Intestine Transverse colon (below)** [Indications of section below]
R. colic (hepatic) flexure Stomach (trans.)
Liver (trans.)
L. colic (splenic) flexure Haustra
Spleen
Portal v. Cystic v. Gallbladder Pancreaticoduodenal v.v. Pancreas Duodenum R. colic flexure Middle colic v. Superior mesenteric v. Inferior vena cava R. colic v. Ascending colon Ileocolic v.v. Cecal vv. Cecum Ileum Appendicular v. Appendix Common iliac v.v. Superior rectal v.
Ghost of the appendix
Ascending colon
L. branch Splenic v.
Omental tenia** Mesocolic tenia**
R. gastric v.
Semilunar folds** Ileum**
L. gastro-epiploic v. Inferior mesenteric v. L. colic v.v.
Descending colon
Free tenia (tenia libera)
Free tenia (tenia libera)
Cecum
Inferior mesenteric v.
Vermiform appendix Rectosigmoid junction
Jejunal & ileal v.v.
Sigmoid colon
Descending colon Sigmoid v.v.
Rectum
Sigmoid colon Rectum
3
Exterior anal sphincter m. Anus
HEART & CIRCULATORY SYSTEMS
Anterior Heart & Vessels R. common carotid Internal jugular v.
Anterior Circulatory System (Transparent Bone & Heart) Circle of Willis Superior ophthalmic a. Frontal branch Basilar a. Superior temporal a. Internal carotid a. Vertebral a. Inferior labial a. Facial a. External carotid a. Common carotid a. Superior thyroid a. Brachiocephalic trunk Thyrocervical trunk Subclavian a. Superior thoracic a. Internal thoracic a. Thoracoacromial a. Axillary a. Aortic arch Lateral thoracic a. Ascending aorta Superior & inferior pulmonary v.v.
R. subclavian a.
Superior sagittal sinus R. external jugular v. Supraorbital v. Superficial temporal v. R. brachiocephalic v. Transverse sinus Superior vena cava Angular v. Superior labial v. Abbreviations ** = cut Inferior labial v. a. = artery Facial v. a.a. = arteries Superior thyroid v. L. = Left R. = Right Interior jugular v. v. = vein External jugular v. v.v. = veins trans. = transparent Anterior jugular v. R. coronary a. Jugular venous arch R. atrium L. brachiocephalic v. L. subclavian v. R. ventricle
Inferior thyroid v. L. common carotid Internal jugular v. L. external jugular v. L. brachiocephalic v. L. subclavian a. Ascending aorta Aortic arch L. pulmonary a.a. L. pulmonary v.v. L. atrium Great cardiac v. L. ventricle L. anterior descending (or anterior intraventricular) coronary a.
Superior vena cava L. pulmonary a. Axillary v.
Apex Fat Descending aorta
Inferior vena cava
Thoracoepigastric v. Pulmonary trunk L. atrium R. atrium
L. subclavian a.
L. ventricle
Posterior intercostal a. Abdominal aorta Hepatic, L. gastric & splenic a.a.
L. pulmonary a.
R. ventricle Posterior intercostal v.v. Hepatic v.v. Inferior vena cava
R. renal a. Interlobar a.a. Superior mesenteric a. Inferior mesenteric a. Testicular (ovarian) a. Bifurcation of aorta Median sacral a. External iliac a. Internal iliac a. Lateral sacral a.
Posterior Heart
L. renal v. Interlobar v.v. Ascending lumbar v. L. testicular v. Median sacral v. External iliac v. Internal iliac v.
L. auricle
L. common carotid a. Brachiocephalic trunk Aortic arch R. pulmonary a.
L. superior pulmonary v.
Superior vena cava
L. inferior pulmonary v.
R. superior pulmonary v.
Great cardiac v. Circumflex branch of L. coronary a. Posterior branch of L. coronary a. Posterior v. of L. ventricle Coronary sinus L. ventricle Apex
R. inferior pulmonary v. L. atrium Sulcus terminalis R. atrium R. coronary a. Inferior vena cava Posterior descending a. Middle cardiac v.
Thoracic, Neck & Head Arteries
Thoracic, Neck & Head Veins (Transparent Bone & Cartilage) Superficial temporal v. Superior bulb of jugular v. Retromandibular v. Inferior sagittal sinus Straight sinus Transverse sinus Occipital sinus Confluence of sinuses Deep cervical v. Internal jugular v. Anterior jugular v. Vertebral v.v. Supreme intercostal v. External jugular v.** Suprascapular v.** Thoracoacromial v. Inferior bulb of jugular v. Thyroid v.v. R. cephalic v. Lateral thoracic v. Pectoral v.** Brachial v.v. Basilic v. Superior vena cava Posterior intercostal v.v. Azygos v. Pericardiacophrenic v. Pericardium Diaphragm
Superior sagittal sinus Skull (trans.) Middle temporal v. Maxillary v. Pterygoid plexus External nasal v. Deep facial v. Superficial labial v. Facial v.v. Inferior labial v. Submental v. Superior thyroid v. Superior laryngeal v. Thyroid cartilage Cricoid cartilage Trachea L. subclavicular v. L. brachiocephalic v. L. superior intercostal v. Internal thoracic v.v. Mediastinal v. Pericardial v. Superior epigastric v.v.
Maxillary a. Superficial temporal a. Parietal branch of superficial temporal a. Interior carotid a. Skull (trans.) Frontal branch of superficial temporal a. Posterior auricular a. Anterior & posterior deep temporal a.a. L. vertebral a. Ascending pharyngeal a.** Supraorbital a. Supratrochlear a. External carotid a. Ophthalmic a. Internal carotid a. Dorsal nasal a. Occipital a. External nasal a. Descending branch Infraorbital a. Deep cervical a. Angular a. Cervical part of L. vertebral a. Superior labial a. Ascending cervical a. Transverse facial a. L. common carotid a. Inferior labial a. Prevertebral part of L. Mental branch of vertebral a. inferior alveolar a. L. subclavian a. Facial a. Superior thoracic a.** Lingual a. Thoracoacromial a. Superior laryngeal a. Acromial branch Superior thyroid a. Thyroid cartilage Deltoid branches Thyrocervical trunk Pectoral branch** Cricoid cartilage Axillary a. R. brachiocephalic v. Inferior thyroid a. Anterior circumflex Brachiocephalic trunk humeral a. Superior vena cava Posterior circumflex L. internal thoracic a. humeral a. Arch of aorta Brachial a. L. pulmonary a.** Lateral thoracic a.** L. pulmonary v.v.** L. internal thoracic a. L. main bronchus & a. Pericardial a. Posterior intercostal a. Superior epigastric a. Musculophrenic a. (behind Thoracic aorta costal cartilage) Superior phrenic a.a. Subcutaneous abdominal a.a. Pericardium Diaphragm Anterior intercostal a. 4
THORACIC NERVES
Anterior
Spinal Nerves Supraorbital n. Zygomaticofacial n. Infraorbital n. Buccal branch of facial n. Mental n. Ventral rami: 3 4 5
Supratrochlear n. Auriculotemporal n. Parotid gland & duct Anterior scalene m. Esophagus** Trachea** R. common carotid a.** R. subclavian a.** R. brachial plexus
CI Cervical plexus C I–C IV Cervical n.n. C I–C VIII Brachial plexus C V–T I
Conus medullaris Iliohypogastric n. Ilioinguinal n.
5th lumbar vertebra (pedicle)** Sacrum [5 fused vertebrae (pedicles)]** Femoral n. Superior gluteal n. Inferior gluteal n.
LV SI S II S III
S IV SV External filum terminale Coccygeal n. Coccyx
Phrenic & Vagus Nerves
Brachial plexus Anterior scalene m. R. subclavian a.** R. phrenic n. R. common carotid a.** Brachiocephalic trunk Trachea R. lung (trans.) Superior vena cava** Pericardial branch of R. phrenic n. Pericardium** (trans.) Phrenicoabdominal branch of phrenic n. (to inferior surface of diaphragm)
1st lumbar vertebra (pedicle)**
L II
Sacral n.n. S I–S V
Pharynx Interior jugular v.** Uvula Oropharynx** R. vagus n. (X) 3 Ventral rami 4 5
12th thoracic vertebra (pedicle)**
Lumbar plexus T XII–L IV
Lateral femoral cutaneous n. lumbosacral trunk
Sciatic n.
TX T XI
L. kidney
R. colic n. with autonomic plexus
Posterior median fissure
T VIII
Splenic plexus
Diaphragm
T VI T VII
Anterior gastric branches
Hepatic branch
1st thoracic vertebra (pedicle)**
T IV
Axillary n.
R. lung (trans.)
** = cut a. = artery C = cervical L. = Left L = lumbar m. = muscle n. = nerve n.n. = nerves R. = Right S = sacrum T = thoracic v. = vein trans. = transparent italics = bone features
T III
Pulmonary plexus
Medial brachialcutaneous n.
Superior jugular ganglion Inferior nodose ganglion Pharyngeal branch Superior laryngeal branch L. vagus n. (X) Epiglottis Hyoid bone Thyroid cartilage Cricothyroid m.m. White matter (sensory) Brachial plexus Dorsal root (sensory) L. subclavian a.** L. phrenic n. Ventral root (motor) L. recurrent laryngeal n. Spinous process L. lung (trans.) Sensory ganglion L. common carotid a.** Thoracic cardiac n. Superior articular process L. recurrent laryngeal n. Pedicle Bronchial branch Transverse process Pulmonary plexus N. fibers Pericardial branch of L. phrenic n. Esophageal plexus Gray & white rami Esophagus communicantes Pericardium** (trans.)
Posterior femoral cutaneous n. Pudendal n. Sciatic n.
Spinal Cord
(Window cut to view esophagus) Phrenic n. 5
Inferior articular process & facet
Synapse Gray matter White matter (motor) Pia mater Motor n. fibers Arachnoid mater Dura mater Sympathetic ganglion Sympathetic trunk Vertebral body (centrum) Intervertebral disc
LYMPHATIC SYSTEM ** = cut a. = artery a.a. = arteries L. = Left l. = ligament m. = muscle R. = Right v. = vein v.v. = veins trans. = transparent
Parotid lymph nodes R. lymphatic duct
Cervical lymph nodes
Brachiocephalic v.**
L. gastric a.
Thoracic duct**
Abbreviations
Cardiac ring of nodes
Hepatic v.v.**
Celiac node
Inferior vena cava**
Abdominal aorta
Thoracic duct
L. lumbar nodes
Cisterna chyli
Subaortic common iliac nodes
R. lumbar trunk L. lumbar trunk
Thoracic duct
Common iliac nodes Sacral nodes
Inferior vena cava**
Interiliac external iliac node
Lateral common iliac nodes Intermediate external iliac nodes
Internal iliac nodes
Highest deep inguinal node (Rosenmuller or Cloquet)
Superolateral superficial inguinal nodes
Inguinal l. Axillary lymph nodes
Cribiform fascia
Sigmoid colon**
Cremaster m.**
Deep inguinal nodes
Intercostal nodes
Inferior superficial inguinal nodes
Fascia lata
Lymphatic vessels Intestinal nodes
Upper extremity Gastrosplenic l. Short gastric a.a. & v.v. Peritoneum Renal surface Splenic a. Splenic v. Visceral surface Colic (biliary) surface
Cisterna chyli Common iliac nodes Paraaortic nodes Inguinal lymph nodes
Great saphenous v.
Fascia**
Dorsal Spleen
Gastric surface Superior (notched) margin Thoracic duct** Splenorenal l. Paracolic Pancreatic nodes surface
Large Intestine Lymphatics
Anterior extremity
Celiac nodes Epicolic nodes
Cisterna chyli
Paracolic nodes
Middle colic nodes
Inferior mesenteric nodes
Superior mesenteric nodes
Aorta**
L. gastric nodes
Preaortic nodes Sigmoid nodes
Ileocolic nodes
Diaphragm**
Paracolic nodes
Cecal nodes
Splenic nodes
Appendicular nodes Common iliac nodes Superior rectal nodes
Pancreas (behind stomach) L. gastroepiploic (gastroomental) node L. superior pancreatic nodes
Heart & Lungs
R. gastroepiploic (gastro-omental) nodes Superior mesenteric nodes Superior mesenteric a.**
R. tracheal nodes
Inferior deep cervical node
Inferior deep cervical node
L. tracheal nodes
R. brachiocephalic v.**
Arm Axilla & Thorax Lymphatics Central axillary nodes
L. colic nodes
R. colic nodes
Stomach & Pancreas Esophagus** Thoracic duct** Celiac nodes Cisterna chyli Pancreas (behind stomach) R. superior pancreatic node Suprapyloric nodes Pyloris Infrapyloric nodes Head of pancreas Stomach (trans.) Duodenum Preaortic nodes
Thoracic duct L. brachiocephalic v.**
Subclavian chain of nodes
Aortic arch node
R. superior tracheobronchial nodes
Internal jugular nodes Subclavian nodes
L. superior tracheobronchial nodes
Inferior tracheobronchial nodes
Bronchopulmonary (hilar) nodes
Pulmonary nodes
Interlobular lymph vessels
Subpleural lymph plexus Brachial nodes Cubital nodes Subscapular nodes Interpectoral nodes Paramammary nodes Mammary gland Parasternal nodes Pathways to opposite breast Pathways to subdiaphragmatic nodes