Anatomy in Your Pocket E-Book

Anne M Gilroy

• Herausgeber: Thieme Medical Publishers
• Kategorie: Fachliteratur
• Sprache: Englisch

Veröffentlichungsjahr: 2018

Beschreibung

Exquisitely illustrated portable anatomical study tool a must-have for medical students

Anatomy in Your Pocket by Anne Gilroy is based on the award-winning textbook Atlas of Anatomy and the work of Michael Schuenke, Erik Schulte, and Udo Schumacher. This volume is organized by seven sections: the back, thorax, abdomen, pelvis, upper limb, lower limb, and head and neck. Each card features a full-color illustration with numerical labels only, while the reverse side provides the answers, an ideal format for self-testing.

Key Highlights

• More than 400 exceptionally detailed full-color illustrations by Markus Voll and Karl Wesker supplemented by high-quality photos delineate body structures
• Tables, high-yield clinical correlations, didactically relevant Q&A, and superb illustrations enable studying, memorizing, and reviewing the most important concepts in human anatomy
• The compact spiral binding protects the cards and is perfect for on-the-go studying and quick reference

First-year medical students studying gross anatomy and second-year medical students preparing for the USMLE® Step 1 or COMLEX will benefit from using this resource as a study companion. It is also a go-to anatomical reference for other medical trainees who need a succinct yet thorough review of key anatomy.

Leseprobe

To access additional material or resources available with this e-book, please visit http://www.thieme.com/bonuscontent. After completing a short form to verify your e-book purchase, you will be provided with the instructions and access codes necessary to retrieve any bonus content.

Anatomy in Your Pocket

Edited byAnne M. Gilroy, MAProfessorDepartment of RadiologyUniversity of Massachusetts Medical SchoolWorcester, Massachusetts

Based on the work ofMichael Schuenke, MD, PhDInstitute of AnatomyChristian Albrecht University KielKiel, Germany

Erik Schulte, MDDepartment of Functional and Clinical AnatomyUniversity MedicineJohannes Gutenberg UniversityMainz, Germany

Udo Schumacher, MD, FRCPath, CBiol, FSB, DScInstitute of Anatomy and Experimental MorphologyCenter for Experimental MedicineUniversity Cancer CenterUniversity Medical Center Hamburg-EppendorfHamburg, Germany

Illustrations byMarkus VollKarl Wesker

442 illustrations

ThiemeNew York • Stuttgart • Delhi • Rio de Janeiro

Executive Editor: Delia DeTurris

Managing Editor: Torsten Scheihagen

Director, Editorial Services: Mary Jo Casey

Production Editor: Barbara Chernow

International Production Director: Andreas Schabert

Editorial Director: Sue Hodgson

International Marketing Director: Fiona Henderson

International Sales Director: Louisa Turrell

Director of Institutional Sales: Adam Bernacki

Senior Vice President and Chief Operating Officer: Sarah Vanderbilt

President: Brian D. Scanlan

Library of Congress Cataloging-in-Publication Data

Names: Gilroy, Anne M., editor. | Voll, Markus M., illustrator. | Wesker, Karl, illustrator. | Based on (work): Schuenke, Michael. Thieme atlas of anatomy.

Title: Anatomy in your pocket / edited by Anne M. Gilroy; based on the work of Michael Schuenke, Erik Schulte, Udo Schumacher; illustrations by Markus Voll, Karl Wesker.

Description: New York : Thieme, [2018] |

Identifiers: LCCN 2017056187 (print) | LCCN 2017057413 (ebook) | ISBN 9781626239135 () | ISBN 9781626239128 (alk. paper) | ISBN 9781626239135 (ebook)

Subjects: | MESH: Anatomy | Handbooks | Atlases

Classification: LCC QM25 (ebook) | LCC QM25 (print) | NLM QS 39 | DDC 612.0022/3—dc23

LC record available at https://lccn.loc.gov/2017056187

Copyright © 2018 by Thieme Medical Publishers, Inc.

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ISBN 978-1-62623-912-8

Also available as an e-book:eISBN 978-1-62623-913-5

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“It is not length of life,but depth of life that matters.”

~Ralph Waldo Emerson

To Luke, thank you for the inspiration of a life lived with courage and grace,

And

To Laila, Harvey, Eva, and Finn, the future is yours.

Contents

1 Back

2 Thorax

3 Abdomen

4 Pelvis

5 Upper Limb

6 Lower Limb

7 Head and Neck

Icon Key

Question

Answer

Comment

Clinical

Each card in this set features a full-color illustration with key structures labeled numerically. The reverse side of every card lists the labels. Where questions appear on the front of the card, corresponding answers are supplied on the back. Comments provide helpful information, and clinical correlates describe relevant applications of anatomy.

Back

Bony Vertebral Column

Structural Elements of a Vertebra

Cervical Spine

Atlas

Axis

Typical Cervical Vertebra (C4)

Thoracic Spine

Lumbar Spine

Sacrum and Coccyx, Anterior View

Sacrum and Coccyx, Posterior View

Joints of the Vertebral Column

Ligaments of the Cervical Spine

Ligaments of the Vertebral Column: Thoracolumbar Junction

Short Nuchal and Craniovertebral Joint Muscles

Superficial Intrinsic Back Muscles

Intermediate Intrinsic Back Muscles I

Intermediate Intrinsic Back Muscles II

Posterior Intercostal Arteries

Posterior Intercostal Veins

Spinal Meningeal Layers

Cervical Spinal Cord In Situ: Transverse Section

Cauda Equina in the Vertebral Canal

Spinal Cord Segment

Bony Vertebral Column

Fig. 2.1B. From Atlas of Anatomy, Third Edition, p. 4.

intervertebral foramina

intervertebral disc

sacral promontory

coccyx

sacrum (S1–S5 vertebrae)

L1–L5 vertebrae

T1–T12 vertebrae

C1–C7 vertebrae

The characteristic curvatures of the adult spine appear over the course of postnatal development, being only partially present in a newborn. The newborn has a kyphotic spinal curvature; lumbar lordosis develops later and becomes stable at puberty.

Structural Elements of a Vertebra

Fig. 2.4. From Atlas of Anatomy, Third Edition, p. 7.

superior articular process

transverse process

spinous process

inferior articular process

lamina

pedicle

vertebral arch

vertebral body

With the exception of the atlas (C1) and axis (C2), all vertebrae consist of the same structural elements. The pedicles and laminae make up the vertebral arch, which, together with the vertebral body, encloses the vertebral foramen. The combined vertebral foramina of all of the vertebrae create the vertebral canal.

Cervical Spine

Fig. 2.6A,B. From Atlas of Anatomy, Third Edition, p. 8.

posterior arch of atlas

spinous process of C2

spinous process of C7

transverse foramen

uncinate process

groove for spinal n.

C2 (axis)

The cervical spine is prone to hyperextension injuries, such as whiplash, which can occur when the head extends back much farther than it normally would. The most common injuries of the cervical spine are fractures of the dens of the atlas, traumatic spondylolisthesis (anterior slippage of a vertebral body), and atlas fractures. Patient prognosis largely depends on the spinal level of the injury.

Atlas

Fig. 2.7A,C. From Atlas of Anatomy, Third Edition, p. 8–9.

How does the basic structure of the atlas (C1) differ from typical cervical vertebrae?

posterior tubercle

posterior arch

transverse process

inferior articular facet

transverse foramen

anterior tubercle

anterior arch

facet for den

superior articular facet

The atlas lacks a vertebral body and a spinous process characteristic of C2–C7. Superiorly it articulates with the occipital condyles of the occipital bone of the skull.

Axis

Fig. 2.8A,C. From Atlas of Anatomy, Third Edition, p. 8–9.

spinous process

vertebral arch

inferior articular facet

transverse foramen

superior articular facet

anterior articular facet

dens

vertebral foramen

The axis is unique among vertebrae in having a superiorly projecting process, the dens, which articulates with the anterior arch of the atlas.

Typical Cervical Vertebra (C4)

Fig. 2.9A,C. From Atlas of Anatomy, Third Edition, p. 8–9.

What structure is transmitted through the transverse foramina of most (usually C1–C6) cervical vertebrae?

transverse foramen

superior articular facet

spinous process

inferior articular facet

body

transverse process

vertebral arch

pedicle

lamina

vertebral foramen

The vertebral arteries, which originate from the subclavian arteries, pass through the transverse foramina of C1–C6.

Thoracic Spine

Fig. 2.10. From Atlas of Anatomy, Third Edition, p. 10.

spinous process

inferior articular process

superior articular process

transverse process

costal facet on transverse process

zygapophyseal joint

superior vertebral notch

inferior vertebral notch

intervertebral foramen

superior costal facet

inferior costal facet

Lumbar Spine

Fig. 2.12 and Clinical Box 2.3A. From Atlas of Anatomy, Third Edition, p. 11.

superior articular process

transverse process

spinous process

inferior articular facet

vertebral body

superior vertebral notch

inferior vertebral notch

intervertebral foramen

Sacrum and Coccyx, Anterior View

Fig. 2.14A. From Atlas of Anatomy, Third Edition, p. 12.

What structures pass through the anterior sacral foramina?

wing of sacrum

sacrococcygeal joint

coccyx

apex of sacrum

anterior sacral foramina

promontory

Anterior rami of the sacral spinal nerves pass through the anterior foramina to join the sacral plexus.

Sacrum and Coccyx, Posterior View

Fig. 2.14B. From Atlas of Anatomy, Third Edition, p. 12.

sacral canal

superior articular facet

sacral tuberosity

auricular surface

lateral sacral crest

median sacral crest

medial sacral crest

sacral hiatus

sacral cornua

posterior sacral foramina

Joints of the Vertebral Column

Table 2.2. From Atlas of Anatomy, Third Edition, p. 16.

atlantooccipital joint

atlantoaxial joint

uncovertebral joint

intervertebral joint

zygopophyseal joint

Craniovertebral joints

   Atlanto-occipital joints

Occiput–C1

   Atlantoaxial joints

C1–C2

Joints of the vertebral bodies

   Uncovertebral joints

C3–C7

   Intervertebral joints

C2–S1

Joints of the vertebral arch

   Zygapophyseal joints

C2–S1

Ligaments of the Cervical Spine

Fig. 2.28A. From Atlas of Anatomy, Third Edition, p. 21.

dens of axis (C2)

posterior atlanto-occipital membrane

nuchal lig.

ligamenta flava

supraspinous lig.

posterior longitudinal lig.

anterior longitudinal lig.

anterior arch of atlas (C1)

anterior atlanto-occipital membrane

occipital bone

The nuchal ligament is the broadened, sagittally oriented part of the supraspinous ligament that extends from the vertebra prominens (C7) to the external occipital protuberance.

Ligaments of the Vertebral Column: Thoracolumbar Junction

Fig. 2.29. From Atlas of Anatomy, Third Edition, p. 22.

posterior longitudinal lig.

ligamenta flava

interspinous ligs.

supraspinous lig.

anterior longitudinal lig.

nucleus pulposus

anulus fibrosus

intervertebral disk

The ligaments of the spinal column bind the vertebrae securely to one another and enable the spine to withstand high mechanical loads and shearing stresses.

Short Nuchal and Craniovertebral Joint Muscles

Fig. 3.6A,B. From Atlas of Anatomy, Third Edition, p. 30.

superior nuchal line

rectus capitis posterior minor

obliquus capitis superior

rectus capitis posterior major

transverse process of atlas (C1)

obliquus capitis inferior

spinous process of axis (C2)

Superficial Intrinsic Back Muscles

Fig. 3.10A. From Atlas of Anatomy, Third Edition, p. 33.

serratus posterior superior

serratus posterior inferior

splenius capitis

splenius cervicis

Intermediate Intrinsic Back Muscles I

Fig. 3.9A, 3.10B. From Atlas of Anatomy, Third Edition, p. 32–33.

iliocostalis cervicis

iliocostalis thoracis

iliocostalis lumborum

Intermediate Intrinsic Back Muscles II

Fig. 3.9B,C, 3.10B. From Atlas of Anatomy, Third Edition, p. 32–33.

longissimus capitis

longissimus cervicis

longissimus thoracis

spinalis cervicis

spinalis thoracis

Posterior Intercostal Arteries

Fig. 4.1C. From Atlas of Anatomy, Third Edition, p. 36.

dorsal branch of posterior intercostal a.

medial cutaneous branch

thoracic aorta

posterior intercostal a.

lateral cutaneous branch

anterior intercostal a.

anterior cutaneous branch

internal thoracic a.

The structures of the back are supplied by branches of the posterior intercostal arteries, which arise from the thoracic aorta or the subclavian artery. They give rise to cutaneous and muscular branches as well as spinal branches, which supply the spinal cord.

Posterior Intercostal Veins

Fig. 4.2C. From Atlas of Anatomy, Third Edition, p. 37.

intervertebral v.

hemiazygos v.

anterior external vertebral venous plexus

internal thoracic vv.

anterior intercostal v.

azygos v.

anterior external vertebral venous plexus

posterior internal vertebral venous plexus

posterior intercostal v.

The veins of the back drain into the azygos vein via the superior intercostal veins, hemiazygos veins, and ascending lumbar veins. The interior of the spinal column is drained by the vertebral venous plexus, which runs the length of the spine.

Spinal Meningeal Layers

Fig. 4.7. From Atlas of Anatomy, Third Edition, p. 40.

anterior spinal vv.

subarachnoid space

posterior root

anterior root

spinal n.

denticulate lig.

anterior rootlets

dura mater

subdural space

arachnoid (mater)

pia mater

anterior spinal a.

Cervical Spinal Cord In Situ: Transverse Section

Fig. 4.8. From Atlas of Anatomy, Third Edition, p. 40.

What is contained in the epidural and subarachnoid spaces surrounding the spinal cord?

posterior internal vertebral venous plexus

intervertebral foramen

spinal ganglion

spinal n.

anterior internal vertebral venous plexus

vertebral a.

anterior root

posterior root

dura mater

arachnoid (mater)

subarachnoid space

epidural space

The epidural space contains fat and the internal vertebral venous plexus. The subarachnoid space contains the cerebrospinal fluid and is traversed by the denticulate ligaments, which anchor the pia mater to the dura.

Cauda Equina in the Vertebral Canal

Fig. 4.9. From Atlas of Anatomy, Third Edition, p. 41.

spinal ganglion

dura mater

arachnoid (mater)

filum terminale

sacral hiatus

cauda equina

conus medullaris

Although the spinal cord ends at the conus medullaris, the lower spinal roots, L2–Co1 (known as the cauda equina), extend inferiorly within the lumbar cistern, an expansion of the subarachnoid space surrounded by the dural sac.

Spinal Cord Segment

Fig. 4.12. From Atlas of Anatomy, Third Edition, p. 42.

What is the destination of the anterior and posterior rami of the spinal nerves?

posterior rootlets

posterior root with spinal ganglion

spinal n.

posterior ramus

anterior ramus

gray ramus communicans

white ramus communicans

sympathetic trunk

splanchnic nn.

anterior root

anterior rootlets

gray matter, anterior horn

white matter

gray matter, posterior horn

Anterior rami innervate the anterolateral trunk wall and limbs:

• C1–C4 form the cervical plexus

• C5–T1 form the brachial plexus

• T1–T12 remain as segmental (intercostal) nn.

• L1–L4 become the lumbar plexus

• L5–S3 become the sacral plexus

Posterior rami innervate the skin and muscles of the back and posterior scalp.

Thorax

Thoracic Skeleton

Muscles of the Thoracic Wall I

Muscles of the Thoracic Wall II

Diaphragm, Coronal Section

Arteries of the Thoracic Wall

Neurovasculature of the Diaphragm

Structures of the Breast

The Aortic Arch

Azygos System

Lymphatic Trunks in the Thorax

Contents of the Mediastinum

Mediastinum, Right Lateral View

Mediastinum, Left Lateral View

Heart In Situ

Posterior Pericardium

Anterior Surface of the Heart

Posterior Surface (Base) of the Heart

Right Ventricle of the Heart, Anterior View

Right Atrium of the Heart, Right Lateral View

Left Atrium and Ventricle of the Heart, Left Lateral View

Cardiac Valves

Coronary Arteries and Cardiac Veins, Anterior View

Coronary Arteries and Cardiac Veins, Posteroinferior View

Cardiac Conduction System

Autonomic Nerves of the Heart

Prenatal Circulation

Esophagus In Situ

Parietal Pleura

Pleura and the Costodiaphragmatic Recess, Coronal Section, Anterior View

Right Lung

Left Lung

Trachea

Bronchial Tree: Conduction Portion

Bronchial Tree: Respiratory Portion

Pulmonary Arteries and Veins

Lymph Nodes and Trunks of the Pleural Cavity

Radiographic Appearance of the Heart, Posteroanterior View

Radiographic Appearance of the Heart, Left Lateral View

Pleural Recesses

Thoracic Skeleton

Fig. 7.1. From Atlas of Anatomy, Third Edition, p. 56.

Distinguish between true, false, and floating ribs.

superior thoracic aperture

jugular notch

manubrium

sternal angle

body

xiphoid process

costal cartilage

costal margin (arch)

inferior thoracic aperture

clavicular notch

True ribs (1–7) attach to the sternum via individual costal cartilages. False ribs (8–10) attach to the sternum indirectly though costal cartilages that connect to the one superior to it. Floating ribs (11–12) have no costal cartilage and are not connected to the sternum.

Muscles of the Thoracic Wall I

Fig. 7.9A, Fig. 7.10. From Atlas of Anatomy, Third Edition, p. 62–63.

anterior scalene

middle scalene

posterior scalene

1st rib