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45 minut klinické anatomie45 minut klinické anatomie
Auto r: Da vid S e dm e ra P e dm t: K linic ká a na to m ieř ě
Da tum : 1 7 .-1 8 .1 0 . 2 0 1 2
Univerzita Karlova v Praze - 1. Lékařská fakulta
HrudníkHrudník
Ana to m ic ký ús ta v
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Otázky ke zkoušce
• Hrudní stěna, punkce pleurální dutiny• Mamma – lymfatická drenáž+sentinelová uzlina• Pleuralní dutiny, projekce, pneumothorax• Plíce, bronchiální strom• Mediastinum • Srdce a poslechová místa chlopní• Cévní zásobení srdce, PTCA, bypass, inervace• Perikard a jeho punkce• Převodní systém• Bránice, brániční kýly• Páteřní kanál, obaly míchy, vertebromedulární
topografie
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Cavitas pleurae dx., sin.Pleura parietalis Pars costalisPars mediastinalisPars diaphragmaticCupula pleuraeRecesy:costodiaphragmaticuscostomediastinalisphrenicomediastinalisLigamentum pulmonaleMembranabronchopericardiaca Mediastinum superius, Inferius – anterius, medium, posterius
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Běžné chirurgické výkony
• Thoracotomie - střední, lateraální• Punkce hruníku - pneumothorax,
hydrothorax, hemothorax…• Mastectomie (lymfatická drenáž!)
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Svaly hrudníku
m .la tis s im us do rs i
m .s e rra tus a nte rio r
m .pe c to ra lis m a jo r
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Řez mezižebřím v čáře: parasternální přední axillární a paravertebrální
V A N A
1 -f.tho ra c ic a s pf.2 - fa s c ia e ndo tho ra c ic a3 -ple ura pa rie ta lis4 -m e m b ra na inte rc o s ta lis e x t.5 -m .inte rc o s ta lis int6 -m .inte rc o s ta lis e x t7 -m .inte rc o s ta lis int im us8 -m e m b ra na inte rc o s ta lis int 9 -m .tra ns v e rs us tho ra c is
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Hrudní drenáž – zadní axillární čára, nad úrovní dolního úhlu lopatky (Th7)
p e dní a x illá rní á rař č
re c e s s us c o s to dia phra g m a ticus
ho rní o kra j že b ra
! b rá nic e , já tra , s le zina! plíc e! n .tho ra c ic us lo ng us , va s a tho ra c ic a la t .! n .+va s a inte rc o s ta lia
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Lymfatická drenáž prsu
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Pneumothorax
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podklady pro bronchoskopii
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Bronchi Arbor bronchialis1. Bronchus principalis dx., sin.2. bronchi lobares dx.: superior, truncus intermedius: bronchus lobaris medius, inferior sin.: lobaris superior, inferior3. bronchi segmentales 1 - 10 vpravo 1 – 8 vlevo 4. bronchi subsegmentales5. bronchioli terminales
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bronchopulmonární segmenty facies costalis levé a pravé plíce
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projekce plicních laloků a bronchopulmonálních segmentů
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rtg plic, zadopřední projekce
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projekce bronchopulmonálních segmentů
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T h 8
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CT hrudníku
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CT hrudníku
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CT hrudníku (frontální)
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CT hrudníku
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CT hrudníku
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Projekce na povrch hrudníku
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Projekce chlopní na povrch hrudníku a vysvětlení auskultačních míst
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Rentgenový snímek
Stín srdeční-inspirium-exspirium
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Rentgen 2.
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Hydropneumopericardium
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Pozice v hrudníku - MRI
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MRI srdce – orientace vláken
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MRI 2.
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Oddíly srdeční:čtyřdutinová projekce
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ECHO + Doppler
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ECHO – chlopenní vady
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Průběh a větvení aa. coronariae
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Přehled: koronární tepny a žíly srdceArteria coronaria sinistra:
-ramus interventricularis anterior --r. diagonalis -r. circumflex--r. marginalis sinister (obtusus)
Arteria coronaria dextra:-r. nodi sinuatrialis-rr. Ventriculares dx.-r. marginalis dexter(acutus)-r. interventricularis posterior
Vena cordis magna (s RIA)
Vena obliqua atrii sinistri (Marshall) => sinus coronarius
Vena cordis media (s RIP)
Vena cordis parva
Venae cordis anteriores (v. dx.)
Venae cordis minimae (Thebesii)
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RTG (angio) pravé koronární tepny
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Koronarografie: a.c.dextra
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RTG (angio) levé koronární tepny
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Koronarografie: a.c.sinistra
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Koronarografie: a.c.sinistra
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Koronarografie: a.c.sinistra
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Koronarografie: a.c.sinistra
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Inervace srdceSympaticus přichází z oblasti C a T podél koronárních cév - nn. cardiaci (sup, med, inf)Stimulace má účinky pozitivně:-chronotropní-dromotropní-inotropní,dilatuje koronární tepny. Afferentní vlákna vedou bolest (IM).
Parasympatikus: n. X (vagus) - rr. cardiaci (cervicales superiores, inferiores; thoracici)Stimulace 1) zpomaluje frekvenci (S-A uzel), 2) snižuje rychlost vedení(A-V uzel) a 3) snižuje sílu stahů (cestou koronární vazokonstrikce).
♥ Transplantace srdce ?
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Sinusy perikardiální dutiny
• Sinus transversus• Sinus obliqus
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Převodní systém srdeční
S-A uzel (Keith-Flack)(Internodální svazky)A-V uzel (Ashoff-Tawara)Hisův (AV) svazekPravé a levé raménko(Tawara)Purkyněho vláknaKomorový pracovní myokard
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AV uzel, Hisův svazek a raménka
L B B R B B
Kochův trojůhelník: chlopeň sinus coronarius->Todarova šlacha a anulus valvae tricuspidalis.
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4 .m e ziže b íř 5 .m e ziže b ířc e ntrum te ndine um
trigonum lumbocostale Bochdaleki
Dolní stěna dutiny hrudní - bránice
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Bránice - zespoda
pars lumbalis
m.psoas major
m.quadratus lumborum
hiatus oesophageus+nn.vagi
foramen v.cavae+n.frenicus
centrum tendineum
aorta + ductus thoracicus
trigonum lumbocostale(Bochdaleki)
pars sternalis
V.azygos+ nn.splanchnici
v.hemiazygos + nn. splanchnici
pars costalis
truncus sympathicus
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Otázky ke zkoušce• Hrudní stěna, punkce pleurální dutiny• Mamma – lymfatická drenáž+sentinelová uzlina• Pleuralní dutiny, projekce, pneumothorax• Plíce, bronchiální strom• Mediastinum • Srdce a poslechová místa chlopní• Cévní zásobení srdce, PTCA, bypass, inervace• Perikard a jeho punkce• Převodní systém• Bránice, brániční kýly• Páteřní kanál, obaly míchy, vertebromedulární topografie