Clases Dr.Monzo
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1 OIDO EXTERNO
Adaptación al medio
Estructuras
Limites
Longitud
Significado morfológico
Dr M [email protected]
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PABELLON AUDITIVO
Relieves
HélixAnti-hélixCanal del Hélix (fosa escafoidea)Trago*Anti-Trago*Lóbulo auricular
Constitución
Tej CartilaginosoTej AdiposoTej Muscular
Vascularización
Art Auricular potsArt Temporal SuperfVens Auricular potsVens Temporal Superf
Linfaticos
AnterioresPosterioresInferiores
Inervación
Motora , FSensitivaN auricular MN auricular TDr M [email protected]
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CONDUCTO AUDITIVO EXTERNO
• Limites•Constitución
Relaciones **
Cara externaCara InternaPared AnteriorPared PosteriorPared SuperiorPared Inferior
Vascularización
Art Auricular potsArt Temporal SuperfVens Auricular potsVens Temporal Superf
Linfaticos
AnterioresPosterioresInferiores
Inervación
Ramas:Auriculo T.FacialVago
Significado ClínicoDr M [email protected]
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MEMBRANA TIMPANICA**
• FORMA•DIMENSIONES•ESTRUCTURAS ANATOMICAS•CARAS•CONSTITUCION •DISPOSICION
VascularizaciónCara Exter.Art auricular prof (rama maxilar)Cara Inter .Art auricular postVena: Cara Exter. Drenan Y E Cara Inter. Drenan Seno trasnsverso
Dr M [email protected]
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2 OIDO MEDIO
• CONTENIDO• PAREDES• TROMPA
MartilloYunqueEstribo
MartilloEstriboCONTENIDO
HUESOS
MUSCULOS
LIGAMENTOS
MartilloYunqueEstribo
Dr M [email protected]
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2 OIDO MEDIO
CabezaMango
Apof LateralApof Anterior
CuerpoRama CortaRama Larga
Apof Lenticular
CabezaCuello
Rama AntRama Post
Platina
MARTILLO YUNQUE ESTRIBO
HUESOS
MUSCULOSMUSCULO O I INERV ACCION
Martillo(Timpánico)
TrompaPorción
cartilaginosa
MangoMartillo
Rama MandibularTrigémino
AmortgVibracionesMemb timp
Estribo(Estapédio)
Pirámide Cuelloestribo
Facial AmortgVibraciones
Estribo
Dr M [email protected]
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2 OIDO MEDIO
VASCULARIZACION
Art EstilomastoidedaArt TimpánicaArt Meningea mediaArt FaríngeaArt Carótida Interna Venas:Plexos pterigoideosPlexos faríngeosVena meningea mediaGolfo yugular interna
INERVACION Motora (Fibras del facial y trigemino)Sensitiva (Nerv Jacobson)
Dr M [email protected]
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2 OIDO MEDIO
LigamentosMaleolar SupMaleolar Inf
LigamentoCabeza
MARTILLO YUNQUE ESTRIBO
LIGAMENTOS
LigamentoSup Yunque
PAREDES (Caja Timpánica)**
•Dimensiones•Anterior•Posterior•Externa•Interna •Superior•Inferior
Dr M [email protected]
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TROMPA AUDITIVA / TROMPA DE EUSTAQUIO
•LIMITES•DIMENSIONES•PORCIONES•RELACIONES
VASCULARIZACION:Ramas Art faringea des (R C EX)Ramas Art Meningea med ( RMax Inf)VENAS : Drenan plexo venoso pterig INERVACION:Ramas plexo timpánico (facial glosofaringeo)
Dr M [email protected]
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LA VISION
Dr M [email protected]
PARED
CAPA EXTERNA / ESCLEOTICA/ FIBROSACAPA MEDIA / UVEA/COROIDES/ VASCULARCAPA INTERNA / RETINA/ NERVIOSA
CONTENIDO
CRISTALINOHUMOR ACUSOSAHUMOR VITREO
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LA VISION
CAPA EXTERNA / ESCLEOTICA/ FIBROSA
SUPERFICIE EXTERNAOrificios posterioresOrificios EcuatorialesOrificios Anteriores
SUPERFICIE INTERNA Lamina Fusca
Dr M [email protected]
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LA VISION
CAPA MEDIA/ UVEA/COROIDES/VASCULAR
•COROIDES PROPIA
• ZONA CILIAR
• IRIS
COROIDES P
ZONA CILIARIRIS
Dr M [email protected]
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LA VISION
Dr M [email protected]
COROIDES PROPIA
Capa externa / Art Ciliares largas postCapa media /Venas vorticosasCapa profunda/Art Ciliares cortas post
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ZONA CILIARZona muscular(Mus ciliar)
Fibras MeridionalesFibras RadialesFibras circulares (Mus Rouget)
Zona vascular Procesos ciliaresOrbiculo ciliarOra Serrata
Zona muscular
Zona vascular
LA VISION
Dr M [email protected]
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LA VISION
IRISCara Anterior /Mus constr /MiosisCara Posterior/Mus dilatador/ Midriasis
Dr M [email protected]
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LA VISION
CONTENIDOCRISTALINOHUMOR ACUSOSAHUMOR VITREO
CAMARASAnteriorPosterior
Dr M [email protected]
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Mácula /fovea central
Punto ciego
Venulas de la retina
LA VISION
FONDO DE OJO
Dr M [email protected]
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LA VISION
2 ESTRUCTURAS ANEXAS• Grasa orbitaria•Conjuntiva•Parpados•Aparato Lacrimal
GRASA ORBITARIA
Dr M [email protected]
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LA VISION
2 ESTRUCTURAS ANEXA•Parpados
Vascularizacion: Ramas oftalmica/ Art pal SupInervacion: Ramas facial
Dr M [email protected]
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VIAS RESPIRATORIAS SUP Fosas Nasales
VIAS RESPIRATORIAS INF
LaringeTraqueaBronquiosPulmones
APARATO RESPIRATORIO
Dr M [email protected]
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FOSAS NASALESFOSAS NASALES
VASCULARIZACION
ArtArt Etmoidea/R Oftal/R CIArt Esfenopalatina/R Max In/ R CEArt Facial /R CE
Ven FacialPteriogomaxilar
LINFATICOSSub-maxilaresRetro-faringeosYugo-carotideos
INERVACION Ramas sensitivas ganglio esfeno-palatino
Dr M [email protected]
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LARINGE LARINGE
• LIMITES
•CONSTITUCION Cartilagos articularesLigamentosMusculosMucosa
Dr M [email protected]
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LARINGE LARINGE
NOMBRE O I FUNCION
M Cricotiroideo arco cricoides lamina cartilago tensor cuerdas v(N laringeo Sup) tiroides
M Cricoaritenoideo lamina cart Cricoides Apof mus Expande glotis post (N R) (Sup dorsal) Aritenoides
M Cricoaritenoideo arco cricoides Apof mus Cierra glotis lat (NR) Aritenoides
M Aritenoideo transv cart aritenoides Cart ariteoindes Cierra glotis (NR) opuestoM Aritenoideo oblicuo cart aritenoides Apof mus opuesta Ensancha glotis (NR)M Vocal (NR) cart Tiroides Apof vocal Tensor lig vocal
M Tiroaritenoideo cart Tiroides Apof Mus Estrecha glotisDr M [email protected]
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LARINGE LARINGE
VASCULARIZACION
Art Laringea craneal / R Tiroidea CR / R CE
Art Laringea caudal/ R Tiroidea CD/ R Art SClv
INERVACIONNer Laringeo Cra
Rama InternaRama Externa
Ner Laringeo Caudal / Recurrente
LINFATICOS G Supragloticos/ YI
G Infragloticos/YI
Dr M [email protected]
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TRAQUEA
ARTERIAS
Tiroideas Sup/InfArt BronquialesArt Diafragmaticas Sup
VENAS ------ Vena Acigos
LINFATICOS Recurrente
Ramas plexo simpático y pulmonar
Dr M [email protected]
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PULMONES
1 AP
2Post3 Ant
4 lat
5med
6 Sup
8 B Ant9 B lat10B Post
12
Ap Post
3 Ant
4 Ling S
5 Ling I
6 Sup
8 B Ant9 BLat
10 BPost
Dr M [email protected]
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PLEURAS PARIETAL
VISCERAL
COSTALMEDIASTINICADIAFRAGMATICACERVICAL/CUPULA PLEURAL
PLEURASPLEURAS
SENOSCOSDIAFRAGMATICO
COSTFRENICO
Dr M [email protected]
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LIGAMENTOS PULMONARES
(CUPULA PLEURAL)
COSTO- PLEURAL 1
VERTEBRO-PLEURA (D1)
COSTO-VERTEBRO-PLEURAL (C7)
1
2
Dr M [email protected]
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MEDIASTINOMEDIASTINO
MEDIASTINOSUPERIOR
INFERIORANTERIORMEDIOPOSTERIOR
MEDIASTINO SUPERIOR
D4
Dr M [email protected]
D8
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Imágenes New England Journal of Medicine
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Gesundheit, B. et al. N Engl J Med 2005;353:1502
A 10-year-old boy has a brown right eye and a blue left eye, as well as mild ptosis and miosis of his left eye
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A healthy 48-year-old man without prior pulmonary symptoms underwent routine chest radiography for minor thoracic pain. The frontal and lateral images (Panels A and B) showed a well-defined, lobulated mass (arrows) in the left lower lobe of the lung. A subsequent contrast-enhanced multislice computed tomographic (CT) scan (Panel C) showed the homogeneous mass (arrow), with an adjacent large feeding vessel (arrowhead). Three-dimensional reconstruction (Panel D) showed the arterial supply of this lesion, with an aberrant origin in the celiac trunk, and normal venous drainage through the pulmonary veins. These findings are diagnostic of intralobar pulmonary sequestration, which is characterized by anomalous pulmonary tissue that is typically localized in the left lower lobe and supplied by the systemic circulation. The CT volume-rendering reconstruction is particularly useful in demonstrating the arterial and venous pattern of the malformation, obviating the need for an invasive imaging technique.