Download e-book for kindle: A Textbook of Regional Anatomy by J. Joseph MD, DSc, FRCOG (auth.)

By J. Joseph MD, DSc, FRCOG (auth.)

ISBN-10: 0333289129

ISBN-13: 9780333289129

ISBN-10: 1349168319

ISBN-13: 9781349168316

ISBN-10: 2542582602

ISBN-13: 9782542582602

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Example text

It contains a number of sebaceous glands which enlarge during pregnancy (Mongomery 's tubercles; W. Montgomery, I797-I859, Irish gynaecologist). Their oily secretion assists in keeping the nipple supple during lactation. The breast itself lies in the superficial fascia outside the deep fascia on the front of the chest. Typically its deep surface extends vertically from the second to the sixth rib and horizontally from the edge of the sternum to the midaxillary line, a vertical line through the middle of the armpit (axilla).

This opening actually lies behind the diaphragm in the midline at the level of the twelfth thoracic vertebra. The thoracic duct and the beginning of the azygos vein on the right of the aorta pass upwards through this opening. The oesophageal opening is about 2 em to the left of and anterior to the aortic opening. Because it is more anterior, this opening is at the level of the tenth thoracic vertebra. The anterior and posterior gastric nerves pass through the oesophageal opening. The opening for the inferior vena cava is about 3 em to the right of the midline and is more anterior than the other two so that it lies at the level of the eighth thoracic vertebra and passes through the tendinous area of the diaphragm.

The veins in the upper three intercostal spaces usually join the large veins in the upper part of the thorax. The posterior intercostal arteries come from the descending thoracic aorta, except for the upper two which come from a branch of the subclavian artery. Passing backwards from the internal thoracic artery are anterior intercostal arteries. In one type of congenital condition called coarctation of the aorta, the aorta is narrowed beyond the origin of the left subclavian artery. Blood can pass from the subclavian artery on each side into its branches, one of which is the internal thoracic artery.

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A Textbook of Regional Anatomy by J. Joseph MD, DSc, FRCOG (auth.)


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