52 stomach coloring page

stomach coloring page

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[Music], hi one of them was a kid I knew about, the organs of the body but I couldn't, work out how they all fit in I I think I, assumed they must be neatly organized, with the bit of space in between them, probably the the illustrations of the, time for children showed that sort of, thing I couldn't really work out he, wasn't even through all my school years, it wasn't until I got to University and, I started taking bodies apart that I, realized wow this stuff is really packed, in here we had a comment was he last, week somebody asked could I go through, all the abdominal viscera and I thought, and then I was teaching last week chat, to a student she wasn't entirely sure, where the stomach was so I thought, that's a good idea that we should go, through all of the abdominal viscera, [Music], so yeah my father I've had an, interesting Anatomy for a very long time, and it hasn't really disappeared and I, think the stage I'm at now is the more I, the more we know the more I realize I, don't know and the more I try to hold in, my head the harder it is for me to hold, everything in my head, that makes any sense at all this but, same with other things you become an, expert you realize you don't know, they're very much a tool anyway right so, what is the abdomen and then what we'll, do is we're gonna take all these parts, away from the model so as we go we'll, point things out as we remove things, we'll try to see the pay attention to, what lies posterior to that organ or, near buys we've got an idea of where, things aren't relative to one another, also remember that whenever we're, talking about the body whenever we use, left or right we're talking about the, body is left and the body is right, okay not our view but the body's left, the body's right and we'll work our way, back to the posterior abdominal wall and, see what we see so then the abdomen the, abdomen is the region of the trunk, between the thorax and the pelvis is, your typical textbook description which, sounds nice and tidy now with a superior, and is nice and tidy what we're seeing, here is the diaphragm so the diaphragm, does cleanly separate the abdomen from, the four acts so the diaphragms got kind, of this is curvy shape to it was a, three-dimensional thing he was curving, over the liver here but the diaphragm is, a is a muscular sheet that separates the, thorax from the abdomen now in feelingly, it's a little bit harder because the, pelvis well here's the pelvis and the, pelvis has these bony parts so much of, the pelvic viscera is down here but this, is pelvis but the abdomen also extends, all the way down here so, what's happening is that the the, contents of the abdomen are covered in, the layer of peritoneum like a like a, thin sheet so it's almost like all of, these contents here like it's all in a, bag and when that bag sinks down into, the pelvis the abdominal contents have, sat on top of the the pelvic contents, the pelvic viscera and is the peritoneum, then that's really separating the pelvis, the pelvic viscera from the abdominal, viscera so then that distinction between, abdomen and pelvis is a little bit, softer down here and of course when, women get pregnant and the uterus, becomes in last or even when you buy, either filled with you and that becomes, enlarged those push from the pelvis up, into the abdomen so there's a bit of, interplay between the abdomen and the, pelvis okay what can we see so we see, some organs up here the biggest organ is, the liver is very big organ it's on the, right side of the abdomen but it's, extending across the midline to the left, side it was a very large organ and it's, just underneath the diaphragm so as the, diaphragm moves up and down as well the, liver will move up and down with us they, didn't interplay between the four legs, and the abdomen there so there's the the, liver and then nestling into the liver, on the left side this is the stomach so, the stomach as you can see it's pushed, up into the liver you know if we take, that knocked off if we lift the liver up, that's how we'd see the stomach nestling, into the liver there do you see -, they're very tightly stuck together, diaphragm diaphragm and of course the, esophagus passes down through the, diaphragm and I pop this over there's, the esophagus this who dives through the, diaphragm there's a hole in the, diaphragm now if I put the liver back, this here so if we if we're if we take, away the skin we take away the muscles, of the anterior abdominal wall and we, take away the peritoneum lining the, parietal peritoneum lining, Damo cavity we see this here and this is, the greater omentum this gets called the, the policeman of the gut now what it, does is it's a connective tissue sheet, that's hanging down from the greater, curvature of the stomach and it's, covering all of these organs down here, and it's again it's layers of peritoneum, it's got fat in it it's got blood, vessels its job seems to be is that if, there is some inflammation in the bowel, down here it will inherit my, inflammation and help prevent is, spreading too far everyday the greater, omentum off now we can see the GI tract, the GI tract will the gastrointestinal, tract is the bulk of four viscera that, we find within the abdominal cavity it's, a long continuous tube from the soffit, as' and stomach through the small, intestine the large intestine all the, way through to the rectum and the anal, canal the rectum is in the pelvis and, the anal canal is in the perineum, now what we see is we can see a little, bit of large bowel here this is the, ascending colon and we see a little bit, of large bowel here this is a transverse, colon and then we see a little bit of, large bowel around there the descending, colon so this is large colon or large, bowel this then is the small intestine, or the small bowel if we remove the you, see how the liver and the stomach a loss, superior and this stuff is squashed up, against it if I remove the liver here's, the stomach and the stomach is, continuous with all of this we we often, see in models and textbooks that the, transverse colon runs across here we, looks like a picture frame around the, small bowel in you if you're sat up your, transverse colon is probably dropping, drooping down a little bit like that if, you're looking at abdominal x-rays the, transverse colon probably is going to do, this it's probably going to be looping, down here because it's actually got a, mid-century so the knees entry is a, double fold of peritoneum with so that's, how the blood vessels and nerves and, lymphatics get to and from the bowel and, because the the transverse codons got a, meeting Terry means it can move around, the ascending colon and the descending, colon are fixed in place to the, posterior abdominal wall so they don't, move around the small bowel also has a, reason tree so it is fairly mobile and, of course what's happening is the food, is being passed into the stomach and, then it gets pushed into the small bowel, and peristalsis and the shortening and, lengthening of the small bowel pushes, the foods along the small intestine and, the nutrients get absorbed from it and, then it gets pushed into the large bowel, which largely agree absorbs water and, that sort of thing so it's helpful if it, if it moves around right okay so stomach, now if we take away this stomach we can, see some other viscera deep to that so, this here this is the pancreas so the, pancreas is doing two things it's making, hormones that it secretes into the blood, to steady blood glucose levels and it's, making an exocrine secretion of, pancreatic juice that it's going to, secrete into particularly the transverse, colon the duodenum here so the duodenum, is the first part of the small intestine, and it's forming a C shape it's curling, around the pancreas here so the pancreas, has got this duct and it's going to, secrete into the duodenum to help with, digestion of the contents that you just, eat and that the stomach is pushing into, the joint deal right pancreas duodenum, so out here, that's the spleen the spleen is at the, tail of the pancreas it's on the lateral, left side of the body, you got one pancreas you've got one, spleen so the spleen is a component of, the immune system it's a store of red, blood cells it's a store of platelets so, it can help with clotting and help with, replacing red blood cells if you lose, them if you have an injury losing your, loose of blood that sort of thing, there's also a site where you find lots, of lymphocytes and macrophages and it's, a site where parts of the immune system, are stored and where pass the immune, system can be activated in things like, that so it's got a couple of big roles, not least immunological in fact it sends, red blood cells once it's broken them, down to the liver which is nearby it's, got a blood vessel and it sends across, the liver of a liver has got 500 all, different functions it's got a huge, number of jobs it has a huge amount of, blood passing through all the blood from, the GI tract passes through the liver, and the liver is wrapped around the, inferior vena cava which we'll see more, of as we get deeper so blood from the, gut and the spleen passes through the, liver to the inferior vena cava back to, the rest of the circulation okay so, small bowel now the duodenum is the, first part of the small intestine it, passes food into the jejunum and the, judgment becomes the ileum so the small, intestine isn't the same along its, entire length food passes so the, judgment is out on this side and the, idea is over on this side and food, passes along the length from the, duodenum to the jejunum to the i liam, and if you look at the histology and the, structure of the small intestine as we, go along its length it changes slightly, and it has slightly different roles so, if we take the small intestine out we, can see that the small intestine is as I, said it's kind of suspended strung from, the posterior abdominal wall by, mesentery so this can all move around, now we've taken off the small intestine, we can see that Julie Dean and this is, the curve I was talking about here first, part second part third part that it goes, up again fourth part and you can see, here this is where the pancreas secretes, into the duodenum in fact the other, thing we've got here is you might have, spotted it it's the green bit there that, there is the gall bladder, so the google bladder is storing bile, and it's gonna pass that bile through, some ducts eventually down into this, point here so the common bile duct is, going to pass bile into the duodenum, here the same point of the pancreas, passed into the duodenum and the bile is, also going to help with digestion is, going to help emulsify fats and that, sort of thing and remember those five, hundred different jobs that the liver, does well some of the waste it produces, is going to get passed into the small, bowel to be removed from the body, through the common bile duct through the, same route, that's why behind is green and that's, what makes feces brown in fact it's it's, recycled red blood cells anyway so, duodenum here now what else can we see, so we can see the ascending colon and, the descending colon little bit better, we can see the posterior abdominal wall, and we can see some of the blood vessels, supplying blood to the large bowel here, now on the superior edge of the pancreas, so if I take this off we just jump ahead, we can see the major blood vessels this, is the a or to the abdominal aorta the, abdominal and so the aorta is supplying, blood to the four act to the abdomen and, eventually it's going to send off, branches to the pelvis and the lower, limbs and what-have-you that's the aorta, now the aorta has got three anterior, branches and those anterior branch is, going to supply blood to most of the, things in the abdomen so just superior, to the pancreas we have the celiac trunk, and you can see it's sending off, branches to the pancreas to the spleen, to the, gentleman off to the liver and that sort, of thing now only inferior side of the, pancreas we can see the superior, mesenteric artery and the superior, mesenteric vein the superior mesenteric, artery is a branch the aorta the, superior mesenteric vein is going to be, sending blood back to the portal vein, and the liver down here we can see the, bladder so the bladder is in the pelvis, normally that if we had peritoneum here, the bladder would be covered over by, peritoneum and that would mark the, inferior end of the abdominal cavity, that's where the abdomen end the, descending colon then becomes the, sigmoid colon here as it makes a bit of, an S shape and Wiggles around and when, it goes back there and straightens out, it becomes erect and that's what the, rectum means, rectum rectus means straight so the, rectum is the straight part of the large, bowel and the last part for the anal, canal all right if we take that off then, we can see the aorta and next to is the, inferior vena cava so this is going to, carry blood back from the abdomen the, liver is going to send blood inferior, vena cava and then that's going to go, through the diaphragm and straight back, into the heart into the right side of, the heart into the right atrium and then, off around the body, there's the superior vena cava up there, so inferior vena cava a Horta we can see, a whole bunch of blood vessels branching, from where the really important ones are, on here and of course we can see these 2, these are the kidneys so the kidneys are, posterior in the abdomen they're in the, posterior abdominal wall, they are posterior to the peritoneum, that connective tissue layer so they get, called retroperitoneal so the kidneys, are receiving a huge amount of blood, steak or some big blood vessels you see, the veins here because the the renal, veins are anteriors that the left renal, vein has to run quite a long way and, it's running it's running anterior to, the aorta but the the renal arteries are, posterior toes and they're gonna be, large is what's a large blood, supplying small organs mean that these, organs are doing something with the, blood and they're processing the blood, of course what they're doing is is, largely managing the amount of fluid, inside the body you are a bag of salty, water that's what your cells evolved, from and now you have a bag that you, carry that salty water around in you, have to maintain the right amount of, salty water and the microlight of salt, in it for yourselves to be happy to, function normally, so that's largely what the kidneys are, doing they're managing all of that so, then from each kidney we can see these, so these are the ureters and the ureters, then again s passed urine from the, kidney down to the bladder and then on, the posterior abdominal wall overlying, these muscle cells you see a number of, muscles making up the posterior, abdominal wall now in the superior pole, of each kidney we have a suprarenal, gland or an adrenal gland, now the adrenal glands make adrenaline, adrenaline and noradrenaline obviously, that's involved in the fight-or-flight, response in the adrenaline rush in that, activation of the sympathetic nervous, systems you can fight or flight fight or, fly fight off fly away run away and they, also make a whole bunch of steer or it's, deal with always glucocorticoids, mineralocorticoids that sort of thing, which manage you know manage homeostasis, manage metabolism and that sort of thing, so again related to the gut and energy, and food and that sort of thing so, you've still got the spleen out here so, can you see how the spleen is typically, it's a little bit of posterior but its, lateral can you see how it's nestling up, into the diaphragm whereas the kidneys, are a little bit more inferior and the, left kidney do you see it's a little bit, higher than the right kidney and that's, because of the liver so the liver is so, big it's actually pushing the right, kidney so it's a little bit lowering the, abdomen, so if you were to look at a transverse, section across here you might see just, one kidney on one side and the spleen, and all these other bits if you might, miss the other kidney go a bit lower, you'll get a section through both kids, using both on CT or mr you can see the, diaphragm then arching back there these, these thick muscles here these are the, psoas muscles the psoas major and it's, got a little psoas minor lying on the, top of it, this is iliacus and these two muscles, will join insert into the femur and give, hip flexion so now lift your knee toward, your chest these muscles here these are, quadratus lumborum and they're running, kind of what kind of in that direction, from the vertebral column to the pelvis, which will give you a little bit of, lateral flexion of your trunk all right, these arteries here these we were, talking about last week these are the, testicular arteries running from the, aorta in the abdomen all the way down to, the scrotum because the testes started, to form up here and then they descended, in the in the embryo and the fetus and, they trailed their blood vessels behind, and you can see the testicular veins, draining back the left one goes to the, left renal vein and the right would go, threatening the inferior vena cava, so the aorta ends when it divides into, left and right common iliac arteries, that's what we were seeing here the left, and right common iliac arteries then, divide again into an external iliac, artery which is going to run down to the, lower limb one then to the thigh in the, leg and then an internal iliac artery, which is going to go down into the, pelvis and supply blood to the vserver, of the pelvis and also to the external, genitalia and that sort of thing so I, take the stomach off there's the, pancreas and if I take the pancreas off, there's the kidney it's that's that, that's a sort of layering that we're, dealing with can you see the adrenal, glands they're just popping up now the, aorta you can't see it because he's just, running through a, gap in the diaphragm there but the the, inferior vena cava has just been cut, because we've removed the liver and, that's it I can't say kind of thing else, off if I was to take more off would be, at the muscles and I take the muscles, off and we be at the other side that's, what you find inside the abdominal, cavity if you take things out bit by bit, well I enjoyed that as a thank you for, that suggestion it did remind me of if I, was like when I was a kid kind of work, out how all this stuff was packed in and, where it all was exactly now I do kind, of take it for granted but there you go, okay see you guys next week, [Music]

Reddit Images 26

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