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Thoracic part of Sympathetic Chain (Anatomy of the Thorax)

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Thoracic part of Sympathetic Chain (Anatomy of the Thorax)

  1. 1. Thoracic Part of Sympathetic Chain (Page 128) Dr.Sherif Fahmy
  2. 2. Course & Relations Dr.Sherif Fahmy
  3. 3. Thoracic part of Sympathetic chain Cervical part of sympathetic chain Medial arcuate lig. of diaphragm Abdominal part of sympathetic chain Neck of 1st rib Dr.Sherif Fahmy
  4. 4. Sympathetic chain Medial arcuate ligament Dr.Sherif Fahmy
  5. 5. Structure Dr.Sherif Fahmy
  6. 6. Sympathetic ganglion Dr.Sherif Fahmy
  7. 7. Branches - Rami communicants to corresponding intercostal nerves. - To autonomic plexuses in thorax. - To aorta. - To abdominal organs through splanchnic nerves. Dr.Sherif Fahmy
  8. 8. Dr.Sherif Fahmy
  9. 9. Dr.Sherif Fahmy
  10. 10. Dr.Sherif Fahmy
  11. 11. Dr.Sherif Fahmy
  12. 12. Greater splanchnic nerve Dr.Sherif Fahmy
  13. 13. Applied Anatomy 1- Spinal anesthesia at high level may lead to temporary drop of blood pressure. 2- In case of essential hypertension, cutting of sympathetic chain between T2 & T5 will lead to drop of blood pressure. Dr.Sherif Fahmy
  14. 14. Autonomic Plexes (Page 136) 1- Pulmonary Plexuses. 2-Oesophageal plexuses. 3- Cardiac plexuses (superficial and deep). Dr.Sherif Fahmy
  15. 15. 1- Pulmonary Plexus (Posterior & Anterior) Dr.Sherif Fahmy
  16. 16. Dr.Sherif Fahmy
  17. 17. Dr.Sherif Fahmy
  18. 18. 2- Oesophageal Plexus (Anterior & Posterior) Dr.Sherif Fahmy
  19. 19. Dr.Sherif Fahmy
  20. 20. 3- Cardiac Plexus (Superficial & Deep) Dr.Sherif Fahmy
  21. 21. Dr.Sherif Fahmy
  22. 22. Dr.Sherif Fahmy
  23. 23. Lymphatic Drainage Dr.Sherif Fahmy
  24. 24. Dr.Sherif Fahmy
  25. 25. Thoracic Lymph Drainage A- From Chest wall. B- From thoracic contents. Dr.Sherif Fahmy
  26. 26. A- From Chest Wall 1- Superficial lymph vessels: - From front of chest to pectoral lymph nodes, parasternal or lower deep cervical lymph nodes. - From back of chest to subscapular nodes. Dr.Sherif Fahmy
  27. 27. 2- Deep lymph vessels: A- From anterior chest wall to parasternal nodes. B- Posterior part of chest wall to intercostal lymph nodes (opposite neck of ribs). C- Four diaphragmatic nodes (anterior, posterior and 2 lateral) which drain diaphragm and liver. Dr.Sherif Fahmy
  28. 28. B- from Thoracic Contents 1- Anterior mediastinal nodes. 2- Posterior mediastinal nodes. 3- Nodes of lungs, bronchi and trachea. Dr.Sherif Fahmy
  29. 29. •Lymph vessels from: -Anterior mediastinal nodes. -Tracheal lymph nodes. -Parasternal lymph nodes. Will unit together to form broncho- medistinal lymph vessels which joins thoracic duct on left side and right lymphatic duct in right side. Dr.Sherif Fahmy
  30. 30. Deep lymph nodes of chest wall Dr.Sherif Fahmy
  31. 31. Anterior mediastinal nodes Dr.Sherif Fahmy
  32. 32. Dr.Sherif Fahmy
  33. 33. Dr.Sherif Fahmy
  34. 34. Dr.Sherif Fahmy
  35. 35. Thoracic Duct (Page 121) Dr.Sherif Fahmy
  36. 36. Dr.Sherif Fahmy
  37. 37. Cisterna chyli Aortic opening of diaphragme Left brachio-cephalic vein Dr.Sherif Fahmy
  38. 38. Dr.Sherif Fahmy
  39. 39. Tributaries of Thoracic Duct 1- Lymph from intestine, abdominal wall and lower limb through cisterna chyli. 2- Left broncho-mediastinal lymph vessels. 3- Left subclavian lymph vessels. 4- left jugular lymph vessels. 5- posterior mediatinal lymph nodes. Dr.Sherif Fahmy
  40. 40. Dr.Sherif Fahmy
  41. 41. Esophagus (Page 117) Dr.Sherif Fahmy
  42. 42. Parts & Course Dr.Sherif Fahmy
  43. 43. Level of C6 vertebra Diaphragm Dr.Sherif Fahmy
  44. 44. Shape, Size and Curves Dr.Sherif Fahmy
  45. 45. Dr.Sherif Fahmy
  46. 46. Relations Dr.Sherif Fahmy
  47. 47. Posterior Dr.Sherif Fahmy
  48. 48. Anterior Dr.Sherif Fahmy
  49. 49. Left & Right Dr.Sherif Fahmy
  50. 50. Constrictions Dr.Sherif Fahmy
  51. 51. Beginning Esophageal openning of diaphragme At level of left bronchus Dr.Sherif Fahmy
  52. 52. Dr.Sherif Fahmy
  53. 53. Nerve Supply Dr.Sherif Fahmy
  54. 54. Dr.Sherif Fahmy
  55. 55. Dr.Sherif Fahmy
  56. 56. Blood Supply Dr.Sherif Fahmy
  57. 57. Left & Right Dr.Sherif Fahmy
  58. 58. Applied Anatomy 1- Impaction of food. 2- Barium swallow to determine enlargement of left atrium. 3- Esophageal varices. Dr.Sherif Fahmy

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