Clinical Anatomy of the Thorax

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课程简介

课程名称:胸部临床解剖学 课程概述:本课程将涵盖以下主题:1)胸壁和呼吸肌;2)乳腺;3)胸膜和肺;4)心包和心脏;5)纵隔;6)胸部的放射解剖。每个主题之后都将讨论高收益的USMLE类型问题,并提供来自EMBASS、UWorld及其他流行医学备考平台的例题。 课程开始于胸壁的独特结构和功能,学习肋骨的组成、关节以及呼吸肌的功能。将讨论肋间空间的界限和内容,并与临床操作如肋间神经阻滞和胸腔穿刺相结合。随后,将讨论胸腔的分区及其重要器官,深入了解肺的特征及其根部、支气管树的结构、肺的分节,以及各肺段之间血管和淋巴管的分布。 课程还将回顾心房室的解剖特征,包括成年人和胎儿的血流以及可能出现的正常和病理残留特征,特别关注心脏的血供,包括右、左冠状动脉的起源和分布,讨论动脉优势的概念及其与心脏疾病的关系。此外,还将研究心脏传导系统的组成及其功能,并讨论自主神经丛的影响。 最后,我们将讲解纵隔的分区,并将上、中、前、后纵隔的内容与相关病理进行关联。经过理论学习后,您将应用所学知识解读胸部的CT和MRI图像,识别心腔、胸部大血管及肺根的组成部分。

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The following topics are covered in this course: 1) the thoracic wall and muscles of respiration; 2) the breast; 3) the pleura and lungs; 4) the pericardium and heart; 5) the mediastinum; 6) radiologic anatomy of the thorax. Each topic is followed by a discussion of high-yield USMLE-type questions with examples taken from EMBASS, UWorld, and other popular med-prep platforms.We will begin with the peculiarities of the organization and function of the thoracic wall. You will learn the composition of the rib cage, the joints, and the muscles of respiration. We will discuss the boundaries and content of the intercostal space and will link that to clinical procedures such as intercostal nerve block and thoracocentesis. Then, will talk about the subdivisions of the thoracic cavity and vital organs of the thorax. We will discuss the features of the lungs and their roots, the organization of the bronchial tree, the segmentation of lungs, and the distribution of blood vessels and lymphatic vessels among the lung segments. Will review the anatomical features of the heart chambers, the adult vs. fetal blood flows through the heart, and will discuss what normal and pathological remnants may come from it. Especial attention will be given to the blood supply of the heart; we will talk about the origin and distribution of the right and left coronary arteries, will discuss the concept of arterial dominance, and will relate this data to heart disease. Additionally, we will look at the components of the conducting system of the heart, its distribution, and function, and will discuss the influence of the autonomic nervous plexuses. In the end, we will talk about the subdivisions of the mediastinum and correlate the content of the superior, anterior, medial, and posterior mediastinum with the related pathologies. After passing the theoretic material, you will apply your knowledge to reading CT and MR images of the thorax and you will learn how to identify the chambers of the heart, great vessels of the thorax, and components of the lung roots.

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