logging in or signing up Functional Anatomy of Axilla msaeedshafi Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2161 Category: Entertainment License: All Rights Reserved Like it (5) Dislike it (0) Added: February 14, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: Abera (12 month(s) ago) that is wonderful presentation. Saving..... Post Reply Close Saving..... Edit Comment Close By: alladdin2009 (19 month(s) ago) thanks Saving..... Post Reply Close Saving..... Edit Comment Close By: lipids (20 month(s) ago) send this to my email pradeep_ppj@yahoo.co.in me in need of it sir!! Saving..... Post Reply Close Saving..... Edit Comment Close By: suganthkumararthur (21 month(s) ago) upload this 4 presentation 2 1st yr medical students Saving..... Post Reply Close Saving..... Edit Comment Close By: titowolf (29 month(s) ago) thanks Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Functional Anatomy of Axilla : Functional Anatomy of Axilla Prof. Dr. M. Saeed Shafi AMDC Kamal Azfar 35-year laborer : Kamal Azfar 35-year laborer an expert in lifting heavy weights in “Akbari Mandi” One day he lifted a heavy cartoon on right shoulder and in the evening he was unable to raise his right arm above the level of the shoulder. Moreover, he noticed loss of pushing and punching action of right upper limb. His wife noticed an excessive prominence of medial border of right scapula while he was trying to push the bed. ????????? Slide 4: Noor Fatima 40-year High school teacher experienced similar symptoms & signs two weeks after right axillary lymph node biopsy Objectives? : Objectives? Axilla : Axilla Pyramidal space Apex Base Anterior wall Posterior wall Medial wall Lateral wall Slide 9: AXILLA LOCATION AND BOUNDRIES CROSS SECTION SAGITAL SECTION Slide 11: 2/14/2009 malik 11 Slide 13: AXILLA LOCATION AND BOUNDRIES CROSS SECTION SAGITAL SECTION Contents : Contents Fat Brachial plexus Axillary blood vessels Lymph nodes / Lymphatics Slide 18: AXILLARY ARTERY Slide 20: VEINS OF AXILLA Axillary Lymph nodes : Axillary Lymph nodes Anerior (pectoral) group Posterior(subscapular) group Lateral group Central group Infraclavicular(deltopectoral) group Apical group Slide 23: BRACHIAL PLEXUS Network of nerves supplying the upper limb. Composed of ventral rami of lower four(C5-C8) cervical and first thoracic spinal nerves(T1). Divided by the clavicle into supraclavicular and infraclavicular parts. Prefixed & Postfixed Brachial Plexus Brachial Plexus : Brachial Plexus Slide 33: How Brachial Plexus Gets Damaged Physical Injury Neurological disorders Excessive stretching of the neck/arm. Slide 34: AXILLA CONTENTS Clinical Outcomes : Clinical Outcomes Axillary sheath nerve block Enlargement of axillary lymph nodes Examination of lymph nodes Iatrogenic Injury to: long thoracic nerve thoracodorsal nerve Slide 36: AXILLARY NERVE INJURY AREA OF ANAESTHESIA Slide 37: Signs and symptoms of Erb’s Paralysis Paralysis of the shoulder and arm (deltoid, biceps, brachials and brachioradials) results in an abducted shoulder, medially rotated arm, and extended elbow (waiter’s tip position) Adduction and lateral rotation of the arm not possible. Flexion and supination of the forearm not possible. Sensation lost over a small area over lower part of deltoid. Slide 38: Signs and Symptoms Paralysis of the Intrinsic muscles of the hand and ulnar flexors of the wrist and fingers resulting in claw hand. Cutanious anesthesia and analgesia in narrow zone along ulnar border of the forearm and hand. Skin with sensory fibres loss are warmer and drier due to arteriolar dilation and absence of sweating as sympathetic fibres are also damaged. SUMMARY? : SUMMARY? What is axilla? Boundaries & contents? Why so much fat in axilla? Axillary sheath? Axillary lymph nodes / staging biopsysy? Injuries to Brachial plexus? You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Functional Anatomy of Axilla msaeedshafi Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2161 Category: Entertainment License: All Rights Reserved Like it (5) Dislike it (0) Added: February 14, 2009 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: Abera (12 month(s) ago) that is wonderful presentation. Saving..... Post Reply Close Saving..... Edit Comment Close By: alladdin2009 (19 month(s) ago) thanks Saving..... Post Reply Close Saving..... Edit Comment Close By: lipids (20 month(s) ago) send this to my email pradeep_ppj@yahoo.co.in me in need of it sir!! Saving..... Post Reply Close Saving..... Edit Comment Close By: suganthkumararthur (21 month(s) ago) upload this 4 presentation 2 1st yr medical students Saving..... Post Reply Close Saving..... Edit Comment Close By: titowolf (29 month(s) ago) thanks Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Functional Anatomy of Axilla : Functional Anatomy of Axilla Prof. Dr. M. Saeed Shafi AMDC Kamal Azfar 35-year laborer : Kamal Azfar 35-year laborer an expert in lifting heavy weights in “Akbari Mandi” One day he lifted a heavy cartoon on right shoulder and in the evening he was unable to raise his right arm above the level of the shoulder. Moreover, he noticed loss of pushing and punching action of right upper limb. His wife noticed an excessive prominence of medial border of right scapula while he was trying to push the bed. ????????? Slide 4: Noor Fatima 40-year High school teacher experienced similar symptoms & signs two weeks after right axillary lymph node biopsy Objectives? : Objectives? Axilla : Axilla Pyramidal space Apex Base Anterior wall Posterior wall Medial wall Lateral wall Slide 9: AXILLA LOCATION AND BOUNDRIES CROSS SECTION SAGITAL SECTION Slide 11: 2/14/2009 malik 11 Slide 13: AXILLA LOCATION AND BOUNDRIES CROSS SECTION SAGITAL SECTION Contents : Contents Fat Brachial plexus Axillary blood vessels Lymph nodes / Lymphatics Slide 18: AXILLARY ARTERY Slide 20: VEINS OF AXILLA Axillary Lymph nodes : Axillary Lymph nodes Anerior (pectoral) group Posterior(subscapular) group Lateral group Central group Infraclavicular(deltopectoral) group Apical group Slide 23: BRACHIAL PLEXUS Network of nerves supplying the upper limb. Composed of ventral rami of lower four(C5-C8) cervical and first thoracic spinal nerves(T1). Divided by the clavicle into supraclavicular and infraclavicular parts. Prefixed & Postfixed Brachial Plexus Brachial Plexus : Brachial Plexus Slide 33: How Brachial Plexus Gets Damaged Physical Injury Neurological disorders Excessive stretching of the neck/arm. Slide 34: AXILLA CONTENTS Clinical Outcomes : Clinical Outcomes Axillary sheath nerve block Enlargement of axillary lymph nodes Examination of lymph nodes Iatrogenic Injury to: long thoracic nerve thoracodorsal nerve Slide 36: AXILLARY NERVE INJURY AREA OF ANAESTHESIA Slide 37: Signs and symptoms of Erb’s Paralysis Paralysis of the shoulder and arm (deltoid, biceps, brachials and brachioradials) results in an abducted shoulder, medially rotated arm, and extended elbow (waiter’s tip position) Adduction and lateral rotation of the arm not possible. Flexion and supination of the forearm not possible. Sensation lost over a small area over lower part of deltoid. Slide 38: Signs and Symptoms Paralysis of the Intrinsic muscles of the hand and ulnar flexors of the wrist and fingers resulting in claw hand. Cutanious anesthesia and analgesia in narrow zone along ulnar border of the forearm and hand. Skin with sensory fibres loss are warmer and drier due to arteriolar dilation and absence of sweating as sympathetic fibres are also damaged. SUMMARY? : SUMMARY? What is axilla? Boundaries & contents? Why so much fat in axilla? Axillary sheath? Axillary lymph nodes / staging biopsysy? Injuries to Brachial plexus?