Surface Anatomy

Category: Education

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hi, interesting

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Presentation Transcript

Clinically Relevant Surface Anatomy : 

Clinically Relevant Surface Anatomy

Slide 3: 

Abdomen distended by ascites

Slide 4: 

Where are the inferior epigastric arteries?

Slide 5: 

Margin of rectus sheath

Slide 6: 

Where should you insert the needle?

Slide 8: 

No bowel in midline this inferior

Slide 9: 

Lateral to arteries

Slide 11: 


Slide 13: 

Where is the R IJ vein?

Slide 15: 

Apex of the triangle created by the clavicle and the heads of the sternocleidomastoid

Slide 18: 

Carotid runs medial to IJ vein and Vagus nerve run posterior between two vessels

Slide 19: 

Vein runs laterally

Slide 20: 

Aim for ipsilateral nipple

Slide 22: 

You're in!

Subclavian Vein : 

Subclavian Vein

Slide 24: 

Where is the subclavian vein?

Slide 27: 

Artery runs superior and posterior to vein

Slide 28: 

The middle third is where the subclavian vein approximates the clavicle.

Slide 29: 

Insertion site is just lateral to the middle third of the clavicle

Slide 30: 

Needle directed toward the sternal notch.

Slide 33: 

You're in!

Slide 35: 

Which knee has the effusion?

Slide 38: 

Note that the synovial space extends from the suprapatellar to bursa superiorly to the tibia inferiorly

Slide 39: 

Other bursas do not connect with the knee joint

Slide 40: 

Needle insertion at medial aspect of the superior third of the patella, approximately 1 cm from the patella edge

Slide 42: 

Lateral approach

Slide 43: 

You're in!

Slide 44: 


Slide 46: 

Majority of anterior thorax is upper lobes

Slide 47: 

Majority of posterior thorax is lower lobes

Slide 50: 

Identify the top of the effusion by percussion (dull)

Slide 51: 

Where should you insert the needle? What structures so you want to avoid?

Slide 52: 

Neurovascular bundle runs inferior to ribs

Slide 53: 


Slide 55: 

Vein, Artery, Nerve Vein, Artery Nerve Medial to lateral

Slide 58: 

Use radial pulse as your target

Slide 59: 

Radial artery line

Slide 61: 

Where does the spinal cord end?

Slide 62: 

Spinal cord ends around L1

Slide 63: 

Draw line connecting iliac crests to identify L4 spinous process

Slide 64: 

Finding L4

Slide 65: 

LP typically is performed between L3-4 or L4-5

Slide 66: 


Slide 68: 

Where is the hip joint?

Slide 69: 

Hip joint is in the groin area Trochanteric bursa is lateral

Slide 73: 

Where is the glenohumeral joint?

Slide 75: 

Glenohumeral joint palpation

Slide 77: 


Slide 78: 

Bursa is mostly lateral under acromian

Slide 80: 

Subacromial bursa injection

Slide 82: 

Find the Cricothyroid membrane on yourself

Slide 83: 

Inferior to laryngeal cartilage and superior to cricoid cartilage

Slide 84: 


Slide 86: 

McBureny’s point=one-third of the distance from the anterior superior iliac spine to the umbilicus (#1 in diagram)

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