Anatomy for Nursing Students – Ali A. Mahdi Lec .(4) Blood and Lymph Vessels Aorta   the largest artery of the body, and it is truly splendid vessel . Parts of Aorta o Ascending Aorta o Aortic Arch o Thoracic Aorta o Abdominal Aorta Anatomy for Nursing Students – Ali A. Mahdi Lec .(4) I. Arterial Branches of Ascending Aorta 1. Right Coronary Arteries 2. Left Coronary Arteries II. Arterial Branches of the Aortic Arch 1. Brachiocephalic Trunk: first branch of aortic arch o Right common carotid artery (parts of the head) . o Right subclavian artery (right limb) . 2. Left Common Carotid Artery: second branch of the aortic arch o Left Internal Carotid - serves the brain o Left External Carotid - serves the skin and muscles of the head and neck 3. Left Subclavian Artery: third branch of aortic arch o Vertebral Artery - serves part of the brain o Axillary Artery o Brachial Artery - supplies the arm III. Arterial Branches of the Thoracic Aorta 1. Intercostal Arteries (10 Pairs) - supply the muscles of the thoracic wall 2. Bronchial Arteries - supply the lungs 3. Esophageal Arteries 4. Phrenic Arteries - serves the diaphragm IV. Arterial Branches of the Abdominal Aorta 1. Celiac Trunk: first branch of abdominal aorta (stomach, spleen, liver) 2. Superior Mesenteric Artery : (supplies most of the small intestine and first half of the large intestine) . 3. Renal Arteries 4. Gonadal Arteries o Ovarian Arteries (in female) . o Testicular Arteries (in male) . 5. Lumbar Arteries : (serves the heavy muscle of the abdomen and trunk walls) . 6. Inferior Mesenteric Artery 7. Common Iliac Arteries: final branches of the abdominal aorta , divide into :Internal Iliac Artery - serves the pelvic organsExternal Iliac Artery - serves the lower limb . Anatomy for Nursing Students – Ali A. Mahdi Lec .(4) The major veins of the Body (1) External jugular vein (responsible for draining oxygen-poor blood from the more superficial structures of the head and face) . (2) Internal jugular vein(responsible for draining oxygen-poor blood from the brain and neck) . (3) Brachial vein (responsible for draining oxygen-poor blood from the arm) . (4) Subclavian vein (responsible for draining oxygen-poor blood from the upper extremeties of the body) . (5) Axillary vein(responsible for draining oxygen-poor blood from the upper, axillary division of the body) . (6) Ulnar vein(responsible for draining oxygen-poor blood from the medial aspects of the forearm, wrist and hands) . (7) Radial vein (responsible for draining oxygen-poor blood from the forearm, wrist and hand , it connects the brachial vein) . (8) Common iliac vein (from the superior portion of the pelvis) . (9) Femoral vein (responsible for draining oxygen-poor blood from the lower extremities of the body) . (10) Popliteal vein (responsible for draining oxygen-poor blood from the knee and surrounding tissues) . (11) Posterior tibial vein (responsible for draining oxygen-poor blood from the lower leg, ankle and foot) . (12) Great saphenous vein(responsible for draining oxygen-poor blood from the lower extremities and delivering it to the femoral vein before it returns to the heart) . Anatomy for Nursing Students – Ali A. Mahdi Lec .(4) Lymphatic Vessels Lymphatic vessels, unlike blood vessels, only carry fluid away from the tissues. The smallest lymphatic vessels are the lymph capillaries, which begin in the tissue spaces as blindended sacs. Lymph capillaries are found in all regions of the body except the bone marrow, central nervous system, and tissues, such as the epidermis, that lack blood vessels. The microscopic lymph capillaries merge to form lymphatic vessels. Small lymphatic vessels join to form larger lymphatic trunks, which drain large regions. (1) The right lymphatic duct drains lymph from the upper right quadrant of the body. (2) The thoracic duct drains all the rest. Anatomy for Nursing Students – Ali A. Mahdi Lec .(4) Reproductive System Overview of the Reproductive System The reproductive system consists of primary and secondary sex organs. The primary sex organs, or gonads, are organs that produce the gametes—testes (testicles)of the male and ovaries of the female. The secondary sex organs : In the male, they constitute a system of ducts, glands, and the penis . In the female, they include the uterine tubes, uterus, and vagina . Secondary sex characteristics are features that develop at puberty.. In human males, secondary sex characteristics include : pubic, axillary, and facial hair, relatively coarse and visible hair on the torso and limbs, apocrine glands, a relatively muscular physique, and a relatively low-pitched voice. (1) Testes Each testis is oval, about 4 cm long and 2.5 cm in diameter .Connective tissue septa divide this organ into 250 to 300 wedge-shaped lobules. Each lobule contains one to three seminiferoustubules—slender ducts up to 70 cm long in which the sperm are produced. Between the seminiferous tubules are clusters of interstitial (Leydig) cells, the source of testosterone. A seminiferous tubule has a narrow lumen lined by a thick germinal epithelium consisting of germ cells and a much smaller number of tall sustentacular(Sertoli) cells, which protect the germ cells and promote their development. The testes are contained in a pendulous pouch, the scrotum . The left testis is usually suspended lower than the right so the two are not compressed againsteach other between the thighs. Anatomy for Nursing Students – Ali A. Mahdi Why testes lie outside the pelvic cavity? Lec .(4) Anatomy for Nursing Students – Ali A. Mahdi Lec .(4) Spermatic Ducts 1.Efferent ductules : arise from the posterior side of each testis and carry sperm to the epididymis. 2.The epididymis : is a site of sperm maturation and storage. 3. Ductus (vas) deferens :is a muscular tube about 45 cm long ,it passes upward from the scrotum, and enters the pelvic cavity . 4. Ejaculatory duct : Where the ductus deferens and ductof the seminal vesicle meet, they form a short (2 cm) ejaculatory duct, it is the last of the spermatic ducts. The male urethra is shared by the reproductive and urinary systems. Accessory Glands 1. The Seminal Vesicles: are a pair of glands posterior to the urinary bladder; The duct empties into the ejaculatory duct. The yellowish secretion of the seminal vesicles constitutes about 60% of the semen, it provides the nutritional resources for sperms (fructose) . 2. The prostate : gland surrounds the urethra and ejaculatory duct immediately inferior tothe urinary bladder . The alkaline milky secretion of the prostate contributes about 30% of the semen, it contains clotting enzymes and fibrinolysin . 3. The bulbourethral (Cowper) glands: are named for their position near a dilated bulb at the inner end of the penis , they secrete a fluid that neutralizes the acidity of residual urine in theurethra, which would be harmful to the sperm.
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