Showing posts with label Anatomy. Show all posts
Showing posts with label Anatomy. Show all posts

Sunday, May 17, 2020 May 17, 2020

The Foramen of MONRO.

its named by Alexander MONRO secundus (1733-1817) 
Each foramen of Monro lies between the roof and anterior wall of the third ventricle behind the column and body of the fornix and anterior to the thalamus.
A number of structures pass through each foramen (in addition to CSF): 
  • choroid plexus
  • arteries: distal branches of the medial posterior choroidal arteries
  • veins: thalamostriate, superior choroidal and septal
If the ventricles are small, then each foramen is a small crescent, concave anteriorly (indented by the fornix). On the other hand, if the ventricles are large, each foramen becomes more circular in cross section 

The MONROS: A family of three Scottish doctors—father, son, and grandson, who lifted Edinburgh University to a centre of medical teaching in the 18th and 19th centuries. 
All named Alexander and differentiated as primus, secundus, and tertius, held the chair of anatomy at Edinburgh for 126 years (1720–1846) without interruption !!! All of them taught for long periods: thirty-eight, fifty-four, and forty-eight years respectively !! 
Monro secundus (1733-1817) is considered the finest teacher and anatomist of the three. He was first to describe definitively (1783) the interventricular foramen between the lateral ventricles of the brain (known as foramen of Monro).

Figure: Observations on the Structure and Functions of the Nervous System by Alexander Monro, Secundus (1783). 
This work described and illustrated the interventricular foramen, named the Foramen of Monro.

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Saturday, May 16, 2020 May 16, 2020

Referred Pain Q & A !

Why myocardial pain goes to the left side of the body -
(left shoulder, angle of the jaw, inner aspect of arm and forearm) 
(either as referred pain or as radiation)
Who can explain this?


Instant Reply: Yes, its Referred Pain.Same embryological origin, Dermatomes !!


(A small tricks to remember in the viva- Any leading question maximum time answer is the first one, vice versa there can be an exception every time, look here the question)


Explain shortlyDorsal root ganglia receive sensory impulses from the arm chest..it can b referred to epigastrium also. or I can explain the matters happen is due to the spinal nerves receives visceral sensation from the heart and receiving cutaneous sensation from these parts of the skin

Can you elaborate it: 

The heart develops from a primitive heart tube. Primitive heart tube is formed by partial fusion of two endocardial heart tube, right and left. Right heart (atrium and ventricle develop from the right part of the primitive heart tube and left heart develops from the left part of the primitive heart tube. The right part of the heart is supplied mainly by sympathetic fibers of the right side and left part from the left side mainly. The maximum part of the left ventricle receives blood from the left coronary artery, and the right coronary artery supplies most of the right heart.
Blood flow to the right ventricle occurs both during systole and diastole, whereas it is during the only diastole in the case of the left ventricle. So, the left ventricle normally remains in a risk situation. If left coronary becomes occluded, then the left ventricle suffers ischemia, pain is carried by sympathetic fibers of the left side. Pain goes to the left side. If the right coronary becomes occluded, the right ventricle will suffer and pain will go to the right side. 

DERMATOMES
picture source: https://www.coreconcepts.com.sg/wp-content/uploads/2008/11/dermatoms.jpg

Reference Book : 

Gray’s Anatomy- Thorax
Bd Chaurasia- Thorax & Abdomen
Ak Datta-Human anatomy- Thorax & Abdomen


Nice To Know :


Referred pain, also called reflective pain, is pain perceived at a location other than the site of the painful stimulus. An example is the case of angina pectoris brought on by a myocardial infarction (heart attack), where the pain is often felt in the neckshoulders, and back rather than in the thorax (chest), the site of the injury. 

The International Association for the Study of Pain has not officially defined the term; hence several authors have defined it differently.

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