midterm slides by dr. atal

8/8/2019 Midterm Slides by Dr. Atal

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Midterm slidesMidterm slides

By: Dr. Atal, PSA, FellowBy: Dr. Atal, PSA, Fellow


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Cardiac muscleCardiac muscle


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ENDOCARDIUM

SUBENDOCARDIUM-containing Purkinje Fibers MYOCARDIUM

ayers o earayers o ear


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Purkinje fibers


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Aorta Aorta

T unica intima *

T unica media *

T unica adventitia *


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AOR T A

T I

T M


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T M

T A

AOR T A


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MediumMedium--sized Arterysized Artery

t. adventitia

t. media

t. intima


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MediumMedium--sized Arterysized Artery


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NERVI VASORUM- LOCAT ED AT TH E T UNICA ADVEN T I T IA OF MEDIUM- SIZED AR T ERY


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VASO VASORUM- LOCAT ED AT TH E T UNICA ADVEN T I T IA OF MEDIUM-SIZED AR T ERY


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SpleenSpleen

SPLEEN-CENTRAL ARTERIOLE

(Sinus vein)


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Central vein


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LiverLiver


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Skeletal muscle- continous type of capillary


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Continuous type of Capillary- single row of RBCs lined by endothelium


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H UMAN T ONGUE H UMAN T ONGUE

Smoothsurface

(SSNKE)

Skeletal musclebundles


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PAPILLAE PAPILLAE Filiform papillae(SSKE)

Fungiform papillae (SSNKE)


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Filiform

papillae

Fungiform papillae

Circumvallate

papillae


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RABBI T T ONGUE

Foliate papillae (SSNKE)


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LINGUAL GLANDS LINGUAL GLANDS

Posterior Lingual Glands (VonEbners

glands)


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Anterior Lingual Glands (Blandinand Nuhn)


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xxxxxxxxxx

xxxxxxxxx


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PAROT ID GLANDPAROT ID GLAND

capsule


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IN T ERCALAT ED DUC T IN T ERCALAT ED DUC T (Simple Cuboidal (Simple Cuboidal Epithelium)Epithelium)

Intralobular duct


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IN T RALOBULAR DUC T IN T RALOBULAR DUC T (Simple Columnar (Simple Columnar Epithelium)Epithelium)


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SUBMANDIBULAR GLANDSUBMANDIBULAR GLAND

capsule


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SEROUS DEMILUNES OF GIANUZZI SEROUS DEMILUNES OF GIANUZZI

Mucous acinus

Serousacini


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SUBLINGUAL GLANDS SUBLINGUAL GLANDS


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SEROUS DEMILUNES OF GIANUZZI SEROUS DEMILUNES OF GIANUZZI


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LIVER LIVER

Portal triad

sinusoids


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KUPFFER CELLS KUPFFER CELLS


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LIVER- SINUSOIDS


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LE: Simple columnar Epithelium

Lamina propria

Mucosa

Fibromuscular layer

T unica serosa

GALL BLADDER GALL BLADDER


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Rokitansky-Aschoff Sinus

LIVER


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PANCREAS PANCREAS

D

I- Islets of Langerhans, S- Septum, D- Interlobular

I

I

S

S


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I


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PANCREATIC ACINI


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ESOP H AGUS ESOP H AGUS

MUCOSA

SUBMUCOSA

MUSCULARIS EX T ERNA


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A. MUCOSA A. MUCOSA

LINING EPI TH ELIUM (SSNKE)

Lamina propia

Muscularismucosae


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Superficial esophageal glands


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B. SUBMUCOSAB. SUBMUCOSA


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Deep esophageal glands

Meissners plexus


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submucosa


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C. MUSCULARIS EX T ERNAC. MUSCULARIS EX T ERNA


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Inner circular

Outer longitudunal

T unica adventitia(L.C.T .)

Muscularisexterna


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S T OMAC H S T OMAC H

mucosa

MM

LP

LE

submucosa

LP-lamina propia MM- muscularis mucosae LE- lining epithelium


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A. MUCOSA A. MUCOSA lined by Simple Columnar epithelium w/o Goblet lined by Simple Columnar epithelium w/o Goblet Cell Cell

LE


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LAMINA PROPIA

GAS T RIC GLANDS


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**YELLOW- PARIE T AL CELLS BLACK- C H IEF/PEP T IC CELLS


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MM


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B. SUBMUCOSAB. SUBMUCOSA

MM

SUBMUCOSA


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SUBMUCOSA

MM


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C.C. MUSCULARIS EX T ERNAMUSCULARIS EX T ERNA


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SMALL IN T ES T INE SMALL IN T ES T INE-- DUODENUM DUODENUM

Brunner sGlands

Submucosa

MucosaIntestinal glands

MM

LP

LE-simple columnar E. w/ GC

Intestinal glands


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Columnar cells

**BLUE- Paneth Cells Black- Goblet Cells

SUBMUCOSASUBMUCOSABrunners GlandsBrunners Glands


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SUBMUCOSASUBMUCOSA--Brunners GlandsBrunners Glands


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BRUNNERS GLANDS


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Meissners plexus


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J EJ UNUMJ EJ UNUM


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J E J UNUM J E J UNUM

MUCOSA

MM

LP

Intestinal glands

LE

**LE- SIMPLE COLUMNAR EPITH ELIUM W/ GC


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LP

EPI TH ELIUM W/ GC

LE


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Meissners plexus


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IC

OL

Myenteric plexus


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ILEUMILEUM


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ILEUM ILEUM

LE

LP

IN T ES T INAL VILLI

SUBMUCOSA

Intestinal glands


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LINING EPITH ELIUM SIMPLE COLUMNAR W/ GC


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LINING EPI TH ELIUM- SIMPLE COLUMNAR W/ GC

GOBLE T CELLS


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IC

OL

OL


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OL

IC

Myenteric plexus


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VERMIFORM APPENDIXVERMIFORM APPENDIX


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VERMIFORM APPENDIX VERMIFORM APPENDIX

lumen

LE-SimpleColumnar Epitheliumw/ GC

Intestinal glands


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LE

Lamina Propia

Lymphatic nodules

Intestinal glands


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Muscularisexterna


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IN T ES T INAL GLANDS IN T ES T INAL GLANDS-- W/O PANE TH CELLS W/O PANE TH CELLS


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T UNICA SEROSA

IC

OL

SUBMUCOSA

RECTORECTO--ANALJ UNCTION/ ANAL CANALANALJ UNCTION/ ANAL CANAL


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SubmucosaSubmucosa

Muscularis mucosaMuscularis mucosa

Intestinal glandsIntestinal glands

Lamina propriaLamina propria

REC T OREC T O--ANALJ UNC T ION/ ANAL CANAL ANALJ UNC T ION/ ANAL CANAL


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T unica muscularisT unica muscularis(inner circular)(inner circular)

T unica muscularisT unica muscularis(outer longitudinal)(outer longitudinal)

H emorrhoidal plexuses of veins (located H emorrhoidal plexuses of veins (located i h b )i h b ) i di d


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in the submucosa)in the submucosa) -- pointed pointed

**PLEASE REFER T O YOUR AT LAS pages 271-272

RECT UMRECT UM


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REC UM REC UM

LP

MM

LE-Simple Columnar Epithelium w/ GC

SUBMUCOSA

Intestinal

glands


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MM

IC

SUBMUCOSA


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LARYNX LARYNX


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true vocal cords/foldstrue vocal cords/folds--LOWER FOLDLOWER FOLD

SSNKE

VOCALI S MUSCLE


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SSNKE


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False vocal cords/vestibular foldsFalse vocal cords/vestibular folds

PSCCE W/ GC

Lamina propia-LLT

Laryngeal glands

PSCCE W/ GC

LAMINA PROPIA-LLT

T RAC H EAT RAC H EA


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Mucosa (PSCCE W/ GC)

Lamina

propia-LLT

submucosa

T unicaadventitia

T rachealismuscle


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fibrocartilage

T A

LUNGS LUNGS


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IN T RAPULMONARY AR T ERY/ T ER T IARY BRONC H US IN T RAPULMONARY AR T ERY/ T ER T IARY BRONC H US

LUMEN

LINING EPI TH ELIUM (PSCCE W/ GC)

MUCOS A

T UNICA ADVEN T I T IA

ISLAND OF CAR T ILAGE

SUBMUCOSA

SMOOTH MUSCLE


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** H PO VIEW

BRONCHIOLEBRONCHIOLE PSCCE W/ GC BUT W/OPSCCE W/ GC BUT W/O


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BRONC H IOLE BRONC H IOLE-- PSCCE W/ GC BU T W/OPSCCE W/ GC BU T W/O

CAR T

ILAGE CAR T

ILAGE


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RESPIRATORY BRONCHIOLERESPIRATORY BRONCHIOLE-- SIMPLESIMPLE


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RESPIRAT ORY BRONC H IOLE RESPIRAT ORY BRONC H IOLE-- SIMPLE SIMPLE

CUBOIDAL EPI TH

ELIUM CUBOIDAL EPI TH

ELIUM--nonnon--ciliated ciliated

(1) ALVEOLUS (2) ALVEOLAR SAC (3)(1) ALVEOLUS (2) ALVEOLAR SAC (3)


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(1) ALVEOLUS, (2) ALVEOLAR SAC, (3)(1) ALVEOLUS, (2) ALVEOLAR SAC, (3) ALVEOLAR DUC T ALVEOLAR DUC T

1

2

3


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midterm slides by dr. atal

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