Principles of Clinical

Medicine
Principles of Clinical
Medicine
Brion Benninger MD MS
Brion Benninger MD MS
Surface Anatomy
Surface Anatomy
It is important to obtain the ability to
appreciate the neurovascular bundle and
viscera within the architectural layers that
consist of bone and soft tissue
Being able to visualize or appreciate
problematic structures or regions and
manipulate these areas for examination,
diagnosis or treatment.
It is important to obtain the ability to
appreciate the neurovascular bundle and
viscera within the architectural layers that
consist of bone and soft tissue
Being able to visualize or appreciate
problematic structures or regions and
manipulate these areas for examination,
diagnosis or treatment.
Surface Anatomy
Surface Anatomy
Objectives
Understand clinically important landmarks of
the
Head and neck
Upper Limb
Thorax
Back
Abdomen
Lower limb
Objectives
Understand clinically important landmarks of
the
Head and neck
Upper Limb
Thorax
Back
Abdomen
Lower limb
Surface Anatomy
Surface Anatomy
Landmarks
Head
Ear
Tragus
Corner of mouth
Mandible
Neck
C3
C4
C6
Landmarks
Head
Ear
Tragus
Corner of mouth
Mandible
Neck
C3
C4
C6
Surface Anatomy
Surface Anatomy
Nose
Septum
Double Pack
Intubation
Nose
Septum
Double Pack
Intubation
Surface Anatomy
Surface Anatomy
Surface Anatomy
Surface Anatomy
Larynx
Viewing Vocal cords
True cords - white
False cords - pink
Asymmetrical
Intubation
Surgery
Recurrent laryngeal n.
Larynx
Viewing Vocal cords
True cords - white
False cords - pink
Asymmetrical
Intubation
Surgery
Recurrent laryngeal n.
Surface Anatomy
Surface Anatomy
Mouth
Uvula
Palatoglossal arch
Tonsil
Palatopharyngeal arch
Buccal fold
Retromolar fossa
Vestibule
Dens level
Mouth
Uvula
Palatoglossal arch
Tonsil
Palatopharyngeal arch
Buccal fold
Retromolar fossa
Vestibule
Dens level
Ear
Helix/pinna-pull
Tragus
Haematomas
Tragus to corner of mouth
Parotid duct - 2nd molar
Zygomatic arch
Superficial temporal art.
Facial nerve
Ear
Helix/pinna-pull
Tragus
Haematomas
Tragus to corner of mouth
Parotid duct - 2nd molar
Zygomatic arch
Superficial temporal art.
Facial nerve
Surface Anatomy
Surface Anatomy
Nerves
Vagus nerve
Facial nerve
Great Auricular n.
Lesser occiptal n.
Nerves
Vagus nerve
Facial nerve
Great Auricular n.
Lesser occiptal n.
Modiolus
Levators
Depressors
Landmark
Pulses
Sup. Temp.
Facial
Labial
Modiolus
Levators
Depressors
Landmark
Pulses
Sup. Temp.
Facial
Labial
Surface Anatomy
Surface Anatomy
Neck landmarks
C3 - hyoid
C4 - thyroid cart.
CC Pulse / Carotid body
Laryngeal prom.
Cricothyroid mem.
C6 - cricoid cart.
Nodes
Mental
Submandibular
Neck landmarks
C3 - hyoid
C4 - thyroid cart.
CC Pulse / Carotid body
Laryngeal prom.
Cricothyroid mem.
C6 - cricoid cart.
Nodes
Mental
Submandibular
Surface Anatomy
Surface Anatomy
Neck landmarks
Triangles
Post. - Ext. Jugular
Supraclavicular
Subclavian vein
Lower trunk BP
CVP
Lymph node GI Resp. Ca
SCM - 2 distal heads
Internal Jugular
Sternal notch
1st rib
Neck landmarks
Triangles
Post. - Ext. Jugular
Supraclavicular
Subclavian vein
Lower trunk BP
CVP
Lymph node GI Resp. Ca
SCM - 2 distal heads
Internal Jugular
Sternal notch
1st rib
Surface Anatomy
Surface Anatomy
Upper Limb
Clavical
Medial 1/3 - Gr vessels
Mid 1/3 - pleura
Subclavian vein
Lateral 1/3 - AC joint
Ant. / Lat. injections
Corocoid
Benningers Sign
Acromion
Upper Limb
Clavical
Medial 1/3 - Gr vessels
Mid 1/3 - pleura
Subclavian vein
Lateral 1/3 - AC joint
Ant. / Lat. injections
Corocoid
Benningers Sign
Acromion
Sub acromial bursa
Sub acromial bursa
supraspinatus
supraspinatus
infraspinatus
infraspinatus
subscapularis
subscapularis
Biceps tendon
Biceps tendon
Surface Anatomy
Surface Anatomy
Medial epicondyle
Flexor origin
Ulna nerve - posterior
Lateral epicondyle
Extensor origin
Radial nerve - anterior
Radial head
Medial epicondyle
Flexor origin
Ulna nerve - posterior
Lateral epicondyle
Extensor origin
Radial nerve - anterior
Radial head
Lateral epicondylitis
Lateral epicondylitis
Medial epicondylitis
Medial epicondylitis
Carpal Tunnel
Carpal Tunnel
Abd pol longus / Ext pol brevis
Abd pol longus / Ext pol brevis
Surface Anatomy
Surface Anatomy
Thorax
Sternal Angle - T4
Asc. And desc. Aorta
Trachea bifracation
Axygos vein enters SVC
2nd rib meets sternum (counting landmark)
The substernum
right ventricle
left ventricle
Xiphisternum to axilla - pericardial tap
Thorax
Sternal Angle - T4
Asc. And desc. Aorta
Trachea bifracation
Axygos vein enters SVC
2nd rib meets sternum (counting landmark)
The substernum
right ventricle
left ventricle
Xiphisternum to axilla - pericardial tap
Vertical planes x 2
1. midline
2.midclavicular - *midclav
- midinguinal
crosses 9th CC and runs
with semilunaris
Horizontal Planes x 2
* Hands breadth xiphi
1.Transpyloric L1
9th CC, GB, Pylorus,
hila of kidney, SMA,
term of SC, pancreas,
portal vein
2. Transtubercular plane
joining tubercles of iliac
crest
Indicates com. Iliac veins
Vertical planes x 2
1. midline
2.midclavicular - *midclav
- midinguinal
crosses 9th CC and runs
with semilunaris
Horizontal Planes x 2
* Hands breadth xiphi
1.Transpyloric L1
9th CC, GB, Pylorus,
hila of kidney, SMA,
term of SC, pancreas,
portal vein
2. Transtubercular plane
joining tubercles of iliac
crest
Indicates com. Iliac veins
Surface Anatomy
Surface Anatomy
Lower Limb
Pulses
Femoral - beneath inguinal ligament
Popliteal - deep to vein
X3 at the ankle
Anterior tibial - ant. Ankle joint
DP - between 1st and 2nd toe
Posterior tibial - medial malleolus
Lower Limb
Pulses
Femoral - beneath inguinal ligament
Popliteal - deep to vein
X3 at the ankle
Anterior tibial - ant. Ankle joint
DP - between 1st and 2nd toe
Posterior tibial - medial malleolus
Adductor longus
Adductor longus
Trochanteric bursa
Trochanteric bursa
hamstrings
hamstrings
Peroneal tendons
Peroneal tendons
Lateral ankle complex
Lateral ankle complex
Deltoid lig (med ankle complex)
Deltoid lig (med ankle complex)
Thank you
Thank you
Enjoy your break and happy holidays !!!!
Enjoy your break and happy holidays !!!!