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Pediatr the preoperative evaluation of patients with anterior shoulder Radiol 25:225-227 instability order 120 mg silvitra. Martinoli C order 120 mg silvitra with amex, Bianchi S, Gandolfo N et al (2000) Ultrasound of of sonography. Arch Orthop Trauma Surg 102:248-255 nerve entrapments in osteofibrous tunnels. Richardson ML, Selby B, Montana MA et al (1988) 20:199-217 Ultrasonography of the knee. Skeletal Radiol 33:63-79 Seminars in musculoskeletal radiology 2:245-270 24. Skeletal Radiol 30: 605-614 nosis (jumper’s knee): findings at histopathologic examination, 25. Van Holsbeeck M, Introcaso JH (1991) Musculoskeletal ultra- US and MR imaging Radiology 200:821-827 sound. Miller T, Adler R, Friedman L (2004) Sonography of injury of friction syndrome: sonographic findings. Bianchi S, Martinoli C, Zamorani MP et al (2002) Ultrasound Radiology 2:223-235 of the joints. De Maeseneer M, Lenchik L, Starok M et al (1998) Normal amination of lateral epicondylitis. AJR 176:777-782 and abnormal meniscocapsular structures: MR imaging and 29. Marcelis S, Daenen B, Ferrara MA, edited by RF Dondelinger sonography in cadavers. Lee JI, Son GIS, Yung YB et al (1996) Medial collateral liga- New York ment injuries of the knee: Ultrasonographic findings. Jacobson JA, Jebson PJL, Jeffers AW et al (2001) Ulnar nerve sound Med 15:621-625 dislocation and snapping triceps syndrome: diagnosis with dy- 53. Radiology 220:601-605 the diagnosis of traumatic rupture of the anterior cruciate lig- 31. Bianchi S, Martinoli C, Abdelwahab IF (1999) High-frequen- ament of the knee. AJR 164:1461-1463 cy ultrasound examination of the wrist and hand Skeletal 54. Murphy MD, Smith WS, Smith SE et al (1999) Imaging of Radiol Mar 28(3):121-129 musculoskeletal neurogenic tumors: radiologic-pathologic cor- 32. Radiographics 19:1253-1280 joint synovitis: gray-scale and power Doppler US quantifica- 55. Giovagnorio F, Andreoli C, De Cicco ML (1997) Ultrasono- dons: clinical relevance of neovascularisation diagnosed with graphic evaluation of de Quervain’s disease. Serafini G, Derchi LE, Quadri P et al (1996) High resolution Ankle US: technique, anatomy and pathology. Buchberger W, Judmaier W, Birbamer G et al (1992) Carpal fluid in the hindfoot and ankle: detection of amount and dis- tunnel syndrome: diagnosis with high-resolution sonography. Bianchi S, Abdelwahab IF, Zwass A et al (1993) Sonographic Achilles tendon tears: sonographic accuracy and characterization findings in examination of digital ganglia: retrospective study.
The stomach’s mu- The effect of parasympathetic innervation cosal lining silvitra 120 mg amex, the glandular gastric mucosa generic silvitra 120mg online, contains three FIGURE 27. Baltimore: glands contain mucous cells that secrete mucus and HCO3 University Park Press, 1982. The cardiac glands are located in a small area ad- jacent to the esophagus and are lined by mucus-producing columnar cells. The pyloric glands are located in a larger area adjacent to the duodenum. They contain cells similar to mu- cous neck cells but differ from cardiac and oxyntic glands in having many gastrin-producing cells called G cells. The oxyntic glands, the most abundant glands in the stomach, a) are found in the fundus and the corpus. The oxyntic glands contain parietal (oxyntic) cells, chief cells, mucous neck cells, and some endocrine cells (Fig. Surface mucous cells occupy the gastric pit (foveola); in the gland, most mucous cells are located in the neck region. The base of the oxyntic gland contains mostly chief cells, along with some parietal and endocrine cells. Mucous neck cells secrete mucus, parietal cells principally secrete hydrochloric acid (HCl) and intrinsic factor, and chief cells secrete pepsinogen. The structure of resting parietal cells is unique in that they have intracellular canaliculi as well as an abundance of mitochondria (Fig. This network consists of clefts and canals that are continuous with the lumen of the oxyn- tic gland. There is also an extensive smooth ER referred to as the tubulovesicular membranes. Hydrochloric acid is se- creted across the parietal cell microvillar membrane and FIGURE 27. In: Johnson entire surface of the gastric mucosa and the openings of the LR, Christensen J, Jackson MJ, et al. A, A nonsecret- the most striking difference is the abundance of long microvilli and ing parietal cell. The cytoplasm is filled with the paucity of the tubulovesicular system, making the mitochondria tubulovesicular membranes, and the intracellular canaliculi have be- appear more numerous. The H /K -ATPase is inhibited by characteristic of a surface mucous cell is the presence of nu- omeprazole. Omeprazole, an acid-activated prodrug that is merous mucus granules at its apex. The number of mucus converted in the stomach to the active drug, binds to two granules in storage varies depending on synthesis and se- cysteines on the ATPase, resulting in an irreversible inacti- cretion. Although the secreted H is often depicted as be- similar in appearance to surface mucous cells. Car- by the presence of zymogen granules in the apical region bonic acid (H2CO3) is formed from carbon dioxide (CO2) and an extensive ER. The zymogen granules contain and H2O in a reaction catalyzed by carbonic anhydrase.
It consists of inner longitudinal and outer circular layers of A urinary stone (calculus) may develop in any organ of the uri- smooth muscle fibers generic 120mg silvitra. A renal stone may obstruct the ureter and the ureter contains another longitudinal layer to the outside greatly increase the frequency of peristaltic waves in an attempt to of the circular layer buy 120 mg silvitra mastercard. The pain from a lodged urinary stone is extreme and urine through the ureter. A lodged urinary stone also by the presence of urine in the renal pelvis, and their fre- causes a sympathetic ureterorenal reflex that results in constriction of renal arterioles, thus reducing the production of urine in the kidney quency is determined by the volume of urine. Urinary System © The McGraw−Hill Anatomy, Sixth Edition Body Companies, 2001 Chapter 19 Urinary System 685 Ureter Uterus Symphysis pubis Urinary bladder Symphysis pubis Rectum Rectum Vagina Urethra (a) (b) FIGURE 19. In the male (a), the urinary bladder is located between the symphysis pubis and the rectum. In the female (b), the urinary bladder is located between the symphysis pubis and the uterus and upper portion of the vagina. In a female, the volume capacity of the urinary bladder is diminished during the last trimester of pregnancy, when the greatly enlarged uterus exerts constant pressure on the urinary bladder. Urinary Bladder The urinary bladder is a saccular organ for storage of urine. It is located just posterior to the symphysis pubis, anterior to the rec- tum (fig. In females, the urinary bladder is in contact with the uterus and vagina. The shape of the urinary bladder is determined by the vol- ume of urine it contains. An empty urinary bladder is pyramidal; as it fills, it becomes ovoid and bulges upward into the abdominal cavity. The median umbilical ligament, a fibrous remnant of the embryonic urachus (see Developmental Exposition, pp. The base of the urinary bladder receives the ureters, and the urethra exits at the inferior angle, or apex. The region surrounding the urethral opening is known as the neck of the urinary bladder. The internal trigone lacks rugae; it is therefore smooth in appearance and remains rel- atively fixed in position as the urinary bladder changes shape trigone: L. Urinary System © The McGraw−Hill Anatomy, Sixth Edition Body Companies, 2001 686 Unit 6 Maintenance of the Body Urinary bladder Urinary bladder Urethra Prostatic part of urethra Membranous part of urethra Bulbourethral gland (b) Corpus cavernosum penis Spongy part of urethra (a) FIGURE 19. It consists of a prostatic part that passes through the prostate, a membranous part that passes through the urogenital diaphragm, and a spongy part that passes through the penis. Urinary System © The McGraw−Hill Anatomy, Sixth Edition Body Companies, 2001 Chapter 19 Urinary System 687 The second layer of the urinary bladder, the submucosa, The urethra of the male serves both the urinary and repro- functions to support the mucosa. At the neck of the urinary bladder, can be identified in the male urethra: the prostatic part, the the detrusor muscle is modified to form the superior (called the membranous part, and the spongy part (fig. It appears only on the superior surface of the urinary the neck of the urinary bladder. The portion of the urethra re- bladder and is actually a continuation of the parietal peritoneum. The external urethral sphincter muscle The autonomic nerves serving the urinary bladder are de- is located in this portion. Sympathetic innervation arises from The spongy part of the urethra is the longest portion (15 the last thoracic and first and second lumbar spinal nerves to cm), extending from the outer edge of the urogenital diaphragm serve the trigone, urethral openings, and blood vessels of the uri- to the external urethral orifice on the glans penis. Parasympathetic innervation arises from the sec- surrounded by erectile tissue as it passes through the corpus spon- ond, third, and fourth sacral nerves to serve the detrusor muscle.
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