Sei sulla pagina 1di 125

dr.

Siti Rafiah Husain

Department of Anatomy
Hasanuddin University
ANATOMI BMD-BMSS

BEBERAPA HAL :
ISTILAH ANATOMIS
LATIN, INGGERIS
REFERENSI
ATLAS WERNER SPALTEHOLZ I II
SOBOTA JILID I II
GRAY GRANT GARDNER HAMILTON BOYD

ANATOMI BMD-BMSS

ANATOMI VISCERA
DIGESTIVUS
RESPIRATORIUS
URINARIUS
CIRCULASI

ANATOMI BMD-BMSS

SYSTEMA DIGESTIVUS

1.CAVITAS ORIS
2.PHARYNX
3.OESOPHAGUS
4.GASTER
5. INTESTINUM :
INTESTINUM TENUE
INTESTINUM CRASSUM
6. HEPAR
7. PANCREAS
(8.LIEN )

Gambar 1
ANATOMI BMD-BMSS

1.CAVITAS ORIS

Rongga
labium superius labium inferius
bucca
palatum durum palatum molle
Dentis, lingua
rima oris
isthmus faucium

ANATOMI BMD-BMSS

STRUKTUR TULANG :

MAXILLA
MANDIBULA
OS PALATINUM

Articulatio temporomandibularis :
Mandibula
Os temporalis

MUSCULUS :
M.TEMPORALIS
M.PTERYGOIDEUS LATERALIS
M.PTERYGOIDEUS MEDIALIS
M.MASSETER

ANATOMI BMD-BMSS

ISI CAVITAS ORIS


Labium superior

1. DENTES dan GINGIVA


Incisivus (2) caninus (1)
premolar (2) molar (3)
ada 2 jenis dentis yaitu
dentes decidua (20 buah)
dentes permanentes (32 buah)
fungsi : mastikasi,nilai estetika, forensik

Dentis
(incisivus)
Palatum durum

buccae

Palatum molle
Tonsilla
palatina
lingua

Gambar 2

ANATOMI BMD-BMSS

Labium inferior

2. LINGUA
organ muscular
(intrinsik extrinsik)
receptor gustatorius :
manis pahit asam
asin
nucleus gustatorius
nucleus salivatorius
reflex salivasi
Fungsi : gustatorius,
mastikasi, deglutitio,
speech

ANATOMI BMD-BMSS

papilla

Gambar 3

3. GLANDULA SALIVATORIUS :

GLD.SALIVATORIUS MINOR
GLD.SALIVATORUS MAJOR
Terdiri dari :
-gld.sublingualis
-gld.submandibularis
-gld parotis
Ductus excretorius cavitas
oris

ANATOMI BMD-BMSS

2. PHARYNX
TABUNG FIBRO-MUSCULAR
BASIS CRANII VERTEBRA
CERVICALIS 6
PANJANG 12,5 CM
DIAMETER 5 CM , 2,5 CM

ANATOMI BMD-BMSS

10

Pembagian pharynx :
1. NASOPHARYNX :
- choanae cavitas nasi
- tuba eustacheus cavum tympani
2. OROPHARYNX
isthmus faucium cavitas oris
3. LARINGOPHARYNX
adytus laryngeus - larynx

ANATOMI BMD-BMSS

2
3

11

m.constrictor pharyngeus :

superior
medius
inferior

ANATOMI BMD-BMSS

12

3. OESOPHAGUS
saluran muscular
pharynx gaster
di bagi menjadi 3 bagian :
-pars cervicalis
-pars thoracalis
-pars abdominalis
diaphragma thoracis hiatus
oesophageus
ANATOMI BMD-BMSS

13

CAVUM ABDOMINIS

RONGGA CAVUM
ABDOMINOPELVICUM
DIAPHRAGMA THORACIS
CAVITAS THORACIS
Viscera abdominis

DIBENTUK OLEH :

- skeleton : vertebra lumbalis 1-5


- Muskulus : m.rectus abdominis,
m.obliquus externus
abdominis, m.obliquus
internus abdominis,
m.transversus abdominis

ANATOMI BMD-BMSS

14

CAVUM ABDOMINIS
REGIONES :
(1) ZONA COSTALIS
(2) ZONA UMBILICALIS
(3) ZONA HYPOGASTRICA
-IDENTIFIKASI LOKALISASI VISCERA
ABDOMINIS
-PEMERIKSAAN FISIS - PALPASI
ANATOMI BMD-BMSS

15

Anatomical Regions:

ZONA COSTALIS : Regio


HYPOCHONDRICA DEXTER
et SINISTER, EPIGASTRIUM
ZONA UMBILICALIS : Regio
LUMBALIS DEXT et SIN.,
UMBILICALIS
ZONA HYPOGASTRICA :
Regio INGUINALIS DEXT et
SIN., SUPRAPUBIS

ANATOMI BMD-BMSS

16

AnatomicalRegions:

Midclavicular line
Transpyloric plane
Transtubercular plane

ANATOMI BMD-BMSS

17

Intheclinic:
KANAN ATAS : HEPAR
KIRI ATAS : GASTER, LIEN
KANAN BAWAH : APPENDIX,
OVARIUM
KIRI BAWAH: COLON
SIGMOIDEUM , OVARIUM
SUPRA PUBIS : VESICA
URINARIA, UTERUS

ANATOMI BMD-BMSS

18

LAPISAN DINDING ABDOMEN

KULIT
JARINGAN LEMAK
FASCIA SUPERFICIALIS
ABDOMINIS
MUSCULUS VENTRO-LATERAL
FASCIA TRANSVERSA
ABDOMINIS
JARINGAN LEMAK

EXTRAPERITONEAL
PERITONEUM

ANATOMI BMD-BMSS

19

4. GASTER = VENTRICULUS
Morfologi :
KANTONG MUCOSA
DAN OTOT POLOS
BENTUK HURUF J
CURVATURA MAJOR
CURVATURA MINOR
FIKSASI : OMENTUM
MAJUS DAN OMENTUM
MINUS

ANATOMI BMD-BMSS

20

GASTER
Cardia
Fundus
Dome
Under diaphragm

(corpus)

Corpus
Large, midportion

Pylorus
Distal portion
Pyloric sphincter
ANATOMI BMD-BMSS

21

LOKALISASI :
KUADRAN KIRI ATAS
ANATOMIS : REGIO
EPIGASTRIUM dan
HYPOCHONDRIUM
SINISTER
PERITONEUM INTRAPERITONEAL
ANATOMI BMD-BMSS

22

5. INTESTINUM
INTESTINUM
TENUE :
- DUODENUM
- JEJENUM dan ILEUM

INTESTINUM
CRASSUM :
CAECUM - COLON
ASCENDENS
TRANSVERSUM
DESCENDENS
SIGMOIDEUM - RECTUM ANUS

ANATOMI BMD-BMSS

23

DUODENUM

HURUF C
UKURAN 25 CM (12 JARI)
TERDIRI DARI :
PARS
SUPERIOR DESCENDENS
HORIZONTALIS
ASCENDENS
DUCTUS CHOLEDOCHUS
(EMPEDU )
DUCTUS PANCREATICUS
(ENZIM )

ANATOMI BMD-BMSS

24

JEJENUM - ILEUM

PANJANG 6-7 METER


MESENTERIUM
RADIX MESENTERII

ANATOMI BMD-BMSS

25

Intestinum crassum
Caecum
Processus vermiformix
(Appendix)

Colon

Ascendens
Transversum
Descendens
Sigmoideum

Rectum
Anus
ANATOMI BMD-BMSS

26

Caecum :
-pangkal colon
ascendens
-muara ileum
-processus vermiformis
= appendix

colon ascendens
transversum
descendens
sigmoideum
rectum -- anus

flexura coli dextra


flexura coli sinistra
Gambar 7

ANATOMI BMD-BMSS

27

Ciri utama colon :


taenia
haustra
appendix epiploica
(=appendix omentalis)

ANATOMI BMD-BMSS

28

6. PANCREAS

KELENJAR EXOCRINE
ENDOCRINE
ENZIM INSULIN
CAPUT CORPUS CAUDA
DUCTUS PANCREATICUS
WIRSUNGI + DUCTUS
CHOLEDOCHUS
BERMUARA KE DALAM
DUODENUM
DI BAGIAN KONKAF
DUODENUM
RETROPERITONEAL

ANATOMI BMD-BMSS

29

Ducts of Pancreas

Main Pancreatic
duct :
(ductus pancreaticus
Wirsungi)

joins common bile


duct (ductus
choledochus)
enters duodenum

Accessory
Pancreatic duct
enters duodenum
in other location

ANATOMI BMD-BMSS

30

7. HEPAR

Organ besar, coklat


kemerah-merahan
konsistensi padat
kuadran kanan atas
intraperitoneal
bentuk hemispherium
terdiri dari lobus
dexter et sinister
facies visceralis
porta hepatis

ANATOMI BMD-BMSS

31

APPARATUS EXCRETORIUS HEPATIS

VESICA FELLEA
DUCTUS CYSTICUS
DUCTUS HEPATICUS
DUCTUS CHOLEDOCHUS

ANATOMI BMD-BMSS

32

Vesica Fellea
Muscular sac
Located between
right and quadrate
lobes of liver
Bile

(Duct. Choledochus)

ANATOMI BMD-BMSS

Produced by liver
Stored in gallbladder
Emulsification of fats

33

Ductus cysticus
Duct. cysticus
from gallbladder

Duct. hepaticus
from liver

Ductus choledocus
(common bile duct)
carries bile into duodenum

ANATOMI BMD-BMSS

34

8. LIEN = SPLEEN

ORGAN LYMPHATIC
LUNAK
VASCULAR RESERVOIR DARAH
KUADRAN KIRI ATAS
INTRAPERIETONEAL
BUKAN ORGAN DIGESTIVUS (!)

ANATOMI BMD-BMSS

35

SYSTEMA RESPIRATORIUS

RESPIRASI
OLFACTUS
BUNYI (SUARA)

ANATOMI BMD-BMSS

36

SYSTEMA RESPIRATORIUS
1.CAVITAS NASI
2.LARYNX
3.TRACHEA
4.BRONCHUS
5.PULMO
6.PLEURA
7.DIAPHRAGMA
THORACIS

ANATOMI BMD-BMSS

37

1. CAVITAS NASI
RONGGA PIRAMID
MEMPUNYAI :
- DINDING
LATERAL
- DINDING MEDIAL
(= SEPTUM NASI)

NARES ANTERIOR =
NOSTRIL
NARES POSTERIOR
= CHOANAE
ANATOMI BMD-BMSS

38

DINDING LATERAL :
Concha nasalis superior
Concha nasalis media
Concha nasalis inferior
Meatus nasi superior
Meatus nasi medius
Meatus nasi inferior

ANATOMI BMD-BMSS

39

MEATUS NASI SUPERIOR ET MEDIUS :

Muara sinus paranasalis


MEATUS NASI INFERIOR :
Muara ductus nasolacrimalis
Pada nares anterior :
- VIBRISAE
Pada mucosa cavitas nasi :
- TEMPERATUR = SUHU TUBUH
- Reseptor Nervus olfactorius

ANATOMI BMD-BMSS

40

SINUS PARANASALIS

Sinus frontalis
Sinus ethmoidalis
(=cellulae eithmoidalis)
Sinus sphenoidalis
Sinus maxillaris

Fungsi:

- Udara menjadi basah dan hangat


- Os cranium menjadi lebih ringan
- Resonansi udara
ANATOMI BMD-BMSS

41

2. Larynx
Cartilago
Ligamentum / membran
Otot

ANATOMI BMD-BMSS

42

Larynx
Di ventral dari pharynx
Berhadapan dengan
Vert. Cervicalis 3-6
Di caudal dari os
hyoideum dan lingua
Melanjutkan diri
menjadi trachea
ANATOMI BMD-BMSS

43

Fungsi larynx
Respirasi
Menghasilkan bunyi
Sphincter : mencegah masuknya
benda asing ke dalam trachea/ bronchus

ANATOMI BMD-BMSS

44

CARTILAGO LARYNGIS

Cartilago
Cartilago
Cartilago
Cartilago
Cartilago
Cartilago

thyreoidea (1)
cricoidea (1)
arytaenoidea(2)
epiglottica (1)
corniculata (2)
cuneiforme (2)

ANATOMI BMD-BMSS

45

CARTILAGO THYROIDEA :
Pomum Adami = prominentia
laryngis
Tanda sex secunder pria
PLICA VOCALIS :
- Cart.thyroidea
cart.arytenoidea
- Bunyi udara expirasi

ANATOMI BMD-BMSS

46

EPIGLOTTIS :
Cartilago epiglottica ujung
superior bebas ujung
inferior pd cart.thyroidea
PLICA ARYEPIGLOTTICA
ADITUS LARYNGIS

ANATOMI BMD-BMSS

47

CARTILAGO ARYTENOIDEA :
Sepasang piramid kecil
CARTILAGO CRICOIDEA :
Lingkaran (cincin)
Letak paling caudal
Trachea
ANATOMI BMD-BMSS

48

RONGGA LARYNX :
1. ADITUS LARYNGIS
2. VESTIBULUM LARYNGIS
3. VENTRICULUS LARYNGIS
4. CAVUM LARYNGIS

ANATOMI BMD-BMSS

49

3. TRACHEA

PIPA CARTILAGO :
Cincin, terbuka di dorsal
Cart.cricoidea (vert. cerv. 6
vertebra thoracalis 5)
Panjang 11 cm, diameter
2-2,5 cm
Di dorsal terdapat
Oesophagus
Di ventral terdapat
Glandula Thyroidea
Cavitas thoracis

ANATOMI BMD-BMSS

50

4. BRONCHUS

BRONCHUS PRIMER :
BRONCHUS DEXTER,
pendek, lumen besar,
vertikal
BRONCHUS SINISTER,
panjang, lumen kecil
BRONCHUS SEKUNDER
BRONCHUS TERTIER
BRONCHIOLUS
TERMINALIS
ALVEOLUS

ANATOMI BMD-BMSS

51

Segmen bronchopulmonis utama


Pulmo Dexter
Lobus Superior
Lobus Medius
Lobus Inferior

Pulmo Sinister
Lobus Superior

Lobus Inferior

ANATOMI BMD-BMSS

1. Apical
Anterior
4. Lateral

2. Posterior
5. Medial

6. Superior
Anterior Basal
9. Lateral Basal

3.

7. Medial Basal

8.

10. Posterior Basal

1. Apical
Anterior
4. Superior Lingular

2. Posterior
5. Inferior Lingular

6. Superior
9. Lateral Basal

8. Anterior Basal
10. Posterior Basal

3.

52

ANATOMI BMD-BMSS

53

5. PULMO
PARENCHYM
TERDIRI DARI :
- LOBUS DEXTER
- LOBUS SINISTER
SEGMEN-SEGMEN
CONUS :
Basis Apex
Facies Margo
(batas)
BERISI UDARA
ANATOMI BMD-BMSS

54

ANATOMI BMD-BMSS

55

PLEURA

PLEURA VISCERALIS
PLEURA PARIETALIS
CAVUM PLEURA berisi

cairan sereus

ANATOMI BMD-BMSS

56

ANATOMI BMD-BMSS

57

DIAPHRAGMA THORACIS
SEKAT, KUBAH
CAVITAS THORACIS
CAVUM ABDOMINIS
JARINGAN IKAT + OTOT
MELEKAT :
Vert.thoracalis 12
proc.xiphoideus arcus costarum

ANATOMI BMD-BMSS

58

Action of the Diaphragm

ANATOMI BMD-BMSS

Primary muscle of respiration


(involuntary)- contracts during
inspiration
Moves inferiorly
Flattens
Increases volume of thoracic
cavity
Decreases intrathoracic
pressure; increases intraabdominal pressure
Air moves into lungs (from
area of high pressure to
lower pressure)
59

DILALUI :

Oesophagus
Aorta thoracalis
(aorta abdominalis )
Cistena chyli
( ductus thoracicus )
Vena cava inferior
N.vagus truncus
sympathicus

ANATOMI BMD-BMSS

60

SISTEMA URINARIUS
SISTEMA EXCRETORIUS
URINE
PROSES FILTRASI DARAH

DEPARTMENT OF ANATOMY
HASANUDDIN UNIVERSITY
ANATOMI BMD-BMSS

61

(Ren)

SISTEME URINARIUS
1.
2.
3.
4.

REN
URETER
VESICA URINARIA
URETHRA

(Vesica urinaria)
ANATOMI BMD-BMSS

62

Systema Urinarius
Ren
Filter wastes from blood

Ureter
Transport urine from
kidney to bladder

Vesica urinaria
Store urine

Urethra
Drain urine and convey
it out of body
ANATOMI BMD-BMSS

63

The Pelvic Cavity


Bony Pelvis
Pelvic Organs
Reproductive System

ANATOMI BMD-BMSS

64

R E N = KIDNEY
Dua buah terletak
disebelah kiri dan kanan
Columna vertebralis (T12
L3) dan retroperitoneal
Btk kacang merah,
panjang11 cm,
lebar 6 cm dan tebal 3 cm,
berwarna kecoklat-coklatan

Terdiri dari cortex dan


medulla renalis
ANATOMI BMD-BMSS

65

REN
Cavum abdominis
Polus superior, glandula
suprarenalis
Polus inferior
Hilus renalis

ANATOMI BMD-BMSS

66

Gross Anatomy of Kidneys


Medial surface
Convex
Hilus = cleft where nerves
and vessels enter, ureter
exits
Renal Artery + Vein
Innervation: branches of
renal plexus

Superior Surface
Adrenal gland
ANATOMI BMD-BMSS

67

Internal Gross Anatomy


Cortex renalis
Superficial layer
Light, granular
Part of functional unit

Medulla renalis
Deep layer
Darker
Medullary pyramids-cone
shape
Contain collecting tubule
collect urine
ANATOMI BMD-BMSS

68

Internal Gross Anatomy

Pyramis renalis

Base against cortex


Apex = papilla
Calix minor
Cup-shaped divisions of
major calices
Surround papilla of pyramid
Calix major
Larger cup-shaped branches of
renal pelvis
Pelvis renalis
Flat funnel-shaped expansion of
ureter
ANATOMI BMD-BMSS

69

Microscopic Anatomy
Functional Unit = Uriniferous
Tubule
Nephron
Renal corpuscle, proximal
convoluted tubule, loop of Henle,
distal convoluted tubule

Collecting tubule

Filtration, reabsorption, and


secretion to eliminate wastes and
keep what is needed
Collecting tubules form papillary
ducts
ANATOMI BMD-BMSS

70

Urine collection:
Ducts within each renal
papilla release urine
into

calyx minor
Calyxmajor
Pelvisrenalis
ureter

ANATOMI BMD-BMSS

71

FIXASI REN

fascia renalis
corpus adiposum
pararenale
vasa renalis

ANATOMI BMD-BMSS

72

URETER
Dibentuk oleh otot polos,
25-30 cm
Saluran, 2 buah
PARS ABDOMINALIS &
PARS PELVICA
Merupakan kelanjutan dari
PELVIS RENALIS
Bermuara kedalam
VESICA URINARIA
ANATOMI BMD-BMSS

73

VESICA URINARIA
o
o

o
o

Suatu kantong muscular


Terletak : - dorsal
Symphysis Pubis
- dalam Cavum
pelvis
Sebagai Reservoir Urine
Berbentuk PYRAMIDA SISI
TIGA TERBALIK

ANATOMI BMD-BMSS

74

STRUKTUR LUAR

o APEX VESICAE
(Sudut Anterior )
o CORPUS VESICAE
( antara Apex dengan
Fundus )
o FUNDUS VESICAE
o COLLUM VESICAE
( Sudut Inferior )

=apex

= corpus
= fundus
= collum

ANATOMI BMD-BMSS

75

STRUKTUR LUAR, terdapat permukaan

FACIES SUPERIOR ( 1 )
FACIES
INFERIOLATERAL ( 2 )
FACIES POSTERIOR ( 1 )
( = Fundus Vesicae / Basis Vesicae )

ANATOMI BMD-BMSS

76

Bladder
Collapsible
Full into abdominal
cavity, spherical
Emptylies within pelvic
cavity, upside-down
pyramid

ANATOMI BMD-BMSS

77

URETHRA
URETHRA FEMININA
Bermuara didalam vestibulum vaginae,
diventral ostium vaginae.
URETHRA MASCULINA
1. pars prostatica
2. pars
membranacea
3. pars spongiosa
ANATOMI BMD-BMSS

78

URETHRA FEMININA
Lebih pendek ( 4 cm ) dari pria
Bermuara ORIFICIUM URETHRA
EXTERNUM pada VESTIBULUM
VAGINAE
dianterior Superior Ostium Vaginae
Ujung Cranialnya pada collum
Vesicae
OSTIUM URETHRAE INTERNUM

ANATOMI BMD-BMSS

79

URETHRA MASCULINA

panjang 20 cm.
Terdiri 3 bagian dari
cranial ke caudal :
- PARS
PROSTATICA (3 cm)

URETHRA :
Pars prostatica
Pars membranacea

-PARS
MEMBRANACEA

(2 cm)
-- PARS SPONGIOSA
(15 cm)

ANATOMI BMD-BMSS

Pars membranacea

80

PARS PROSTATICA
panjang 3 cm
Menembus / terletak
dalam Glandula Prostat
terletak Vertikal
Lumen besar

ANATOMI BMD-BMSS

81

PARS MEMBRANACEA
paling pendek ( 2 cm ) &
sempit lumennya.
lanjutan ke caudal Pars
Prostatica
Menembus / terletak dalam
diaphragma Pelvis + UG

ANATOMI BMD-BMSS

82

PARS SPONGIOSA
paling panjang ( 15 cm )
Terletak dalam Bulbus Spongiosum dan Corpus
Spongiosum
Penis ( + glans penis )
Lumennya paling besar
Lanjutan pars membranacea ke caudal
Melebar pada bagian proximalnya ( pd bulbus
penis )
Fossa INTRABULBARIS dan distalnya ( pada
Glans Penis )
FOSSA NAVICULARIS

ANATOMI BMD-BMSS

83

Male versus Female

ANATOMI BMD-BMSS

84

SISTEMA CIRCULASI

COR
ARTERI VENA
LYMPHE LYMPHONODUS
ANATOMI BMD-BMSS

85

COR
(=Cordis, kardia ,jantung)
Organ muscular
Bentuk conus,
sebesar kepalan
tinju
Letak :
- Diantara ke-2 pulmo
- Di atas diaphragma
- Menempati
mediastinum medius
ANATOMI BMD-BMSS

86

Location in Thorax

ANATOMI BMD-BMSS

87

Location in Thorax
Largest organ in
mediastinum
Lies posterior to
sternum and costal
cartilages
Rests on superior
surface of
diaphragm

ANATOMI BMD-BMSS

88

MORFOLOGI COR

Basis cordis
Facies sternocostalis
Facies sinister
Facies diaphragmatica

ANATOMI BMD-BMSS

89

APEX CORDIS
Bagian ventriculus
sinister
Letak :
- Ruang intercostalis
5 kiri
- 9 cm dari linea
mediana sinistra
- 2 jari medial linea
medioclavicularis sinistra

ANATOMI BMD-BMSS

90

Posisi :
Basis di cranial
Apex di caudal
2/3 bagian di kiri linea mediana
Sumbu cordis :
Dari basis ke apex
Miring dari craniodorsal ke
caudoventral

ANATOMI BMD-BMSS

91

BASIS CORDIS
Di cranialis : arah
craniodorsal kanan
Dibentuk oleh:

- Sebagian atrium
sinistra dan dextra
- Bagian proximal:
Pembuluh darah
besar
ANATOMI BMD-BMSS

92

The Heart
Aortae
Vena cava superior
Auricula dextra

Truncus pulmonalis
Auricula sinistra

Atrium cordis
dextra
Ventriculus dextra

Vena cava inferior

ANATOMI BMD-BMSS

Ventriculus sinistra

Apex cordis

93

Cor dewasa:
Ukuran : p = 12 cm, L = 8-9 cm, T =
6 cm
Berat : Pria: 280-340 gr , Wanita=
230-280 gr

Dinding 3 lapis:
Epicardium (luar)
Myocardium (tengah)
Endocardium (dalam)

ANATOMI BMD-BMSS

94

BAGIAN-BAGIAN COR

atrium dextra
atrium sinister
ventriculus dexter
ventriculus
sinister

ANATOMI BMD-BMSS

95

ATRIUM DEXTER
lebih besar dari sinister
dinding tipis
2 bagian : Sinus venorum
& auricula dextra (mm.
pectinati)
Bermuara :
- Vena cava superior
- Vena cava inferior
- Sinus coronaries
ANATOMI BMD-BMSS

96

ATRIUM SINISTER

Terdapat sinus venorum


dan auricula sinistra
Bermuara vena pulmonalis

ANATOMI BMD-BMSS

97

Antara Atrium Sinister & Dextra


Terdapat SEPTUM
INTERATRIORUM
(=septum atriorum)

Sisa FORAMEN
OVALE
(FOSSA OVALIS)
ANATOMI BMD-BMSS

98

VENTRICULUS DEXTER

Ostium atrioventriculare dexter


dengan 3 katup (VALVULA
TRICUSPIDALIS)
Chordae tendinae
Trabeculae carnae
M. papillaris
Terdpt pangkal Arteri Pulmonalis

ANATOMI BMD-BMSS

99

ANATOMI BMD-BMSS

100

VENTRICULUS SINISTER
membentuk apex cordis
dinding 3 x lebih tebal
Ostium Atrioventriculare
sinister 2 katup (VALVULA

BICUSPIDALIS = VALVULA
MITRALIS)
Chordae tendinae
Trabeculae carnae
M. papillaris

Pangkal dari aorta


ANATOMI BMD-BMSS

101

Heart Valves

ANATOMI BMD-BMSS

Figure102
18.8a, b

CIRCULASI SISTEMIK
ALIRAN DARAH
ARTERI : dinding otot
polos, berdenyut
VENA : dinding tipis,
valvula
COR AORTA
ARTERI ARTERIOLE
CAPILER JARINGAN
capiler venule vena
vena cava superior et
inferior-cor
ANATOMI BMD-BMSS

103

a.Carotis communis sinistra

Arteri Anonyma
Arcus aorta

a.Subclavia sinistra

Aorta descendens

Aorta ascendens

a.Coronaria dextra

ANATOMI BMD-BMSS

a.Coronaria sinistra

104

AORTA
AORTA ASCENDENS:
mempercabangkan
a.coronaria sinistra dan
a.coronaria dextra
ARCUS AORTA
AORTA DESCENDENS
(=AORTA THORACALIS)

Melanjutkan diri menjadi


AORTA ABDOMINALIS

ANATOMI BMD-BMSS

105

ARCUS AORTA
a. anonyma (=truncus
brachiocephalicus)
-

a. carotis communis
dextra
A. subclavia dextra

a. carotis communis
sinistra
a. subclavia sinistra
ANATOMI BMD-BMSS

106

ARCUS AORTAE :
A.SUBCLAVIA
a.axillaris a.brachialis
a.ulnaris a.radialis
(processus styloideus)
A.CAROTIS COMMUNIS :
a.carotis interna
a.carotis interna

ANATOMI BMD-BMSS

107

Aorta ascendens arcus


aortae aorta descendens
(= aorta thoracalis ) aorta
abdominalis arteria iliaca
communis a.iliaca internaa.ilica externa a.femoralis
a.poplitea a.tibialis
anterior a.tibialis posterior
a.dorsalis pedis
ANATOMI BMD-BMSS

108

CIRCULASI PULMONAL
ventriculus dexter
arteria pulmonalis
Pulmo
Pergantian CO2 dengan
O2 (darah eritrosit)

vena pulmonalis
atrium sinistrum

ANATOMI BMD-BMSS

109

CIRCULASI CORONER
vascularisasi
myocardium
a.coronaria dextra et
sinistra
v. cordis
v.cordis
Sinus coronarius
sinus coronarius
atrium dextrum
ANATOMI BMD-BMSS

110

1. a.Coronaria sinistra
2. a.Coronaria dextra

ANATOMI BMD-BMSS

1. Vena cordis
2. Sinus coronarius

111

ALIRAN DARAH VENA :


EXTREMITAS INFERIOR : vena
saphena magna - v.saphena parva
v.femoralis v.iliaca vena cava
inferior
EXTREMITAS SUPERIOR :
v.cephalica, v.ulnaris-v.radialis
v.brachialis v.axillaris-v.subclavia
CAPUT dan COLLUM :
V.JUGULARIS INTERNA VENA CAVA
SUPERIOR
VENA CAVA SUPERIOR dan VENA CAVA
INFERIOR bermuara kedalam ATRIUM
DEXTRUM
ANATOMI BMD-BMSS

112

ANATOMI BMD-BMSS

113

Blood Circulation

ANATOMI BMD-BMSS

114

ANATOMI BMD-BMSS

115

CIRCULASI PORTAL
V.MESENTERICA SUPERIOR
V.MESENTERICA INFERIOR
V.LIENALIS
VENA PORTA PORTA
HEPATIS
ABSORBSI BAHAN MAKANAN
Bendungan : ascites hemorrhoid
- hematemesis
ANATOMI BMD-BMSS

116

CIRCULUS ARTERIOSUS WILLISI

ENCEPHALON
A.CAROTIS INTERNA
A.BASILARIS (dibentuk
oleh a. vertebralis)

ANATOMI BMD-BMSS

117

Circle of Willis = Cerebral Arterial Circle


= Ring of vessels surrounding
pituitary gland - supplies
cerebrum and cerebellum
Brain can receive blood from
carotids or vertebrals

ic

ANATOMI BMD-BMSS

118

Circle of Willis

ANATOMI BMD-BMSS

119

ALIRAN LIQUOR CEREBROSPINALIS

FILTRASI DARAH
PLEXUS CHORIOIDEUS
VENTRICULUS SPATIUM
SUBARACHNOIDEUM
SINUS VENOSUS
VENA JUGULARIS INTERNA
NUTRISI
ANATOMI BMD-BMSS

120

SISTEMA LYMPHATICA
LYMPHE (= CAIRAN JARINGAN) , bening
PEMBULUH LYMPHE
LYMPHONODUS

-LYMPHONODUS AXILLARIS
-LYMPHONODUS INGUINALIS
-LYMPHONODUS CERVICALIS
-LYMPHONODUS VISCERALIS :
(viscera abdominis cisterna chyli (chylus)
ductus thoracicus pembuluh vena)

ANATOMI BMD-BMSS

121

Distribution of LNs
- Cervical lymph nodes - drain head and neck
- Axillary lymph nodes - drain arms and breasts
- Popliteal lymph nodes - drain legs, drain into
- Inguinal lymph nodes - drain lower limb
- Thoracic lymph nodes - drain thoracic viscera
- Abdominal lymph nodes - drain pelvic region
- Intestinal and mesenteric lymph nodes - drain abdominal viscera

ANATOMI BMD-BMSS

122

Right
lymphatic
duct
Right
subclavian
vein

Left subclavian vein

Thoracic (left lymphatic) duct

Lymph capillaries converge to


become collecting vessels and
end up as either
Thoracic duct or right
lymphatic duct

Cysterna Chyli
ANATOMI BMD-BMSS

123

ANATOMI BMD-BMSS

124

ANATOMI BMD-BMSS
largest

125

Potrebbero piacerti anche