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Respiratory system

 

 

 

 

 

 

 

 

BRONCHOPULMONARY

SEGMENTS. Segmenta

19

Superior lingular segment (S IV). Segmen-

1

 

1

 

 

 

bronchopulmonalia. Lung segments supplied by

 

tum lingulare superius. It lies predominantly

 

 

 

 

individual bronchi and arteries and separated by

 

on the inferior lingular segment. B

2

 

 

 

veins and connective tissue septa. A B

20

Inferior lingular segment (S V). Segmentum

 

 

 

2 Upper lobe of right lung. (According to Dor-

 

lingulare inferius. It lies between the superior

3

 

 

 

land’s lobus superior pulmonis dextri). Pulmo

 

lingular segment and the oblique fissure. B

 

 

 

dexter, lobus superior. A

 

 

21 Lower lobe of left lung. (Lobus inferior pul-

 

 

 

 

 

 

 

 

 

3 Apical segment of upper lobe of right lung.

4

 

 

 

monis sinistri). Pulmo sinister, lobus inferior

 

 

 

Segmentum apicale (S

I). It is inserted like a

 

B

 

 

 

 

 

wedge between the anterior and posterior seg-

22

Superior segment (S VI).

Segmentum su-

5

 

 

 

ments. A

 

 

 

 

 

 

 

 

perius. Apical portion of lower lobe situated

 

4

Posterior segment of upper lobe of right

 

 

 

 

posterosuperiorly near the vertebral column.

 

 

 

 

lung. Segmentum posterius (S II). It lies be-

 

B

 

6

 

 

 

 

 

 

 

 

tween the apical segment and the lower lobe. A

23

Subapical segment. [[Segmentum subapi-

 

5

Anterior segment of upper lobe of right

 

 

cale]]. Accessory segment occasionally pre-

7

 

 

 

 

lung. Segmentum anterius (S III). It lies be-

 

sent below the superior segment of the lower

 

 

 

 

tween the apical segment and the middle lobe. A

 

lobe.

 

 

 

 

 

 

 

8

6

Middle lobe of right lung. (Lobus medius pul-

24

Medial basal (cardiac) segment (S VII). Seg-

 

 

 

 

monis dextri). Pulmo dexter, lobus medius. A

 

mentum basale mediale (cardiacum). It is

 

 

 

 

 

9

7

Lateral segment of middle lobe. Segmentum

 

often an inseparable part

of the anterior

 

 

 

laterale (S IV). It occupies the dorsal portion

 

basal segment. B

 

 

 

 

 

 

 

 

 

 

 

of the middle lobe and does not

reach the

25

Anterior basal segment (S

VIII). Segmentum

10

 

 

 

 

 

 

hilum. A

 

 

 

 

 

 

 

 

basale anterius. It lies between the oblique

 

8

Medial segment of middle lobe. Segmentum

 

fissure and the lateral basal segment. B

11

 

 

 

mediale (S V). It forms the medial and dia-

26

Lateral basal segment (S

IX). Segmentum

 

 

 

 

phragmatic surfaces of the middle lobe. A

 

basale laterale. It lies between the anterior

 

 

 

 

 

 

 

 

12

9

Lower lobe of right lung. (Lobus inferior pul-

 

and posterior basal segments. B

 

 

 

monis dextri). Pulmo dexter, lobus inferior. A

27

Posterior basal segment (S X). Segmentum

 

 

 

 

 

10

Superior segment.

Segmentum

superius

 

 

basale posterius. It lies beside the vertebral

13

 

 

 

 

(S VI). Posterosuperiorly situated apical por-

 

column below the superior segment of the

 

 

 

 

tion of lower lobe. A

 

 

 

lower lobe. B

 

1411 Subapical segment. [[Segmentum subapicale]]. An accessory segment occasionally present below the superior segment.

1512 Medial basal (cardiac) segment (S VII). Segmentum basale mediale (cardiacum). It does

16not reach the lateral surface of the lung and is only seen from the medial and inferior sur-

17faces. A

13Anterior basal segment (S VIII). Segmentum basale anterius. It lies between the middle

18

lobe and diaphragm. A

14 Lateral basal segment (S IX). Segmentum

19basale laterale. It lies between the posterior and anterior basal segments. A

2015 Posterior basal segment (S X). Segmentum basale posterius. Located between the vertebral column and lateral basal segment. A

2116 Upper lobe of left lung. (Lobus superior pulmonis sinistri). Pulmo sinister, lobus superior.

22B

17 Apicoposterior segment (S I + II). Segmen-

23tum apicoposterius. It comprises two wedgeshaped segments (apical and posterior) which lie between the oblique fissure and the

24anterior segment of the upper lobe. B

18 Anterior segment (S III) of upper lobe. Seg-

25mentum anterius. It lies between the superior lingular and apicoposterior segments. B

Respiratory system 151

I

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

148.26

 

II

 

 

 

III

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

VI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

 

 

 

 

IV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

12

 

 

 

 

148.27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

VII

6

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

IX

 

VIII

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

Segments

 

 

 

 

 

 

17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of the right lung

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III

 

 

 

17

148.26

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VI

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V

 

 

 

 

21

 

 

 

 

 

 

 

20

 

 

VII

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIII

IX

X

 

 

 

 

 

 

 

 

 

 

 

25

26

27

 

 

 

 

 

 

 

 

148.22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BSegments

of the left lung

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

 

152

Respiratory system

 

 

 

 

 

 

 

 

 

Bronchioles.

Bronchioli.

Noncartilaginous

16

Mediastinal part of parietal pleura (mediastinal

1

 

1

 

 

 

segments of the respiratory tree directly fol-

 

pleura). Pars mediastinalis. Portion of the

 

 

 

 

lowing the bronchi. They are lined initially by

 

parietal pleura lining the mediastinum. B C

2

 

 

 

pseudostratified,

ciliated,

columnar

17

Costal part of parietal pleura (costal pleura). Pars

 

 

 

 

epithelium which is subsequently replaced by

 

costalis. It lines the ribs. B C

 

 

 

 

 

simple cuboidal epithelium. A

 

 

 

3

 

 

 

 

18

Diaphragmatic part of parietal pleura (diaphrag-

 

2

Respiratory bronchioles. Bronchioli respira-

 

 

 

matic pleura). Pars diaphragmatica. It covers

 

 

 

 

torii. Last bronchiolar segment the wall of

 

4

 

 

 

 

the diaphragm. B

 

 

 

 

 

which already consists partially of alveoli. A

19 Pleural recesses. Recessus pleurales. Fissure-

 

 

3

Alveolar ducts. Ductuli alveolares. Terminal

 

 

 

shaped spaces formed by the parietal pleura

5

 

 

 

branches of the respiratory bronchioles the

 

for reception of the lungs during inspiration.

 

 

 

 

walls of which contain only alveoli. A

20

Costodiaphragmatic recess. Recessus cos-

 

4

Alveolar sacs. Sacculi alveolares. Blind, ex-

6

 

todiaphragmaticus. Pleural recess

between

 

 

 

 

panded ends of the alveolar ducts. A

 

the descending sides of the diaphragm and

 

 

 

5 Pulmonary alveoli. Alveoli pulmonis. Small-

 

the lateral wall of the thorax. B

 

7

 

 

 

 

 

 

21

Costomediastinal recess. Recessus costome-

 

 

 

est outpocketings, 0.1−0.9 mm. in diameter,

 

 

 

 

 

 

 

 

the thin walls of which permit the exchange

 

diastinalis. Anterior pleural space between

8

 

 

 

 

 

 

 

of gases. A

 

 

 

 

 

the costal and mediastinal pleura; it is more

 

6

THORACIC

CAVITY.

 

Cavitas

thoracis

 

extensive on the left than on the right. C

 

 

 

9

 

22

Phrenicomediastinal

recess.

Recessus

 

 

 

(thoracica). Internal thoracic space enclosed

 

 

 

 

by the ribs and limited inferiorly by the dia-

 

phrenicomediastinalis. Pleural recess situated

10

 

 

 

phragm. B C

 

 

 

 

 

dorsally between the diaphragm and the me-

 

 

 

 

 

 

 

 

 

diastinum.

 

 

7Pleuropulmonary regions. Regiones pleuro-

 

 

pulmonales. Regions connecting the pleura

23 Pulmonary ligament. Lig. pulmonale. Double

11

 

 

 

fold extending from the right and left sides of

 

and lungs.

 

 

 

 

 

 

 

 

 

8

Endothoracic

fascia.

Fascia

endothoracica.

 

the hilum, connecting the visceral and medi-

 

 

12

 

astinal pleura. Between both folds the lung

 

Displaceable layer of loose connective tissue

 

abuts against the mediastinal connective

 

 

between the parietal pleura and chest wall. B

 

tissue free of pleura. B. See also p. 149 B D

13

 

 

9

Suprapleural membrane. Membrana supra-

24

Mediastinum. Thoracic area between both

 

 

pleuralis [[Sibson]]. Thickened portion of the

 

pleural sacs. It extends from the anterior sur-

 

 

 

14

 

endothoracic

fascia

in the

region

of

the

 

face of the vertebral column to the posterior

 

pleural cupola. B

 

 

 

 

 

 

 

surface of the sternum and from the upper

 

 

 

 

 

 

 

 

 

 

10

Phrenicopleural fascia. Fascia phrenico-

 

thoracic aperture to the diaphragm. B

15

 

25 Superior mediastinum. Mediastinum su-

 

pleuralis. Portion of the endothoracic fascia

 

 

which connects the parietal pleura with the

 

perius. Portion of the mediastinum above the

16

 

diaphragm. B

 

 

 

 

 

 

 

 

heart. It contains the arch of the aorta to-

 

11

Pleural cavity. Cavitas pleuralis. Capillary fis-

 

gether with its branches, as well as the bra-

 

 

chiocephalic veins, superior vena cava, tra-

17

 

sure-like

space

between

the parietal

and

 

 

 

chea, esophagus, vagus nerves, thoracic duct,

 

visceral pleura containing a small amount of

 

 

 

 

thymus, etc. B

 

 

serous fluid. B C

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

26

Inferior mediastinum. Mediastinum inferius.

12

Pleura.

Serous

membrane

consisting

of

 

Collective term for the following three divi-

 

 

simple squamous epithelium and underlying

 

 

 

 

sions.

 

 

 

19

 

connective tissue. It comprises two portions

 

 

27 Anterior mediastinum. Mediastinum an-

 

 

(visceral and parietal pleura) which become

 

 

continuous at the hilum. The visceral (pulmo-

 

terius. Area between the pericardium and

20

 

 

 

nary) pleura covers the lungs whereas the

 

sternum. C

 

 

parietal pleura lines the chest wall, dia-

28

Middle mediastinum. Mediastinum medium.

21

 

phragm and mediastinum. B

 

 

 

 

Area occupied by the heart, pericardium and

 

13

Cupula (dome) of pleura. Cupula pleurae. It

 

phrenic nerves with their accompanying ves-

 

 

 

 

sels. C

22

 

covers the apex of the lung at the superior

 

 

29

Posterior mediastinum. Mediastinum post-

 

thoracic aperture and forms the boundary be-

 

 

 

 

tween the neck and thorax. B

 

 

 

erius. Area between the pericardium and the

23

 

 

 

 

14

Visceral (pulmonary) pleura. Pleura

viscer-

 

vertebral column. It contains the esophagus,

 

 

alis (pulmonalis). Portion

of

the pleura

that

 

vagus nerves, descending aorta, thoracic duct

 

 

 

and the azygos and hemiazygos veins. C

24

 

envelops the lung and passes into the inter-

 

 

 

 

 

 

lobar spaces. B C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2515 Parietal pleura. Pleura parietalis. Serous lining of the space in which the lungs lodge. B C

Respiratory system 153

9

13

25

 

 

 

 

 

14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

4

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bronchiole and

 

 

 

 

 

20

 

 

Frontal section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

B

 

alveolar ducts

 

 

 

 

 

 

 

 

 

 

 

 

through both lungs

 

 

 

 

 

 

 

 

 

 

 

 

IX

 

15

 

 

 

 

 

 

 

 

 

 

29

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

246.21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Horizontal section at level

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

21

21

 

of the ninth thoracic vertebra.

 

 

 

 

 

 

View from below

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

 

154

 

Urogenital system

 

 

 

 

 

 

 

 

 

 

Apparatus urogenitalis

26

Renal cortex. Cortex renalis. About 6 mm

 

 

1

 

 

1

 

 

UROGENITAL SYSTEM.

 

 

 

 

(systema urogenitale).

Urinary and genital or-

 

thick, it consists of glomeruli and predomi-

 

 

 

 

gans.

 

nantly convoluted uriniferous tubules. With

2

 

2

URINARY ORGANS. Organa urinaria.

 

the renal columns, it extends up to the wall of

 

 

 

3 KIDNEY. Ren (nephros). A B F

 

the renal pelvis. F

 

 

3

 

 

27

Convoluted part (cortical labyrinth). Pars

 

4

Lateral margin. Margo lateralis. Convex lateral

 

 

convoluta. Cortical region consisting of glomer-

4

 

 

 

border of kidney. A

 

uli and convoluted uriniferous tubules. F

 

5

Medial margin. Margo medialis. Border of the

28

Radiating part (medullary rays). Pars radi-

 

 

 

 

kidney which becomes concave at the hilum. A

 

ata. Collecting tubules coursing radially into

5

 

6

Renal hilum. Hilum renale. Site of entry and

 

the cortex from the medulla. F

 

 

 

 

 

 

 

 

 

 

 

 

exit of renal blood vessels and ureter. A

29

Cortical lobules. Lobuli corticales. Areas

6

 

7

Renal sinus. Sinus renalis. Very concave cavity

 

delimited by interlobular arteries.

 

 

 

 

at the medial border for the renal hilum. B D

29 a

Medullary rays. Radii medullares. Consisting

 

 

 

 

 

 

 

8 Anterior surface. Facies anterior. Curved ante-

 

of pale collecting tubules which project into the

 

 

 

 

7

 

 

 

 

 

 

rior surface of the kidney. A D

 

cortex. F

 

 

 

 

9

Posterior surface. Facies posterior. Nearly flat

30

Renal medulla. Medulla renalis. Medullary

8

 

tissue in the shape of renal pyramids and con-

 

 

 

posterior surface of the kidney. D

 

 

 

10 Upper pole of kidney. Extremitas superior. A B

 

sisting of the straight portions of the urinifer-

 

 

 

ous tubules and the collecting ducts. F

9

 

11

Lower pole of kidney. Extremitas inferior. B

 

31

Renal pyramids. Pyramides renales. Six to 20

 

 

12 Renal fascia. Fascia renalis. Fibrous sheath that

 

pyramidal areas separated by renal columns.

10

 

 

 

 

separates the adipose capsule from the per-

 

They form the medullary substance. F

 

 

 

 

irenal fat. D

32

Base of pyramid. Basis pyramidis. It lies at the

 

 

 

 

11

13

Pararenal fatty body. Corpus adiposum para-

 

corticomedullary border. F

 

 

 

 

 

 

renale. Fat pad between the posterior layer of

33

Renal papillae. Papillae renales. Rounded apical

 

 

 

 

 

 

 

 

the renal fascia and the transversalis fascia. D

 

portion of the renal pyramid projecting into the

12

 

 

 

 

 

14 Fatty capsule. Capsula adiposa. Fatty capsule of

 

renal calyx. F

 

 

 

 

 

 

 

 

 

 

 

the kidney, more prominent posteriorly and

34

Area cribrosa. Surface of renal papillae with

13

 

 

 

 

 

 

medially. D

 

sieve-like perforations created by the openings

 

 

15 Fibrous capsule. Capsula fibrosa. Tough organ

 

of the uriniferous tubules. F

 

 

 

 

 

 

14

 

 

 

capsule fused with the surface of the kidney,

35

Papillary foramina. Foramina papillaria. Holes

 

 

 

 

but removable. D F

 

in the area cribrosa produced by the openings

 

 

 

 

 

15

16

Renal segments. Segmenta renalia. Five seg-

 

of the uriniferous tubules.

 

 

 

Renal columns. Columnae renales. Cortical

 

 

 

 

ments of the kidney corresponding to the blood

36

 

 

 

 

supply regions of the branches of the renal

 

substance which extends toward the hilum be-

16

 

 

 

artery.

 

tween the renal pyramids. F

 

 

 

17

Superior segment. Segm. superius. Upper seg-

37

Renal corpuscle. Corpusculum renale. Com-

 

17

 

 

 

ment extending up to the posterior surface. A B

 

posed of a glomerulus and its capsule; it lies in

 

 

18 Upper anterior segment. Segm. anterius su-

 

the convoluted part of the cortex. E

 

 

 

 

18

 

 

 

perius. A

38

Glomerulus. Capillary tuft within a renal cor-

19

Lower anterior segment. Segm. anterius in-

 

puscle. E

 

 

 

 

 

 

 

ferius. A

39

Glomerular [[Bowman’s]] capsule. Capsula

19

 

 

 

 

20 Inferior segment. Segm. inferius. It reaches as

 

glomerularis [[Bowman’s]]. The capsule around

 

 

 

 

far as the posterior and anterior surfaces. A B

 

a capillary

tuft (glomerulus) of

a

renal cor-

20

 

 

 

 

puscle. It

is continuous with

a

convoluted

21

Posterior segment. Segm. posterius. B

 

 

tubule. E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22 Renal (uriniferous) tubule (nephron). Tubulus

21renalis. Tubular system representing the structural unit of the kidney in which filtration and

22selective reabsorption take place. C

23Convoluted uriniferous tubules. [[Tubuli renales contorti]]. Tortuous parts of the renal

23

tubules. C

24Straight segments of renal tubules. [[Tubuli

24 renales recti]]. C

25Renal lobes. Lobi renales. Still preserved in the

25newborn, they correspond to renal pyramids with cortical caps.