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HOW TO DRAW ANATOMY

HOW TO DRAW ANATOMY

ST4 Anaesthetic Registrar, The Grange University Hospital

Great Clarendon Street, Oxford, OX2 6DP, United Kingdom

Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries

© Oxford University Press 2023

The moral rights of the author have been asserted

First Edition published in 2023

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above

You must not circulate this work in any other form and you must impose this same condition on any acquirer

Published in the United States of America by Oxford University Press 198 Madison Avenue, New York, NY 10016, United States of America

British Library Cataloguing in Publication Data Data available

Library of Congress Control Number: 2022952182

ISBN 978–0–19–288332–2

eISBN 978–0–19–288334–6

DOI: 10.1093/med/9780192883322.001.0001

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work.

Dedicated in memory of Earnie and Chita Harris.

FOREWORD

ProfessorofClinicalEducationandSurgery,ConsultantSurgeon,and

I applaud Dr Phill Molloy’s work in producing this book. When I was working towards my primary fellowship exam in 1978, I learnt to draw and annotate anatomical diagrams. It was many years later that I helped Phill learn anatomy in the dissecting room! Knowledge of anatomy is important for all doctors and others dealing with patients. It is, of course, vital for surgeons or other practitioners dealing directly with patients’ bodies on a day-to-day basis to understand the intricacies of the parts they are working with.

The greatest advances in medical knowledge in the sixteenth century coincided with the learning of human anatomy after a thousand years of comparative ignorance, based on knowledge of animals rather than humans. Understanding the structure of the human body enabled the scientific minds of the late Middle Ages to work out much of its function and the workings. The most beautiful anatomical drawings were produced for a wider public by Vesalius and for a more limited audience by Leonardo da Vinci after their experiences of dissection. Anatomical textbooks since then have disseminated knowledge to generations of professionals. This book teaches the learner to learn and remember basic anatomy by the application of drawing. Learning how to draw anatomical structures will assist with day-to-day understanding of

anatomy and help students—both undergraduate and postgraduate —revise for anatomy exams.

I hope that this book proves popular and that it helps many people understand and remember anatomy and also pass their exams.

PREFACE

ST4AnaestheticRegistrar,TheGrangeUniversityHospital

Prior to the creation of this book, I found learning anatomy incredibly difficult. Looking at complicated and intricate textbook diagrams and then applying that knowledge in real life can be cumbersome, whether it be in the dissection room, operating theatre, or during exams.

This book will enable readers to both accurately reproduce anatomical drawings while also offering a template to appreciate variance in clinical practice. It also provides a comprehensive overview of anatomy for medical students and other healthcare professionals alike. Furthermore, these simple but concise illustrations may be kept as a toolkit to enhance explanations for patients visually during consultations without the need for expensive three-dimensional models—something that your patients will love (whether in clinical practice or during your OSCEs!).

The book has been designed with plenty of white space to allow the addition of notes during either anatomy classes or private study. I hope you enjoy this resource and welcome feedback or suggestions!

ACKNOWLEDGEMENTS

I would like to express my gratitude to the following individuals for their kind support, teaching, and help which have ultimately led to the production of this book.

To Professor Ruth Chambers OBE for mentoring me throughout the years as student and doctor, instilling the belief and discipline that almost anything can be achieved.

To Mr Joe Borucki, Dr Taha Haq, and Captain Jake Melhuish for their critical appraisals and moral support throughout.

To the student reviewers for your input and feedback.

To Keele University Medical School for its modern and everadapting and creative curriculum.

CONTENTS

Senior Reviewers

Junior Reviewers

How to … Use the Book

CHAPTER 1 Cardiovascular

The Major cardiac vessels

Branches of the aorta

Great veins of the heart

Cardiac valves

Coronary arteries

Coronary veins

CHAPTER 2 Respiratory

Lung anatomy

Trachea cross section

Bronchus cross section

Bronchiole cross section

Layers of the thorax

Rib anatomy

Venous drainage of the thorax

CHAPTER 3 Upper Gastrointestinal

Layers of the abdomen

Stomach anatomy

Blood supply to the stomach

CHAPTER 4 Lower Gastrointestinal

Large intestine anatomy

Blood supply to the large intestine

CHAPTER 5 Hepatobiliary

Pancreas anatomy

Biliary tree anatomy

Biliary tree and surrounding structures

Anterior view: liver anatomy

Posterior view: liver anatomy

Inferior liver anatomy

Venous drainage of the liver

CHAPTER 6 Neurology

Lobes of brain

The meninges (dura)

Spinal cord cross section

Spinal cord nuclei

Spinal tract overview (template)

Spinothalamic tract

Dorsal column tract

Corticospinal tract

Brain stem (with cranial nerves)

Basal ganglia

Lateral view: ventricular system

Coronal view: ventricular system

Arterial supply of the brain (circle of Willis)

Venous drainage of the head

Blood supply to brain: lateral view

Blood supply to brain: sagittal view

Brachial plexus

CHAPTER 7 Genitourinary

Kidney

Male reproductive system

Cross section of the penis

Female reproductive system

Surface anatomy of the vulva

Female pelvic peritoneum: cross section

Bladder anatomy

CHAPTER 8 Musculoskeletal

Bones of the foot

Bones of the hand

Carpal tunnel

Knee anatomy

Hip joint

Hip anatomy

Shoulder anatomy

Elbow anatomy

Scapula anatomy

Muscles and ligaments of the scapula

Spine and vertebra anatomy

CHAPTER 9 Ophthalmology

Cross section of the eye

Eye muscle movements

CHAPTER 10 Miscellaneous

Thyroid gland

Transverse section of the anterior neck

Femoral triangle

Anterior cubital fossa

Blood supply to the leg

Venous drainage of the leg

Breast anatomy

Surface areas of the abdomen

Surgical scars

CHAPTER 11 Respiratory Histology

Trachea histology

CHAPTER 12 Gastrointestinal Tract Histology

Gastrointestinal tract histology overview

Stomach histology

Duodenum histology

Jejunum histology

Ileum histology

Colon histology

CHAPTER 13 Hepatic Histology

Liver histology

Index

CHAPTER 14 Renal Histology

Loop of Henle

Adrenal gland histology

CHAPTER 15 Musculoskeletal Histology

Muscle filament layers

Muscle histology

CHAPTER 16 Skin Histology

Hair follicle histology

Thick skin histology

Pacinian and Meissner’s corpuscles histology

CHAPTER 17 Ophthalmic Histology

Layers of the retina

CHAPTER 18 Miscellaneous Histology

Thyroid gland histology

Lymph node histology

Artery histology

Vein histology

SENIOR REVIEWERS

Mr Joseph P Borucki MBBS BSc (Hons) PGCert (MedEd)

MRCS

General Surgical Registrar

James Paget University Hospital

Dr Taha Haq MBChB Dist BSc (Hons)

Radiology Registrar

Imperial College Healthcare NHS Trust

Captain Jake Melhuish MBBS DipMCC

Core Anaesthetics Trainee

Portsmouth Queen Alexander

Hospital/British Army

JUNIOR REVIEWERS

Rahul Anil Bhagwat iBSc (Hons)

Year 4 Medical Student

University College London

Georgia Brown

Year 3 Medical Student

University of Newcastle (Australia)

Max Butler

Year 3 Medical Student

University of Cambridge

Kaylise Faull

Year 4 Medical Student

University of Newcastle (Australia)

Simon Hickey

Year 3 Medical Student

University of Newcastle (Australia)

Akos Marton

Year 3 Medical Student

University of Cambridge

Michael McLucas

Year 4 Medical Student

University of Newcastle (Australia)

Maria Elaine Prayle BSc (Hons)

Year 3 Medical Student

University of Keele

Emily Wales BSc (Hons)

Year 3 Medical Student

Cardiff University

Ben Walters

Year 4 Medical Student

University of Keele

Jack FG Wellington

Year 3 Medical Student

Cardiff University

Jessica Xie BSc (Hons)

Year 4 Medical Student

University College London

Learn How To Draw, Then How To Label!

Follow the diagrams in number order. Each consecutive diagram has additional features to add on. Once complete, use the larger drawing (diagram usually on the next page) to learn structures and diagram labelling. Finally, test yourself and your friends!

How To … Orientate

Crosshatches (or compasses) are useful for determining your orientation. Whenever drawing, always remember to include one! It will help you determine your orientation for labelling—particularly in exams. It allows you to orientate the diagram in two dimensions. Note below how the second crosshatch shows ‘L’ (left) to be on the right side and ‘R’ (right) to be on the left side (as you look at it). Just as you would interpret a chest radiograph depending whether you are looking at the image from the front (anterior to posterior) or back (posterior to anterior), left or right may be on one side or the other.

Lines Key

CHAPTER ONE CARDIOVASCULAR

HOW TO … DRAW THE MAJOR CARDIAC VESSELS

THE MAJOR CARDIAC VESSELS

HOT TIPS

NB: The Aorta runs posterior to the heart (not fully shown in this image to give greater clarity).

HOW TO … DRAW THE 1ST BRANCHES OF THE AOR

THE 1ST BRANCHES OF THE AORTA

HOW TO … DRAW THE GREAT VEINS

THE GREAT VEINS

HOW TO … DRAW THE CARDIAC VALVES

THE CARDIAC VALVES

HOT TIPS Valve structure

Tricuspid has three leaflets.

Bicuspid has two leaflets (‘Mitral’ is derived from mitre—a bishop’s two-pointed hat).

HOW TO … DRAW THE CORONARY ARTERIES

THE CORONARY ARTERIES (ANTERIOR VIEW)

HOT TIPS

NB: the Anterior Interventricular Artery is also known as the Left Anterior Descending (LAD).

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