CV

Coelom, Viscera, Cardiovascular & Lymphatic Systems – Vocabulary Review

Coelom (Ventral Body Cavity)

  • Definition: The large anterior (ventral) body cavity housing thoracic and abdominopelvic viscera.

  • Anatomical divider

    • Diaphragm – skeletal muscle sheet separating thoracic and abdominopelvic cavities.

  • Major subdivisions & contents

    • Thoracic cavity

    • Pleural cavities (right & left) – lungs

    • Pericardial cavity – heart

    • Mediastinum – region between pleural sacs (contains heart, esophagus, trachea, great vessels, thymus, nerves)

    • Abdominopelvic cavity

    • Abdominal cavity – digestive organs, spleen, kidneys, etc.

    • Pelvic cavity – bladder, reproductive organs, distal large intestine

    • Peritoneal cavity (subset of abdominopelvic) – fluid-filled potential space surrounding intraperitoneal organs

Serous membranes (each = simple squamous epithelium + areolar CT)
  • Pleural cavity

    • Visceral pleura – on lungs

    • Parietal pleura – on thoracic wall, diaphragm, mediastinum

  • Pericardial cavity

    • Visceral pericardium (epicardium)

    • Parietal pericardium (serous layer deep to fibrous pericardium)

  • Peritoneal cavity

    • Visceral peritoneum – on surface of intraperitoneal organs

    • Parietal peritoneum – lines abdominopelvic walls & inferior diaphragm

    • Peritoneal folds (double-layered serosa)

    • Mesenteries

      • Mesentery proper – suspends jejunum & ileum from posterior wall

      • Mesocolon – suspends transverse & sigmoid colons

    • Ligaments

      • Coronary ligament – liver diaphragm

      • Falciform ligament – liver anterior body wall

      • Ligamentum teres hepatis – remnant of umbilical vein in falciform free edge

    • Omenta

      • Greater omentum – stomach transverse colon

      • Lesser omentum – stomach liver

Diaphragm apertures
  • Aortic hiatus – aorta

  • Caval (vena caval) hiatus – inferior vena cava

  • Esophageal hiatus – esophagus & vagus nerves (CN X)

Exit points from coelom
  • Femoral triangle: femoral artery, femoral vein, lymphatics, femoral nerve ("A V L N" lateral➜medial in order)

  • Inguinal canal: spermatic cord (males) / round ligament (females)

Retroperitoneal organs (posterior to parietal peritoneum)
  • Duodenum (2nd–4th parts), pancreas, ascending & descending colons, adrenal glands, kidneys, ureters, urinary bladder, abdominal aorta, inferior vena cava

Intraperitoneal organs (suspended by mesentery, wrapped by visceral peritoneum)
  • Jejunum, ileum, transverse colon, sigmoid colon, stomach, liver, gallbladder, spleen

Dissected nerves to identify
  • Phrenic nerve – motor & sensory to diaphragm

  • Vagus nerve (CN X) – parasympathetic to thorax & abdomen

  • Recurrent laryngeal nerve – branch of vagus looping around aortic arch / right subclavian; motor to larynx

Additional lab emphases
  • Spermatic cord components (vas deferens, testicular vessels, nerves, lymphatics) – studied fully in reproductive lab

  • Venous valves – demonstrated on femoral vein

  • Lymphatic system: recognize lymph nodes histologically; lymphatic vessels identified on charts only

  • Formed elements of blood: erythrocytes, leukocytes (neutrophils, eosinophils, basophils, lymphocytes, monocytes), platelets


Cardiovascular System Overview

  • Two fluid-transport systems

    • Cardiovascular – blood, vessels, heart

    • Lymphatic – lymph, lymphatic vessels, nodes, organs (covered separately)

Heart (Gross Anatomy)
  • Pericardial sac (pericardium)

    • Fibrous pericardium – dense CT, anchors heart, prevents over-stretching

    • Parietal pericardium – serous membrane lining inner fibrous layer

  • Heart wall layers

    • Epicardium = visceral pericardium (serous membrane)

    • Myocardium – cardiac muscle (thickest)

    • Endocardium – endothelium + areolar CT lining chambers & valves

  • External landmarks

    • Apex – inferior pointed tip (left 5th ICS at mid-clavicular line)

    • Coronary (atrioventricular) sulcus – encircles heart between atria & ventricles

    • Interventricular sulci – anterior & posterior; mark septum & house coronary vessels

  • Chambers / Structures

    • Atria

    • Right & left auricles (ear-like pouches)

    • Pectinate muscles (comb-like ridges) in right atrium & both auricles

    • Interatrial septum – contains fossa ovalis (remnant of fetal foramen ovale)

    • Atrioventricular (AV) valves

    • Right: tricuspid valve

    • Left: mitral (bicuspid) valve

    • Ventricles

    • Chordae tendineae – collagen cords connecting valve cusps to papillary muscles

    • Papillary muscles – prevent cusp prolapse

    • Trabeculae carneae – ridged muscular walls

    • Interventricular septum

    • Semilunar valves

    • Pulmonary semilunar – RV → pulmonary trunk

    • Aortic semilunar – LV → ascending aorta

  • Coronary circulation

    • Right & left coronary arteries (from ascending aorta)

    • Anterior & posterior interventricular arteries

    • Cardiac veins → coronary sinus → right atrium

  • Embryological remnants

    • Fossa ovalis – in interatrial septum (was foramen ovale)

    • Ligamentum arteriosum – aortic arch pulmonary trunk (was ductus arteriosus)

  • Great vessels

    • Superior & inferior venae cavae (venous return)

    • Pulmonary trunk → right & left pulmonary arteries (deoxygenated blood to lungs)

    • Right & left superior pulmonary veins; right & left inferior pulmonary veins (oxygenated blood from lungs)

    • Ascending aorta → systemic circulation

Major Blood Vessels (Gross Anatomy)

(Indicate A = artery, V = vein; paired vessels are right & left unless noted)

  • Leaving / entering heart

    • Pulmonary trunk (A) – deoxy blood to lungs

    • Pulmonary arteries (A)

    • Pulmonary veins (superior & inferior) (V) – oxy blood from lungs

    • Ascending/arch/thoracic/abdominal aorta (A) – systemic outflow

    • Superior & inferior vena cava (V) – systemic inflow

  • Head, neck, upper limbs

    • Brachiocephalic artery (A) – R. head, neck, UL

    • Common carotid arteries (A) – head & neck

    • Internal carotid (A) – brain

    • External carotid (A) – face/scalp

    • Vertebral arteries (A) – brain (posterior circulation)

    • Subclavian arteries (A) – brain, neck, UL

    • Thyrocervical trunks (A) – thyroid & neck

    • Internal thoracic arteries (A) – anterior thoracic wall

    • Brachiocephalic veins (V), internal & external jugular veins (V), vertebral veins (V), subclavian veins (V)

  • Thoracic wall

    • Azygos vein (V) – drains posterior thoracic wall

  • Abdominal viscera

    • Celiac trunk (A)

    • Gastric artery (A) – stomach

    • Splenic artery (A) – spleen & pancreas

    • Common hepatic artery (A) – liver, gallbladder, stomach

    • Superior mesenteric artery (A) – small intestine, proximal large intestine, pancreas

    • Renal arteries (A) – kidneys

    • Suprarenal arteries (A) – adrenal glands

    • Inferior mesenteric artery (A) – distal large intestine

    • Hepatic portal vein (V) – gut → liver

    • Gastric, splenic, superior & inferior mesenteric veins (V)

    • Hepatic veins (V) – liver → IVC

    • Renal veins (V)

    • Suprarenal veins (V)

    • Ovarian/Testicular arteries (A) & veins (V)

  • Pelvis & lower limb

    • Common iliac arteries & veins (A/V)

    • Internal iliac (A/V) – pelvis

    • External iliac (A/V) – lower limb

    • Femoral arteries & veins (A/V) – lower limb

    • Great saphenous vein (V) – superficial medial lower limb; possesses readily visible venous valves in dissection

(Note: order of vertebral, thyrocervical, and internal thoracic arteries from subclavian may vary; vertebral is usually most medial.)

Histology: Artery vs Vein vs Nerve (Cross-section)
  • Arteries

    • Thick muscular wall (tunica media)

    • Round, relatively small lumen; may contain clumped RBCs (orange-red glass appearance)

    • Endothelium = simple squamous cells with bulging nuclei

  • Veins

    • Thinner wall, large irregular or collapsed lumen

    • Endothelium similar to artery

    • May appear empty (clear) or full (opaque) depending on blood presence

  • Nerves

    • No lumen; packed with numerous axons

    • Axons appear as dark dots each surrounded by white myelin sheath; grouped by CT into fascicles; whole nerve encased by CT (epineurium)

Blood & Formed Elements
  • Erythrocytes – anucleate biconcave discs, O₂ transport

  • Leukocytes

    • Neutrophils – multilobed nucleus, phagocytic

    • Eosinophils – bilobed nucleus, red granules, parasitic & allergic roles

    • Basophils – dark granules, histamine release

    • Lymphocytes – large nucleus, adaptive immunity (B & T cells)

    • Monocytes – kidney-shaped nucleus, become macrophages

  • Thrombocytes (platelets) – fragments involved in clotting

Lymphatic System (brief, per lab scope)
  • Lymph node histology: cortex with lymphoid follicles (germinal centers), medulla with medullary cords & sinuses

  • Lymphatic vessels identified on instructional charts only (not dissected)

Laboratory & Practical Exam Reminders
  • Identify phrenic, vagus, recurrent laryngeal nerves in cadaver

  • Observe spermatic cord / round ligament before removal; full ID on reproductive exam

  • Recognize formed blood elements on slides

  • Distinguish arteries, veins, and nerves histologically

  • For every named vessel on the list, know (1) whether it is an artery or vein and (2) the region it supplies or drains

  • Indicate venous valves (e.g., on great saphenous or femoral vein) when present