The pericardium is a cone-shaped, fibro-serous sac which surrounds the heart and contains a small amount of fluid [liquor pericardii]. Its apex is above at the root of the great vessels, and its base below, adherent to the diaphragm. Its connection with the diaphragm is in part to the central tendon and in part to the muscle, especially on the left side. It consists of an outer fibrous layer and an inner serous layer. The virtual space between the serous pericardium and the epicardium is commonly called the pericardial cavity.
The heart [cor] is a hollow organ principally composed of muscle, the myocardium. It is lined internally by endocardium which is continuous with the intima of the blood-vessels. Externally, it is covered by the epicardium, a serous membrane continuous with the serous lining of the pericardium. The form of the heart, when removed from the body without previous hardening, is that of a fairly regular truncated cone. The base [basis cordis] is poorly circumscribed but corresponds, in a general way, to the area occupied by the roots of the great vessels and the portion of the heart-wall between them. The base of the heart is held in position (Not necessarily fixed, for during systole the base performs a greater excursion than does the apex.) chiefly by the great vessels, which are attached to the pericardium; the remainder of the organ is capable of free movement within the pericardial cavity. The interior of the heart is longitudinally divided, into right and left cavities, by a septum passing from base to apex. Each cavity is subdivided into an atrium [atrium cordis] and a ventricle [ventriculus cordis], the former receiving the ultimate venous trunks and the latter giving rise to the main arteries. Thus the left atrium receives the four pulmonary veins, and the right atrium the superior and inferior vena cava and the coronary sinus; the aorta issues from the left ventricle and the pulmonary artery from the right. The ventricles, which constitute the major portion of the heart, may be recognized by their very thick walls. The atria have thinner walls and are less capacious than the ventricles; projecting from each is a diverticulum or auricle [auricula cordis]. The auricles (which receive their name from their resemblance to dog's ears) partially embrace the roots of the pulmonary artery and aorta.
The globe or ball of the eye is a composite structure of spheroidal form, placed in the fore part of the orbital cavity, and receiving the thick stem of the optic nerve behind. The recti and oblique muscles closely surround the greater part of the eyeball, and are capable of changing its position within certain limits: the lids, with the plica semilunaris and caruncle, are in contact with its covering of conjunctiva in front; and behind it is supported by a quantity of loose fat and connective tissue.
The parts which constitute the lachrymal apparatus are the following, viz.: - The gland by which the tears are secreted, situated at the upper and outer side of the orbit, together with its excretory ducts; the two canals into which the fluid is received near the inner angle: and the sac with the nasal duct continued from it, through which the tears pass into the inferior meatus of the nose.
The eyelids (palpebrae) are moveable portions of integument, strengthened toward their margins by a thin lamina of dense fibrous tissue. A mucous membrane lines their inner surface, and is reflected thence in the form of a pellucid covering on the surface of the eyeball. This is named the conjunctival membrane or conjunctiva.
The ribs extend from the dorsal portion of the vertebral column to the sternum, forming arches, which enclose the lateral parts of the thorax. They are usually twelve in number at each side, but cases occasionally occur in which the number is augmented by the addition of a cervical or a lumbar rib, to which reference has already been made in describing the vertebras of those regions. The number may also be diminished to eleven. I have lately seen an instance in which this diminution was accompanied with the absence of a dorsal vertebra. The seven superior pairs, which are united by means of cartilaginous prolongations to the sternum, are called sternal or true ribs; the remaining five, which are not prolonged to the sternum, being denominated asternal or false ribs.
The sternum, (os pectoris: xiphoides ; French : le sternum) is situated in the median line, at the fore part of the thorax: it is flat and narrow, but not of equal width in its entire extent, being broad at its upper part, then narrowed somewhat, after which it widens a little; finally it becomes compressed and narrow where it joins the ensiform cartilage. Its direction is oblique from above downwards and forwards; and the inclination forwards, together with the curve backward in the dorsal part of the vertebral column, causes a considerable increase in the anteroposterior diameter of the thorax. We have to consider successively its surfaces, extremities, and borders.
The maxillary bone, (maxilla superior,) is very irregular. It presents an external convex surface, corresponding with the anterior and lateral parts of the face; another, internal, of considerable extent, corresponding with the nasal cavity ; one, superior, smooth, and inclined inwards, forming the floor of the orbit, and surmounted internally by a triangular process, forming the side of the nose ; lastly, a surface which projects horizontally inwards, to form the arch of the palate. The external surface is bounded inferiorly by a thick, dependent border (alveolar), for the lodgment of the teeth; to this as to a common point of union, all the other parts of the bone may be referred.
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