Netter's Clinical Anatomy Ebook 4th Ed Edition Hansen All Chapters Instant Download
Netter's Clinical Anatomy Ebook 4th Ed Edition Hansen All Chapters Instant Download
Netter's Clinical Anatomy Ebook 4th Ed Edition Hansen All Chapters Instant Download
com
https://ebookmass.com/product/netters-clinical-
anatomy-e-book-4th-ed-edition-hansen/
https://ebookmass.com/product/netters-clinical-anatomy-with-online-
access-netter-basic-science-3rd-edition/
ebookmass.com
https://ebookmass.com/product/respiratory-care-anatomy-and-physiology-
e-book-foundations-for-clinical-practice-4th-edition-ebook-pdf/
ebookmass.com
https://ebookmass.com/product/netter-flashcards-de-
anatomia-4a-edition-john-t-hansen/
ebookmass.com
https://ebookmass.com/product/netter-atlas-of-human-anatomy-frank-h-
netter/
ebookmass.com
Mémofiches Anatomie Netter - Tête et cou John T. Hansen
https://ebookmass.com/product/memofiches-anatomie-netter-tete-et-cou-
john-t-hansen/
ebookmass.com
https://ebookmass.com/product/macleods-clinical-examination-e-
book-14th-ed-edition-dover/
ebookmass.com
https://ebookmass.com/product/endosonography-e-book-4th-ed-edition-
paul-fockens/
ebookmass.com
https://ebookmass.com/product/netters-concise-neurology-updated-
edition-netter-clinical-science-karl-e-misulis-md-phd/
ebookmass.com
https://ebookmass.com/product/atlas-of-human-anatomy-by-frank-h-
netter-seventh-edition-frank-h-netter/
ebookmass.com
Any screen.
Any time.
Anywhere.
Activate the eBook version
of this title at no additional charge.
Student Consult eBooks give you the power to browse and find content,
view enhanced images, share notes and highlights—both online and offline.
4 Click “Redeem”
5 Log in or Sign up
6 Go to “My Library”
It’s that easy!
Place Peel Off
Sticker Here
Use of the current edition of the electronic version of this book (eBook) is subject to the terms of the nontransferable, limited license granted on
studentconsult.inkling.com. Access to the eBook is limited to the first individual who redeems the PIN, located on the inside cover of this book, at studentconsult.inkling.com
and may not be transferred to another party by resale, lending, or other means.
2015v1.0
Explore Netter’s
Newest Resources!
Netter’s Essential Netter’s Clinical Skills
Biochemistry Pocket Guide
With STUDENT CONSULT Ilene L Rosenberg, Todd Cassese and
Online Access Dennis Barbon
Peter Ronner, PhD ISBN: 978-0-3235-5164-9
ISBN: 978-1-9290-0763-9 Make the most of every patient
Concise writing, a focus encounter — from the clinical
on clinical applications, interview and history to the
and superb illustrations make this debut title physical exam, both in-office and bedside. This
the perfect choice for a basic understanding of discreet quick reference helps you achieve
biochemistry. A single expert voice, informed consistent and comprehensive results when
by the insights of a team of reviewers, provides collecting data and determining your next
continuity throughout the text, presenting steps. Carry this thin, fully illustrated checklist
essentials of biochemical principles step by in your white coat pocket for the fastest, most
step. Summary diagrams help you grasp key efficient way to access essential information
concepts quickly, and end-of-chapter questions you need to know and remember every day.
reinforce key concepts.
Netter’s Netter’s
Neuroscience Introduction to
Coloring Book Clinical Procedures
David L. Felten and Mary E Maida With STUDENT CONSULT
ISBN: 978-0-323-50959-6 Online Access
Clinical Anatomy
Illustrations by
Frank H. Netter, MD
Contributing Illustrators
Carlos A.G. Machado, MD
John A. Craig, MD
James A. Perkins, MS, MFA
Kristen Wienandt Marzejon, MS, MFA
Tiffany S. DaVanzo, MA, CMI
1600 John F. Kennedy Blvd.
Ste. 1800
Philadelphia, PA 19103-2899
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any
means, electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek permission,
further information about the Publisher’s permissions policies and our arrangements with organizations
such as the Copyright Clearance Center and the Copyright Licensing Agency can be found at our website:
www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Permission to use Netter Art figures may be sought through the website NetterImages.com or by emailing
Elsevier’s Licensing Department at [email protected].
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment
may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating
and using any information, methods, compounds, or experiments described herein. In using such
information or methods they should be mindful of their own safety and the safety of others, including
parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration of
administration, and contraindications. It is the responsibility of practitioners, relying on their own
experience and knowledge of their patients, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume
any liability for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Printed in China
9 8 7 6 5 4 3 2 1
I dedicate this book to my wife
Paula,
and to my children
Amy and Sean,
and to my grandchildren
Abigail, Benjamin and Jonathan.
Without their unconditional love, presence, and encouragement, little would have been
accomplished either personally or professionally. Because we’ve shared so much, this effort, like
all the others, was multiauthored.
Visit https://ebookmass.com
now to explore a rich
collection of eBooks and enjoy
exciting offers!
About the Artists
vi
About the Author
John T. Hansen, PhD, is Professor of Neuro- to nationally recognized medical educators. Dr.
science and former Associate Dean for Admissions Hansen’s investigative career encompassed the
at the University of Rochester Medical Center. Dr. study of the peripheral and central dopaminergic
Hansen served as Chair of the Department of Neu- systems, neural plasticity, and neural inflamma-
robiology and Anatomy before becoming Associ- tion. In addition to over 100 research publications,
ate Dean. Dr. Hansen is the recipient of numerous he is co-author of Netter’s Atlas of Human Physi-
teaching awards from students at three differ- ology; the lead consulting editor of Netter’s Atlas
ent medical schools. In 1999, he was the recipi- of Human Anatomy; author of Netter’s Anatomy
ent of the Alpha Omega Alpha Robert J. Glaser Flash Cards, Essential Anatomy Dissector, and
Distinguished Teacher Award given annually by Netter’s Anatomy Coloring Book; and co-author
the Association of American Medical Colleges of the TNM Staging Atlas with Oncoanatomy.
vii
Acknowledgments
Compiling the illustrations for, researching, and Content Development Specialist, and John Casey,
writing Netter’s Clinical Anatomy, fourth edition, Senior Project Manager, both of whom kept me
has been both enjoyable and educational, con- organized, focused, and on time. Without them,
firming again the importance of lifelong learning little would have been accomplished. Thanks and
in the health professions. appreciation also to Patrick Ferguson, Designer
Netter’s Clinical Anatomy is for all my students, and Karen Giacomucci, Illustration Manager. A
and I am indebted to all of them who, like many special thank you to Madelene Hyde, Publishing
others, yearn for a better view to help them learn Director, and Elyse O’Grady, Executive Content
the relevant essential anatomy that informs the Strategist, for believing in the idea and always sup-
practice of medicine. Anatomy is a visual science, porting my efforts. This competent team defines
and Netter’s illustrations are the gold standard of the word “professionalism,” and it has been an
medical illustration. honor to work with all of them.
Thanks and appreciation belong to my col- Special thanks to Carlos Machado, MD, for
leagues and reviewers who provided encourage- his beautiful artistic renderings that superbly
ment and constructive comments that clarified complemented, updated, and extended the Netter
many aspects of the book. Especially, I wish to anatomy collection. Also, I wish to express my
acknowledge David Lambert, MD, Senior Associ- thanks to my faculty colleagues at Rochester for
ate Dean for Undergraduate Medical Education at their generous and constructive feedback.
Rochester, who co-authored the first edition of Finally, I remain indebted to Frank H. Netter,
this book with me and remains a treasured col- MD, whose creative genius lives on in generations
league and friend. of biomedical professionals who have learned
At Elsevier, it has been a distinct pleasure to clinical anatomy from his rich collection of
work with dedicated, professional people who medical illustrations.
massaged, molded, and ultimately nourished the To all of these remarkable people, and others,
dream beyond even my wildest imagination. I owe “Thank you.”
much to the efforts of Marybeth Thiel, Senior JOHN T. HANSEN, PHD
viii
Preface
Human anatomy is the foundation upon which to appreciate some of the clinical manifestations
the education of our medical, dental, and allied related to that anatomy. Other features of this
health science students is built. However, today’s edition include:
biomedical science curriculum must cover an
ever-increasing body of scientific knowledge, often • An introductory chapter designed to orient
students to the body’s organ systems
in fewer hours, as competing disciplines and new
technologies emerge. Many of these same tech-
nologies, especially those in the imaging science
• A set of end-of-chapter clinically oriented
multiple choice review questions to help
reinforce student learning of key concepts
fields, have made understanding the anatomy even
more important and have moved our discipline
firmly into the realm of clinical medicine. It is fair
• Basic embryology of each system that pro-
vides a contextual framework for human
postnatal anatomy and several common
to say that competent clinicians and allied health
congenital defects
professionals can no longer simply view their ana-
tomical training in isolation from the clinical
implications related to that anatomy.
• Online access with additional Clinical Focus
boxes
In this context, I am proud to introduce the My intent in writing this updated fourth edition
fourth edition of Netter’s Clinical Anatomy. Gen- of Netter’s Clinical Anatomy was to provide a
erations of students have used Dr. Frank H. Netter’s concise and focused introduction to clinical
elegant anatomical illustrations to learn anatomy, anatomy as a viable alternative to the more com-
and this book combines his beautiful anatomi- prehensive anatomy textbooks, which few stu-
cal and embryological renderings with numer- dents read and often find difficult to navigate
ous clinical illustrations to help students bridge when looking for essential anatomical details.
the gap between normal anatomy and its clinical Moreover, this textbook serves as an excellent
application across each region of the human body. essential review text for students beginning their
This fourth edition provides succinct text, key clinical clerkships or elective programs, and as a
bulleted points, and ample summary tables, which reference text that clinicians will find useful for
offer students a concise textbook description of review and patient education.
normal human anatomy, as well as a quick refer- The text is by no means comprehensive but
ence and review guide for clinical practitioners. does provide the essential anatomy needed by the
Additionally, 215 Clinical Focus boxes represent- generalist physician-in-training that is commonly
ing some of the more commonly encountered encountered in the first year of medical school. I
clinical conditions seen in medical practice are have intentionally focused on the anatomy that
integrated within the textbook. These clinical cor- a first-year student might be expected to grasp
relations are drawn from a wide variety of medical and carry forward into his or her clerkship train-
fields including emergency medicine, radiology, ing, especially in this day and age when anatomy
orthopedics, and surgery, but also include relevant courses are often streamlined and dissection exer-
clinical anatomy related to the fields of cardiol- cises abbreviated. Those students, who by choice,
ogy, endocrinology, infectious diseases, neurology, choose to enter specialties where advanced ana-
oncology, reproductive biology, and urology. By tomical training is required (e.g., surgical spe-
design, the text and clinical correlations are not cialties, radiology, physical therapy, etc.) may
exhaustive but are meant to help students focus encounter a need for additional anatomical exper-
on the essential elements of anatomy and begin tise that will be provided by their graduate medical
ix
x Preface
or allied health education. By meeting the needs I hope that you, the health science student-
of the beginning student and providing ample in-training or the physician-in-practice, will
detail for subsequent review or handy reference, find Netter’s Clinical Anatomy the valuable link
my hope is that Netter’s Clinical Anatomy will be you’ve searched for to enhance your understand-
the anatomy textbook of choice that will actually ing of clinical anatomy as only Frank Netter can
be read and used by students throughout their present it.
undergraduate medical or allied health careers. JOHN T. HANSEN, PHD
Contents
chapter 2 Back 51
chapter 3 Thorax 93
Index 557
xi
Clinical Focus Boxes
Available Online
1-9 Myasthenia Gravis
chapter 2 Back
2-1 Scoliosis, 53
2-2 Cervical Fractures, 55
2-3 Osteoarthritis, 57
2-4 Osteoporosis, 60
2-5 Spondylolysis and Spondylolisthesis, 61
2-6 Intervertebral Disc Herniation, 61
2-7 Back Pain Associated with the Zygapophysial (Facet) Joints, 63
2-8 Low Back Pain, 64
2-9 Whiplash Injury, 66
2-10 Herpes Zoster, 77
2-11 Lumbar Puncture and Epidural Anesthesia, 79
2-12 Spina Bifida, 85
Available Online
2-13 Myofascial Pain
2-14 Acute Spinal Syndromes
chapter 3 Thorax
3-1 Thoracic Cage Injuries, 98
3-2 Fibrocystic Breast Disease, 102
xii
Visit https://ebookmass.com
now to explore a rich
collection of eBooks and enjoy
exciting offers!
Clinical Focus Boxes xiii
3-3 Breast Cancer, 103
3-4 Partial Mastectomy, 104
3-5 Modified Radical Mastectomy, 105
3-6 Chest Tube Thoracostomy, 109
3-7 Idiopathic Pulmonary Fibrosis, 111
3-8 Pulmonary Embolism, 112
3-9 Lung Cancer, 113
3-10 Chronic Obstructive Pulmonary Disease, 114
3-11 Cardiac Tamponade, 117
3-12 Dominant Coronary Circulation, 118
3-13 Angina Pectoris (the Referred Pain of Myocardial Ischemia), 122
3-14 Coronary Bypass, 122
3-15 Coronary Angiogenesis, 123
3-16 Myocardial Infarction, 125
3-17 Cardiac Auscultation, 126
3-18 Valvular Heart Disease, 127
3-19 Cardiac Pacemakers, 129
3-20 Cardiac Defibrillators, 130
3-21 Mediastinal Masses, 135
3-22 Ventricular Septal Defect, 144
3-23 Atrial Septal Defect, 145
3-24 Patent Ductus Arteriosus, 146
3-25 Repair of Tetralogy of Fallot, 147
Available Online
3-26 Hemothorax
3-27 Chronic Cough
3-28 Pneumonia
3-29 Cardiovascular Disease (Elderly and Women)
3-30 Saphenous Vein Graft Disease
3-31 Infective Endocarditis
3-32 Mitral Valve Prolapse
3-33 Ventricular Tachycardia
3-34 Chylothorax
3-35 Coarctation of the Aorta
chapter 4 Abdomen
4-1 Abdominal Wall Hernias, 164
4-2 Inguinal Hernias, 169
4-3 Hydrocele and Varicocele, 170
4-4 Acute Appendicitis, 175
4-5 Gastroesophageal Reflux Disease (GERD), 177
4-6 Hiatal Hernia, 178
4-7 Peptic Ulcer Disease, 179
4-8 Bariatric Surgery, 180
xiv Clinical Focus Boxes
Available Online
4-29 Acute Abdomen: Visceral Etiology
4-30 Irritable Bowel Syndrome
4-31 Acute Pyelonephritis
4-32 Causes and Consequences of Portal Hypertension
Available Online
5-28 Ovarian Tumors
Available Online
6-41 Healing of Fractures
Available Online
7-27 Trigger Finger
7-28 Rheumatoid Arthritis
7-29 Central Venous Access
Clinical Focus Boxes xvii
chapter 8 Head and Neck
8-1 Skull Fractures, 441
8-2 Zygomatic Fractures, 441
8-3 Midface Fractures, 442
8-4 Hydrocephalus, 448
8-5 Meningitis, 449
8-6 Subarachnoid Hemorrhage, 451
8-7 Epidural Hematomas, 453
8-8 Subdural Hematomas, 454
8-9 Transient Ischemic Attack, 454
8-10 Stroke, 455
8-11 Carotid–Cavernous Sinus Fistula, 456
8-12 Collateral Circulation After Internal Carotid Artery Occlusion, 456
8-13 Vascular (Multiinfarct) Dementia, 457
8-14 Brain Tumors, 458
8-15 Metastatic Brain Tumors, 459
8-16 Trigeminal Neuralgia, 464
8-17 Herpes Zoster (Shingles), 464
8-18 Facial Nerve (Bell’s) Palsy, 465
8-19 Tetanus, 466
8-20 Orbital Blow-Out Fracture, 469
8-21 Clinical Testing of the Extraocular Muscles, 471
8-22 Horner’s Syndrome, 472
8-23 Eyelid Infections and Conjunctival Disorders, 477
8-24 Papilledema, 477
8-25 Diabetic Retinopathy, 478
8-26 Glaucoma, 479
8-27 Ocular Refractive Disorders, 480
8-28 Cataract, 481
8-29 Pupillary Light Reflex, 482
8-30 Acute Otitis Externa and Otitis Media, 486
8-31 Weber and Rinne Tests, 488
8-32 Cochlear Implant, 488
8-33 Vertigo, 489
8-34 Removal of an Acoustic Neuroma, 490
8-35 Mandibular Dislocation, 491
8-36 Mandibular Fractures, 493
8-37 Rhinosinusitis, 495
8-38 Nosebleed, 500
8-39 Common Oral Lesions, 507
8-40 Cancer of the Oral Cavity, 508
8-41 Hyperthyroidism with Diffuse Goiter (Graves’ Disease), 517
8-42 Primary Hypothyroidism, 518
8-43 Manifestations of Primary Hyperparathyroidism, 519
8-44 Emergency Airway: Cricothyrotomy, 526
xviii Clinical Focus Boxes
si bien que le rapide entra dans la gare de Callao deux heures plus
tôt que ne s’y attendaient les voyageurs, rattrapant ainsi une partie
de son long retard.
Hélas, la joie des quatre compagnons fut de courte durée !
— Le Gloucester ?
— Parti à treize heures quarante.
— Sacramento !
Ainsi jurèrent ensemble l’Espagnol vêtu d’homespun et Leminhac
qui affectait une certaine pratique de la langue des hidalgos, tout en
usant de libertés républicaines avec l’accent tonique.
Comme la journée était fort avancée, on élut de camper
patriarcalement dans un Palace de goût municho-viennois, adorné
de pâtisseries en stuc et pareil à ces pièces montées où bave la
crème et où l’on dessine avec du sirop de si agréables figures. Ses
balcons ventrus et dorés s’arrondissaient face à la mer et les houles
du Pacifique venaient déployer dédaigneusement leurs écharpes
sous les masques horrifiques de mascarons œdémateux.
Un portier suisse attendait au centre de la terre la Russe,
l’Anglais et les deux Français qui ne s’en montrèrent point surpris.
On leur assigna des chambres dont le mobilier eût découragé les
amis de M. Francis Jourdain. Ils y reposèrent, d’ailleurs, à poings
fermés, sans entendre la plainte des flots qui portèrent Magellan et
les cinq caravelles : Trinidad, Santiago, Victoria, Conception et San-
Antonio, à la conquête des terres inconnues où des sauvages,
peints en jaune et des cornes de cerf dessinées sur les joues,
offrirent aux Portugais des clous de girofle et des oiseaux de
Paradis.
La nuit fut pour eux sans rêve, sauf peut-être pour Marie Erikow ;
elle leur fut aussi de pauvre conseil, car ils se retrouvèrent le
lendemain sur le quai inondé de soleil, encombré de balles et de
tonneaux, tous quatre incertains de ce qu’ils devaient décider.
La chaleur était fort lourde.
Leminhac, qui s’imposait maintenant comme le cacique de
l’errante tribu, proclama :
— Entrons quelque part. Nous prendrons un apéritif.
Pour la couleur locale, on choisit le bar du Pajaro Azul. L’endroit
était frais et confortable. Sur le comptoir peint d’un bleu clair à faire
grincer les dents, sans doute à cause de l’enseigne et faute d’oiseau
d’aucune sorte, s’entassaient des pyramides de citrons, de limons,
de goyaves ; le soleil, tamisé par de larges stores de pailles, jouait
sur l’écorce des pamplemousses, sur la peau tendue à éclater des
figues de Surinam. De l’arrière-boutique, où s’entassaient des
caisses d’épices et des ballots de riz ou de manioc, glissait une
odeur de vanille.
— Je pense, dit Helven le silencieux, à un petit bar de la
Jamaïque, qui sentait la cannelle comme celui-ci est parfumé de
vanille. On y mangeait des melons exquis que l’on avait laissés, une
nuit entière, le ventre bourré de glace pilée, de tranches d’ananas,
de bananes coupées en menus morceaux ; le tout, arrosé d’un rhum
comme on n’en boit que là-bas, noir, sucré et aromatisé de
cannelle… »
— Je vois, dit Leminhac, que vous avez beaucoup voyagé.
— Et, ajouta Marie Erikow en riant, que vous agréez avec
reconnaissance les dons du Seigneur.
Ils s’assirent autour de quatre verres que l’or du whisky
enflamma sans retard.
— Que faire ? dit Marie Erikow.
— Absurde aventure, gémit Leminhac. Ce paquebot…
Comme il disait ces mots, un homme d’une taille gigantesque, le
visage haut en couleur et noyé dans une barbe flamboyante, entra
dans le bar. Il était sobrement, mais fort proprement vêtu d’un
complet de toile blanche très fine et dont la coupe était parfaite.
Coiffé d’une casquette à visière vernie, il pouvait passer pour un
marin, mais rien n’indiquait son grade et le nom du vaisseau.
— Ce gentleman, dit Helven, ferait un superbe horseguard.
— Ce doit être un officier de marine. Il y a une canonnière en
rade, supposa Marie Erikow qu’intriguait la singulière prestance de
l’inconnu.
Celui-ci s’assit à une table voisine et commanda une tasse de thé
bouillant.
— C’est un homme qui a l’habitude des pays chauds, murmura
Tramier.
L’homme souleva sa casquette. Une paire de lunettes vertes
voilait son regard ; les joues étaient hâlées par le vent de mer ; le
bas du visage se perdait dans le remous flamboyant de la barbe.
— Un Pactole, dit Leminhac.
Il y avait dans la physionomie du personnage, malgré ses
manières aisées et la bonhomie avec laquelle il s’adressait, en
espagnol, au garçon du bar, une telle étrangeté, — due peut-être
aux deux disques verts qui auréolaient ses orbites — que les quatre
voyageurs éprouvèrent quelque gêne à reprendre leur conversation.
— Il est navrant, dit Leminhac, d’avoir manqué ce paquebot.
— Cela nous fait un retard interminable, dit Tramier.
— Que faire ? demanda Marie Erikow.
— Partir pour San-Francisco demain, proposa Helven. Nous y
attendrons le prochain départ puisque, j’imagine, Sydney est notre
commune destination.
— Nous en avons encore pour une quinzaine au moins, gémit
Leminhac.
— Il n’y a pas d’autre moyen…
A bord du Cormoran.
Dante.
Daniel de Foë.