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    Kuesioner Penelitian TB Paru

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    Fauzan Farhan
    The anal canal is the terminal part of the large intestine located between the pelvic diaphragm and anus. It is approximately 2.5-3.5 cm long and surrounded by internal and external anal sphincters. Internally, it contains longitudinal anal columns with anal valves and sinuses that terminate at the pectinate line, which marks a change in arterial supply, innervation, and drainage below. Blood supply and lymphatic drainage differ above and below the pectinate line, with the superior region connected to internal iliac structures and the inferior region connected to external iliac and inguinal structures. Innervation also differs, with the superior region innervated viscerally and the

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    Kuesioner Penelitian TB Paru

    Uploaded by

    Fauzan Farhan
    56 views7 pages
    The anal canal is the terminal part of the large intestine located between the pelvic diaphragm and anus. It is approximately 2.5-3.5 cm long and surrounded by internal and external anal sphincters. Internally, it contains longitudinal anal columns with anal valves and sinuses that terminate at the pectinate line, which marks a change in arterial supply, innervation, and drainage below. Blood supply and lymphatic drainage differ above and below the pectinate line, with the superior region connected to internal iliac structures and the inferior region connected to external iliac and inguinal structures. Innervation also differs, with the superior region innervated viscerally and the

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    Mangga

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    250973955 Kuesioner Penelitian TB Paru

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    The anal canal is the terminal part of the large intestine located between the pelvic diaphragm and anus. It is approximately 2.5-3.5 cm long and surrounded by internal and external anal sphincters. Internally, it contains longitudinal anal columns with anal valves and sinuses that terminate at the pectinate line, which marks a change in arterial supply, innervation, and drainage below. Blood supply and lymphatic drainage differ above and below the pectinate line, with the superior region connected to internal iliac structures and the inferior region connected to external iliac and inguinal structures. Innervation also differs, with the superior region innervated viscerally and the

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    56 views7 pages

    Kuesioner Penelitian TB Paru

    Uploaded by

    Fauzan Farhan
    The anal canal is the terminal part of the large intestine located between the pelvic diaphragm and anus. It is approximately 2.5-3.5 cm long and surrounded by internal and external anal sphincters. Internally, it contains longitudinal anal columns with anal valves and sinuses that terminate at the pectinate line, which marks a change in arterial supply, innervation, and drainage below. Blood supply and lymphatic drainage differ above and below the pectinate line, with the superior region connected to internal iliac structures and the inferior region connected to external iliac and inguinal structures. Innervation also differs, with the superior region innervated viscerally and the

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 7

    Yuniarti

    The anal canal is the terminal part


    of the large intestine and of the
    entire digestive canal. It extends
    from the superior aspect of the
    pelvic diaphragm to the anus

    The canal (2.5-3.5 cm long)


    begins where the rectal ampulla
    narrows at the level of the U-
    shaped sling formed by the
    puborectalis muscle
    The anal canal, surrounded by internal and external anal sphincters

    The internal anal sphincter is an involuntary sphincter surrounding the superior two thirds of the anal canal

    The external anal sphincter is a large voluntary sphincter that forms a broad band on each side of the inferior
    two thirds of the anal canal

    Internally, the superior half of the


    mucous membrane of the anal canal
    is characterized by a series of
    longitudinal ridges called anal
    columns. These columns contain the
    terminal branches of the superior
    rectal artery and vein.

    The inferior ends of the anal columns


    are joined by anal valves. Superior to
    the valves are small recesses called
    anal sinuses.

    The inferior comb-shaped limit of the


    anal valves forms an irregular line, the
    pectinate line, that indicates the
    junction of the superior part of the
    anal canal
    The anal canal superior to the
    pectinate line differs from the part
    inferior to the pectinate line in its
    arterial supply, innervation, and
    venous and lymphatic drainage

    The superior rectal artery supplies


    the anal canal superior to the
    pectinate.

    The two inferior rectal arteries


    supply the anal canal inferior to
    the pectinate line as well as the
    surrounding muscles and perianal.

    The middle rectal arteries assist


    with the blood supply to the anal
    canal by forming anastomoses
    with the superior and inferior
    rectal arteries.
    The internal rectal venous plexus drains in both directions from the level of the pectinate line

    Superior to the pectinate line, the internal rectal plexus drains chiefly into the superior rectal vein

    Inferior to the pectinate line, the internal rectal plexus drains into the inferior rectal veins (tributaries of the
    caval venous system) around the margin of the external anal sphincter.

    The middle rectal veins (tributaries of the


    internal iliac veins) mainly drain the
    muscularis externa of the ampulla and
    form anastomoses with the superior and
    inferior rectal veins.
    Superior to the pectinate
    line, the lymphatic vessels
    drain deeply into the internal
    iliac lymph nodes and
    through them into the
    common iliac and lumbar
    lymph nodes

    Inferior to the pectinate line,


    the lymphatic vessels drain
    superficially into the
    superficial inguinal lymph
    nodes,
    superior to the pectinate line is visceral inferior to the pectinate line is somatic
    innervation from the inferior innervation derived from the inferior anal
    hypogastric plexus, involving (rectal) nerves, branches of the pudendal
    sympathetic, parasympathetic, and nerve..
    visceral afferent fibers

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