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Contents
Part 1: The Thorax
Introduction,
Surface anatomy and surface markings,
3
The trachea,
4
The pleura,
4
The lungs,
6
The heart,
6
The thoracic cage,
7 The thoracic vertebrae,
7
The ribs,
8
The costal cartilages,
11
The sternum,
11
The intercostal spaces,
12
The diaphragm,
14
The pleurae,
20
The lower respiratory tract,
20
The trachea,
20
The bronchi,
25
The lungs,
25
The mediastinum,
30
The pericardium,
30
The heart,
31
The superior mediastinum,
46
The thymus,
46
The oesophagus,
46
The thoracic duct,
50
The thoracic sympathetic trunk,
52
On the examination of a chest radiograph,
54
Radiographic appearance of the heart, 55
Preface
As a teacher of medical students and surgical trainees, I know that much of
clinical examination and diagnosis depends on an adequate knowledge of
anatomy. No matter how good the doctors are at communication skills and
patient empathy, unless they know what lies beneath their examining fingers or under the bell of their stethoscopes, they will have great difficulty
in the interpretation of clinical signs. Understanding and interpreting the
exquisite details of modern radiological imaging also requires a good
knowledge of the structure of the human body.
This was true over 55 years ago when I wrote the first edition of this
book, and is perhaps even more so today, when the content of anatomical
knowledge in the medical student’s curriculum has been greatly reduced.
Over these many years, during which time I have taught students and
postgraduates in five medical schools, and examined them in eight countries and sixteen universities, my belief in the importance of an adequate
knowledge of anatomy as an adjunct to clinical training has been strongly
reinforced.
In the preparation of the 12th edition (Golden Jubilee edition) and the
subsequent two editions (including this one), I have been fortunate indeed
in having been able to recruit Professor Vishy Mahadevan, the Barbers’
Company Professor of Anatomy at the Royal College of Surgeons of
England, as co‐author. He is a renowned and revered teacher of surgical
trainees as well as being a current examiner in the MRCS and in overseas
medical schools. Together, in this new edition, we have carried out a careful revision and updating of the text and diagrams.
We hope that this book will continue to help our students and postgraduate trainees throughout the English‐speaking world.