 ہی بہترام جو رہنا ہے کہ ہی کارتاگ رخاب다�ہمل intéressant سابک diabetes نینو اگر اک pregnant اس ہی؟ سط告訴 تاک مہیکومتہ مند دو bless ہی اندازی آگاس دا اس لئے یہ ساک پہلیں으니까 ذیب اگر ساتھ میڈa حاصل کیا kamu انہوں اور سبکوستال فیظیں کا نام مجھے جانتے ہیں اور یہاں جاتا ہے اور یہاں پیدای کی فرمیشن کی تصوریات ہے اس میں ہیں یہاں فیظوں کے Then اندل توراکز اور خائقی اورٹیک ہے اور میرے ع advances اندل اندل تورaکز کا خائقی ہوتی ہے اور اندل تورaکز کی تصوریات ہے اور اس جب اندل تورaکز ہوتی ہے اور ہمیں بھرپر viruses بھی عورت کی لئی لوگ کر رہے ہیں اندل تورaکز کی تصوریات ہے اندل تورaکز پرامیشن کا خارقی اورٹیک ہے وثرانی ہومنے کو تقامتا ہے and it opens into the سپیرین ایکیوا ویچ اس here this arge of the ایزائگس فینڈ ایک روح ایک روحی لانے ٹائر جانتے ہیں اور یہ اسی دل آکہ اس کا انقرام کرناult جو ایک آر Mercid ایک آر Mercid جانتے ہیں سبتمیت یہ ایزائگس فینڈ can actually form a جو ایک روح پر ایک دانن کیا اور ایک مجھے ہمیں ایک کھنے سکتے ہیں اور اسے آر MercidITE جانا مجھے ایک آر Mercid روحا بھی یہ نہیں ہے کامل now i will draw your attention to these neurovascular structures on the right side these are the posture intercostal veins this blue ones are the posture intercostal veins the right side all the posture intercostal veins except the first posture intercostal vein they all drain into the azegas vein and we can see that we can see the azegas vein is receiving the posture intercostal veins on the right side what about the left side on the left side we do not have an azegas vein instead we have something called a hemia azegas vein which is also formed the same way on the left side as the azegas vein is formed on the right side ascending lumbar vein unites with the left subcostal vein and forms a hemia azegas vein and the hemia azegas vein receives the lower four posture intercostal veins to the left side and after that it moves to the right and opens into the azegas vein on the right side and this is that hemia azegas vein which i have lifted up here what about the middle four posture intercostal veins on the left side they all unite to form an accessory hemia azegas vein and that also crosses to the right side and it opens into the azegas vein on the right side and that is what i have lifted up here this is the accessory hemia azegas vein so hemia azegas vein accessory hemia azegas vein they have occurred approximately to the level of t8 a little below and a little about that this azegas vein and the hemia azegas and the accessory hemia azegas they are collectively called the azegas hemia azegas system they form an important route of communication between the inferior vinakeva permanent of that is seen here and the superior vinakeva which is seen here so therefore when there is a compression or obstruction of the inferior vinakeva like for example in liver pathology then these communications by virtue of the azegas vein and the hemia azegas veins they become prominent and they bypass the blood to the superior vinakeva so this is a communication between the inferior vinakeva system and the superior vinakeva system now let me draw your attention to the next structure here which is just to the left of the azegas vein and that is this one here this is the thoracic duct the thoracic duct starts in the abdomen as the cisterna chaeli cisterna chaeli is a small relication which we cannot see very clearly here because it is located deep in the epicastrium of the abdomen this is the cisterna chaeli receives lymph from the lumpar lymphatic trunks from the intestinal lymphatic trunks the descending thoracic trunks and the posterior intercostal nodal trunks and then the cisterna chaeli gives off a major lymphatic channel which is known as the thoracic duct which enters through the diaphragm through the same hiatus as the aortic hiatus and here it is accompanied by not only the aorta but also by the azegas vein then it enters into the thorax thoracic duct happens to be the main lymphatic channel which carries lymphatics from the abdomen and the thorax in the thorax initially it runs in the posterior stern and it is located just to the left of the azegas vein at the level of t5 approximately we can see that it makes a curve to the left and it goes behind the isofagus it goes to the left side and then it enters into the neck and it opens into the left venus angle what are the tributaries of the thoracic duct in the thorax it receives the posterior intercostal nodal lymph it also receives lymph from the posterior mediastinal lymph nodes in the neck it receives lymphatics from the jugular lymphatic trunk subclavial lymphatic trunk and the left bronchometestinal trunk all from the left side the right side there is no thoracic duct کبay Congress we do have these three trunks right bronchometestinal trunk right subclavial trunk and the right jugular trunk and these three trunks unite are formed by the right lymphatic duct which opens into the right venus angle venus angle is this it is a union between the internal jugular vein and the subclavial vein this is the venus angle so this is the site of drainage of the lymphatics when there is an injury stab a injury you are penetrating injury to the left side of the neck when the thoracic duct opens into the left يرسالہ حانیرہ تک چاہتے ہیں۔ اسی جو کائلوریا یا لுمفوریا میں سب سے یہ سب سے گمریوہ میکنی ہوتا ہے۔ اور اس کو مطلب پہنے سے ہمیں بھکر میکنی میکنی تک چیزے ہوتے ہیں۔ اور اس میں پیارہ پہلیتی یہ سہنی پیارہ لیتے ہیں اور اکدی جو کامی تھی اُن اچھی بھی تو یہ چیزے پیارہ میکنی تک پہنے سے چیزے ہوتا ہے۔ یہ چیزے ہوتا ہے۔ جس میں ب nights رہنے اور میں نہیں ہوتا ہے، I would like to draw your attention to a few other structures which are visible here on the right side we can see this trunk which i have lifted up here. This is the right sympathetic trunk. Similarly, on the left side we have this trunk which i have lifted up here. This is the left sympathetic trunk. The left and the right sympathetic trunk they have 11� or 12th thoracic gangliae and they supply sympathetic to the thoracic and the abdominal organs. By means of cardiac spl meinen Abbamary spl Arri askedunder کرارٹی آرتیگہر وانائی رin ررخ درستان آرتیگہ روٹی روٹی ریفلکس بین بریج حیرین گرویر ریفلکس حیریئن گرویر ریفلکس �لاڈ ریفلکس برد اس پلومانری آرٹی اور کی موری سپٹرز جب اکسی بیٹس مجھا ہے ایک مرے آتیگہ اگر آپ کو خصوص ہم کی وانائی ناظر ہوا اور خصوص ہوا