Patient Leaflets


1. The Brain
The brain lies within the cranium. It constitutes about one-fiftieth of the body weight. Antatomatically, the brain consists of cerebrum, brain stem and cerebellum. The Cerebrum is subdivided by lobes according to its location in the cranium. They are frontal, temporal, parietal and occipital lobes. The Brain Stem consists of 3 parts : Midbrain, Pons & Medulla. The brain is made up of nerve cells. The brain and the spinal cord together form the central nervous system. The brain is an important area for autonomic reflex activities, voluntary body movement, behavioural, character and emotional state of the individual. Computerized Tomographic Scanning and Electro-encephalographu are the common investigations for the brain.

2. Eye
The eye is the organ of vision. The eyeball has three coats. The cornea is the clear transparent layer on the front of the eyeball. It is the continuation of the sclera (the white of the eye) ,the tough outer coat that protects the delicate mechanism of the eye. The choroid is the middle layer and contains blood vessels. The third layer is the retina which contains cells that are sensitive to lights. The light rays from the seen object focus on the retina then transmit to the optic nerve and to the visual centre in brain. The brain imposes the image and judges the distance.
Discharge Advice on Common Eye Surgery    

3. Ear
The ear is the organ of hearing and of equilibrium. The ear is made up of the outer ear, the middle ear and the inner ear. The tympanic membrane separates the outer ear from the middle ear. It transmits sound vibrations collected by the outer ear to the inner ear. In the inner ear is the cochlear, containing the nerves that transmit sound to the auditory centre in the brain. The inner ear also contains the semicircular canals which are essential for the sense of balance.
How to Protect your Ears . .

4. Nose
The nose is the organ of smell and as a means of bringing air into the lungs. Nostrils form the external entrance of the nose .The two nasal cavities are separated by the nasal septum formed of cartilage and bone. The interior of the nose is lined with mucous membrane covered with minute hairlike projections called cilia. These cilia sweep out the nasal mucus, pollen, dust and bacteria from the air. The nerves of smell (Olfactory receptors) located high in the inferior of each nasal cavity. They sort out innumerable different odors.
First Aid for Epistaxis Allergic Rhinitis

5. Throat
The throat includes the Larynx and Pharynx ,the fauces and the anterior part of the neck. The Larynx and Pharynx link the nose and mouth with the respiratory and digestive systems. The larynx is a muscular and cartilaginous structure lined with mucous membrane. It is situated at the top of the trachear and below the root of the tongue and hyoid bone. The largest of the cartilage (the Thyroid cartilage) forms the Adam's apple. The larynx also contains the vocal cord which is the source of sound heard in speech.
Hoarseness of Voice To Know More About Nasapharyngeal Carcinoma
Care of Tracheostomy Guideline for Patient with Pharyngeo-laryngo-oesophagectomy

6. Tonsils
Tonsils are part of the lymphatic system that helps to filter bacteria in the pharynx. There are three different kinds of tonsils: Palatine tonsils, Lingual tonsils and Pharyngeal tonsils.

7. Thyroid Gland
The thyroid gland is the largest of the endocrine glands, situated in the frontal and sides of the neck just below the thyroid cartilage. It produces hormones that are vital in maintaining normal growth and metabolism. It also serves as a storehouse for iodine.

8. Oesophagus
The oesophagus is a pathway through which ingested food and drink reach the stomach from the mouth. It is about 10 to 12 inches long in adult. At the junction between the stomach and oesophagus is a muscular ring known as the cardiac sphincter which regulates the passage of food into the stomach.

9. Breast
The breasts are secondary sex organs in women with the function of milk production after childbirth. Before puberty, the breasts are small with little internal glandular structure. With the onset of puberty in females, much of the breast enlargement is due to fat deposition. Hormone secretion in each restruct cycle also contributes to breast growth.
Information on Self-examination of Breast Recovery Guideline on Excision Breast Lump / Tumour
Recovery Guideline on Mastectomy . .

10. Chest
Lung is the major organ inside the chest. Everyone has two lungs. Right lung has 3 lobes while left lung has 2 lobes. Both lungs are enclosed within a rib cage and thoracic muscles. Separating the chest from the abdomen across the body is the diaphragm. Together with the nose, glottis, trachea, main bronchus, left and right bronchus, bronchioles, and the blood supply, they form the respiratory system.

By the contraction and relaxation of the thoracic muscles and the diaphragm, the rib cage moves outward and recoils downward. This results in the inspiration and expiration of the breathing cycle.

The breathing cycle enables the body to take in oxygen from air and expel carbon dioxide and water vapour produced from body metabolism into the atmosphere. Air comes in through the nose, trachea, main bronchus, bronchioles, and into the alveolar sacs of the lung. Carbon dioxide and water vapour go in the opposite direction. Gaseous exchange takes place on the vascular epithelium of the alveoli.
Asthma Management    

11. Heart
The heart is a vital organ. It is divided into four chambers with two valves. The atrium receive blood while the ventricle pumps blood out of the heart. There are valves between the chambers which ensure blood flowing in the right direction. The heart pumps blood into arteries which run around the body. The arteries divide into smaller capillaries which join to form larger veins and convey blood back to the heart. Blood carries food and oxygen to body cells and collects carbon dioxide and wastes away.
Your Permanent Pacemaker and You Pacemaker Interrogation & Follow Up Clinic
Cardiac Rehabilitation Service . .

12. Stomach
The stomach is an enlargement of the alimentary canal between the oesophagus and the small intestine. It is divided into two regions : the body and fundus, and the antrum. Functions of the stomach are digestion, mixing and storage of food.

The antrum of the stomach and the small intestine are separated by the pylorus which acts as a sphincter.
Urea Breath Test Patient Information    

13. Pancreas
The pancreas is a long, flat-shaped glandular organ, weighting about 80 grams. It is situated behind the stomach. It contains the exocrine cells which release digestive enzymes into the duodenum through the pancreatic duct, and endocrine cells which release various important hormones (including insulin) directly into the bloodstream. Insulin is an anabolic hormone that controls the metabolism of glucose in human body.

14. The Liver
The liver is the largest organ in the body. It comprises one fifth of the total adult body weight. There are two anatomical lobes, the right being about six times the size of the left. It has a double blood supply, from the portal vein and hepatic artery. The gallbladder lies on the inferior border of the liver. It plays an important role in metabolism and synthesis. Blood tests for liver function and prothrombin time may reflect abnormalities in the liver.

15. Gallbladder
The gallbladder is a pear-shaped organ located below the liver. It serves as a reservour for bile. In between meals, the gallbladder concentrates the bile by absorbing salts and water. Bile is injected via bile duct into the duodenum for the digestion of fat during a meal.
Recovery Guideling on Cholecystectomy Guideline for Patient with Laparoscpic Cholecystectomy

16. Small Intestine
The small intestine is extending from the stomach to the large intestine about 6 to 7 metres with the average diameter of 4 cm. Small intestine is divided into duodenum, jejunum, and ileum. The inner surface of the small intestine is arranged into folds with small finger-like projection for the secretion, digestion and absorption of food.

17. Large Intestine
The large intestine extends from the small intestine to the anus. It is approximately 5 to 6 feet long and 2 inches in diameter. It is divided into caecum, colon, and rectum and anus. The caecum comprises the first 2 to 3 inches of the large intestine. There is a blind-ended pouch from which extends a small finger-like projection known as appendix, having no known function. The colon is divided into ascending, transverse, descending, and sigmoid colon. Its major functions include absorption of the remaining water, urea, and electrolytes; secretion of mucus; and storage of faeces. The rectum and anus are the final segments of the large intestine. It is about to 8 inches long. The rectum and anus extend from the sigmoid colon to the anus.
Guideline for Patient with Haemorrhoidectomy Guideline for Patient with Appendicectomy

18. Kidneys
The kidneys are two bean-shaped organs in the lumbar region. They help to eliminate waste products, toxins and excessive waste from the body in the form of urine. Urine from the kidneys moves along ureters into the bladder. In adult, about 1500 ml of urine is excreted daily.
Physical Training for Renal Rehabilitation Physical Exercises for Renal Patients
Caring of Haemodialysis Access - Perm Cath Caring of Haemodialysis Access - Dual Lumen Catheter

19. Urinary Bladder
The urinary bladder serves as a receptacle for secretion. It is situated in the anterior part of the pelvic cavity. It joins to the kidneys by the ureters and to the exterior of the body by the urethra. Urine passes to the bladder from the kidneys and it remains there until it is voided. When the sphincters at the juncture of the bladder and urethra are relaxed and the muscular walls of the bladder contract, urination occurs.
Recovery on Hypospadias Operation Recovery Guideline on Transurethral Retrograde Prostatectomy
Instructions for patient with indwelling urethral catheter Recovery Guideline on Cystoscopy

20. Penis
Penis is the external genitalia of the male reproductive system. It is also the organ for urination in man. The penis consists of three cylindrical vascular cords running its entire length. When the cord becomes engorged with blood, the penis becomes rigid. This entire process occurs rapidly. Complete erection takes less than 10 seconds.
Recovery Guideline on Circumcision . .

21. Bone
Human has 217 bones in the body. Some of the bones are fused together . Bones make up the skeleton and provide the rigid framework that supports the body. The skeleton of human is divided into two main parts, the axial skeleton which lies in the centre of the body. It includes the skull, vertebral column, ribs and sternum. Another is the appendicular skeleton which lies on either side of the body. It includes the pectoral girdles, pelvic girdles and limb bones. They protect different internal organs such as the brain, heart, lungs and organs of the pelvis by forming the sturdy walls of body cavities. They also make body movement possible by mechanical aspects of the bone function. Apart from the mechanical function, it also has the physiological function. Bone tissue is the storehouse and main supply of reserve calcium and phosphate. Bone marrow serves as the site for the manufacture of red cells and some white sells.
Plaster Care . .

22. Spine
The spinal composed of 7 cervical, 12 thoracic, 5 lumbar, 5 fused sacral and 4 fused coccygeal vertebrae. The function of the spinal column is to support the whole body and protects the spinal cord. It is not rigid and allows flexion, extension, lateral flexion and rotation of body. Between the vertebrae are discs of cartilage called intervertebral discs which reduce friction and act as a shock-absorber during movement.

23. Hand
Hand is a delicate and complicated multi-system organization. It is consisted of 27 bones, 30 joints, 33 muscles, innervation from three peripheral nerves and an intricate vascular system. Hand is an organ of touch, fine discrimination and exquisite dexterity. It is highly adaptable and capable of performing an infinite number of daily living tasks utilizing tools, reach, and grasp.
Trigger Finger Carpel Tunnel Syndrome  

24. Hip
Hand is a delicate and complicated multi-system organization. It is consisted of 27 bones, Hip joint is a ball-and socket joint. The basic structure is that the large globular head (ball) of the femur fits into the deep hemispherical acetabulum (socket). Actually, the whole hip joint is wrapped by a thick and tense layer, which is called fibrous capule. There are three ligaments, which in turn attach to this capule and they are used to prevent hyperextension (backward bending) of the hip joint. The bones of the hip are arranged in such a way that the joint forms one of the most secure, strong and stable articulations in the body. The forces acting across the hip joint are three times body weight during walking and four times body weight during running. The hip moves in four planes and two rotations: flexion, extension, abduction, adduction, and internal and external rotation.

25. Knee
The knee is a structure composed of two joints, the tibiofemoral and the patellofemoral. Both joints are subjected to very high forces during normal activity. When an individual stands with knees slightly flexed, force across the tibiofemoral joint may exceed four times body weight. Wheras force across the patellofemoral joint may exceed three times body weight. During weight bearing, most the load is borne by the tibial plateau, but the cartilage, menisci, and ligaments also share some of the load. The function of the menisci (specialized articular cartiages of the knee) is to distribute the loading forces imposed on the tibial plateaus. The patellae serve to lengthen the lever arm of the quadriceps for better distribution of compressive forces on the femur.

26. The Foot
The foot consists of 26 bones, 33 joints and more than 100 muscles, tendons and ligaments. It is the base-part of leg in direct contact with the ground and articulates to the lower ends of tibia and fibula to form the ankle joint. The foot supports and acts as a shock absorber for our body. It also acts as a lever to propel the leg forward while we walk or run and balances our body when we walk on uneven surfaces.
Patient Information for Nail Surgery (Podiatry Unit) Polypropylene Ankle-foot Orthoses User's Guide
Common Foot Problems and Footwear Nail Surgery - Patient Information

27. Skin
The skin is the largest organ that covers the whole body. It consists of two major parts: an outer layer , the epidermis ,and an inner layer ,the corium. It serves as a protective barrier against micro-organisms, shields the delicate sensitive tissues undernealth from injuries. It acts as an insulator against cold and heat ,helps eliminate body waste in form of perspiration. It also guards against excessive exposure to ultraviolet rays and helps produce the body's supply of vitamin D. Its sense receptors enable the body to feel pain, cold, heat, touch and pressure.
Guideline on Care of Burn and Scald . .

28. The Ovary
The ovary, fallopian tube, uterus and vagina are the components of the female reproductive organ. It is protected by the pelvic bones. Ovaries produce the hormone oestrogen and release egg cell monthly. In the fallopiantube, fertilization of the egg cell may occur whenever it meets a sperm. The fertilized egg will develop into an embryo inside the uterus. The baby develops and delivered though the vagina in 10 month time. If no fertilization occurs, there will be a periodic discharge of the bloody secretion containing tissue debris via the vagina known as menstruation.
Examination for Colposcopy . .