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59 Cards in this Set

  • Front
  • Back
celiac trunk - vertebral level
Upper border L1
Superior Mesenteric a. - vert. level
Lower border L1 - Transpyloric plane
Renal artery - vert level
LII
Inferior Mesenteric a. vert level
LIII - subcostal plane
Umbillicus - vert plane
LIII/ LIV
Bifurcation of Aorta
below supracristal plane
LIV
IVC joins together at what vert level
LV - Intertubercular plane
Neck of pancreas - vert level
LI
in what mesentery does the pancreas develop
what location in the perotineum?
ventral portion - ventral mesentery
dorsal portion - dorsal mesentery
secondarily retroperitoneal - except for small part of tail
what passes inferior to neck of pancreas
superior mesenteric vessels
dorsal mesentery organs
spleen, dorsal part of pancreas, duodenum,
ventral mesentery organs
liver, gallbladder, ventral part of pancreas,
foregut
length and mesentery
distal esophagus to inferior to major duodenal papilla
suspended by both ventral and dorsal mesentery
midgut
length and mesentery
distal duodenum to proximal 2/3 of transverse colon
branches of celiac trunk
vertebral location
Common Hepatic a.
L Gastric a.
Splenic a.
branches of splenic a.
dorsal pancreatic a.
branches of celiac trunk
vertebral location
Common Hepatic a.
L Gastric a.
Splenic a.
branches of common hepatic a.
Gastroduodenal a.
Supraduodenal a.
R. gastric a.
Proper hepatic a. (continuation of com. hep a.)
R hepatic a.
L hepatic a. (continuation proper hep. a.)
branches of splenic a.
dorsal pancreatic a.
What gives rise to Cystic a.
R hepatic a. from the proper hepatic a.
branches of common hepatic a.
Gastroduodenal a.
Supraduodenal a.
R. gastric a.
Proper hepatic a. (continuation of com. hep a.)
R hepatic a.
L hepatic a. (continuation proper hep. a.)
what veins join to form the hepatic portal v? at what vertebral level?
Splenic v.
Superior mesenteric v.
posterior to neck of pancreas - LII
What gives rise to Cystic a.
R hepatic a. from the proper hepatic a.
what veins join to form the hepatic portal v? at what vertebral level?
Splenic v.
Superior mesenteric v.
posterior to neck of pancreas - L1
Where does the inferior mesenteric v. drain?
splenic v.
posterior to body of pancreas
level L1
Ligament located on Anterior surface of liver between L and R lobes
derived from what mesentery?
Falciform ligament
Ventral mesentery
ligament located on anterior inferior border of liver, between L and R lobes
Remnant of what?
Round Ligament - Ligamentum teres
L umbilical v.
(R umbilical v. is obliterated during devel.)
Ligament at opening of Omental bursa (lesser sac)
Hepatoduodenal ligament
Vessels of Hepatoduodenal ligament
Common bile duct (lateral)
Proper hepatic a. (medial)
Hepatic portal v. (most posterior)
a. and duct lay on top
Hepatoduodenal ligament is part of...
Hepatogastric ligament and Lesser Omentum
Name the foramen for which the hepatoduodenal ligament borders
Epiploic foramen of winslow - AKA Omental Foramen
Foregut - contents - blood supply
abdominal esophagus, stomach, duodenum, liver, pancreas, gallbladder
Spleen also develops in relation to foregut
BS - Celiac Trunk
Midgut
Contents
Blood supply
inf. to major duodenal papilla - proximal 2/3 of transverse colon.
Duodenum, jejunum, ileum, cecum, appendix, ascending colon, 2/3 R transverse colon
Superior Mesenteric a.
Hindgut
L 1/3 transverse colon, descending colon, sigmoid colon, rectum, upper part anal canal
Inferior mesenteric a.
L gastric a.
branches
Blood supply to what
Smallest Br. of celiac tr.
branches - esophageal brs. -anastamose w/ thoracic
esophageal branches
L gastric - supply lesser curvature
anastamose w/ R gastric a.
Splenic a
branches
BS of what
Largest of Celiac tr.
travels in splenorenal ligament
supply to neck body and tail of pancreas
Fundus of stomach - short gastric aa. in gastrosplenic ligament
br. -> L gastro-omental a.- greater curvature of stomach
Common hepatic
blood supply to what
Branches?
br. - R and L hepatic aa.,
where does hepatic a. proper divide?
divides into R and L hepatic aa. near porta hepatis
anterior and posterior pancreaticoduodenal a. (a/p pd a.) - bs to what?
anastamose w/ what?
Head of Pancreas and duodenum
anastamose w/ ant/post inf. pancreaticoduodenal a.
what crosses superior mesenteric a. anteriorly?
posteriorly?
ant. - splenic v. and neck of pancreas
post. - L renal v., uncinate process pancreas, inferior part of duodenum
Br. of superior mesenteric a.
R side (superior to inferior) -
1. Inferior pancreaticoduodinal a.
2. middle colic a
3. right colic a.
4. ileocolic a.
number of arterial arcades ______ distally along the gut
increases
location of long vasa recta
spacing?
jejununum
close together
location of short vasa recta
spacing?
Ileum
spaced farther apart
Br.s of ileocolic a.
colic, cecal, appendicular, and ileal br.s
Br. of inferior mesenteric a.
Left colic a
several Sigmoid aa.
Superior rectal a.
L colic a.
location in mesentery
blood supply to what?
what does it anastamose with superiomedially
Retroperitoneal
distal transverse colon
superior descending colon
Middle colic a. anastamoses
Sigmoid aa.
Blood supply to what?
Anastamoses with what other br.?
Inferior Descending colon and sigmoid colon
Left colic and superior rectal aa. from inf. mesenteric a.
What vessels does the Superior rectal a. cross?
L. common iliac a and v.
superior rectal a. supplies blood to _______?
Rectum
anastamoses with inf. rectal aa. (from internal pudendal a.)
What watershed is vulnerable to ischemea?
watershed b/t Superior and Inf. mesenteric a. @ splenic flexure
McBurney's Pt.
Significance?
1/3 distance from R ASIS to Umbilicus
tenderness indicating appendicitis
Divisions - 9 regional organization
Superior division demarcation
Inferior division demarcation
Vertical planes
1. L3 - Subcostal Plane
2. L5 - Transtubercular plane
3. Midclavicular planes (2)
9 region organizational pattern names
Superior to inferior
R to L
R hypochondrium, Epigastric, L hypochondrium
R flank, Umbilical region, L flank
R groin (inguinal region), pubic region, L groin (inguinal region)
4 quadrant division demarcations
Transumbilical plane - LIII/IV disk
Median Plane - pass though pubic symphisis
Right upper quadrant (RUQ)
LUQ
RLQ
LLQ
Organs in RUQ
R Lobe Liver
gallbladder
pylorus of stomach
duodenum (1-3)
head of pancreas
R kidney and suprarenal gland
R colic flexure
Ascending colon
1/2 of Transverse colon
Organs in LUQ
L Lobe Liver
Spleen
Stomach
Jejunum
Proximal Ileum
Body and Tail Pancreas
L Kidney and suprarenal gland
1/2 Transverse colon
Superior descending colon
Organs in RLQ
Cecum
Vermiform appendix
Inferior Ascending colon
R ovary and Uterine tube
R Ureter
R spermatic cord
uterus - if enlarged
Urinary bladder - if full
Organs in LLQ
Inf. Descending colon
Sigmoid colon
L ovary and Uterine tube
L Ureter
L spermatic cord
uterus - if enlarged
Urinary bladder - if full