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59 Cards in this Set
- Front
- Back
celiac trunk - vertebral level
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Upper border L1
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Superior Mesenteric a. - vert. level
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Lower border L1 - Transpyloric plane
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Renal artery - vert level
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LII
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Inferior Mesenteric a. vert level
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LIII - subcostal plane
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Umbillicus - vert plane
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LIII/ LIV
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Bifurcation of Aorta
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below supracristal plane
LIV |
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IVC joins together at what vert level
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LV - Intertubercular plane
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Neck of pancreas - vert level
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LI
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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 |
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what passes inferior to neck of pancreas
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superior mesenteric vessels
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dorsal mesentery organs
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spleen, dorsal part of pancreas, duodenum,
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ventral mesentery organs
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liver, gallbladder, ventral part of pancreas,
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foregut
length and mesentery |
distal esophagus to inferior to major duodenal papilla
suspended by both ventral and dorsal mesentery |
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midgut
length and mesentery |
distal duodenum to proximal 2/3 of transverse colon
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branches of celiac trunk
vertebral location |
Common Hepatic a.
L Gastric a. Splenic a. |
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branches of splenic a.
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dorsal pancreatic a.
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branches of celiac trunk
vertebral location |
Common Hepatic a.
L Gastric a. Splenic a. |
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branches of common hepatic a.
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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.) |
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branches of splenic a.
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dorsal pancreatic a.
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What gives rise to Cystic a.
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R hepatic a. from the proper hepatic a.
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branches of common hepatic a.
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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.) |
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what veins join to form the hepatic portal v? at what vertebral level?
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Splenic v.
Superior mesenteric v. posterior to neck of pancreas - LII |
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What gives rise to Cystic a.
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R hepatic a. from the proper hepatic a.
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what veins join to form the hepatic portal v? at what vertebral level?
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Splenic v.
Superior mesenteric v. posterior to neck of pancreas - L1 |
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Where does the inferior mesenteric v. drain?
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splenic v.
posterior to body of pancreas level L1 |
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Ligament located on Anterior surface of liver between L and R lobes
derived from what mesentery? |
Falciform ligament
Ventral mesentery |
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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.) |
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Ligament at opening of Omental bursa (lesser sac)
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Hepatoduodenal ligament
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Vessels of Hepatoduodenal ligament
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Common bile duct (lateral)
Proper hepatic a. (medial) Hepatic portal v. (most posterior) a. and duct lay on top |
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Hepatoduodenal ligament is part of...
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Hepatogastric ligament and Lesser Omentum
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Name the foramen for which the hepatoduodenal ligament borders
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Epiploic foramen of winslow - AKA Omental Foramen
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Foregut - contents - blood supply
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abdominal esophagus, stomach, duodenum, liver, pancreas, gallbladder
Spleen also develops in relation to foregut BS - Celiac Trunk |
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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. |
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Hindgut
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L 1/3 transverse colon, descending colon, sigmoid colon, rectum, upper part anal canal
Inferior mesenteric a. |
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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. |
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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 |
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Common hepatic
blood supply to what Branches? |
br. - R and L hepatic aa.,
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where does hepatic a. proper divide?
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divides into R and L hepatic aa. near porta hepatis
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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. |
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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 |
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Br. of superior mesenteric a.
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R side (superior to inferior) -
1. Inferior pancreaticoduodinal a. 2. middle colic a 3. right colic a. 4. ileocolic a. |
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number of arterial arcades ______ distally along the gut
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increases
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location of long vasa recta
spacing? |
jejununum
close together |
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location of short vasa recta
spacing? |
Ileum
spaced farther apart |
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Br.s of ileocolic a.
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colic, cecal, appendicular, and ileal br.s
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Br. of inferior mesenteric a.
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Left colic a
several Sigmoid aa. Superior rectal a. |
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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 |
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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. |
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What vessels does the Superior rectal a. cross?
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L. common iliac a and v.
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superior rectal a. supplies blood to _______?
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Rectum
anastamoses with inf. rectal aa. (from internal pudendal a.) |
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What watershed is vulnerable to ischemea?
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watershed b/t Superior and Inf. mesenteric a. @ splenic flexure
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McBurney's Pt.
Significance? |
1/3 distance from R ASIS to Umbilicus
tenderness indicating appendicitis |
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Divisions - 9 regional organization
Superior division demarcation Inferior division demarcation Vertical planes |
1. L3 - Subcostal Plane
2. L5 - Transtubercular plane 3. Midclavicular planes (2) |
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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) |
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4 quadrant division demarcations
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Transumbilical plane - LIII/IV disk
Median Plane - pass though pubic symphisis Right upper quadrant (RUQ) LUQ RLQ LLQ |
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Organs in RUQ
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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 |
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Organs in LUQ
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L Lobe Liver
Spleen Stomach Jejunum Proximal Ileum Body and Tail Pancreas L Kidney and suprarenal gland 1/2 Transverse colon Superior descending colon |
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Organs in RLQ
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Cecum
Vermiform appendix Inferior Ascending colon R ovary and Uterine tube R Ureter R spermatic cord uterus - if enlarged Urinary bladder - if full |
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Organs in LLQ
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Inf. Descending colon
Sigmoid colon L ovary and Uterine tube L Ureter L spermatic cord uterus - if enlarged Urinary bladder - if full |