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29 Cards in this Set
- Front
- Back
Describe the sinus drainage
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All sinuses drain into Middle Meatus (Frontal/Maxillary/Anterior Ethmoidal drain to semilunar hiatus (in middle meatus) and middle ethmoidal to ethmoidal bulla (also middle meatus))
, except for: - Sphenoid sinus to sphenoethmoidal recess - Posterior ethmoidal air cell to Superior meatus - (Nasolacrimal duct to inferior meatus) - Eustachian tube/ auditory tube to nasopharynx. |
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Lymphatic drainage of cervix are...
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Int & Ext iliac node
Presacral node |
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Which part of rectum is covered by peritoneum?
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Upper 1/3: Front and side
Middle 1/3: Front Lower 1/3: none |
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Difference between jejunum & ileum?
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Circular fold:
- J: large, tall, closely packed - I: low, sparse, absent distally Mucosal elevations: - J: few - I: many Wall thickness - J: thick - I: thin Mesenteric vessels: - J: shorter arterial arcades, longer vasa recta - I: longer arterial arcades, shorter vasa recta |
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i) Where is the position of liver?
ii) Highest position of liver? |
i) Deep to ribs 7-11 MAL on the right
ii) on expiration, upper border reaches level of rib 5 MCL |
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Name the origin of suprarenal arteries
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Sup: Inf phrenic a
Middle: Abdominal aorta (opposite SMA) Inf: Renal a |
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Describe the arterial supply of kidney from embryonic stage to adult stage:
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Metanephros: int iliac a
During ascent: first = common iliac a then = abdominal aorta Adult kidney = renal a, some have accessory renal a |
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Tributaries of IVC are ...
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hail crRgs [8]
-hepatic v's -azygos v (variable) -inf phrenic v's -lumbar v's -common iliac v's -renal v's -R gonadal v -R suprarenal v |
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What is medial and lateral arcuate ligament made from?
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medial = ant fascia of psoas maj
lat = ant fascia of quadratus lumborum |
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Cisterna chyli
i) location ii) source iii) continue as |
i) R of abdominal aorta just below diaphragm
ii) R&L lumbar lymph trunk, intestinal lym trunk iii) continue sup'ly as thoracic duct |
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Boundary of pelvic inlet is formed by...
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-sacral promontery and alae
-SI joint -arcuate line of ilium -pectineal line of pubis -pubic crest |
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Boundary of pelvic outlet is formed by...
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-pubic symphysis
-pubic arch -ischial tuberosity -sacrotuberous ligament -sacrum -coccyx |
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3 major differences between male & female pelvis are...
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1) pubic arch (= angle between inf pubic rami):
M = acute (70deg) F = obtuse (90-100deg) 2) sacral promontery is more prominent in M 3) distance between ischial spines: M = narrower F = wider 4) pelvic inlet: M=heart; F=oval |
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Lymphatic drainage of Prepuce & Glans Penis
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Prepuce
= Superficial inguinal lymph node Glans penis = Deep inguinal lymph node |
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Lymphatic drainage of Uterus
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Body & Cervix = int iliac node
Fundus = para-aortic, superf inguinal |
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Describe pain change as labor progress
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1) Fundus & Body:
-visceral afferent: sympa T10-L1 2) Cervix & Vagina -paraS S2-4 - pelvic splanchnic n 3) inf quarter of Vagina -somatic afferent: deep perineal n of pudendal n |
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Nerve supply of Rectus abdominis
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Ant branches of intercostal nerves T7-12
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Where is pyramidalis muscle?
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-Behind ant layer of rectus sheath
-Ant to rectus abdominis -Superior to pubis |
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Source of Inf epigastric artery
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External iliac a
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Where is arcuate line?
What does it mark? |
midway between umbilicus & pubic symphysis
-marks the inf margin of post layer of rectus sheath -at which superf epigastric a enters rectus sheath -below which rectus abdominis is in direct contact with transversalis fascia |
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Source of superf epigastric a & v
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femora a
great saphenous v |
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Celiac plexus derive nerve supply from...
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Sympa: greater & lesser splanchnic n's
ParaS: vagus n |
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Superior mesenteric plexus derives its nerve supply from
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Sympa: thoracic splanchnic n
ParaS: vagus n |
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Inferior mesenteric plexus derives its nerve supply from
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Sympa: lumbar splanchnic n
ParaS: pelvic splanchnic n (S2-4) |
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Nerve supply to anal sphincters
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Internal anal sphincter:
from inf hypogastric plexus -sympa: contraction -paraS (S2-4): relaxation External: -inf rectal branch of pudendal n (S2-4) |
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Nerve supply to urethral sphincters
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Internal:
male - mostly by sympa n from inf hypogastric plexus cf. female - poorly developed External: -perineal branch of pudendal n (S2-4) |
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What are the branches of int pudendal a & pudendal n?
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branches of the artery:
-inf rectal a -perineal a -artery to penis/clitoris branches of the nerve: -inf rectal n -perineal n -dorsal n to penis/clitoris |
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Perineal membrane partitions...
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partitions urogenital triangle into:
i) superf perineal pouch: -muscle and erectile tissue of penis/clitoris ii) deep perineal pouch: -ext urethral sphincter -deep transv perineal muscles |
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Muscles of the superficial perineal pouch are...
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-superficial transv perineal muscle
-ischiocavernosus -bulbospongiosus |