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29 Cards in this Set

  • Front
  • Back
Describe the sinus drainage
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.
Lymphatic drainage of cervix are...
Int & Ext iliac node
Presacral node
Which part of rectum is covered by peritoneum?
Upper 1/3: Front and side
Middle 1/3: Front
Lower 1/3: none
Difference between jejunum & ileum?
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
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
Name the origin of suprarenal arteries
Sup: Inf phrenic a
Middle: Abdominal aorta (opposite SMA)
Inf: Renal a
Describe the arterial supply of kidney from embryonic stage to adult stage:
Metanephros: int iliac a
During ascent:
first = common iliac a
then = abdominal aorta
Adult kidney = renal a, some have accessory renal a
Tributaries of IVC are ...
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
What is medial and lateral arcuate ligament made from?
medial = ant fascia of psoas maj
lat = ant fascia of quadratus lumborum
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
Boundary of pelvic inlet is formed by...
-sacral promontery and alae
-SI joint
-arcuate line of ilium
-pectineal line of pubis
-pubic crest
Boundary of pelvic outlet is formed by...
-pubic symphysis
-pubic arch
-ischial tuberosity
-sacrotuberous ligament
-sacrum
-coccyx
3 major differences between male & female pelvis are...
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
Lymphatic drainage of Prepuce & Glans Penis
Prepuce
= Superficial inguinal lymph node
Glans penis
= Deep inguinal lymph node
Lymphatic drainage of Uterus
Body & Cervix = int iliac node
Fundus = para-aortic, superf inguinal
Describe pain change as labor progress
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
Nerve supply of Rectus abdominis
Ant branches of intercostal nerves T7-12
Where is pyramidalis muscle?
-Behind ant layer of rectus sheath
-Ant to rectus abdominis
-Superior to pubis
Source of Inf epigastric artery
External iliac a
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
Source of superf epigastric a & v
femora a
great saphenous v
Celiac plexus derive nerve supply from...
Sympa: greater & lesser splanchnic n's

ParaS: vagus n
Superior mesenteric plexus derives its nerve supply from
Sympa: thoracic splanchnic n

ParaS: vagus n
Inferior mesenteric plexus derives its nerve supply from
Sympa: lumbar splanchnic n
ParaS: pelvic splanchnic n (S2-4)
Nerve supply to anal sphincters
Internal anal sphincter:
from inf hypogastric plexus
-sympa: contraction
-paraS (S2-4): relaxation

External:
-inf rectal branch of pudendal n (S2-4)
Nerve supply to urethral sphincters
Internal:
male - mostly by sympa n from inf hypogastric plexus
cf. female - poorly developed

External:
-perineal branch of pudendal n (S2-4)
What are the branches of int pudendal a & pudendal n?
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
Perineal membrane partitions...
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
Muscles of the superficial perineal pouch are...
-superficial transv perineal muscle
-ischiocavernosus
-bulbospongiosus