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57 Cards in this Set

  • Front
  • Back
perforated ulcer in 1st part of duodenum affects...
hepatic artery
xiphoid
umbilicus
L levels
T12
l5
Dermatomes
xyphoid
umbilicus
pubic
T7
t10
L1
Innervation of abdominal wall
thoracoabdominals
T7-L1
Lymph drainage
above umbilicus-axillary
below umb-inguinal
which fascia for surgery suturers?
scarpas
how to surgically get to kidney?
posteriorly without disturbing cut
aponeurosa upper/lower
lower deficient abdominally
arcuate line
where rectus sheath ends
inferior epigastric artery and vein anastamose with
superior epigastric artery
borders of inguinal canal
rectus abd, infer epi a&v, inguinal canal/ligament
Direct Hernias
pass medially to vessels , can be in inguinal triangle
indirect
passes laterally to infer vessels, through deep inguinal ring
spermatic cord
genitofemoral nerve, piminiform, ductus deferans, testicular artery
testes coverings
ext spermatic fascia-ext oblique apon
cremaster muscle-int oblique aponeurosa
int spermatic fascia- transverse fascia
indirect congenital inguinal hernia
herniation of gut through the spermatic cord and into scrotum, pushes into unclosed processus vaginalis
incomplete indirect inguinal hernia
intestine pushing downward on CLOSED processus vaginalis
hydrocoele
fluid collects in unclosed part of the processus vaginalis
ectopic testes
testis lie in an abormal positon after passing through the inguinal canal due to abnormal attachment of gubernaculum- tests descended but not in normal position
also infertile?
chryptorchid
undescended testes ramein in abdominal cavity, most commonly in inguinal canal. testes do not mature and are INFERTILE
not confused with retractile testis which are result of very strong cremaster muscle.
supracolic
stomach, liver, gallbladder, spleen
infracolic
small intestine, ascending and descending colon
omentums
ligaments between organs
mesentary
connection of organ to abdominal wall
hepatorenal pouch
space between liver and right kidney
directly continuous with right paracolic gutter
ligament of treitz
connects 4th part of duodenum to diaphragm; serves as landmark for duodenojejunal junction
junction between duodenum and jejunum.
intraperitoneal
organ to posterior wall
stomach, liver, duodenum, spleen, tail of pancreas, jejunum and ileum, cecum and appendix, transverse colon
sigmoid colon
retroperitoneal
kidney, ureters, aorta, ivc, sympathetic trunks
2nd retro
head and body of pancreas
duodenum 2,3,4
ascending colon
descending colon
rectum
peritoneal cavity Males:
peritoneal cavity female;
nothing
infundibula of uterine (fallopian tubes) and ovaries
could lead to ectopic pregnancy in abdominopelvic cavity and abdominopelvic infections
air will accumulate in
suphrenic space. (gravity)
ceolic trunk
t12, foregut, lower esophagus to upper 1/2 of duodenum
superior mesentary
L1, midgut, lower 1/2 of duodenum to left colic flexure
inferior mesentaric artery
L3, LCF to upper rectume
ulceration to posterior wall of stomach
erosion to splenic vessels
portal system
a-c-v-c
superior mesentary branch
ileo and jejunal--arcades---vasa recta
midgut
distal duod-LCF
hindgut
LCF, sigmoid, superior rectal
marginal artery
porta hepatis
houses the bile duct, hepatic artery, and portal vein :)
Hartmanns pouch
top of gallbladder where gallstones may be stuck
Pringle maneuver
when there are lacerations to the liver and it is bleeding profuesly, blood inflow must be stopped. hepatic artery and portal vein are clamped so liver can be saved!!!
common bile enters into
2nd part of duodenum, joins with pancreatic duct and crosses ampulla and papilla(sphincter of Odi)
lymph drainage from the liver
to celiac nodes and then to cisterna chyli
cholecystitis
inflammation of gallbladder due to gall stones
biliary colic
contraction and shaking as stones get stuck in cystic duct and try to come out
jaundice
if gallstone gets stuck in common bile duct and cannot pass to the gut, bile will leak into the blood and cause JAUNDICE
pancreas artery
superior and inferior duodenal artery
pancreas vein
drain to portal vein
pancreas lymph
celiac trunk and superior mesenteric trunk
landmark of sphincter of odi and major duodenal papilla
cross-section between foregut and midgut
spleen artery
splenic artery--celiac trunk to the left
spleen vein
splenic vein --joins with superior mesentery to become portal vein
spleen lymph nodes
celiac nodes--cisterna chyli
lateral to medial nerves of post abdominal wall
subcostal t12
iliohypgastric L1
ilioinguinal L1
lateral femoral
genitofemoral
inguinal nerve
upper 3rd of scrotum and labia major
l2/l4
femoral and obturator