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