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53 Cards in this Set
- Front
- Back
what are some typical small branches of the renal artery?
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branches to ureter and adrenal
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R: ureter to testicular vessels and psoas major
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ureter passes posterior to vessles and crosses anterior surface of psoas
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which renal artery is longer?
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the right renal artery
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through the peritoneum, what structures is the right kidney in contact with?
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the right colic flexure
visceral surface of the liver second part of the duodenum |
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through the peritoneum, what structures is the left kidney in contact with?
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tail of the pancreas,, left colic flexure, stomach, spleen
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3 spots of natural constriction of the ureter where kidney stones might lodge
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jxn of renal pelvis and ureter
where ureter crosses pelvic brim at entrance of the ureter to the bladder |
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R: right suprarenal gland and IVC
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part of adrenal is posterior to IVC
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origin of 3 adrenal arteries
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superior -- inferior phrenic
middle -- from aorta near celiac trunk inferior -- renal artery |
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R: lumbar arteries and psoas major
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arteries pass deep to the psoas major
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at what vertebral level does the aorta bifurcate?
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L4
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attachments of psoas major
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proximal: lumber vertebrae
distal: lesser trochanter of the femur |
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psoas major fxn
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strong flexor of the thigh and vertebral column
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psoas minor attachments
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long flat tendon that passes down the anterior surface of the psoas major to its distal attachement on the iliopubic eminence and the arcuate line of the ilium
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attachments of iliacus muscle
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prox: iliac fossa
distal: lesser trochanter of the femur |
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iliacus fxn
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flexes thight
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iliopsoas muscle
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fxnl unit of iliacus and psoas major muscles
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quadratus lumborum attachments
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prox: 12th rib and lumber transverse processes
dist: iliolumbar ligament and iliac crest |
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quadratus lumborum fxn
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flexes vertebra column laterally and anchors inferior end of rib cage during respiration
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R: quadratus lumborum and transversus abdominis
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transversus is posterior
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rib level of both kidneys
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Rt -- 12th rib
Lt -- 11th rib |
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vertebral level subcostal nerve
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T12
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vertebral level iliohypogastric nerve
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L1
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vertebral level ilioinguinal nerve
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L1
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vertebral level genitofemoral nerve
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L1, 2
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vertebral level lateral cutaneous nerve of thigh
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L2, 3
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vertebral level femoral nerve
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L2, 3, 4
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vertebral level lumbosacral tranks
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L4, 5
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where is the lumbar plexus located?
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within psoas major muscle
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order in which nerves emerge from lumber plexus
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siig l f
subcostal iliohypogastric ilioinguinal genitofemoral lateral cutaneous of thigh femoral |
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what does the genitofemoral nerve innervate?
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motor nerve of cremaster
small area of skin inferior and medial to inguinal ligament |
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where does the genitofemoral nerve divide?
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superior to inguinal ligament
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R: iliohypogastric/ilioinguinal nerves and quadratus lumborum
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nerves are anterior
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at what point do the iliohypogastric and ilioinguinal nerves separate?
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when they reach transversus muscle
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R: lateral femoral cutaneous nerve and inguinal ligament
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nerve passes deep to the inguinal ligament near the anterior superior iliac spine
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what does the femoral nerve innervate?
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psoas major and iliacus muscles, as well as providing motor and sensory innervation to the anterior thigh
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what does the obturator nerve innervate?
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supplies sensory and motor innervation to the medial thigh
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what forms the lumbosacral trunk?
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ventral rami of L4 and L5
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where is the sympathetic trunk found?
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on the vertebral body between the crus of the diaphragm and the psoas major muscle
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central tendon of the diaphragm
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aponeurotic center of the diaphragm, which is the distal attachment of all its muscular parts
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sternal part of diaphragm
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two small bundles of muscle fibers that attach to posterior surface of xiphoid process
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costal part of diaphragm
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muscle fibers that attach to the inferior six ribs and their costal cartilages
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lumber part of diaphragm
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formed by left and right crura
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attachments of right crus
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prox: bodies of vertebrae L1 to L3
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what is the esophageal hiatus?
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opening in right crus of diaphragm through which the esophagus passes through
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attachments of left crus
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prox: bodies of vertebrae L1 and L2
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arcuate ligaments
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thickenings of fascia that serve as proximal attachements for some muscles to diaphragm
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3 large openings in diaphragm and their vertebral level
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vena caval foramen -- through central tendon (T8)
esophageal hiatus -- right crus (T10) aortic hiatus -- passes behind diaphragm (T12) |
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the lower intercostal nerves (T5 - T11) and the subcostal nerve innervates the peripheral part of the diaphragm...what innervates the rest?
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phrenic nerves
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what does the greater splanchnic nerve do after it has passed through the diaphragm to enter the abdominal cavity?
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distributes to celiac ganglion and innervates adrenals
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what happens to a paralyzed hemidiaphragm?
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it cannot contract (descend) and so appears high in thorax on a chest x-ray
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which two veins join to form the hepatic portal vein?
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splenic and SMV
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3 arterial anastomoses of foregut
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pancreaticodudenal arteries
middle and left colic arteries superior rectal and middle/inferior rectal |
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collateral pathways (portosystemic collaterals) for when portal system is compromised
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1. esophagus (feeds into azygos system)
2. paraumbilical (feed into azygos via superior epigastric and common iliac via inferior epigastric) 3. colic vv feed into ascending lumbar 4. superior rectal to middle/inferior rectal and then to common iliac vein |