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53 Cards in this Set

  • Front
  • Back
what are some typical small branches of the renal artery?
branches to ureter and adrenal
R: ureter to testicular vessels and psoas major
ureter passes posterior to vessles and crosses anterior surface of psoas
which renal artery is longer?
the right renal artery
through the peritoneum, what structures is the right kidney in contact with?
the right colic flexure
visceral surface of the liver
second part of the duodenum
through the peritoneum, what structures is the left kidney in contact with?
tail of the pancreas,, left colic flexure, stomach, spleen
3 spots of natural constriction of the ureter where kidney stones might lodge
jxn of renal pelvis and ureter
where ureter crosses pelvic brim
at entrance of the ureter to the bladder
R: right suprarenal gland and IVC
part of adrenal is posterior to IVC
origin of 3 adrenal arteries
superior -- inferior phrenic
middle -- from aorta near celiac trunk
inferior -- renal artery
R: lumbar arteries and psoas major
arteries pass deep to the psoas major
at what vertebral level does the aorta bifurcate?
L4
attachments of psoas major
proximal: lumber vertebrae
distal: lesser trochanter of the femur
psoas major fxn
strong flexor of the thigh and vertebral column
psoas minor attachments
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
attachments of iliacus muscle
prox: iliac fossa
distal: lesser trochanter of the femur
iliacus fxn
flexes thight
iliopsoas muscle
fxnl unit of iliacus and psoas major muscles
quadratus lumborum attachments
prox: 12th rib and lumber transverse processes
dist: iliolumbar ligament and iliac crest
quadratus lumborum fxn
flexes vertebra column laterally and anchors inferior end of rib cage during respiration
R: quadratus lumborum and transversus abdominis
transversus is posterior
rib level of both kidneys
Rt -- 12th rib
Lt -- 11th rib
vertebral level subcostal nerve
T12
vertebral level iliohypogastric nerve
L1
vertebral level ilioinguinal nerve
L1
vertebral level genitofemoral nerve
L1, 2
vertebral level lateral cutaneous nerve of thigh
L2, 3
vertebral level femoral nerve
L2, 3, 4
vertebral level lumbosacral tranks
L4, 5
where is the lumbar plexus located?
within psoas major muscle
order in which nerves emerge from lumber plexus
siig l f

subcostal
iliohypogastric
ilioinguinal
genitofemoral
lateral cutaneous of thigh
femoral
what does the genitofemoral nerve innervate?
motor nerve of cremaster
small area of skin inferior and medial to inguinal ligament
where does the genitofemoral nerve divide?
superior to inguinal ligament
R: iliohypogastric/ilioinguinal nerves and quadratus lumborum
nerves are anterior
at what point do the iliohypogastric and ilioinguinal nerves separate?
when they reach transversus muscle
R: lateral femoral cutaneous nerve and inguinal ligament
nerve passes deep to the inguinal ligament near the anterior superior iliac spine
what does the femoral nerve innervate?
psoas major and iliacus muscles, as well as providing motor and sensory innervation to the anterior thigh
what does the obturator nerve innervate?
supplies sensory and motor innervation to the medial thigh
what forms the lumbosacral trunk?
ventral rami of L4 and L5
where is the sympathetic trunk found?
on the vertebral body between the crus of the diaphragm and the psoas major muscle
central tendon of the diaphragm
aponeurotic center of the diaphragm, which is the distal attachment of all its muscular parts
sternal part of diaphragm
two small bundles of muscle fibers that attach to posterior surface of xiphoid process
costal part of diaphragm
muscle fibers that attach to the inferior six ribs and their costal cartilages
lumber part of diaphragm
formed by left and right crura
attachments of right crus
prox: bodies of vertebrae L1 to L3
what is the esophageal hiatus?
opening in right crus of diaphragm through which the esophagus passes through
attachments of left crus
prox: bodies of vertebrae L1 and L2
arcuate ligaments
thickenings of fascia that serve as proximal attachements for some muscles to diaphragm
3 large openings in diaphragm and their vertebral level
vena caval foramen -- through central tendon (T8)
esophageal hiatus -- right crus (T10)
aortic hiatus -- passes behind diaphragm (T12)
the lower intercostal nerves (T5 - T11) and the subcostal nerve innervates the peripheral part of the diaphragm...what innervates the rest?
phrenic nerves
what does the greater splanchnic nerve do after it has passed through the diaphragm to enter the abdominal cavity?
distributes to celiac ganglion and innervates adrenals
what happens to a paralyzed hemidiaphragm?
it cannot contract (descend) and so appears high in thorax on a chest x-ray
which two veins join to form the hepatic portal vein?
splenic and SMV
3 arterial anastomoses of foregut
pancreaticodudenal arteries
middle and left colic arteries
superior rectal and middle/inferior rectal
collateral pathways (portosystemic collaterals) for when portal system is compromised
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