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21 Cards in this Set
- Front
- Back
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Most common hernia |
Inguinal (R>L, 50% indirect, 25% direct, 5% femoral) |
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Superior pubic bone periosteum |
Cooper's ligament |
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Gubernaculum |
Embryologic structure adhering testes to scrotal sac |
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Hernia risk factors |
Chronic straining (e.g. constipation), obesity, ascites, chronic coughing (e.g. COPD), congenital patent processus vaginalis |
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Sliding hernia |
Hernia sac partially formed by wall of viscus (e.g. bladder, cecum) |
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Inguinal ligament AKA |
Poupart's ligament |
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Abdominal wall layers |
Skin --> subq fat --> Scarpa's fascia --> external oblique --> internal oblique (cremaster muscle) --> transversus abdominus --> transversalis fascia --> preperitoneal fat --> peritoneum |
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Nerve that runs with spermatic cord in inguinal canal |
Ilioinguinal nerve (sensation for inner thigh/lateral scrotum) |
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Spermatic cord contents |
Cremasteric muscle fibers, vas deferens (round ligamen in F), testicular VAN (genital branch of genitofemoral nerve) |
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Most common organ in inguinal hernia sac in M/F |
M - SI, F - ovary/fallopian tube |
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Femoral canal boundaries |
Cooper's ligament (P), inguinal ligament (A), femoral vein (L), lacunar ligament (M) |
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Why CO2 used for laparoscopy? |
Better blood solubility so less risk of gas embolus |
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Ducts of Luschka |
Ducts that drain bile directly from liver into GB |
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GB valves |
Spiral valves of Heister |
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Hartmann's pouch |
GB infundibulum (near cystic duct) |
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Calot's triangle boundaries |
Cystic duct, common hepatic duct, cystic artery |
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Alk phos source |
Bile duct epithelium |
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Cause of itching in obstructive jaundice |
Bile salts in dermis (not bilirubin) |
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Klatskin tumor |
CholangioCA at jxn of R and L hepatic ducts |
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Big 4 risk factors for cholelithiasis |
Four F's - female, fat, forty, fertile (multiparous) |
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Boas' sign |
Referred R subscapular pain of biliary colic |
