Abd Ana Flashcards
Hasselbach or Inguinal triangles Boundaries
SUP LAT inf epigastric a INFERIOR LATERAL inguinal or pouparts ligament MEDIAL rectus abdominis
Rectus sheath border above arcuate line
ANTERIOR external and internal oblique POSTERIOR internal oblique and transversus abdomnis
Rectus sheath border below arcuate line
ANT external and internal oblique plus transversus abdominis POSTERIOR transversalis fascia
Inguinal canal boundaries
ANT eom aponeurosis POST transversalis fascia and conjoint tendon SUP internal oblique plus transversalis abdominis INF inguinal ligament
Contents of inguinal canal
Ilioinguinal nerve L1 plus Spermatic cord male or Round ligament female
Layers of abdominal wall 9
Skin Superficial fascia Campers Scarpas Deep fascia Muscles Transversalis fascia Extreaperitoneal fat Parietal peritoneum
Derivative of superficial fascia
DARTOS MUSCLE causing wrinkled appearance of scrotum
External oblique derivative
External spermatic fascia
Internal oblique derivative
Cremasteric ms NS genital branch of genitofemoral n L1 L2
Transversalis fascia derivative
Internal spermatic cord
Peritoneum derivative
tunica vaginalis
Retroperitoneal organs KIDDAPAUan 8
Kidney IVC Duodenum1 Desc colon Asc colon Pancreas Abd aorta Ureter
Boundaries of Epiploic Foramen of Winslow
Connects greater and lesser sac ANTERIOR Hepatoduodenal ligament Portal vein Hepatic artery cbd POSTERIOR ivc SUP caudate lobe of liver INF superior part of duodenum
What structure found in Hepatoduodenal ligament
Portal triad ANT LEFT hepatic a ANT RIGHT cbd POSTERIOR portal vein
Branches of celiac a
at T12 parang kidney LEFT GASTRIC A SPLENIC A Left gastroepiploic Short gastric HEAPTIC A Right gastric R and L hepatic Gastroduodenal
SMA branches at
L1 Inferior Pancreaticoduodenal Middle colic Right colic Ileo colic Jejunal ileal
Forgut derivatives
Duodenum 2 plus structures before it
IMA location
L3
Bufircation of aorta at
L4
Transverse colon BS
SMA and IMA both midgut and hindgut
BS Duodenum 2nd part
Celiac plus SMA both foregut and midgut
Portal vein
SMV plus Splenic v NOTE that IMV drains into spleen
Drainage R and L hepatic veins
IVC
Drainage R gonadala and R suprarenal veins
IVC
Drainage of L gonadal and L suprarenal V
L renal v
Drainage of R gastroepiploic v
SMV
Drainage of L gastroepiploic v
Splenic vein
R colic v
SMV
L colic v
IMV
Cardia of stomach
T10 to T11 vertebra
Pyloric Canal
anywhere within L2 to L4 Vertebra
Lesser curvature BS
L and R gastric arteries
Greater Curvature BS
L and R gastroepiploic arteries
BS Fundus of stomach
Short gastric a
Esophagus relation to vagus
LARP left vagus anterior right vagus posterior
Duodenum parts
SUPERIOR 1ST anterolateral to body of L1 DESCENDING 2nd descends along L1 to L3 HORIZONTAL 3rd crosses L3 ASCENDING begins at L3 ascends to L2
BS upper part Duodenum
Superior pancreaticoduodenal a from Gastroduodenal
BS lower duodenum
Inferior pancreaticoduodenal a from SMA
Unique location of Brunners gland
Descending duodenum 2nd
Ligamentum Teres
Round ligament also GUBERNACULUM near GB quadrate
Ligamentum venosum
Proximal to IVC caudate
Urachus Median
umbilical ligament
Ductus venosum
Ligamentum Venosum
Left Umbilical vein
Ligamentum Teres or Round Ligament or Gubernaculum
Umbilical artery
Medial umbilical ligament
Foramen ovale
Fossa ovalis
ductus arteriosus
Ligamentum arteriosum
Liver biopsy done at
Right 10th ICS in MAL
Ito cells location and function
Space of Disse liver for storage of fat
Cystohepatic triangle boundaries
Triangle of Callot SUPERIOR liver INFERIOR cystic duct MEDIAL common hepatic duct
BS of gallbladder
Cystic artery from hepatic artery
Structures anterior of sigmoid
Male bladder Female Vagina and Uterus
Iliopsoas insertion and ns
lesser trochanter of femur NS L2 L3 L4
Muscle of the loin
Psoas ms
Sacral Plexus
L4 to S4
Kumbar plexus
L1 to L4
Sciatic nerve
L4 to S3
Kidney vertebral anatomic location
T12 to L3
3 Ureteric constrictions
Where renal pelvis joins the ureter Where ureter crosses over the pelvic brim and external iliac artery Where it pierces the bladder wall
Abdominal visceral pain fibers deramtome
T5 to L1 dermatome
Renal colic dermatome
T11 to L2
Urianry Bladder border
s MALE BASE seminal vesicle and vas deferens SUPERIOR SURFACE sigmoid colon and ileum INFEROLATERAL space of Retzius
Urianry Bladder borders
FEMALE BASE cervix and upper vagina SUPERIOR uterus INFERIOR space of Retzius
True embryologic kidney
meTanephros
Temporary embroyologic kidney
mesonephros which is ALSO wolffian duct
Origin of Bladder
Vesical part of UROGENITAL SINUS
Pelvic brim borders
ANT symphisis pubis LAT iliopectineal line POST sacral promontory
Above pelvic brim
False pelvis Greater pelvis Pelvis major
Below pelvic brim
True pelvis Lesser pelvis Pelvis minor
Pelvic inlet boundary
ANT symphisis pubis LAT iliopectineal line POST sacral promontory
Pelvic outlet boundary
ANT pubic arch LAT ischial tuberosities POST tip of coccyx
Muscles of pelvic diaphragm
COCCYGEUSand LEVATOR ANI iliococcygeus pubococcygeus puborectalis
Perineum Boundaries
ANT symphisis pubis LAT ischial tuberosities INF sacrun and coccyx
Perineum triangles
UROGENITAL and ANAL TRIANGLE
UROGENITAL TRIANGLE
scrotal root penis or in female external genitalia and orifices of urethra and vagina
ANAL TRIANGLE
anal canal external anal sphincter and iscioanal fossa
Lacerated during episiotomy
Perineal body
Perineal body convergence of 3 structures
Bulbospongiosus External anal sphincter Superficial and deep transverse perineal ms
Boundaries of perineal body
BASE anal triangle LAT Obturator internus muscle and fascia MEDIAL levator ani
Iliac artery Branches
ANT division Female 6 OBTURATOR A UMBILICAL A Superior vesical a UTERINE A Vaginal a MIDDLE RECTAL A INTERIOR PUDENDAL A INFERIOR GLUTEAL A
Iliac artery Branches
ANT division Male 6 OBTURATOR A UMBILICAL A INFERIOR VESICAL A MIDDLE RECTAL A INTERIOR PUDENDAL A INFERIOR GLUTEAL A
Iliac artery Branches
POSTERIOR 3 Iliolumbar Lateral Sacral Superior gluteal
Branches of pudendal nerve 3
Inferior rectal Dorsal nerve to penis or clitoris Perineal
Pudendal block
done to Pudendal noerve as is crosses the ischial spine
Block to abolish pain on the anterior part of perineum
Ilioinguinal block
Pain of chilbirth dermatome
S2 to S5
Functions of pudendal 4
1urinary continence 2fecal continence 3erection 4expulsion urine or sperm
Indifferent stage of sexual devt ie INDIFFERENT GONADS
no gonadal sex until 7th wk
MENsonephric vs Faramesonephric
M for MALE Mesonephric ducts and F for FEMALE Paramesonephrict ducts
Urogenital Sinus and derivatives 3 parts
VESICAL PART urinary bladder PELVIC PART urethra prostate PHALLIC PART genital tubercle that becomes the PENIS
Wolffian duct derivatives
MALE REPRODUCTIVE ORGANS MENsonephric duct Epididymis Vas deferens Ejaculatory suct
Mullerian duct derivatives
FEMALE REPRODUCTIVE ORGANS Faramesonephric duct Uterine tubes Uterus Vagina upper part
Vasectomy ligates
Vas deferens
Contents of spermatic cord 6
1Pampiniform plexus 2Ductus deferens 3Cremasteric ms 4Testicular a 5Artery to ductus deferens 6Genital branch 7Sympathetic n 8Lymphatics
Capacitation of sperm cell
Epididymis
Fertilization time
12-24 hrs post ovulation
2 cell stage
30 hours post FERTILIZATION
Morula
3 days
Blastocyst
5 days
Implantation in endometrium
7 days post FERTILIZATION secretory phase
Ejaculatory duct
seminal vesicle plus vas deferens
BS to vagina
vaginal a from internal iliac
Genital tubercle derivative
M or F M Glans penis Corpus cavernosum and spongiosum Bulbourethral or Cowpers glans F Clitoris Vestibular glands Greater vestibular gland or Bartholin
Glans penis
Clitoris GENITAL TUBERCLE
Corpus spongiosum and cavernosum
Vestibular bulbs GENITAL TUBERCLE
Bulbourethral glands or Cowper in Males
Greater vestibular glands or Bartholin glands UROGENITAL SINUS
Prostate gland
Urethral and paraurethral OR SKENEs glands UROGENITAL SINUS
Ventral shaft of penis
Labia minora UROGENITAL SINUS
Scrotum
Labia Majora
Contents of cardinal ligament
Uterine artery and vein