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OSPE OV > Abdo > Flashcards

Abdo Flashcards

1
Q

3 differences between female and male pelvis

A

females wider subpubic angle (80>60)
male heart shaped and female circular
female ischial spines less prominent

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2
Q

position of inguinal ligament

A

between ASIS and pubic tubercle

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3
Q

position of deep inguinal ring

A

halfway between ASIS and pubic tubercle, anterior to inguinal ligament

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4
Q

position of superficial inguinal ring

A

superficial and lateral to pubic tubercle

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5
Q

division into 4

A

vertically xiphisternal

horizontally transumbilical

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6
Q

division into 9

A

veritcally mid clavicular
superiorally horizontally is subcostal
inferiorally horizontally is transterbercular

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7
Q

transterbercular plane level and between

A

L5 between right and left iliac tubercles

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8
Q

level of ASIS

A

S2

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9
Q

mid point of sacroiliac joint

A

S2

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10
Q

1st part of duodenum position

A

lies at transpyloric plane

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11
Q

2nd part of duodenum position

A

runs downwards to subcostal plane 5cm right of midline

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12
Q

3rd part of duodenum postion

A

runs to left crossing midline just above umbilicus and ends at L2

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13
Q

4th part of duodenum position

A

4th part at level of L2

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14
Q

position of pylorus in stomach

A

lies at transpyloric plane 2.5cm left of midline

in left hypochondrium and epigastric

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15
Q

where are all parts of duodenum

A

epigastric region

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16
Q

location of appendix

A

mcburneys point

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17
Q

where is mcburneys point

A

1/3 of way between ASIS and umbilicus

18
Q

location of ascending colon

A

right lumbar

19
Q

location of descending colon

A

left lumbar

20
Q

location of caecum

A

iliac fossa close to inguinal ligament

21
Q

spleen location

A

lies on ribs 9-11
medial border is lateral edge of erector spinae muscle
lateral border is left mid axillary line

22
Q

3 borders to liver

A

upper
oblique
right

23
Q

upper border of liver markings

A

basically follows diaphragm

runs from right 5th rib to 5th ICS MCL through lower end of sternum

24
Q

right border of liver markings

A

runs from right costal margin in MAL to right 5th rib along the right side of rib cage

25
Q

oblique border of liver markings

A

follows right costal margin to left 5th ICS MCL crossing tip of right 9th costal cartilage and left 8th costal cartilage

26
Q

gall bladder surface marking

A

where transpyloric plane meets right MCL

tip of right 9th costal cartilage

27
Q

level of kidneys hilums

A

L1

right may be lower

28
Q

superior poles of kidenys posterior surface marking

A

12th rib

29
Q

inferior poles kidneys surface marking

A

3-4cm above iliac crests

30
Q

referred pain from foregut and epigastric region

A

T8

31
Q

referred pain from midgut and umbilical region

A

T10

32
Q

referred pain from hindgut and hypogastric

A

T12

33
Q

referred pain from inflammed gallbladder and pancreas

A

shoulder tip T4 dermatome

34
Q

referred pain from appendix

A

orignally reffered to T10 umbilical region dermatome then when retroperitoneum becomes inflammed pain localises at Mcburnys point- called Aarons sign

35
Q

Borders of inguinal canal

A

Floor-inguinal ligament
Roof- internal oblique and fibres of transversus abdominis
Anterior- aponeurosis of external oblique
Posterior- transversalis fascia

36
Q

Contents of inguinal canal

A

Spermatic chord
Ilio-inguinal nerve
Testicular artery and vein

37
Q

Level of subcostal plane

A

L2- between right and left costal margins in MAL

38
Q

Transpyloric plane

A

L1- tips of 9th CC

39
Q

Where is gall bladder palpable if inflammed

A

Below costal margin on MCL- easier to palpate if rolled 45 degrees to left

40
Q

3 places feel pain from gall bladder

A

Right upper quadrant
Right side of back thoracic region
Right shoulder tip

OSPE OV (7 decks)

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