Abdo Flashcards
3 differences between female and male pelvis
females wider subpubic angle (80>60)
male heart shaped and female circular
female ischial spines less prominent
position of inguinal ligament
between ASIS and pubic tubercle
position of deep inguinal ring
halfway between ASIS and pubic tubercle, anterior to inguinal ligament
position of superficial inguinal ring
superficial and lateral to pubic tubercle
division into 4
vertically xiphisternal
horizontally transumbilical
division into 9
veritcally mid clavicular
superiorally horizontally is subcostal
inferiorally horizontally is transterbercular
transterbercular plane level and between
L5 between right and left iliac tubercles
level of ASIS
S2
mid point of sacroiliac joint
S2
1st part of duodenum position
lies at transpyloric plane
2nd part of duodenum position
runs downwards to subcostal plane 5cm right of midline
3rd part of duodenum postion
runs to left crossing midline just above umbilicus and ends at L2
4th part of duodenum position
4th part at level of L2
position of pylorus in stomach
lies at transpyloric plane 2.5cm left of midline
in left hypochondrium and epigastric
where are all parts of duodenum
epigastric region
location of appendix
mcburneys point
where is mcburneys point
1/3 of way between ASIS and umbilicus
location of ascending colon
right lumbar
location of descending colon
left lumbar
location of caecum
iliac fossa close to inguinal ligament
spleen location
lies on ribs 9-11
medial border is lateral edge of erector spinae muscle
lateral border is left mid axillary line
3 borders to liver
upper
oblique
right
upper border of liver markings
basically follows diaphragm
runs from right 5th rib to 5th ICS MCL through lower end of sternum
right border of liver markings
runs from right costal margin in MAL to right 5th rib along the right side of rib cage
oblique border of liver markings
follows right costal margin to left 5th ICS MCL crossing tip of right 9th costal cartilage and left 8th costal cartilage
gall bladder surface marking
where transpyloric plane meets right MCL
tip of right 9th costal cartilage
level of kidneys hilums
L1
right may be lower
superior poles of kidenys posterior surface marking
12th rib
inferior poles kidneys surface marking
3-4cm above iliac crests
referred pain from foregut and epigastric region
T8
referred pain from midgut and umbilical region
T10
referred pain from hindgut and hypogastric
T12
referred pain from inflammed gallbladder and pancreas
shoulder tip T4 dermatome
referred pain from appendix
orignally reffered to T10 umbilical region dermatome then when retroperitoneum becomes inflammed pain localises at Mcburnys point- called Aarons sign
Borders of inguinal canal
Floor-inguinal ligament
Roof- internal oblique and fibres of transversus abdominis
Anterior- aponeurosis of external oblique
Posterior- transversalis fascia
Contents of inguinal canal
Spermatic chord
Ilio-inguinal nerve
Testicular artery and vein
Level of subcostal plane
L2- between right and left costal margins in MAL
Transpyloric plane
L1- tips of 9th CC
Where is gall bladder palpable if inflammed
Below costal margin on MCL- easier to palpate if rolled 45 degrees to left
3 places feel pain from gall bladder
Right upper quadrant
Right side of back thoracic region
Right shoulder tip
