Abdo Flashcards
What does the Right Upper quadrant contain?
right lobe of liver, pancreatic head, right kidney, 1st part transverse colon, gallbladder, right adrenal gland, duodenum
What does the Left Upper Quadrant contain?
left liver lobe, stomach, left kidney, left adrenal, upper descending colon, final transverse colon, pancreatic body and tail, spleen
What does the right lower quadrant contain?
appendix, caceum, right ovary/follopian tube, right vas deferens, nerves/vessels right testis, lower ascending colon, bladder (if full)
What does the left lower quadrant contain?
Sigmoid colon, lower secesnding colon, left follopian tube/ovary, left vas deferens, nerves/vessels to left testis
Which planes separate the 9 regions?
subcostal, transtubecular, 2 MCL
What is the level of the transtubecular plane?
L5
What is the level of the subcostal plane?
L3
What are the 9 regions?
Right hypochondriac, epigastric, left hypochondria, left flank, umbilical, right flank, right inguinal, suprapubic, left inguinal
What structures are present at the transpyloric plane?
Peter Pan Doesnt Like Golden Orange Hair
- Pancreatic head
- pylorus of stomach
- 1st part duodenum
- L1
- Gallbladder
- Origin of SMA
- Hila of spleen and kidneys
WHat is the surface anatomy for the liver?
1) right 5th rib at MCL
2) lower end of sternum
3) left 5th ICS at MCL
4) Right costal Margin at MAL
What is the surface anatomy of the gallbladder?
Where transplyoric plane meets the MCL, tip of right 9th CC at MCL
What would you hear during gut ascultation?
Normal bowel sounds
What is the surface markings for the spleen?
Posteriorly, left ribs 9-11 from lateral border of erector spinae muscles to the MAL
Where is gallbladder referred pain?
Right shoulder
What are the surface markings for the kidneys?
Hilum of left kidney at L1 4-5cm lateral to posterior midline. Superior pole is at Rib 12/Inferior pole is at supracristal plane L4.
How do the ureters move down?
Descend vertically from kidney location to the iliac fossae
Where is an adult lumbar puncture?
L3/4
Childs Lumbar puncture location?
L4/5
How would you palpate the abdominal aort?
Just superior and left of the umbilicus
Describe dermatome distribution of T7 to L1?
T7-T9 runs from xiphoid process to just above the umbilicus
T10 is level of umbilicus
T11 - L1 runs below umbilicus to just inferior to the pubic symphysis
Where is liver, gallbladder and duodenal referred pain?
Right shoulder as irritation to diaphragm as well is innervated here
What is the cause of epigastric pain?
Pain in foregut structures, stomach, proximal duodenum, ancreas, liver and gallbladder
What is the cause of umbilical region pain?
Pain in midgut structures, also known as the periumbilical region. This the from the duodenal flexure down to the splenic flexure of colon
Usual cause of umbilical region pain?
Colicky
