Abdomen Flashcards

0
Q

Cremasteric reflex utilizes sensory and motor fibers in the ventral ramus of?

A

L1 spinal nerve

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1
Q

Layers of abdominal wall

A
(9)
Skin
Superficial fascia
Campers
Scarpas
Deep fascia
Muscles
Transversalis fascia
Extraperitoneal fat
Parietal peritoneum
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2
Q

Ligament that conducts the portal triad

A

Hepatoduodenal ligament

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3
Q

Foregut, a portion of thenprimitive gut, is supplied by what blood vessel

A

Celiac trunk/artery (level of T12)

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4
Q

Midgut, a part of the primitive gut, is supplied by what blood vessel?

A

Superior mesenteric artery (level of L1)

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5
Q

Hindgut, a portion of the primitive git, is supplied by what blood vessel?

A

Inferior mesenteric artery (level of L3)

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6
Q

Common site of aortic aneurysm

A

Proximal to bifurcation of the aorta at level of L4 vertebra

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7
Q

L and R hepatic veins drain into

A

IVC

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8
Q

R gonadal and R suprarenal veins drain into

A

IVC

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9
Q

L gonadal and suprarenal veins drain into

A

L renal

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10
Q

R gastroepiploic veins drains into

A

Superior Mesenteric Vein

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11
Q

L gastroepiploic vein drains into

A

Splenic vein

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12
Q

R colic drains into

A

Superior Mesenteric Vein

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13
Q

L Colic drains into

A

Inferior Mesenteric Vein

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14
Q

Length of esopohagus

A

23-25 cm long

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15
Q

Accompanies esophagus through the diaphragm

A

Vagus nerve (left and right vagi lie on its anterior and posterior surfaces) “LARP” left anterior right posterior

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16
Q

Esophagus passes through diaphragm at what vertebral level

A

T10

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17
Q

Blood supply of upper third of esophagus

A

Inferior thyroid artery from subclavian artery

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18
Q

Blood supply of middle third of esophagus

A

Descending thoracic aorta

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19
Q

Blood supply of,ower third of esophagus

A

Left gastric artery from celiac trunk of abdl aorta

20
Q

Venous drainage of esophagus

A

Upper third - inferior thyroid vein
Middle third - azygous vein
Lower third - left gastric vein

21
Q

Capacity of stomach

22
Q

Gastric ulcers are most commonly found in which part of the stomach?

23
Q

Carcinomas of the stomach are most commonly found where?

24
Parasympathetic nerve supply of the stomach
Vagus nerve
25
Syp athetic nerve supply of the stomach
T6 to t9
26
Length of duodenum
10 inches
27
How many divisions does the duodenum have and what are they?
Superior - 5cm and lies anterolateral to border of L1 Descending - 7-10cm, descends along sides of L1 to L3 Horizontal - 6-8cm and crosses L3 Ascending - 5 cm and begins at the L of L3 and rises superiorly as far as superior border of L2
28
Remnant of umbilical vein
Ligamentum teres/round ligament of liver
29
Remnant of ductus venosus
Ligamentum venosum
30
Blood supply of pancreas
Superior pancreaticoduodenal artery (hepatic-celiac) Inferior pamcreaticpduodenal artery (from SMA) Pancreatic arteries from Splenic
31
Left lobe of liver is composed of what segments?
II (lateral superior) and III (lateral inferior)
32
What composes the portal triad
Portal vein Hepatic artery Bile duct
33
Where is a liver biopsy done?
Right 10th intercostal space, MAL
34
Cystohepatic triangle/Triangle of Calot boundaries
Superior - Liver Inferior - Cystic Duct Medial - Common Hepatic Duct
35
Common site of an impacted gallstone
Hepatopancreatic ampulla. Pxs exhibit referred pain at the epigastric region
36
Where does the appendix lie?
Right Iliac Fossa
37
Where does the anal anal begin
Where the rectal ampulla narrows at the level of a U shaped sling formed by the PUBORECTALIS MUSCLE
38
Separates the anal canal into 2 segments
Dentate/Pectinate/Anorectal line
39
Ascending and transverse colon recieve blood from _______ and parasympathetic fibers from _______
SMA | Vagus nerve
40
Descending and sigmoid colons receive blood from ________ and parasympathetic fibers from __________
IMA | Pelvic splanchnic nerve from sacral nerves S2-S4
41
Muscle of the loin refers to
Psoas major
42
Nerve supply of the foregut
Parasympathetic - vagus nerve | Sympathetic - lower thoracic splanchnic nerves from T5-T9
43
Nerve supply of the Midgut
Parasympathetic - vagus nerve | Sympathetic - lower horacic splanchnic nerves T5-T12
44
Nerve supply of the hindgut
Parasympathetic - pelvic splanchnic nerves from S2-S4 | Sympathetic - lower thoracic and lumbar splanchnic nerves from T11 -L2
45
Injury to this nerve results in weakened abduction of the thigh by gluteus medius, waddling gait, and (+) Trendelenburg sign
Superior Gluteal Nerve
46
Kidneys are at the level of
T12 - L3
47
Renal fascia covering kidney
Gerota's Fascia
48
Blood supply of the ureters
Upper - renal artery Middle - gonadal artery Lower - superior vesical artery