Abdomen Flashcards
Describe a richters hernia
part of the wall of the small bowel is strangulated in a hernia, luminal patency is-reserved. Vomit can occur from paralytic ileum.
Describe Meckels diverticulum
Congenital abnormality 2% of the population and 2 ft from the IC valve.
Where is a femoral hernia?
Below and lateral to the pubic tubercle
Where is a meckels embryologically from?
Vitello intestinal duct
How is an ileal-ileal intuscusseption managed in a child?
laparotomy
Management of ileo colic intersuseption?
pneumatic reduction as long as no risk of impending perforation
What is boas sign?
Cholecystitis - hyperparasthaesia in the lower right scapula or RUQ
Management of a splenic vein thrombosis?
Splenectomy
What are the risks in abdominal surgery in obese patient?
consider abdominal compartment syndrome
Borders of the femoral canal?
lateral - femoral vein, medial - lacunar ligament, anterior - inguinal ligament, posterior - pectineal ligament
Where is the haemorrhage in Cullens sign?
Intraperitoneal
Where is the haemorrhage in grey turners sign?
Retroperitoneal
What is the lining of a Meckels diverticulum?
asymptomatic - ideal mucosa, symptomatic - gastric mucosa
Which lymph do the ovaries drain to?
para-aortic
Which lymph does the fungus of the uterus drain to?
the inguinal
which lymph does the body of the uterus drain to ?
the iliac
Which lymph does the cervix drain to
external iliac, uterosacral, internal iliac
which lymph does the prostate drain to
internal iliac
Which lymph doe the spongy / glans penis drain to?
deep inguinal
which lymph does the prostatic and membranous urethra drain to?
the internal iliac
what level is transpyloric plane?
l1
The appendicular artery is a branch of what?
the ileocolic artery
what level is the IMA?
l3
What level is SMA?
l1
