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
what level is ceoliac trunk?
t12
what level does the aorta bifuricate into the iliac arteries?
l4
