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Surface anatomy RCSI > Abdomen & Pelvis - Anterior Abdominal Wall > Flashcards

Abdomen & Pelvis - Anterior Abdominal Wall Flashcards

1
Q

What is the lateral border of rectus abdominis ?

A

Linea circularis

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1
Q

Trans umbalical plane is at what vertebral level ?

A

L4

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2
Q

What is the key anatomical points in the trejectory of midclavicular line ?

A

It starts at the ipsilateral midclavicular point - pass through the edge of the 9th costal cartilage - through the deep inguinal ring- mid inguinal point - and the femoral artery pulse.

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3
Q

The trans pyloric plane pass at what vertebral level and costal cartilage ?

A

L1 and 9th costal cartilage

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4
Q

The vertebral level of subcostal plane ?

A

L3

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5
Q

What is the trejectory of trans -tuburcular plane ?

A

Through the illiac tubrucle at the level of L5.

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6
Q

What are the planes involved in dividing the abdominal wall into 6 regions ?

A

Transpyloric plane, transtuburcular plane and the midclavicular line.

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7
Q

What are the pathologies that can be associated to epigastric region

A
  • The aortic pulse left of the middline.
  • Tumors of the stomach
  • pain from foregut structures are felt here.
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7
Q

What are the pathologies that can be associated to umbalical region ?

A
  • pain from midd-gut structures.
  • Aortic pulse
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7
Q

What are the pathologies that can be associated to suprapubic region ?

A
  • pain from hind-gut structures.
  • uterus and bladder can be palpated.
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8
Q

What is the upper border of the liver ?

A

4th intercostal space which corresponds to the nipple in a male.

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8
Q

What is the left border of the liver ?

A

It cross the midline behind the xephoid process.

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9
Q

What is the location of galbladder

A

It is at the level of the tip of the 9th costal cartilage where midd clavicular line and trans-pyloric plane intersects.

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10
Q

What is the surface marking of spleen ?

A

9th, 10th and 11th ribs on the left hypocndriac region and anterior to the left costo-diapgramatic recess of the pleural cavity.

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11
Q

Left kidney is higher than the right and reaches ____ rib ?

A

11th

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12
Q

Kidneys are ___ organs ?

A

retroperitonial

13
Q

Right kidney is lower than the left and reaches ____ rib ?

A

12th

14
Q

The hylum of the kidneys and the origin of the uretur are at ____ level ?

A

L1- Transpyloric plane of Addison.

15
Q

Transpyloric plane of Addison is mid-way between ____ and umbilicus?

A

Tip of the Xephoid process.

16
Q

The importance of the tip of the 9th costal cartilage ?

A
  • Midd clavicular line passes
  • location of gallbladder
  • intersection of midd clavicular and trans-pyloric planes
  • Intersection of linea circularis and transpyloric plane.
17
Q

What are the visceral structures located at the trans-pyloric plane of Addison ?

A
  • Pylorus of stomach
  • Formation of portal vein
  • Fundus of gallbladder
  • Origin of superior mesenteric artery
  • neck of Pancreas.
    The hyla of the kidneys.
18
Q

What is Murphy’s point ?

A

It is the surface marking of the fundus of the gallbladder.

19
Q

What is McBurny’s point ?

A

It is the point at which the base of the apendix located. It lies on the distal 1/3rd of an imaginarry line drawn from the umballicus to the ASIS.

20
Q

What is the location of Midd-inguinal point ?

A

It is midd way b/w ASIS and symphysis pubic.

21
Q

What is the site of inguinal hernia ?

A

Superficial inguinal ring.

22
Q

Subcostal or Kocher incision is used for ?

A

Liver or gallbladder procedures.

23
Q

What is the oblique incision done for the appendectomy is called ?

A

Gridiron or McBurnny which is 3 cm above and medial to the ASIS.

24
Q

What is Pfannestial incision ?

A

It is a transverse -supra pubic incision done to access uterus or urinary bladder.

Surface anatomy RCSI (2 decks)

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