L3 Origin of inferior mesenteric artery

Abdominal Pain Flashcards by Yipei Sun

Transpyloric plane

L1
Pylorus of stomach 
Neck of pancreas 
Fundus of gallbladder 
Renal Hilum
Duodenojejunal flexure
End of spinal cord

How well did you know this?

Not at all

Perfectly

Subcostal plane

Origin of inferior mesenteric artery

How well did you know this?

Not at all

Perfectly

Supracristal plane

Bifurcation of aorta

How well did you know this?

Not at all

Perfectly

Right hypochondriac

Gallbladder

How well did you know this?

Not at all

Perfectly

Epigastric

Stomach, duodenum and pancreas

How well did you know this?

Not at all

Perfectly

Left hypochondriac

Pancreas or spleen

How well did you know this?

Not at all

Perfectly

Right lumbar

Kidney

How well did you know this?

Not at all

Perfectly

Umbilical

Small bowel, caecum, retroperitoneal structures

How well did you know this?

Not at all

Perfectly

Left lumbar

Kidney

How well did you know this?

Not at all

Perfectly

Right iliac

Appendix and caecum

How well did you know this?

Not at all

Perfectly

Hypogastric

Transverse colon
Bladder
Uterus
Ovaries

How well did you know this?

Not at all

Perfectly

Left iliac

Sigmoid colon

How well did you know this?

Not at all

Perfectly

Foregut

Distal oesophagus to proximal half of second part of duodenum
Supplied by celiac trunk
T5-9

How well did you know this?

Not at all

Perfectly

Midgut

Distal half of second part of duodenum to proximal 2/3 of transverse colon
Supplied by superior mesenteric artery
T10-11

How well did you know this?

Not at all

Perfectly

Hindgut

Distal 1/3 of transverse colon to rectum
Supplied by inferior mesenteric artery
L1-2

How well did you know this?

Not at all

Perfectly

Parietal peritoneum

Covering of abdominal wall anteriorly and abdominal cavity posteriorly

How well did you know this?

Not at all

Perfectly

Visceral peritoneum

Covers organs

Extra or retroperitoneal organs

Duodenum and pancreas

Parietal peritoneum supply

Phrenic nerve supply
Central tendon to diaphragm
C3-5
Also right shoulder

Segmental inner action is T5 to L2
Umbilicus is T10

Visceral peritoneum supply

Parasympathetic supply from vagus nerve - 10th cranial nerve
Also CN III, VII, IX, X
Parasympathetic receptor or sensation S2 to S4
Sympathetic autonomic chain T1 to L2

Visceral site of pain

Embryological origin

Difficult to localise

Parietal site of pain

Well localised

Visceral pain character

Dull
Crampy
Burning

Parietal pain character

Sharp

Ache

Inflammation pain

Constant pain - aching Made worse by movement Persists until inflammation subsided

Obstruction pain

Colicky pain - gripping Fluctuates in severity Move to try and get comfortable

Prolonged obstruction pain

Cause distention Constant stretching pain Different from ache of inflammation and not colicky - changes to constant pain - impending ischaemia

Right hypochondriac radiation

Through to back and right

Epigastric radiation

Straight through to the back

Left hypochondriac radiation

Through to back and left

Right lumbar radiation

In loin and radiates to groin

Umbilical radiation

Does not normally radiate

Left lumbar radiation

In loin and radiated to groin

Right iliac radiation

Rarely radiates | Pain deep in pelvis refereed to lower back/Perineum

Hypogastric radiation

Rarely radiates | Pain deep in pelvis refereed to lower back/Perineum

Left iliac radiation

Rarely radiates | Pain deep in pelvis refereed to lower back/Perineum

Pain radiate signifies

Other structures being involved

Visceral sensation

Colicky abdominal pain referred to centre

Somatic sensation

Pain from parietal inflammation felt over inflamed area

Small bowel pain

Doesn’t radiate but may move when somatic and well as visceral nerves become irritated