ABDOMINAL WALL, CAVITY AND EMBRYO (PRELIMS 1ST EVALS) Flashcards
Patient with testicular cancer. What lymph node first affected?
Para-aortic lymph node
Right hypochondriac
Viral hepatitis (not sure)
Surgical operation to control gastric acid secretion:
Removal of gastric acid producing cells
Origin of anus:
Ectoderm
What germ layer from the skin of the abdominal wall?
Ectoderm
Most common type of TE anomaly:
Type A
Removal of greater curvature (obese patient), what is affected?
Left gastroepiploic artery
Gross anatomy of ileum
4 arcades
Falciform ligament
Divide right and left lobe of liver
Hepatocytes
Endoderm
Urorectal
Male
Anus
Ectoderm
Pancreatic acini
Endoderm
Peyer’s patches
Ileum
What fixes the 12th rib during respiration?
Quadratus lumborum
Degeneration of parasympathetic plexus, proximal dilation and distal narrowing of esophagus
Achalasia
Anterior structure when you insert your finger epiploic foramen
Portal vein
Level of nerve above pubis
L1
Type of anomaly where distal and proximal esophageal segments have fistula
Type E
Origin of rectus abdominis muscle
Pubic crest
Caput medusae
Paraumbilical veins
What is the underlying reason for the anomaly in abdominal defect due not reversed physiological herniation?
Omphalocele
Associated with TE anomalies
Polyhydramnios
Most common type of TE anomaly
Type A
Proximal esophagus in a blind sac, distalesophagus with fistula
Type A
Distal and proximal with fistula, with communication to esophagus
Type E
Origin of anus
Proctodeum
Part of cantrell pentalogy
Ectopia cordis and gastroschisis
This duct of the pancreas join the bile duct
Duct of ventral pancreatic bud
Stab wound 5th ICS midclavicular
Liver
Cystic artery
Right hepatic
If duodenum is surgically removed what hormone will be affected
Cholecytoskinin
100 sit ups
Rectus sheat hematoma
Marginal artery
Large intestine
Right testicular vein drains to
Inferior vena cava
Anterior abdominal muscle that flexes the vertebra:
Rectus abdominis
Requires recanilization
Duodenum
Stomach
90 deg clockwise
Midgut
90 deg counterclockwise
Layer of abdominal wall that creates superficial inguinal ring
External abdominal
45 year old male soldier sustained a gunshot wound sa 9th intercostal space of the chest wall. Chest tube was inserted, no blood was drained but the patient is pale, what could be the source of bleeding?
Spleen
Where does the testicular artery arise from the abdominal?
L2
Urine at umbilicus
Patent urachus
Anomaly does not involve failure in closing
Omphalocele
Floor of inguinal canal
Inguinal ligament
Cremasteric reflex
Genitofemoral nerve
Not part of inguinal canal
Iliohypogastric nerve
Secondarily retroperitoneal
Pancreas
Dartos muscle
Camper’s fascia
Femoral nerve
Supplies iliacus
Cremasteric fascia is derived from what layer of abdominal wall?
Internal oblique
Does not transverse a muscle:
Midline incision
Forms the anus in the embyro
Proctodeum
Enlarged right scrotum with fluid
Hydrocele
Accompanied by bladder extrophy
Epispadia
Umbilical vein cathetherization where to insert tube
12’0 clock
Roof of inguinal canal
Internal oblique
Wall of penis
Scarpas
Stomach rotation around its longitudinal axis
90 degrees clockwise
Gym, push up, bleeding
Rectus sheath hematoma
Supplies hepatic flexure
Superior mesenteric artery
1st midgut rotation
180 degrees counterclockwise
Esophagus, degeneration of parasympathetic plexus
Achalasia
Origin of external oblique
Lower 8
Coin swallowed by a child. Location where it most likely to obstruct?
Ileocecal junction
Medial to the inferior epigastric vessels:
Direct inguinal hernia
Lateral to rectus abdominis
Linea semilunaris
Innervates central diaphragm
Phrenic nerve
An umbilical vein catheterization where to insert tube?
12’o clock
Formed in the lower most tendinous fibers from internal oblique and transverse abdominis
Conjoint tendon
Direct of the natural lines of the cleavages in the skin of the trunk:
Horizontal
Caput medusa
Paraumbilical veins
Remnants of vitelline duct
Merckel’s diverticulum
Forms the posterior wall of the inguinal canal
Fascia transversalis
Inguinal canal borders (Anterior wall)
External oblique aponeurosis and internal oblique laterally
Inguinal canal borders (Posterior wall)
Conjoint tendon medialy and fascia transversalis
Inguinal canal borders (Roof/superior)
Internal oblique and transversus abdominis muscle
Inguinal canal (floor/inferior)
Inguinal and lacunar ligament
How do you locate the appendix?
Identifying the teniae coli of the cecum and tracing them to the base of the appendix.
When you are operating and you suddenly hit the gastrosplenic ligament what structure is most affected?
Short gastric artery
Spleen develops as a thickening of the mesenchyme in the:
Dorsal mesentery
Tracheoesophageal anomaly with proximal and distal esophagus have fistula connected to the trachea:
E
Prone to urorectal:
Male
*Retrovaginal ang female