Anatomy 3 Review Flashcards
contains r. gastroomental artery
gastrocolic ligament
contains r/l gastric artery
hepatogastric ligament
holds hepatic artery portal vein, bile duct
heptaduodenal ligament
contains splenic artery, tail of pancreas
splenorenal ligament
short gastric artery and l. gastroepiploic a.
gastroplenic ligament
entrance to lesser sac, communicates with greater sac
epiploic (omental) foramen of winslow
contains middle colic artery
transverse mesocolon
contains branches of SMA
“the” mesentery
contains sigmoidal artery
sigmoid mesocolon
pericardiophrenic, musculophrenic, inferior phrenic arteries anastomose to
diaphragm
anterior intercostal and posterior intercostal arteries anastomose to
intercostal spaces
left and right gastric arteries anastomose to
lesser curve of stomach
left and right gastroepiploic, gastroduodenal and short gastric arteries anastomose to
greater curve of stomach
left and middle colic arteries anastomose to
transverse/descending colon
inferior and superior pancreaticoduodenal arteries anastomose to
pancreas and duodenum
inferior and superior epigastric arteries anastomose to
anterior abdominal wall
uterine and ovarian arteries anastomose to
uterus
internal and external pudendal arteries (from femoral) anastomose to
perineum
superior rectal (portal system) and mid/inferior rectal (caval) arteries anastomose to
rectum (hemorrhoids)
esophageal branches of left gastric (portal) and azygos (caval) anastomose to
cause esophageal varices
paraumbilical veins and superificial epigastric veins anastomose to
cause caput medusa
veins of secondary retroperitoneal organs (portal) anastomose with
posterior body wall (caval)
refers to T5-9 (GA axons travel with greater splanchnic)
liver, stomach, spleen, pancreas, adrenals, jejunum, ilium
refers to T10-12 (GA axons travel with lesser/least splanchnic)
kidneys, descending, transverse colon
refers to L1-L2 (GA axons travel with lumbar splanchnic)
descending colon
refers to S2-S4 (GA axons travel with pelvic splanchnics)
sigmoid colon, rectum
refers pain to shoulder
diaphragm
refers pain to back (between shoulders) and below sternum, laterally to left
stomach
rrefers pain to subcostal margin on the left
spleen
refers pain to subcostal margin on the right
liver, gallbladder (liver curves down back, gallbladder curves up)
refers pain centrally below sternum
Duodenum and head of pancreas
refers pain to McBurney’s point (right lower quadrant)
appendix
refers pain up lower back, down inguinal region
kidneys, descending, tranverse colon
refers pain centrally in lower abdomen
ascending colon
refers pain laterally in lower abdomen
sigmoid colon
refers pain into jaw, down left arm
heart attack!
inferior angle of scapular
T7
right dome diaphram (higher than) left dome, caval hiatus
T8
xiphoid process, esophageal hiatus
T10
aortic hiatus
T12
gallbladder fundus, tip of 9th costal cartilage, celiac and SMA
L1
top of kidneys, head of pancreas
L2, renal arteries
IMA branches at
L3
just below umilicus, highest point of iliac crest, aortic bifurcation
L4
pelvic inlet
S1-Cx
greater sciatic foramen
S3-S5
most anterior structure in mediastinum
thymus
esophagus is always ___ to trachea
posterior
line that determines position of abdomical fascia relative to rectus
arcuate line
tumors near ___ could compress the phrenic nerve
root of the lung
SVC, right atrium, IVC
right border of the heart
right ventricle, slightly left ventricle near apex
inferior border of the heart
left ventricle, slightly left auricle
left border of the heart
both atria, great vessels eneter
superior border of the heart
tip of left ventricle
apex of heart
right atrium, right ventricle, left ventricle, left atrium (small strip)
costosternal (anterior) surface of heart
both ventricles, mainly left
diaphragmatic surface of heart
mainly left atrium
base of heart
intercostal arteries 1 and 2 are branches of
costocervical trunk
during systole, papillary muscles
shorten
listen at second intercostal space, right of sternum
aortic valve
listen at second intercostal space, left of sternum
pulmonary valve
listen at fifth intercostal space, in midclavicular line
mitral valve
listen at fifth intercostal space, to the left of sternum
tricuspid valve
runners bend over to use these to help breathe
serratus anterior and pec major
renal hypertension causes enlargement of
portal vein and its tributaries
splenic vein (left gastric short gastric, pancreatic, IMV), SMV
tributaries of portal vein
increases peristalsis (intermediolateral horn of S2-S4)
pelvic splanchnic parasympathetics
femoral nerve emerges ___ to psoas major, obturator emerges ___ to psoas.
lateral, medial
SMA lies anterior to
third (horizantal part) of duodenum
the body of the pancreas is ___ and to the ___ of the duodenum
superior and to the left
crosses abdominal aorta, IVC, right ureter, right psoas major, right gonadal vessel
the root of the mesentery
All secondarily retroperitoneal arteries are best approached from
initial antimesenteric border
thickened regions of longitudinal muscle (tenaie coli) and omental appendices (fat tags)
all colon
lymphoid nodules (peyer’s patches)
ileum
diameter of approximately 1 cm
all small intestine
medial umbilical ligaments are remnants of ____ that carried blood from fetus to placenta
umbilical artery
remain connected to patent umbilical arteries that are branches of internal iliac artery
median umbilical ligaments
connects umbilicus and liver, contains occluded umbilical vein that carried oxygenated blood from placenta to fetus
ligamentum teres
body and fundus of uterus are ____, most of cervix is ____
intraperitoneal, subperitoneal
female pelvis has larger ___ and more shallow ___ than male
conjugate diameter, false pelvis
superior ends of this gland are infraperitoneal in the rectovesical pouch
seminal gland
contraction of ____ retains feces
puborectalis
contraction of ____ ejects feces
sigmoid colon, diaphragm
U-shaped sling in levator ani that marks anorectal junction
puborectalis
pectinate line is at anal vales at the ____ end of anal columns
inferior
cuts between vestibule of vagina and external urethral orifice
episiotomy
marker for pudendal nerve in episiotomy
ischial spine