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Surgery > anatomy pearls > Flashcards

anatomy pearls Flashcards

1
Q

drainage of left testicular vein

A

left renal vein

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2
Q

drainage of right testicular vein

A

IVC

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3
Q

gerota’s fascia

A

surrounds kidney

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4
Q

prominent collateral circulations seen in portal htn

A

esophageal varices, hemorrhoids, patent umbilical vein, retroperitoneal vein via lumbar tributaries

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5
Q

retroperitoneal GI parts

A

most of the duodenum, ascending colon, descending colon, pancreas

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6
Q

gubernaculum

A

embryologic structure that adheres the testes to the scrotum - helps manipulate testes during indirect hernia repair

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7
Q

artery eroded by duodenal ulcers

A

gastroduodenal ulcurs

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8
Q

lymph nodes between pec major and minor

A

rotter’s nodes

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9
Q

is the left vagus nerve anterior or posterior

A

anterior; remember that the esophagus rotates during development

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10
Q

morrison’s pouch

A

hepatorenal recess; the most posterior cavity w/in peritoneal cavity

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11
Q

foregut

A

mouth to ampulla of vater

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12
Q

midgut

A

ampulla of vater to distal third of transverse colon

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13
Q

hindgut

A

distal third of transverse colon to anus

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14
Q

where are the blood vessels on a rib

A

vein, artery, nerve are underneath the rib; thoracintesis needles go above

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15
Q

order of femoral vessels

A

NAVEL (lateral to medial)

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16
Q

hesselbach’s triangle

A

area bordered by inguinal ligament, epigastric bessels, and lateral border of the rectus sheath

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17
Q

nerve located on top of spermatic cord

A

ileoinguinal nerve

18
Q

calot’s triangle

A

area bordered by cystic duct, common hepatic duct, cystic artery

19
Q

calot’s node

A

lymph node found in calot’s triangle

20
Q

what separates the right and left lobes of the liver

A

cantle’s line - a line drawn from the IVC to just left of the gallbladder fossa

21
Q

gastrinoma triangle

A

triangle where >90% of gastrinomas are located, bordered by junction of 2nd and 3rd portions of duodenum, cystic duct, and pancreatic neck

22
Q

which artery is responsible for anterior spinal syndrome

A

artery of adamkiewicz

23
Q

mcburney’s point

A

one third of the distance from the anterior superior iliac spine to the umbilicus (estimate the position of the appendix)

24
Q

how can you find the appendix after you find the cecum

A

trace the taeniae back as they converge on the origin of the appendix

25
Q

where is the space of retzius

A

preperitoneal space anterior to the bladder

26
Q

what are the white lines of toldt

A

lateral peritoneal reflections of the ascending and descending colon

27
Q

what is the strongest layer of the small bowel

A

submucosa (not the serosa; think SUbmucosa, SUperior)

28
Q

which parts of the GI tract do not have a serosa

A

esophagus, middle and sital rectum

29
Q

what is the vein that overlies the pylorus

A

vein of mayo

30
Q

what is the pouch of douglas

A

pouch between the rectum and bladder or uterus

31
Q

what does the thoracic duct empty into

A

left subclavian vein, left internal jugular vein junction

32
Q

what is the coronary vein

A

left gastric vein

33
Q

what is the hypogastric artery

A

internal iliac artery

34
Q

which is longer, the left or right renal vein

A

left

35
Q

what are the layers of the adbominal wall

A

1 skin, fat 2 scarpa’s fascia 3 external oblique 4 internal obligue 5 transversus abdominis 6 transversalis fascia 7 preperitoneal fat 8 peritoneum

36
Q

what are the plicae circulares

A

plicae = fold, circulars = circular. the circular folds of mucosa of the small bowel

37
Q

what is another name for the plicae circulares

A

valvulae conniventes

38
Q

what are the major structural differences between the jejenum and the ileum

A

jejunum - long vasa rectae, large plicae, thicker walls. ileum - shorter vasa rectae, smaller plicae, thinner walls (think ileum - inferior inferior inferior)

39
Q

what are the major anatomic differences between the colon and the small bowel

A

colon has taeniae coli, haustra, and appendices epiploicae (fat appendages), whereas the small intestine is smooth

40
Q

how far up does the diaphragm extend

A

to the nipples in men (4th intercostal space, thus the abdomen extends to the level of the nipples)

41
Q

what dermatome is at the umbilicus

A

T10

42
Q

what are the major layers of an artery

A

adventitia, media, intima

Surgery (5 decks)

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