Anatomy Review I Flashcards
What is the innervation of the pericardium?
Phrenic nerve
Friction rub = ?
Pericarditis
What are the EKG findings of pericarditis?
Diffuse ST elevation
What are the clinical findings of pericarditis?
Sharp pain, worse with inspiration and supine
Better with leaning forward
What are the complications that can arise from pericarditis?
Effusion
Tamponade
What is the treatment for pericarditis?
Pericardiocentesis
Where do coronary arteries originate from?
Ostia in the sinus of valsalva, just distal to the aortic valve
When in the cardiac cycle do cardiac vessels fill?
Diastole
True or false: nodes on valves are always pathologic
False–can be normal
What are the two major branches of the LCA?
LAD
LCX
What are the branches of the RCA?
PDA (usually)
SA and AV nodal arteries
marginal
Chest pain + bradycardia = ?
RCA infarct d/t loss of SA/AV nodal arteries
Where is the heart sound for the mitral valve?
Left fifth intercostal space, near midclavicular line
Systolic or diastolic murmur: aortic stenosis
Systole
Systolic or diastolic murmur: mitral regurg
Systole
Systolic or diastolic murmur: aortic regurg
Diastolic
Systolic or diastolic murmur: pulmonic regurgitation
diastolic
Systolic or diastolic murmur: mitral/ tricuspid stenosis
Diastolic
Head bobbing goes with what heart murmur?
Aortic regurg
What makes pulmonary regurg worse?
Deep breathing
What are the three histological layers of the aorta?
Intima
Media
Externa
What does a bicuspid aortic valve predispose pts to?
dissection
Proximal and distal aortic dissection = which stanford grade?
A if ascending is involved at all
CT diseases usually cause aortic dilation where?
Ascending
What is the dilation amount for aortic aneurysms that indicate surgery?
More than 5.5 cm (5.0 for females)
Who get screened for aortic aneurysms?
60+
Problems with the rostral fold = ?
Sternal defects
Problems with lateral folds = ?
Gastroschisis
Omphalocele
Problems with caudal folds =?
Bladder exstrophy
Midgu problems between the 6th and 10th weeks = ?
Midgut herniates
Double bubble sign on x-ray = ?
Duodenal atresia
What is the usual presentation of Hirschsprung’s disease?
Failure to pass meconium in the first 24 hours
What are the presenting symptoms of annular pancreas?
Problem digesting 2/2 stenosis and blockage of pancreatic secretions
Where, relative to the umbilicus, do gastroschisis occur?
Lateral to the umbilicus, and NOT covered by a sac
What is an omphalocele?
Herniation of abdominal contents into the umbilical cord, and COVERED by the peritoneum
Palpable olive mass in an infant = ?
Pyloric stenosis
What type of emesis is had with pyloric stenosis?
Non-bilious, projectile vomiting
What are the s/sx of esophageal atresia?
Drooling, choking, and air in stomach
The vagus wraps around the esophagus or aorta?
Esophagus
The thoracic duct goes through the diaphragm at what spinal level?
T12 (with aorta)
The phrenic nerve goes through the diaphragm with what?
IVC
What are the components of the portal triad?
Bile duct
portal vein
Hepatic artery
Where does viral hepatitis affect the liver lobules (which zone)?
Zone 1
What are the bile ducts formed by?
The dilated intercellular space between hepatocytes
Cystic duct + Common hepatic duct = ?
Common bile duct
The spleen lies in front of which ribs?
9, 10, 11
Hour glass stomach = ?
Sliding hiatal hernia