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MD3002 post MSA > anatomy revision > Flashcards

anatomy revision Flashcards

1
Q

what is the blood supply to the pancreas

A

SMA- inferior pancreaticoduodenal
splenic- greater and dorsal
gastroduodenal - superior pancreaticoduodenal

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2
Q

what are the boundaries of Calot’s triangle

A

inferior border or right lobe of liver
common hepatic duct
cystic duct

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3
Q

what is calot’s triangle used to locate

A

cystic artery

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4
Q

where is pain referred from the gallbladder

A

epigastrium and shoulder tip via supraclavicular nerve

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5
Q

what is Kocher’s manoever

A

reflecting the duodenum

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6
Q

what is the autonomic supply to the hindgut

A

symp- T12

p’symp - S2-4 (not vagus)

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7
Q

what is the marginal artery of drummond

A

anastomosis with the SMA and IMA

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8
Q

how do nerves supplying muscles of the abdominal wall terminate

A

as cutaneous nerves

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9
Q

what nerve pierces external oblique above the superficial inguinal ring

A

iliohypogastric

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10
Q

which nerve emerges through the superficial inguinal ring

A

ilioinguinal

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11
Q

why might iliohypogastric nerve injury cause a hernia

A

it supplies the fibres of internal obliqu and TA that form the conjoint tendon. could by caused by lateral extension of an appendectomy inscision

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12
Q

what is the nerve supply of gen fem

A

L1,2

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13
Q

what is the femoral nerve formed from

A

L3-4

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14
Q

what is the subcostal nerve formed from

A

T12

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15
Q

what is the arterial supply to the abdominal wall

A

intercostal and lumbar arteries, superior, inferior and superficial epigastrics and circumflex iliacs

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16
Q

what is the superior epigastric artery a branch of

A

internal thoracic

supplies the upper
central part of the anterior
abdominal wall, and anastomoses
with the inferior epigastric artery

collateral circulation for obstructed aorta

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17
Q

what is the blood supply of the upper lateral abdominal wall

A

musculophrenic artery from the internal thoracic

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18
Q

what is the inferior epigastric artery a branch of

A

external iliac

it ascends behind the rectus muscle

19
Q

what is the arcuate line

A

marks the inferior limit of the posterior rectus sheath and where inferior epigastric pierces RA

20
Q

what is the deep circumflex artery a branch of

A

external iliac, just above the inguinal ligament

runs along iliac crest

21
Q

what is the superficial circumflex iliac and superficial epigastric artery a branch of

A

femoral

22
Q

what veins drain into the great saphenous vein

A

The superficial epigastric and superficial circumflex iliac
superficial and deep external pudendal veins

important for varicose vein surgery

23
Q

what does superficial external pudendal artery supply

A

skin of penis, scrotum, labia majora and mons pubis

24
Q

what is the venous drainage of skin surrounding the umbilicus

A

femoral and external iliac veins inferiorly; and the internal thoracic and
axillary veins superiorly

also paraumbilical veins which drain to the portal vein forming a portosystemic anastomosis

25
Q

what is the lymph drainage of the abdo wall

A

posterior/ anterior axillary nodes and superficial inguinal

26
Q

what do the axillary nodes drain into

A

the subclavian lymph trunk

27
Q

what do the superficial inguinal nodes drain to

A

deep inguinal, external iliac, para aortic

28
Q

how does deep abdominal wall lymph drain

A

in parallel with the epigastrics
external iliac and paraaortic
parasternal and mediastinal nodes

29
Q

what is a muscle splitting loin used for

A

appendectomy

30
Q

what can cause to a femoral hernia

A

only TA and IO are attached to thoracolumbar fascia not external oblique

31
Q

Some damn englishman called it the testes

A 
skin
dartos
external spermatic fascia
cremasteric 
internal spermatic fascia
tunica vaginalis 
tunica albuginea
32
Q

what is external oblique attached to

A

lower eight ribs, lateral lip of iliac crest, aponeurosis to linea alba via rectus sheath

33
Q

where is the superficial inguinal ring

A

opening in external oblique aponeurosis with base on the pubic crest

34
Q

what part of the inguinal ligament is internal oblique attached to

A

the lateral 2/3rds

35
Q

what is internal oblique attached to

A 
thoraco lumbar fascia
iliac crest
inguinal ligament 
lower 4 ribs 
pubic crest behind the superficial inguinal ring via conjoint tendon
linea alba via RA
36
Q

what is the nerve supply of internal oblique

A

T7-12 and L1

37
Q

what is transversus abdominis attached to

A 
lateral half of inguinal ligament
thoraco lumbar fascia
iliac crest 
pubic crest behind the superficial inguinal ring via conjoint tendon
linea alba via RA
lower 6 ribs
38
Q

what are the attachments of the conjoint tendon

A

pubic crest and pectineal line

supports the inguinal ring

39
Q

what are the attachments of RA

A 
ribs 5-7
pubic symphysis
pubic crest
pectineal line 
xiphoid
40
Q

where is the deep ring

A

formed from TA

lateral to inferior epigastrics

41
Q

what are the boundaries of the inguinal canal

A

Ant: external oblique, with internal oblique laterally
Post: conjoint tendon medially; transversalis fascia laterally
Roof: arching fibres of internal oblique and transversus abdominis
Floor: inrolled lower edge of inguinal ligament, strengthened medially by lacunar ligament

42
Q

where are inguinal hernias found

A

above and medial to the inguinal ligament

43
Q

what is Hesslebachs triangle

A

location of direct inguinal hernias

boundaries: RA, inferior epigastrics, inguinal ligament

MD3002 post MSA (66 decks)

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