Antomy 3 Flashcards
Multicystic Dysplastic kidney- collecting duct pelvic kidney/ horseshoe kidney- ascent issue , kidney fuse IM entrapment Urachal fistula or cyst- allantois persists peeing with umbilicus) - collecting duct pelvic kidney/ horseshoe kidney- ascent issue , kidney fuse IM entrapment Urachal fistula or cyst- allantois persists peeing with umbilicus)
collecting duct
Multicystic Dysplastic kidney
ascent issue , kidney fuse IM entrapment
pelvic kidney/ horseshoe kidney (L3-5)
allantois persists peeing with umbilicus
Urachal fistula or cyst-
Thoracentsis
Liver Biopsy
10th intercostal space midaxillary or not
Subphrenic abscesses
@ 12th common R
Diaphram rupture-
95% on L bc of Liver on R
elimate kidney stone w ultrasound?
lithotripisy
posterior fornix pelvic abcess puch of douglas
Culdocentesis
Caudal nerve block
S2-S4 pudedal, plus VA above and below pain line
prepuce emergency
Paraphimosis-
Hemrrohids
internal venous plexus vs external venous plexus painful clot
perinial body
episitomy, pubcoccyegous, in middle of vagina and vesicle on female
Coronary vesseles occlusion
- LDA ( 40-50), 2. RCA (40-30) 3. Circumflex of RCA ( 20-15)
- LCA 5. PDA
What is the Venous drainage of the abdominal wall and node above,& below umbilicus and deeper? nn?
above umbilcals-> Thorepgvein, axillary nodes
below umbilic-> supferfic epig, –> superficial inguin
deep–’ external lilac,
N- T7-T11), (T12) , L1 ( SE/SA, VA/VE- Symp- post)
What inn of abdominal muscles & fxn?
Rectus ab- T5- T12 ( FAPD) rest olique ( T7-T12) RFF
scrotum
Scrotum- ant/ post scrotal ( SE/SA/ VE/VA- symp post)
N- Ant- Iloinguinal (L1) & Gent. branch of genitol femoral (L1-2) Post- superp perineal branch of internal pud (S2-4) & Infer- perineal of the post femoral cut (S2-3)
B- ext/internal pudendal, Creamastric a,
L- superficial ingu
testis
L- Lumbar
Spermatic Chord?
test, duct, crem , nerves (gential, of genitofemoral) , lymp
somatic Lumbar plexus?
(L1-L4) - L1 (illohypo ( ant. wall) /illoing ( spermatic chord & scrotum), L1 right below white line, L1-2 genitofemoral on psoas, lateral femoral cutanous (L 2-3) , Obturator nerve medial (L24), Femoral thick behind psoas ( L-2-4), Lumbarsacral (l4-5) deepest medalist
Back muscles?
Quadratus lumborum (T12-4) EFF illiacus & psoas major/ minor (L2-L4) -- FFF
Kidney -
L- Lumbar ( kidney, ureter, suprarenal) R Kidney ( L1-L4) vs L Kidney (T12-L3)
-
Diaphram
5th rib, nn: C3-C5,
B- Phrenic 4
Hiatus
T8 (caval open) -T10 (esph hiatus) –12 (aorta hiatus)
R crus- (L3), R crus(L2)
IVC drainage point?
(L Suparenal and L gonadal v dont drain)
Foregut
Midgut
Hindgut
- ) T59 great s, ant, celiac a /L
- )T 9-12 less s, post, SMA a/L
- ) Hindgut L 1-4 L sp, Pelvic S2-4, IMA a/L
Levels for ? celia, SM, gonadal, IM, bifurcation
- 12
- 1
- gonadal 2
- IM 3
- Bifurcation aorta L4
- Bifurcation vein L5
Esp Lymp? level? a
L gastric, celaic node C6-T11, L gastric & inf phrenic
Stomach Lymph?
T11-L1
lesser- sup pyloric, gastric
greater- inf pyloric, gastroomental
Duod (1/2)
Ant or posterior lymphatics –> celiac L2, L2-3
Duod ( 3/4)
Ant or posterior lymphatics –> celiac , L3, L3-2
Ant. of duodenum Lymp?
Ant. lympahtics–> pancroduodenl or pyloric , celiac
Pancreas head neck uncinate Lymph?
pyloric, celiac node L1/2
body and tail of pancreas lump?
pancreaticosplenic , celiac L1/2
Esp innervation?
esph plexus from T5-9, ant vagal trunk
Hepatic proper splits into?
L/R hepatic & R gastric
Celiac trunk splits into?
Splenhic, Common hepatic a, & L gastric
SMA splits into?
Mid gut -Middle, Right, Illeocolic ( illegal, colic, ant/post cecal, apendicular) , 15-18 jejunum and illeum branches
IMA splits into ?
L, sigmoid (3-4), sup rectal a
Pancreaticoduodenal?
supply duodenum & pancrease
from the SMA –> common pancreatic duodenal–>ant./post. inf pancreas
From Celiac–> gastrodoudenal –>ant./post. sup. pancreas
Median arcuate ligament?
Right Crus (L3) – aorta hiatus
lateral acurate ligament?
formed by fascia of Quadratus lumbordum ( T12-4)
Liver GB
T7-23 4th rib hepatic celiac
L1 –> cystic, celiac
Spleen
9-10 th rib , T 10- L1
Splenhic artery provides?
dorsal/ great pancreas, L gastroomental, & short gastric
compressing 3th duod
SMA syndrome
Compressing L renal vein
Nutcracker syndrome
places of collateral in GI w/ IVC obstruction or cirrhosis?
L gastric–> espoh
sup rectal artery–> middle & inferior rectal artery
paraumbilical –> epigastric
colic–> retropenial
Sacrotub ligament nn?
Coccygeal S4, S5 somatic called annococygeal nerve
Internal illac arteries and ligaments associated
Internal illac-
Post 3- lateral sacral, Illolumbar, sup gluteal , Ant - OU”VIMII”
ligament of bladder , umbilical a sup vesical
cardinal ligament– uterine artery
ligament of rectumr- middle rectal a