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)

1
Q

collecting duct

A

Multicystic Dysplastic kidney

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2
Q

ascent issue , kidney fuse IM entrapment

A

pelvic kidney/ horseshoe kidney (L3-5)

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3
Q

allantois persists peeing with umbilicus

A

Urachal fistula or cyst-

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4
Q

Thoracentsis

Liver Biopsy

A

10th intercostal space midaxillary or not

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5
Q

Subphrenic abscesses

A

@ 12th common R

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6
Q

Diaphram rupture-

A

95% on L bc of Liver on R

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7
Q

elimate kidney stone w ultrasound?

A

lithotripisy

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8
Q

posterior fornix pelvic abcess puch of douglas

A

Culdocentesis

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9
Q

Caudal nerve block

A

S2-S4 pudedal, plus VA above and below pain line

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10
Q

prepuce emergency

A

Paraphimosis-

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11
Q

Hemrrohids

A

internal venous plexus vs external venous plexus painful clot

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12
Q

perinial body

A

episitomy, pubcoccyegous, in middle of vagina and vesicle on female

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13
Q

Coronary vesseles occlusion

A
  1. LDA ( 40-50), 2. RCA (40-30) 3. Circumflex of RCA ( 20-15)
  2. LCA 5. PDA
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14
Q

What is the Venous drainage of the abdominal wall and node above,& below umbilicus and deeper? nn?

A

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)

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15
Q

What inn of abdominal muscles & fxn?

A
Rectus ab-  T5- T12 ( FAPD) 
 rest  olique ( T7-T12) RFF
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16
Q

scrotum

A

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

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17
Q

testis

A

L- Lumbar

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18
Q

Spermatic Chord?

A

test, duct, crem , nerves (gential, of genitofemoral) , lymp

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19
Q

somatic Lumbar plexus?

A

(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

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20
Q

Back muscles?

A
Quadratus lumborum  (T12-4)  EFF 
      illiacus & psoas major/ minor (L2-L4) -- FFF
21
Q

Kidney -

A
L- Lumbar ( kidney, ureter, suprarenal) 
     R Kidney ( L1-L4) vs L Kidney (T12-L3) 

-

22
Q

Diaphram

A

5th rib, nn: C3-C5,

B- Phrenic 4

23
Q

Hiatus

A

T8 (caval open) -T10 (esph hiatus) –12 (aorta hiatus)

R crus- (L3), R crus(L2)

24
Q

IVC drainage point?

A

(L Suparenal and L gonadal v dont drain)

25
Q

Foregut
Midgut
Hindgut

A
  1. ) T59 great s, ant, celiac a /L
  2. )T 9-12 less s, post, SMA a/L
  3. ) Hindgut L 1-4 L sp, Pelvic S2-4, IMA a/L
26
Q

Levels for ? celia, SM, gonadal, IM, bifurcation

A
  1. 12
  2. 1
  3. gonadal 2
  4. IM 3
  5. Bifurcation aorta L4
  6. Bifurcation vein L5
27
Q

Esp Lymp? level? a

A

L gastric, celaic node C6-T11, L gastric & inf phrenic

28
Q

Stomach Lymph?

A

T11-L1
lesser- sup pyloric, gastric
greater- inf pyloric, gastroomental

29
Q

Duod (1/2)

A

Ant or posterior lymphatics –> celiac L2, L2-3

30
Q

Duod ( 3/4)

A

Ant or posterior lymphatics –> celiac , L3, L3-2

31
Q

Ant. of duodenum Lymp?

A

Ant. lympahtics–> pancroduodenl or pyloric , celiac

32
Q

Pancreas head neck uncinate Lymph?

A

pyloric, celiac node L1/2

33
Q

body and tail of pancreas lump?

A

pancreaticosplenic , celiac L1/2

34
Q

Esp innervation?

A

esph plexus from T5-9, ant vagal trunk

35
Q

Hepatic proper splits into?

A

L/R hepatic & R gastric

36
Q

Celiac trunk splits into?

A

Splenhic, Common hepatic a, & L gastric

37
Q

SMA splits into?

A

Mid gut -Middle, Right, Illeocolic ( illegal, colic, ant/post cecal, apendicular) , 15-18 jejunum and illeum branches

38
Q

IMA splits into ?

A

L, sigmoid (3-4), sup rectal a

39
Q

Pancreaticoduodenal?

A

supply duodenum & pancrease
from the SMA –> common pancreatic duodenal–>ant./post. inf pancreas
From Celiac–> gastrodoudenal –>ant./post. sup. pancreas

40
Q

Median arcuate ligament?

A

Right Crus (L3) – aorta hiatus

41
Q

lateral acurate ligament?

A

formed by fascia of Quadratus lumbordum ( T12-4)

42
Q

Liver GB

A

T7-23 4th rib hepatic celiac

L1 –> cystic, celiac

43
Q

Spleen

A

9-10 th rib , T 10- L1

44
Q

Splenhic artery provides?

A

dorsal/ great pancreas, L gastroomental, & short gastric

45
Q

compressing 3th duod

A

SMA syndrome

46
Q

Compressing L renal vein

A

Nutcracker syndrome

47
Q

places of collateral in GI w/ IVC obstruction or cirrhosis?

A

L gastric–> espoh
sup rectal artery–> middle & inferior rectal artery
paraumbilical –> epigastric
colic–> retropenial

48
Q

Sacrotub ligament nn?

A

Coccygeal S4, S5 somatic called annococygeal nerve

49
Q

Internal illac arteries and ligaments associated

Internal illac-

A

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