CC Unit Three Flashcards
Cremasteric reflex
In: ilioinguinal
Out: genital of genitofemoral
None when testis twisted
Varicocele
Pampaniform plexus becomes dilated and tortuous. Usually on left
Hydrocele of spermatic cord
Too much fluid in scrotum/ cord, injury to epididymus
Cancer in testis
Testis to lumbar lymph nodes and para aortic, scrotum to superficial inguinal
Indirect hernia
Through the deep and superficial inguinal rings, into scrotum/labia. Patent process vaginalis
Direct hernia
Through only superficial ring, rarely enters scrotum
Cystic artery severance
Compress common hepatic artery
Abdominal paracentisis
Inserted superior to bladder
Ascites
Excess fluid in peritoneal cavity
Esophageal varices
Caused by portal hypertension or cirrhosis.
Blood backs up
Sliding hernia
Esophagus, cardia, fundus. Slide up to thorax, regurgitation of food
Paraesophageal hernia
Pouch into thorax, no regurgitation
Stomach cancer
Usually in pyloric region
Gastric ulcers
Lesions of stomach mucosa, usually caused by h pylori infection.
Vagotomy
Vagus controls acid in stomach, resected to control that
Congenital hypertrophic pyloric stenosis
Hard pylorus, forceful vomiting
Meckels diverticulum
Remnant of embryonic yolk stalk. Can mimic appendicitis
Appendectomy
Incision at McBurney point. Sometimes appendix on left due to malrotation or cecum fails to descend
Portal hypertension
Obstruction of venous system. Bleeding, varicose veins. Treated with shunts
Cirrhosis
Hepatomegaly, firms up liver. Caused by alcohol or industrial solvents
Spleen rupture
Rib fracture, blunt trauma. Bleeding and shock. Treated by splenectomy
Splenomegaly
Leukemia, hypertension, anemias
Gallstones
Made of cholesterol, pain in epigastric region.
Cholecystitis
Inflammation of gallbladder. Pain in right shoulder/posterior thorax, jaundice
Pancreatitis
Bile enters because of block at hepatopancreatic ampulla
Pancreatic cancer
Retention of bile and jaundice, severe pain