Ch. 5 (Tempkin) Flashcards

1
Q

Retroperitoneum

A

portion of abdominopelvic cavity posterior to the peritoneal sac

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2
Q

The IVC ascends through the _____

A

retroperitoneum

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3
Q

The IVC is the ….

A

inferior portion of the body’s largest vein

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4
Q

The IVC consists of how many muscle layers?

A

3

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5
Q

What are the three muscle layers?

A

Intima, media, adventitia

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6
Q

Intima

A

innermost

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7
Q

Media

A

middle layer

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8
Q

Adventitia

A

outer

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9
Q

IVC physiology…

A

returns deoxygenated blood from the tissues to the heart for oxygenation and recirculation

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10
Q

Valsalva maneuver

A

exhaling with airways closed-mouth shut, nose pinched shut

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11
Q

IVC appearance…

A

Anechoic lumen surrounded by bright, echogenic walls

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12
Q

Proximal IVC

A

the common iliac veins to the area just inferior to the renal vein tributaries

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13
Q

Mid portion IVC

A

level of the renal vein tributaries, posterior to the head of the pancreas

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14
Q

Distal IVC

A

just superior to the renal vein tributaries to the right atrium of the heart

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15
Q

IVC tributaries routinely visualized with ultrasound include…

A
  • 3 hepatic veins
  • 2 renal veins
  • 2 common iliac veins
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16
Q

Patient should fast before exam for __ to __ hours

A

6-8 hours

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17
Q

Breathing technique for IVC scan…..

A

normal respirations or deep, held respiration

18
Q

Patient position

A

Supine

or left/right lateral decubitis, left/right posterior oblique, sitting semierect or erect as needed

19
Q

The lie of the IVC within the body is

A

superior to inferior

20
Q

The long axis of the IVC is seen from a

A

sagittal or coronal scanning plane

21
Q

Longitudinal views of the renal vein tributaries are seen in a

A

transverse scanning plane

22
Q

Axial views of the renal vein tributaries are seen in a

A

sagittal or coronal scanning plane

23
Q

The IVC…

A

passes through a deep fossa on the posterior surface of the liver between the caudate lobe and bare area

24
Q

The size of the IVC is normal up to

A

4 cm

25
Q

The proximal IVC is the portion

A

that extends superiorly from the common iliac veins to just below the level of the renal veins

26
Q

The mid portion of the IVC is

A

posterior to the head of the pancreas at the level of the renal veins

27
Q

The distal IVC is the portion

A

that extends superior to the renal veins to the right atrium of the heart

28
Q

Beginning posteriorly, and in correct order by the location in the body, the IVC is

A

anterior and just to the right of the spine, anterior to the right renal artery, posterior to the head of the pancreas, gastroduodenal artery, portal splenic confluence, and the liver

29
Q

The left renal vein has a _____ course compared with the right renal vein

A

longer

30
Q

All of the following are IVC tributaries except the:

a) hepatic veins
b) right renal vein
c) superior mesenteric vein
d) left renal vein

A

superior mesenteric vein

31
Q

The primary function of the IVC is to

A

carry deoxygenated blood to the heart

32
Q

The right and left common iliac veins are _____ the right and left common iliac arteries

A

posterior to

33
Q

The IVC is medial to all of the following except the:

a) right adrenal gland
b) caudate lobe
c) right kidney
d) right ureter

A

caudate lobe

34
Q

The IVC is anterior to all of the following except the:

a) transverse duodenum
b) right crus of the diaphragm
c) right adrenal gland
d) psoas major muscle

A

transverse duodenum

35
Q

The IVC is right lateral to all of the following except the:

a) aorta
b) caudate lobe
c) left renal vein
d) portal splenic confluence

A

caudate lobe

36
Q

The IVC is posterior to all of the following except the:

a) uncinate process
b) spine
c) hepatic veins
d) common bile duct

A

spine

37
Q

the IVC passes through a deep fossa on the posterior surface of the liver between the _____ and _____

A

caudate lobe; bare area

38
Q

Normally, the diameter of the IVC will _____ during the Valsalva maneuver or inspiration

A

increase

39
Q

The orientation of the IVC within the body is _____

A

vertical

40
Q

Which of the following blood vessels runs posterior to the IVC?

a) left renal vein
b) right hepatic artery
c) right renal artery
d) left renal artery

A

right renal artery

41
Q

The IVC lies along the posterior surface of what lobe of the liver?

A

caudate