GIHEP anatomy

Question 1

What are the contents of the inguinal canal?

Answer 1

Female: 
ilioinguinal nerve
round ligament of uterus
Male: 
ilioinguinal nerve
spermatic cord

Question 2

What makes up the spermatic cord?

Answer 2

3 arteries:
-testicular (from aorta to L2)
-cremesteric (from inferior epigastric)
-artery of Vas (from superior vesical)
3 nerves:
-nerve to cremaster (from genitofemoral nerve)
-sympathetics 
-ilioinguinal
3 other things: 
-vas deferens
-pampiniform plexus of veins
-lymphatics to paraaortic nodes at L2

Question 3

indirect inguinal hernia

Answer 3

through deep ring
along inguinal canal
then through superficial ring to scrotum

Question 4

direct inguinal hernia

Answer 4

weakness in transversalis fascia and superficial ring

Question 5

Borders of Hesselbach’s triangle

Answer 5

base: inguinal ligament
lateral border: inferior epigastric vessels
medial border: lateral edge of rectus sheath

Question 6

Transpyloric plane

Answer 6

• L1 (first lumbar vertebrae)
• pylorus of stomach
• fundus of gall bladder
• middle of left kidney