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Undeleted > Internal abdomen > Flashcards

Internal abdomen Flashcards

1
Q

Types of abdo organs

A

Retroperitoneal, 2nd retroperitoneal, intraperitoneal

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2
Q

Two embryonic mesentaries

A

dorsal (both) and ventral (foregut only)

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3
Q

2nd retroperitoneal organs

A

duodenum, pancreas, asc. and dec. colon,

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4
Q

Derivatives of ventral mesentary

A

Lesser omentum, falciform ligament, coronary and triangular ligaments

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5
Q

4 parts of colon

A

anc, transverse, dec, sigmoid

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6
Q

Derivatives of dorsal mesentary

A

Greater omentum, splenorenal and gastrosplenic ligaments, mesentary of small intestine, transverse mesocolon, sigmoid mesocolon

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7
Q

Peritoneal spaces of greater sac

A

Supracolic and intracolic compartments, R and L infracolic compartments, rectouterine pouch, subphrenic recesses, subhepatic recesses, paracolic gutters

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8
Q

Connection between greater and lesser sacs

A

epiploic foramen

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9
Q

4 portions of stomach

A

cardia, fundus, body, pylorus (antrum and canal)

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10
Q

Connection bw stomach and liver

A

lesser omentum

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11
Q

connection bw stomach and spleen

A

gastrosplenic ligament

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12
Q

Connection bw duodenum and stomach

A

pyloric sphyncter

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13
Q

Name of gastric folds

A

rugae

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14
Q

connection bw stomach and esophagus

A

cardiac sphyncter

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15
Q

Number of sections of duodenum

A

4

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16
Q

portions of duodenum with mesentary

A

1

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17
Q

3 part of small int in order

A

duodenum, jujuenun, ileum

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18
Q

marker of jujenum from duodenum

A

where regains the mesentary

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19
Q

name where ileum joins colon

A

ileocecal juntion

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20
Q

Portions of colon with mesentary

A

transverse and sigmoid (mesocolons)

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21
Q

first pocket of colon (attaches with appendix)

A

cecum

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22
Q

3 main abdominal artery branches and their levels

A

Celiac (T12), Sup mesenteric (L1), inf mesenteric (L3)

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23
Q

blood supply to lesser curvature of stomach

A

L gastric artery

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24
Q

blood supply to greater curvature

A

gastroepipoloic artery

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25
Q

branches of celiac artery

A

L gastric, common hepatic, splenic

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26
Q

blood path along greater curvature of stomach (anastamoses)

A

celiac>splenic>gastroepiploic>gastroduodenal>common hepatic

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27
Q

Branches of sup. mesenteric arteries

A

inf and sup pancreaticoduodenal, ileal and jujenal branches, middle and right colic, ileo colic

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28
Q

branches of inf mesenteric arteries

A

left colic, sigmoidal, superior rectal

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29
Q

3 veins that meet create portal vein

A

sup and inf mesenteric veins, splenic vein

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30
Q

3 systemic anastamoses and their illnesses

A

lower esoph (esophageal varices), rectum/anal canal (hemorroids, umbilicus (caput medusae)

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31
Q

What does vagus nerve ennervate in abdomen

A

stomach, small int, colon as far as distal transverse colon – extent of SMA

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32
Q

Locations of sacral parasympathetic innervation

A

follows the IMA - pelvic splancnic nerve

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33
Q

Source of abdomenal sym innervation?

A

greater, lesser, least splanchnic nerves – synapse on preaortic plexus

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34
Q

3 main areas of referred abdo pain and thier blood supply

A

epigastric (celiac), umbilical (SMA), hypogastric (IMA)

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35
Q

Organs supplied by celiac artery (foregut)

A

esoph, stomach, prox. duodenum, liver, gall bladder, pancreas

36
Q

Organs supplied by sup mes art. (midgut)

A

distal duodenum, jujenum, ileum, asc colon, prox trans colon

37
Q

Organs supplied by inf. mes. art. (hindgut)

A

distal trans colon, desc. colon, sig colon, rectum

38
Q

Retroperitoneal organs

A

kidneys, ureters, suprarenal glands, rectum

39
Q

Intraperitoneal organs

A

stomach, duadenum 1, jujenum, ileum, trans colon, sig colon, liver, spleen

40
Q

2nd retroperitoneal

A

duodenum 2-4, pancreas, asc and dec colon

41
Q

Parts of coronary ligament

A

faliciform ligament, L and R triangular ligaments

42
Q

4 lobes of liver

A

L, R, quadrate, caudate

43
Q

Liver peritoneal attachments (and to what)

A

lesser omentum (stomach + duadenum), falciform ligament (diaph + ant wall), coronary L and R triangular (diaph), capsule of liver ( bare)

44
Q

arterial blood supply path to liver

A

celiac>hepatic proper>L (L, caudate, quadrate lobes) and R common hepatic (R lobe)

45
Q

blood supply to liver

A

portal vein (70%), hepatic arteries (30%)

46
Q

Path of bile

A

R and L hepatic ducts>common hepatic duct>joined by cystic duct (bladder)>common bile duct

47
Q

Parts of pancreas

A

head, neck, body, tail

48
Q

path of pancreatic juice

A

main or accessory pancreatic duct>hepatopancreatic ampulla>to duodenum

49
Q

opening of pancreatic ducts

A

duodenal papilla

50
Q

pancreatic blood supply (head and rest)

A

head - gastroduodenal, ant and post pancreaticoduodenal

body - splenic artery

51
Q

Region of kidneys

A

T12-L3

52
Q

Layers surrounding kidney

A

perinephric fat>renal facia>paranephric

53
Q

Breakdown within medulla

A

columns and lobes

54
Q

What is in the kidney lobe

A

renal pappillae

55
Q

Blood supply within kidney

A

Renal artery>segmental arteries>interlobar arteries

56
Q

Path of urine out of kidney

A

mino calyces>major calyces>renal pelvis>ureter

57
Q

blood supply to adrenal glands

A

suprarenal arteries, inferior phrenic arteries, branches of renal arteries

58
Q

parts of adrenals and secretions

A

cortex (mineral and glucocorticoids), medulla (epinephrine and norepinephrine)

59
Q

Names of lumbar nerves below T12

A

Subcostal T12, Iliohypogastric L1, ilioinguinal L1, genitofemoral L1,2, lateral femoral L2,3, femoral, obruator L2,3,4, accessory obturator

60
Q

Level the IVC, thoracic art, and eso penetrate diaphram

A

T8, T12, T10

61
Q

Level of celiac, SMA, IMA

A

T12, L1, L3

62
Q

Blood supply to paired branches

A

Inf phrenic, suprarenal, renal, gonadal, lumbar, common iliac arteries

63
Q

Blood supply to unpaired branches

A

Celiac, SMA, IMA

64
Q

Veinous drainage of paired and unpaired orgasn

A

paired -IVC, unpaired - portal vein

65
Q

Lymphatic drainage of paired and unpaired organs

A

Paired - to paraaortic nodes , unpaired - to preaortic nodes

66
Q

Level of aortic bifurcation

A

L4

67
Q

Band of 3 muscles that run along colon (where they meet)

A

Tinea coli (meet at appendix)

68
Q

Difference between jejunum and illeum

A

jejunum has less elaborate acades and longer vasa recta, more plicae semilunaris

69
Q

Order of blood supply to small intestine from SMA

A

SMA>intestinal arteries>acades>vasa recta

70
Q

Level of bifurcation of IVC

A

L5

71
Q

End of lymphatic drainage from testicles and scrotal skin

A

testicles - paraaortic nodes

skin - inguinal nodes

72
Q

dangler of pancreas

A

uncinate process

73
Q

point where pancreatic ducts enter

A

major and minor duodenal papilla

74
Q

source of blood supply to pancreas (head, body, tail)

A
  • splenic artery (body + tail)
  • gastroduodenal > superior panreaticoduodenal art (head)
  • SMA > inferior pancreaticoduodenal arts
75
Q

Branches of desc aorta from sup to inf

A

phrenic>celiac>suprarenal>SMA>gonadal>IMA>common illiac

76
Q

Function and attachments of psoas

A

hip flexion/rotation

L1-5 > femur

77
Q

Subcostal nerve level and function

A

T12, motor to ant. wall + rectus abd., sensory to skin and peritoneum

78
Q

Nerve content of post abdomemal wall

A

lumbar symp chain, subcostal nerve, ant. primary rami of lumbar spinal nerves

79
Q

Level and function of iliohypogastric and ilioinguinal

A

L1
between trans abdom and internal oblique
-motor to ant. wall + rectus abd., sensory to skin and peritoneum
- illioinguinal goes through spermatic cord to provide sensory to ant scrotum or lab majora

80
Q

Level and function of gentiofemoral

A

L1,2

  • Femoral branch under ing. ligament to skin of upper thigh
  • Genital branch through ing canal to supply motor to cremaster/dartos or sense to labia
81
Q

level and function of later cutaneous nerve of thigh

A

L2,3 to lateral thigh

82
Q

level and function of femoral nerve

A

L2,3,4

  • between psoas and illiacus to under ing ligment
  • motor to ant thigh and sense to hip joint and ant thigh
83
Q

level and function of lumbosacral trunk

A

L4,5

- to lumbosacral plexus

84
Q

Level and function of obtuator nerve

A

L2,3,4
medial to psoas and passes through obturator canal
- medial compartment of thigh and sensory to hip joint and skin of medial thigh

85
Q

Blood supply to esophageous

A

bronchial, esophageal, L gastric

86
Q

Parts of diaphragm and their attachments

A

Central tendon - center
Sternal - attach to post xyphoid process
Costal - attach to inferior 6 ribs
Lumbar - two crura and muscle fibers that arise from medial and lat arcuate ligs

87
Q

Peritoneal ligaments and their attachments

A

Gastrosplenic - spleen to L greater curve
Splenorenal - spleen to kidney with splenic art
Gastrophrenic - upper greater curve to diaph
Gastrocolic - stomach to trans colon
Phrenicolic - colic flexure to diaph
Falciform-
Teres
Venosum
Coronary

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