Internal Organs GBA Flashcards

1
Q

Venous drainage of the Prostate?

Clinical relevance?

A

Santorini’s Plexus - into the internal iliac vein which connects with the vertebral venous plexus.
Metastasis to vertebral bodies!

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2
Q

What are the Borders and Contents of the Lateral Sulcus of the Tongue?

A

Lateral Sulcus of the Tongue:
Borders- Mylohyoid, Hyoglossus and Hyoid bone
Contents (Sup to Inf): Submandibular Duct, Lingual Nerve, Lingual Vein and Hypoglossal Nerve.

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3
Q

What are the impressions of the Anterior Part of the Left Kidney?

A

Stomach
Spleen
Colon

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4
Q

11 Intraperitoneal Organs (Detail parts of GI and Genitals)

A
Liver
Stomach
Duodenum Sup part
Jejunum
Ileum
Appendix+ Cecum
Transverse colon
Uterus
Fallopian tube
Superior Rectum
Sigmoid Colon
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5
Q

Constrictions of the Ureter?

A

1) Renal Pelvis - Ureter Junction
2) Entering the Pelvis
3) Entering the wall of the Urinary Bladder

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6
Q

Borders of Pterygov Triangle and Contents?

A

Superiorly-Hypoglossal Nerve
Anteriorly - Mylohyoid Muscle
Posteriorly - Stylohyoid Muscle
Contents - Lingual Artery (Behind Hyoglossus)

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7
Q

Pelvic Inlet / Lesser Pelvis Borders on Bone

A

Promontory, Ala of Sacrum, Arcuate Line, Pecten Pubis and Pubic Symphysis

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8
Q

Passage through diaphragm of :

Azygos and Hemiazygos Veins + Greater Splanchnic Nerves ?

A

Azygos and Hemiazygos Veins + Greater Splanchnic Nerves

Go through Medial Crus

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9
Q

What are the Borders and Contents of the Medial Sulcus of the Tongue?

A

Medial Sulcus of the Tongue:
Borders- Hyoglossus, Genioglossus and Hyoid bone
Contents - Lingual Artery and Glossopharyngeal nerve

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10
Q

Find SA node

A

Between Crista terminalis and SVC

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11
Q

Vessels in the Gastrosplenic ligament

A

Short gastric Arteries and Left Gastro Omental Artery

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12
Q

Treitz Ligament:

A

From Medial Diaphragm Crura to Duodenojejunal Flexure - Lifting it up

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13
Q

Impressions on the Right Lung?

A
Branchiocephalic Trunk
SVC IVC
Azygos Vein
Esophagous
Cardiac
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14
Q

Capsules of the Kidney:

A

Fibrous capsule (Inner)
Perirenal adipose capsule
Renal fascia of Gerota (Outer)

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15
Q

Passage through diaphragm of :

Lesser Splanchnic Nerves ?

A

Lesser Splanchnic Nerves

Go through Lateral Crus

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16
Q

Which muscles are able to Relax the Vocal ligaments?

Innervation?

A

Thyroarytenoid and Vocalis

Inferior Laryngeal Nerve from Recurrent Laryngeal

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17
Q

What is the anastomosis of arteries in the Nasal cavity ?(prone for rapture)

A
Kiesselbach's triangle:
Anterior ethmoidal artery
Sphenopalatine artery 
Greater palatine artery 
Septal branch of the superior labial artery
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18
Q

Parts of the Diaphragm

A

Muscular - Sternal, Costal, Lumbar
Central Tendon
Lumbar is divided to Medial Muscular Crura and Lateral Ligamentous arches

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19
Q

Defenition of Coronary dominance:

Stats as well.

A

The artery that supplies the posterior third of the interventricular septum – the posterior descending artery (PDA) determines the coronary dominance.
70% of Population is Right Dominant
20% are Left
10% Both

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20
Q

What are the impressions of the Liver?

A
Colic
Renal
Suprarenal
Esophageal
Gastric
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21
Q

How would you recognize the Maternal from Amniotic part of the Placenta?

A

Maternal - Bulky with Cotyledons

Amniotic - Smooth

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22
Q

What is the Sustentaculum Lienis:

A

Phrenicocolic Ligament Passing right under the Spleen Lifting it up

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23
Q

Deepest Point in Laying Female/male

A

Hepatorenal Recess - Morrison’s Pouch

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24
Q

Which muscle is able to Tense the Vocal ligaments?

A

Cricothyroid

Superior Laryngeal Nerve

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25
Q

What is the Danger space? What are its Borders?

A

Btw Alar fascia, Prevertebral Fascia and Carotid Sheeth on the Lateral ends.
Descends from the Level of Oral cavity to T4 - Infection spreading made possible

26
Q

Reccurent Laryngeal Nerve loops

A

Right - Under Subclavian artery

Left - Under Aortic Arch

27
Q

Cannon Bohm Point:

A

End of the Vagus parasympathetic innervation.

Right 1/3 of Transverse Colon

28
Q

Secondary Retroperitoneal Organs (Detail parts of GI and Genitals) - 2 Structures
What does it mean?

A

Development in Peritoneal sac but then lost it

  • Duodenum Descending part
  • Pancreas
29
Q

Which muscles are able to Adduct the Vocal ligaments?

Innervation?

A

Lateral Cricoarythnoid and Interarytenoids

Inferior Laryngeal Nerve from Recurrent Laryngeal

30
Q

What should reside in the Pleural cavity?

Clinical importance.

A

Serous pleural fluid - Lubrication

If there’s Air inside - Pneumothorax

31
Q

What are Head zones?
Name them for:
Heart, Pancreas, Ureter and Gallbladder.

A
Projections of Internal organ dysfunction as skin pain.
Heart - Left shoulder and Chest
Pancreas - Belt below umbilicus
Ureter and Kidney - Lower back
Gallbladder - Subcostal line on backside
32
Q

Left Supraclavicular Lymph node of Virchow

Could signal ____ of Abdominal organ .

A

Left Supraclavicular Lymph node of Virchow

Could signal Metastatic Gastric Cancer.

33
Q

Which anastomosis happen due to Liver Cirrhosis?

Give 4 Examples

A

Portacaval Anastomosis (Portal Right - Caval Left) :

1) Caput Medusae - Paraumbilical Veins and Inferior Epigastric Veins
2) Cardia Veins and Azygos System
3) Sup. Rectal with Mid. and Inf Rectal
4) Splenic Vein and Renal Veins

34
Q

Elastic Cartilage of the Larynx

A

Corniculate, Cuneiform and Epiglottis

35
Q

What is the difference between the Left and Right Renal Veins?

A

Left one is Longer and Receives the Left Gonadal Vein

Right one is shorter and Does Not receive Gonadal

36
Q

Pharyngeal Elevators:

A

Stylopharyngeus
Palatopharyngeus
Salpingopharyngeus

37
Q

What is the Blood supply of the Adrenal gland and from which arteries?

A

Sup suprarenal a.(from inferior phrenic a)
Mid suprarenal a.(from abdominal aorta)
Inf suprarenal a.(from renal a)

38
Q

What are the impressions of the Anterior Part of the Right Kidney?

A

Liver

Colic

39
Q

Find AV node

A

In Koch triangle - Borders:

Thebesian Valve, Tendon of Todaro and Tricuspid Valve

40
Q

Deepest Point in standing Female

A

Rectouterine Pouch - Douglas

41
Q

Important Structures in the Right Ventricle

A

Moderator Band

Supraventricular Crest

42
Q

Large Lymph vessels reaching the Thoracic duct just at the Venous angle?

A

Bronchomedistinal
Deep cervical
Jugular

43
Q

Primary Retroperitoneal Organs (Detail parts of GI and Genitals) - 4 Structures

A

Kidney
Adrenal
Ureter
Rectum Middle 1/3rd

44
Q

Important Anastomosis Between IMA and SMA Branches?

A

Greater Riolan’s Arch

Middle colic and Left colic

45
Q

What are the Two Pericardial Projections?

A

Arterial and Venous (Shapey’s T)

46
Q

How Many segments does the Right and Left Lungs have? How Many Fissures

A

Right Lung - 2 fissure - 3 Lobes
10 Segments
Left Lung - 1 Fissure - 2 Lobes
9 Segments

47
Q

How many major calyces and minor calyces in the kidney?

A

3 Major

9-12 Minor

48
Q

Ligaments of the Liver:

A
Coronary
Right and Left Triangular
Falciform
Round
Ligamentum Ductus Venosus
49
Q

Middle Pharyngeal constrictor parts:

A

Chondropharyngeal part

Ceratopharyngeal part

50
Q

Which is the only muscle able to Abduct the Vocal ligaments? Innervation?

A

Posterior Cricoarythenoid

Inferior Laryngeal Nerve from Recurrent Laryngeal

51
Q

Heart Auscultation Points:

A

Aortic valve - 2nd Right intercostal Space
Pulmonary Valve - 2nd Left Intercostal Space
Erb’s Point (S2 Sound) - 3rd Left Intercostal Space
Tricuspid Valve - 4th Left Intercostal Space
Mitral Valve - 5th Left Intercostal Space - 9cm/Midclavicular Line

52
Q

Inferior Pharyngeal constrictor parts:

A

Thyropharyngeus

Cricopharyngeus

53
Q

Preperitoneal folds:

A

Midian - Urachus: Allantois remnant
Medial - Obliterated Umbilical Arteries
Lateral - Inferior Epigastric Arteries

54
Q

Important Anastomosis Between 2 IMA Branches?

A

Sudak Point

Sigmoidal artery and Superior Rectal Artery

55
Q

Superior Pharyngeal constrictor parts:

A

Pterygopharyngeal part
Buccopharyngeal part
Mylopharyngeal part
Glossopharyngeal part

56
Q

Crossing of the Ureter?

A

1) Behind Gonadal Artery
2) Inferont Common Iliac
3) Behind Deferens/Uterine Artery

57
Q

Kidney vasculature pathway?

A

Renal arteries -Segmental branches- Interlobar arteries - Arcuate arteries - Interlobular arteries - Afferent Arterioles - Efferent Arterioles

58
Q

Widest Pelvic Diameters and In which axis?

Why is this Important?

A

Pelvic Inlet -Transverse- 13cm
Pelvic Amplitudo -Oblique- 14cm
Pelvic Outlet - Sagittal - 11cm
Explains the Need for Baby to rotate upon delivery

59
Q

Passage through diaphragm of :

Superior Epigastric?

A

Superior Epigastric

Go through Sternocostal Triangle

60
Q

In the Right lung the Bronchus is Above/Below the Artery.

A

In the Right lung the Bronchus is ABOVE the Artery.

61
Q

Impressions on the Left Lung?

A

Aorta
Brachiocephalic Vein
Cardiac Notch