Internal Organs GBA Flashcards
Venous drainage of the Prostate?
Clinical relevance?
Santorini’s Plexus - into the internal iliac vein which connects with the vertebral venous plexus.
Metastasis to vertebral bodies!
What are the Borders and Contents of the Lateral Sulcus of the Tongue?
Lateral Sulcus of the Tongue:
Borders- Mylohyoid, Hyoglossus and Hyoid bone
Contents (Sup to Inf): Submandibular Duct, Lingual Nerve, Lingual Vein and Hypoglossal Nerve.
What are the impressions of the Anterior Part of the Left Kidney?
Stomach
Spleen
Colon
11 Intraperitoneal Organs (Detail parts of GI and Genitals)
Liver Stomach Duodenum Sup part Jejunum Ileum Appendix+ Cecum Transverse colon Uterus Fallopian tube Superior Rectum Sigmoid Colon
Constrictions of the Ureter?
1) Renal Pelvis - Ureter Junction
2) Entering the Pelvis
3) Entering the wall of the Urinary Bladder
Borders of Pterygov Triangle and Contents?
Superiorly-Hypoglossal Nerve
Anteriorly - Mylohyoid Muscle
Posteriorly - Stylohyoid Muscle
Contents - Lingual Artery (Behind Hyoglossus)
Pelvic Inlet / Lesser Pelvis Borders on Bone
Promontory, Ala of Sacrum, Arcuate Line, Pecten Pubis and Pubic Symphysis
Passage through diaphragm of :
Azygos and Hemiazygos Veins + Greater Splanchnic Nerves ?
Azygos and Hemiazygos Veins + Greater Splanchnic Nerves
Go through Medial Crus
What are the Borders and Contents of the Medial Sulcus of the Tongue?
Medial Sulcus of the Tongue:
Borders- Hyoglossus, Genioglossus and Hyoid bone
Contents - Lingual Artery and Glossopharyngeal nerve
Find SA node
Between Crista terminalis and SVC
Vessels in the Gastrosplenic ligament
Short gastric Arteries and Left Gastro Omental Artery
Treitz Ligament:
From Medial Diaphragm Crura to Duodenojejunal Flexure - Lifting it up
Impressions on the Right Lung?
Branchiocephalic Trunk SVC IVC Azygos Vein Esophagous Cardiac
Capsules of the Kidney:
Fibrous capsule (Inner)
Perirenal adipose capsule
Renal fascia of Gerota (Outer)
Passage through diaphragm of :
Lesser Splanchnic Nerves ?
Lesser Splanchnic Nerves
Go through Lateral Crus
Which muscles are able to Relax the Vocal ligaments?
Innervation?
Thyroarytenoid and Vocalis
Inferior Laryngeal Nerve from Recurrent Laryngeal
What is the anastomosis of arteries in the Nasal cavity ?(prone for rapture)
Kiesselbach's triangle: Anterior ethmoidal artery Sphenopalatine artery Greater palatine artery Septal branch of the superior labial artery
Parts of the Diaphragm
Muscular - Sternal, Costal, Lumbar
Central Tendon
Lumbar is divided to Medial Muscular Crura and Lateral Ligamentous arches
Defenition of Coronary dominance:
Stats as well.
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
What are the impressions of the Liver?
Colic Renal Suprarenal Esophageal Gastric
How would you recognize the Maternal from Amniotic part of the Placenta?
Maternal - Bulky with Cotyledons
Amniotic - Smooth
What is the Sustentaculum Lienis:
Phrenicocolic Ligament Passing right under the Spleen Lifting it up
Deepest Point in Laying Female/male
Hepatorenal Recess - Morrison’s Pouch
Which muscle is able to Tense the Vocal ligaments?
Cricothyroid
Superior Laryngeal Nerve
What is the Danger space? What are its Borders?
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
Reccurent Laryngeal Nerve loops
Right - Under Subclavian artery
Left - Under Aortic Arch
Cannon Bohm Point:
End of the Vagus parasympathetic innervation.
Right 1/3 of Transverse Colon
Secondary Retroperitoneal Organs (Detail parts of GI and Genitals) - 2 Structures
What does it mean?
Development in Peritoneal sac but then lost it
- Duodenum Descending part
- Pancreas
Which muscles are able to Adduct the Vocal ligaments?
Innervation?
Lateral Cricoarythnoid and Interarytenoids
Inferior Laryngeal Nerve from Recurrent Laryngeal
What should reside in the Pleural cavity?
Clinical importance.
Serous pleural fluid - Lubrication
If there’s Air inside - Pneumothorax
What are Head zones?
Name them for:
Heart, Pancreas, Ureter and Gallbladder.
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
Left Supraclavicular Lymph node of Virchow
Could signal ____ of Abdominal organ .
Left Supraclavicular Lymph node of Virchow
Could signal Metastatic Gastric Cancer.
Which anastomosis happen due to Liver Cirrhosis?
Give 4 Examples
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
Elastic Cartilage of the Larynx
Corniculate, Cuneiform and Epiglottis
What is the difference between the Left and Right Renal Veins?
Left one is Longer and Receives the Left Gonadal Vein
Right one is shorter and Does Not receive Gonadal
Pharyngeal Elevators:
Stylopharyngeus
Palatopharyngeus
Salpingopharyngeus
What is the Blood supply of the Adrenal gland and from which arteries?
Sup suprarenal a.(from inferior phrenic a)
Mid suprarenal a.(from abdominal aorta)
Inf suprarenal a.(from renal a)
What are the impressions of the Anterior Part of the Right Kidney?
Liver
Colic
Find AV node
In Koch triangle - Borders:
Thebesian Valve, Tendon of Todaro and Tricuspid Valve
Deepest Point in standing Female
Rectouterine Pouch - Douglas
Important Structures in the Right Ventricle
Moderator Band
Supraventricular Crest
Large Lymph vessels reaching the Thoracic duct just at the Venous angle?
Bronchomedistinal
Deep cervical
Jugular
Primary Retroperitoneal Organs (Detail parts of GI and Genitals) - 4 Structures
Kidney
Adrenal
Ureter
Rectum Middle 1/3rd
Important Anastomosis Between IMA and SMA Branches?
Greater Riolan’s Arch
Middle colic and Left colic
What are the Two Pericardial Projections?
Arterial and Venous (Shapey’s T)
How Many segments does the Right and Left Lungs have? How Many Fissures
Right Lung - 2 fissure - 3 Lobes
10 Segments
Left Lung - 1 Fissure - 2 Lobes
9 Segments
How many major calyces and minor calyces in the kidney?
3 Major
9-12 Minor
Ligaments of the Liver:
Coronary Right and Left Triangular Falciform Round Ligamentum Ductus Venosus
Middle Pharyngeal constrictor parts:
Chondropharyngeal part
Ceratopharyngeal part
Which is the only muscle able to Abduct the Vocal ligaments? Innervation?
Posterior Cricoarythenoid
Inferior Laryngeal Nerve from Recurrent Laryngeal
Heart Auscultation Points:
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
Inferior Pharyngeal constrictor parts:
Thyropharyngeus
Cricopharyngeus
Preperitoneal folds:
Midian - Urachus: Allantois remnant
Medial - Obliterated Umbilical Arteries
Lateral - Inferior Epigastric Arteries
Important Anastomosis Between 2 IMA Branches?
Sudak Point
Sigmoidal artery and Superior Rectal Artery
Superior Pharyngeal constrictor parts:
Pterygopharyngeal part
Buccopharyngeal part
Mylopharyngeal part
Glossopharyngeal part
Crossing of the Ureter?
1) Behind Gonadal Artery
2) Inferont Common Iliac
3) Behind Deferens/Uterine Artery
Kidney vasculature pathway?
Renal arteries -Segmental branches- Interlobar arteries - Arcuate arteries - Interlobular arteries - Afferent Arterioles - Efferent Arterioles
Widest Pelvic Diameters and In which axis?
Why is this Important?
Pelvic Inlet -Transverse- 13cm
Pelvic Amplitudo -Oblique- 14cm
Pelvic Outlet - Sagittal - 11cm
Explains the Need for Baby to rotate upon delivery
Passage through diaphragm of :
Superior Epigastric?
Superior Epigastric
Go through Sternocostal Triangle
In the Right lung the Bronchus is Above/Below the Artery.
In the Right lung the Bronchus is ABOVE the Artery.
Impressions on the Left Lung?
Aorta
Brachiocephalic Vein
Cardiac Notch
