Midterm Stickies Flashcards
Radial N. innervates
Brachioradialis & ECRL
Deep Radial N. innervates
ECRB & Supinator
Posterior Interosseous innervates
ED, EDM, ECU, APL, EPL, EPB, EI
Bile duct relationship with intestine
bile duct over 2nd part of duodenum
Lumbrical 1 & 2 innervation
median n.
FDP clinical significance?
Damage leads to inability to make circle
Subscapularis M.
I: Subscapular N. (upper & lower)
Action: Medial rotation & prevents anterior displacement of humerus
Pringle manoeuvre
Clamp hepatic A. & Portal V,
Most common female inguinal hernia
Indirect
SMA relationship with pancreas
SMA posterior to uncinate process
Gall stones most common obstructive location?
Common bile duct
Deep branch of ulnar innervates?
All intrinsic muscles, 3rd & 4th lumbrical, adductor pollicis
2 types of Meckel’s diverticulum
- Gastric mucosa 2. Pancreatic
Where does ascites fluid collect in a Pt lying supine?
Pouch of Morrison, a.k.a. hepataorenal recess
Biceps brachii reflex tests which nerve roots?
C5 & C6
Triceps reflex tests which nerve roots?
C7
Brachioradialis reflex tests which nerve roots?
C6
Depuytren’s contracture?
thickening of & contracture of palmar aponeurosis which may cause flexion of digits & make extension difficult
Swan-neck deformity?
Slight flexion of MCP joints; hyperextension of PIP joints & slight flexion of DIP joints
Positive Psoas Sign
Parietal peritoneum in iliac fossa irritated when psoas stretched; produces somatic pain from peritoneum
SMA
compression of 3rd part of duodenum; congenital: short suspensory ligament of duodenum; L. Renal V.
Klippel-Feil syndrome
Short neck, cervical vertebral bodies fused, Sx.: scoliosis, spina bifidia
Lymph node over scapula spine?
Subscapular//Posterior
External Intercostal M. deficient where
anteriorily
Internal Intercostal M. deficient where
posteriorily
Innermost Intercostal M. deficient where
anteriorily & posteriorily
Parietal pleura A & I
A: Intercostal, internal thoracic, & musculophrenic
I: pain receptor -> intercostal n
Mediastinal pleura & diaphragm
I: phrenic n.
Intercostal V, A, N b/w?
Internal intercostal and innermost intercostal m.
Where to palpate radial pulse?
Anterior forearm, lateral to FCR
Ulnar n. pathway?
Canal of Guyon -> hypothenar
Fracture of humerus on shaft near epicondyle damages which nerve?
Median N.
Retroperitoneal structures
Suprarenal (1) Aorta (1) Duodenum (2) Pancreas (2) Ureters (1) Colon (2) Kidney (1) Esophagus (1) Rectum (1)
Axillary A. branches
Superior Thoracoacromial a. Lateral thoracic a.. Subscapular a. Anterior humeral circumflex Posterior humeral circumflex
Somatic plexus consists of?
Ventral rami of spinal n.
S. Epigastric A. branch of?
Internal thoracic a.
Conjoint tendon formed by?
Lower part of transverse abdominus
Internal oblique M.
Spermatic Cord contents?
3 arteries: testicular, ductus deferens, cremasteric
3 nerves: genital branch of genitofemoral, cremasteric, autonomics
3 others: ductus deferens, pampilliform plexus, lymphatics
Describe Lesser Sac (Omental Bursa)?
Extension of peritoneal cavity posterior to stomach
- Stomach perforations fills this space
- Splenic vessels at risk
Describe Omental foramen?
Opening into lesser sac from greater sac
aka Foramen of Winslow
near IVC
Branches of Proper Hepatic A.?
L. Hepatic & R. Hepatic -> Cystic A.
which layer of tissue is found immediately deep to the rectus abdominus muscle?
Transversalis Fascia
Which layer of the abdominal wall gives rise to the cremasteric muscle?
Internal oblique muscles
A male neonate was born with a large swelling of the proximal end of its umbilical cord. Examination of the swelling revealed coils of small bowel in the proximal part of the cord. Surgery was scheduled to place the bowel back in the abdominal cavity and repair the defect of the anterior abdominal wall. What is this condition?
Umbilical hernia
What passes through the triangular interval?
Radial n. & Profundus Brachial a.
Inferiror: Teres major
Lateral: Long head of triceps
What passes through the quadrangular space?
Axillary N. & Post circumflex humeral a.
above/superior: the subscapularis and teres minor.
below/inferior: the teres major
medially: the long head of the triceps brachii
laterally: the surgical neck of the humerus
What passes through the triangular space?
Scapular circumflex vessels
Inferiror: Teres major
Lateral: Long head of triceps
Blood supply to Ureter
Uteric branches of:
- Renal a.
- Ovarian a.
- Common Iliac
- S. Vesical a.
Innervations of Ureter
- Renal plexus
- Aortic plexus
- S. & I. Hypogastric
Renal plexus consists of?
- Sympathetics: T12 to L1 <- Least
- Parasympathetics: Vagus
- Visceral pain: T11 & T12
Blood supply to Suprarenal?
- Superior: Inferior Phrenic a.
- Middle: Aorta
- Inferior: Renal a.
Spermatic cord layers?
- Transversalis fascia -> Internal spermatic fascia
- Internal oblique m. -> Cremasteric fascia
- External oblique m. -> External spermatic fascia
Sympathetics in Ab Viscera
- Greater (T5-T9) -> Coeliac -> Coeliac & Vagus _. Foregut
- Lesser (T10-T11) -> S. Mesenteric -> S. Mesenteric & Vagus -> Midgut
- Least (T12) -> Aorticorenal -> Renal & Vagus -> Urogenital & Suprarenal
- Lumbar (L1-L2) -> I. Mesenteric -> I. Mesenteric & S2-4 -> Hindgut
Which vessel does not drain into the coronary sinus?
Anterior cardiac vein