Mod 2 Anatomy Flashcards

1
Q

Where does the Median Umbilical fold extend from?

A

Apex of Urinary bladder to umbilicas covers median umbilical ligament

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2
Q

What is the Median umbilical ligament?

A

Worked with fetal bladder from umbilicus to apex

A fibrous cord that connects the urinary bladder to the umbilicus (navel)

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3
Q

What is formed by occluded parts of umbilical arteries?

A

Medial umbilical folds

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4
Q

What vessles are associated wiht the lateral umbilcal folds?

A

Inferior epigastric vessles

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5
Q

What do the Inferior epigastric vessles supple?

A

From External iliac, Supplies External Genitalia, and anterolateral abdominal wall

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6
Q

Inguinal triangle (Hesselbach’s triangle) is a region in the anterior abdominal wall. It is alternatively known as the medial inguinal fossa.

What are the boarders and contents?

A

Medial – lateral border of the rectus abdominis muscle.
Lateral – inferior epigastric vessels.
Inferior – inguinal ligament.

No major contents but Marks WEAKNESS!

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7
Q

The contents of the inguinal canal include? (Males and females?)

A

Spermatic cord (biological males only)
Round ligament (biological females only)

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8
Q

What 2 major nerves run in the ingunal cannal

A

Ilioinguinal nerve, Genital branch of the genitofemoral nerve

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9
Q

Genital branch of the genitofemoral nerve – supplies, and root?

A

Cremaster muscle, anterior scrotal skin in males, and the skin of the mons pubis and labia majora in females (L1-2)

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10
Q

What are the Rings of the Canal (Inguinal)

A

Two openings- deep (internal) and superficial (external)

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11
Q

What ring marks the opening of Canal?

A

Deep (internal) ring:
Marks the internal opening of the inguinal canal

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12
Q

What ring marks the End of Canal?

A

Superficial (external) ring:
Marks the external end of the inguinal canal

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13
Q

Inguinal Canal Boundaries?

A

Anterior wall – aponeurosis of the external oblique, reinforced by the internal oblique muscle laterally.

Posterior wall – transversalis fascia.

Roof – transversalis fascia, internal oblique, and transversus abdominis.

Floor – inguinal ligament - thickened medially by the lacunar ligament.

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14
Q

iliopubic tract -?

A

Band of transversalis fascia deep to Inguinal ring

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15
Q

What runs deep to iliopubic tract?

A

Femoral nerve, Lateral cutaneous nerve of thigh

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16
Q

Ilioinguinal nerve Motor and sensory?

A

Motor: Internal Obliquem

Sensory: Scrotum and root of penis to Labium Majus

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17
Q

Deep fibers passing posterior (Thinking Inguinal) are? Forms (Medial Boundary)

A

Lacunar Ligament

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18
Q

The deep ring is located where in relation to the inf, epigastric Vessles?

A

Lateral to inferior epigastric

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19
Q

Of the Superficial ring (Which end?) What attaches to pubic tubercle? and What pubic crest?

A

External end

Tubercle- Lateral Crus
Crest- Medual Crus

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20
Q

What contains the portal triad?

A

Hepatoduodenal Ligament

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21
Q

What are the ligaments of the lesser omentum?

A

Hepato(Duodenal) & (Gastric)

22
Q

What makes up the portal triad?

A

Portal vein, Hepatic artery, Common bile duct

23
Q

What makes up the portal vein?

A

superior and inferior mesenteric veins, the splenic vein,

24
Q

Once formed, the hepatic portal vein has a few direct tributaries including the ??

A

left and right gastric veins, cystic veins,

25
Q

What are the 3 constriction sites of esophagus?

A

Cervical (Upper Esophageal)
Thoracic (Broncho-aortic)
Diaphragmatic (Esophageal Hiatus)

26
Q

What are the vetebral levels of Esophagus?

A

C6-T11

27
Q

Esophagus is part of what Mediastinum?

A

superior mediastinum

28
Q

The lower oesophageal sphincter is located at the ? and What level?

A

gastro-oesophageal junction

T11 vertebra,

29
Q

The thoracic part of the oesophagus receives its arterial supply from the branches of the ?

A

thoracic aorta and the inferior thyroid artery

30
Q

The abdominal oesophagus is supplied by the ?

A

left gastric artery
left inferior phrenic artery.

31
Q

What are the anterior relations of the Stomach?

A

Diaphragm, Left Lobe of Liver, Ant abdominal wall

32
Q

What are the Posterior relations of the Stomach?

A

Omental Bursa, Pancreas

33
Q

What are the Inferior relations of the Stomach?

A

Transverse Colon

34
Q

Stomach relations ALL dem?

A

Diaprahm, L Lobe Liver, Pancreas, Omental Bursa, Transverse colon

35
Q

What supplies the Lesser Curvature of stomach?

A

R, L Gastric Arteries

36
Q

What supplies the Greater Curvature of stomach?

A

R, L Gastroomental (Gastroepiploic)

37
Q

What supplies the Fundus of stomach?

A

Short, Posterior Gastric A’s

38
Q

Nerve Supply stomach? (Para)

A

Ant/ Post Vagal Trunk (Through Esophageal Hiatus)

39
Q

Nerve Supply stomach? (Symp)

A

Greater Splanchnic (T6-9)

40
Q

The first part of the Duodenum… Superior

Spinal Level
Mjr Ligament associated
What type of peritoneium

A

(Spinal level L1)

Connected to the liver by the hepatoduodenal ligament.

visceral peritoneum, with the remainder retroperitoneal (only covered anteriorly

41
Q

The Second part of the Duodenum… Descending

Spinal Level
Curves around what Organ Inferiorly?
Lies Posterior to?
Anterior to?

Major area is marked by what? and what is it?

A

(L1-L3)

curves inferiorly around the head of the pancreas.

Posteriorly to the transverse colon
Anterior to the right kidney.

Major duodenal papilla – the opening at which bile and pancreatic secretions to enter from the ampulla of Vater (hepatopancreatic ampulla).

42
Q

The Third part of the Duodenum… Inferior

Spinal level?
Crosses over?
Inferior to what organ?

Posterior to what Mjr A.V?

A

(L3)

Crosses over the inferior vena cava and aorta.

It is located inferiorly to the pancreas,

Posteriorly to the superior mesenteric artery and vein.

43
Q

The Fourth part of the Duodenum… Ascending

Spinal Level
What flexure ius here? and what does it open into?
What Muscle is associated with this area? (Alternate Name)

A

(L3-L2)

Duodenojejunal flexure/ Juncion

Suspensory muscle (Treitz) of the duodenum. Contraction of this muscle widens the angle of the flexure

44
Q

The _________ represents the separation between the small and large intestine. Its main function is to prevent the reflux of enteric fluid from the colon into the small intestine.

A

ileocaecal valve

45
Q

Arteries of SM intestines (Duodenum, Jejunum, Ilium)

A

RESOURCE BOOK

46
Q

The Superior part of the duodenum ascends? and is overlapped by?

A

Ascends from Pylorus

Overlapped by Liver and Gallbladder

47
Q

The Descending part of the duodenum runs? Where in relation to IVC?

A

Runs inferior curving around Head of Pancereas
Right to IVC

48
Q

The Horozontal/ Inferior part of the duodenum; Passes over, and is crossed by? at what vetebral level?

A

Passes over IVC, Crossed by Sup Mes A and V At L3

49
Q

What are retroperitoneal organs?

A

S: suprarenal (adrenal) gland

A: aorta/IVC

D: duodenum (second, third and fourth parts)

P: pancreas (except tail)

U: ureters

C: colon (ascending and descending)

K: kidneys

E: (o)esophagus

R: rectum

50
Q

What is the arterial supply of the appendix and Cecum?

A

Appendix- Appendicular artery (from Iliocolic)
Cecum - Iliocolic Artery

51
Q

What is the nerve supply to appendix and Cecum?

A

Cecum: Superior Mesenteric Plexus

Appendix: Superior Mesenteric, and T10 Branches to Lesser Splanchnic

52
Q
A