ORIGINAL Flashcards
Ist riolan arch
around the head of the pancreas, transition between foregut and midgut
–>celia trunk (superior pancreaticoduodenal A) and SMA (inferior pancreaticoduodenal A)
2nd Riolan arch
found at splenic flexure of the colon
transition between the midgut and hindgut
–>SMA (middle colic A) and IMA (left colic A)
Abdominal wall: below arcuate line/ line of douglas
external abdominal oblique internal abdominal oblique transverse abdominal oblique rectus abdominis transverse fascia ---- lateral umbilical fold: inferior epigastric vessel from external iliac vessel
medial umbilical fold: umbilical artery/ medial umbilical ligament
median umbilical fold: urachus/ allantois
Abdominal wall: below falciform ligament
external abdominal oblique
internal abdominal oblique—>around rectus abdominis
transverse abdominal oblique
transverse fascia
—-
medial umbilical fold: umbilical artery/ medial umbilical ligament
median umbilical fold: urachus/ allantois
content of above median urachus
ext oblique int oblique--->rectus abdominis transeverse abdominis transverse fascia middle: urachus with falciform ligament of the liver
deepest pouches in body
standing: rectouterine pouch of douglas ( females) and rectovesical pouch in males
lying: right sub-hepatic pouch
inguinal canal-transverse fascia
transverse fascia makes up the deep inguinal ring (lateral)
innervation of abdominal wall
thoracoabdominal nerves ( 7, 8 ,9 , 10, 11) intercostal nerves
abdominal wall: layers of muslces
skin adipose tissue aponeurosis of ext oblique aponeurosis of int oblique rectus abdominis aponeurosis of transverse abdominis transverse fascia extraperitoneal fat parietal peritoneum
linea alba
fusion of all 3 lateral abdominal muscles
remnant of umbilical artery
medial umbilical ligament
accessory glands
labial
palatine
lingual
anal canal: folds
superior (left) near rectum
middle - Kohlrauch’s fold RIGHT (8cm above anus)
inferior LEFT (5 cm above anus)
angle between left main bronchus and midline
right main bronhcus and midline?
left: 45 degrees
right: 25
basilarpharyngeal fascia
connects pharynx to base of the skull
fascia that makes up non-muscular part of pharnyx
attachment: basilar part of occipital bone and parietal part of temporal bone
- —>located between the muscular and mucous wall of the pharynx
**makes up pharyngeal vault with the mucous wall of the pharynx
Beclard’s Triangle
superior: tendon of digrastic
inferior: greater horn of the hyoid
posterior: free margin of hyoglossus muscle
CONTENTS: lingual artery
blood supply of inferior anal canal
inferior rectal artery from internal pudendal artery (internal iliac artery)
blood supply of the palate
greater palatine A
maxillary A–>descending palatine A
facial A–>lesser palatine A
**lesser palatine A forms anastomosis with the ascending palatine A
***presence also of siphon-palatine A from nasal cavity via incisive canal
blood supply of upper anal canal
superior rectal A from IMA
blood supply of pharynx
ascending pharyngeal A
blood supply of the tongue
lingual A
- -> dorsal lingual A= posterior palatine tonsil
- ->deep lingual A=anterior surface of the tongue *beclard’s anastomosis
–>sublingual A= sublingual gland and floor of mouth
tonsillar branch of facial A
ascending pharyngeal A
borders of laryngeal outlet
anterior: epiglottis
lat: aryepiglottic fold
posteriorly: inter-arythenoid notch
borders of bare area:
right coronary ligament (post)
hepatorenal lig (anterior)
–> diaphragmatic surface of liver
–> separated from left coronary ligament by falciform ligament
borders of piriform recess
medial: aryepiglottic fold
lateral: thyroid cartilage