Overview of Pelvis and Lower Limb

Question 1

Describe two abnormal patterns regarding arterial supply to the liver, and give the percentage of individuals showing each pattern

Answer 1

The right hepatic artery may arise from SMA instead of common hepatic (20 percent of individuals), and rarely the entire arterial supply to liver can come from the SMA (1 to 2 percent of individuals)

Question 2

In donors with multiple renal arteries, what needs to be done before transplanting the kidney?

Answer 2

Some method of fusing the renal arteries to make sure recipient provides blood to all sections of transplanted kidney

Question 3

Where is a donated kidney usually implanted?

Answer 3

Lower aspect of abdomen (not in native position)

Question 4

What is a lymphocele with respect to kidney transplantation?

Answer 4

If lymphatics are not properly tied off and leak it can cause complications after surgery

Question 5

What is the order in which renal vessels are attached to the recipient during kidney transplants?

Answer 5

VAB - Vein, Artery, Bladder

Question 6

Approximately where does one palpate for a femoral pulse?

Answer 6

About half way from ASIS to tubercle, below inguinal ligament

Question 7

Name the vessels just inferior to the inguinal ligament

Answer 7

From lateral to medial they are NAVEL - Nerve, Artery, Vein, Empty space, Lymphatics

Question 8

Would one insert an IV into the femoral vein by going medial or lateral to the femoral artery?

Answer 8

Medial to the femoral artery (NAVEL from lateral to medial)