posterior abd wall Flashcards

1
Q

major muscles

A

psoas, iliaques, quadrados lumborum, transversos abdominais.

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2
Q

lumbar triangle

A

EO, LD, no cover.. lumbar hernia

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3
Q

psoas access related issues

A

TB, sigmoid colon issue

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4
Q

diaphragm openings

A

caval: T8, espor (T10.. right crus), median (T12) aorta

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5
Q

articulating muscles with diaphram

A

quad lumborum, psoas major

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6
Q

paired arteries

A

inferior phrenic, middle supra renal, renal, lumbar, gonadal, illiacs

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7
Q

venous special things

A

right gonadal>IVC, left> left gonadal.

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8
Q

nutcracker syndrome

A

left renal and posterior SMA.. clin: left side edema and pain.

sometimes hematuria

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9
Q

AAA is usually below what artery>

A

renal artery

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10
Q

lumbar nerves

A

subcostal, illiohypo, ilio injguinal, lat cut n of thigh, genitofemoral, femoral.

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11
Q

medulla inervation/ result

A

presgang sympa, release nor/ep

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12
Q

renal cortex innervation

A

post ganglia, blood vessels

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13
Q

what drains to preaortic

A

GI SYSTEM

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14
Q

what drains to lateral aooric?

A

post and wall, pelvis, lower limb (through superficial lingual)

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15
Q

intestinal trunk vs lumbar trunk

A

receive from pre aortic vs lateral aoritc

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16
Q

cisterna Chyli recieves

A

both trunks

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17
Q

kidney functions

A

regulate, make vitamin D, excrete waste,

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18
Q

did it ever have a mesentery?

A

no! it is primary retroperitoneal

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19
Q

pararenal space

A

around fascia

20
Q

perirenal space

A

around kidney, inside fascia

21
Q

oh shit sign

A

grey turners

22
Q

lowest point supine

A

mourisins pouch

23
Q

Cullen sign

A

pancreatitis enzymes hemorrhage> lesser momentum>falciform>umbilical lig

24
Q

grey turner sign

A

pan enzymes/hemmorrhage> pararenal space

25
Q

nerve medial to psoas

A

obturator

26
Q

nerve anterior to psoas

A

genitofemoral (and splits)

27
Q

posterior and wall muscles

A

external oblique, latissimus dorsi, thoracolumbar fascia , serious posterior interior, internal oblique

28
Q

most lumbar hernias are related to what?

A

secondary to trauma or surgery

29
Q

psoas sign

A

pain on passive extension or flexion- psoas inflam or appendix

30
Q

AAA size is above

A

3 cm!

31
Q

what innervates scrotum

A

ilioinguinal n, pudendal n (somatic)

32
Q

what nerve structures are hidden by psoas major

A

sympathetic trunks and ventral primary rami

33
Q

testes and ovarian pain is reread to what

A

lower abdomen (T11/T12)

34
Q

right kidney is related to

A

duodenum and liver

35
Q

left kidney is related to

A

tail of pancreas and splee

36
Q

cells involved in pheochromocytoma

A

chromaffin cells

37
Q

renal artery pathway

A

renal >segnental> interlobar>arcuate>interlobular>afferent>efferent>peritubular>vasa recta

38
Q

locations for kidney stones

A

pelvis>ureter, ureter cross pelvic brim, ureter>bladder

39
Q

ureter innervation

A

upper: vagus parasymoathetic, lower: pelvic splanctic

40
Q

acidic kidney stones

A

uric/crystine

41
Q

alkaline stones

A

calcium

42
Q

kidney stone causes

A

urine stasis or PH issue

43
Q

clinical kidney stone presentatio

A

pain (flank/groin), hematuria, N/V, dysuria and urgency

44
Q

3 major retroperitoneal spaces

A

anterior, perirenal, posterior

45
Q

what is in posterior pararenal space

A

fat!