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
nerve medial to psoas
obturator
26
nerve anterior to psoas
genitofemoral (and splits)
27
posterior and wall muscles
external oblique, latissimus dorsi, thoracolumbar fascia , serious posterior interior, internal oblique
28
most lumbar hernias are related to what?
secondary to trauma or surgery
29
psoas sign
pain on passive extension or flexion- psoas inflam or appendix
30
AAA size is above
3 cm!
31
what innervates scrotum
ilioinguinal n, pudendal n (somatic)
32
what nerve structures are hidden by psoas major
sympathetic trunks and ventral primary rami
33
testes and ovarian pain is reread to what
lower abdomen (T11/T12)
34
right kidney is related to
duodenum and liver
35
left kidney is related to
tail of pancreas and splee
36
cells involved in pheochromocytoma
chromaffin cells
37
renal artery pathway
renal >segnental> interlobar>arcuate>interlobular>afferent>efferent>peritubular>vasa recta
38
locations for kidney stones
pelvis>ureter, ureter cross pelvic brim, ureter>bladder
39
ureter innervation
upper: vagus parasymoathetic, lower: pelvic splanctic
40
acidic kidney stones
uric/crystine
41
alkaline stones
calcium
42
kidney stone causes
urine stasis or PH issue
43
clinical kidney stone presentatio
pain (flank/groin), hematuria, N/V, dysuria and urgency
44
3 major retroperitoneal spaces
anterior, perirenal, posterior
45
what is in posterior pararenal space
fat!