Retroperitoneum

Question 0

Importance of anatomic zones
Zone I.Centromedial
Zone II.Lateral
Zone III.Pelvic

Answer 0

Zone I.Major vessels (aorta, vena cava)
-if there is hematoma, operate on the patient
Zone II.Kidney, renal vessels
-i-monitor sa ICU, you may/may not operate
Zone III.(Fracture)
-can be managed conservatively

Question 1

Tumor in the retroperitoneal area

Answer 1

4x more malignant

Question 2

Sympathetic

Answer 2

Inhibitory

Question 3

Tender loin

Answer 3

Psoas major

Positive Psoas sign:
If it illicits pain. How?
Flex!!! Lateral decubitus: extend hip backwards
Elevate the lower extremity

Question 4

Can the vena cava be ligated?

Answer 4

Yes

Question 5

What happens to a person with ligated vena cava?

Answer 5

Mamamatay ang paa because no circulation
Lower ex is swollen
Anterior abdominal wall has venous collaterals

Question 6

Right - triangular

Left - lunar

Answer 6

Laterality of? Adrenal gland

Question 7

Iliohypogastric nerve

Answer 7

May be injured during appendectomy

Question 8

Ilioinguinal nerve

Answer 8

May be injured during hernia repair

Question 9

Genitofemoral nerve

Answer 9

Anterior to psoas muscle

Cremasteric reflex: stroke medial thigh, contract cremaster muscle, pull spermatic cord

Question 10

Lateral femoral cutaneous nerve

Answer 10

Calvin Klein Symdrome (low waist jeans compress the nerve)