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Surgical Recall > SR 17 - Surgical Anatomy Pearls > Flashcards

SR 17 - Surgical Anatomy Pearls Flashcards

1
Q

Drainage of the left testicular vein?

A

Left renal vein

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2
Q

Drainage of the right testicular vein?

A

IVC

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3
Q

Gerota’s fascia?

A

Fascia surrounding the kidney

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4
Q

Fascia surrounding the kidney?

A

Gerota’s fascia

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5
Q

Prominant collateral circulations in portal hypertension?

A 
Esophageal varices (left gastric vein, esophageal veins)
Hemorrhoids (superior rectal and inferior messenteric)
Caput medusa (paraumbilical veins and umbilical vein)
Retroperitoneal veins (clear spot of the liver)
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6
Q

Parts of the GIT that are retroperitoneal?

A

Most of the duodenum
Ascending colon
Descending colon
Pancreas

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7
Q

What is the gubernaculum?

A

Embryologic structure that adheres the testes to the scrotal sac
Use to help manipulated the testes during indirect hernia repair

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8
Q

Artery that bleeds in bleeding duodenal ulcers?

A

Gastroduodenal artery

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9
Q

Name of the lymph nodes between the pectoalis minor and major muscles?

A

Rotter’s lymph nodes

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10
Q

Left vagus nerve - anterior or posterior?

A

Anterior

Due to esophageal rotation during development

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11
Q

Where is Morrison’s pouch?

A

Hepatorenal recess

Most POSTERIOR cavity within the peritoneal cavity

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12
Q

Location of the foregut?

A

Mouth to ampulla of Vater

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13
Q

Location of the midgut?

A

Ampulla of Vater to distal third of transverse colon

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14
Q

Location of the hindgut?

A

Distal third of transverse colon to the anus

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15
Q

Where are the blood vessels on a rib?

A

Vein
Artery
Nerve
VAN runs under the rib - place things on the top of the rib

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16
Q

What is the order of the femoral vessels?

A

Femoral vein is medial to the femoral artery

NAVEL - Nerve, Artery, Vein, Empty space, Lymphatics

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17
Q

What are the borders of hesselbach’s triangle?

A

Inguinal ligament
Epigastric vessels
Lateral border of the rectus sheath

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18
Q

What nerve is located on top of the spermatic cord?

A

Ilioinguinal nerve

19
Q

Borders of Calot’s triangle?

A

Cystic duct
Common hepatic duct
Cystic artery (inferior border of the liver - CT)

20
Q

What is Calot’s node?

A

LN located within the triangle of Calot

21
Q

What seperates the right and left lobes of the liver?

A

Cantle’s line - drawn from IVC to just left of the gallbladder fossa

22
Q

What is the gastrinoma triangle?

A

Location of >90% of gastrinomas
Junction of the second and third portions of the duodenum
Cystic duct
Pancreatic neck

23
Q

Which artery is responsible for anterior spinal syndrome?

A

Artery of Adamkiewicz

24
Q

Where is McBurney’s Point?

A

One third of the distance from the anterior superior iliac spine to the umbilicus (estimates the position of the appendix)

25
Q

How can you find the appendix after you find the cecum?

A

Trace the taeniae back as they converge on the origin of the appendix

26
Q

Where is the space of Retzius?

A

Preperitoneal space anterior to the bladder

27
Q

What are the white lines of Toldt?

A

Lateral peritoneal reflections of the ascending and descending colon

28
Q

What is the strongest layer of the small bowel?

A

Submucosa

29
Q

What parts of the GIT do not have serosa?

A

Esophagus

Middle and distal rectum

30
Q

What is the vein that overlies the pylorus?

A

Vein of Mayo

31
Q

What is the pouch of Douglas?

A

Pouch between the rectum and bladder/uterus

32
Q

What does the thoracic duct empty into?

A

Left subclavian vein and left internal jugular vein junction

33
Q

What is the coronal vein?

A

Left gastric vein

34
Q

What is the hypogastric artery?

A

Internal iliac artery

35
Q

Which is longer - left or right renal vein?

A

Left

36
Q

Layers of the abdominal wall?

A 
Skin
Fat (camper's fascia)
Scarpa's fascia (membranous)
External oblique
Internal oblique
Transverse abdominal
Transversalis fascia
Preperitoneal fat
Peritoneum
37
Q

What are the plicae circulares?

A

Circular folds of mucosa of the small bowel

38
Q

Alternative name for plicae circulares?

A

Valvulae conniventes

39
Q

What are the major structural differences between the jejunum and ileum?

A

Jejunum - LONG vasa rectae; LARGE plicae circulares; thicker wall
Ilium - SHORT vasa rectae; SMALL plicae circulares; thinner wall

40
Q

What are hte major anatomic differences between the colon and small bowel?

A

Colon has taeniae coli, haustra, and appendices epiploicae

Small intestine is smooth

41
Q

How far up does the diaphragm extend?

A

To the nipples in men - 4th ICS

42
Q

Dermatome at the umbilicus?

A

T10

43
Q

Major layers of an artery?

A

Out to in:
Adventitia
Media
Intima

Surgical Recall (32 decks)

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