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Surgery > SR Chapter 17: Surgical Anatomy Pearls > Flashcards

SR Chapter 17: Surgical Anatomy Pearls Flashcards

1
Q

What is the drainage of the left testicular vein?

A

Left renal vein

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2
Q

What is the drainage of the right testicular vein?

A

IVC

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3
Q

What is Gerota’s fascia?

A

Fascia surrounding the kidney

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4
Q

What are the prominent collateral circulations seen in portal HTN?

A
  1. Esophogeal varices
  2. Hemorrhoids
  3. Caput medusa (umbilical)
  4. Retroperiotneal vein via lumbar tributaries
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5
Q

What parts of the GI tract are retroperitoneal?

A

Most of the duodenum, ascending colon, descending colon and the pancreas

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6
Q

What is the gubernaculum

A

Embryologic structure that adheres the testes to the scrotal sac; used to help maipulate the testes during indirect hernia repair

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7
Q

Which artery bleeds in bleeding duodenal ulcers?

A

Gastroduodenal artery

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8
Q

What is the name of the lymph nodes between the pec major and minor?

A

Rotter’s LN

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9
Q

Is the left vagus nerve anterior or posterior?

A

Anterior

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10
Q

What is Morrison’s pouch?

A

Hepato-renal recess; the most posterior cavity within the peritoneal cavity

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11
Q

Foregut vs. Midgut vs. Hindgut

A

Mouth to ampulla of Vater

  • To distal third of transverse colon
  • To the anus
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12
Q

Where are the blood vessels on a rib

A

VANi (Place chest tubes and thoracentesis needles above the rib)

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13
Q

What is Hesselbach’s triangle?

A

Area bordered by:

  1. Inguinal ligament
  2. Inferior epigastric vessels
  3. Lateral border of rectus sheath
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14
Q

What nerve is located on top of the spermatic cord?

A

Ilioinguinal nerve

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15
Q

What is Calot’s triangle?

A
  1. Cystic duct
  2. Common hepatic duct
  3. Border of the liver/cystic artery
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16
Q

What is Calot’s node?

A

Lymph node found in Calot’s triangle

17
Q

What separates the right and left lobes of the liver?

A

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

18
Q

What is the gastrinoma triangle?

A

Triangle where >90% of gastronomas are located, bordered by:

  1. Junction of the 2/3 portions of the duodenum
  2. Cystic duct
  3. Pancreatic neck
19
Q

Which artery is responsible for anterior spinal artery syndrome?

A

Artery of Adamkieqicz

20
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

21
Q

What is the space of Retzius?

A

Preperitoneal space anterior to the bladder

22
Q

What are the white lines of Toldt?

A

Lateral peritoneal reflections of the ascending and descending colon

23
Q

What is the strongest layer of the small bowel?

A

Submucosa

24
Q

Which parts of the GIT do not have serosa?

A

Esophagus

Middle & distal rectum

25
Q

What is the vein that overlies the pylorus?

A

Vein of Mayo

26
Q

What is the pouch of Douglas

A

Pouch between the rectum and bladder or uterus

27
Q

What does the thoracic duct empty into?

A

Left subclavian; left IJ

28
Q

What is the coronary vein?

A

Left gastric vein

29
Q

What is the hypogastric artery?

A

Internal iliac

30
Q

Which is longer, the left or right renal vein?

A

Left

31
Q

What are the layers of the abdominal wall?

A
  1. Skin, then fat
  2. Scarpa’s fascia, then fat
  3. External oblique
  4. Internal oblique
  5. Tansversus abdominis
  6. Transversalis fascia
  7. Preperitoneal fat
  8. Peritoneum
32
Q

What is another name for plicae circulares?

A

Valvulae connivientes

33
Q

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

A

J: long vasa recta; large plicae, thicker wall
I: shorter VR, thinner wall, smaller plicae

34
Q

What are the major anatomic differences b/t the SM bowel and the colon?

A

Colon: taeniae coli, haustra, appendices epiplocae (fat appendages)
SM bowel: smooth

35
Q

How far up does the diaphragm extend?

A

To the nipples (4th IC space); abdomen extends to the level of the nipples

36
Q

What are the major layers of an artery?

A

Intima, media, adventitia

Surgery (9 decks)

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