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 hypertension?

A
  1. ) Esophageal varices
  2. ) Hemorrhoids (Inferior hemorrhoidal vein to internal iliac vein)
  3. ) Patent umbilical vein (caput medusa)
  4. ) Retroperitoneal vein via lumbar tributaries
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5
Q

What parts of the GI tract are retroperitoneal?

A
  1. ) most of the Duodenum
  2. ) Ascending colon
  3. ) Descending colon
  4. ) Pancreas
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6
Q

The embryologic structure that adheres the testes to the scrotal sac; used to help manipulate the testes during indirect hernia repair.

A

Gubernaculum

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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 pectoralis minor and major muscles?

A

Rotter’s lymph nodes

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9
Q

Is the left vagus nerve anterior or posterior?

A

Anterior; remember that the esophagus rotates clockwise during development

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10
Q

What is Morrison’s puch?

A

Hepatorenal recess; the most posterior cavity within the peritoneal cavity

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11
Q

Give the locations of the following structures:
Foregut
Midgut
Hindgut

A

Foregut - Mouth to ampulla of vater

Midgut - Ampulla of vater to distal third of transverse colon

Hindgut - distal third of transverse colon to anus

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12
Q

Where are the blood vessels on a rib?

A

Vein, Artery, and Nerve (VAN) are UNDERNEATH the rib

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13
Q

What is the order of the femoral vessels?

A

Think: “NAVEL” for the order of the right femoral vessels - Nerve, Artert, Vein, Empty space, Lymphatics

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14
Q

What is Hesselbach’s triangle?

A

The area bordered by:

  1. Inguinal ligament
  2. Epigastric vessels
  3. Lateral border of the rectus sheath
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15
Q

What nerve is located on top of the spermatic cord?

A

Ilioinguinal nerve

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16
Q

What is Calot’s triangle?

A

The area bordered by:

  1. Cystic duct
  2. Common hepatic duct
  3. Liver margin

The cystic artery is seen in this triangle

17
Q

What separates the right and left lobes of the liver?

A

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

18
Q
  1. Junction of the second and third portion of the duodenum
  2. Cystic duct
  3. Pancreatic neck
A

Gastrinoma triangle

Triangle where >90% of gastrinomas are located

19
Q

Which artery is responsible for anterior spinal syndrome?

A

Artery of Adamkiewics

20
Q

Where is McBurney’s point?

A

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

21
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

22
Q

Where is the space of Retzius?

A

Preperitoneal space anterior to the bladder

23
Q

What are the white lines of Toldt?

A

Lateral peritoneal reflections of the ascending and descending colon

24
Q

What is the strongest layer of the small bowel?

A

Submucosa (Think: SUbmucosa = SUperior)

25
Q

Which parts of the GI tract do not have a serosa?

A

Esophagus

Middle and distal rectum

26
Q

What is the vein that overlies the pylorus?

A

Vein of Mayo

27
Q

What is the pouch of Douglas?

A

Pouch between the rectum and bladder or uterus

28
Q

What does the thoracic duct empty into?

A

Left subclavian vein; Left internal jugular vein junction

29
Q

What is the coronary vein?

A

Left gastric vein

30
Q

What is the hypogastric artery?

A

Internal iliac artery

31
Q

Which is longer, the left or right renal vein?

A

Left

32
Q

What are the layers of the abdominal wall?

A
  1. Skin
  2. Camper’s fascia
  3. Scarpa’s fascia
  4. External oblique
  5. Internal oblique
  6. Transversus abdominis
  7. Transversalis fascia
  8. Preperitoneal fat
  9. Peritoneum
33
Q

What are the plicae circulares?

A

Plicae = folds, circulares = circular; thus,

The circular folds of mucosa of the small bowel

34
Q

What is another name for the plicae circulares?

A

Valvulae conniventes

35
Q

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

A

Jejunum - long vasa rectae; large plicae circulares; thicker wall
Ileum - Shorter vasa rectae; smaller plicae circulares; thinner wall

(Think: Ileum = Inferior vasa rectae, Inferior plicae circulares, and inferior wall)

36
Q

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

A

Colon has taeniae coli, haustra, and appendices epiploicae (fat appendages), whereas the small intestine is smooth

37
Q

How far up does the diaphragm extend?

A

To the nipples in men (4th ICS)

38
Q

Which dermatome is the umbilicus?

A

T10

39
Q

What are the major layers of an artery?

A

Adventitia
Media
Intima