Surgical Anatomy pearls Flashcards
Drainage of the left testicular vein
Left renal vein
drainage of the right testicular vein
IVC
What is Gerota’s fascia?
Fascia surrounding the kidney
What are the prominent collateral circulations seen in portal hypertension?
Esophageal varicaes, hemorroids, patent umbilical vein and retroperitoneal vein via lumbar tributaries
Retroperitoneal parts of the GI tract
Most of the Duodenum
Ascending colon
Descending colon
Pancreas
What is the gubernaculum?
Embryonic structure that adheres the testes to the scrotal sac
Which artery bleeds in bleeding duodenal ulcers?
Gastroduodenal artery
Lymph nodes between the pectoralis minor and major?
Rotter’s
Is the left vagus nerve anterior or posterior?
Anterior (the esophagus rotates clockwise during development)
The most posterior cavity within the peritoneal cavity
Morrison’s pouch
Location of the forgut
Mouth to ampulla of vater
Location of the Midgut
Ampulla of Vater to D/3 of the transverse colon
Location of the Hindgut
D/3 of transverse colon to the anus
Order of the femoral vessels
NAVEL Nerve Artery Vein Empty space Ligament
Hesselback’s triangle
The area bordered by
Inguinal ligament
Epigastric vessels
Lateral border of the rectus sheath
What nerve is located on top of the spermatic cord?
Illioinguinal nerve
Triang of Calot boarders
Cystic duct
Common hepatic duct
Cystic artery
What separates the right and left lobes of the liver?
Cantle’s line - line drawn form the IVC to just left of the gallbladder fossa
Artery responsible for anterior spinal syndrome
Artery of Adamkwiewikz
Where is the Space of Retzius?
Peritoneal space anterior to the bladder
Lateral peritoneal reflections of the ascending and descending colon
white lines of Toldt
Strongest layer of the small bowel
Submucosa (sub superior)
Parts of the GI tract do that do not have serosa
Esophagus
Middle and distal rectum
Vein that overlies the pylorus
Vein of Mayo
What is pouch of Douglas
between the rectum and bladder uterus
The thoracic duct empties into?
Left subclavian vein; left internal vein jugular junction
What is the coronary vein
Left gastric vein
What is the coronary artery
Internal Iliac artery
Which is longer, the left or the right renal vein?
LEFT - long
What are the layers of the abdominal wall
- Skin, fat
- Scarpa’s fascia
- External Oblique
- Internal Oblique
- Transversalis abdominis
- Transversalis fascia
- Preperitoneal fat
- Peritoneum
What are the plicae circulares
small bowel circular mucosal folds
Major structural differences between the jejunum and ileum
Jejunum - long vasa rectae, large plicae circularis, thicker wall
Ileum - think Inferior vasa rectae, Inferior plicae circulares, and inferior walll)
What are the major anatomic differences bewtween the colon and the small bowel?
Colon has taeniae coli, haustra and appendices epiploicae
Small intestine is smooth
How far does the diaphram extend?
Men - nipples
Umbilical dermatomal level
T10
Major layers of the artery
Adventitia
Media
Intima
