Table Conference II

Question 1

Intra-peritoneal

Answer 1

Liver, Stomach, gall-bladder, spleen, 1st part of duodenum, jejenum, ilium, sigmoid colon, appendix, transverse colon

Question 2

primarily retra-peritoneal

Answer 2

kidney, testes, adrenal, IVC, aorta

Question 3

costadiaphragmatic recess

Answer 3

pleural tap here, rib levels T7-T9

Question 4

costamediastinal recess

Answer 4

between mediastinum and costal pleura

Question 5

left reccurent laryngeal nerve pathway

Answer 5

travels under the aortic arch

Question 6

pathway of umbilical blood flow

Answer 6

mommy –> umb. vein –> ductus venosus –> IVC –> R. atrium –> R. ventricle –> pulmonary trunk –> ductus arteriosis –> aorta –> umbilical artery –> mommy

OR
R. atrium –> foramen ovale –> L. atrium –> L ventricle –> aorta –> umbilical artery –> mommy

Question 7

Secondarily retroperitoneal

Answer 7

second -fourth dueodenum, cecum, ascending colon, descending colon, rectum, pancreas

Question 8

extraperitoneal

Answer 8

urinary bladder, prostrate, seminal vesicles, uterus, ovary

Question 9

Branches of the abdominal aorta

Answer 9

T12: Inferior phrenic, which branches into superior suprarenal. Middle suprarenal. Celiac Trunk
L1: Superior Mesenteric, First Lumbar. Left Renal, which branches into inferior suprarenal.
L2: Gonadal, Second Lumbar
L3: Third Lumbar, Inferior Mesenteric
L4: Fourth Lumbar
L5: Turns into common iliacs

Question 10

Anastomoses of the celiac trunk

Answer 10

L. and R. gastro-omental
L. and R. gastric
The Inferior and Posterior superior pancreatico-duodenal with the I. P. inferior pancreatico-duodenal (off the SMA)

Question 11

Anastomoses of SMA/IMA

Answer 11

Middle colic (SMA) with the Left colic (IMA)
SMA with ileocolic (off SMA)
Sigmoids with L. colic
Superior rectal (off IMA) has NO anastomoses

Question 12

nutcracker syndrome

Answer 12

The left renal vein is compressed between the superior mesenteric artery and the abdominal aorta, which can cause backflow into the gonadal arteries which can cause testicular pain.

Question 13

What does the azygos vein anastomose with?

Answer 13

The azygos provides collateral circulation for the IVC/SVC.

Question 14

Branches of the SVC

Answer 14

Azygos, branches into R. and L. brachiocephalic vein. Each brachiocephalic vein branches into a jugular and subclavian vein.

Question 15

Branches of the IVC

Answer 15

Hepatic veins, inf. phrenic veins, suprarenals, Right/Left Renal, Right gonadal, Left gonadal comes off of left renal, Lumbar 1-5