Day 3 Flashcards
Borders of the Inguinal Triangle
Ant and lateral: inf epigrastric artery
Inf and lateral: Inguinal ligament
Medial: rectus abdominis
Inguinal Canal borders
Ant: rectus EOM aponeurosis
Inferior: transversal is fascia and conjoint tendon
Superior: IO and TA
Inferior: Inguinal ligament
Spermatic cord structures
9 structures
Layers of the abdominal wall
- Skin
- camper
- scarpa
- investing/ deep fascia
- EO/1O/TA
- transversalis fascia
- extra peritoneal fat
- Parietal peritoneum
Layers of the scrotum
Skin = skin
- camper. =dartos muscle
- scarpa = dartos muscle
- EO= external spermatic fascia
- IO= cremaster muscle
- TA: none
- transversalis fascia = internal spermatic fascia
- extra peritoneal fat = none
- Parietal peritoneum- tunica vaginalis
STRUCTURES that are 10 inches long
Esophagus
Descending colon
Duodenum
Spleen location
9th to 11th left rib
Ileal diverticulum caused by persistence of the Vitellius duct
Meckel’s diverticulum
Portal vein is the Union of the ______ and _______ behind the neck of the pancreas
Splenic vein and Superior mesenteric vein
Between the hilum and greater curvature of stomach and carries the ____________
Gastrosplenic ligament
Short gastric and left gastroepiploic vessels
Between spleen and left kidney carries the ______ vessels
Splenicorenal ligament
Splenic vessels
Blood supply
Superior rectal
MIddle rectal
Inferior rectal
Superior rectal: IMA
MIddle rectal: internal iliac
Inferior rectal: internal pudendal arteries
Kidneys are at the level of
T12 to L3
3 coverings of the kidneys
Perirenal fat
Gerota’s fascia or Renal fascia
Pararenal fat
3 structures that enter and leave the renal hilum
Most anterior: renal vein
Renal artery
Renal pelvis
Related to the anterior surface of the kidney right
Supra renal gland, liver, 2nd part of the duodenum, right colic flexors
Related to the anterior surface of the LEFT kidney
Supra renal gland, spleen, pancreas, stomach, left colic flexure, jejuni me
Related to the posterior surface of the right kidney
Diaphragm, 12th rib, costodiaphragmatic recess of the pleura
Most common location of an ectopic kidney
Pelvic
RElated to the posterior surface of the left kidney
Diaphragm, 11th to 12th ribs, costodiaphragmatic recess of the pleura
Renal artery branches from the aorta at level
L2
Drain into the lateral aortic/para-aortic.lumbar lymph nodes
Kidneys, supra renal, gonads
During renal transplantation, the renal artery is anastomoses to ______ and the renal vein is anastomosed to ______
Internal iliac artery
External iliac vein
Normal Weight of the adrenal gland
4 grams
Three zones of the adrenal cortex and major products
Zone glomerulosa: aldosterone
Zona fasciculata: cortisol (thickest layer 75%) with vacuole tend cells
Zona reticularis: androgens
Adrenals are ectoderm all in origin specifically the cortex is from ____ and the medulla is from ______
Mesoderm
Neural crest
These structures enter the pelvis crossing the common iliac arteries
Ureters
The ureters are crossed by _______ in males
Vas deferens
The ureters in females:
Turn forward medially beneath the broad ligament and crossed by the uterine artery
The ureter is ________ to the uterine artery
Below and behind
Ureters are ______ to the ovarian/testicular artery
Posterior
3 ureteric constrictions
Where the renal pelvis joins the ureter
Where it crosses the pelvic brim and external iliac artery
Where it pierces the bladder wall