Abdomen Flashcards Preview

Anatomy > Abdomen > Flashcards

Flashcards in Abdomen Deck (112):
1

level of the greater splanchnic nerve

T5-9

2

level of the lesser splanchnic nerve

T9-T11

3

level of the least splanchnic nerve

T12

4

what does the greater splanchnic nerve innervate

celiac, aorticorenal ganglia and supra renal gland

5

what does the lesser splanchnic nerve innervate

superior mesenteric and aorticorenal ganglia

6

what does the least splanchnic nerve innervate

aorticorenal ganglion

7

how many branches of lumbar splanchnic nerves

4

8

lumbar splanchnic nerves innervate

inferior mensenteric ganglion, hypogastric plexus and nerves

9

What are the 5 preaortic ganglia

celiac, superior mesenteric, aorticorenal, inferior mesenteric and hypogastric plexus

10

level of Sympathetics to esophagus

T5-8

11

levels of sympathetics to stomach/duodenum

T5-T9

12

levels of sympathetics to liver and gall bladder

T6-T9

13

levels of sympathetics to spleen

T7-T9

14

levels of sympathetics to pancreas

T7-T9

15

levels of sympathetics to suprarenal gland

T8-T10

16

levels of sympathetics to midgut

T9-T11

17

Levels of sympathetics to kidney

T10-L1

18

levels of sympathetics to upper ureter

T10-L1l

19

level of sympathetics to lower ureter

L1-L2

20

level of sympathetics to testes or ovaries

T10-11

21

level of sympathetics to large intestine (to splenic fixture)

T10-L1

22

level of sympathetics ot large intestine through rectum

L1-L2

23

foregut and midgut parasympathetics are from

vagus nerve

24

hindgut parasympathetics are from

pelvic splanchnic nerves (from sacral spinal cord)

25

where are the Posganglionic GVE for vagus

medulla oblonguota, dorsal vagal nucleus

26

where are the GVA for vagus

inferior ganglion of vagus

27

where are the GVE postganglionic for hind gut

wall of organ or hypogastric plexus

28

where are the GVA for hind gut

posterior root ganglion

29

external iliac lymph nodes receive lymph from

lower limb, lower abdominal wall, perineum and pelvic structures

30

internal iliac lymph nodes receive lymph from

pelvis, perineum, and gluteal regions

31

sacral lymph nodes receive lymph from

rectum and pelvic structures

32

lateral aortic nodes receive lymph from

common illiac lymph nodes, gonads, kidneys, ureters, uterine tube, uterus,, lateral abdominal muscles

33

what lymph nodes give rise to lumbar trunks

lateral aortic nodes

34

what are the prearotic lymph nodes

SMA, IMA and celiac

35

What is the vertebral level extent of the abdominal aorta

T12-L4

36

What is the vertebral extent of the inferior vena cava ?

L5-T8

37

What is the major difference between the right and left testicular veins ?

the right testicular drains directly into the IVC where as the left testicular drains into the left renal vein

38

spinal levels of subcostal

t12

39

spinal level of iliohypogastric nerve and ilioinguinal nerve

l1

40

spinal level of genitofemoral nerve

l1-l2

41

spinal level of lateral femoral cutaneous nerve

L2 L3

42

spinal level of obturator and femoral nerves

L2-L4

43

What are the anatomical constrictions of the ureters (places where kidney stones can get caught)

over inferior renal pole
when it passes behind testicular vessels
when it corsses over external iliac vessels
when it transverses the bladder

44

what is the suprarenal medulla innervated by

preganglionic sympathetic axons

45

what is the vertebrocostal triangle

slit in the diaphragm that is a weakness and a site for hernias (specifically congenital diaphragmatic hernias)

46

the right upper quadrant contains

liver and gall bladder

47

the left upper quadrant contains

stomach and the spleen

48

the left lower quadrant contains

descending colon and sigmoid colon

49

the right lower quadrant contains

cecum and the appendix

50

The line the divides the abdomen into four quandrant is at what spinal cord level

L3 and L4

51

major vessels at L1

superior mesenteric and celiac trunk

52

major vessels at L2

renal arteries

53

major vessels at L3

inferior mesenteric artery

54

major vessels at L4

aorta bifurcation

55

major vessels at L5

left and right common iliac joint IVC

56

transpyloric plane is what

line at Rib 10 and 11 horizontally or halfway between suprasternal notch and pubic symphysis

57

intertubuercular plane or transtubercular

horizontal line at iliac crests

58

costal cartilage is at what spinal level if you drew a horozontal line through it /

L3

59

What structures are found at L1

hila of kidneys, neck of pancreas, origin of superior mesenteric artery

60

kidney left is found

rib 11, hila L1

61

right kidney is found

rib 12, hila l1

62

spleen is found

left side at ribs 9 through

63

pneumoperitoneum

gas is introduced into the peritoneal cavity for laproscopic procedures

64

another name for ligamentum teres

round ligament of the liver (obliterated umbilical vein)

65

the ventral mesentery becomes what in the adult

lesser omentum

66

contents of the portal triad

cystic duct, proper hepatic artery and the portal vein

67

what structure transmits the left gastric artery

left gastropancreatic fold

68

what structures transmits the hepatic artery to the lesser omentum

right gastropancreatic fold

69

phrenicolic ligament

tethers splenic flexure of colon to body wall

70

volvulus

movement or twisting of the organ that can result in blocking of flow and cause ischemia

71

peritoneal organs

stomach, spleen, 1,4 duodenum, jejunum, ileum, transverse and sigmoid colon

72

primary retropertoneal

kidneys, ureters, baldder, aorta, IVC

73

secondary retroperitoneal

dudoen 2,4 ascending colon, descending colon, rectum, pancreas, gallbladder and liver

74

fluid in left paracolic gutter

does NOT extend superiorly beyond the left colic flexure (phrenicocolic ligament is a dam)

75

intussuception

telescoping of a proximal gut segment into the lumen of an adjacent segment (common in ileocolic region and can result in necrosis)

76

signs of an upper GI bleed

vomitting, bloody or black tarry stools

77

signs of lower GI bleed

red or maroon colored stool

78

where is the gallbladder found

semilunar line and the 9th costal cartilage

79

where are the kidneys found

scapular line at 12th rib

80

visceroptosis

weak abdominal wall muscles that can result in protrusion of the abdominal wall from lack of support

81

ligamentum teres is a remnant of

LEFT umbillical vein

82

medial umbilical ligament is from

oblierated umbilical arteries

83

transversalis fascia helps form

deep inguinal ring

84

superficial ring is an opening in

external abdominal oblque

85

contents of the spermatic cord

ductus deferans
testicular artery
cremasteric artery
deferential artery
testicular vein
lymph vessels
genital branch of genitofemoral nerve
autonomic nerve fibers

86

lymph from testes

lumbar lymph nodes

87

lymph from scrotum

inguinal lymph nodes

88

which crus of the diaphragm is longer and P shaped for the esophagus to enter

RIGHT crus

89

what are the 5 f's for abdominal protrusions

fat, feces, flatus and fluid

90

cremaster reflex is testing what nerve /

genital branch of genitofemoral nerve

91

grynfeltts hernia

lumbar herna, herniation at the superior lumbar triangle (between the 12th rib, quadratus lumborum and the internal oblique)

92

petit's hernia

herniation of the inferior lumbar triangle (between lattisumus dorsi, external oblique and iliac crest)

93

obturator hernia

herniation of viscera through the obturator canal

94

umbillical

herniation through the umbillicus

95

culdocentesis

removal of fluid from the recto uterine pouch; done by entering the peritoneal cavity via the posterior vaginal fornix

96

what are the portal-caval anastomoses

left gastric to esophageal veins
superior rectal to middle and inferior rectal veins
paraumbilical veins to superior epigastric veins
bare area of liver to inferior phrenic veins
intestinal veins- retroperitoneal veins (renal veins)

97

metastasis of cancerous cells from the stomach will most likely invade what part of the liver

LEFT lobe

98

upper esophagus SL

T1-4

99

LOWER ESOPHAGUS SL

T5-T8

100

STOMACH/DUODENUM

T5-T9

101

LIVER AND GALLBLADDER

T6-T9 (RIGHT)

102

SPLEEN

T6-T9; LEFT

103

PANCREAS-

T7-T9

104

ADRENAL MEDULLA

T11-L2

105

MIDGUT

T9-T11

106

KIDNEY

T10-L1

107

upper ureter

T10-L1

108

LOWER URETER

L1-L2

109

TESTES

T10-T11

110

LARGE INTESTINE

T11-L1

111

LARGE INTESTINE UPPER 1/2 RECTUM

L1-L2

112

PELVIC ORGANS

L1-L2