Antomy 3 Flashcards

Multicystic Dysplastic kidney- collecting duct pelvic kidney/ horseshoe kidney- ascent issue , kidney fuse IM entrapment Urachal fistula or cyst- allantois persists peeing with umbilicus) - collecting duct pelvic kidney/ horseshoe kidney- ascent issue , kidney fuse IM entrapment Urachal fistula or cyst- allantois persists peeing with umbilicus) (49 cards)

1
Q

collecting duct

A

Multicystic Dysplastic kidney

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2
Q

ascent issue , kidney fuse IM entrapment

A

pelvic kidney/ horseshoe kidney (L3-5)

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3
Q

allantois persists peeing with umbilicus

A

Urachal fistula or cyst-

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4
Q

Thoracentsis

Liver Biopsy

A

10th intercostal space midaxillary or not

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5
Q

Subphrenic abscesses

A

@ 12th common R

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6
Q

Diaphram rupture-

A

95% on L bc of Liver on R

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7
Q

elimate kidney stone w ultrasound?

A

lithotripisy

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8
Q

posterior fornix pelvic abcess puch of douglas

A

Culdocentesis

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9
Q

Caudal nerve block

A

S2-S4 pudedal, plus VA above and below pain line

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10
Q

prepuce emergency

A

Paraphimosis-

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11
Q

Hemrrohids

A

internal venous plexus vs external venous plexus painful clot

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12
Q

perinial body

A

episitomy, pubcoccyegous, in middle of vagina and vesicle on female

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13
Q

Coronary vesseles occlusion

A
  1. LDA ( 40-50), 2. RCA (40-30) 3. Circumflex of RCA ( 20-15)
  2. LCA 5. PDA
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14
Q

What is the Venous drainage of the abdominal wall and node above,& below umbilicus and deeper? nn?

A

above umbilcals-> Thorepgvein, axillary nodes
below umbilic-> supferfic epig, –> superficial inguin
deep–’ external lilac,
N- T7-T11), (T12) , L1 ( SE/SA, VA/VE- Symp- post)

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15
Q

What inn of abdominal muscles & fxn?

A
Rectus ab-  T5- T12 ( FAPD) 
 rest  olique ( T7-T12) RFF
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16
Q

scrotum

A

Scrotum- ant/ post scrotal ( SE/SA/ VE/VA- symp post)
N- Ant- Iloinguinal (L1) & Gent. branch of genitol femoral (L1-2) Post- superp perineal branch of internal pud (S2-4) & Infer- perineal of the post femoral cut (S2-3)
B- ext/internal pudendal, Creamastric a,
L- superficial ingu

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17
Q

testis

A

L- Lumbar

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18
Q

Spermatic Chord?

A

test, duct, crem , nerves (gential, of genitofemoral) , lymp

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19
Q

somatic Lumbar plexus?

A

(L1-L4) - L1 (illohypo ( ant. wall) /illoing ( spermatic chord & scrotum), L1 right below white line, L1-2 genitofemoral on psoas, lateral femoral cutanous (L 2-3) , Obturator nerve medial (L24), Femoral thick behind psoas ( L-2-4), Lumbarsacral (l4-5) deepest medalist

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20
Q

Back muscles?

A
Quadratus lumborum  (T12-4)  EFF 
      illiacus & psoas major/ minor (L2-L4) -- FFF
21
Q

Kidney -

A
L- Lumbar ( kidney, ureter, suprarenal) 
     R Kidney ( L1-L4) vs L Kidney (T12-L3) 

-

22
Q

Diaphram

A

5th rib, nn: C3-C5,

B- Phrenic 4

23
Q

Hiatus

A

T8 (caval open) -T10 (esph hiatus) –12 (aorta hiatus)

R crus- (L3), R crus(L2)

24
Q

IVC drainage point?

A

(L Suparenal and L gonadal v dont drain)

25
Foregut Midgut Hindgut
1. ) T59 great s, ant, celiac a /L 2. )T 9-12 less s, post, SMA a/L 3. ) Hindgut L 1-4 L sp, Pelvic S2-4, IMA a/L
26
Levels for ? celia, SM, gonadal, IM, bifurcation
1. 12 2. 1 3. gonadal 2 4. IM 3 5. Bifurcation aorta L4 6. Bifurcation vein L5
27
Esp Lymp? level? a
L gastric, celaic node C6-T11, L gastric & inf phrenic
28
Stomach Lymph?
T11-L1 lesser- sup pyloric, gastric greater- inf pyloric, gastroomental
29
Duod (1/2)
Ant or posterior lymphatics --> celiac L2, L2-3
30
Duod ( 3/4)
Ant or posterior lymphatics --> celiac , L3, L3-2
31
Ant. of duodenum Lymp?
Ant. lympahtics--> pancroduodenl or pyloric , celiac
32
Pancreas head neck uncinate Lymph?
pyloric, celiac node L1/2
33
body and tail of pancreas lump?
pancreaticosplenic , celiac L1/2
34
Esp innervation?
esph plexus from T5-9, ant vagal trunk
35
Hepatic proper splits into?
L/R hepatic & R gastric
36
Celiac trunk splits into?
Splenhic, Common hepatic a, & L gastric
37
SMA splits into?
Mid gut -Middle, Right, Illeocolic ( illegal, colic, ant/post cecal, apendicular) , 15-18 jejunum and illeum branches
38
IMA splits into ?
L, sigmoid (3-4), sup rectal a
39
Pancreaticoduodenal?
supply duodenum & pancrease from the SMA --> common pancreatic duodenal-->ant./post. inf pancreas From Celiac--> gastrodoudenal -->ant./post. sup. pancreas
40
Median arcuate ligament?
Right Crus (L3) -- aorta hiatus
41
lateral acurate ligament?
formed by fascia of Quadratus lumbordum ( T12-4)
42
Liver GB
T7-23 4th rib hepatic celiac | L1 --> cystic, celiac
43
Spleen
9-10 th rib , T 10- L1
44
Splenhic artery provides?
dorsal/ great pancreas, L gastroomental, & short gastric
45
compressing 3th duod
SMA syndrome
46
Compressing L renal vein
Nutcracker syndrome
47
places of collateral in GI w/ IVC obstruction or cirrhosis?
L gastric--> espoh sup rectal artery--> middle & inferior rectal artery paraumbilical --> epigastric colic--> retropenial
48
Sacrotub ligament nn?
Coccygeal S4, S5 somatic called annococygeal nerve
49
Internal illac arteries and ligaments associated | Internal illac-
Post 3- lateral sacral, Illolumbar, sup gluteal , Ant - OU"VIMII" ligament of bladder , umbilical a sup vesical cardinal ligament-- uterine artery ligament of rectumr- middle rectal a