Facts to know xx Flashcards by patrick ellis

which vertebrae has most prominent spinous process? [1]

which has next most prominent? [1]

which vertebrae has most prominent spinous process? [1]
C7

which has next most prominent? [1]
T1

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what is surface anatomy for oblique fissure?

Anteriorly: T3 to 6th IC cartilage

(no.4 on picture)

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what is surface anatomy for horizontal fissure?

horizontal line from sternum at 4th costal cartilage to oblique fissue

(no. 5 in the picture)

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out of upper lobe & lower lobes of lungs - which are anterior and more posterior?

out of upper lobe & lower lobes of lungs - which are antieror and more posterior?

Upper: Anterior

Lower: Posterior

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where do you find transpyloric plane? what vert level?

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what structures does the transpyloric plane cross? [5]

fundus of gallbladder
pylorus
neck of pancreas
origins of SMA & hepatic portal vein
duodenum
kidneys

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which lines makes up the 9 squares of abdo?

horizontal
transpyloric (L1)
transtubuercular plane (L5)

vertical:
lines up from mid inguinal point / mid clavicular points

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how do u find the transtubercular plane? what level?

L5 level
top of pelvis

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Umbilicus correspond to which part of the vertebral column?

L3/ L4

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where is mcburneys incision point?

where is the arcuate line?

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which organs can you find in the left hypochondriac region?

stomach
top of the left lobe of the liver
left kidney
spleen
tail of the pancreas
parts of the small intestine
transverse colon
descending colon

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The right hypochondriac region contains the:?

liver

gallbladder

small intestine

ascending colon

transverse colon

right kidney

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the epigastric region contains the?

esophagus

stomach

liver

spleen

pancreas

right and left kidneys

right and left ureters

right and left suprarenal glands

small intestine

transverse colon

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The left lumbar region contains?

a portion of the small intestine

a part of the descending colon

the tip of the left kidney

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The right lumbar region contains the:

tip of the liver

gallbladder

small intestine

ascending colon

right kidney

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The umbilical region contains the:

stomach

pancreas

small intestine

transverse colon

medial extremities of right and left kidneys

right and left ureters

cisterna chyli

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The left inguinal region contains:

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part of the small intestine

the descending colon

the sigmoid colon

the left ovary and the left fallopian tube in females.

The right inguinal region contains the:

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small intestine

appendix

cecum

ascending colon

right ovary and right fallopian tube in females

The hypogastric region contains:

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small intestine

sigmoid colon

rectum

urinary bladder

right and left ureters

uterus, the right and left ovaries and the fallopian tubes can be found in females

ductus deferens, seminal vesicles and prostate in males

Which region of the abdomen is found directly inferiorly to the thorax on the left and right sides?

Pectoral region
Hypochondriac region
Lateral region of abdomen
Deltoid Region
Epigastric region

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Which region of the abdomen is found directly inferiorly to the thorax on the left and right sides?

Pectoral region
Hypochondriac region
Lateral region of abdomen
Deltoid Region
Epigastric region

Which region of the abdomen should the doctor first palpate to evaluate the size of the spleen?

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left hypochondriac region

Which organs are found in the epigastric region?

Descending colon
Eosophagus
Stomach
Urinary bladder
Asceding colon

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Which organs are found in the epigastric region?

Descending colon
Eosophagus
Stomach
Urinary bladder
Asceding colon

Which region lies medially to the left and right lumbar regions (Regiones lumbales)?

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transtubercular plane

transpyloric line

what is an alternative way of of defining the transpyloric plane?

**lateral edge of the rectus abdominis muscl**e meets the costal margine at tip of 9th rib

why look for left supraclavicular lymph node (known as Virchow’s node) in abdomen exam?

The left supraclavicular lymph node (known as Virchow’s node) **receives lymphatic drainage from the abdominal cavity** and therefore **enlargement of Virchow’s node** can be one of the first clinical **signs of metastatic intrabdominal malignanc**y (most commonly gastric cancer).

where would you assess for appendicitis? [1]

McBurneys point: 1/3 distance from ASIS to umbilicus

what is murphys sign and how do you assess?

Press gently beneath R costal margin & ask patient to breath in - assesses if gallbladder is inflammed. if it hurts it is

what is rovsings sign and how do u assess?

pressure in the Left iliac fossa causes pain in the RIF -

where do u find radial pulse?

lateral to flexor carpi radialis

why is it possible to see a JVP?

Jugular venous pressure (JVP) provides an indirect measure of central venous pressure. This is possible because the **internal jugular vein (IJV) connects to the right atrium without any intervening valves, resulting in a continuous column of blood.** The presence of this continuous column of blood means that changes in right atrial pressure are reflected in the IJV (e.g. raised right atrial pressure results in distension of the IJV).

internal jugular vein lies in betweeen which structure?

sternocloidomastal

what does the head of the JVP represent?

preload on the right heart

how do you tell the difference between external carotid artery pulse and JVP pulse?

JVP has double pulse

why might you not see the JVP ? [2]

JVP is low = healthy JVP is too high = heart failure

what further assessments would you do to identify JVP is too high / not? [3]

lie them flatter & look for pulse entering the neck hepatojugular reflex

which two points do you measure to determine length of JVP? [2]

sternal angle and top of pulsation point

what is normal breathing like? [1] what is normal resp rate? [1]

inspiration is longer than expiration 12-20 breaths per min

what do V1-V6 show? which leads show lateral or inferior views?

Chest leads V1: **septal** view of the heart V2: **septal** view of the heart V3: b view of the heart V4: **anterior** view of the heart V5: **lateral** view of the heart V6: **lateral** view of the heart Other leads Lead I: **lateral view** (calculated by analysing activity between the RA and LA electrodes) Lead II: **inferior view** (calculated by analysing activity between the RA and LL electrodes) Lead III: **inferior view** (calculated by analysing activity between the LA and LL electrodes) aVR**: lateral view** (calculated by analysing activity between LA+LL -\> RA) aVL: l**ateral view** (calculated by analysing activity between RA+LL -\> LA) aVF: **inferior view** (calculated by analysing activity between RA+LA -\> LL)

Where does the oblique fissure of the lung run from and to?

From T3 to 6th costal cartilage anteriorly

Surface anatomy of the right horizontal fissure?

From sternum at the 4th costal cartilage to the oblique fissure

Facts to know xx Flashcards

(43 cards)