GB anatomy Flashcards

(78 cards)

1
Q

planes of the abdomen

A
  • 2 MCL (vertical)
  • transpyloric plane (L1) (halfway between xiphoid and umbilicus or 1/2 way between suprasternal notch and pubic symphysis
  • transtubercular plane at L5 (line between ASIS on each side)
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2
Q

where dies the thoracic duct drain

A

junction of the left subclavian and IJV

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3
Q

vertebral level of transpyloric plane

A

L1

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4
Q

vertebral level of transtubercular plane

A

L5

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5
Q

nerves to the anterior abdominal wall

A

iliohypogastric - L1
ilioinguinal - L1
genitofemoral - L1,2
Intercostal nerves (b/w int oblique and transverse) VAN

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6
Q

vertebral level of iliohypogastric nerve

A

L1

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7
Q

vertebral level of

ilioinguinal nerve

A

L1

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8
Q

vertebral level of

genitofemoral nerve

A

L1,2

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9
Q

layers of the anterior abdominal wall

A
  1. skin
  2. superficial fascia - camper’s (fatty layer)
  3. superficial fascia - scarpa’s (membranous layer)
  4. external oblique and aponeurosis
  5. internal oblique and aponeurosis
  6. transverse abdominis and aponeurosis
  7. transversalis fascia (separates contents from rectus abdominis)
  8. extra peritoneal fascia
  9. peritoneal fascia
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10
Q

_____ fascia encloses the penis

A

colles’

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11
Q

rupture of the urethra causes swelling in the ____

A

scarpa’s fascia

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12
Q

murphy’s point

A

gallbladder
9th CC, MCL
L1

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13
Q

McBurney’s Point

A

Appendix

1/3 way from right ASIS to umbilicus

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14
Q

muscles of the anterior abdominal wall

A
rectus abdominis 
external oblique 
internal oblique
transversus abdominis
inguinal ligament
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15
Q

rectus abdominis

A

flexor of the spinal column

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16
Q

external oblique

A

passes medially to inguinal ligament, linea alba and pubic region
fibres pass downwards and medially
starts at lower 8 ribs

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17
Q

internal oblique

A

lateral part inguinal ligament

fibres pass upwards and medially

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18
Q

transversus abdominis

A

lower 6 ribs
horizontal fibres
lateral part of inguinal ligament

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19
Q

inguinal ligament

A

lateral part - formed by internal oblique and transverse abdominis

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20
Q

conjoint tendon

A

the lowest fibres arising from the inguinal ligament arches down to attach medially with similar fibres of the transverse abdominis to the pubic tubercle

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21
Q

the lowest fibres arising from the inguinal ligament arches down to attach medially with similar fibres of the transverse abdominis to the pubic tubercle to form the ____

A

conjoint tendon

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22
Q

linea alba

A

midline

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23
Q

semilunaris

A

lateral margin

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24
Q

rectus sheath

A

aponeurosis of muscles cover the rectus abdominis

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25
above costal margin
only external oblique and it overlies the rectus abdominis
26
under costal margin
external oblique above internal oblique splits above and below transverse abdominis below
27
arcuate line
horizontal line where all aponeurosis lie over rectus abdominis note- it is where inf. epigastric vessels perforate the rectus abdominis
28
where inf. epigastric vessels perforate the rectus abdominis
arcuate line
29
walls of the inguinal canal (and where do they originate)
internal spermatic fascia ( transversalis fascia) cremaster muscle and fascia (conjoint tendon) external spermatic fascia (external oblique)
30
contents of inguinal canal
female - round ligament of uterus male -spermatic cord both - ilioinguinal nerve
31
origin of internal spermatic fascia
transversalis fascia
32
origin of cremaster muscle and fascia
conjoint tendon
33
origin of external spermatic fascia
external oblique
34
contents of spermatic cord
3 arteries - testicular artery (aorta at L2) cremaster artery (inferior epigastric) artery of vas (superior vesical) 3 nerves - ilioinguinal (comes in laterally and not through deep inguinal ring nerve to cremaster (genitofemoral) sympathetics 3 others - pampiniform plexus of veins lymphatics of para-aortic nodes at L2 vas deferens
35
lymphatics of para-aortic nodes at
L2
36
testicular artery branches off aorta at
L2
37
the cremaster artery is a branch of the
inferior epigastric
38
the artery of vas is a branch of
superior vesical
39
the nerve to cremaster is a branch of the
genitofemoral
40
types of hernias
femoral hernia inguinal testicular swellings
41
femoral hernia
lateral and below pubic tubercle
42
inguinal hernias
direct - weakness of the transversalis fascia (superficial ring) indirect - congenital hernia which goes through both rings along inguinal canal
43
testicular swelling
hydrocele - collection of fluid in tunica vaginalis varicocele - enlarged veins of pampiniform plexus spermatocele - sperm leak
44
hydrocele
collection of fluid in tunica vaginalis
45
varicocele
enlarged veins of pampiniform plexus
46
spermatocele
sperm leak
47
weakness of the transversalis fascia (superficial ring)
direct inguinal hernia
48
congenital hernia which goes through both rings along inguinal canal
indirect inguinal hernia
49
hernia lateral and below pubic tubercle
femoral hernia
50
enlarged veins of pampiniform plexus
varicocele
51
collection of fluid in tunica vaginalis
hydrocele
52
sperm leak
spermatocele
53
what important structures lie at the transpyloric plane
``` L1 fundus of gallbladder pancreatic body left and right colic/ splenic fissure spleen end of spinal cord origin of the superior mesenteric artery hilum of the kidneys ilioinguinal and iliohypogastric nerve originates ```
54
vertebral level of | fundus of gallbladder
L1
55
vertebral level of | pancreatic body
L1
56
vertebral level of | left and right colic/ splenic fissure
L1
57
vertebral level of | spleen
L1
58
vertebral level of | end of spinal cord
L1
59
vertebral level of | origin of the superior mesenteric artery
L1
60
vertebral level of | hilum of the kidneys
L1
61
vertebral level of ilioinguinal and iliohypogastric nerve
L1
62
2 layers of the peritoneum
1. parietal - serous membrane that lines body wall | 2. visceral - serous membrane that covers/ folds surface of the internal organs
63
pain in the layers of peritoneum
parietal - somatic localised | visceral - autonomic referred
64
foregut contents
distal esophagus --> 2nd part of duodenum
65
midgut contents
2nd part of duodenum --> 2/3 transverse colon
66
hindgut contents
distal 1/3 of transverse colon --> rectum
67
arterial supply to foregut
celiac trunk (T12)
68
arterial supply to midgut
superior mesenteric (L1)
69
arterial supply to hindgut
inferior mesenteric (L3)
70
vertebral level of celiac trunk
T12
71
vertebral level of superior mesenteric
L1
72
vertebral level of inferior mesenteric
L3
73
venous supply to foregut
splenic veins
74
venous supply to midgut
superior mesenteric
75
venous supply to hindgut
inferior mesenteric
76
innervation of foregut
T5-10
77
innervation of midgut
T9-11
78
innervation of hindgut
L1,2