1
Q
Where is the pain of cholecystitis often felt and why?
A
Distension initiates visceral pain mediated by the greater splanchnic nerve (most likely the T6-T9 dermatome levels) that causes pain in the epigastric and right hypochondriac region, especially after a fatty meal (may refer to the right scapular region, and right shoulder if the diaphragm is irritated). Pain fibers from most of the abdominal viscera follow the sympathetic nerves retrograde into the spinal cord between levels T5-L2 (sensory cell bodies are in the respective DRG).
2
Q
What three important structures lie within the hepatoduodenal ligament?
A
Portal vein, hepatic artery and common bile duct
3
Q
The processus vaginalis is derived from what tissue layer?
A
Parietal peritoneum.
4
Q
A
