Flashcards in Week 3 part 1 Deck (100)
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1
What insicion is used for lower segment caesarean section, laparotomy, abdo and vaginal hysterectomy and laparoscopy?
Common Surgical Incision (O&G)
2
Muscle layers of abdomen from outer to inner?
External oblique
Internal oblique
Transversus abdominus
3
What muscles attach between lower ribs and iliac crest, pubvic tubercle and linea alba?
External obliques
4
What is linea alba?
Midline blending of aponeuroses
5
What do fibres of external intercostals run in same direction as?
External obliques (
6
What do internal obliques attach between?
LOwer ribs, thoracolumbar fascia, iliac crest and linea alba
7
What is made up of the combined aponeuroses of anterolateral abdominal wall musclers and lies immediately deep to superficial fascia?
Rectus sheath
8
Nerve between transversus abdominus and internal oblique?
Ilioinguinal nerve
9
What do 7th to 11th intercostal nerves become?
Thoracoabdominal nerves
10
T12 nerve>?
Subcostal
11
L1 nerves?
Iliohypogastric and ilioinguinal
12
What arteries supply anterior abdominal wall?
Superior and ingerior epigastric arteries
13
continuation of internal thoracic
emerges at superior aspect of abdominal wall
lies posterior to rectus abdominis
Superior epigastric arteries
14
branch of the external iliac artery
emerges at inferior aspect of abdominal wall
lies posterior to rectus abdominis
Inferior epigastric arteries
15
What supplies lateral abdominal wall muscles?
Intercostal and subcostal arteries
Continuations of posterior intercostal arteries
Emerge at lateral aspect
16
In a lower section caesarian section what way are rectus muscles moved apart? They are not cut.
Lateral direction toward nerve supply
17
What layers are seen when opening laparotomy?
Skin and fascia
Linea alba
Peritoneum
18
In a laparoscopy - if a lateral port is required care must be taken to avoid what artery?
Inferior epigastric artery
19
What artery emerges just medial to deep inguinal ring (located halfway between ASIS and pubic tubercle)?
Inferior epigastric artery - branch of external iliac artery
20
From 20 weeks how often will pregnant women be seen/
At 4 week intervals
21
From 30 weeks how often will pregnant women be seen?
At 2 week intervals
22
At 28 weeks if rhesus negative what will be offered?
Anti D
23
In pregnancy: at 12 weeks what is offered?
FBC, antibodies, glucose, syphilis, rubella
24
In pregnancy: at 16 weeks what is done?
Triple test or alpha feto protein
25
When is first ultrasound down in pregnancy?
At 18 weeks
26
At 12 weeks gestation what will the uterus be at the level of?
Pubic symphisis
27
At 20 weeks gestation where will the uterus almost reach?
The umbilicus
28
At 28 weeks where will the uterus almost have reached?
Xiphisternum
29
In pregnancy when is booking scan performed?
Around 6 to 7 weeks
30
