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Abdomen Block
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8
Anatomy
3rd Grade
11/12/2012

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Cards

Term
Levels of hiatuses in diaphragm?
Definition
-Caval TV8
-Esophageal TV10
-Aortic TV12
Term
Ligaments of diaphragm?
Definition
-Median over aortic hiatus
-Medial over psoas major
-Lateral over quadratus lumborum
Term
Pelvic splanchnics?
Definition
-S2, S3, & S4
Term
Visceral pain?
Definition
-Follows splanchnics from T5 to L2
-Can be referred to corresponding dermatomes
Term
Indirect hernia location and common cause?
Definition
-These are lateral to the inf. epigastric vessels
-They are herniations into the inguinal canal (transmits the spermatic cord in men
-Often they are a result of incomplete closure of the processus vaginalis over the deep inguinal ring
Term
Renal stones; pain and where they get lodged most commonly?
Definition
-Pain from loin to groin called renal colic (goes from skin covering where kidney is to along inguinal ligament)

-Three places are most common;
1. Ureteropelvic junction
2. Where ureter crosses common iliac
3. Ureterovesical junction (where ureter meets the bladder)
Term
What are the two ligaments of the spleen and what do they transmit?
Definition
-Splenorenal; splenic vessels
-Gastrosplenic; short gastric vessels
Term
Where are the three major anastamoses of the caval system? How do we use them to diagnose portal hypertension?
Definition
-The rectum with the sup. rectal veins with the mid and inf. rectal veins (hemorrhoids)
-esophagus with esophageal vein (esophageal varices)
-note; these are the only two places where the veins are in submucosa rather toward the outer wall of the gut tube
-Paraumbilical veins (caput medusae)
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