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Anatomy Block-3 Gems
AUC
17
Anatomy
Graduate
03/01/2011

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Cards

Term
Dermatomes
Definition
T7 - Xiphoid Process
T10 - Umbilicus (appendix pain)
T12 Supra Pubic
L1 upper middle thigh/genitalia
Term
Lateral Umbilical ligament
Definition
Contains the inferior Episgastric aa

Lateral - Indirect Hernia
Median - Direct Hernia
Term
Planes of the abdomen
Definition
R hypochondral Epigastric L hypochond
Subcostal. L3 10th CC
R lumbar Umbilicus L Lumbar
Transtubercular plane L5, iliac turbicle
R Inguinal Hypogastric L inguinal
Term
Neonatal necrotizing enterocolitis
Definition
Most common GI emergency in neonates. 85% of prematures have it. Results from enteral feeding.
Term
Hirschsprangs disease: Aganglionic megacolon
Definition
Absence of autonomic ganglion cells in myenteric plexus of distal large intestine. Delayed passage of meconium and abdominal distension. Vomitting
Term
Parasympathetic and Sympathetic innervation of Abdomin
Definition
Sympathetic
Foregut: T5-T9 Greater Splanchnic
Midgut: T9-T10 Lesser Splanchnic
Hindgut: L1-L2 Lumbar splanchnic

Parasympathetic:
Vagus to level of splenic flexure. Pelvic Splanchnic after
Term
Foregut: Celiac trunk
Definition
Foregut: Esophagus, Stomach,duodenum(1st,2nd) Liver, gall bladder spleen, Superior part of Pancreas
Term
Mid Gut: sup mesenteric, Lesser splanchnic
Definition
All intestine structures from Duodenum(3rd, 4th) to Proximal 2/3 of colon
Term
Hind Gut
Definition
Term
Hindgut, Inf Mesenteric, Lumbar Splanchnic
Definition
1/3 of transverse colon, descending, colon, rectum, upper part of anal canal
Term
Gastric Carcinoma
Definition
thoracic duct carries cancer from abdomen to left subclavien.

Trosiers sign is swelling of Left supraclavicular nodes.(virchows). palpable
Term
Duodenum Clinical
Definition
Superior - ulcers may eroide gastroduodenal a or pancreas

descending - major duodenal papilla(sphincter of oddi, ampulla of vater)

Transverse- SMA/V cross. Intestinal Obstructions.

Ascending- Repair of hernias can affect SMA/V
Term
Nutcracker syndrome(effect)
Definition
SMA compresses left splenic vein. Causes reverse flow into L testicular Vein.

Varicocele in pampiniform plexus. bag of worms. Infertility in 40% of men.
Term
Jejunum vs Ileum
Definition
Jujunum longer vasa recta - less complex arcades(loops)

Jujunum has less fat around vessels

Jujunum - not smooth

jejunum - less lymphatic follices in muscosa
Term
Tenai that meet at apendix
Definition
teniae libera, omental teniae, mesocolic teniae
Term
Appendicitus.

Mesoappendix carries appendicular a. Lesser splachnic refers pain to T10 to T11 dermatomes
Definition
M Migration to right iliac fossa9pain)
A Anorexia
N Nausea/Vomiting
T Tenderness right iliac fossa
R Rebound Pain
E Elevated temperature
L Leukocytes
S Shift of leukocytes to the left
Term
Pain:
Definition
Rostral to splenic flexure via sympathetic splanchnic nn

Distal to splenic flexure via pelvic splanchnic nn
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