Term
Nerves between IAO & transversus abdominis |
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Definition
Cutaneous branches of T7 – T11 (Thoracoabdominal nn.); Ventral ramus of T12 (Subcostal n.); Iliohypogastric (branch of L1); Ilioinguinal (branch of L1) |
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Term
Arteries between IAO & transversus abdominis |
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Definition
Inferior intercostal aa.; Subcostal a.; Lumbar a.; Deep circumflex iliac a. (branch of external iliac a.) |
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Term
External abdominal oblique muscle attachments, innervation, and action |
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Definition
Origin: External surfaces of ribs 5-12; Insertion: Linea alba, pubic tubercle, anterior ½ of iliac crest; Innervation: Thoracoabdominal nn., subcostal nn.; Action: Compress & support abdominal viscera, aid in expiration, flex & rotate trunk |
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Term
Internal abdominal oblique muscle attachments, innervation, blood supply, and action |
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Definition
Origin: Thoracolumbar fascia, anterior 2/3 of iliac crest, lateral ½ of inguinal ligament; Insertion: Inferior borders of ribs 10-12, linea alba, pecten pubis (via conjoint tendon); Innervation: Thoracoabdominal nn., 1st lumbar nn.; Blood supply: Lower 5 intercostal, subcostal, and lumbar arteries; Action: Compress & support abdominal viscera, aid in expiration, flex & rotate trunk |
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Term
Transversus abdominis muscle attachments, innervation, blood supply, and action |
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Definition
Origin: Internal surfaces of costal cartilages 7-12, thoracolumbar fascia, iliac crest, lateral 1/3 of inguinal ligament; Insertion: Linea alba with aponeurosis of IAO, pubic crest, pecten pubis (via conjoint tendon); Innervation: Thoracoabdominal nn., 1st lumbar nn.; Blood supply: Lower 5 intercostal, subcostal, and lumbar arteries; Action: Compress & support abdominal viscera, aid in expiration |
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Term
Rectus abdominis muscle attachments, innervation, blood supply, and action |
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Definition
Origin: Pubic symphysis, pubic crest; Insertion: Xiphoid process, costal cartilages 5-7; Innervation: Thoracoabdominal nn.; Blood supply: Superior and inferior epigastric arteries; Action: Flexes trunk (lumbar vertebrae), compresses abdominal viscera, aids in expiration |
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Term
Bony boundaries of abdominal cavity |
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Definition
Posterior: Vertebrae from TV12 to LV5; Inferior & lateral: Ala of sacrum and of ileum (often called false pelvis) |
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Term
Bony boundaries of true pelvis |
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Definition
Posterior: Sacrum; Lateral: Ischiopubic rami, ischial spines |
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Term
Soft tissue boundaries of abdominopelvic cavity |
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Definition
Superior: Diaphragm; Inferior: Pelvic diaphragm; Anterior: Abdominal musculature between rib cage and pelvic girdle |
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Term
Dermatome of umbilicus, vertebral level of umbilicus |
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Definition
Dermatome: T10; Vertebral level: LV4 |
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Term
Fascial layers of abdomen |
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Definition
Superficial layer: Camper’s fascia (fatty); Deeper layer: Scarpa’s fascia (membranous) |
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Term
Vasculature of Camper’s fascia |
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Definition
Veins: Superficial circumflex iliac, external pudendal, superficial epigastric, tributaries to paraumbilical |
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Term
Ligaments formed by external abdominal oblique |
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Definition
Inguinal (Poupart’s) ligament: ASIS to pubic tubercle; Lacunar (Gimbernat’s) ligament: Medial end of inguinal ligament, rolled under deep to spermatic cord; Pectineal (Cooper’s) ligament: Lateral continuation of lacunar ligament along pectineal line of pubis, considered strongest ligament of the body |
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Term
Suprapubic dermatome, vertebral level of iliac crest |
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Definition
Dermatome: L1; Vertebral level: LV4 |
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Term
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Definition
Derivative of ventral mesentery; Free edge contains ligamentum teres (obliterated left umbilical vein), paraumbilical veins; Splits to form left triangular ligament and right coronary ligament |
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Term
Median umbilical ligament |
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Definition
Midline structure; Formed by peritoneal covering of urachus (obliterated allantois), paraumbilical veins; Runs from superior aspect of bladder to umbilicus |
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Term
Medial umbilical ligaments |
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Definition
Paired structures; Formed by peritoneal coverings of right and left umbilical arteries; Run from superior aspect of bladder to umbilicus; Proximal part of arteries are patent, give rise to superior vesicle arteries |
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Term
Lateral umbilical ligaments |
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Definition
Paired structures; Formed by peritoneal coverings of inferior epigastric vessels deep to the rectus abdominis |
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Term
Location of inguinal (Hasselbach's) triangle |
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Definition
Location: medial to epigastric vessels |
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Term
Site of direct inguinal hernia |
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Definition
Inguinal (Hasselbach's) triangle; Medial to epigastric vessels; Through superficial inguinal ring |
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Term
Boundaries of inguinal (Hasselbach's) triangle |
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Definition
Lateral: epigastric vessels; Medial: lateral edge of rectus abdominis muscle; Inferior: inguinal ligament |
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Term
Location of deep inguinal ring |
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Definition
Location: lateral to epigastric vessels |
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Term
Location of indirect inguinal hernia |
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Definition
Lateral to epigastric vessels; Through deep inguinal ring |
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Term
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Definition
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Term
Dartos muscle fiber type, innervation, location, and action |
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Definition
Fiber type: smooth muscle; Innervation: PSNS; Location: thin layer around scrotum; Action: regulates testicular temperature by elevating (contraction) or lowering (relaxation) the testes |
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Term
Coverings of spermatic cord |
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Definition
External spermatic fascia; Cremaster muscle and fascia; Internal spermatic fascia |
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Term
Abdominal origin of external spermatic fascia, and structure formed |
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Definition
Origin: External abdominal oblique; Structure: Superficial inguinal ring |
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Term
Abdominal origin of cremaster muscle and fascia |
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Definition
Origin: Internal abdominal oblique |
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Term
Abdominal origin of internal spermatic fascia, and structure formed |
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Definition
Origin: Transversalis fascia; Structure: Deep inguinal ring |
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Term
Arteries of the spermatic cord |
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Definition
Cremasteric artery (off inferior epigastric artery); Testicular artery (off aorta); Artery to vas deferens (off inferior vesicular artery) |
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Term
Nerves of the spermatic cord |
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Definition
Ilioinguinal (L1); Genital branch of genitofemoral (L1,L2); Autonomics (to testes, dartos, and blood vessels) |
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Term
Afferent and efferent branches of cremasteric reflex |
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Definition
Afferent: Femoral br. of genitofemoral n. and ilioinguinal n. (L1); Efferent: Genital br. of genitofemoral n. (L1, L2) |
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Term
Other three structures of the spermatic cord |
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Definition
Pampiniform plexus of veins (drains the testes & gives rise to the testicular vein); Ductus deferens: most posterior structure in spermatic cord; Lymphatics: parallel veinous drainage to posterior abdominal wall |
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Term
Site of testis development |
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Definition
Urogenital ridge between layers that become transversalis fascia and parietal peritoneum |
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Term
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Definition
Outpocketing of peritoneum into scrotum preceding descent of the testis |
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Term
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Definition
Fluid filled remnant of the lumen of the processus vaginalis |
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Term
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Definition
Covers testis (except posteriorly) with visceral and parietal layers |
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Term
Efferent ductules of the testis |
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Definition
15-20 in number; Continuous with seminiferous tubules; Drain into epididymis |
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Term
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Definition
Used for sperm storage; Drains into vas deferens |
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Term
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Definition
Dense white covering forming the capsule of the testis |
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Term
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Definition
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Term
Most common type of hernia |
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Definition
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Term
Prevalence of indirect inguinal hernias; prevalence of direct inguinal hernias |
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Definition
Indirect: 75% of inguinal hernias; Direct: 25% of inguinal hernias |
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Term
Prevalence of inguinal hernias |
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Definition
Most common in both sexes; 80% of males with hernias have inguinal hernias; 7 to 1 male to female ratio |
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Term
Congenital inguinal hernia |
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Definition
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Term
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Definition
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Term
Prevalence of umbilical hernias |
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Definition
14% of all hernias; More common in females (1.7 to 1) |
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Term
Prevalence of femoral hernias |
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Definition
5% of all hernias; More common in females (1.8 to 1) |
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Term
Location of femoral hernias |
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Definition
Below inguinal ligament; Through femoral ring |
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Term
Location of obturator hernias |
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Definition
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Term
Location of epigastric hernias |
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Definition
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Term
Location of Spigelian hernias |
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Definition
In posterior rectus sheath below arcuate line |
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Term
Location of lumbar hernias |
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Definition
On the back at the lumbar triangle |
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Term
Location of perineal hernias |
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Definition
Through or between muscles of the pelvic diaphragm |
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Term
Location of diaphragmatic hernias |
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Definition
At esophageal hiatus, aortic hiatus, or foramen for the inferior vena cava |
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Term
Suture anchor sites during inguinal hernia repair |
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Definition
Pectineal (Cooper's) ligament and/or Inguinal (Poupart's) ligament |
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Term
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Definition
Excess fluid in abdominal cavity; may be removed by paracentesis |
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Term
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Definition
Loose connective tissue that separates the peritoneum from the abdominal musculature. |
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Term
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Definition
Lines abdominopelvic cavity forming a closed sac. (Except in females, where fallopian tubes lead to exterior.) |
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Term
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Definition
Covers intra-abdominal organs. |
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Term
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Definition
Cardia: joins esophagus; Fundus: most superior part (to left of cardia); Body: major part of stomach; Angular notch: marks junction of body with pyloric region; Pyloric antrum: leads into distal canal and sphincter region |
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Term
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Definition
Controls influx into duodenum |
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Term
Vertebral level and location of pyloric sphincter |
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Definition
Vertebral level: LV1; Location: transpyloric plane |
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Term
Shape and length of duodenum |
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Definition
Shape: C-shaped; Length: ~12" |
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Term
Vertebral levels of parts of duodenum |
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Definition
1st Part: LV1; 2nd Part: LV2; 3rd Part: LV3; 4th Part: LV4 |
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Term
Peritoneal relationships of parts of duodenum |
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Definition
1st Part: Intraperitoneal; 2nd Part: Secondarily retroperitoneal; 3rd Part: Secondarily retroperitoneal; 4th Part: Intraperitoneal |
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Term
Location of openings of pancreatic and biliary ducts |
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Definition
Duodenal papilla; 2nd part of duodenum |
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Term
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Definition
Suspensory muscle that supports the duodenojejunal flexure |
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Term
Distinctive characteristics of the jejunum |
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Definition
Long vasa recta; Few arterial arcades; Little fat in the mesentery; Few lymphoid nodules (Peyer's patches) |
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Term
Distinctive characteristics of the ileum |
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Definition
Short vasa recta; Many arterial arcades; More fat in the mesentery; Many solitary lymph nodules (Peyer's patches) |
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Term
Distinctive characteristics of the large intestine |
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Definition
Teniae coli: 3 longitudinal muscular bands; Epiploic appendages: fat tabs; Haustra or Sacculations: outpocketings of the wall of the large intestine |
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Term
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Definition
Blind pouch at the ileocecal junction |
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Term
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Definition
Attaches to the cecum; Marks the beginning of the colon |
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Term
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Definition
Short, triangular mesentery that suspends the appendix from the ileum |
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Term
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Definition
2/3 the distance from the umbilicus to ASIS |
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Term
Peritoneal relationships of parts of colon |
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Definition
Vermiform appendix: Intraperitoneal; Cecum: Intraperitoneal; Ascending colon: Secondarily retroperitoneal; Transverse colon: Intraperitoneal; Descending colon: Secondarily retroperitoneal; Sigmoid colon: Intraperitoneal; Rectum: Extraperitoneal |
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Term
Indication of beginning of rectum |
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Definition
Termination of teniae coli |
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Term
Demarcation of functional lobes of liver |
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Definition
The right functional lobe is demarcated from the left lobe by the gallbladder and IVC fossae. |
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Term
Demarcation of anatomical lobes of liver |
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Definition
Falciform ligament; Fissures for ligamentum teres and ligamentum venosum |
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Term
Contents of porta hepatis |
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Definition
Portal vein; Hepatic artery; Nerves; Lymphatics; Bile ducts |
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Term
Boundaries of caudate lobe of liver |
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Definition
Inferior vena cava; Porta hepatis; Ligamentum venosum/lesser omentum |
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Term
Boundaries of quadrate lobe of liver |
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Definition
Gallbladder; Porta hepatis; Ligamentum teres/lesser omentum |
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Term
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Definition
Concentrate and store bile produced by liver; Can concentrate 125 mL of bile down to 1mL |
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Term
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Definition
Guards the terminal ends of the common bile duct and the pancreatic duct |
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Term
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Definition
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Term
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Definition
Behind ribs 9-11 in upper left quadrant |
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Term
Innervation of peritoneum |
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Definition
Parietal innervation: somatic nerves; Visceral innervation: autonomic nerves |
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Term
Attachments of lesser omentum |
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Definition
Liver and lesser curvature of stomach (hepatogastric ligament); Liver and duodenum (hepatoduodenal ligament) |
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Term
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Definition
Lateral: common bile duct; Medial: proper hepatic artery; Posterior: portal vein |
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Term
Boundaries of lesser sac or omental bursa |
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Definition
Anterior: lesser omentum and stomach; Posterior: pancreas and abdominal wall |
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Term
Epiploic foramen (Foramen of Winslow) |
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Definition
Communication between main peritoneal cavity and omental bursa |
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Term
Boundaries of epiploic foramen |
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Definition
Anterior: hepatoduodenal ligament; Posterior: IVC; Superior: caudate lobe of liver; Inferior: duodenum |
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Term
Attachments of greater omentum |
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Definition
Greater curvature of stomach and transverse colon (gastrocolic ligament); Greater curvature of stomach and spleen (gastrolienal ligament); Greater curvature of stomach and diaphragm (gastrophrenic ligament) |
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Term
Attachments and contents of lienorenal ligament |
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Definition
Attachments: hilum of spleen and kidney/posterior body wall; Contents: splenic vessels, tip of pancreatic tail |
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Term
Attachments and function of phrenicocolic ligament |
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Definition
Attachments: left colic flexure and diaphragm; Function: support spleen |
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Term
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Definition
Suspends jejunum and ileum from posterior body wall |
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Term
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Definition
Suspends transverse colon from posterior body wall |
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Term
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Definition
Attaches sigmoid colon to posterior body wall |
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Term
Location and significance of paraduodenal recesses (fossae) |
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Definition
Location: around duodenojejunal junction; Significance: potential site for herniation, IMV often found in margin of left paraduodenal recess |
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Term
Location and significance of subphrenic recess |
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Definition
Location: beneath the diaphragm, anterior & superior to liver; Significance: 2nd most infected abdominal space |
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Term
Location and significance of hepatorenal recess (Pouch of Morrison) |
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Definition
Location: between right kidney and liver; Significance: most frequently infected abdominal space |
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Term
Location and significance of paracolic gutters |
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Definition
Location: along ascending and descending colon and mesentery proper; Significance: right gutter may condutct fluid or infection from hepatorenal recess or omental bursa to pelvis |
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Term
Vertebral level of bifurcation of aorta |
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Definition
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Term
Nerves of the lumbar plexus |
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Definition
Ventral rami of (T12) L1 to L5 |
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Term
Innervations of iliohypogastric nerve (L1) |
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Definition
Upper gluteal region; Lateral abdominal muscles; Sensory to suprapubic region |
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Term
Innervations of ilioinguinal nerve |
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Definition
Lateral abdominal muscles; Sensory to upper medial thigh, root of penis or mons pubis, anterior scrotum or sup. labia majora |
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Term
Innervations of genitofemoral nerve |
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Definition
Genital branch: cremaster muscle; Femoral branch: sensory to anterosuperior thigh |
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Term
Nerve root(s) of iliohypogastric nerve |
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Definition
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Term
Nerve root(s) of ilioinguinal nerve |
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Definition
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Term
Nerve root(s) of genitofemoral nerve |
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Definition
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Term
Innervation of lateral femoral cutaneous nerve |
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Definition
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Term
Nerve root(s) of lateral femoral cutaneous nerve |
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Definition
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Term
Innervations of femoral nerve |
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Definition
Motor to quadriceps muscle; Sensory to anterior and lower medial thigh |
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Term
Innervations of saphenous branch of femoral nerve |
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Definition
Sensory to anterior and medial leg |
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Term
Afferent and efferent limbs of knee jerk reflex |
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Definition
Afferent: femoral nerve; Efferent: femoral nerve |
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Term
Nerve root(s) of femoral nerve |
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Definition
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Term
Innervations of obturator nerve |
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Definition
Motor to medial thigh muscles; Sensory to overlying skin |
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Term
Nerve root(s) of obturator nerve |
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Definition
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Term
Function of lumbosacral trunk |
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Definition
Connects lumbar plexus with sacral plexus |
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Term
Nerve root(s) of lumbosacral trunk |
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Definition
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Term
Number of parasympathetic nerves in the body wall, blood vessels, and extremities |
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Definition
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Term
Abdominal structures innervated by vagus |
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Definition
Foregut and midgut; Structures supplied by celiac trunk and SMA |
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Term
Location of cell bodies of pelvic splanchnics |
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Definition
Ventolateral horn of spinal segments S2, S3, & S4 |
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Term
Possible actions of pelvic splanchnics after leaving hypogastric plexus |
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Definition
Go directly to pelvic viscera; Ascend over sacral promentory to superior hypogastric plexus and IMA |
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Term
Abdominal structures supplied by pelvic splanchnics |
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Definition
Large intestine from left colic flexure to rectum; Structures supplied by IMA |
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Term
Location of cell bodies of thoracic splanchnics |
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Definition
Intermediolateral (ventrolateral) horn of spinal segments T5 - T12 |
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Term
Location of cell bodies of greater splanchnic nerve |
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Definition
Ventrolateral horn of T5 - T9 |
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Term
Location of cell bodies of lesser splanchnic nerve |
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Definition
Ventrolateral horn of T10 - T11 |
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Term
Location of cell bodies of least splanchnic nerve |
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Definition
Ventrolateral horn of T12 |
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Term
Major SNS input to celiac ganglion |
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Definition
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Term
Major SNS input to aorticorenal ganglia |
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Definition
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Term
Major SNS input to renal ganglia |
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Definition
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Term
Location of aorticorenal ganglia |
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Definition
Near junction of renal arteries with aorta |
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Term
Location of renal ganglia |
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Definition
Along renal arteries near kidneys |
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Term
Location of cell bodies of lumbar splanchnics |
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Definition
Intermediolateral horn of lower thoracic and L1 spinal segments |
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Term
Ventral splanchnic arteries |
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Definition
Celiac trunk; Superior mesenteric artery; Inferior mesenteric artery |
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Term
Arterial supply of the foregut |
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Definition
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Term
Arterial supply of the midgut |
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Definition
Superior mesenteric artery |
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Term
Arterial supply of the hindgut |
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Definition
Inferior mesenteric artery |
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Term
Branches of the celiac trunk |
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Definition
Left gastric artery; Splenic artery; Common hepatic artery |
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Term
Vertebral level of celiac trunk |
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Definition
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Term
Organs supplied by left gastric artery |
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Definition
Esophagus - via esophageal branches; Stomach - via dorsal & ventral branches; Liver - via accessory (aberrant) left hepatic |
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Term
Site of formation of spleen |
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Definition
Mesoderm (forms like a blood vessel) |
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Term
Organs supplied by splenic artery |
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Definition
Pancreas - via dorsal pancreatic, pancreatic magna, & caudal pancreatic; Stomach - via left gastroepiploic & short gastric; Spleen - via superior & inferior terminal branches |
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Term
Branches of common hepatic artery |
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Definition
Gastroduodenal, proper hepatic, & right gastric |
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Term
Organs supplied by gastroduodenal artery |
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Definition
Stomach - via right gastroepiploic; Duodenum - via supraduodenal & superior pancreaticoduodenal; Pancreas - via superior pancreaticoduodenal |
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Term
Branches of proper hepatic artery |
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Definition
Right hepatic; Left hepatic; Cystic |
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Term
Boundaries of cystic triangle |
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Definition
Right: cystic duct; Left: common hepatic duct; Superior: liver |
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Term
Organ(s) supplied by right gastric artery |
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Definition
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Term
Blood supply to lesser curvature of stomach |
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Definition
Right (off of proper or common hepatic) & left gastric artery (off of celiac trunk) |
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Term
Blood supply to greater curvature of stomach |
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Definition
Right (off of gastroduodenal) & left gastroepiploic (off of splenic) |
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Term
Vertebral level of superior mesenteric artery |
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Definition
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Term
Structures in the nutcracker formed by the SMA |
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Definition
Left renal vein; Uncinate process of pancreas; 3rd part of duodenum |
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Term
Branches of superior mesenteric artery |
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Definition
Inferior pancreaticoduodenal; Intestinal branches; Colic |
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Term
Actions of inferior pancreaticoduodenal artery |
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Definition
Anterior & posterior branches anastomose with anterior & posterior branches of superior pancreaticoduodenal artery |
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Term
Organs supplied by intestinal branches of SMA |
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Definition
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|
Term
Branches of the colic artery |
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Definition
Ileocolic - to terminal ileum and cecum; Right colic - to ascending colon; Middle colic - to transverse colon |
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Term
Branches of inferior mesenteric artery |
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Definition
Left colic; Sigmoid colon; Superior rectal |
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|
Term
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Definition
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|
Term
Vertebral level of renal arteries |
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Definition
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|
Term
Marginal artery (of Drummond) |
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Definition
Anastomotic connection between the colic arteries |
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Term
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Definition
Anastomotic connection between the SMA & the IMA |
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Term
Main ducts of the biliary tree |
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Definition
Common hepatic duct; Cystic duct; Common bile duct |
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Term
Tributaries of the common hepatic duct |
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Definition
Left & right hepatic duct |
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Term
Tributaries of common bile duct |
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Definition
Common hepatic duct & cystic duct |
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Term
Hepatopancreatic ampulla (Ampulla of Vater) |
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Definition
Site of drainage into 2nd part of duodenum of the main pancreatic duct & common bile duct |
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Term
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Definition
Sympathetics from T7-9; Parasympathetics from vagal trunks |
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Term
Tributaries of the portal vein |
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Definition
Splenic & superior mesenteric veins (junction forms portal vein); Left & right gastric veins; Cystic vein |
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Term
Areas drained by superior mesenteric vein |
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Definition
Stomach (via right gastroepiploic vein); Head of pancreas & duodenum; Jejunum; Ileum; Cecum; Appendix; Ascending colon; All or most of transverse colon |
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|
Term
Tributaries of the inferior mesenteric vein |
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Definition
Left colic, sigmoid, superior rectal veins |
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|
Term
Tributaries of the splenic vein |
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Definition
Radicles from spleen; Left gastroepiploic, short gastric veins; Inferior mesenteric vein (usually) |
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|
Term
Sites of portacaval anastomoses |
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Definition
Veins of esophagus above and below diaphragm; Superior rectal and middle/inferior rectal; Veins of falciform ligament/ligamentum teres and tributaries to epigastric; |
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|
Term
Name and symptom(s) of varicose of esophageal anastomosis |
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Definition
Esophageal varix; Necrotic blood in stool |
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|
Term
Name and symptom(s) of varicose of rectal anastomoses |
|
Definition
Hemorrhoids; Shiny red blood in stool |
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|
Term
Name of varicose of falciform/teres & epigastric anastomosis |
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Definition
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|
Term
Major muscles of posterior abdominal wall |
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Definition
Psoas major; Iliacus; Quadratus lumborum |
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