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The submucosal veins of what area of the oesophagus create a portosystemic anastomosis? |
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Eosophageal varices commonly develop in persons who have developed what condition? |
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Definition
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A hiatal (hiatus) hernia is a protrusion of part of the stomach into the mediastinum through what? |
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Definition
The eosophageal hiatus of the diaphragm |
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Term
Which nerve, that largely controls the production of stomach acid, can be removed to reduce the amount of acid created in people with stomach ulcers? |
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Definition
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A posterior gastric ulcer may erode through the stomach wall into the pancreas, resulting in referred pain to where? |
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Definition
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A posterior gastric ulcer may erode through the stomach wall into the pancreas, and possibly damage what artery? |
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Definition
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Pain from the stomach will be referred to what location? |
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What artery may be damaged if an appendix sitting in the posterior wall of the superior part of the duodenum perforates? |
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Definition
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Occlusion of the vasa recta by emboli can cause what to happen to the part of the intestine involved? |
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Definition
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Term
What type of pain would be experienced in ileus (obstruction of the intestine)? |
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Definition
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The spleen is protected by what ribs? |
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Definition
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Term
What is the most frequently injured organ in the abdomen? |
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Definition
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Term
Besides direct trauma, how else can the spleen be injured? |
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Definition
Blunt trauma to other regions of the abdomen that cause a sudden, marked increase in intra-abdominal pressure |
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Term
Generally, if the lower edge of the spleen can be detected when palpating below the left costal margin at the end of inspiration, how many times larger than normal is it? |
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Definition
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Term
If inserting a needle at the evel of the 10th rib in the midaxillary line for a splenic biopsy, what area must we be careful not to enter? |
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Definition
Costodiaphragmatic recess |
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Term
If removing the pancreas, the anatomical relationships and blood supply of what area of the pancreas, as well as the bile duct, and duodenum, make it impossible to remove this entire area of the pancreas? |
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Definition
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Is the pancreas palpable? |
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Definition
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Term
Most exocrine pancreatic problems are secondary to what problems? |
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Definition
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Rupture of the pancreas may cause what to enter the parenchyma of the gland and what would be the outcome? |
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Definition
Pancreatic juice - digestion of the gland and other tissues |
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Term
Cancer of the head of the pancreas often compresses and obstructs what vessel? |
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Definition
The bile duct and/or the hepatopancreatic ampulla |
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Term
Cancer of the neck and body of the pancreas may cause obstruction of what? |
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Definition
Hepatic portal vein or IVC |
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Term
Pancreatic cancer often metastasises to where early on? |
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Definition
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Term
When a patient is supine, pus from a subphrenic abscess may drain into one of what other recesses of the body? |
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Definition
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Term
Does the IVC have valves? |
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Definition
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Term
Do hepatic veins contain valves? |
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Definition
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Term
Where is a needle commonly inserted to perform a liver biopsy? |
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Definition
Right 10th intercostal space in the midaxillary line, in full expiration |
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Term
Where is the narrowest part of the biliary passages and thus the common site for impaction of gallstones? |
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Definition
The distal end of the hepatopancreatic ampulla |
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Term
An inflamed and dilated gallbladder due to impaction of gallstones may create a fistula with what other structures? |
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Definition
The superior part of the duodenum and the transverse colon |
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Term
What is the inferior border of the cystohepatic triangle? |
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Definition
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Term
What is the medial border of the cystohepatic triangle? |
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Definition
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What is the superior border of the cystohepatic triangle? |
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Definition
Inferior surface of the liver |
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Term
What artery is usually most in danger during removal of the gallbladder? |
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Definition
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Term
Fascia at the renal hilum attaches to the renal vessels and ureter, usually prevent- ing the spread of pus to what side? |
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Definition
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Term
Pus from an abscess (or blood from an injured kidney) may force its way from the kidney into what area, between the loosely attached anterior and posterior layers of the renal fascia? |
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Definition
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Term
Because the layers of renal fascia do not fuse firmly in what area of the kidney, allowing possible movement of the kidney? |
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Definition
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Term
Why can a kidney can be removed from the donor without damaging the suprarenal gland? |
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Definition
Weak septum of renal fascia separating them |
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Term
The close relationship of the kidneys to what muscles explains why extension of the hip joints may increase pain resulting from inflammation in the pararenal areas? |
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Definition
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Term
In crossing the midline to reach the IVC, the longer left renal vein traverses an acute angle between what two vessels? |
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Definition
SMA anteriorly and the abdominal aorta posteriorly |
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Term
The pain from renal and ureteric calculi (kidney stones) is referred to what spinal cord segments? |
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Definition
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Term
Pain resulting from irritation of the diaphragmatic pleura or the diaphragmatic peritoneum is referred to where? |
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Definition
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Term
Pain resulting from irritation of the diaphragmatic pleura or the diaphragmatic peritoneum is referred to which spinal cord segments? |
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Definition
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Term
Irritation of peripheral regions of the diaphragm, innervated by the inferior intercostal nerves, is referred to where? |
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Definition
The skin over the costal margins of the anterolateral abdominal wall |
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Term
Most diaphragmatic ruptures are on which side? |
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Definition
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Term
What organ is the reason why most diaphragmatic ruptures are on the left side? |
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Definition
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Term
When a traumatic diaphragmatic hernia occurs, the stomach, small intestine and mesentery, transverse colon, and spleen may herniate through what area of the diaphragm? |
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Definition
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Term
Which muscle muscle has extensive, clinically important relations to the kidneys, ureters, cecum, appendix, sigmoid colon, pancreas, lumbar lymph nodes, and nerves of the posterior abdominal wall? |
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Definition
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Term
Pulsations of a large aortic aneurysm can be felt where? |
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Definition
To the left of the midline |
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Term
The inferior part of the abdominal aorta may be compressed against the body of which vertebra, over the umbilicus, to control bleeding in the pelvis or lower limbs? |
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Definition
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Term
One of three collateral routes, formed by valveless veins of the trunk, that are available for venous blood to return to the heart when the IVC is obstructed or ligated |
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Definition
The superior and inferior epigastric veins |
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Term
One of three collateral routes, formed by valveless veins of the trunk, that are available for venous blood to return to the heart when the IVC is obstructed or ligated |
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Definition
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Term
One of three collateral routes, formed by valveless veins of the trunk, that are available for venous blood to return to the heart when the IVC is obstructed or ligated |
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Definition
Epidural venous plexus inside the vertebral column |
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