Surgical Recall Chapter 17 - Surgical Anatomy Pearls Study online at quizlet.com/_cd56n
1.
Foregut
Mouth Mout h to a mpu mpulla lla of Vader Va der
2.
Hindgut
Distal third of transverse colon to the anus
How can you find the appendix after you find find the cecum?
Trace the taeniae back a s they converge on the origin of the appendix appendix
How far up does the diaphragm extend?
To the nipples in men
5.
Is the left vagus nerve anterior or posterior?
Anterior; reme remembe mberr that the the esophagus esophag us rotates during development
6.
Midgut
Ampulla of Vader Ampulla Va der to distal distal third of transverse colon
3.
4.
7.
8.
9.
What are the layers of the abdominal wall?
1. skin, then fat 2. Scarpa's Scarpa's fascia 3. External obli que 4. Internal oblique 5. Trans ver versus sus abdom a bdominus inus 6. Transversalis Transversalis fascia 7. Prep Preperitoneal eritoneal fat 8. Peritoneu Peritoneum m
What are the major layer of an artery?
Adventitia Adve ntitia --> Media Media --> Intima
10. What
Jejunum - long vasa rectae; large plicae circulares; thicker wall Ileum - shorter vasa rectae; smaller plicae circulares, thinner wall (think: Ileum = Inferior vasa rectae, In ferior plicae circulares, and Inferior wall)
11. What
Plicae = folds, circulares = circular; thus, the circular folds of mucosa of the small bowel
12. What
Esophageal varices, hemorrhoids (inferior hemorrhoidal vein to in ter ternal nal iliacc vein), patent umbilical ilia umbilical vein (caput medusa), med usa), and retroperitoneal retroperitoneal vein via lumbar tributaries
are the prominent collateral circulations seen in portal hypertension?
13. What
are the white lines of Toldt?
15. What
dermatome is at the umbilicus? does the thoracic duct empty into?
17. What
Colon has taeniae coli, ha ust ustra, ra, and appendices append ices epiploicae (fa t appendages), whereas the small intestine is smooth
are the plicae circulares?
artery is responsible for anterior ante rior spi nal syndrome?
16. What
What are the major anatomic differences between betw een the colon colon and the small bowel? bowe l?
are the major structural differences between betw een the jejunum and ileum?
14. What
Lateral peritoneal reflections reflections of the ascending and descending colon
is Calot's node?
is Calot's triangle?
Artery Arter y of Adamkiewicz
T10 Left subclavian vein; left internal jugular vein junction junction Lymph node Lymph n ode found in Calot's triangle
18. What
The area bordered by: 1. Cystic duct 2. Common hepatic duct 3. Cystic artery
19. What
Fascia surrounding the kidney
20. What
The area bordered by: 1. Inguinal liga me ment nt 2. Epigastric vessels 3. Lateral border of the rectus sheath
21. What
Hepatorenal recess; the most Hepatorenal posterior poster ior cavity within the peritoneal per itoneal cavity
is Gerota's fascia? is Hesselbach's triangle?
is Morris on's pouch?
22. What
is the coronary
Left gastric vein
vein? 23. What
is the draina ge of the left testicular vein?
left renal vein
24. What
IVC
is the draina ge of the right testicular vein?
25. What
is the gastrinoma triangle?
is the gubernaculum?
Triangle where > 90% of gas trinomas are loc ated, bordered bordered by: 1. Junction of the second and third portions of the duodenum 2. Cystic duct 3. Pancreatic neck
26. What
Embryologic structure that adheres the testes to the scrotal sac; used to help manipulate the testess du teste during ring indirect hernia repair
27. What
Internal iliac artery
28. What
Rotter's lymph nodes
is the hypogastric artery? is the name of the lymph nodes between the pectoralis minor and major muscles?
29. What
is the order of the femoral vessels?
30. What
is the pouch of Douglas?
31. What
is the strongest layer of the small bowel?
32. What
is the vein that overlies the pylorus? nerve is located on top of the spermatic cord?
Femoral vein is medial to the femoral artery (think NAVEL) for the order of the right femoral vessels - Nerve, Artery, Vein, Empty space, Lymphatics Pouch between the rectum and bladder or uterus Submucosa (NOT the s erosa, think: SUbmucosa is SUperior) Vein of Mayo
33. What
Ilioinguinal nerve
34. What
Most of the duodenum, the ascending colon, the descending colon, and the pancreas
35. What
Cantlie's line - a line drawn from the IVC to just left of the gallbladder fossa
parts of the GI tract are retroperitoneal? separa tes the right and left lobes of the liver?
36. Where
are the blood vessels on a
Vein, Artery, Nerve (VAN) are underneath the rib (thus, place ches t tubes and thoracentesis needles ABOVE the rib!)
is the space of Retzius?
Preperitoneal space anterior to the bladder
rib? 37. Where 38. Which
artery bleeds in bleeding duodenal ulcers?
Gastroduodenal artery
39. Which
Left
40. Which
Esophagus, middle and distal rectum
is longer, the left or right renal vein? pa rts of the GI tract do not have a serosa?
