Abdomen

Getting on my nerves

100

shank to the left side, 10th intercostal space, axillary line

spleen

200

My step brother's cousin's uncle's late grandma got stabbed with a sword during a Morgan Wallen concert. It was determined the sword penetrated just inferior to the renal arteries, but superior the inferior mesenteric arteries. What level do both of these arise?

L2 and L3

300

nerve commonly injured during inguinal hernia surgery, hysterectomy, appendectomy, abdominal muscle tears, during pregnancy

iliohypogastric n

400

location of referred pain for peritonitis of the R subphrenic space

shoulder

500

Nerve most at risk during repair of a supravesical hernia

iliohypogastric n

Cancer :(

100

local spread of stomach cancer

duodenum, pancreas, and posterior body wall

200

lymphatic spread of a testicular tumor will most directly spread to 

lumbar nodes

300

the pancreas drains to which lymph nodes

Celiac and Superior mesenteric nodes

400

S/S include weight loss, abdominal/back pain, obstructive jaundice, Courvoisier sign

pancreatic cancer

500

metastasis to the liver is most likely to arise from the 

colon>stomach/pancreas>breast>lung

Kulezsas rules

100

spinal cord level for sympathetic innervation to the midgut

T9-T11

200

spinal cord levels for sympathetic innervation arise where

T1-L2

300

Cell bodies for pain innervation to the upper ureter are located here

DRG T10-L1

400

Sympathetic cell bodies for PREganglionic sympathetic innervation to the spleen are located here

HINT: which side

IML T7-T9 on the L

500

cell bodies for postganglionic sympathetics to the pancreas are located here

celiac ganglion

Guess The Clinical Correlation

100

hematuria, flank pain and varicocele

Hint: "bag of worms"

Varicocele:varicose veins involving the pampiniform plexus; most common on the left side; results from vertical entry of left testicular vein into renal vein and/or entrapment of the left renal vein by the SMA

"nut cracker syndrome" or Renal Vein Entrapment

CS Abdomen--#14

200

classic findings include a pulsatile, non-tender mass below the umbilicus (left of midline)

AAA (abdominal aortic aneurysm)

300

What are the three places kidneys stones can become lodged

(theres possibly 4)

a. at the junction of the renal pelvis and ureter

b. crossing the pelvic inlet

c. passage through the wall of the bladder

d. stones may become lodges where the testicular/ovarian vessels cross the ureter

400

4 F's for gallstones

forty, fat, fertile, females

500

describe pringles maneuver

clamping of the vessels of the portal triad at the free edge of the lesser omentum to control bleeding during hepatic procedures

Spatial Awareness

100

middle third of a line connecting the ASIS and the umbilicus.

Hint: used to surgically approximate the appendix

McBurney's point

200

artery most at risk with a stomach ulcer

splenic artery

300

contents of the portal triad

proper hepatic a, portal vein, common bile duct

400

3 structures within the triangle of pain

femoral branch of genitofemoral n, femoral n, lateral femoral cutaneous n

500

pyramidal frame for Calot's triangle is formed by what 3 things

cystic duct, common hepatic duct, and the base of the liver