Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
21Activity
0 of .
Results for:
No results containing your search query
P. 1
Chirag's Abdomen Review

Chirag's Abdomen Review

Ratings: (0)|Views: 264 |Likes:
Published by rohanshah1

More info:

Published by: rohanshah1 on Jun 01, 2010
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

02/19/2012

pdf

text

original

 
Chi rag's Abdomen Review -Part 1Location
of
Abdomen
b/w
the
.
thorax
and pelvisboundaries
=
anterolateral musculocutaneous
wall
and posterior
lumbar
vertebrae and IVdisks.Contains -Peritoneum (Parietal
+
Visceral)
+
Peritoneal cavity which surround
theGIT
contents and
part
of
the
urogenital system.
Be
able
toidentify both
the regions (9) and quadrants
of
the
a~domen
as
well
as
the
important
structures in each.
May
not
be
tested directly
but
.
it
will
help you in life aka
DPS
*Sub Costal Plane
@
nOj
Transtubercular Plane
@
LS;
Umbilicus in a healthy individual
is
@
l3/L4
Abdominal layers
Rectus
abdominis
Rectus
sheath
Quadratus
lumborllm-
latisstmus
l10rsi
/~
Erect
or
spinae
,-.~
..--.
Sally
StmllieIs
Eats
IndianToddlers To Enlarge
Peritoneum.
Layers
of
Anterior
Abdominal
wall
o Skino Superficial (Campers (fatty) and Scarpas (subcutaneous) fascia)o External Oblique -(Hands
In
pocket -why?)o Internal ObliqueoTransverse Abdominuso Transversalis
Fascia
o Extraperitoneal Tissueo Parietal Peritoneum
 
Cutaneous N -WET/DRY
Lab
-Make sure
to
10
these nerves
T7
-Skin over
the
Xiphoid Process
T8T9
TlO -
Skin over the umbilicus
Tli
Tl2
(Subcostal
N)
-
innervates
the
skin superior
tothe
pubic symphysis
Ll-
skin over
the
pubic symphysisIlliohypogastric
N
(LI)
IlIioinguinal
N -
Travels in Inguinal Ligament
(Ll)
Genitofemoral
N
Three Folds you have
to
know!
Dry
Lab/Wet
Lab/Clinical
1.
Median Umbilical Fold
(Midline
inferior
to
the umbilicus) -Contains Urachus (obliterated Allantoic Duct) 
2. 
Medial
Umbillical Fold (Lateral
to
median) -Contains obliterated umbilical
artery
3.
lateral
Umbillical Fold
(lateral to
Medial) -Contains
Inf
Epigastric vessels *Lateral
to
Lateral Umb Fold
=
Deep Inguinal Ring Question -Only umbilical fold containing structures
that
function
in a normal adult? Answer -
lateral
Umbillical Fold -the
other
2
have embryonic strucs
that
don't
fxn in adults Collateral CirculationThe Superior Epigastric and
Inferior
Epigastric vessels
(within
the Lateral Umbillical Fold) anastomose
within
the rectus sheath. How can these vessels function
as
collateral supply in 
the
event
thateither
the
IVC
or
the Aorta are occluded? 
ColLat@ral
circulation
lfthe
abdominalaorta
IS
blo~'kcd,
tllese
i1rkri~ll
anaShJm(hC~
("with
origin) compens<lie:
I,
Int';:'rnal
tho
mci
dma
mmary
,,ubei;nian)
H
superior
epi~lstrii:
(internal
thOG1Cl(
:
.'
H
inf<
'Iiol
epi'::"l-strk
\(;'';(kfnal
ilin<'
2.
Superiof
panc{{'alicodllouenal
(celiaC
trunk)
H
inferior
(S~L~)
i
\Jidc11t
colic(S\'IAl
H-left
c-olie
!Ev
JAJ 
4-
Supc-riorreclalll'\'[:\i
H-
middle
fee!;l]
Ontcmallllilc) 
The superficial Epigastric Veins anastamose around
the
umbilicus
with
branches
of
the
lateral thoracic vein (this
is
an
important
collateral blood supply
b/w
the
femoral and axillary vein). 
If
patients have obstruction
of
IVC
or Portal vein (acute or chronic portal hypertension) -these veins become engorged
=
caput medusae -This
is
first
of
3
important
Portal Caval Anastamoses -Here are
theother
ones! Guaranteed Questions!!!! 
 
porto
systemiC
anastomoses
AV-azygollS
vein
EV--esophageal
vein
lEV-inferior
epigastric
vein
1M
V-
-i
nt-erior
mesenteric
vein
I R V
~ ~
nferior
rectal
vein
IVe-interiQr
venacava
LGV--It gastric
vein
PlN
--p..'\r:aumhili'Cal vein
PV--portal
vein
RV
-renal veinSEV-
-sliperior
epi9astricvein
SMV-superior
mesentaficveln
SRV-SlJperior
rectal
vein
SV--splenic
vein
Portal venous
o
Systernicv\JnOus
Site-()f
;tn:l.stolTIo,>i:s
Clinical
signPortal
H
sys
temic
1,E
:;o
phagus
EsophHgto31
\
·
:lti(:e~
L.:ft
gaslric
H
('-,op
b:lgt
~
J
1
:.
Umbilicus
C:1Pllt
medmae
P,lnHUllbilicol
H
mperlici:lI
,1
11d
inferior
cpig.:l
s
tric
Ikmormo
ios
Snp(;'
ri
of
re
(
tal
H
middle
and inferior redal
\ - i l f i
cf..'~
pf
8,'ut,
butt,and
caput
M('
co
mmonly
$(:efl
with port,llhype
rkn
siun.
fli$trtin~;]
porlo(:;;Iv;11
sb
untd
i
l
'..:l:v,e(·
n the:;plenil'anJ
le
ft
renal
v(;
ins reli
eves
port::JJ
hy
pertcn<;i(:!n
b
y:>
lllH1ting
blood
to
th
t>
~stemic
cir
e-
ulation.
Make
sure you
know: 
How
the
Portal Vein
is
formed 
Based
on
the
site
of
occlusion -
which
Portal Hypertension clinical sign
will
present 
Portocaval
Shunt
-
Clinically,
Portal
vein directly
to
IVC
is
not
likely -Splenic
to
left
Renal
V! 
3

Activity (21)

You've already reviewed this. Edit your review.
1 thousand reads
1 hundred reads
mihaibalan liked this
mihaibalan liked this
bertmau liked this
ehabmic liked this
Feby Polymorpa liked this
drsamn liked this
marmeros liked this
rohanshah1 liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->