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46 Cards in this Set
- Front
- Back
posteriorly the spleen is at which ribs
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ribs 9-11
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what is posterior to the spleen
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left part of the diaphragm
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the splenic a. is the largest branch of the
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celiac trunk
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the splenic v. combines with ____ to form the ____
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splenic v. combines with the SMV (behind the neck of the pancreas) to form the hepatic portal vein
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the pancreas crosses what levels on the posterior abdominal wall
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L1-L2
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what is the uncinate process & what is it posterior to?
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inferior part of the pancreatic head
posterior to the SMA |
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what vessels are posterior to the pancreatic head?
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IVC, right renal a. & v., left renal v.
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what vessels are posterior to the neck of the pancreas
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SMA & SMV
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anterior to the neck of the pancreas
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pylorus of the stomach
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the liver lies deep to which ribs on the right
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ribs 7-11
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the subphrenic recesses are separated into right & left recesses by the
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falciform ligament
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the round ligament is an inferior extension of
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falciform ligament
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in the supine position, fluid draining from the omental bursa flows into
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hepatorenal recess
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which ligaments join at the superior part of the falciform ligament?
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coronary ligament and left triangular ligament
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which vessel lies in the groove on the bare area of the liver?
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IVC
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the gallbladder sits on which fissure and lobe
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right sagittal fissure to the right of the quadrate lobe (posterior)
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what lies in the umbilical (left sagittal) fissure ?
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ligamentum venosum (ductus venosus) posteriorly and round ligament anteriorly (umbilical v.)
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what ligament encloses the portal triad?
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the hepatoduodenal ligament
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what separates the right & left lobes anteriorly?
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falciform ligament
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the porta hepatis separates which 2 lobes? which is anterior & posterior?
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the quadrate lobe is anterior
the caudate lobe is posterior |
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what separates hepatic segment IV from II & III
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left hepatic vein
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what separates hepatic segment IV from V & VIII
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intermediate hepatic vein
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what separates hepatic segments V & VIII from VI & VII
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right hepatic vein
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which 2 arteries combine to form the common hepatic a.?
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hepatic artery proper & gastroduodenal a.
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the left lobe consists of which segments
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II & III
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the gallbladder is b/w which hepatic segments
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IV & V
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blood supply to the proximal part of the bile duct
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cystic a.
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blood supply to the middle part of the bile duct
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right hepatic a.
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blood supply to the retroduodenal part of the duct
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posterior superior pancreaticoduodenal a. & gastroduodenal a.
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posterior to the gallbladder
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duodenum
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blood supply to the gallbladder? what does it branch off of?
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cystic a. branches off right hepatic a.
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what vessel is anterior to the IVC & posterior to the neck of the pancreas (L1)
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hepatic portal vein
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the hepatic portal vein branches into
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splenic v. and SMV
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if the lower edge of the spleen can be palpated below the LCM, it is enlarged about
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3 x's its normal size
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the costodiaphgragmatic recess of the pleural cavity to the spleen descends to what level in the midaxillary line
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10th rib
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pus from a subphrenic abscess may drain into
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one of the hepatorenal recesses
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a subphrenic abscess is often drained by an incision inferior to or through
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the bed of the 12th rib
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an anterior subphrenic abscess is often drained through
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a subcostal incision located inferior and parallel to the RCM
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most common source of an aberrant right hepatic a.
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SMA (usually right hepatic a. branches off of hepatic a. proper)
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the most common source of an aberrant left hepatic artery is the
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left gastric a. (usually left hepatic a. branches off of hepatic a. proper)
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right hepatic a. normally runs anterior to ___ and posterior to____
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right hepatic a. is anterior the hepatic portal vein and posterior to the common hepatic duct
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most common cause of portal HTN
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alcoholic cirrhosis
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how does cirrhosis cause portal HTN?
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fibrous tissue surrounds the intrahepatic BVs and biliary ducts, making the liver firm, and impeding the circulation of blood through it
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where is the needle inserted for a liver biopsy?
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10th intercostal space in the midaxillary line
pt. should hold breath in full expiration to ↓ the costodiaphragmatic recess and to lessen the possibility of damaging the lung and contaminating the pleural cavity |
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what is biliary colic?
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intense, spasmodic pain caused by a gallstone lodged in the cystic duct
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what are the borders of the cystohepatic triangle (of Calot) & what passes through it?
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common hepatic duct, cystic duct, visceral surface of liver
right hepatic a. |