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ABDOMEN SPOTTERS
REVISION
RETROPERITONEAL ORGANS
PELVIS
RETROPERITONEAL
ORGANS
1. Identify the pinned area and determine the side
2. Name the structures present in the pinned area in
ORDER
1. Hilum of left kidney
2. Structure present in hilum in order(from
anterior to posterior)
Renal vein
Renal artery
Renal pelvis
1. Identify the pinned structure.
2. Give its content.
1. Renal sinus
2. Contents
Branch of renal artery
Tributaries of renal vein
Major and minor calyxes indented by
1to3 renal papilla
1. Identify the pinned structure
2. Give its blood supply.
1. Right and left suprarenal glands
2. Blood supply
Arterial supply
● Superior suprarenal artery (branch of inferior
phrenic artery )
● Middle suprarenal artery (branch of abdominal
aorta)
● Inferior suprarenal artery (branch of renal
artery)
Venous drainage
● Right suprarenal vein-drain into IVC
● Left suprarenal vein-drain into left renal vein
1. Identify the structure.
2. Where does it open ?
1. Ureter proximal part is retroperitonel
2. Open into lateral angle of trigone of
urinary bladder.
1. Identify the pinned structure and it's
retroperitonel parts
2. Give its development
1. Pancreas
Retroperitoneal parts
Head, neck ,body but tail in
lineorenal ligament
1. Development: from the dorsal bud and
ventral bud .
1. Identify the pinned structure
2. In which part of duodenum it opens.
3. Give its position
1. Major duodenal papilla
2. 2nd part of duodenum
3. 8-10cm distal to pylorus
1. Identify the structure
2. Explain its relations.
1. Neck of the pancreas
2. Relations
Anterior surface: related to pylorus
Posterior surface: related to formation of
portal vein
Upper border: related to 1st part of
duodenum
Lower border:root of transverse mesocolon
1. Identify the structure
2. Explain its peritoneal relations
1. Rectum
2. Peritoneal relations
Upperone-third: covered by peritoneum on
front and sides
Middleone-third: peritoneum only on the
front
Lowerone-third:not covered by peritoneum
at all
1. Identify the structure
2. Write its relations.
1. 2nd part of duodenum
2. Relations
Anterior:gall bladder,rt lobe of liver,
transversecolon and mesocolon,coils of SI
Posterior:Rt kidney,Rt renal vessels,rt edge of
IVC,Rt psoas major muscle
Medially:head of the pancreas
Laterally:from below upward ascending colon,Rt
colic flexure,Rt lobe of liver
1. Identify the structure.
2. Give its formation, termination and
tributaries.
1. Inferior vena cava
2. Formation:by union of RtandLt common iliac
veins
Termination:lower posterior part of Rt atrium
Tributaries:3thand4th lumbar veins
Rt testicular/ovarian vein
Hepatic veins
Renal veins(rt and lt)
RT suprarenal vein
Rt inferior phrenic vein
1. Identify the structure.
2. Gives its branches .
1. Abdominal aorta
2. Branches:
Ventral br: coeliac trunk
Superior mesenteric artery
Inferior mesenteric artery
Dorsal branches:Lumbar artery
Median sacral artery
Lateral br: Inferior phrenic artery
Middle suprarenal artery
Renal artery
Testicular/ovarian artery
Terminal br:Rtand Lt common iliac arteries
PELVIS:
1. Identify the tied structure
2. Write its embryological significance.
1. Median umbilical ligament
2. Embryological remnant of Urachus
1. Identify the tied structure.
2. Give its branches.
1. Internal iliac artery.it has ant and post division
2. Branches :ant division
Male and female:sup vesical , obturator,middle rectal artery,inf
vesical artery(female:vaginal artery),inf gluteal artery,internal
pudendal.
In addition female have Uterine artery
Posterior division:
Iliolumbar artery
Lateral sacral artery
Superior gluteal artery
1. Identify the pinned structure.
2. Give its normal anatomical position
3. Mention its supports.
1. Utreus
2. Position:Antiversion(90°),Antiflexion(170°)
3. Supports:
Primary supports:
muscular: Pelvic diaphragm, perineal body, urogenital
diaphragm
Visceral:UB,vagina, Uterine axis
Fibromuscular: Transverse
ligament,pubocervical,uterosacral,round ligament
Secondary supports: Broad ligament,uterovesical
fold,rectovaginal fold of peritoneum.
1. Identify the tied structure.
2. Give its appiled anatomy.
1. Uterine tune(fallopian tube)
2. Applied anatomy
Tubectomy
Salphingitis
Ectopic pregnancy
1. Identify the pinned structure.
2. Give its contents.
1. Broad ligament of uterus
2. Contents:
Uterine tube
Round ligament of uterus
Ligament of ovary
Uterine vessels
Ovarian vessels
Uterovaginal and ovarian plexus
Epooporon and it's duct
Paraoporon
Lymphatics ,fibroaerolar conn tissue
1. Identify the probed space .
2. Give its boundaries and applied
anatomy
1. Pouch of Douglas
2. Boundaries:
Anterior:post surface of uterus and post
fornix of vagina
Posterior:Rectum
Inferior:rectovaginal fold of peritoneum
1. Applied anatomy:most dependent part of
peritoneal cavity
1. Identify the pinned structure
2. Give its position and blood supply
1. Ovary
2. Location: Ovarian fossa in lateral pelvic
wall
Anteriorly: Obliterated umblical artery
Posteriorly:Internal iliac artery andureter
Blood supply: Arterial supply: Ovarian and
uterine artery
Venous supply:Pampiniform plexus of veins
1. Identify the probed space.
2. Give its contents.
1. Retropubic space
2. Contents:Fat,vesical plexus of veins
1. Identify the pinned structure.
2. Give it lobes and applied anatomy
1. Prostate gland
2. It has 5 lobes
Anterior, posterior,two lateral lobes and
median lobes
Applied anatomy: carcinoma of prostate
Benign prostate
hypertrophy
1. Identify the pinned structure
2. Give its development.
3. Name the openings present in it.
1. Trigone of Urinary bladder.
2. Development: Absorption of
mesonephric duct
3. Openings in it:
2 uretertic orifices
Internal urethral orifice
ABDOMEN ANATOMY SPOTTERS REVISION FOR FIRST MBBS.pptx

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ABDOMEN ANATOMY SPOTTERS REVISION FOR FIRST MBBS.pptx

  • 3. 1. Identify the pinned area and determine the side 2. Name the structures present in the pinned area in ORDER
  • 4. 1. Hilum of left kidney 2. Structure present in hilum in order(from anterior to posterior) Renal vein Renal artery Renal pelvis
  • 5. 1. Identify the pinned structure. 2. Give its content.
  • 6. 1. Renal sinus 2. Contents Branch of renal artery Tributaries of renal vein Major and minor calyxes indented by 1to3 renal papilla
  • 7. 1. Identify the pinned structure 2. Give its blood supply.
  • 8. 1. Right and left suprarenal glands 2. Blood supply Arterial supply ● Superior suprarenal artery (branch of inferior phrenic artery ) ● Middle suprarenal artery (branch of abdominal aorta) ● Inferior suprarenal artery (branch of renal artery) Venous drainage ● Right suprarenal vein-drain into IVC ● Left suprarenal vein-drain into left renal vein
  • 9. 1. Identify the structure. 2. Where does it open ?
  • 10. 1. Ureter proximal part is retroperitonel 2. Open into lateral angle of trigone of urinary bladder.
  • 11. 1. Identify the pinned structure and it's retroperitonel parts 2. Give its development
  • 12. 1. Pancreas Retroperitoneal parts Head, neck ,body but tail in lineorenal ligament 1. Development: from the dorsal bud and ventral bud .
  • 13. 1. Identify the pinned structure 2. In which part of duodenum it opens. 3. Give its position
  • 14. 1. Major duodenal papilla 2. 2nd part of duodenum 3. 8-10cm distal to pylorus
  • 15. 1. Identify the structure 2. Explain its relations.
  • 16. 1. Neck of the pancreas 2. Relations Anterior surface: related to pylorus Posterior surface: related to formation of portal vein Upper border: related to 1st part of duodenum Lower border:root of transverse mesocolon
  • 17. 1. Identify the structure 2. Explain its peritoneal relations
  • 18. 1. Rectum 2. Peritoneal relations Upperone-third: covered by peritoneum on front and sides Middleone-third: peritoneum only on the front Lowerone-third:not covered by peritoneum at all
  • 19. 1. Identify the structure 2. Write its relations.
  • 20. 1. 2nd part of duodenum 2. Relations Anterior:gall bladder,rt lobe of liver, transversecolon and mesocolon,coils of SI Posterior:Rt kidney,Rt renal vessels,rt edge of IVC,Rt psoas major muscle Medially:head of the pancreas Laterally:from below upward ascending colon,Rt colic flexure,Rt lobe of liver
  • 21. 1. Identify the structure. 2. Give its formation, termination and tributaries.
  • 22. 1. Inferior vena cava 2. Formation:by union of RtandLt common iliac veins Termination:lower posterior part of Rt atrium Tributaries:3thand4th lumbar veins Rt testicular/ovarian vein Hepatic veins Renal veins(rt and lt) RT suprarenal vein Rt inferior phrenic vein
  • 23. 1. Identify the structure. 2. Gives its branches .
  • 24. 1. Abdominal aorta 2. Branches: Ventral br: coeliac trunk Superior mesenteric artery Inferior mesenteric artery Dorsal branches:Lumbar artery Median sacral artery Lateral br: Inferior phrenic artery Middle suprarenal artery Renal artery Testicular/ovarian artery Terminal br:Rtand Lt common iliac arteries
  • 26. 1. Identify the tied structure 2. Write its embryological significance.
  • 27. 1. Median umbilical ligament 2. Embryological remnant of Urachus
  • 28. 1. Identify the tied structure. 2. Give its branches.
  • 29. 1. Internal iliac artery.it has ant and post division 2. Branches :ant division Male and female:sup vesical , obturator,middle rectal artery,inf vesical artery(female:vaginal artery),inf gluteal artery,internal pudendal. In addition female have Uterine artery Posterior division: Iliolumbar artery Lateral sacral artery Superior gluteal artery
  • 30. 1. Identify the pinned structure. 2. Give its normal anatomical position 3. Mention its supports.
  • 31. 1. Utreus 2. Position:Antiversion(90°),Antiflexion(170°) 3. Supports: Primary supports: muscular: Pelvic diaphragm, perineal body, urogenital diaphragm Visceral:UB,vagina, Uterine axis Fibromuscular: Transverse ligament,pubocervical,uterosacral,round ligament Secondary supports: Broad ligament,uterovesical fold,rectovaginal fold of peritoneum.
  • 32. 1. Identify the tied structure. 2. Give its appiled anatomy.
  • 33. 1. Uterine tune(fallopian tube) 2. Applied anatomy Tubectomy Salphingitis Ectopic pregnancy
  • 34. 1. Identify the pinned structure. 2. Give its contents.
  • 35. 1. Broad ligament of uterus 2. Contents: Uterine tube Round ligament of uterus Ligament of ovary Uterine vessels Ovarian vessels Uterovaginal and ovarian plexus Epooporon and it's duct Paraoporon Lymphatics ,fibroaerolar conn tissue
  • 36. 1. Identify the probed space . 2. Give its boundaries and applied anatomy
  • 37. 1. Pouch of Douglas 2. Boundaries: Anterior:post surface of uterus and post fornix of vagina Posterior:Rectum Inferior:rectovaginal fold of peritoneum 1. Applied anatomy:most dependent part of peritoneal cavity
  • 38. 1. Identify the pinned structure 2. Give its position and blood supply
  • 39. 1. Ovary 2. Location: Ovarian fossa in lateral pelvic wall Anteriorly: Obliterated umblical artery Posteriorly:Internal iliac artery andureter Blood supply: Arterial supply: Ovarian and uterine artery Venous supply:Pampiniform plexus of veins
  • 40. 1. Identify the probed space. 2. Give its contents.
  • 41. 1. Retropubic space 2. Contents:Fat,vesical plexus of veins
  • 42. 1. Identify the pinned structure. 2. Give it lobes and applied anatomy
  • 43. 1. Prostate gland 2. It has 5 lobes Anterior, posterior,two lateral lobes and median lobes Applied anatomy: carcinoma of prostate Benign prostate hypertrophy
  • 44. 1. Identify the pinned structure 2. Give its development. 3. Name the openings present in it.
  • 45. 1. Trigone of Urinary bladder. 2. Development: Absorption of mesonephric duct 3. Openings in it: 2 uretertic orifices Internal urethral orifice