Sunday, March 15, 2009

Anatomy Mnemonics : Abdomen

Diaphragm innervation
"3, 4, 5 keeps the diaphragm alive":
Diaphragm innervation is cervical roots 3, 4, and 5.

Spleen: dimensions, weight, surface anatomy
"1,3,5,7,9,11":
Spleen dimensions are 1 inch x 3 inches x 5 inches.Weight is 7 ounces.It underlies ribs 9 through 11.

Oblique muscles: direction of externals vs. internals
"Hands in your pockets":
When put hands in your pockets, fingers now lie on top of external obliques and fingers point their direction of fibers: down and towards midline.
· Note: "oblique" tells that must be going at an angle.· Internal obliques are at right angles to external.

Duodenum: lengths of parts
"Counting 1 to 4 but staggered":
1st part: 2 inches2nd part: 3 inches3rd part: 4 inches4th part: 1 inch

Murphy's point organ [for Irish]
"Murphy was an Irishman (and Murphy is a classic Irish surname), and Ireland=green":
Green organ in body is gallbladder, so Murphy's point is the gall bladder.

Meckel's diverticulum details
2 inches long.2 feet from end of ileum.2 times more common in men.2% occurrence in population.2 types of tissues may be present.
· Note: "di-" means "two", so diverticulum is the thing with all the twos.

Leino- definition
"Leino" rhymes with "spleen-o":
Therefore leino- means something to do with the spleen.

Kidney hilums at transpyloric plane [L1]
L-1 goes through hilum of only 1 kidney, and it's the Left one.

Diaphram aperatures: spinal levels
"Come Enter the Abdomen:Vena Cava [8]Esophagus [10]Aorta [12]

Liver inferior markings showing right/left lobe vs. vascular divisions
There's a Hepatic "H" on inferior of liver. One vertical stick of the H is the dividing line for anatomical right/left lobe and the other vertical stick is the divider for vascular halves. Stick that divides the liver into vascular halves is the one with vena cava impression (since vena cava carries blood, it's fortunate that it's the divider for blood halves).

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Abdominal muscles
"Spare TIRE around their abdomen":

Transversus abdominis

Internal abdominal oblique

Rectus abdominis

External abdominal oblique

L4 landmark: 2 items
"B4U" [before you]:Bifurcation of AORTA "L4":Umblicus

Bowel components
"Dow Jones Industrial Average Closing Stock Report":

· From proximal to distal:DuodenumJejunumIleumAppendixColonSigmoidRectum· Alternatively: to include the cecum, "Dow Jones Industrial Climbing Average Closing Stock Report".

Liver: side with ligamentum venosum/ caudate lobe vs. side with quadrate lobe/ ligamentum teres
"VC goes with VC":

The Venosum and Caudate is on same side as Vena Cava [posterior]. Therefore, quadrate and teres must be on anterior by default.

Autonomics to the gut
"The PARAsympathetics follow a rule of TWO" [pair = two]:

· The vagus does the top, the sacral splanchnics the outflow tract.

"The sympathetics follow a rule of threes":· Greater, lesser, least splanchnic nerves go to the celiac,superior and inferior mesenteric ganglion.

Descending abdominal aorta: seven divisions
"Sometimes Intestines Get Really Stretched Causing Leakage":

Suprarenals [paired]Inferior mesentericGonadal [paired]Renals [paired]Superior mesentericCeliacLumbar [paired]

Retroperitoneal structures list
SAD PUCKER:Suprarenal glandsAorta & IVC Duodenum (half)PancreasUretersColon (ascending & descending)KidneysEsophagus (anterior & left covered)

Portal-systemic anastomoses: main 2 places that retroperitoneals connect into systemic
RetroPeritoneals hook up with Renal and Paravertebral veins.

Spinal cord: length in vertebral column
SCULL:Spinal Cord Until L2 (LL).

Inferior vena cava tributaries
"I Like To Rise So High":

IlliacsLumbarTesticularRenalSuprarenalHepatic vein.

· Think of the IVC wanting to rise high up to the heart.

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Bowel components
"Dublin Sisters Ceramic Red Colored Jewelry Apparently Illegal":· 2-4 letters of each component

Umbilical ligaments: contents
IOU:· From lateral to medial:lateral umbilical ligament: Inferior epigastric vesselsmedial unbilical ligament: Obliterated umbilical arterymedian umbilical ligament:

Retroperitoneal organs (major)
"AC/DC Rocker Kids Party Down":Ascending ColonDescending

Coelic trunk: branches
Left Hand Side (LHS):Left gastric arteryHepatic arterySplenic

Inguinal canal: walls
"MALT: 2M, 2A, 2L, 2T":· Starting from superior, moving around in order to posterior:Superior wall (roof): 2 Muscles:· internal oblique Muscle· transverse abdominus MuscleAnterior wall: 2 Aponeuroses: · Aponeurosis of external oblique· Aponeurosis of internal obliqueLower wall (floor): 2 Ligaments:· inguinal Ligament· lacunar LigamentPosterior wall: 2Ts:· Transversalis fascia· conjoint

Diaphragm apertures: spinal levels
Aortic hiatus = 12 letters = T12Oesophagus = 10 letters = T10Vena cava = 8 letters = T8


Diaphragm apertures: spinal levels
"Voice Of America":· In order from smallest to highest spinal number:Vena cava: T8Oesophagus: T10Aorta: T12· Note: Voice Of America (VOA) is a radio broadcast statiON.

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