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ANATOMY SUPERTABLE (Review by Doc JA)

VERTEBRAL LEVELS
Vertebral Level

Structure

Mnemonic

C1

Mastoid Process of Skull Bone, Jefferson
Fracture

C2

Uvula, Soft palate, Angle of mandible,
Hangman fracture

US(dito nakakabili ng C2
bottle)

C3

Hyoid

Say HI to C3

C4

Common Carotid bifurcation

Kinurot kita! You: “Ouch!
What for?” :(

C5

Thyroid Cartilage

Cart dumaan sa C5

C6

Chassaniac Triangle, Cricoid Cartilage,
end of LarynX -> start of Trachea, end of
PharynX -> start of esophagus, *First
Esophageal Constriction Site

C7

Thoracic Duct, Thyroid Isthmus

C7-T1

Apex of lungs (above the clavicle)

T1

Sternoclavicular joint

T2-T3

Suprajugular Notch

T4

Manumbrium

T4-T5

Sternal Angle of Louis

T5

Body of Sternum (T5-T9)

Maniac, X X
San nakipag-sex lying
maniac? sa cricoid
cartilage
Say Thank you to C7

Channel 23 - Superman

Heart/Pericardium (T5-T8)
T7-T8

Nipple

T9-T10

Xiphoid

L1

GU Tract: Hilum (of Kidneys), Renal Pelvis,
First Constriction of Ureter (where is
exits the Kidney)
GI Tract:
Transpyloric Plane of Addison, Pylorus,
Pyloric Antrum, Gallbladder (9th Costal
Cartilage)

L2-L3

Head of Pancreas

L3-L4

Umbilicus (Dermatome: T10)

L5-S1

Second Constriction of Ureter (where is
passes the Pelvic Brim)

S1-S2

Third Constriction of Ureter (where it
pierces the bladder)

S3

End of Sigmoid Colon (Start of Sigmoid is
at Iliac Fossa), Start of Rectum

4/10/1978 - Nipple is at
Dermatome level T4, 10 cm
from midline, at Verterbral
level T7-T8

Ang dami!

At age 34, protruding na
Umbilicus sa laki ng tiyan

VERTEBRAL LEVELS EXTRA NOTES
*Diaphgram
Openings

T8 -> IVC, Right Phrenic Nerve
T10 -> Esophagus, Vagus Nerve
T12 -> Abdominal Aorta, Thoracic Duct
(Twelve)

I 8 10 Eggs At 12

*Cysterna Chyli

starts at L2 -> ends at C7

ChyLII

Other Structures at
T4-T5
(6 STRUCTURES)

1
...
End of Ascending, Start
of Arch, End of Arch, Start
of Descending

3
...
BIFURCATIONS: Tracheal Bifurcation,
Pulmonary Trunk Bifurcation

VEINS: Start of SVC,
Drainaiage of Azygous vein

Second Esophageal
Constriction Site

* Esphageal
Constriction Sites
(THREE)

FIRST: C6 - Cricopharyngeus (dito sila
nag sex!) - marks the end of esophagus

SECOND: T4-T5

THIRD: T10 (where
is enters the
diaphragm)

* Where is the
Thymus?

In the Adult, Superior Mediastinum, In
children, it is a fatty remnant at the
Inferior, Anterior Mediastinum

Somewhere around T5-T9,
since the Inferior
Mediastinum is posterior to
the body of the sternum

*The Oblique Fissure is at the 6th Costal Cartilage
*The Kidney spans from T12-L3

THORACIC CAGE
There are 12 Ribs
TRUE versus FALSE RIBS
True Ribs

Ribs 1-7

Vertebrocostal

False Ribs

Ribs 8-10

Vertebrochondral (chos
kasi False)

Floating Ribs

Ribs 11-12

Ribs 8-10 joints Rib 7
Ribs 11 and 12 Ends
blindly

TYPICAL versus ATYPICAL RIBS
Typical Ribs

Ribs 3-9

Typical ribs have:
1
...
a neck
3
...
a twisted body

Ribs 1, 2, 10, 11, 12
Rib 1 is atypical because
it has a:

1
...
horizontal body
3
...


L (Levator Costarum)

After slicing the cake,
umeksena ka, ITAAS
mo
...
Duct -> Alv
...
2mm

Respiratory - 0
...
3mm

Alveolus - 200 micrometers

Tertiary - 5
...
Circumflex Artery
Ant
...
”
After tawagan ni Pam: “Hay
naku Mumsh, pending pa iyong reservation
...

*Note: TRy
...
Sosyal
...
In
Left Dominance, PDA is from LCA (10%)
...


2nd Part

BE

Bronchial Art
...


3rd Part

LGA

Left Gastric Art
...


LARGE INTESTINE
What differentiates the LI from SI?

Taenia coli, Haustrations, Omental
appendages

What are the 3 kinds of Taenia Coli?

Taenia Libera, Taenia Mosocolia, Taenia
Omentales

Length of the different segments:

Ascending: 10cm, Transverse: 45cm
(LONGEST), Descending (25cm),
Sigmoid (35-40cm)
APPENDIX

What are the possible locations of the
Appendix?

Retrocecal (MOST COMMON), Retroileal
(LEAST COMMON)

What are the 3 kinds of Taenia Coli?

Taenia Libera, Taenia Mosocolia, Taenia
Omentales
RECTUM

Which is the critical point of the
rectosigmoid junction that is described
as the point of origin of the last
sigmoid arterial branch?

Sudeck point S3, also a watershed area

1st chamber of rectum

RETROPERITONEAL anteriorly

2nd chamber of rectum

RETROPERITONEAL from side to side

3rd chamber of rectum

EXTRAPERITONEAL

What is the usual site for rectal biopsy
for Hirchsprung disease?

Valves of Houston

*Note: The 1st and
2nd PIAS come
from SIA (Superior
Intercostal Artery)

ABDOMINAL AORTA AND THEIR BRANCHES SUPERTABLE
ABDOMINAL
AORTA DIRECT
BRANCHES

1ST GENERATION
BRANCHES

Inferior Phrenic
Artery

Branch: Superior
Suprarenal Artery > Superior part of the
Adrenals

2ND
GENERATION
BRANCHES

3RD GENERATION 4TH GENERATION
BRANCHES
BRANCHES

Middle Suprarenal
Artery -> Middle
Part of the Adrenals
Renal Artery

Branch: Inferior
Suprarenal Artery > Inferior Part of
Adrenals

Celiac Trunk
(Supplies Foregut)

Branches: Si Celia,
nagpa-CS with
LiGation
1
...

Gastrodudeonal
2
...
Right Gastric

2 Branches of
Gastroduodenal:
1
...
Right
Gastroepiploic

2 Branches of
Hepatic Artery
Proper:
1
...
Left Hepatic
Artery

1 Branch of Right
Hepatic Artery:
1
...
Middle Colic ->
Transverse colon

What divides the
Midgut and
Hindgut?

Watershed Area (at
the distal 1/3 of the
Transverse Colon

2
...
Splenic

4 Branches of
Splenic D&G:
1
...
Greater
Pancreatic
3
...
Short Gastric

3
...
Jejunal
4
...
Ileocolic ->
Terminal Ileum,
Cecum, Appendix
6
...
Left Colic - >
Descending colon
2
...
Sigmorectal
4
...
Internal Iliac ->
Anterior and
Posterior
Divisions

Anterior Division Branches: IIIOUUVM (I I I Owe You You
Very Much) 1
...
Internal Iliac 3
...
Obturator 5
...
Uterine 7
...

Middle Rectal
Posterior Division Branches ILS (I Love Sex) 1
...

Lateral Sacral 3
...
External Iliac
LIVER
What divides the liver ANATOMICALLY
into right and left parts?

Falciform Ligament

What divides the liver SURGICALLY
into functional lobes?

Cantie’s Line - traverses from the fundus
of the gallbladders until the IVC

What structure is in the Cantie’s line?

Middle Hepatic Vein
Couinaud Segments

1 (iCAU)

Caudate

2

P

Left PosteroLateral

3

A

Left Anterior

4

M

Left Medial =
QUADRATE

5 (5AM)

AM

Right AnteroMedial

6 (RALLY)

RAL

Right AnteroLateral

7 (PLS)

PLS

Right
PosteroLateral
Segment

8 (PM)

PM

Right
PosteroMedial

Mnemonic: At 5AM, May 6 na
taong nag Rally
...


Ducts of Lushka

SMALL INTESTIVE
1st Part

Superior (Cap)

5cm

2nd Part

Descending

7-20 cm

3rd Part

Horizontal

6-8 cm

4th Part

Ascending

SHORTEST

Intraperitoneal
Head of Pancreas
Retroperitoneal
Ligament of Treitz

JEJUNUM VS ILEUM
JEJUNUM

ILEUM

WALL

THICKER

THIN AND LIGHT

COLOR

HIGHLY RED

PALER PINK

LUMEN

NARROW

WIDER

VASA RECTA
(STRAIGHT
VESSELS

TALLER WIDER

SHORT, NARROW

VASCULATIRY

GREATER

WALVES OF
KERCRKING

LARGE, TALL,
CLOSELY
PACKED

LOW, SPARSE

PEYERS PATCH

FEW

MANY

MESENTERIC FAT

LESS

MORE

LESSER

SAAN LANG NANALO SI ILEUM? PLM
PEYER’S PATCH, LUMEN,
MESENTERIC FAT

CLINICAL CORRELATES
HERNIAS
LITTRES HERNIA

MECKEL’S
DIVERTICULUM

LITTLE kids have
Meckel’s

RICHTERS
NERNIA

INCARCERATED

Ang mga RICH,
may CAR

COOPERS
HERNIA

FEMORAL HERNIA
W/ TWO SACS

OO - TWO O’s

VELPEAU HERNIA A HERNIA IN THE
GROIN IN FRONT
OF THE FEMORAL
BLOOD VESSELS
AMYANDS
HERNIA

APPENDIX

A-A

INCISIONS

SPACES AND SIGNS

KOCHERS

RIGHT
SUBCOSTAL, FOR
GALL BLADDER
OPERATION

BOGROS SPACE

SPACE BEHIND
INGUINAL
LIGAMENT

CHEVRON

BILATERAL
SUBCOSTAL

RETZIUS SPACE

SPACE BEHIND
PUBIC
SYMPHYSIS

MERCEDES

BILATERAL ON
THE COSTAL
CARTILAGE
ITSELF, SA TAAS
NG CHEVRON

BALLANCES SIGN

DULLNESS IN
LEFT FLANK DUE
TO COAGULATED
BOOD

ROCKY DAVIS/
LANZ

TRANSVERSE
THROUGH MC
BURNEY’S POINT

KEHRS SIGN

PAIN ON THE
RIGHT
SHOULDER DUE
TO SPLENIC
RUPTURE

GRIDIONS

OBLIQUE
THROUGH MC
BURNEY’S POINT

DUNPHYS SIGN
“DAMPI” WHEN
COUGHING

INCREASED PAIN
ON THE RUQ
WHEN COUGHING

RUTHERFORD
MORRISON

FOR SITUS
INVERSUS (ON
RLQ)
ANTERIOR ABDOMINAL WALL

TRANSPYLORIC
PLANE

FROM SUPRAMANDIBULAR NOTCH TO
PUBIC SYMPHYSIS

LOWER BORDER
OF L1

TRANSTUBERCUL
AR PLACE

MIDWAY BETWEEN TRANSPYLORIC
PLANCE AND PUBIC SYMPHYSIS

L4-L5

ARCUATE LINE

MAKE AN INFRAUMBILICAL LINE
...
THE ARCUATE LINE
IS BETWEEN THE UPPER 1/3 AND
MIDDLE 1/3

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