Wednesday, 26-Sep-2018 01:49:20 EDT

Re: Posterior Abdominal Structures Part I.

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Posted by lae2 on October 12, 2017 at 10:38:09:

In Reply to: Re: Posterior Abdominal Structures Part I. posted by Daniel on October 11, 2017 at 08:00:15:

: : True/False

: : 1. The renal fascia is a diverticulum of transversalis fascia that guards against renal ptosis.
: False, no transversals fascia in the peritoneal cavity? Agree. But transversalis fascia lines the abdominal cavity. Renal fascia is derived from EPCT
: : 2. Perirenal fascia accommodates distention of the renal pelvis.
: True Agree.
: : 3. The renal fascia is a condensation of parietal pelvic fascia that envelops the perirenal venous plexus.
: False Agree.
: : 4. From anterior to posterior are the renal vein, renal artery, and proximal ureter.
: True Agree.
: : 5. The left renal vein may become compressed if there is a inferior mesenteric aneurysm near the aorta.
: Correctamundo Disagree. Superior mesenteric aneurysm.
: : 6. The superior pole of the left kidney is anterior to the lumbocostal trigone and lateral to the lateral arcuate ligament.
: True Agree.
: : 7. Sensory innervation of the ureter is hosted by the somatic nervous system.
: False, sensory innervation follows sympathetic nervous fibers Agree. To upper lumber cord segments. Refer to dermatomes.
: : 8. The ovaries and testicles migrated during development from near the kidneys.
: From where the kidneys are in the adult, i will say true. During development kidneys move up and gonads move down, so if we are speaking embryologically the answer is false. Agree. Migrated from upper lumber regions; thus, the story behind referred pain and lymphatic drainage.
: : 9. Metastatic disease from the superior pole of either the ovary or the testicle is expected to affect upper lumber lymph nodes.
: True for ovary, not sure about testicle Agree. True for both. Why not?
: : 10. Metastatic disease from the inferior pole of either the ovary or the testicle is expected to affect internal iliac lymph nodes.
: False, off the top of my head I can not think of any veins running from the ovary to the int. iliac (Good thought process?) Disagree. Both superficial and internal iliac nodes may be involved. Know the arterial/venous supply.
: : 11. Metastatic disease from the inferior pole of either the ovary or the testicle is expected to affect superficial inguinal lymph nodes.
: True Agree. remnants of the gubernaculum convey lymphatic vessels.
: : 12. Metastatic disease from the cremasteric fascia is expected to affect external iliac lymph nodes.
: True, because deferential artery branches from/near inferior epigastric? Agree. But cremasteric vessels are the thought process.
: : 13. Metastatic disease from the kidney is expected to affect the lungs more so than the liver.
: True, do kidneys bypass portal vein? Agree. Kidneys drain to IVC. Lungs before liver.
: : 14. Metastatic disease from the spleen is expected to affect the liver more so than the lungs.
: True, splenic vein contributes to part of portal vein Agree.
: : 15. Metastatic disease from the suprarenal gland is expected to affect the lungs more so than the liver.
: True, same reasoning as in #13? Agree. Central veins drain to IVC (left renal v on left).
: : 16. Metastatic disease from the jejunum is expected to affect the lungs more so than the liver.
: False, liver Agree. Portal.
: : 17. Metastatic disease from the left colic flexure is expected to affect the lungs more so than the liver.
: False, liver Agree.
: : 18. Metastatic disease from the ovary or testicle is expected to affect the lungs more so than the liver.
: true Agree.
: : 19. Questions 13 through 18 require knowledge that compares the caval venous system and the portal venous system.
: True, which i am shaky on. Agree.
: : 20. The suprarenal gland is supplied by 3 arteries and 1 vein.
: True, inferior, middle, and superior suprarenal A, suprarenal vein. Agree.




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