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Surface Anatomy Guy: Document where the following organs/structures can be palpated: Liver Spleen Gallbladder Draw in: Linea alba Linea semilunaris McBurney’s point ASIS Deep Inguinal ring Opening in transversalis fascia Superficial Inguinal ring Opening in external oblique 1 2 Linea Alba 3 Liver= can be palpated at its inferior margin below right costal margin, when patient is inhaling deeply (can feel edge of the liver “slipping” over fingers) Spleen= Press down just below the left costal margin with your right hand while asking the patient to take a deep breath. It may help to use your left hand to lift the lower rib cage and flank (actually not palpable on most individuals) Gallbladder= normally not palpable; can be if enlarged (from a medical issue) by pressing under the right, middle costal margin, under the rib cage Spermatic cord goes through entire inguinal canal (males) Round ligament of uterus (in females) ASIS 4 Deep inguinal ring Superficial I.R.
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Abdomen Forum2011
Surface Anatomy Guy:
Document where the following organs/structures can be palpated:1. Liver2. Spleen3. Gallbladder
Draw in:4. Linea alba5. Linea semilunaris6. McBurney’s point7. ASIS8. Deep Inguinal ring
1. Opening in transversalis fascia
9. Superficial Inguinal ring1. Opening in external oblique
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Linea Alba
ASIS
Deep inguinal ring
Superficial I.R.
Surface Anatomy Guy:
Draw in the 4 lines to create the “9-region pattern”
Name the 9 regions.
What organs are found in each?
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Right Flank Left FlankUmbilical
Right Groin Left GroinPubic
Right Hypochondrium Left
HypochondriumEpigastric
Compare and Contrast!Patient A – 42 year-old male presenting after trying to move his dishwasher
Patient B – newborn male
Identify!1
What's my lymphatic drainage?
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Identify!
9
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4 56
2 7
8
Identify!
13
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27
8
Identify!
SUPER BONUS!Identify!
Identify; What’s wrong?48-year-old male with abdominal pain. CT scans reveal:
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6PANCREOTITIS
History? What’s wrong?44-year-old male with pain in lower right quadrant. CT scan reveals:
CT scan of a 50-year-old male reveals:
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3
Barium swallow in a 43-year-old female with
abdominal pain:
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Duodenal Diverticulum (ridges on 3)
Barium swallow in a 39-year-old female with dysphagia:
Hint:What congenital anomaly is
responsible?
MRI of a 9-month-old male with dysphagia and an abdominal mass reveals the following:
?
Barium enema in a 38-year-old female with a abdomino-pelvic
mass reveals the following:
*
Barium enema in a 1-year-old male
with difficulty defecating reveals:
**
Barium enema and CT scan of a 23-year-old male with a lumbar mass reveals the following:
Radiograph from a 73-year-old female with abdominal pain and elevated WBCs:
Hint:
CT scan from a 30-year-old female with complaints of vomiting and weight loss:
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Enlarged spleen; spleen infected and pushing on stomach, leading to vomiting and weight loss
Superior mesenteric syndrome?
24-year-old female presents
with the chief compliant of
suprapubic pain. A pelvic
radiograph reveals:
GO!
213
45
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7
GO!1
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4
GO!
1 2
34
GO!
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4Super BONUS!
Referred Pain Guy:A 30-year-old male presents with pain in the region indicated. 1. What organ is indicated?2. What spinal cord levels are involved?3. Cell bodies in what location are
responsible for relay of pain from this organ?
A 16-year-old female presents with a fever and pain in the region indicated.4. Which organ is implicated?5. What spinal cord level is involved?6. Is this somatic or visceral pain?
A 36-year-old female presents with pain in the region indicated.7. Which organ is implicated?
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