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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, US(dito nakakabili ng C2


Hangman fracture 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, Maniac, X X


end of LarynX -> start of Trachea, end of San nakipag-sex lying
PharynX -> start of esophagus, *First maniac? sa cricoid
Esophageal Constriction Site cartilage

C7 Thoracic Duct, Thyroid Isthmus Say Thank you to C7

C7-T1 Apex of lungs (above the clavicle)

T1 Sternoclavicular joint

T2-T3 Suprajugular Notch Channel 23 - Superman

T4 Manumbrium

T4-T5 Sternal Angle of Louis

T5 Body of Sternum (T5-T9)

Heart/Pericardium (T5-T8)

T7-T8 Nipple 4/10/1978 - Nipple is at


Dermatome level T4, 10 cm
from midline, at Verterbral
level T7-T8

T9-T10 Xiphoid

L1 GU Tract: Hilum (of Kidneys), Renal Pelvis, Ang dami!


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) At age 34, protruding na


Umbilicus sa laki ng tiyan

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
VERTEBRAL LEVELS EXTRA NOTES

*Diaphgram T8 -> IVC, Right Phrenic Nerve I 8 10 Eggs At 12


Openings T10 -> Esophagus, Vagus Nerve
T12 -> Abdominal Aorta, Thoracic Duct
(Twelve)

*Cysterna Chyli starts at L2 -> ends at C7 ChyLII

Other Structures at 1. Crossing of Thoracic duct from R -> L 2. End of Ascending, Start 3. Left Main
T4-T5 of Arch, End of Arch, Start Bronchus
(6 STRUCTURES) of Descending

4.BIFURCATIONS: Tracheal Bifurcation, VEINS: Start of SVC, Second Esophageal


Pulmonary Trunk Bifurcation Drainaiage of Azygous vein Constriction Site

* Esphageal FIRST: C6 - Cricopharyngeus (dito sila SECOND: T4-T5 THIRD: T10 (where
Constriction Sites nag sex!) - marks the end of esophagus is enters the
(THREE) diaphragm)

* Where is the In the Adult, Superior Mediastinum, In Somewhere around T5-T9,


Thymus? children, it is a fatty remnant at the since the Inferior
Inferior, Anterior Mediastinum 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 Ribs 8-10 joints Rib 7
kasi False)

Floating Ribs Ribs 11-12 Ribs 11 and 12 Ends


blindly

TYPICAL versus ATYPICAL RIBS

Typical Ribs Ribs 3-9 Typical ribs have:


1. a head with two facets
2. a neck
3. a tubercle
4. a twisted body

Ribs 1, 2, 10, 11, 12

Rib 1 is atypical because 1. head with 1 facet TIP: LAHAT ng may “1”, 1
it has a: 2. horizontal body lang facet, (Rib 1, 10, 11,
3. scalene tubercle with 2 12)
depressions for the
subclavian artery and
Atypical Ribs vein

Rib 2: angulated body

Rib 10 1 facet

Rib 11 and 12 1 facet, no neck, no


tubercle

WHERE DO THE COSTAL CARTILAGES OF THE RIBS CONNECT?

Rib 2 T4-T5 (Angle of Louis) Si Luis Manzano, taga-


channel 2

Rib 7 Xiphisternal Joint


MUSCLES RELATED TO BREATHING

Scalene Muscle When ribs elevate on


inspiration, Rib 1 does
NOT elevate because of
this muscle

Grynfeltt-Lesshaft 12th Rib, Internal oblique, 12 lang IQ ng La Salle *Rib 12 doesn’t move
Triangle Quadratus Lumborum (Mnemonic lang!) because of the Quadratus
Lumborum

During SILENT INSPIRTATION:

Depressors (SPIT) SPI (Serratus Posterior Elevators (SLISE) S (Serratus Posterior


Inferior) Superior)

I (Internal Intercostal) L (Levator Costarum)

After slicing the cake,


When you spit, PABABA T (Transversus Thoracis) I (Innermost intercostal)
umeksena ka, ITAAS
ang laway.
mo.
S (Subcostalis)

E (External Intercostal)

During FORCED INSPIRTATION:

MAIN MUSCLES involved: SS SECONDARY MUSCLES involved:


INTERCOSTALS

SCM Scalene External intercostal Elevator

Internal Intercostal Rib to rib: Depressor


CC to CC: Elevator
Innermost intercostal

During FORCED Expiration: MAINLY, Abdominal Muscles

LOWER BORDERS OF THE LUNGS AND PLEURAL CAVITY

6-8-10 8-10-12

6th Rib, MCL 8th Rib, MCL

8th Rib, MAL 10th Rib, MAL

10th rib, sides of Vertebral Column 12th rib, sides of Vertebral Column

LOWER margin of lungs at full EXPIRATION/ Margins LOWER margin of lungs at full INSPIRATION/
of VISCERAL pleura Margins of PARIETAL Pleura/ COSTAL LINE of
PLEURAL RELFECTION

LUNG LOBES, FISSURES, AND SEGMENTS

RIGHT LEFT

LOBES: SIM LOBES: SI


Superior, Inferior, Middle Superior, Inferior
NO MIDDLE!

SEGMENTS (Each lobe has segments) SEGMENTS (Each lobe has segments)

Superior: APA Superior: APASI


Apical, Posterior, Anterior Same as Right + Superior Lingula, Inferior Lingula

Middle: Lateral, Medial NO MIDDLE LOBE!

Inferior: PSALM Inferior: PSALM (same as right)


Posterior, Superior, Anterior, Lateral, Medial

HORIZONTAL FISSURE - separates Superior and NO HORIZONTAL FISSURE!


Middle Lobes

OBLIQUE FISSURE - separates Inferior lobe from both OBLIQUE FISSURE - separates Superior and Inferior
the Superior and Middle Lobe Lobes

Each segment is supplied by a bronchial artery, the bronchial veins are in between the segments
CLINICAL CORRELATES

What is damaged when an object is impaled in the UPPER Half of Superior Vena Cava
first ICS?

What is damaged when an object is impaled in the LOWER half of Superior Vena Cava
2nd CC?

Fracture of the R and L Sternoclavicular Joint Braciocephalic Vein


damages which structure?

Which structure is damaged when there is a Subclavian Vein


fracture of the medial 3rd of the clavicle

The costoclavicular ligament is also known as Halsted Ligament *also the landmark in insertion
what? of Swan Ganz catheter into the Subclavian Vein

TRACHEA

Condunction Zone (T->T) Trachea -> Primary Bronchiole -> Secondary


(Lobar) Bronchiole -> Tertiary (Segmental)
Bronchiole) -> Terminal Bronchioles

Respiratory Zone Respiratory Bronchiles -> Alv. Duct -> Alv. Sac ->
Alveoli

“Upper” Respiratory Zone until Pharynx

Blood Supply of Trachea ITA BA

Proximal 2/3: ITA: Internal Thoracic Artery Distal 1/3: BA: Bronchial Artery

Diameter of the Airways

Trachea - 18mm Terminal - <1mm

Primary - 12.2mm Respiratory - 0.5mm

Secondary - 8.3mm Alveolus - 200 micrometers

Tertiary - 5.6mm

BREAST

BLOOD SUPPLY

LATERAL MEDIAL

Lateral Thoracic Artery Internal Thoracic/Internal Mammary Artery

INNVERATION = 4th - 6th Intercostal Nerves

VENOUS DRAINAIGE = Axillary Vein

LYMPHATIC DRAINAIGE

C (Central)

H (Humeral/Lateral)
Axillary Group [CHAPS] drain the Upper Outer
A (Apical)
Quadrants
P (Pectoral/Anterior) - First site of drainaige

S (Subscapular/Posterior)
SURGERY CORRELATE

Level 1 (Lateral to Pectoralis Minor) PECTORAL, SUBSCAPULAR, HUMERAL

Level 2 (Posterior to Pectoralis Minor) CENTRAL, ROTTERS NODES

Level 3 (Anterior / Medial to Pectoralis Minor) APICAL

What structure divides the Axillary Lymph nodes Pectoralis MINOR


into 3?

Parasternal LNs Drains Upper Inner Quadrants

Inferior Phrenic LNs Drains the Lower Quadrants

Rotter’s Nodes = Interpectoral Nodes

AXILLARY ARTERY BRANHCES

1st Part has 1 Branch STA Superior Thoracic Artery

2nd Part has 2 Branches TL (Tulo Laway) Thoracoacromial Artery, Lateral


Thoracic Artery,

3rd Part has 3 Branhces Mnemonic: @S@ (iyong dalawang swirly daw is
Circumflex)
Subscapularis (largest) Artery
Post. Circumflex Artery
Ant. Circumflex Artery

What divides the Axillary Artery into three branches? Pectoralis MINOR

What marks the transition of Subclavian Artery to First Rib


Axillary Artery?

What marks the transition of Axillary Artery to Teres MAJOR


Brachial Artery?

SUBLCLAVIAN ARTERY BRANCHES VIT C & D

1st Part has 3 Branches VIT Vertebral


Internal Mammary/Thoracic, Thyrocervical*

*What are the branches of the Thyrocervical Trunk? (THYO = TAYO = SIT) Suprascapular, Inferior
Thyroid, Transverse Cervical

2nd Part has 1 Branch C Costocervical

What are the branches of the Costocervical Trunk? (Sa COAST[COSTO], may DEEP SEA [SIA]) Deep
Cervical, Superior Intervertebral Artery

3rd Part has 1 Branch D Dorsal Scapular

What are the branches of the Doral Scapular? (Open The Door for Rhomboids and Levator
Scapula) Rhomboids, Levator Scapulae
HEART

VALVES AND THEIR CUSPS

VALVES CUSPS Mnemonic

Tricuspid (Three Anterior, Septal, tricASPid


cusps) Posterior

Mitral (Bicuspid) (Two Anterior, Posterior mAP


Cusps)

Pulmonary Left, Anterior, Right pulmoLARy

Aortic Posterior, Left, Right PALoR

What is located 1 fingerbreadth above the AV Node


Septal leaflet of the Tricuspid?

WHERE TO AUSCULTATE FOR THE HEART SOUNDS (see picture below)


Mnemonic: Always Pray To Mama Mary (APTM) at 22:45 (10:45pm bago matulog)

A 2nd ICS, Right

P 2nd ICS, Left

T 4th ICS, Right or Left

M 5th, Left MCL (Apex)

SURFACE ANATOMY: EXACT LOCATION OF THE VALVES (see picture below)

TRy Pending A M

S (Intercostal Space) C (CC) S (ICS) C (CC)

4 3 3 4

R L L L

Mnemonic: “Mumshie PAM, TRy mo naman ipareserve iyong Student Center Student Center, Dial
4334 lang.” After tawagan ni Pam: “Hay
naku Mumsh, pending pa iyong reservation.”

Tricuspid 4th ICS, Right Behind Right half of All are BEHIND the
Sternum STERNUM, except the
Pulmonary, which is at
Pulmonary 3rd CC, Left Behind Medial End of the END of the costal
3rd Left Costal cartilage (kaya
Cartilage Pending.
*Note: TRy. Tricuspid
Aortic 3rd ICS, Left Behind Left Half of
lang and Right!
Sternum

Mitral 4th CC, Left Behind Left Half of


Sternum
SURFACES OF THE HEART (see picture below)

Pulmonary Surface RA (Right) Si Doc RA, may bag na


LV. Sosyal.
LV (Left)

Sternocostal (Anterior) RA (Superior) Si Doc RA and RV


Surface (MOST anterior)
RV (Inferior)

Diaphragmatic (Inferior) both ventricles, mainly LV


Surface

Base LA Bala! (as in bullet)

Apex LV, 5th ICS LMCL

The Right Atrium is at the Right 4th Parasternal Border

CARDIAC SILHOUETTE (3365)

RIGHT 3rd Right CC 3rd Left CC LEFT

6th Right CC 5th ICS Left MCL

RIGHT ATRIUM

Which 5 Veins directly drain into the RA? SVC, IVC, Coronary Sinus, Anterior Cardiac Vein,
Thesbian Veins

What is the valve of the IVC? Eustachian Valve (VICE Ganda)

What is the valve of the Coronary Sinus? Thesbian Valve

What is the smooth part of the RA? Sinus Venarum

What is the rough part of the RA? Pectinate muscle/Muscusli pectinati

Which structure separates the smooth part from Crista Terminalis internally
the rought part? Sulcus Terminalis externally

What is the remnant of the foramen ovale? Fossa Ovalis

Failure of the Fossa Ovalis to close results in? ASD (MC Type: Secundum)

What is the earlike structure in the RA? Auricle

RIGHT VENTRICLE

What are the muscles in the RV? Trabeculae carnae, papillary muscle, cord
tendinae, moderator band

Which is cone-shaped and dictates the opening Papillary Musle


and closing of the cusps?

What connects the papillary muscle to the cusps? Chordate Tendinae

Which is obliquely placed and attached to the Moderator Band


papillary muscle?

What are the different types of VDS (MC Membranous, Infracristal, Supracristal, Muscular
Congenital Anomaly of the Heart) from MOST
common to LEAST common?

Endocardial Cushion Defect is associated with Down’s Syndrome


what syndrome?

Conus Infundibulum: RV; _________: LV? Aortic Vestibule


CONDUCTION SYSTEM

Internodal Pathways Eponym (BAWAT) Location (APOL)


(AMPlifier)

Anterior Bachmann Anterior of SVC

Middle Weckebach Posterior of SVC

Posterior Thorell *inside Lateral to SVC


Terminalis

Where is the RBBB? It is covered by the ModeratoRB BBand


Moderator Band

Where is the LBBB? Just below the endocardium

Where is the SA Node? On the epicardium, specifically, lateral to entrance


of the SVC to the RA in the sinus venarum

Where is the AV Node? At the interatrial septum, near the opening of the
Coronary Sinus

CORONARY ARTERIES

Remember LARP : The LCA supplies the Anterior heart, the RCA supplies the Posterior heart

RCA (Si Rica) branches LCA Branches Mneominic: Si Lady Diana ay


patay (X) na at Kulot (obtuse)

Conus Artery LAD (Left Anterior Si Lady, the widow


Descening) - most maker artery or the Third
common in MI coronary artery

SA Nodal Artery (In 35% of people, it Diagonal Si Diana


branches from the LCA)

AV Nodal Artery (In 25% of people, it Circumflex (X)


branches from the LCA
instead)

Marginal Artery Obtuse Kulot

PDA (Posterior Nakipag PDA si RICA


Descending Artery) (In 10% of people, it
branches from the LCA
instead)

In Right Dominance, PDA is from RBA (90%). In


Left Dominance, PDA is from LCA (10%).

The RCA supplies the whole RA and most of the The LCA supplies the whole LA and most of the LV
RV

ECG

All branches of the LCA causes ↑ST except the (X)


which causes both ↑ST (V4, V6) and ↓ST (V1,V2)

Proximal LAD V1-V6 ↑ST

Distal LAD V1-V3 ↑ST

Marginal (of LCA) V4-V6 ↑ST

RCA ↑ST ↓ST

V2R- V4R, V1, II, III V2, V3

Prox RCA V5 V6 V1 V2

Distal RVA II, III I


ESOPHAGUS

Distance from the Incisor of the


following:

15cm Criophayngeus +3 if from External


Nares
25cm Second Constriction
Site

31cm Hiatal Opening

56-59cm Duodenum

APPPLICATION: If bleeding was seen at Somewhere at the stomach, it may be a


47cm (EGD), which part of the GIT is Gastric Carcinoma
involved?

BLOOD SUPPLY of Esophagus

ITA BE LGA (Itabi ang Liga)

1st Part ITA Internal Thoracic


Art.

2nd Part BE Bronchial Art., *Note: These are *Note: The 1st and
Esophageal Art. branches of the 2nd PIAS come
Thoracic Aorta, from SIA (Superior
the 3rd-11th PIAS Intercostal Artery)
(Posterior
Intercostal
Arteries) also
branch from the
Thoracic Aorta.

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 Retrocecal (MOST COMMON), Retroileal
Appendix? (LEAST COMMON)

What are the 3 kinds of Taenia Coli? Taenia Libera, Taenia Mosocolia, Taenia
Omentales

RECTUM

Which is the critical point of the Sudeck point S3, also a watershed area
rectosigmoid junction that is described
as the point of origin of the last
sigmoid arterial branch?

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 Valves of Houston


for Hirchsprung disease?
ABDOMINAL AORTA AND THEIR BRANCHES SUPERTABLE

ABDOMINAL 1ST GENERATION 2ND 3RD GENERATION 4TH GENERATION


AORTA DIRECT BRANCHES GENERATION BRANCHES BRANCHES
BRANCHES BRANCHES

Inferior Phrenic Branch: Superior


Artery Suprarenal Artery -
> Superior part of the
Adrenals

Middle Suprarenal
Artery -> Middle
Part of the Adrenals

Renal Artery Branch: Inferior


Suprarenal Artery -
> Inferior Part of
Adrenals

Celiac Trunk Branches: Si Celia,


(Supplies Foregut) nagpa-CS with
LiGation

1. Common Hepatic 3 Branches of 2 Branches of


Artery (CHA) Common Hepatic Gastroduodenal:
Artery (CHA) 1. Superior
GHRelin: Pancreaticodudeo
1. nal
Gastrodudeonal 2. Right
2. Hepatic Artery Gastroepiploic
Proper
3. Right Gastric

2 Branches of 1 Branch of Right


Hepatic Artery Hepatic Artery:
Proper: 1. Cystic Artery ->
1. Right Hepatic Gallbladder
Artery
2. Left Hepatic
Artery

2. Splenic 4 Branches of
Splenic D&G:
1. Dosal
Pancreatic
2. Greater
Pancreatic
3. Left
Gastroepiploic
4. Short Gastric

3. Left Gastric
Superior Branches of SMA: What divides the Ampulla of Vater
Mesenteric Artery MR JI IC IPANC Foregut and
(Supplies Midgut) Midgut?
1. Middle Colic -> What divides the Watershed Area (at
Transverse colon Midgut and the distal 1/3 of the
Hindgut? Transverse Colon
2. Right Colic -> What divides the Ligament of Treitz
Ascending colon Upper and Lower
GIT?
3. Jejunal
4. Ileal What connects the Marginal Artery of
Middle Colic and Drummond (1st
Left Colic as a line of defense);
means of defense The Arc of Riolan
against ischemia? (2nd line of
defense)
5. Ileocolic ->
Terminal Ileum,
Cecum, Appendix
6. Inferior
Pancreaticoduoden
al
ABDOMINAL AORTA AND THEIR BRANCHES SUPERTABLE

ABDOMINAL 1ST GENERATION 2ND GENERATION 3RD GENERATION 4TH GENERATION


AORTA DIRECT BRANCHES BRANCHES BRANCHES BRANCHES
BRANCHES

Inferior Mesenteric Branches of the


Artery (supplies IMA: LSSS (Last
Hindgut) Song Syndrome
Syndome)

1. Left Colic - >


Descending colon

2. Sigmoidal

3. Sigmorectal

4. Superior Rectal

Testicular/Ovarian
Arteries

Lumbar Arteries

Medial Sacral
Arteries

Common Iliac Branches of the


Arteries Common Iliac:

1. Internal Iliac -> Anterior Division Branches: IIIOUUVM (I I I Owe You You
Anterior and Very Much) 1. Internal Pudendal 2. Internal Iliac 3. Inferior
Posterior Gluteal 4. Obturator 5. Umbilical 6. Uterine 7. Vaginal 8.
Divisions Middle Rectal

Posterior Division Branches ILS (I Love Sex) 1. Iliolumbar 2.


Lateral Sacral 3. Superior Gluteal

2. External Iliac

LIVER

What divides the liver ANATOMICALLY Falciform Ligament


into right and left parts?
What divides the liver SURGICALLY Cantie’s Line - traverses from the fundus
into functional lobes? 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 Mnemonic: At 5AM, May 6 na


6 (RALLY) RAL Right AnteroLateral taong nag Rally. Sabi ng police
at 7 - “PLS lang, hanggang 8PM
7 (PLS) PLS Right lang kayo!”
PosteroLateral
Segment

8 (PM) PM Right
PosteroMedial
The Letter “H”

Ligamentum Caudate Lobe IVC


Venosum (LV),

Ligamentum Teres Quadrate Lobe


Hepatis (Round
Ligament) Si Gallbladder
Taylor Laughter
bilog ilong

The Ligamentum Venosum is a Ductus Venosus


remnant of?

Ligamentum Teres Hepatis (Round Umbilical Vein


Ligament) is a remnant of?

Components of the Portal Triad HAp PY BDay! Hepatic Artery, Portal


Vein, Bile Duct

What ligament covers the portal triad? HepatoDUODENAL LIGAMENT These 2 ligaments
= LESSER
HepatoGASTRIC ligament OMENTUM

GALLBLADDER

What maintains the neck of the Valves of Hesiter


gallbladder neck open at all times
(Valves of the Cystic Duct)?

The cystic duct can be bypassed Ducts of Lushka


through these ducts because they
have a direct connection from the
gallbladder to the liver.

SMALL INTESTIVE

1st Part Superior (Cap) 5cm Intraperitoneal

2nd Part Descending 7-20 cm Head of Pancreas

3rd Part Horizontal 6-8 cm Retroperitoneal

4th Part Ascending SHORTEST Ligament of Treitz

JEJUNUM VS ILEUM

JEJUNUM ILEUM

WALL THICKER THIN AND LIGHT

COLOR HIGHLY RED PALER PINK SAAN LANG NANALO SI ILEUM? PLM
PEYER’S PATCH, LUMEN,
LUMEN NARROW WIDER MESENTERIC FAT
VASA RECTA TALLER WIDER SHORT, NARROW
(STRAIGHT
VESSELS

VASCULATIRY GREATER LESSER

WALVES OF LARGE, TALL, LOW, SPARSE


KERCRKING CLOSELY
PACKED

PEYERS PATCH FEW MANY

MESENTERIC FAT LESS MORE


CLINICAL CORRELATES

HERNIAS

LITTRES HERNIA MECKEL’S LITTLE kids have


DIVERTICULUM Meckel’s

RICHTERS INCARCERATED Ang mga RICH,


NERNIA may CAR

COOPERS FEMORAL HERNIA OO - TWO O’s


HERNIA W/ TWO SACS

VELPEAU HERNIA A HERNIA IN THE


GROIN IN FRONT
OF THE FEMORAL
BLOOD VESSELS

AMYANDS APPENDIX A-A


HERNIA

INCISIONS SPACES AND SIGNS

KOCHERS RIGHT BOGROS SPACE SPACE BEHIND


SUBCOSTAL, FOR INGUINAL
GALL BLADDER LIGAMENT
OPERATION

CHEVRON BILATERAL RETZIUS SPACE SPACE BEHIND


SUBCOSTAL PUBIC
SYMPHYSIS

MERCEDES BILATERAL ON BALLANCES SIGN DULLNESS IN


THE COSTAL LEFT FLANK DUE
CARTILAGE TO COAGULATED
ITSELF, SA TAAS BOOD
NG CHEVRON

ROCKY DAVIS/ TRANSVERSE KEHRS SIGN PAIN ON THE


LANZ THROUGH MC RIGHT
BURNEY’S POINT SHOULDER DUE
TO SPLENIC
RUPTURE

GRIDIONS OBLIQUE DUNPHYS SIGN INCREASED PAIN


THROUGH MC “DAMPI” WHEN ON THE RUQ
BURNEY’S POINT COUGHING WHEN COUGHING

RUTHERFORD FOR SITUS


MORRISON INVERSUS (ON
RLQ)

ANTERIOR ABDOMINAL WALL

TRANSPYLORIC FROM SUPRAMANDIBULAR NOTCH TO LOWER BORDER


PLANE PUBIC SYMPHYSIS OF L1

TRANSTUBERCUL MIDWAY BETWEEN TRANSPYLORIC L4-L5


AR PLACE PLANCE AND PUBIC SYMPHYSIS

ARCUATE LINE MAKE AN INFRAUMBILICAL LINE. THEN


MAKE 3 1/3s -> UPPER 1/3, MIDDLE 1/3,
AND LOWER 1/3. THE ARCUATE LINE
IS BETWEEN THE UPPER 1/3 AND
MIDDLE 1/3.

RECTUS SHEATH ABOVE BELOW

ANTERIOR APO OF EO, APO OF EO, APO *EO = EXTERNAL OBLIQUE, IO =


ANTERIOR APO OF IO, APO OF TA INTERNAL OBLIQUE, TA =
OF IO TRANSVERSUS ABDOMINIS

POSTERIOR POSTERIOR APO TRANSVERSALIS


OF IO, APO OF TA, FASCIA ONLY
TRANSVERSALIS
FASCA