ABDOMEN AND PELVIS

GUIDELINE
Reference book : bd churasia ; abdomen is
conceptual regarding to clinical orientation so
prep its well by knowing relation of different
organs ,,do it along with GIT in embryo ,visualize it
by using Atlas .
ANTERIOR ABDOMINAL WALL
1. Prep it well regarding to UQ(hernias, rectus
sheath, inguinal canal)
2. position of umbilicus and its importance
3. what is caput medusa.
4. Cutaneous nerves and arteries
5. Internal, external oblique, transverses
abdominis muscles nerve supply
6. Inguinal ligament just read its extensions
7. Conjoint tendon, cremester muscle read it for
viva point
8. Deep cutaneous nerve, arteries read it
 9. Rectus sheath walls, content, new
concept*****
10.Fascia transversalis, for viva
11.Inguinal canal(most imp) boundaries,
structure passing *****
12.Internal and external hernia difference from
klm and their relation with artery *****
13.Median and paramedian incision ***
14.What is triangle of Hassel Bach?
15.Difference b/w direct and indirect inguinal
hernia ***and their relation with inferior
epigastric artery

PERITONEUM
• Nine regions of abdomen and their contents
from klm ***and BD Table
• Parietal and visceral peritoneum especially
nerve supply
• Different Functions of peritoneum ***
• Derivatives of ventral and dorsal
mesogastrium give read
• Greater omentum attachments, contents,
function****
• Lesser omentum (vimp) Attachments and
contents***
• Epiploic foramen or foramen of Winslow and
clinical importance***
• lesser sac *******
• Peritoneal folds from klm ****
• Subphrenic spaces give read and also read
superior and inferior colic compartment
• Morrison pouch, pouch of douglas ****and
their clinical importance
• Names of duodenal recesses.
 STOMACH
1. Stomach peritoneal and visceral relation read
2. Stomach bed ***
3. Stomach blood supply and lymph nodes
***with fig draw

SMALL AND LARGE INTESTINE

1. Duodenum relation especially first ,second
part ***focus on
2. posterior relation of duodenum and its clinical
importance
3. Duodenal blood supply and lymph nodes
4. Small and large intestine difference with blood
supply and Lmyph nodes
5. and jejunum difference
6. Ileum Appendix location **with position of
appendix, refried pain, blood supply and
nerve supply
7. Mc Burney point and appendicitis ******
8. Duodenal relation with kidney
 GUT BLOOD VESSELS
• Draw marginal artery of Drummond*****
• What do u know about Nut Cracker
syndrome(vvvvvv.imp)***
• Abdominal aorta branches name and paired
and unpaired branches
• Celiac trunk ,course ,branches ***
• Superior and inferior mesenteric artery and
their vertebral level and clinical
• Relations of portal vein(vvvvv.imp) Sites of
portocaval anastomosis(vvvvvvv.imp)****do
the portal vein relation

EXTRA HEPATIC BILIARY APPRATUS

1. Relations of bile duct, Courvoisier law n
Calot's triangle ***
2. Blood supply of gall bladder and its nerve
supply and referred pain ***
3. Choledectomy **from klm
4. Hepatopancreatic ampulla formation **

SPLEEN,LIVER and PANCREAS

• All supplies ,spleen blood supply from klm,
pancreas and lymph nodes and blood supply
• Splenic rupture, splenectomy, pancreatitis,
liver cirrhosis do from klm and read bd clinical
• relations of pancreases(vvvvvv.imp) and
annular pancreas
• Refried pain of these viscera

DIAPHRAGM
1. Diaphragm blood supply and nerve
supply(less important chap)
2. Diaphragmatic hernia and openings *
3. Ligaments medial and lateral arcuate
ligaments from snell
 POSTERIOR ABDOMINAL WALL
• Aorta and its branches enumerate
• vena cava and its tributaries
• Lymph node of posterior abdominal wall
muscles, psoas abscess, thoracumbar fascia.
• Lumbar plexus, celiac ganglia and its branches
• Hypo gastric plexus and layers of abdomen.

KIDNEY and URETER

1. Relations of kidney along with diagram ***
2. Capsules and vascular segments
3. Supplies and exposure from behind ,renal
angle****
4. Course of Ureter, constrictions, abdominal
part and relations and supplies are
important*****
5. Anomalies of kidney and ureter clinical from
klm
 PERINEUM
• Boundaries, Pineal body, External anal
sphincter
• ischioanal fossa ,contents and its related
clinical***
• Male and female perineum difference from
klm or BD
• Structures passing through perineal
membrane
• Pudendal canal and contents
• Pudendal nerve supply and pudendal artery
just branches
• Superficial and deep perineal pouches

PELVIC WALL
1. Pelvic boundaries ***
2. Male and female pelvic wall difference for viva
3. Clinical read from BD
4. Pelvic diaphragm and joints
URINARY BLADDER and URETHRA
• Peritoneal relations of bladder(imp),
ligaments(names),supplies.
• urethra(supplies only)

FEMALE REPRODUCTIVE SYSTEM

1. position and relations of ovary(imp)
2. supplies, course and supplies of fallopian tube
3. Positions of uterus(v.imp).
4. ligaments of uterus(names),supplies and
supports(v.imp).
5. vagina, fornixes and supplies

MALE REPRODUCTIVE SYSTEM

• only supplies of ductus deferens
• prostate(v.imp, zones, capsules ligaments,
supplies)and their relation with Vertebral
veins(v.imp).
 • Scrotum layers from klm ,blood supply and
nerve supply
• Varicocoele
• Testis blood supplies

RECTUM and ANAL CANAL

1. relations of rectum (vvvv.imp) supplies(v.imp),
supports (imp).
2. significance of digital rectal examination
procidentia
3. AnaI canal(v.imp-especially comparison of its
parts).

WALLS OF PELVIS
Pelvis(these topics are given on BD page 425)

1. Attachments, nerve supply and action of

levator ani and coccygeus are imp.
 2. Sacro iliac joint n lambosacral joint are
important
3. (ligaments names only)
4. How disease of lumbosacral and sacroiliac
joint can be difference?
5. Muscles forming pelvis diaphragm and their
attachments

BY MEDICOSE FEVER TEAM

THANK YOU