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TOS:

McQ : 9
SeQ : 3

Refernece 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


Prep it well regarding to uq(hernias ,rectus sheath ,inguinal canal)
position of umbilicus and its importance
what is caput medusae.
Cutaneous nerves and arteries
internal,external oblique, transversus abdominis muscles nerve
supply
Inguinal ligament just read its extensions
Conjoint tendon, cremaster muscle read it for viva point
Deep cutanaeous nerve , arteries read it
Rectus sheath walls,content,new concept*****
Fascia transversalis, for viva
Inguinal canal(most imp) boundaries, structure passing *****
Internal and external hernia difference from klm and their relation
with artery *****
Median and paramedian incision ***
What is triangle of hasselbach
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 difference
Functions of peritoneum ***
Derivatives of ventral and dorsal mesogastrium give read
Greater omentum attachments,contents,function ****
Lesser omentum (vip)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
Stomach peritoneal and visceral relation give read
Stomach bed ***
Stomach blood supply and lymph nodes ***with fig draw
SMALL AND LARGE INTESTINE
Duodenum relation especially first ,second part ***focus on
posterior relation of duodenum and its clinical importance
Duodenal blood supply and lymph nodes
Small and large intestine difference with blood supply and
lmypnodes
Ileum and jejunum difference
Appendix location **with position of appendix ,refried pain ,blood
supply and nerve supply
Mc Burney point and appendicitis ******
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
Relations of bile duct,courvoisier law n Calot's triangle ***
Blood supply of gall bladder and its nerve supply and refrd pain ***
Choledectomy **from klm
Hepatopancreatic ampulla formation **

SPLEEN,LIVER and PANCREAS


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

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

KIDNEY and URETER


Relations of kidneyy along with diagram ***
Capsules and vascular segments
Supplies and exposure from behind ,renal angle****
Course of Ureter ,constrictions,abdominal part and relations and
supplies are important*****
Anomalies of kidney and ureter clinicals from klm

PERINEUM
Boundries,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
Pelvic boundaries ***
Male and female pelvic wall difference for viva
Clinicals read from BD
Pelvic diaphragm and joints of
URINARY BLADDER and URETHRA
Peritoneal relations of bladder(imp), ligaments(names),supplies.
urethra(supplies only)
FEMALE REPRODUCTIVE SYSTEM
position and relations of ovary(imp)
supplies,course and supplies of fallopian tube
Positions of uterus(v.imp).
ligaments of uterus(names),supplies and supports(v.imp).
vagina , fornices 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
Testsis blood supplies
RECTUM and ANAL CANAL
relations of rectum (vvvv.imp). supplies(v.imp),supports imp).
significance of digital rectal examination procidentia
AnaI canal(v.imp-especially comparison of its parts).
WALLS OF PELVIS
Pelvis(these topicz are given on BD page 425) attachments,nerve
supply n action of levator ani n coccygeus are imp.
Sacro iliac joint n lambosacral joint are important(ligaments k just
names krlena).
How disease of lumbosacral and sacroiliac joint can be difference
Muscles forming pelvis diaphragm and their attachments

COURTESY : FAKHAR HAYAT (cimsian bhp)


Malik younis (AAMC)
Mohsin fiaz (cmc )

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