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VERTEBRAL LEVELS
Vertebral Level Structure Mnemonic
C3 Hyoid Say HI to C3
T1 Sternoclavicular joint
T4 Manumbrium
Heart/Pericardium (T5-T8)
T9-T10 Xiphoid
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
* 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)
THORACIC CAGE
There are 12 Ribs
False Ribs Ribs 8-10 Vertebrochondral (chos Ribs 8-10 joints Rib 7
kasi False)
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 10 1 facet
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
E (External Intercostal)
6-8-10 8-10-12
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
RIGHT LEFT
SEGMENTS (Each lobe has segments) SEGMENTS (Each lobe has segments)
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?
The costoclavicular ligament is also known as Halsted Ligament *also the landmark in insertion
what? of Swan Ganz catheter into the Subclavian Vein
TRACHEA
Respiratory Zone Respiratory Bronchiles -> Alv. Duct -> Alv. Sac ->
Alveoli
Proximal 2/3: ITA: Internal Thoracic Artery Distal 1/3: BA: Bronchial Artery
Tertiary - 5.6mm
BREAST
BLOOD SUPPLY
LATERAL MEDIAL
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
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 are the branches of the Thyrocervical Trunk? (THYO = TAYO = SIT) Suprascapular, Inferior
Thyroid, Transverse Cervical
What are the branches of the Costocervical Trunk? (Sa COAST[COSTO], may DEEP SEA [SIA]) Deep
Cervical, Superior Intervertebral Artery
What are the branches of the Doral Scapular? (Open The Door for Rhomboids and Levator
Scapula) Rhomboids, Levator Scapulae
HEART
TRy Pending A M
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
RIGHT ATRIUM
Which 5 Veins directly drain into the RA? SVC, IVC, Coronary Sinus, Anterior Cardiac Vein,
Thesbian Veins
Which structure separates the smooth part from Crista Terminalis internally
the rought part? Sulcus Terminalis externally
Failure of the Fossa Ovalis to close results in? ASD (MC Type: Secundum)
RIGHT VENTRICLE
What are the muscles in the RV? Trabeculae carnae, papillary muscle, cord
tendinae, moderator band
What are the different types of VDS (MC Membranous, Infracristal, Supracristal, Muscular
Congenital Anomaly of the Heart) from MOST
common to LEAST common?
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
The RCA supplies the whole RA and most of the The LCA supplies the whole LA and most of the LV
RV
ECG
Prox RCA V5 V6 V1 V2
56-59cm Duodenum
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.
LARGE INTESTINE
What are the 3 kinds of Taenia Coli? Taenia Libera, Taenia Mosocolia, Taenia
Omentales
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?
Middle Suprarenal
Artery -> Middle
Part of the Adrenals
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
2. Sigmoidal
3. Sigmorectal
4. Superior Rectal
Testicular/Ovarian
Arteries
Lumbar Arteries
Medial Sacral
Arteries
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
2. External Iliac
LIVER
Couinaud Segments
1 (iCAU) Caudate
2 P Left PosteroLateral
3 A Left Anterior
4 M Left Medial =
QUADRATE
8 (PM) PM Right
PosteroMedial
The Letter “H”
What ligament covers the portal triad? HepatoDUODENAL LIGAMENT These 2 ligaments
= LESSER
HepatoGASTRIC ligament OMENTUM
GALLBLADDER
SMALL INTESTIVE
JEJUNUM VS ILEUM
JEJUNUM ILEUM
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
HERNIAS