Substage 2nd Yr B1 (Pt.2)

 

2nd Year Substage Block 1 (pt.2)

Note: 

>> Make a Chart/Table of blood Supply, lymphatics and nerve supply of all abdominal and pelvic organs

>> You don't have to memorize all the relations of organs, just visualize all the relations so that you can have a concept of positioning of Organs. Just memorize the imp Relations.

>> Link of Chart of blood ,nerve supply of organs and imp clinicals is attached at the end of blog

Abdomen (Portal Vein):

>Portal Vein;

Formation and Tributaries of Portal Vein (v.imp)

Portosystemic Anastomosis--- 4 sites; tell its portal and systemic tributary too. (V.imp)

>Liver;

Relations of liver

Spotting of lobes of liver on model

Peritoneal reflections of liver (imp); Dr.hina usually asks to hold the model of liver and mark the origin of ligaments of liver and lesser omentum.

>Biliary Tree:

General concept of formation of biliary Tree

What is Sphincter of Oddi

Biliary Colic

Colecystectomy (imp clinical term)

>Pancreas:

Relations of pancreas and ducts

>Spleen;

Relations of spleen

Blood Supply (imp)

>Kidney;

Coverings of kidney (v.imp)

Both kidneys relations (v.v.imp)

>Ureter;

Constrictions of ureter

Blood Supply of ureter (v.v.imp)

Course and relations of ureter

>Suprarenal Gland;

Blood Supply

>Posterior abdominal wall;

You should know concept of its arterial and venous supply

>Lumbar Plexus:

Dr Kiran sometimes ask it in viva

PELVIS::

Pelvis 1;

What is pelvic brim

False and true pelvis

Muscles of pelvis (Table 8.1)

Pelvic Diaphragm (v.v.imp )

Male vs female pelvis (also names of female pelvis)

Pelvic Arteries (visualize all the concept of arterial supply; memorize true pelvis arteries-->asked in viva)

Pelvis 2:

Volvolus, colonoscopy, colostomy,rectal cancer, diverticula (mostly asked in Substage)

>Sigmoid colon:

Blood Supply

>Rectum:

Blood Supply (v.v.imp)

What is significance of blood supply of rectum (proffs question) hint: hemorrhoids

>Ureter:

Constrictions and course of ureter

>Urinary Bladder:

Blood Supply

Atonic and automatic Bladder

>Vasdeferen:

Pathway

>Prostate Gland:

Lobes of prostate and which lobe is prone to BPH (v.imp)

Zones of prostate (v.imp) and in which zone cancer and enlargement occurs (it came in our proffs McQs )

>Ovary:

Spotting of ligaments of Ovary on model (esp round ligament and suspensory ligament gets confusing sometimes so practice its model)

>Uterus:

Uterine positions

Uterine Support (v.v.imp)

Uterine and vaginal prolapse

>Broad ligament:

Contents and spotting on model

PERINEUM::

Boundaries of Anal Triangle

Difference of upper and lower Anal Canal (v.imp)

Relations of Anal Canal (external asked this in Proffs' viva)

Difference between internal and anal Sphincter; parts of external Anal Sphincter too

>Ischioanal Fossa

Contents and boundaries (v v imp)

>clinicals:

Difference between internal and external hemorrhoids

Anal Fissures

Anal abscesses

>Urogenital Triangle

Boundaries and contents

>Superficial and deep Perineal Spaces

Boundaries and contents

(Esp contents of deep Perineal pouches in male v.v.imp)

LINK TO CLINICALS & BLOODSUPPLY CHART:

https://drive.google.com/drive/folders/14IwQkIcJp80oOJFOLbTeQsjib-8qfyE_?usp=sharing

Thanking our contributor: Muhammad Ahmed (3rd Year)

Edited by: Aiza Anwar (Publishing Director)