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117 Cards in this Set
- Front
- Back
part of pelvic bone that attaches to sacrum of sacro-iliac joint
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ilia
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rib behind top of left kidney
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11
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rib behind top of right kidney
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12
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muscles forming medial boundary of posterior abdominal region
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psoas major and minor
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muscles forming lateral boundary of posterior abdominal region
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quadratus lumborum
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muscles forming inferior boundary of posterior abdominal region
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iliacus
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muscles forming superior boundary of posterior abdominal region
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diaphragm
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this anchors the diaphragm to the lumbar vertebrae
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musculotendinous crura
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right crus attaches to what vertebra(e)?
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L1-3
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left crus attaches to what vertebra(e)?
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L1-2
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connects the right and left crus
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median arcuate ligament
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medial arcuate ligament is formed by ____ at vertebrae ______
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psoas major at L1-2
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lateral arcuate ligament is formed by ____ at vertebrae ______
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quadratus at L1 and rib 12
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aorta passes through diaphragm at _____ with ____
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T12 with thoracic duct and azygos vein
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esophagus passes through diaphragm at _____ with ____
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T10 with ant and post vagal trunks, L gastric A and V, lymph vessels
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IVC passes through diaphragm at _____ with ____
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T8 with R phrenic nerve
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greater/less splanchnics pass through ___ in diaphragm
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crus
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hemiazygos passes through ____ in diaphragm
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L crus
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superior epigastrics pass ____ to diaphragm
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anterior to
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location of L dome of diaphragm
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5th ICS
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location of R dome of diaphragm
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rib 5
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superior diaphragm BS
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musculophrenic, pericardiacophrenic and superior phrenic
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inferior diaphragm BS
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inferior phrenic
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musculophrenic and pericardiacophrenic branch from
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internal thoracic
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inferior phrenic branches from
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abdominal aorta
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motor IV of diaphragm
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phrenic from below
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sensory IV of diaphragm
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phrenic (center) and IC (outside)
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cause of most herniations through diaphragm
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failed fusion of embryologic precursors of diaphragm
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location of Morgagni herniation
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xiphoid and R costal margin
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location of Bochdaleck herniation
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L posterior pleuroperitoneal membrane
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kidney location supine
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T12-L3 on the R
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renal fascia fuses laterally with
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transversalis fascia
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renal fascia fuses superiorly with
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diaphragm
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renal fascia posteriorly fuses medially with
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psoas major fascia
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renal fascia fascia covers ___ inferiorly
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uterus
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paranephric fat covers kidney where?
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posterior and posterolaterally
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BS of kidney and from where it branches including vertebral level
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renal A, aorta at L1-2
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renal veins are anterior to or posterior to the arteries?
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anterior to
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describe relation of L renal vein with other structures
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behind SMA, in front of aorta
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relation of muscles to kidney from medial to lateral:
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psoas major, quadratus, transverse abdominal
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nerves that lie behind the kidney
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subcostal, iliohypogastric, ilio-inguinal
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ureters can be constricted at these 3 points:
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uretopelvic junction, pelvic inlet (as it crosses common iliac) and bladder entrance
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upper BS of ureter
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renal A
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middle BS of ureter
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abdominal aorta, testicular and common iliacs
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pelvic BS of ureter
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internal iliac
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upper lymph drainage of ureter
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lumbar
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middle lymph drainage of ureter
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common iliac
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pelvic lymph drainage of ureter
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external and internal iliac
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visceral efferent IV of ureter
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sympathetic and parasympathetitc
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visceral afferent IV of ureter
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T11-L2 for pain
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most common urinary tract CA
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renal cell carcinoma from proximal tubular epith
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sx of UT CA
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hematuria, pain in loin, mass
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spread of UT CA by
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renal vein
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sx of renal stone
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loin pain, hematuria
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transitional UT CA requires this type of tx
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removal of whole UT system
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which suprarenal is larger?
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L
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what is related to R suprarenal anteriorly?
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liver, IVC
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What is related to L suprarenal anteriorly?
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stomach, pancreas, spleen
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are suprarenals enclosed by renal fascia?
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yes
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R suprarenal vein drains into:
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IVC
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L suprarenal vein drains into:
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L renal vein
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superior suprarenal BS
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inferior phrenic
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middle suprarenal BS
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aorta
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inferior suprarenal BS
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renal A
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level of bifurcation of aorta
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lower L4 and at line between iliac crests
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structures anterior to aorta
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pancreas, splenic vein, L renal vein, inferior duodenum
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structures posterior to aorta
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lumbar veins draining into IVC
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structures to the R of the aorta
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cisterna chyli, thoracic duct, axygos vein, R crus and IVC
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structures to the L of the aorta
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L crus
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visceral branches of aorta: unpaired (3)
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celiac, SMA, IMA
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visceral branches of aorta: paired (3)
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mid suprarenal, renal, testicular
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posterior branches of aorta (3)
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inferior phrenic, lumbar and median sacral
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level of formation of IVC
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L5, right of midline
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IVC is crossed anteriorly by
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R external iliac, root of mesentery, R testicular, inferior duodenum, head of pancreas, superior duodenum, bile duct, portal vein, liver
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5th lumbar vein drains to ___ then ___
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iliolumbar, external iliac
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3rd/4th lumbar veins drain to
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IVC
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1st/2nd lumbar veins drain to
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ascending lumbar vein
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back up for blocked IVC:
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ascending lumbar vein
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fat from small intestine is drained by:
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lacteals
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there is lymph drainage from everywhere except
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brain, bone marrow, and avascular tissue
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origin of psoas major
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T12-L5
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insertion of psoas major
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lesser trochanter
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IV of psoas major
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anterior rami of L1-3
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function of psoas major
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flexion of thigh at hip
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origin of psoas minor
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T12-L1
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insertion of psoas minor
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pelvic brim and iliopubic eminence
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IV of psoas minor
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anterior rami of L1
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function of psoas minor
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weak flexion of vertebra
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origin of quadratus
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TP of L5, iliac crest
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insertion of quadratus
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TP of L1-4, rib 12
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IV of quadratus
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anterior rami of T12-L4
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function of quadratus
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depress and stabilize rib 12; lateral bending
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origin of iliacus
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iliac fossa, sacrum
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insertion of iliacus
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less trochanter
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IV of iliacus
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femoral nerve (L2-4)
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function of iliacus
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flexion of thigh at hip
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area drained by R jugular trunk
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R neck and head
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area drained by L jugular trunk
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L head and neck
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area drained by R subclavian
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R UE, superficial thoracic and upper abd wall
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area drained by L subclavian
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L UE, superficial of thoracic and upper abdominal wall
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area drained by R bronchomediastinal trunk
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R lung and bronchi, mediastinum, thoracic wall
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area drained by L bronchomediastinal trunk
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L lung and bronchi, mediastinum, thoracic wall
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area drained by thoracic duct
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lower limbs, abd wall and viscera, pelvic wall and viscera, thoracic wall
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lower limb/perineum drains into ___ then ___
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external iliac then common iliac
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pelvis drains into __ then __
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internal iliac then common iliac
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lateral/lumbar nodes drain
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body wall, kidney, suprarenal testes
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lateral/lumbar nodes drain into
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R and L lumbar trunks
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pre-aortic nodes drain the
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intestinal trunk
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pre-aortic nodes drain into
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cisterna chyli
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lumbar splanchnic carries
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preganglionic symp and visceral afferents
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3 parts of abdominal plexus
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celiac, abdominal aortic and superior hypogastric
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pelvic splanchnic carries:
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pregang parasympathetic
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referred pain from heart through and to
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thoracic splanchnic, T1-4, upper thorax and medial arm
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referred pain from foregut through and to
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greater splanchnic, T5-9, lower thorax and epigastric
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referred pain from midgut through and to
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lesser splanchnic, T9-10, umbilical
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referred pain from kidney/upper ureter through and to
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least splanchnic, T12, flank and pubic
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referred pain from hindgut through and to
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lumbar splanchnic, L1-2, L and R flanks, groin, lateral/anterior thigh
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