questions 2

Retroperitoneal Structures

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Topic updated on 04/20/17 3:38pm

Overview
retroperitoneal structures
  • Labeled structures
    1. duodenum (2nd, 3rd, 4th parts)
    2. descending colon
    3. ascending colon
    4. kidneys
      • left kidney sits at spinal cord level T12-L3, right kidney slightly inferior
      • renal arteries take off aorta at L1
    5. pancreas (minus tail)
    6. aorta
    7. inferior vena cava (IVC)
      • formed at L4-L5 where common iliac veins come together 
  • Not shown in diagram
    • suprarenal glands aka adrenal glands
    • ureters
    • esophagus (lower 2/3)
    • rectum (upper 2/3)
  • "SAD PUCKER" mnemonic of retroperitoneal structures
    • Suprarenal glands (aka adrenal glands)
    • Aorta and IVC
    • Duodenum
    • Pancreas
    • Ureters
    • Colon (descending, ascending)
    • Kidneys
    • Esophagus
    • Rectum


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Qbank (1 Questions)

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(M1.GI.4752) A 45-year-old male is brought to the emergency department by emergency medical services after sustaining a gunshot wound to the abdomen. He is unresponsive. His temperature is 99.0°F (37.2°C), blood pressure is 95/58 mmHg, pulse is 115/min, and respirations are 20/min. Physical examination reveals an entry wound in the left abdominal quadrant just inferior to the left lateral costal border. Abdominal CT suggests that the bullet is lodged in a retroperitoneal structure. Which of the following structures has the bullet most likely penetrated? Topic Review Topic

1. Descending colon
2. Transverse colon
3. Ascending colon
4. Superior duodenum
5. Sigmoid colon

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