Upper layer of coronary lig. RT triangular lig. Lower layer of triangular lig. Gall bladder Quadrate lobe Fissure for lig. teres Omental tuberosity Gastric area Bare area Porta hepatis Papillary process Caudate process Inferior surface of RT lobe
➢The tip of right shoulder because it receives sensory fibers from right phrenic (C3,4,5) while the right shoulder receives sensory fibers from lateral supraclavicular nerve (C3,4). ➢At the back below scapula because pain is transmitted through greater splanchnic nerve (T5 – 9). Stone in Hartman’s pouch: Can obstruct neck of the gall bladder or common hepatic duct leading to obstructive jaundice. Rare gall bladder gangrene: because it has arterial supply.
pancreas and intestine. Portal vein Systemic veins Portal vein and tributaries. IVC & SVC and tributaries No valves May contain valves. Starts by tributaries and ends by divisions Starts by tributaries and ends by larger vein. Has 2 sets of capillaries One set of capillaries Blood contains absorbed food. Blood contains waste products. Blood is incompletely deoxygenated blood. Blood is completely deoxygenated blood. Blood pressure is higher. Blood pressure is lower.
2 inches away from midline at transpyloric plane -Upper end is 2 inches above hilum and 1 inch from midline. -Lower end is 2 inches below hilum and 3 inches from midline. -Long axis is directed downwards and laterally. Size: 4 X 2 X1 inches
It has: -Two ends (upper & lower). -Two surfaces (anterior & posterior). -Two borders (lateral & medial). - Hilum -is concave and present in the middle of the medial border. -It contains renal vein, renal artery and pelvis of ureter ( from anterior to posterior) -Sinus is the space that lies inner to the hilum and deficient of renal tissue but contains segmental branches of renal artery and pelvis of ureter. -Transpyloric (L1) plane passes through upper part of right hilum and lower part of left hilum. - It is lined with fibrous capsule and perinephric fat.
Coverings of the kidney. 3- Intra-abdominal pressure. 4- Apposition of surrounding organs. Applied Anatomy ➢ Renal pain is a result of stretch of renal capsule or spasm of smooth muscle of renal pelvis of the ureter. ➢ Renal pain is transmitted along sympathetic supply (T10 – T12), so pain is felt in the flanks and down to lower abdominal wall.