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Abdominal Regions

in: CLINICAL SURGERY WARD TEACHING

Abdominal Regions



The Abdomen Is Divided into Nine Abdominal Regions By Two Horizontal And Two Vertical Lines. 

Two Horizontal Lines
1. Transpyloric Line ( Midway Between Xiphisternum & Umbilicus )
2. Transtubercular Line ( At The Level Of The Two Tubercles On The Iliac Crest About 2 Inches Behind The Anterior Superior Iliac Spine )

Two Vertical Lines
Vertical Lines Are Drawn On Either Side Through The MidPoint Between The Anterior Superior Iliac Spine And Symphysis Pubis

abdominal-regions


9 Abdominal Regions:

Right Hypochondriac
Epigastric
Left Hypochondriac
Right Lobe Of Liver
Gall Bladder
Hepatic Flexure Of Colon
Left Lobe Of Liver
Stomach
Transverse Colon
Lower End Of Oesophagus
Fundus Of Stomach
Spleen
Tail Of Pancreas
Splenic Flexure Of Colon
Right Lumbar
Umbilical
Left Lumbar
Right Kidney & Adrenal Gland
Right Ureter
Ascending Colon

Abdominal Aorta
Inferior Vena cava
Part Of Stomach
Duodenal Loop
Small Intestine
Head & Body Of Pancreas
Mesentery


Left Kidney & Adrenal Gland
Left Ureter
Descending Colon
Right Iliac
Hypogasrtic / Suprapubic
Left Iliac
Caecum
Appendix
Part Of Ascending Colon
RIGHT Ovary & FALLOPIAN TUBE

URINARY BLADDER
Uterus
Sigmoid Colon
Rectum
Part Of Descending & Sigmoid Colon
LEFT Ovary & FALLOPIAN TUBE

Urinary Bladder

Midline Oval Swelling Above Symphysis Pubis Which May Reach Up to Umbilicus.


Palpation Of Urinary Bladder

Normally The Urinary Bladder Is Not Palpable.
It Feels Firm Or Elastic In Retention Of Urine.
Application Of Pressure Induces Pain And Desire For Micturition.
Side To Side Movement Of The Mass Is Not Possible.
In Distension, Upper And Lateral Borders Are Palpable But The Lower Border Of The Swelling Can Not Be Reached.

Percussion Of Urinary Bladder

It Is Done From Above Downwards And The Swelling Is Dull On Percussion.

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