Things you need to know

[NOTE : RETRACTING STATEMENT. Pls check if u give a dam. :p ]



The mid-inguinal point, a point midway between the anterior superior iliac spine and the pubic symphisis. [femoral pulse]

The mid-point of inguinal ligament = mid-point between anterior superior iliac spine and pubic tubercle. [deep inguinal ring]


Now which one does the midclavicular run through again?

[ANS : mid inguinal point. Didnt check that out but from memory, n makes sense.
Changed my mind. I confuse myself too. =/ I think, Mid Point of inguinal ligament, thats midway btwn ASIS n PT. The one thats more lateral. Also, its different from the one thats for the femoral pulse.. (i rmmbr there were 2 diff things for the 2 definitions, i think shud be these 2.)]
ok. ive confused everyone, n myself enough already. =( (n the stupid worlds confusing me too. :p)

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Transpyloric plane

An upper transverse line, the transpyloric is located halfway between the jugular notch and the upper border of the symphysis pubis; this indicates the margin of the transpyloric plane, which in most cases cuts through the pylorus, the tips of the ninth costal cartilages and the lower border of the first lumbar vertebra.

Structures crossed

The transpyloric plane is clinically notable because it passes through several important abdominal structures. These include:

• the fundus of the gallbladder
• the neck of the pancreas
• the origins of the superior mesenteric artery and portal vein
• the hila of the kidneys
• the root of the transverse mesocolon
• the duodenojejunal junction
• the 2nd part of the duodenum
• the termination of the spinal cord
• the spleen

So for Murphy's point right.
whats the exact definition?
or atleast the one Our lecturers want, coz ive found a few..

9th rib and midclavicular?
9th rib and linea semilunaris?
subcostal and midclavicular??

bah.
dun care.

[ANS : Found out (from Nilesh n Netters) its 9th costal cartilage and linea semilunaris. (not midclavicular coz the 2 lines are different) n yes costal margin becoz the 9th costal joins it obviously. (cept im too dumb to figure that out. hmm) ]
[its also transpyloric (which is different from 9th rib) but i guess you cant exactly find the transpyloric on a person tat easily, so u go for the 9th costal.]

Ok so check this out.
the trans pyloric plane which lies Above the subcostal line (demarcating the upper 3 quadrants)
runs through the HILUM OF THE KIDNEYS.
BUT the kidneys lie in the LUMBAR regions.
Riiiiiiiiiiiiiiiiiiiiiight.
[i think something about the kidneys lying differently when standing up n lying down or something. or maybe bcoz the ribs are lower at the back. ish. watever. in nettlers too, standing up from front kidneys 11,12. but lying down from side its 9-11. wateva la.]

=/
oh well.
anyways. if they ask the transpyloric question again
the organs you shud name are probably
- fundus of gallbladder
- liver
- pylorus of stomach
- spleen
- neck of pancreas
- hilum of kidneys

but ive edi gotten it twice so i doubt i'll get it again. =/
Bah.