Clinical Anatomy - Abdomen

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0 [{"id":78017,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:28:14","updated_at":"2016-06-10 12:03:48","questionName":"A 32-year-old male is admitted to the emergency department with severe oesophageal reflux. Radiographic examination reveals that the patient has a hiatal hernia, and a surgical procedure is scheduled. Which of the following landmarks would be the most useful to distinguish between sliding and para-oesophageal hiatal hernias?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":18,"explanation":"The gastro-oesophageal junction is the landmark that can help to differentiate the two type of diaphragmatic hernias Sliding hernias cause the gastro-oesophageal junction to be displaced (to slide) into the thoracic cavity In para-oesophageal hernias, a p","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78016,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:26:38","updated_at":"2016-06-10 12:03:48","questionName":"A 22-year-old female is admitted to the hospital with a complaint of intense periumbilical pain. Physical examination indicates a strong possibility of appendicitis. Shortly before an appendectomy is to be performed, the inflamed appendix ruptures. In which area would the extravasating blood and infectious fluids from the appendiceal region most tend to collect if the patient was sitting upright?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":17,"explanation":"Pouch of Douglas is the most inferior point in the female abdominal cavity, therefore fluids will tend to collect there Subphrenic space does not tend to collect fluid from the inferior abdomen\/pelvis Pouch of Morison is posterior and superior, won\u2019t coll","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78014,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:21:14","updated_at":"2016-06-10 12:03:48","questionName":"A 43-year-old female accountant complains of severe epigastric pain and is admitted to the hospital. A gastroscopic examination reveals a small, perforated ulceration in the posterior wall of the greater curvature of her stomach. An upright chest x-ray reveals a small amount of free air in the peritoneal cavity. Where is the air most likely located?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":15,"explanation":"Right subphrenic space is between the inferior surface of the diaphragm and the superior surface of the liver Air will be able to pass from the stomach to this space through the omental bursa All other answers are inferior to the stomach, so when standing","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":78015,"quiz_id":"5866","answer_id":null,"answerType_id":"0","created_at":"2016-06-09 04:21:16","updated_at":"2016-06-10 12:03:48","questionName":"A 43-year-old female accountant complains of severe epigastric pain and is admitted to the hospital. A gastroscopic examination reveals a small, perforated ulceration in the posterior wall of the greater curvature of her stomach. An upright chest x-ray reveals a small amount of free air in the peritoneal cavity. Where is the air most likely located?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":16,"explanation":"Right subphrenic space is between the inferior surface of the diaphragm and the superior surface of the liver Air will be able to pass from the stomach to this space through the omental bursa All other answers are inferior to the stomach, so when standing","question_score_id":null,"lang":null,"questionAudioPath":null}]
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A 32-year-old male is admitted to the emergency department with severe oesophageal reflux. Radiographic examination reveals that the patient has a hiatal hernia, and a surgical procedure is scheduled. Which of the following landmarks would be the most useful to distinguish between sliding and para-oesophageal hiatal hernias?

Select the correct answer(s).  

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