Overview Labeled structures duodenum (2nd, 3rd, 4th parts) descending colon ascending colon kidneys left kidney sits at spinal cord level T12-L3, right kidney slightly inferior renal arteries take off aorta at L1 pancreas (minus tail) aorta 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
QUESTIONS 1 of 2 1 2 Previous Next (M1.GI.17.4752) 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? Tested Concept QID: 108731 Type & Select Correct Answer 1 Descending colon 71% (102/143) 2 Transverse colon 17% (24/143) 3 Ascending colon 1% (2/143) 4 Superior duodenum 3% (5/143) 5 Sigmoid colon 6% (9/143) M 1 Question Complexity B Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 1 Review tested concept Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK