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Brett GI Midterm > 2 Inguinal Region > Flashcards

2 Inguinal Region Flashcards

1
Q

What is the inguinal ligament

A

Rolled aponeurosis of the external oblique muscle

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2
Q

What is the inguinal ligament connected to

A

ASIS and pubic tubercle

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3
Q

What is the conjoined tendon

A

The combined aponeurosis of interior and medial margins of internal oblique and transversus abdominal m

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4
Q

What do the crural fibers flank

A

The inguinal ring

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5
Q

What does the lacunar ligament do and where is it found

A

Anchors inguinal ligament to pubis; ligament between pubic rami and inguinal ligament

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6
Q

What goes through the inguinal rings

A

Vas deferens and gonadal vessels/nerves in males and the round ligament in females

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7
Q

What is the superficial inguinal ring

A

A split in the external oblique aponeurosis

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8
Q

Where is the pectineal ligament

A

Continuation of fibers from the lacunar ligament running along the pectin pubis

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9
Q

Where does the iliophypogastric n come from

A

L1

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10
Q

What does the iliohypogastric n innervate

A

Abdominal mm and skin over pubis

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11
Q

What does the ilioinguinal n come from

A

L1

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12
Q

What does the ilioinguinal n do

A

Motor to abdominal mm; skin over upper/medial thigh and skin at root of penis/clitoris and anterior scrotum/labia

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13
Q

Where does the genitofemoral nerve come from

A

L1,2

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14
Q

What does the genitofemoral n innervate

A

Motor to the cremasteric muscles and sensory to a small part of teh medial thigh and scrotal/labial fascia

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15
Q

Where do the gonads form

A

T10

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16
Q

What pulls the testicles down during development

A

Gubernaculum

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17
Q

What forms the future scrotum

A

Processus vaginalis

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18
Q

What remains of the processus vaginalis in the mature testicles

A

Tunica vaginalis

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19
Q

What are undescended testis called

A

Crytorchid testis

20
Q

What does the external spermatic fascia come from

A

External oblique aponeurosis

21
Q

Where does the cremasteric fascia come from

A

Internal oblique

22
Q

Where does the internal spermatic fascia come from

A

Trasnversalis fascia

23
Q

Where does the parietal layer of the tunica vaginalis come from

A

Processus vaginalis

24
Q

Where does the visceral layer of the tunica vaginalis come from

A

Processus vaginalis

25
Q

The testis descending is called a _______________ hernia

A

Physiologic

26
Q

What is the purpose of the pampiniform plexus

A

These are veins which cool down the blood heading to the testis

27
Q

What items are found in the spermatic cord

A

Vas deferens, testicular a, testicular v (pampiniform plexus), gonadal nerves, gonadal lymphatics

28
Q

What is a testicular variococele

A

Varicosities of pampiniform plexus which presents with swelling in the scrotum and recurring pain

29
Q

What can persistent processus vaginalis lead to

A

Hydroceles

30
Q

What is a non-communicating hydrocele

A

Peritoneal fluid accumulation in the tunica vaginalis that doesn’t connect

31
Q

What is a communicating hydrocele

A

A patent connection between the tunica vaginalis and peritoneum

32
Q

What is a hydrocele of the cord

A

A cyst found in the spermatic cord

33
Q

How do you determine what is in the hydrocele

A

Trans-illumination

Light will appear through the serous fluid

34
Q

The gubernatuculum attaches to the desecending ovaries but also attaches to what

A

The developing uterus

35
Q

What does the gubernaculum form

A

Ovarian ligament and round ligament of the uterus

36
Q

What does the the round ligament of the uterus attach to

A

Labial swellings

37
Q

What are the contents of the female inguinal canal

A

Round ligament, ilioinguinal n, genitofemoral n

38
Q

Where does the scrotum drain to

A

Superficial inguinal nodes

39
Q

What is the order of lymph drainage from the gonads

A

Upper pelvic nodes —> lumbar nodes —> pre-aortic nodes

40
Q

What makes up hasselbach’s triangle

A

Inguinal ligament, rectus abdominis border, inferior epigastric vessels

41
Q

A direct hernia occurs where

A

Inside hesselbachs triangle (medial to inferior epigastric) and has peritoneum and transversalis fascia covering it

42
Q

What is an indirect hernia

A

Enters deep ring

Surrounded by peritoneum, transversalis fascia, and spermatic cord

43
Q

What is a femoral hernia

A

Below inguinal ligament and more common in women

40% present as emergencies with incarceration or strangulation

44
Q

What is an epigastric hernia site

A

Above the umbilicus

45
Q

Where is the spigelian hernia

A

Through the fascia between the abdominal muscles but along the semilunar line of the rectus abdominis

46
Q

What is a flank hernia

A

Lumbar hernia

Brett GI Midterm (11 decks)

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