43 - Abdominal Wall, Umbilicus, Peritoneum, Mesenteries, Omentum, Retroperitoneum

Question 1

What are the 9 layers of the abdominal wall and umbilicus?

Answer 1

1. skin
2. sub cutaneous tissue
3. superficial fascia (Camper’s/Scarpa’s)
4. external oblique
5. internal oblique
6. transversus
7. transversalis fascia
8. pre-peritoneal adipose tissue
9. peritoneum

Question 2

What are the 3 congenital abnormalities of the abdominal wall?

Answer 2

1. umbilical hernia
2. persistence of the omphalomesenteric duct
3. Abnormalities resulting from persistence of the allantois

Question 3

Umbilical hernia in children include ____, ____, and

____

Answer 3

omphalocele
gastroschisis
umbilical hernia

Question 4

What are the 3 acquired abnormalities of the abdominal wall?

Answer 4

1. diastasis recti
2. anterior abdominal wall hernias
3. rectus sheath hematoma

Question 5

Diastasis recti is the thinning of the ___ in the epigastrium characterized by a smooth midline ___ of the ___ abdominal wall

Answer 5

Linea alba
protrusion
anterior

Question 6

Why diastasis recti is not consider hernia?

Answer 6

the transversalis fascia is whole

Question 7

Diastasis is completely ____ and does not require any ___

Answer 7

benign

intervention

Question 8

Rectus sheath hematoma include a significant ___ pain + the appearance of a __ in the abdominal wall. It is typical during ___ or after a prolonged ___

Answer 8

abdominal
mass
pregnancy
cough

Question 9

The risk factors for acquired abnormalities of the abdominal wall include: (4)

Answer 9

female
old age
anticoagulation
abdominal trauma/history

Question 10

The clinical manifestation of acquired abnormalities of the abdominal wall include a sudden ___ pain that increases when ___.

Answer 10

abdominal

examined

Question 11

When examining acquired abnormalities of the abdominal wall we can notice sensitivity in the area of the ____ with ___, mass, and abdominal wall ecchymosis (___ and ___)

Answer 11

rectus sheet
guarding
Cullen (around the umbilicus)
Grey Turner (bruising of the flanks)

Question 12

Diagnosis of acquired abnormalities of the abdominal wall is made with ___/___

Answer 12

US

CT

Question 13

Treatment of acquired abnormalities of the abdominal wall includes: (4)

Answer 13

Rest + analgesia
blood
fixing coagulation disturbances
angiographic embolization/surgery

Question 14

Malignant neoplasm of the abdominal wall

Answer 14

להשלים