9 22 Anatomy-Table 1 Flashcards

1
Q

What are the seven “shelves” of the abdominal wall?

A

Skin; Hypodermis; External muscle fascia; muscle and aponeuroses; internal muscle fasica; Extra-coelomic tissue.

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2
Q

Mesothelium lining the internal surface of the body cavity

A

Coelomic Sac

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3
Q

Layers of the abdominal wall composed of Epithelium with some connective tissue

A

Skin and Coelomic Sac

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4
Q

Layers of the abdominal wall composed of adipose and CT

A

Hypodermis and Extra-coelomic tissue

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5
Q

layers of the abdominal wall composed of dense connective tissue

A

External muscle fascia and internal muscle fascia

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6
Q

layers of the abdominal wall composed of skeletal muscle and some dense CT

A

Muscle and aponeuroses

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7
Q

how do we identify the left and right on an anotomical image?

A

it is just the left and right as you look at it.

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8
Q

the layer below the skin that is mostly fat

A

hypodermis

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9
Q

superficial layer of the hypodermis that is primarily adipose te\issue and fat

A

camper’s fascia

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10
Q

deepest layer of the hypodermis that is made of dense connective tissue

A

scarpa’s fascia

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11
Q

goes all the way around the abdominal wall, made of dense connective tissue and sub the hypodermis

A

External muscle fascia layer

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12
Q

external muscle fascia in the back of the abdomen

A

The acolumbar fascia

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13
Q

External muscle fascia in the side of the abdomen

A

fascia of external oblique

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14
Q

External muscle fascia in the front of the abdoment

A

blends with rectus sheath

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15
Q

what are the general muscle layers of the body wall as derived from the hypomere

A

ventral strap muscles; the 4-layered lateral wall muscles; subvertebral layer.

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16
Q

what are the first 2 layers of the body wall muscles in the abdomen

A

The external oblique: has a supracostal and bodywall muscles

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17
Q

what is the 3rd layer of body wall muscle in the abdomen called?

A

the internal oblique muscle

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18
Q

what is the fourth layerof the body wall muscles in the abdomen called

A

Transverse abdominis muscle; qudralus lumborum muscle (in the back)

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19
Q

what is the subvertebral layer muscle in the abdominal

A

psoas major muscle (there is a psoas minor muscle too!)

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20
Q

the internal muscle fascia beneath the abdominal muscles

A

transversalis fascia

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21
Q

the fascia continuous with the transversalis fascia but over the layer four muscle in the back

A

quadralus lumborum fascia

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22
Q

the fascia continuous with the transversalis fascia but over the subvertebral layer muscle

A

Psoas fascia

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23
Q

the fatty adipose and connective layer that is between the internal muscle fasia and coelomic sac

A

the extra-coelomic tissue

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24
Q

the extra-coelomic tissue that is just before the coelomic sac in the front

A

preperitonial fascia

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25
Q

The extra-coelomic tissue that is behind the coelomic sac in back

A

Retroperitoneal fascia

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26
Q

the mesothelium lining the abdominal body cavity

A

Coelomic sac

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27
Q

“pariatal pleura” of the abdominal cavity

A

coelomic sac

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28
Q

the layer of the coelomic sack on the side of the body wall

A

the parietal layer of the coelomic sac

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29
Q

The fold in the coelomic sack in the front of the abdominal wall

A

the median umbilical fold

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30
Q

The fold in the coelomic sck in the front of abdominal wall but on either side of the center line

A

th medial umbilical folds

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31
Q

the fold int the coelomic sack in the front of the abdominal wall but on either side of the medial line

A

Lateral umbilical folds

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32
Q

The parietal layer of the coelomic sac can been seen as the:

A

Parietal peritoneum of the abdominal cavity

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33
Q

what is the median umbilical fold surrounding?

A

the Urachus (obliterated umbelical)

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34
Q

what is the medial umbilical fold surrounding?

A

obliterated umbilical arteries

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35
Q

what is the lateral umbilical folds surrounding?

A

the inferior epigastric arteries and viens

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36
Q

What are the layers of the abdominal wall

A

Skin; Hypodermis (camper’s fasica, Scarpa’s fascia); External oblique and associated apenerousies; Internal oblique with associated apenerousies; Transverus abdominis muscles; transversalus fascia; Extra coelomic fascia or extra serousal fascia or extraperitoneal fascia (also known as preperitoneal, subperitoneal, or retroperitoneal fascia depending on location) the perietal peritonium

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37
Q

what happens to the transversus abdominis muscle as you go down the abdominal

A

it fuses with the transversalis fascia

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38
Q

located in the extraperitoneal fascia and space, not in the processus vaginalis

A

the testis

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39
Q

what happens as the testis is pulled down to form the scrotum

A

the abdominal wall layers come with it so that all of the layers exist in the scrotum

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40
Q

the extra space that is an extension of the peritoneal cavity into the scrotum

A

processus vagniatis

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41
Q

surrounds the testis with a little fluid

A

the processus vaginaitis

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42
Q

the canal that connects the testis with the abdominal wall

A

the inguinal canal

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43
Q

the outside opening of the canal that conects the testis with the abdominal wall

A

the superficial inguinal canal

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44
Q

the opening of the canal on the inside of the abdominal wall that connects the testis with the abdominal wall

A

The deep inguinal ring

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45
Q

the boundery of the inguinal canal

A

the layers of the abdominal wall

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46
Q

The layers of the abdominal wall in the inguenal areal

A

skin, dartos muscle/fascia; ext. spermatic fascia; inguinal ligament; cremaster muscle/fascia; internal spermatic fascia; tunica vaginalis; contents of the spermatic cord

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47
Q

what does the sublayer of the skin contribute to in the inguinal region

A

th dartos

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48
Q

what does the ext. oblique muscle/ aponeurosis become in the inguinal region?

A

the Ext. spermatic fascia

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49
Q

the inferior of the exterior oblique apenerousious that attaches to the anterior/superior iliac spine and goes down to the pubic bone.

A

The inguinal ligament

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50
Q

what does the int. oblique muscle become in the inguinal region?

A

the cremaster muscle fascia

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51
Q

what does the cremaster muscle do?

A

control the distance from the body for the testis to control the temp to keep it neer 34 degree C

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52
Q

what does the trans. abd. aponeurosis become in the ingunal?

A

nothing

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53
Q

what does the transversalis fascia become in the inguinal region?

A

internal spermatic fascia

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54
Q

what does the perietal peritonium become in the inguinal region

A

the tunica vaginalis

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55
Q

when would the periatla peritoneium and the tunica vaginalis be connected?

A

in a hernia, otherwise never connected!

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56
Q

what does the extraperitoneal fascia correspond to in the inguinal region

A

the contents of spermatic cord

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57
Q

what are the contents of the spermatic cord

A

the ductus deferens;

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58
Q

why is the ductus deferens have very smooth thick smooth muslce?

A

to move sperm at a fast rate

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59
Q

provides blood supply to the testis through the inguinal canal

A

Testicular artery

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60
Q

tranport blood from the testis out the inguinal canal

A

papiniform plexus of veins

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61
Q

provide innervation to the spermatic cord

A

illioinguinal nerve; and the genital branch of the genitofemoral nerve

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62
Q

where does the illioinguinal nerve course

A

not through the deep inguinal ring but does go through the inguinal canal and out the superficial inguinal canal.

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63
Q

describe the dermitome inervation in the abdomen

A

IC nerve gives rise to the

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64
Q

where does the IC nerve course in the abdominal region

A

between the internal oblique and the transverse abdominus muscles.

65
Q

what is the nerve called that couses in the abdominal segmentally between the internal oblique and the transverse abdominus muscles

A

ventral ramus

66
Q

the branch of the ventral ramus that inervatest the lateral section of the skin of the abdomen

A

lateral cutaneous nerve

67
Q

the branch of the ventral ramus in the front

A

anterior cutaneous branch

68
Q

the majortiy of the hyposdermis layer that makes up the “beer belly”

A

the camper’s fascia

69
Q

the deep for fibrous layer of hyperdermous that can be stitched

A

the scarpa’s fascia

70
Q

the layer that covers the outside layer of the somatic muscle plane deep the hyperdermous

A

the external muscle fascia

71
Q

Layers 1 and 2 of the abdominal wall

A

External oblique deep layer and superficial layer

72
Q

the white line down the middle of the abdomon

A

the linea alba

73
Q

the white connective tissue from the external oblique muscle to the linea alba

A

external oblique aponeurosis

74
Q

layer three of the muscles in the abdominal wall

A

internal oblique muscle and internal oblique aponeurosis

75
Q

what is layer four of the abdominal wall muscles?

A

the trans abdominis muscle.

76
Q

the “six pack” muscles

A

the erectus abdominus muscle

77
Q

the function of the abdominal wall muscles

A

lateral flexion, rotation, compress abdominal contents

78
Q

the ventral strap muscles of the abdominal

A

the rectus abdominis muscle

79
Q

the erectus abdominus muscle purpose:

A

flexion of the vetebral colomn

80
Q

the white connective tissue down the middle of the abdominal wall

A

the rectus sheath

81
Q

where does the apenerousus of the EO, the IO, TA course when above the arcuate line?

A

the EO is above, the IO splits to an anterior lamina and postier lamina above and below, and the TA below the erectus abdominus

82
Q

the transition where the apenerouses course only in front of the erectus abdominus muscles

A

arcuate line

83
Q

the internal muscle fascia just deep to the anterior abdominal wall muscles

A

Transversalis fascia

84
Q

the Extra coelomic tissue layer of the anterior abdominal wall

A

the preperitoneal fascia

85
Q

anchors the parietal paratanium to the body wall

A

the preperitoneal fascia

86
Q

elevation in the pariatal paratanium for inferior epigastric arrtery and vien

A

Lateral umbilical folds

87
Q

the vessels that course just outside the midline of the anterior abdominal wall.

A

Inferior epigastric vessels.

88
Q

course up to the umbilicus, and is the obliterated umbelical arteries

A

Medial umbilical folds

89
Q

from the bladder to the umbilicus right down the midline.

A

the median umbilical fold and the urachus

90
Q

what carried urine from the fetal bladder to the umbilical cord?

A

the urachus

91
Q

comes from the umbilicus goes between teh lobes of the liver, houses the round ligament of the liver

A

The falciform ligament

92
Q

the fetal ruminant of the umbilical vein from mummy to the baby.

A

the round ligament of the liver.

93
Q

the name of the hip bones

A

Os Coxa

94
Q

the connection below the obturator foramen that connects the ischial tuberosity and the inferior pubic ramus

A

ischiopubic (conjoined ramus)

95
Q

the hole at the bottom of the os coxa or coxal

A

obturator foramen

96
Q

the large “wing at the top of the os coxa

A

ilium

97
Q

the rounded superior edge of the os Coxa

A

illiac crest and fossa

98
Q

The elongated ‘c’ shaped notch on the posterior of the oscoxa just below the ilium

A

greater sciatic notch

99
Q

the notch that is at the anterior most point of the iliac crest

A

ant sup iliac spine (ASIS)

100
Q

the smaller notch that is at the anterior bottom of the illium

A

ant inf iliac spine (AIIS)

101
Q

the lower and back portion of the os coxal, below the ilium, the long thin protubrence at the bottom that includes the sitting bones

A

Ischium

102
Q

thin connection between the ischial bone and the inferior pubic ramus

A

Ischial ramus

103
Q

the sitting bone!

A

Ischial tuberosity

104
Q

the notch on the medial side of the superor section of the ischium, below the greater sciatic notch

A

lesser sciatic notch

105
Q

the bone that is anterior side of the os coxa, below the ilium

A

Pubis

106
Q

The bony protuberance from the anterior most point of the pubic bone.

A

Pubic Tubercle

107
Q

the three fused bones of the os coxa

A

Ilium; ischium; pubis

108
Q

the top of the pubic bone near the pubic tubercle

A

Pubic crest

109
Q

The upper body of the pubic

A

Superior pubic ramus

110
Q

the connection between the two pubic bones

A

pubic symphysis

111
Q

the lower body of the pubic bone that connects to the ishiam

A

inferior pubic ramus

112
Q

the fused body of 5 vetebra that connects to the illium of the os coxa on either side.

A

sacrum

113
Q

the top of the S1 bone that juts out a little towards the anterior.

A

promontory

114
Q

The two lateral projections of the sacrum that seem like the fused transverse process of the vertebra.

A

ala

115
Q

the canal down the S1-S5 vetebra where the vebebral colomn goes

A

sacral canal

116
Q

the last few bones of the spinal colomn

A

coccyx

117
Q

small triangle muscle at the base of the rectus abdominis muscles

A

pyramidalis muscle

118
Q

the aponeuroses of the transversus abdominis, external and internal oblique.

A

rectus sheath

119
Q

the upper section of the muscle on the outside of the side of the abdominal wall

A

supracostal layer. external oblique

120
Q

the fascia that lines the internal muscle of the abdominal wall

A

internal investing fascia

121
Q

the fascia that is just superficial to the extraperitoneal fat

A

transversalis fascia

122
Q

a generic term for any fascia that lies internal to the parietal fascia and external to the visceral fascia

A

extraserosal fascia

123
Q

the layer of fatty connective tissue just below the transversalis fascia and above the parietal peritoneum

A

extraperitoneal fat

124
Q

aanother name for the parietal peritoneum

A

serosal sac

125
Q

a fold of the peritoneum that attaches the stomach, small intestines, pancreas, spleen and other organs to the posterior wall of the abdomen

A

mesentery

126
Q

the inner layer of peritoneum

A

visceral peritoneum

127
Q

the connective tissue from the anterior surface of the duodenum and the pancreas to the Greater omentum, divides the peritoneal cavity.

A

transverse mesocolon

128
Q

The apron -like fold of peritoneum suspended form the greater crvature of the stomach and covering the anterior of the transverse colon

A

greater omentum

129
Q

a double layered peritoneal structure connecting the lesser curvature of the stomach and the proximal part of the duodenum to the liver (like the upper part of the greater omentum.

A

lesser omentum

130
Q

The cranial section of the lesser omentum, extending between the liver and the stomach

A

hepatogastric ligament

131
Q

what does the hepatoduodenal ligament contain

A

the common bile duct, the portal vein and the proper hepatic artery.

132
Q

part of the lesser omentum, connection between the stomach and the liver, contains the common bile duct, the portal vein and the proper hepatic artery

A

hepatoduodenal ligament

133
Q

how is the peritoneal cavity divided

A

into the large greater sac and the small omental bursa (lesser sac)

134
Q

The portion of the peritoneal cavity covered by the greater omentum, containing many of the organs of the peritoneal cavity

A

greater sac

135
Q

The communication between the greater sac and the lesser sac

A

epiploic foramen

136
Q

The small omental bursa behind the lesser omentum

A

lesser sac

137
Q

the first section of the small intestine

A

duodenum

138
Q

produces bile, rea cycle, protein and clotting factor production etc.

A

liver

139
Q

stores the fat emulsifier

A

gall bladder

140
Q

exocrine secretion of digestion, endocrine funtion to regulate glucose.

A

pancreas

141
Q

contribute blood cells, and development of immune cells

A

spleen

142
Q

The second section of the small intestine

A

jejunum

143
Q

The last section of the small intestines before the large intestines

A

ilium

144
Q

The first part of the large intestine and the location of the appendix

A

cecum

145
Q

the small extension off of the cecum

A

appendix

146
Q

the second division of the colon, as it rises

A

ascending colon

147
Q

the third section of the colon

A

transverse colon

148
Q

the forth section of the colon as it goes down

A

descending colon

149
Q

the section of the colon between the descending colon and the rectum

A

sigmoid colon

150
Q

the final section of the colon

A

rectum

151
Q

What is a direct hernia

A

bowel herniates medial to the inferior epigastric artery

152
Q

what ia an indirect hernia

A

bowel herniates lateral to the inferior epigastric artery through the deep inguinal ring into the inguinal canal; spermatic cord

153
Q

what are langer’s lines?

A

cleavage lines, correspond to natural orientation of collagen fibers in dermis.

154
Q

why would we cut as a surgeon along langer’s lines

A

the cut will heal better, when it follows langers lines in the connective tissue.

155
Q

where do the nerves course in the abdominal wall muscles

A

between the IO and TA.

156
Q

what is a apeneuroses

A

sheet of tendon tissue holding muscles

157
Q

Where do the capillaries of the body wall muscles lie.

A

between the IO and the TA

158
Q

the reflex that is caused by softly touching the ipsilaterial inner thigh

A

cremasteric reflex.