Abd Flashcards
What layer lines the body wall of a serous cavity?
Parietal Layer
What layer covers the surface of the organs?
Visceral layer
What innervates parietal layers?
Somatically innervated by spinal nerves
Innervates visceral layers
Autonomic nerves
How are the 4 quadrants of the abdomen divided?
Veritical line thru the midline, and horizontal line thru the umbilicus
How are the 9 regions of the abdomen divided?
Left/Right midclavicular, subcostal of 10th ribs/Transtubercular at the iliac tubercles
Fatty superficial layer of the Abd that is cont w/ similar fascia of the thorax/thigh
Camper’s fascia
Membranous deep layer of fascia found inferior to the level of the umbilicus
Scarpa’s fascia
Fascia deep to the scrotal skin
Dartos fascia, continuous with scarpa’s fascia
Female equivalent to dartos fascia
Fascia of the labia majora
Fascia around the shaft of the penis
Superficial penile fascia
Fascia of the perineum
Colles’ fascia
Fascia of the thigh
fascia lata
Membranous layer just deep to the muscles/aponeurosis that becomes denser in the lower abdominal layers
Transversalis Fascia
Layer between the transversalis fascia and peritoneum
Extraperitoneal fascia
Serous membrane whose parietal layer is the most internal linig of the abdominal cavity wall
Peritoneum
External to internal layers of the abdominal muscles
External oblique, internal oblique, transverse abdominis (rectus passes superficial to this for the superior portion of the abdomin)
Aponeuroses formed by the 3 lateral abdominal muscles
Rectus sheath
Inferior edge of the posterior aspect of the rectus sheath that denotes the transtion of the aponeurotic layers (b/t umbilicus and pubis)
Arcuate line
Epigastric vessel location above the arcuate line
Within the sheath on the posterior surface of the rectus abd
Epigastric vessel location below the arcuate line
Between the transversalis facia and rectus abd
Rectus abdominis movements
Flexes spine, posterior tilt of pelvis (pubis pulled superior), lumbo-pelvic stabilization
Internal and External Abd Oblique movements
Flexion of the spin (bilaterally), Lateral flextion of the spine (unilaterally), rotation of spine (contra EO with ipsi IO)
What does the transverse abdominal function as?
Protection via layers, rigidity during contraction, creates an increase in intraabdominal pressure
Arteries between the TA and the IO in the anterolateral abdonimal wall
Posterior intercostal arteries and subcostal arteries
On posterior surface of RA wthin the rectus sheath, also supplies the RA
Superior epigastric artery
Posterior surface of the RA and anastamoses with superior epigasteric A.
Inferior epigastric artery
Forms a communication b/t the axillary and femoral veins
Thoracoepigastric vein
Superficial lymphatic drainage superior to umbillicus
Drains to axillary
Superficial lymphatic drainage inferior to umbillicus
Drains to superficial inguinal nodes
Runs from the Apex of the bladder to the umbilicus
MediaN umbilical fold (Singular!!)
Remnants of the obliterated umbilical arteries passing from the internal iliac ateries
MediaL umbilical folds (Paired!!)
Contains the inferior epigastric artery
Lateral umbilical fold
Space between the inguinal ligament, lateral umbilical fold, and lateral margin of RA
Inguinal triangle (Hesselbach’s)
Remnant of the umbilical vein, from umbilicus to the liver
Ligamentum teres
How is the inguinal ligament “formed”?
The inferior free mragin of the EO aponeurosis is turned/rolled under
Attachments of the inguinal ligament
ASIS to the pubic tubercle
Oblique passage thru inferior part of the anterior abd wall b/t the deep/superficial inguinal rings
Inguinal canal
3 openings of the inguinal canal
1) circular opening in transversalis fascia (deep ring) 2) arch of IO & TA superior to the inguinal ligament 3) oblong opening in the EOA (superficial ring)
Which ring is lateral to inferior epigastric vessels?
Deep inguinal ring, 1/2 way b/t ASIS and pubic tubercle
Formed by the EOA and attaches to the pubis symphsis
Medial Crus
Formed by the inguinal ligament and attaches to the pubic tubercle
Lateral crus
Posterior barrier of the superficial inguinal ring
Conjoint tendon of the IO and TA
Floor of the inguinal canal
Lacunar ligament (inguinal ligament attaching to the pubis) and pectineal ligament (cont of the lacunar ligament, attching to the pectineal line of the pubis)
Anterior wall of inguinal canal
EO aponeurosis, IO muscle fibers, is strongest anterior to the deep ring
Roof of the inguinal canal
Arching fibers of IO/TA
Posterior wall of inguinal canal
Transversalis fascia, conjoint tendon, strongest portion is posterior to superficial ring
Contents of inguinal canal in females
Round ligament of uterus, ilioinguinal nerve, genital branch of genitofemoral nerve
Contents of inguinal canal in males
Spermatic cord and coverings, ilioinguinal nerve, genital branch of genitofemoral nerve
Coverings of the spermatic cord
External spermatic fascia (EO), Cremasteric fascia/muscle (IO), internal spermatic fascia (TF)
Divides the cavities of the scrotum
Scrotal septum
What fascia is the dartos fascia cont w/?
Scarpa’s and Colles’
Attaches the testis
Scrotal ligament
Parts of the epididymis
Head, body, tail
What is the tail of the epididymis cont w/?
Ducuts deferens
Arterial branches off of the aorta that come off just below the renal arteries
Testicular arteries
Testes lymphatic drainage
Para-aortis lymph nodes
Scrotal lymphatic drainage
Superficial inguinal nodes
Where do tests develop?
Extraperitoneal space in upper lumbar levels
Connects the testis to the scrotum
Gubernaculum
What evaginates to form the processus vaginalis?
parietal peritoneum
Formation of internal spermatic fascia
Testis descend thru the deep inguinal ring, pushing the TF to become to ISF
Formation of the cremasteric fascia/muscle
Testis descends thru the IO muscle, forming the CF/M
Formation of the external spermatic fascia
When testis reach the superficial ring, pushes the EO aponeurosis to form the ESF
Incomplete descent of the testis
cryptochidism
3 common sites of hernias
Umbilical, epigastric, spigelian
Most common form of inguinal hernias
Indirect, and is usually congenital, more common on the right
Site of initial herniation in indirect inguinal hernias
At deep inguinal ring, lateral to inferior epigastric vessel, superior to the level of the pubic tubercle
Direct inguinal hernia
Weakening of the conjoint tendon along the posterior wall of the inguinal canal allos for a bulging of abd contents
Sight of initial hernitaion in direct inguinal herniation
medial to inferior epigastric vessels, superior to pubic tubercle
Femoral herniations
More common in women, abd contents descend thru the femoral canal
Site of initial hernitation in femoral herniations
At femoral ring, then buldges inferior to the level of the pubic tubercle/inguinal ligament