Abdomen 01: Embryology and Plan of Abdomen Flashcards
What are the upper and lower bounds of the abdomen?
Inferior thoracic aperture at the top, pelvis at the bottom. There is no clear boundary between the pelvis and the abdomen
What is the true boundary between the abdomen and the pelvis?
The pelvic cavity
Diaphragm
The muscle that aids in respiration; divides the thorax and the abdomen
Crus of the diaphragm
Two tendon-like structures that extend below from the diaphragm and into the vertebral column. There is the right and left cura
Which of the two cura of the diaphragm is lower?
Right cura
Median arcuate ligaments
A ligament in the middle of the diaphragm that connects the two cura
Central tendon
Thin but strong aponeurosis in the diaphragm
What structures traverse the diaphragm at T8?
Inferior vena cava and the right phrenic nerve
What structures traverse the diaphragm at T10?
Esophagus, vagus nerves, some of the lymphatics
What structures traverse the diaphragm at T12?
Aortic arch, azygous vein, thoracic duct
What structures traverse the diaphragm behind the medial arcuate ligament?
Psoas major, sympathetic trunk, least splanchnics
What structures traverse the diaphragm behind the lateral arcuate ligament?
Quadratus lumborum
How does the left phrenic nerve traverse the diaphragm
It pierces through it
How do the greater and lesser splanchnic nerves traverse the diaphragm?
They pierce through the two cura
How does the hemiazygous vein traverse the diaphragm?
It pierces through the left cura
How do the intercostal nerves traverse the diaphragm?
They don’t; they are localized to the thorax
Pelvic inlet
The abdomen’s boundary with the pelvis
Transpyloric plane
End of 9th costal cartialge; L1/L2
Subcostal plane
Lower edge of the 10th costal cartilage; L3
Supracristal plane
L4
Interubercular plane
Tubercle of the crest of ilium; L5
What are the four quadrants of the abdomen?
Upper left, upper right, lower left, lower right
What structures are in the upper left quadrant of the abdomen?
Spleen, stomach, parts of the transverse colon
What structures are in the upper right quadrant of the abdomen?
Liver, gallbladder, parts of the ascending and transverse colon
What structures are in the lower left quadrant?
Descending colon, sigmoid colon, anterior superior illiac spine, inguinal ligament
What structures are in the lower right quadrant?
Ascending colon, anterior superior illiac spine, inguinal ligament
What are the 9 regions of the abdomen? Order from top right to bottom left
1) Right hypochondrium, epigastric, left hypochondrium
2) right flank, umbillical, left flank
3) right groin, pubic, left groin
With regards to the 9 regions of the abdomen, where is the esophagus found?
Epigastric
With regards to the 9 regions of the abdomen, where is the stomach found?
epigastric and left hypochondrium
With regards to the 9 regions of the abdomen, where is the duodenum found?
epigastric, on the border of the umbillical
With regards to the 9 regions of the abdomen, where is the liver found?
right hypochondrium and epigastric
With regards to the 9 regions of the abdomen, where is the gallbladder found?
epigastric on the transpyloric plane and the right hypchondrium
With regards to the 9 regions of the abdomen, where is the pancreas found?
Epigastric and left hypochondrium
With regards to the 9 regions of the abdomen, where is the spleen found?
Left hypochondrium
With regards to the 9 regions of the abdomen, where is the jejunum of the small intestine found?
predominantly umbillical; parts are found in epigastric and left flank