Abdomen Flashcards
What are the bony landmarks that define the borders of the abdomen?
xiphoid process, inferior border of costal cartilages, iliac crest, inguinal ligament, public bone
What rib level is the highest part of the diaphragm?
5th intercostal space
what is the subcostal plane?
axial line between the lowest part of the thoracic cage either ribs or costal cartilages - at level L3
Where is the intertubercular plane?
axial line between the ASIS - at level L5
What are the four lines that divide the abdomen into 9 sections?
subcostal plane, intertubercular plane and both mid-clavicular lines
what are the names of the 9 sections of the abdomen?
hypochondrium x2, epigastrium, flank x2, umbilical region, iliac x2, supra-pubic/hypogastrium,
Where is the transpyloric plane?
axial line across tips of 9th rib, the most lateral point where rectus abdominis attaches at level L1
Where is mc-burney’s point?
2/3rd of the way from the umbilicus to the ASIS
What are the three muscle layers of the abdomen?
external oblique, internal oblique, transversus abdominis
At which point do the 3 abdominal wall muscle layers aponeurose?
Mid-clavicular line
Where does the rectus abdominis muscle attach to?
O: pubic crest
I: ribs 5,6,7, xiphoid process
What is an aponeurosis?
also known as rectus sheath, a sheet of tendinous tissue
What is the linea alba?
fibrous structure down the midline of the abdomen - no structures cross
What are the two most superficial layers of fascia in the abdomen?
campers and scarpa’s fascia
What is campers fascia?
The most superficial fatty fascial layer of the abdomen
What is scarpa’s fascia?
The second-most superficial membranous fascial layer of the abdomen
Does the rectus sheath lie in-front of or behind rectus abdominis?
upper 2/3rds: surrounds muscle
lower 1/3rd: lies in-front of muscle
Does the internal oblique aponeurosis lie behind or in-front of rectus abdominis?
upper 2/3rds: half goes behind and half in front
lower 1/3rd: all in front
Which nerve covers the dermatome that includes the umbilicus?
T10
Which nerve covers the dermatome that includes the hair-bearing area of the pubis?
L1
What nerve roots does the greater splanchnic nerve come from? (Foregut)
T5-T9
What nerve roots does the lesser splanchnic nerve come from? (Midgut)
T10, T11
What nerve root does the least splanchnic nerve come from? (Hindgut)
T12
What are the four muscles of the abdominal wall?
ext oblique, int oblique, transversus abdominis, rectus abdominis
what is the falciform ligament?
carries ligamentum teres from umbilicus to left portal vein
At what level does the oesophagus pass through the diaphragm?
T10
What are the five parts of the stomach?
Fundus, cardia, body, antrum, pylorus
Where is the pyloric sphincter?
Between the stomach and the duodenum
At what point does the duodenum become the jejunum?
When it develops a mesentery
Which part of the large bowel comes first in the digestive tract?
Caecum - with appendix
What are the two flexures of the large bowel called?
Hepatic and splenic flexure
What divides the right and left infra-colic department?
Small bowel mesentery
Where is the greater omentum attached to?
The greater curve of the stomach
Where is the lesser omenrum attached to?
The lesser curve of the stomach, the duodenum and the liver
Where is the lesser sac?
Behind the lesser omentum
What is the foramen of winslow/epiploic foramen?
The opening into the lesser sac
what are the two arteries that supply the lesser curve of the stomach?
right gastric (from common hepatic), left gastric artery (from coeliac trunk)
What are the two arteries that supply the greater curve of the stomach?
left (from splenic) and right (from gastroduodenal artery) gastro-epiploic or gastro-omental arteries
What is the blood supply to the fundus of the stomach?
short and posterior gastric artery - branches of splenic artery
What is the blood supply to the pylorus of the stomach?
Gastroduodenal artery - branch of common hepatic
What is the omentum made up of?
Two double layers of peritoneum containing a neurovascular bundle and lymphatics
Which organ lies directly behind the lesser sac?
The pancreas
What is the name of the folds of the stomach wall?
Rugae
Where is the duodenal-jejunal flexure?
left upper quadrant deep to the transverse colon, where the small bowel comes through the peritoneum
Which areas of the large bowel are mobile?
Transverse and sigmoid colon - attached via mesentery
Name some differences between the large and small intestine
lg: teniae coli, epiploic appendages, haustra,
sml: peyer’s patches, smooth wall, villi inside
What is the difference between the jejunum and ileum blood supply?
J: larger vessels, Long arcades, long vasa recti
I: smaller vessels, much more smaller arcades, short vasa recti
What is the name of the folds in the jejunum?
Plicae circulares
What are the four things that the small bowel has to increase its surface area?
Length, plicae circulares, villi, microvilli