Abdomen Flashcards

1
Q

Where is the abdomen?

A

between the thorax and the pelvis

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2
Q

what is special about the abdomen?

A

flexible, houses most of the organs.

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3
Q

what contains the abdominal organs and their contents?

A

musculo-aponeurotic walls, the diaphragm, and the muscles of the pevlis.

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4
Q

what suspends the anterolateral musclo-aponeurotic walls?

A

two bony rings - the inferior margin of the thoracic skeleton superiorly and the pelvic girdle inferiorly

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5
Q

features of the abdominal walls

A

contract, distend, accommodate expansions caused by ingestion, pregnancy, fat or pahtology

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6
Q

what is the peritoneum?

A

serous membrane that covers several organs lying agains the posterior wall

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7
Q

the peritoneum reflects on the?

A

abdominal viscera

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8
Q

examples of abdominal viscera?

A

stomach, intestine, liver and spleen

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9
Q

what is the peritoneal cavity?

A

space formed between the walls and viscera.

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10
Q

the abdominal cavity forms what?

A

the superior and major part of the abdominopelvic cavity.

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11
Q

what is the abdominopelvic cavity?

A

cavity extending from the thoracic diaphragm and pelvic diaphragm.

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12
Q

the abdominal cavity has no what? and why?

A

no floor because it is continuous with the pelvic cavity

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13
Q

what arbitrarily separates the abdominal and pelvic cavities?

A

the pelvic inlet

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14
Q

the abdominal cavity extends to where?

A

superiorly into the thoracic cage

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15
Q

the greater pelvis does what?

A

supports and partly protects the abdominal viscera

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16
Q

the abdominal cavity is the location for?

A

most digestive parts of the urogenital system and the spleen.

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17
Q

the transverse planes are also the?

A

subcostal planes, passing through the inferior border of the 10th costal cartilage on each side

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18
Q

where does the transtubercular plane pass?

A

through the iliac tubercles and the body of the L5 vertebra

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19
Q

the transpyloric plane is where?

A

midway between the manubrium and pubic symphysis

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20
Q

where is the interspinous plane?

A

passes through the ASIS

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21
Q

where is the transumbilical plane?

A

passes through the umbilicus

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22
Q

what are the nine abdominal areas?

A

RH - right hypochondrium, RL- right flank, RI - Right inguinal (groin), E- epigastric, U-Umbilical, P-Pubic

LH- left hypochondriac, LL- left flank, LI - left inguinal (groin)

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23
Q

Name the four abdominal quadrants

A

RUQ, LUQ, RLQ, LLQ

24
Q

What is the in the RUQ?

A

Liver, gallbladder, stomach, duodenum 1-3, pancreas, kidney, ascending, transverse colon

25
Q

what is the anterolateral abdominal wall?

A

indefinite boundary between the anterior and lateral walls. 7-10th cartilages, xiphoid process, inguinal ligament and the superior margins of the pelvic girdle.

26
Q

what does the anterolateral abdominal wall consist of?

A

skin, subcutaneous tisse, deep fascia, fat, and parietal peritonuem.

27
Q

What is in the LUQ?

A

liver, spleen, stomach, jejunum, pancreas, kidney, suprarenal gland, transverse and descending colon

28
Q

what is in the RLQ?

A

cecum, appendix, ileum, ascending colon, ovary, uterine tube, ureter, uterus, urinary bladder

29
Q

what is in the LLQ?

A

sigmoid colon, descending colon, ovary, uterine tube, ureter, uterus, urinary bladder.

30
Q

what are the two layers of the subcutaneous tissue?

A

superficial fatty layer and the deep membranous layer.

31
Q

what covers the three layers of the anterolateral abdominal wall and their aponeuroses?

A

superficial, intermediate, and deep layers of investing fascia.

32
Q

what are aponeuroses?

A

flat expanded tendons

33
Q

what is epimysium?

A

outer fibroud CT surrounding muscles

34
Q

what is the endoabdominal fascia?

A

membranous and areolar sheets lining the abdominal wall

35
Q

what is the transversalis fascia?

A

lining of the deep surface of the transversus abdominos muscle and its aponeurosis

36
Q

parietal peritoneum is made up of what?

A

single layer of epithelial cells and supporting CT.

37
Q

what are the five muscles in the anterolateral abdominal wall?

A

external oblique, internal oblique, transversus, abdominis, the large rectus abdominis, small pyramidalis.

38
Q

what is the linea alba?

A

line extending from the xiphoid process to the pubic symphysis

39
Q

what is the rectus sheath?

A

formed by the aponeuroses. it is tough, tendinous and aponeurotic. encloses the rectus abdonimis muscle.

40
Q

what is the origin and insertion of the external oblique?

A

external surfaces of the 5th-12th ribs.

linea alba, pubic tubercle and anterior half of the iliac crest.

41
Q

what is the innervation and action of the external oblique?

A

thoraco-abdominal nerves T7-T11 spinal nerves and subcostal nerve. it compresses and supports abdominal viscera. flexes and rotates trunk

42
Q

what is origin and insertion of the internal oblique?

A

thorcolumbar fascia, anterior 2/3 of iliac crest, CT deep to lateral third of inguinal ligament.

inferior borders of 10th-12th ribs, linea alba, pecten pubis via conjoint tendon

43
Q

what is the innervation and action of the internal oblique?

A

thoraco-abdominal nerves (anterior rami of T6-T12 spinal nerves) & first lumbar nerves.

it compresses and supports abdominal viscera. flexes and rotates trunk

44
Q

what is the origin and insertion of the transversus abdominis?

A

internal surfaces of the 7th-12th costal cartilages, thoracolumbar fascia, iliac crest, CT deel to lateral third of inguinal ligament.

linea alba with aponeurosis of internal oblique, pubic crest, pecten pubis via conjoint joint.

45
Q

what is the innervation and action of the transversus abdominis?

A

thoraco-abdominal nerves (anterior rami of T6-T12 spinal nerves) & first lumbar nerves.

compresses and supports abdominal viscera

46
Q

what is the origin and insertion of the rectus abdominis?

A

pubic symphysis and pubic crest. xiphoid process and 5-7th costal cartilages

47
Q

what is the innervation and action of the rectus abdominis?

A

thoraco-abdominal nerves (anterior rami of T6-T12 spinal nerves)

48
Q

the external obliques aponeurosis attaches to?

A

pubic crest

49
Q

where is the inguinal ligament?

A

crease between thigh and trunk. it is continuous with deep fascia of thigh.

50
Q

what is a retinaculum?

A

retaining band.

51
Q

where is the transversus abdominis?

A

innermost of the three flat muscles.

52
Q

where is the neurovascular plane?

A

between internal oblique and transversus abdominis muscles.

53
Q

what does the neurovascular plane contain?

A

nerves and arteries supplying the anterolateral abdominal wall. these lie mostly in the subcutaneous tissue

54
Q

what is the pyramidalis?

A

small, insignificant triangular muscle. missing in 20% of ppl.

55
Q

where is the pyramidalis?

A

anterior to the inferior part of the rectus abdominis. attaches to the pubis and pubic ligament. ends in the linea alba.

56
Q

where is the major site of fat storage?

A

subcutaneous tissue of the fascia of the anterolateral abdominal wall