Abdomen Flashcards
Female develop of inguinal canal
oavirs located extraperitondally in post abdomen
the processus vaginalis, traverse the inguinal cana to developing labia majora and carries with is layers of m and fascia
ovaries and Uterus are connected to ab wall by gubernaculum and deep inguinla ring.
ovaries do not migrate into inguinal canal.
round ligament of uterus tranverse inguinal cana and attaches to labia majora.
prcessus vaginalis obliterated
innervation of quadratus lumborum
Ventral Rami of T12-L3
artery supply of gallbladder
cystic artery
what artery supplies blood to the lesser curvature of stomach?
Right and left gastric arteries
where does ilioinguinal n. enter inguinal canal?
medial to the deep ring.
Haustra of colon
sacculation of colon, helps give rhythm to peristalsis.
Lacunar ligament
extension of inguinal ligament at medial end that passes posteriorly to attach to pecten pubis.
omental bursa
smaller subdivision of peritoneal cavity, posterior to stomach and liver continuous with greater sac through omental foramen
Internal oblique att.
deep to external oblique, smaller and thinner thoracolumbar fascia to inguinal ligament, iliac crest, and rectus sheath
action of rectus abdominis
flexion of trunk compression of abdominal cavity
esophagus
distal part of esophagus enter through right crus of diaphragm at T10 through esophageal hiatus Blood supply from esophageal branches of left gastric and left inferior phrenic a.
Muscular branch of Lateral nerves
S, Post G sym, LMN of psoas and quadratus lumborum m.
teres ligmanet
on liver
remnant of fetal umbilical vein
Inferior duodenum
longest section. crosses IVC, Aorta and vertebral column crosses anteriorly by superior Mesenteric a and v
three points of ureter consriction
uteroplevic junction ureters cross common iliac vessle at pelvic brim ureters enter wall of bladder All areas where kidney stones can become lodged
drainage of blood in kidney
left and right renal veins.
anal sinus
depression superior to anal valves
renal capsule
thick fibrous connective tissue surrounding kidney for protection
Tunica albuginea
thick connective outer surface of testis
Transverse mesocolon
connects transverse colon to posterior abdominal wall. in between layers are the middle colic vessels
Pectineal Ligmanet
Additional fibers that extend from lacunar lig. along pecten pubis
Rectus abdominis att.
long flat muscle that extends lengh of anterior abdominal wall from xiphoid process and adjacent costal cartilage to pubic crest and tubercle
Renal sinus
innermost cavity of the kidney. Area around the medullas
gastrophrenic ligament
from abdominal esophagus to diaphragm
Posterior wall of inguinal canal
transversalis fascia, reinforced by conjoint tendon for the medial 1/3.
Linea Alba
an aponeurosis that extends from xiphoid process to pubic symphysis
Locations of epigastric a.
both enter rectus sheath. posterior to rectus abdominis
relationship of duodenum to R kidney
located medially, and descending part contact kidney
Ilioinguinal N.
L1 S, PostG Sym skin overlying prosimomedial thigh S, Post G sym, LMN muscles of anterior abdominal wall
innervation of diaphragm
phrenic n.
Peritoneum
think membrane that lines wall of abdominal cavity and covers viscera creates peritoneal cavity
Surface features of kidney
superior and inferior poles hilum sinus capsule
Coronary ligaments
connect liver to the diaphragm. right anterior and posterior lobe
uncinate process
most inferior bulb of the head of the pancreas
Roof of inguinal canal
arching transversus abdominus and internal oblique
arterial supply of sigmoid?
sigmoid a. (IM)
teniae coloi
long bands of smooth muscles that segregate the colon in its wall to three narrow bands. pulls the walls closer together to form haustra.
Superficial inguinal ring
end of inguinal canal, superior to pubic tubercle triangular opening in apaneurosis of external oblique
What passes through aortic hiatus?
aorta, thoracic duct and sometimes azygous vein
quadrate lobe
visible on inferior visceral surface. bounded on left by fissure for the ligament teres and on the right by the gallbladder. functionally related to left lobe
Anterior wall of inguinal canal
apaneurosis of external oblique and reinforced by lower fibers of internal oblique (lateral 2/3 of canal)
Boundaries of inguinal canal
aponeurosis of external oblique, transversalis fascia, transversus abdominus, inguinal ligmament
Impression of the gallbladder
acts as border for quadrate lobe from right lobe
Quadratus lumborum att.
fills space between 12th rib and iliac crest on both sides of vertebral column Att: 12th rib to iliolumbar ligmanet and iliac crest.
Anal canal
begins at terminal end of rectal ampulla and passes through perineum surrounded by internal (ANS) and external anal sphincters (voluntary control).
in testis layer, peritoneum forms which layer
tunica vaginalis visceral and parietal (innermost layer)
Lumbar N.
dorsal rami and ventral rami
layers of abdominal wall
skin
camper’s fascia
deep fascia
exterial oblique
internal oblique
transversus abdominis
extrapaeritoneal fat
Indirect inguinal hernia
most common; more common in men some or all of processus vaginalis remaisn open or patent. peritoneal sac enters inguinal canal through deep inguinal ring. if passage through entire canal, gets all layers of fascia
What passes through inguinal canal in men?
testes and accompanying vessels, ducts, nerves
Round ligament of uterus
cord like structure that passes from uterus to deep inguinal ring, exits through superficial ring and attaches to connective tissue of labia majora. acquires the same fascia coverings.
hepatorenal ligmanet
reflection of coronary ligmanet onto right kidney
what does the pectinate line represet?
demarks where visceral versus parietal locations during develpment. supurior to line: A: IM V: to portal system Nerves: visceral motor (sympathetic and parasympathetic) and some sensory (Dulled and unlocalized) LYMPH: to internal iliac nodes Inferior to line: A: Internal iliac V: to caval venous system nerve: somatic motor and sensory (feel shart, localized pain) lympth: superficial inguinal nodes
processus vaginalis
a peritoneal diverticulum
the testes transveres the inguinal canal to the developing scrotum and carries with it laters of muscle and fascia from abdominal wall
falciform ligament
derived from ventral mesentery, attaches to anterior wall divides the liver into the right and left areas surrounds ligamentum teres and paraumbilical v.
Gallbladder
pear shaped sac living on surface of liver that houses and concentrates bile that the liver produces
which parts of the colon are intraperitoneal?
transverse and sigmoid
arterial supply of rectum
superior rectal a. (IM), inferior rectal a. (Internal pudendal), and Middle rectal (inferior gluteal a)
Lateral cutaneous n. of thigh
L2-3 S and Post G sym of skin overlying lateral aspect of thigh
Ventral Rami of Lumbar
iliohypogastric ilioinguinal genitofemoral lateral cutaneous muscular branches LUMBAR PLEXUS
what makes up the bile duct?
merging from cystic duct and common hepatic duct
hepatorenal ligament
between right liver and right kindy, with right suparenal gland
Mesentary proper
connects jejunum and ileum to posterior abdominal wall. superior attachment to duodenojejunal junction and ends at ileocecal junction. in between the layers is the branches of superior mesenteric vessels
What happens in inguinal canal to spermatic cord?
the contents receive the three fascial coverings: 1) external spermatic fascia (superficial) 2) internal spermatic fascia (Deepest) 3) cremasteric fascia (Middle)
Jejunum
interperitoneal follows duodenum. 2/5 of remaining small intestine. in left upper quadrant larger in diameters and thicker wall than ileum inner surface has prominent folds (plicae circulares)
Whad so the transverus abdominus m form in layering testis?
nothing!
renal pyramids
discontinuous aggregations of triangular shapes that direct outward towards renal cortex, with an apex projecting into renal sinus.
what does the gubernaculum form in females
round ligament of uterus
and ovarian ligament
actions of diaphragm
inspiration due to negative thoracic pressure
External spermatic fascia
continuous with the apaneurosis of external oblique muscle, covers the spermatic cord. evagination site is the superficial inguinal ring.
parts of duodenum
1) Superior (only part that is intraparitoneal) 2) descending 3) horizontal 4) ascending
Lobes of liver
divided into right and left by the gallbladder and IVC. Right lobe > left lobe right lobe gives rise to quadrate and caudate, but they are functionally distinct
hesselbach’s triangle
Laterally: inferior epigastric artery Medially: recuts abdominis inferiorly: inguinal ligmanet site of direct inguinal hernias
hepatoduodenal lig.
derived from lesser omentum surround hepatic a., bile duct, and portal v.
prenicocolic ligament
ligament out of peritoneum from left colic flexture to diaphragm
what supplies the superior part of abdominal wall with blood?
superficial: musculophrenic a. Deep: superior epigastric artery
medial umbilical folds
lateral to median umbilical fold.
covers umbilical arteries occluded parts
Arterial supply for cecum and appendix?
Ileocolic a.
fissure for ligamentum teres
ligament from anterior liver to porta hepatis. separates quadrate from left lobe is remnant of umbilical vein.
left colic flexture
junction of transverse and descending colon, inferior to the spleen, higher and most posterior than right colic flexture. attached to diaphragm by phrenicocolic ligament. also called left splenic flexture
caudate lobe
visible on posterior part of the visceral surface. bounded on left by fissure for the ligamentum venosum and on the right by the groove for IVC functionally separate from r and left lobes
Body of the gallbladder
agains transverse colin superior duodenum
what controls the entry of the major duodenal papilla?
sphincter of bile duct (oddi)
lesser curvature
point of attachment for lesser omentum
blood supply of ureters
from adjacent vessels rental arteries, abdominal aorta, gonadal, internal iliac arteries
Rectus sheath
enclose rectus abdominis and pyramidalis muscles, and forms with aponeuroses of oblique and transversus abdominis muscles
Blood supply to kidney
renal artery from ab. aorta, which divides into segmental arteries left renal artery usually arises higher than right. right renal artery is longer, passes posterior to IVC
transversus abdominis actions
compression of abdominal cavity
neck of gallbladder
narrowing with mucosal folds.
pararenal fat
accumulates posterior and postero-lateral to the kidney outside the renal fascia layer.
Transversus abdominis att.
deep to internal oblique lower 6 costal cartilages and thoracolumbar fascia –> inguinal lig., iliac crest, and rectus sheath
what does the internal oblique m form in layering testis
cremaster muscle.
just superficial to internal spermadic fascia