Abdomen Flashcards
In order of superficial to deep, name the three layers of flat muscles in the abdominal wall
External oblique
Internal oblique
Trans versus abominis
What strap muscle lies anterior to the muscles of the abdominal wall
Rectus abdominis
What vessels run along the deep surface of the rectus abdominus
Superior and inferior epigastric vessels
Where do the superior epigastric arteries arise from
Internal thoracic artery
From which larger artery do the inferior epigastric arteries arise from
External iliac artery
Name the three main muscles which form posterior abdominal wall
Qaudratus lumborum
Psoas Major
Illiacus
What nerve plexus can be found on the posterior abdominal wall
Lumbar plexus
Name the two large vessels found in the posterior abdominal wall
Right and left common iliac arteries (L5)
Bifurcation at L4
What is the position of the deep and superficial ring of the inguinal canal
Deep ring: just superior to the mid point of the inguinal ligament (ASIS-pubic tubercle)
Superficial ring: superior and slightly lateral to the pubic tubercle
What muscle forms the deep and superficial rings ?
Deep ring: internal oblique
Superficial ring: external oblique
How long in the inguinal canal?
Approx 4cm in adults
What somatic nerves are found in the inguinal canal?
Ilionguinal nerve & genital branch of the genitofemoral nerve
Main structures found in the premature cord?
Testicular artery, cremasteric artery, testicular veins, genital branch of genitofemoral nerve, vas deferents (transports sperm from the epididymis to ampulla) lump vessls,
In females what structure is transmitted in the inguinal canal
Round ligament of the uterus
Helps anchor the uterus
State whether the flowing organs are intra or retro peritoneal
Liver, caecum, kidneys, stomach, jejunum, descending colon
Liver -I Caecum - R Kidneys - R Stomach - I Jejunum - I Descending colon - R
What do the greater and lesser sacs communicate via?
Omental (epiploic) foramen
What structures are found in the hepatoduodenal ligament
Portal triad : portal born, hepatic artery, bile duct
At what vertebral level does the IVC, oesophagus and aorta penetrate the diaphragm
IVC -T8
Oesophagus -T10
Aorta - T12
At what vertebral level do the renal arteries branch ?
L1-2
What are the 3 main branches of the coeliac trunk?
Splenic artery
Common hepatic artery
Left epigastric artery
Para-aortic lymph nodes receive lymph from which organs ?
Kidneys, suprarenal glands, testes, ovaries, uterus
What are the three types of preaortic lymph nodes?
Celiac lymph nodes (foregut organs)
Superior mesenteric lymph nodes (midgut organs)
Inferior mesenteric lymph nodes ( descending colon, sigmoid colon, upper part of rectum)
Where does the lymph of the preaortic lymph nodes pass to
Cisternia chyli
Dilated sac of the thoracic duct
What is the root value of the lumbar plexus?
L1-L4
Which muscle is closely associated with the lumbar plexus and it’s branches ?
Psoas Major
Which cranial nerve is present in the abdomen?
Vagus nerve
What are the surface markers of the kidneys?
Posterior, bilateral, 3cm lateral from the median plane, between the 11th thoracic spine and the 3rd lumbar spine