abdomin part 1 Flashcards
RUQ
(i) Liver/gallbladder,
(ii) pylorus of stomach, duodenum, large intestine – ascending & R ½ of transverse
(iii) head of pancreas
(iv) R kidney
LUQ
(i) L lobe of liver, jejunum & proximal ileum, large intestine – descending & L ½ of transverse
(ii) spleen
(iii) body & tail of pancreas
(iv) L kidney
RLQ
(i) Cecum, inferior portion of ascending LI, appendix
(ii) R ureter, bladder (if distended)
(iii) Some reproductive structures
1. Female: R ovary, R uterine tube, uterus if enlarged
2. Male: spermatic cord – abdominal part
LLQ
(i) Sigmoid colon, inferior portion of descending LI,
(ii) L ureter, bladder (if distended)
(iii) Some reproductive structures
1. Female: L ovary, L uterine tube, uterus if enlarged
2. Male: spermatic cord – abdominal part
parietal layer of peritoneum
lines the wall of the abdominopelvic cavity
visceral layer
covers the gastrointestinal structures
external oblique
(i) O: ribs 5-12 (external surfaces)
(ii) I: linea alba, pubic tubercle and anterior ½ of iliac crest
(iii) N: thoracic nerves (T5-12) Note: T12 is named the subcostal nerve
(iv) A: flex & rotate trunk, compress viscera (assists with expiration), support viscera/spine
(v) NOTE: inferior aponeuroses folds back on itself to form the inguinal ligament
Internal oblique
(i) O: thoracolumbar fascia, anterior 2/3 of iliac crest, lateral ½ of inguinal ligament
(ii) I: ribs 10- 12, linea alba, pectin pubis
(iii) N: thoracic nerves (T6-12) and first lumbar nerves
(iv) A: flex & rotate trunk, compress viscera (assists with expiration), support viscera/spine
Transverse abdominal
(i) O: costal cartilage of ribs 7 –12, thoracolumbar fascia, iliac crest, lateral 1/3 of inguinal ligament
(ii) I: linea alba, pectin pubis, pubic crest
(iii) N: thoracic nerves (T6-12) and first lumbar nerves
(iv) A: compress viscera (assists with expiration), support viscera/spine
Rectus Abdominis
(i) O: costal cartilage of ribs 5 - 7, xiphoid process
(ii) I: pubic symphysis and pubic crest
(iii) N: thoracic nerves (T6-12)
(iv) A: flexes trunk, compress viscera (assists with expiration), support viscera/spine
above the arcuate line
porsterior portion of the rectus sheath covers the rectus abdominis
below arcuate line
rectus sheath travels anterior to rectus abdominis
indirect inguinal hernias
bowel protrudes through deep ring and descends though canal
Direct inguinal hernia
protrudes through anterior wall
most common hasselback’s triangle
Parietal layer of peritoneum
lines internal walls of abdominopelvic cavity
visceral layer of peritoneum
lines abdominal viscera