Abdominal Wall And Diapragm Flashcards

1
Q

What are the components of the abdominal wall

A

Musculoponeurotic walls
Diaphragm
Pelvic floor muscles
Lumbar section of vertebral column

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2
Q

What is internal pressure controlled by

A

Voluntary or reflexively by the contraction/ relaxation of the diaphragm and anterolateral walls

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3
Q

How many quadrants are there in the abdomen

A

4: created by the imaginary lines of the median plane and transumbilical plane

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4
Q

How many regions are on the abdomen

A

9 regions created by two horizontal lines and two vertical midclavicular lines

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5
Q

What is the subcostal plane

A

Touching the inferior border of the 10th costal cartilage on both sides

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6
Q

What is the transtubercular plane

A

Tubercle on the iliac crest, goes through the body of the 5th lumbar vertebra

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7
Q

What are the functions of the muscles of anterior abdominal wall

A

Form a strong expandable support
Protect the abdominal viscera
Oppose the diaphragm
Move the trunk/maintain posture

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8
Q

What is the anterolateral abdominal wall bounded by

A

SUPERIORLY cartilage of the 7-10 rib and xiphoid process
Inferiorly by the inguinal ligament and superior margin of the anterolateral aspect of the pelvic girdle

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9
Q

What does the Rectus abdominis do

A

Compresses the viscera but can flex the trunk In the lumbar region

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10
Q

What does the pyramidalis muscle do

A

Draws the linea alba downward toward the pubis

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11
Q

Where the the external oblique muscle run

A

Ribs 5-12 to the iliac crest and pubis and also attached to linea alba

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12
Q

What is the linea semilunaris

A

Lateral limits of the Rectus sheath more apparent in lean individuals

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13
Q

What do the inguinal ligament do

A

Holds down the structures passing between the pelvis and thigh

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14
Q

What does the inguinal ligament represent

A

A thickening of external oblique aponeurosis running from ASIS to the pubis tubercle

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15
Q

What is the Rectus sheath

A

Strong incomplete fibrous compartment of the Rectus abdominus and pyramidalis muscles

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16
Q

What arteries and veins are within Rectus sheath

A

Inferior and superior epigastric artery and vein

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17
Q

What is the line of demarcation

A

The Arcuate line

18
Q

What are the components of the Rectus sheath

A

External abdominal oblique and aponeurosis
Internal abdominal oblique and aponeurosis
Transverse abdominal and aponeurosis

19
Q

What are the only things inferior to actuate line

A

Transversalis fascia
Parietal perineum

20
Q

Arterial supply ti the abdominal was starts as Internal thoracic and splits to what

A

Musculophrenic and superior epigastric a

21
Q

Anterolateral supply to the abdominal wall via abdominal aorta splits to

A

Posterior intercostal aa (these travel with anterior rami of lower thoracic spinal nerves along inferior edge of ribs

22
Q

Arterial supply to abdominal wall via external iliac / femoral is what

A

Superior epigastric a
Circumflex iliac a
Inferior epigastric a

23
Q

The anterior rami of spinal nerves T7-T12 travel within what

A

Posterior thoracic wall

24
Q

Lower intercostal nerves reach the costal margin and continue traveling anteromedially as what

A

Thoraciabdominal nerves

25
Does the thoracoabdominal nerves participate in plexus formation
NO
26
Where do the intercostal nerves enc
The innermost and impersonal intercostal muscles and continues between the internal oblique and transverse abdominal muscles
27
Where does the lateral cutaneous branch emerge
In the anterior Axillary line and bifurcate to anterior and posterior divisions
28
What does the anterior cutaneous branches pierce
The Rectus sheath close to midline
29
What is the inguinal canal
An oblique 4cm long passageway to descent the testes during fetal life
30
What is the lacunar ligament
Deep fibers of inguinal ligament attaching to superior pubic Remus to form the medial border of subinguinal space
31
What are the lateral and medial crura
Parts of the external oblique aponeurosis which surrounds the superficial inguinal ring
32
What is the inguinal flax aka conjoint tendon
Medial reinforcement of the posterior wall of the inguinal canal formed by the fused aponeurosis of the internal oblique and transverse abdominis
33
Where does the indirect inguinal hernia enter
Deep inguinal ring lateral to the inferior epigastric vein
34
What is the lateral umbilical fold =
Inferior epigastric a and vein which conducts blood
35
What is the medial umbilical fold (paired)
Obliterated umbilical arteries (from fetal life )
36
What is the medial umbilical fold Single
Obliterated urachus, a duct which connected the urinalysis bladder to the umbilcus
37
What is supravesical fossa
Between median/medial folds
38
What is medial inguinal fossae
Hasselbach triangle between medial/lateral folds
39
What is lateral inguinal fossae
Lateral to lateral fold Most common area for an inguinal hernia
40
What are the inguinal triangle boundaries
The Rectus abdominis m Medially The inguinal ligament inferiorly The inferior epigastric artery and vein laterally
41
What are the contents of the spermatic cord
Ductus deferens Testicular artery Pampiniform venous plexus Autonomic nerves Genitalia branch of genitofemoral nerve Lymphatic vessels
42
What supplies the cremaster muscle
Genitalia branch of genitalfemoral nerve