abdominal wall and hernia Flashcards

1
Q

from the coelomic cavity what is derived

A

pericardium
pleura
peritoneum
tunica vaginalis

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2
Q

small amount of serous fluid secreted by

A

mesothelial lining

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3
Q

abdominal and thoracic cavities partitioned by the

A

diaphragm

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4
Q

diaphragm derived from

A

septum transversum plus muscular ingrowth

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5
Q

abdomen is continuous with the

A

pelvis - abdominopelvic cavity

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6
Q

abdominal cavity is lined by

A

mesothelial lining

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7
Q

what vertebral segment is uniquely mammalian

A

lumbar

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8
Q

abdominal wall is supplied by

A

intercostal nerves

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9
Q

intercostal nerve at the xiphoid

A

7th - last true rib

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10
Q

umbilicus intercostal nerve

A

T10

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11
Q

inguinal ligament intercostal nerve

A

L1

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12
Q

top middle abdominal zone

A

epigastric

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13
Q

top left

A

left hypochondria

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14
Q

top right

A

right hypochondria

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15
Q

middle

A

umbilical

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16
Q

middle left

A

left lumbar

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17
Q

middle right

A

right lumbar

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18
Q

bottom right

A

right inguinal

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19
Q

bottom left

A

left inguinal

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20
Q

bottom middle

A

hypogastric

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21
Q

vertical planes

A

left/right midinguinal

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22
Q

horizontal planes

A

subcostal plane

inter tubercular plane

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23
Q

diaphragm muscle, when relaxed, rises to

A

rib 5 - nipple line

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24
Q

pelvis inlet

A

boundary between abdominal cavity and pelvic cavity

25
external oblique
V shape
26
internal oblique
A shape
27
transverse abdominus
straight line shape
28
3 functions of abdominal wall
1. containment/protection/strength 2. respiration and voice projection 3. posture/stability/movement
29
rectus sheath
sheath encloses rectus abdominis
30
anterior/superficial layer of rectus abdominis
aponeurosis of external oblique | fused with part of internal oblique
31
midline partition
linea alba
32
lateral edge
linea semilunaris
33
arcuate line
no fascia below this line not always there wall is weaker below this line
34
8 layers of the body wall
``` 1. skin 2 a. camper's fascia b. scarpa's fascia 3. external oblique 4. internal oblique 5. transversalis abdominus 6. transversalis fascia 7. exztraperitoneal fat 8. peritoneum ```
35
2 types of subcutaneous fascia
camper's - fatty fascia | scarpa's - membranous fascia
36
3 layers of muscle
external oblique internal oblique transversalis abdominis
37
fascia underneath transversals abdominis
transversalis fascia
38
scarpa's fascia is attached to
inguinal ligament and linea alba
39
below the inguinal ligament the scrapa's facia becomes
fascia lata
40
scarpa's fascia does not attach to
pubic body
41
inguinal canal
oblique canal through the 3 layers of the body wall
42
deep inguinal ring
lateral halfway point of inguinal ligament inferior epigastric artery passes through here spermatic cord vessels pass through the deep ring
43
superficial inguinal ring
medial end of inguinal ligament
44
testes are supplied by
B arteries
45
dartos muscle
wrinkles the skin of the scrotum
46
ingluinal canal in males contains
the spermatic cord
47
inguinal canal in females constables
round ligament of the uterus
48
what is in front of the deep ring
all three layers of abdominal muscle | foramen n transversalss fascia
49
what is in front of the superficial ring
tranverses and internal oblique lie behind the canal external oblique continues into it
50
spermatic cord and scrotum
testes descend into the scrotum after developing in the upper abdomen draw layers of the abdomen wall with them - except transverses abdominus
51
internal oblique muscle in the srcrotum gives rise to
the cremaster muscle and fascia
52
the spermatic cord made by
- external spermatic fascia - cremaster muscle and fascia - internal spermatic fascia
53
spermatic cord contains
loose CT and fat the testis processus/tunica vaginalis
54
hernia
increase in intraabdominal pressure can force contents through a weakness n the abdominal wall
55
weaknesses in the abdomen wall
- inguinal - femoral - umbilical - semilunar - oesophageal - obturator canal - post surgical site
56
things with mesentery
are more mobile
57
why are hernias bad
oobstruction of a tubular organ | loss of blood supply to the herniated organ
58
indirect inguinal hernias
``` herniates through spermatic cord congenital not pushed through deep and superficial rings tunica vaginalis didn't close ```
59
direct inguinal hernia
``` acquired was pushed weakened abdominal musculature herniates through superficial inguinal ring next to spermatic cord ```