Abdominal Wall and Inguinal Region Flashcards

1
Q

Name the layers of the anterior abdominal wall (superficial to deep)

A
skin
superficial fascia
deep fascia
muscles + aponeuroses
Transversalis (endoabdominal) fascia
extraperitoneal fat
parietal peritoneum
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2
Q

What makes up the conjoint tendon (falx inguinalis)

A

combined insertion of the transversus abdominis and internal abdominal oblique

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3
Q

what structure is in median umbilical fold?

A

urachus

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4
Q

what structure is in the medial umbilical fold?

A

obliterated umbilical a.

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5
Q

what structure is in the lateral umbilical fold?

A

interior epigastric a. and v. — Important!

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6
Q

what innervated the anterolateral abdominal cavity muscles?

A

thoracoabdominal n. (ventral rami T7-T11)

Ilioinguinal n. and iliohypogastric n. (L1)

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7
Q

where do the nerovascular bundles lie in the abdominal cavity?

A

between IAO and TAO

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8
Q

where does lymph drain above watershed (umbilical) ab wall?

A

axillary lymph nodes

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9
Q

where does lymph drain below the watershed of ab wall?

A

to inguinal lymph nodes

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10
Q

what makes up the deep inguinal ring?

A

aponeuroses of transversalis fascia

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11
Q

what makes up the superficial ring?

A

EAO aponeuroses

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12
Q

what do the intercrural fibers do?

A

Formed by TA and IAO
bridge the medial and lateral crus
prevents stretching of superficial ring!

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13
Q

what forms the lateral and medial crus?

A

aponeuroses of EAO

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14
Q

what innervation does the ilioinguinal n. provide?

A

anterior and lateral inn. to scrotum

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15
Q

what happens in direct hernias?

A

goes through the triangle of Hesselbach and hernia is found medial to inferior epigastric a.

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16
Q

what happens in indirect hernias?

A

the hernia goes through the inguinal canal and the hernia is found lateral to the inferior epigastric a.