abdominal wall and inguinal region Flashcards

1
Q

superior boundary of abs wall

A

diaphragm

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2
Q

inferior border of abs wall

A

pelvic brim

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3
Q

anterior border of abs wall

A

lower part of thoracic cage and abs muscles

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4
Q

posterior border of abs wall

A

L1-L5

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5
Q

lateral border of abs wall

A

12th rib
psoas muscle
blabla

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6
Q

the lines that dissect the abs into 4 quadrants meet at

A

umbilicus (L3 or L4)

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7
Q

a plane that passes through the lower margin of 10th rib

A

subcostal plane

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8
Q

a plane that traverses the pubic tubercle @ L5

A

transtubercular plane

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9
Q

a plane hafway between the jug notch and pubic bone @ 9th costal cartilage, L1

A

transpyloric

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10
Q

structures that pass thru the transpyloric plane

A
gall
liver
pylorus
duodenum
pancreas
kidney
spleen
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11
Q

structures found in the umbilical region

A

jejunum
ileum
stomach
kidney

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12
Q

scar representign teh ttachment of the fetal cord

A

umbilicus

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13
Q

where is umbilcus situated

A

linea alba

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14
Q

the natural cleavage lines of the skin in the abs run

A

doward forward

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15
Q

blood supp of skin near midline

A

sup and inf. epigastric arteries

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16
Q

blood supp skin in lumbar

A

lumbar
deep circumflex iliac
intercostal

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17
Q

blood supp skin in inguinal

A

superficial epigastric
superfic. circumflex iliac
superficial pudendal arteries

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18
Q

venous drainage of higher abs

A

axillary vein via lateral thoracic

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19
Q

venous drainage of lower abs

A

femoral vein via superfic. epigas. vein and great saphenous vein

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20
Q

cutaneous innervation of the abs wall

A

anterior rami of lower 6 thoracic and 1st lumbar

lower 5 IC nerve, subcostal, iliohypogastric, ilioinguinal

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21
Q

the superficial fatty layer

A

fascia of camper

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22
Q

the deep membranous layer

A

scarpa’s fascia

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23
Q

in the midline inferiorly, the scarpa’s fascia ______

A

forms a tubular sheath for the penis or clit

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24
Q

fsacia found below perineu, entering scrotum or labia majora wall

A

Colle’s fascia

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25
Q

the superior epigastric artery enters the ____ and descends behind _____

A

rectus sheath

rectus muscle

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26
Q

the inferior epigastric artery is a branch of the

A

external iliac artery

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27
Q

the inf. epigastric artery pierces what

A

fascia transversalis

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28
Q

difference of inf. epigastric and deep circumflex iliac artery

A

inf - upward and medially

deep circumflex - upward and alterally

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29
Q

connect the network through the umbilicus and along the ligamentum teresto the portal vein

A

paraumbilical veins

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30
Q

the ____ venous drainage drain into the internal thoracic and external iliac vein

A

deep

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31
Q

the lower 6 thoracic nerves initially pierce the ___ and ends by piercing the ____

A

posterior wall of rectus sheath

anterior wall

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32
Q

the 1st lumbar nerves pierce _____

A

external oblique aponeurosis

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33
Q

what pierces the external oblique aponeurosis

A

1st lumbar nerves

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34
Q

dermatome found in epigastrium over the xiphoid process

A

T7

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35
Q

dermatome that includes the umbilicus

A

T10

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36
Q

dermatome that lies just above the inguinal ligament and symphysis pubis

A

L1

37
Q

superficial lymph drainage

A

anterior axillary

superficial inguinal

38
Q

deep lymph drainage

A

drains into internal thorcaic, external iliac, posterior medistinal and para-aortic nodes

39
Q

thin layer of fascia lining the transversus abdominis and continuous with a layer lining the diaphragm and iliacus muscle

A

fascia transversaliss

40
Q

what forms the femoral sheath

A

fascia transversalis

fascia iliaca

41
Q

thin layer of conenctive tissue with fat between transversalis and parietal peritoneum

A

extraperitonal fat

42
Q

thin serous membrane that lines the walls of the abdomen

A

parietal peritoneum

43
Q

action of pyramidlis

A

tenses linea alba

44
Q

common action of abs

A

compresses abs content

45
Q

common insertion of abs

A

xiphoid

46
Q

triangular-shaped defect, lies immediately above and medial to pubic tubercle

A

superficial inguinal ring

47
Q

what passes through the superficial inguinal ring

A

spermatic cord or round ligament of uterus

48
Q

lower border of the aponeurosis that folded backward on tiself between ASIS and pubic tubercle

A

inguinal ligament

49
Q

extends backward and upward to the pectineal line on the superior ramus of the pubis from the medial end of the inguinal ligament

A

lacunar ligament

50
Q

sharp free crescentic edge of the lacunar ligament

A

femoral ring

51
Q

continuation of the lacunar ligament with a periosteum thickening at the pectineal line

A

pectineal ligament

52
Q

where ung free border ng internal oblique

A

lower free border

53
Q

where ung free border ng external oblique

A

posterior

54
Q

muscle fibers carried by the spermatic cord as it passes under the lower border of the int oblique

A

cremaster muscle

55
Q

the posterior borders of the tranversus are attached to the

A

lumbar vertebra

56
Q

lateral margin forming a curved ridge

A

linea semilunaris

57
Q

muscle often absent, lies in front of the lower part of the rectus abdominis

A

pyramidilis

58
Q

long fibrous sheath enclosing the rectus abdominis and pyramidilis

A

rectus sheath

59
Q

the rectus sheath contains

A

anter. rami
sup. and inf. epigastric
lymph vessels

60
Q

at the level of ASIS, free curved lower border in the posterior wall

A

arcuate line

61
Q

where the epigastric vessels enter the rectus sheath

A

arcuate line

62
Q

conjoint tendon =

A

internal oblique + transversus abdominis

63
Q

superior wall of inguinal canal

A

arching lowerst fibers of interal oblique and transversus

64
Q

inferior wall of inguinal canal

A

upturned lower edge of the inguinal ligament and lacunar ligament

65
Q

wall that lies opposite the deep inguinal ring

A

anterior wall of inguinal canal

66
Q

wall that lies opposite the superficial inguinal ring

A

posterior wall of inguinal canal

67
Q

this allows structures to pass to and from the testis to the abdomen

A

inguinal canal

68
Q

this allows the round lgiament of uterus to pass fom the uterus from to the labia majus

A

inguinal canala

69
Q

the inguinal canal extends from __ to ____

A

deep inguinal ring

superficial inguinal ring

70
Q

oval opening in the fascia transversaliss

A

deep inguinal ring

71
Q

the margins of the deep inguinal canal gives attachment to the

A

internal spermatic fascia

internal covering of the ligament of the uterus

72
Q

medial to the deep inguinal canal

A

inferior epigastric canal

73
Q

margins of the superficial inguinal ring

A

crura

74
Q

the crura give attachment to the

A

external spermatic fascia

75
Q

superolateral border of the hesselbach triangle

A

inf. epigastric vessels

76
Q

inferior border of the hesselbach triangle

A

inguinal ligament

77
Q

medial border of the hesselbach triangle

A

linea semilunaris/rectus sheath

78
Q

structures found in the spermatic cord

A
vas deferens
testicular artery and vein
lymph vessels
autonomic nerves 
processus vaginalis
genital branch of the genitofemoral nerve
79
Q

the thick walled muscular duct in the vas deferens transports

A

spermatozoa from epididymis to the urethra

80
Q

the testicular artery is a branch of the ___________ that branches off at the level of

A

abdominal aorta

level of L2

81
Q

veins that leave the posterior border of the testis

A

pampiniform plexus

82
Q

the pampiniform plexus at the level of the deep inguinal ring ____

A

forms single testicular vein

83
Q

what autonomic fibers are in the spermatic cord

A

sympa fibers

84
Q

remains of the ___ are seen in the spermatic cord

A

processus vaginalis

85
Q

nerve that supplies the cremaster msucle

A

genital branch of genitofemoral nerve

86
Q

which spermatic cord covering is derived from fascia transversalis

A

internal spermatic cord

87
Q

which spermatic cord covering is derived from internal oblique aponeurosis

A

cremasteric fascia

88
Q

which spermatic cord covering is derived from external oblique aponeurosis

A

external oblique fascia