Abdominal Wall & Diagphram Flashcards

1
Q

The body is divided into what two major cavities?

A

Dorsal and ventral

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2
Q

What is contained in the dorsal cavity?

A

Brain & spine

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3
Q

What are the layers of the abdominal wall? 6

A

Skin,
tissue,
Muscles
Deep fascia,
Extraperitoneal fat,
Parietal peritoneum

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4
Q

What does the diaphragm do?

A

Separates thoracic cavity from abdominal cavity

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5
Q

The diaphragm is the major muscle of?

A

Inspiration

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6
Q

What are the 3 sites of attachment for the diaphragm?

A

Sternal, Lumbar, Costal

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7
Q

Which attachment is not always present?

A

Sternal

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8
Q

Which attachment is attached to the inner surface of the last ribs?

A

Costal

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9
Q

Which attachment has two attachments? And what are they?

A

Lumbar

Rt & Lt crura

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10
Q

Which attachment arise from the first 3 lumbar vertebrae, seen anterior to the aorta?

A

Right crura

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11
Q

Which attachment arise from the first 2 lumbar vertebrae?

A

Left crura

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12
Q

What are the signs & symptoms of abdominal wall abscess?

A

Erythema, Tenderness, Induration

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13
Q

What are the 2 common causes of superficial anterior abdominal wall abscess?

A

Surgical incision, External trauma

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14
Q

What is the lateral margin of the rectus muscles that is formed by fuses of the rectus muscles aponeuroses?

A

Linea semilunaris

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15
Q

What is the dense connective tissue, extending from xyphoid process to the pubic symphysis & formed by fusion of aponeurosis of abdominal muscles?

A

Linea alba

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16
Q

This separates the right and left rectus muscles?

A

Linea alba

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17
Q

Formed as the inferior border of the external oblique extends between anterior superior iliac spine and the pubic tubercle is called?

A

Inguinal ligament

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18
Q

What is formed as the inferior border of the external oblique extends?

A

Inguinal canal

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19
Q

In inguinal canal, in an adult, it is an oblique passage approximately?

A

4cm long

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20
Q

Within the inguinal canal is the _ cord in males and the round _ ligament in females.

A

Spermatic & uterine

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21
Q

What are the two openings of the inguinal canal?

A

Deep inguinal ring, Superficial inguinal ring

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22
Q

What is the anatomy for the posterior abdominal wall?5

A

Composition, Lumbar vertebra, Posterior abdominal wall muscles, Diaphragm, Fascia

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23
Q

The belly button is the center mark to?

A

Divide

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24
Q

What anatomy is in the RUQ?

A

Rt liver, Gallbladder

25
What anatomy is in the LUQ?
Stomach, Lt liver, Spleen
26
What anatomy is in the RLQ?
Bowel, Rt ovaries
27
What anatomy is in the LLQ?
Bowel, Lt ovaries
28
What anatomy is in between the RLQ & LLQ?
Bladder, Uterus
29
What anatomy is in between the RUQ & LUQ?
Pancreas
30
What anatomy is in between the RUQ & RLQ?
Kidney
31
What anatomy is in between the LUQ & LLQ?
Kidney
32
What are the 9 regions?
Right hypochondrium, Epigastrium, Left hypochondrium, Right lumbar, Umbilical, Left lumbar, Right iliac fossa, Hypogastrium, Left iliac fossa
33
What is the thickened upper margin of the fascia that covers the anterior surface of the psoas muscle?
Medial arcuate
34
What is the thickened upper margin of the fascia that covers the anterior surface of the quadratus lumborum muscle?
Lateral arcuate
35
What is in the right hypochondriac region?
Liver, Gallbladder, Right kidney, Small intestine
36
What is in the epigastric region?
Stomach, Liver, Pancreas, Duodenum, Spleen, Adrenal glands
37
What is in the left hypochondriac?
Spleen, Colon, Left kidney, Pancreas
38
What is in the right lumbar?
Gallbladder, Liver, Right colon
39
What is in the umbilical region?
Umbilicus (navel), Parts of small intestine, Duodenum
40
What is in the left lumbar?
Descending colon, Left kidney
41
What is in the right iliac?
Appendix, Cecum
42
What is in the hypogastric region?
Urinary bladder, Sigmoid colon, Female reproductive organs
43
What is in the left iliac?
Descending colon, Sigmoid colon
44
Who is most at risk for inguinal hernia?
Men
45
What is usually found in the various types of hernias?
Fat, Soft tissue, Bowel
46
A protrusion of any organ or tissue through an abnormal opening in the body is called?
Hernia
47
A defect in transversalis fascia underlining the abdominal wall muscles just above the peritoneal membrane covering the organs is called?
Hernia
48
Where are inguinal hernias found?
Direct and indirect are found superior to the inguinal ligament more commonly on right side
49
What can we do to determine we are looking at a hernia?5
Location & size, Sac content, Reducibility, Incarceration, Strangulation
50
How many attachments does the central tendon have?
None
51
For a hematoma, the sonographic appearance of fresh blood appears echo free meaning?
Anechoic
52
For a hematoma, the sonographic appearance of the old ones that appear with scattered areas of echo have?
Debris
53
The abdominal wall hernias consist of what 3 parts?
Neck, Sac, Contents of the sac
54
What are the two main categories of abdominal wall hernias?
Ventral & groin
55
Indirect inguinal hernias are more common compared to?
The direct one
56
Where is the defect in indirect inguinal hernia?
Deep ring
57
Where is the herniation sac located in the indirect inguinal hernia?
Anterior to the spermatic cord
58
Indirect inguinal may communicate with?
Scrotum
59
Indirect inguinal hernias are identified where?
Lateral to the inferior epigastric artery