Abdominal Wall & Diagphram Flashcards
The body is divided into what two major cavities?
Dorsal and ventral
What is contained in the dorsal cavity?
Brain & spine
What are the layers of the abdominal wall? 6
Skin,
tissue,
Muscles
Deep fascia,
Extraperitoneal fat,
Parietal peritoneum
What does the diaphragm do?
Separates thoracic cavity from abdominal cavity
The diaphragm is the major muscle of?
Inspiration
What are the 3 sites of attachment for the diaphragm?
Sternal, Lumbar, Costal
Which attachment is not always present?
Sternal
Which attachment is attached to the inner surface of the last ribs?
Costal
Which attachment has two attachments? And what are they?
Lumbar
Rt & Lt crura
Which attachment arise from the first 3 lumbar vertebrae, seen anterior to the aorta?
Right crura
Which attachment arise from the first 2 lumbar vertebrae?
Left crura
What are the signs & symptoms of abdominal wall abscess?
Erythema, Tenderness, Induration
What are the 2 common causes of superficial anterior abdominal wall abscess?
Surgical incision, External trauma
What is the lateral margin of the rectus muscles that is formed by fuses of the rectus muscles aponeuroses?
Linea semilunaris
What is the dense connective tissue, extending from xyphoid process to the pubic symphysis & formed by fusion of aponeurosis of abdominal muscles?
Linea alba
This separates the right and left rectus muscles?
Linea alba
Formed as the inferior border of the external oblique extends between anterior superior iliac spine and the pubic tubercle is called?
Inguinal ligament
What is formed as the inferior border of the external oblique extends?
Inguinal canal
In inguinal canal, in an adult, it is an oblique passage approximately?
4cm long
Within the inguinal canal is the _ cord in males and the round _ ligament in females.
Spermatic & uterine
What are the two openings of the inguinal canal?
Deep inguinal ring, Superficial inguinal ring
What is the anatomy for the posterior abdominal wall?5
Composition, Lumbar vertebra, Posterior abdominal wall muscles, Diaphragm, Fascia
The belly button is the center mark to?
Divide
What anatomy is in the RUQ?
Rt liver, Gallbladder
What anatomy is in the LUQ?
Stomach, Lt liver, Spleen
What anatomy is in the RLQ?
Bowel, Rt ovaries
What anatomy is in the LLQ?
Bowel, Lt ovaries
What anatomy is in between the RLQ & LLQ?
Bladder, Uterus
What anatomy is in between the RUQ & LUQ?
Pancreas
What anatomy is in between the RUQ & RLQ?
Kidney
What anatomy is in between the LUQ & LLQ?
Kidney
What are the 9 regions?
Right hypochondrium, Epigastrium, Left hypochondrium, Right lumbar, Umbilical, Left lumbar, Right iliac fossa, Hypogastrium, Left iliac fossa
What is the thickened upper margin of the fascia that covers the anterior surface of the psoas muscle?
Medial arcuate
What is the thickened upper margin of the fascia that covers the anterior surface of the quadratus lumborum muscle?
Lateral arcuate
What is in the right hypochondriac region?
Liver, Gallbladder, Right kidney, Small intestine
What is in the epigastric region?
Stomach, Liver, Pancreas, Duodenum, Spleen, Adrenal glands
What is in the left hypochondriac?
Spleen, Colon, Left kidney, Pancreas
What is in the right lumbar?
Gallbladder, Liver, Right colon
What is in the umbilical region?
Umbilicus (navel), Parts of small intestine, Duodenum
What is in the left lumbar?
Descending colon, Left kidney
What is in the right iliac?
Appendix, Cecum
What is in the hypogastric region?
Urinary bladder, Sigmoid colon, Female reproductive organs
What is in the left iliac?
Descending colon, Sigmoid colon
Who is most at risk for inguinal hernia?
Men
What is usually found in the various types of hernias?
Fat, Soft tissue, Bowel
A protrusion of any organ or tissue through an abnormal opening in the body is called?
Hernia
A defect in transversalis fascia underlining the abdominal wall muscles just above the peritoneal membrane covering the organs is called?
Hernia
Where are inguinal hernias found?
Direct and indirect are found superior to the inguinal ligament more commonly on right side
What can we do to determine we are looking at a hernia?5
Location & size, Sac content, Reducibility, Incarceration, Strangulation
How many attachments does the central tendon have?
None
For a hematoma, the sonographic appearance of fresh blood appears echo free meaning?
Anechoic
For a hematoma, the sonographic appearance of the old ones that appear with scattered areas of echo have?
Debris
The abdominal wall hernias consist of what 3 parts?
Neck, Sac, Contents of the sac
What are the two main categories of abdominal wall hernias?
Ventral & groin
Indirect inguinal hernias are more common compared to?
The direct one
Where is the defect in indirect inguinal hernia?
Deep ring
Where is the herniation sac located in the indirect inguinal hernia?
Anterior to the spermatic cord
Indirect inguinal may communicate with?
Scrotum
Indirect inguinal hernias are identified where?
Lateral to the inferior epigastric artery