Abdominal wall & Hernias Flashcards

1
Q

What is the connection between the greater and lesser sac called?

A

foramen of winslow

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2
Q

What is visceral pain?

A

Pain from stretching, inflammation or ischaemia, poorly defined and often midline

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3
Q

Which spinal nerves form the greater, lesser and least splanchnic nerves?

A

Greater : T5-9, Lesser: T10-11, Least: T12

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4
Q

Where do the splanchnic nerves synapse?

A

Prevertebral ganglia

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5
Q

What is a hernia?

A

Protrusion of contents beyond the confines of its containing cavity

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6
Q

What are 2 causes of a hernia?

A

weakness in the containing cavity and an increase in intra-abdominal pressure

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7
Q

What 3 parts form a hernia?

A

the sac, the contents and the coverings

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8
Q

What is the inguinal canal?

A

oblique passage through lower part of abdominal wall

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9
Q

Name the floor of the inguinal canal

A

Inguinal ligament

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10
Q

Name the roof of the inguinal canal

A

Internal oblique and transverse abdominis

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11
Q

Name the posterior wall of the inguinal canal

A

Transversalis fascia

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12
Q

Name the anterior wall of the inguinal canal

A

Aponeurosis of external oblique

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13
Q

Direct vs indirect inguinal hernias

A

Direct go straight through abdominal wall, indirect travel down the inguinal canal

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14
Q

Is a direct inguinal hernia medial or lateral to the inferior epigastric vessels?

A

Medial

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15
Q

What is Hesselbachs triangle?

A

A weak area of the abdominal wall where a direct hernia may go through

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16
Q

What is an Omphalocele?

A

Viscera persist outside the abdominal cavity still covered in peritoneum

17
Q

What is Gastroschisis?

A

Defect in ventral abdominal wall where the viscera are not covered by peritoneum. Tends to have better outcomes than Omphalocele.

18
Q

Define strangulated

A

Blood supply is disrupted - can lead to tissue necrosis