Abdominal Wall, Inguinal Region, Hernias Flashcards
What are the bony landmarks of the Abdomen
Sternum and Xiphoid Process
Costal Margin, costal cartilages, ribs
Iliac crest, iliac fossa, ASIS,
Public Symphysis, pubic tubercle, pubic ramus,
Thoracic and lumbar vertebrae, Sacrum, and pelvic bones
What visceral structures are found in the abdomen
Stomach, duodenum, small intestines, liver, pancreas, spleen, kidneys, ureters, urinary bladder, reproductive organs, abdominal vessels
What are the 9 regions that the abdomen can be divided into
Right Hypochondriac, epigastric, left hypochondriac,
Right lumbar, umbilical, left lumbar,
Right Iliac, Hypogastric, Left Iliac
What are the two fascia found immediately below the skin and what are their characteristics
Camper’s fascia: fatty fascia
Scarpa’s fascia: membranous layer
What muscles make up the posterior wall of the abdomen
Quadrates lumbers, posts major, iliac muscles
Post-vertebral muscles
What muscles make up the lateral wall of the abdomen
External Oblique
Internal Oblique
Transversalis Abdominis
What muscles make up the anterior wall of the abdomen
The paired vertical rectus abdominal muscles within the rectus sheath.
What is an aponeurosis
Thin but strong fibrous sheet of tissue that replaces a tendon in muscles that are flat and sheet-like and have a wide area of attachment.
What are some functions of the three sheet-like muscles
Compresses the abdomen and increases intra-abdominal pressure to aid expiration and evacuation of feces, urine, and parturition
What are the attachments of external oblique
Bottom 8 ribs, free posterior border, xiphoid prices, linea alba, pubic crest and tubercle, anterior 1/2 of iliac crest
What is the direction of the external oblique muscle fibers
Infero-medially
How is the inguinal ligament made and where does it attach
Formed by the rolling inwards of the lower aponeurotic border of the external oblique. It extends from the ASIS to the pubic tubercle.
What are the attachments of the internal oblique; lateral and medial
Laterally: Thoracolumbar fascia, anterior 2/3 of iliac crest, lateral 1/2 of inguinal ligament
Medially: lower 3 ribs and costal cartilages, xiphoid process, rectus sheath and conjoint tendon
State the direction of the internal oblique
Infero-laterally
What are the attachments of the transverse abdominus
Laterally: bottom 6 costal cartilages, anterior 2/3 iliac crest, lateral 1/2 of inguinal ligament
Medially: Xiphoid process, linea alba, pubic symphysis, conjoint tendon
Direction of transverses abdominis
Horizontally
Where does the neurovascular bundle lie
Between internal oblique and transverses abdominis
What are the points of attachment of rectus abdominis
5-7 costal cartilages, xiphoidprocess, pubic symphysis and pubic crest
What structure divides the rectus abdominis into segments`
Transverse tendinous intersections