Anat Final/Practical Flashcards
Innervation Extensor Digitorium Brevis and Extensor Hallucis Brevis
Deep peroneal n
Lateral border of abdominal wall
Vertical lines ascending from ASIS on each side
Levator scapulae Insertion
Superior part of medial border of scapula
What is in RUQ
Liver
Gallbladder
Right suprarenal gland and kidney
Superior ascending colon
Myotome ankle eversion
L5-S1
Where does inferior vena cava arise
L5 from a union of common iliac veins. It ascends through vena cava foramen in diaphragm and continues to heart.
Visceral motor from CNS
Efferent
Effector organ, involves series of 2 neurons:
presynaptic/preganglionic (cell bodies in gray matter)
Postsynaptic/preganglionic
Functional divisions of nervous system
Somatic and Autonomic nervous systems
What innervates the anterior abdominal wall muscles
Lower 5 thoracic nerves, subcostal (T12) and Iliohypogastric (L1)
Upper region (9 planes)
Right and left hypochondriac
Epigastric
Part of the ventral primary ramus of L4 joins ventral primary ramus of L5 to form the…
Lumbosacral trunk
External Abdominal Oblique Insertion
Linea alba, pubic crest, iliac crest, pubic symphysis
Diaphragm Innervation
Phrenic n.
Pelvic outlet boundaries
Anterior: pubic arch
Lateral: ischial tuberosity
Posteriolaterally: inferior margin of sacrotuberous ligament
Posterior: tip of coccyx
Serratus Posterior inferior action
Depress inferior 3-4 ribs to prevent superior pull by the diaphragm
Myotome great toe extension
L5
External Abdominal Oblique action
Flex and rotate trunk, laterally rotate trunk, compress abdominal contents
Inferior border of abdominal wall
Line on either side connecting ASIS to pubic symphysis
Diaphragm openings
Sternocostal hiatus,
Esophageal hiatus (T10),
Aortic hiatus (T12),
Foramen for inferior vena cava.
External Abdominal Oblique Origin
External surface of 5th-12th ribs
Right crus diaphragm
Arise from LV 1-3 and their intervertebral discs
Gray matter
Cell bodies
Innervation of anterior abdominal wall
Ventral primary rami of spinal nerves T6-T11, and T12 (subcostal nerve) and Iliohypogastric and ilioinguinal nerves from ventral primary ramus of L1
Greater pelvis
“False pelvis”
Superior to pelvic inlet
Posterolaterally: Iliac alae
Posterior: anterior aspect S1
What is in LUQ
Spleen Stomach Pancreas Left kidney Superior descending colon Left half of transverse colon
Levator scapula Origin
Posterior tubercles of transverse processes C1-C4
Level of esophageal hiatus
T10 (diaphragm opening)
Left crus of diaphragm
Arises from LV 1-2 and their intervertebral discs
Trapezius Action
Upper fibers:elevate
Middle fibers: retraction
Lower fibers: depression
Upper reflex tests
C5- biceps brachii
C6- brachioradialis
C7- triceps
Subcostal plane
Passes through L3.
Inferior points of costal cartilage, 10th costal cartilage.
Level of aortic hiatus
T12 (diaphragm opening)
Trapezius Origin
External occipital protuberance, ligamentum nuchae,
spinous process of C7-T12
Motor fibers
Axons of multipolar neurons.
Somatic motor: cell bodies in gray matter.
Visceral motor: presynaptic in gray matter
Postsynaptic in autonomic ganglia (outside CNS)
Transverse Abdominis Origin
Thoracolumbar fascia, iliac crest, lateral one third of inguinal ligament, internal surface of costal cartilage T7-12
Sacral plexus gives rise to…
Superior gluteal L4-S1, Inferior gluteal L5-S2, Sciatic L4-S3, Pudendal S2-S4, Twigs to piriformis S1-S4, Nerve to obturator internus L5-S2, Nerve to quadratus femoris L4-S1