Anatomy Flashcards
Is the spleen intraperitoneal or retroperitoneal?
Intraperitoneal
What 2 organs connect to the caecum?
The ileum and the appendix
What are the contents of the RUQ?
Liver, gallbladder, duodenum, head of the pancreas, right kidney and adrenal gland, hepatic flexure of colon, part of transverse and ascending colon
What are the contents of the LUQ?
Stomach, spleen, left lobe of liver, body of pancreas, left kidney and adrenal gland,splenic flexure of colon, part of transverse and descending colon
What structures are contained within the inguinal canal?
The spermatic cord (males), the round ligament (females), blood and lymphatic vessels, and the ilioinguinal nerve.
What are the contents of the RLQ?
Cecum, appendix, right ovary and tube, right spermatic cord, right ureter
What are the contents of the LLQ?
Part of descending colon, sigmoid colon, left ureter, left ovary and tube, left spermatic cord
What are the bones of the pelvis?
True/ inferior pelvis: Sacrum (Ala, S1-5).
False pelvis: Hip bone= Ilium, ischium, pubis
What is the imaginary line at which the axis of the abdominal cavity becomes that of the pelvic cavity (located at the pubic symphysis)?
The pelvic inlet
What is Camper’s fascia?
Camper’s fascia is the layer of fat under the skin of the abdomen below the umbilicus that contains nerves to and from the skin as well as superficial blood vessels.
What is Scarpa’s fascia?
Scarpa’s fascia is the basal attachment of Camper’s fascia, which is tough and membranous, and can hold sutures.
What is deep fascia?
Deep fascia (fascia lata) is below and separate to Scarpa’s fascia, and invests the muscle
What is Colle’s fascia?
Colle’s fascia is the continuation of Scarpa’s fascia along the penis.
What happens to urine with a rupture of the urethra due to trauma?
In shaft of penis without rupture of bucks fascia causes urine in penis shaft enclosed by deep fascia.
With rupture of bucks fascia (at bulb) causes urine everywhere- “butterfly appearance”
What are the skin, muscles, and parietal peritoneum of the abdominal wall supplied by?
T7-L1 Ventral primary ramii
What nerves supply the abdomen apart from the skin, muscles, and parietal peritoneum?
The umbilicus is supplied by 10th thoracic nerve, Intercostal nerves between internal oblique and transversus abdominus.
Subcostal nerve at T12,
Iliohypogastric and ilioinguinal nerves at L1
What are the dermatomes and which ones are important?
Sections of cutaneous innervation. T7, below xiphoiod at T6, T10 the umbilicus, T12 the suprapubic region. C.C. shingles from the dorsal root ganglia- wraps around
What are the 4 main muscles of the abdominal wall and where are they?
Rectus abdominus is down center of abdomen.
Laterally, external oblique, with fascia wrapping over rectus abdominus forming the anterior rectus sheath. The posterior section folds and becomes the inguinal ligament.
The internal oblique is deep to the external, fascia splits and courses on either side of rectus abdominus helping to form the rectus sheath.
Posteriorly is transverse abdominus, fascia extends behind rectus abdominus.
What is below the main muscles of the abdomen?
Transversalis fascia and parietal peritoneum
Where do the transversus and internal obliques fuse together?
Conjoint tendon
Describe the difference in the rectus sheath anteriorly vs at the arcuate line and below
Superiorly we have aponeurosis on both sides of the rectus sheath. Below the arcuate line all three aponeurosis are above the sheath, providing less protection to force on the pelvis (c.c. hernias!)
What arteries course through the rectus sheath and where do they come from?
The musculophrenic and the superior epigastric, both from the internal thoracic artery, as well as the inferior epigastric from the iliac artery
What superficial abdominal vein is particularly important and why?
The superficial thoracoepigastric vein can re-rout blood from the liver to the axillary vein (caput medusa, portal hypertension)
What are the boundaries of Hesselbach’s/Inguinal Triangle?
Medial- rectus sheath (linea alba)
Superolateral- inferior epigastric vessels (lateral umbilical fold)
Inferior- iliopubic tract (back side inguinal lig.)
What structure goes through the inguinal canal and tells us whether the person is male or female?
Testicular vessels
What are the internal GU organs of the female?
Ovaries, fallopian tubes, uterus, vagina
What are the external GU organs of the female?
Mons pubis, labia majus, labia minus, clitoris, vestibule, vestibular bulb, vestibular glands
What is the function of the Dartos muscle (derived from superficial fascia) in the male?
Withdrawal reflex of testes via scrotum (temperature)