Anatomy: Abdomen Flashcards
What is the superior lateral regions called?
Right or left hypochondriac region
What structures lie on top of the hypochondriac regions?
Costal cartilage
What is the middle lateral regions called?
Right or left lumbar regions
What is the inferior lateral regions called?
Right or left inguinal
What is the superior middle region called?
Epigastric
What the middle middle region called?
Umbilical
What is the inferior middle region called?
Suprapubic
What separates the regions horizontally? (What is the vertical line?)
Mid clavicular lines
What separates the hypochondriac and lumbar regions vertically? (What runs horizontally?)
Subcostal line
What separates the lumbar and inguinal regions vertically? (What runs horizontally?)
Transtubercular line
What level is the subcostal line?
Rib 10
What level is the transtubercular line?
L5
What is another name for the hypogastric region?
Suprapubic region
How many tendinous insertions are there?
3 on each side
What is the line semilinaris?
Lateral outline of the rectus abdominus
What are the attachment points for all of the abdominal muscles?
Lower ribs, thoracolumbar fascia, iliac crest, pubic tubercle, linea alba
What muscles make up the superficial layer of the abdomen?
External oblique
What direction are the external oblique fibres running?
Inferior and medial
What muscles make up the middle layer of the abdomen?
Rectus abdominus
Internal oblique
What direction are the rectus abdomens fibres running?
Vertical
What direction are the internal oblique muscles running?
Inferior and lateral
What muscles make up the deep layer of the abdomen?
Transversus abdominus
What direction are the transverses abdominus fibres running?
Horizontal
What is the function of the abdominal muscles?
Supports internal viscera
Increases abdominal pressure during contraction
What is the linea alba?
Where all the connective sheaths end
What makes up the anterior rectus sheath - above the arcuate line?
External oblique aponeurosis
Internal oblique aponeurosis
What makes up the posterior rectus sheath - above the arcuate line?
Internal oblique aponeurosis
Transversalis abdominus aponeurosis
Transversalis fascia
What makes up the anterior rectus sheath - below the arcuate line?
External oblique aponeurosis
Internal oblique aponeurosis
Transversalis abdominus aponeurosis
What makes up the posterior rectus sheath - below the arcuate line?
Transversalis fascia
What are the three nerves that pierce the rectus sheath to supply cutaneous sensory innervation?
Subcostal
Iliohypogastric
Ilioinguinal
What is the root for the subcostal nerve?
T12
What is the root for the iliohypogastric nerve?
L1
What is the root for the ilioinguinal nerve?
L1
What are the two superficial blood vessels within the rectus sheath?
Superior epigastric artery
Inferior epigastric artery
What is the superior epigastric artery a branch of?
Internal thoracic/mammary artery
What is the inferior epigastric artery a branch of?
External iliac artery
Between what layers is the epigastric arteries located within the rectus sheath?
Superficial to the posterior rectus sheath
Deep to the rectus abdominus muscle
What fascia folds upon itself to form the inguinal ligament?
External oblique aponeurosis
Where does the medial crus of the superficial inguinal ring attach?
Symphysis pubis
Where does the lateral crus of the superficial inguinal ring attach?
Pubic tubercle
Where does the lacunar ligament attach?
Pubic tubercle
Where the does the conjoint tendon attach? What is it attached to?
Internal oblique and transversalis abdominus attachment to the pubic crest
What forms the superficial inguninal ring?
External oblique aponeurosis
What forms the deep inguinal ring?
Transversalis fascia
What makes up the roof of the inguinal canal?
Internal oblique
Transversalis abdominus
What makes up the floor of the inguinal canal?
Inguinal ligament
Lacunar ligament
What makes up the lateral/anterior wall of the inguinal canal?
External oblique
What makes up the medial/posterior wall of the inguinal canal?
Transversalis fascia
Conjoint tendon
The spermatic cord in the male is the __ in the female?
Round ligament
What are the contents of the spermatic cord?
Vas defernes
Testicular artery
Pampiniform plexus of veins
Genitofemoral artery
In males, what makes the inguinal canal?
Testicular development and descent
What pulls the testes down from the posterior body wall - during development?
Gubernaculum and caudal genital ligament
What extends into the scrotal swelling posterior to the vaginal process?
Gubernaculum testes
What is the vaginal process?
Extension of the abdominal cavity during testicular development
What attaches the testes to the scrotum during development and adulthood?
Gubernaculum testes
What are the remnants of the vaginal process in male adults?
Parietal layer of tunica vaginalis surrounds the visceral layer on testes
What is superficial to the external spermatic fascia in the scrotum?
Dartos muscle
What is the function of the dartos muscle?
Smooth muscle in the skin of scrotum causing it to wrinkle
What is the purpose of the dartos muscle?
Temperature regulation of the testes
What makes up the external spermatic fascia?
External oblique
What makes up the cremaster muscle?
Internal oblique
What makes up the internal spermatic fascia?
Transversalis fascia
What abdominal muscle does not contribute to testicular development?
Transversus abdominus
What is a vasectomy?
Severing of vas defernes
What is the cremaster reflex?
When temperature drops, the testes are pulled internally.
What are the three hernia sites?
Inguinal
Femoral
Obturator
Where is a direct hernia relative to the inferior epigastric vessels?
Medial
Where is an indirect hernia relative to the inferior epigastric vessels?
Lateral
What is the pathway of a direct hernia?
Pushes through the transversalis fascia
What is the pathway of an indirect hernia?
Follows inguinal canal
What is a way to test for a hernia?
Increase abdominal pressure (ie. cough) and watch for visible sign.
Where does the round ligament travel to in the female?
Labia majora
Where is a femoral hernia?
Runs through or with the femoral sheath
Where is an obturator hernia?
Through obturator membrane
When are you most likely to develop an umbilical hernia?
During development when the midgut rotates, infancy, pregnancy
What are extensions of the external oblique?
Inguinal ligament
Anterior rectus sheath
Superficial inguinal ring
External spermatic fascia
What are the extensions of the internal oblique?
Anterior and posterior rectus sheath
Cremaster muscle
Conjoint tendon
What are extensions of the transverses abdominus?
Posterior rectus sheath
Conjoint tendon
What are the extension of the transversals fascia?
Internal spermatic fascia
Posterior rectus sheath
What does the transversals fascia continue as?
Iliac, psoas and pelvic fascia
Where is McBurney’s Point? What structure is deep to it?
Between the umbilicus and ASIS. Appendix is deep to McBurney’s point.
What is the falciform ligament?
2 layers of parital peritoneum that attaches to the liver
What is at the base of the falciform ligament?
Ligamentum teres
What is the ligamentum teres remnants of?
Umbilical vein
What does the lateral umbilical fold cover?
Inferior epigastric vessels
What does the medial umbilical fold remnants of?
Umbilical arteries and ligaments
What is the medial umbilical fold remnants of?
Uracus
Where does the medial umbilical fold run?
Top of bladder to umbilicus
What is the purpose of the greater omentum?
Aids lymphatic tissue
Can migrate through the abdominal cavity to site of infection
Where is the greater omentum attached?
Greater curvature of the stomach and superior surface of the transverse colon
What is the pathway of the umbilical vein in fetuses?
Umbilicus - through the liver - to IVC
Where is the lesser omentum found?
Between the lesser edge of the stomach and the liver
Where is the ventral mesentery in abdominal development?
On anterior and posterior sides of the liver
Where is the dorsal mesentery (mesogastrium) in abdominal development?
Between the stomach and spleen
What causes the formation of the lesser sac in development?
Organs shift away from midline
Where is the lesser sac?
Posterior and inferior to the stomach
Between the liver and large intestine
What is the mesentery?
2 layers of peritoneum that come together to surround and support the small intestine - continuous with the posterior body wall
What is the ‘doorway to the lesser cavity’?
Omental (epiploic) foramen
What runs around the omental foramen?
Heptaduodenal ligament
Where is the heptaduodenal ligament?
Free edge of the lesser omentum
What runs through the omental foramen?
Portal vein
Hepatic artery
Common bile duct
What are the 7 organs/components of the digestive system (directly related)?
Oral cavity Pharynx Epiglottis Esophagus Stomach Small intestine Large intestine
During development, what are the components of the foregut?
Esophagus, stomach, duodenum, liver, gall bladder
During development, what happens to the midgut? What are the components of the midgut?
Midgut exits through umbilicus - rotates and reenters the abdomen
Ilium and jejunum
During development, what are the components of the hind gut?
Allantois (bladder), cloaca, uracus
What are the retroperitoneal structures?
Kidneys and adrenal glands 50% of duodenum Pancreas (head and body) Esophagus Rectum Ascending and descending colon Aorta and IVC
Where is the falciform ligament on the liver?
Separates the left and right lobes anteriorly
Where is the coronary ligament on the liver?
Superior surface
What is the bare area of the liver?
No visceral peritoneum because it is stuck to the diaphragm
What is another name for the hilum of the liver?
Porta hepatis
What is in the porta hepatis?
Right and left portal veins
Hepatic arteries
Hepatic ducts
Where does the caudate lobe get blood from?
Right and left hepatic arteries
Where does the quadrate lobe get blood from?
Left hepatic artery
What is the function of the liver?
Produces bile