anatomy - anterior and posterior abdominal muscles and retroperitoneal viscera Flashcards

1
Q

inferior margin of the transversus abdominus

A

-most attaches to anterior 2/3 of iliac crest - lowermost fibres arise from the lateral 1/2 of the inguinal ligament –> arch upwards and into tho the pubic crest via the conjoin tendon with the internal oblique

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2
Q

inferior margin of the rectus abdominus

A

body and crest of the pubis

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2
Q

route and insertion of psoas major muscles

A

fibres converge and head beneath the inguinal ligaments –> converge with iliacus muscle as the iliopsoas tendon and insert into the lesser trochanter of the femur

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3
Q

layers from superficial to deep of the anterior abdominal wall

A
  • skin - superficial fascia - rectus abdominus - external oblique - internal oblique - transversus abdominis - fascia transversalis - extraperitoneal fat - serous pariteal peritoneum - visceral peritoneus
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3
Q

where are the lumbar veins relative to psoas

A

lumbar veins sit behind psoas major

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4
Q

renal arteries split into the

A

segmental arteries

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5
Q

what is the pectineal ligament

A

the linear extension of the lacunar ligament that lies along the pectineal line

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5
Q

narrowing throughout the ureter

A

beginning (where the renal pelvis narrows to become the ureter) end (where the ureter enters the bladder) middle - compression/kinking produced as the ureter tips over the pelvic brim

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6
Q

lateral margin of the rectus abdominus

A

clear lateral border - linear semilunaris

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7
Q

surface marking of the gall bladder is where

A

where the linear semilunaris intersects with the costal margin on the R side

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7
Q

where is the internal inguinal ring

A

halfway between ASIS and pubic tubercle, a fingers breath above the inguinal ligament

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8
Q

where is visceral peritoneum

A

surrounds abdominal viscera

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8
Q

posterior margin of the transversus abdominus

A

attaches to thoraco-lumbar fascia

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9
Q

renal pelvis formed by

A

the uniting of 2 or 3 major calyces (each in turn receives 2 or 3 minor calyces (receives the apex of the downward pointing pyramidal components of the medulla))

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11
Q

next muscle lying lateral to psoas major/minor superiorly

A

quadratus lumborum

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12
Q

next muscle lying lateral to psoas major

A

psoas minor

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12
Q

next muscle lying lateral to psoas major/minor inferiorly

A

iliacus muscle

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13
Q

superior margin of the retus abdominus

A

overlaps the costal margin and attaches to the anterior surface of costal cartilages 5,6 and 7

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13
Q

origin of psoas major muscles

A

from the lower border of T12 to the upper border of L5 (attached to the bodies, the discs and the medial ends of the transverse processes)

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13
Q

orign, route and insertion of iliacus muscle

A

arises from the iliac fossa –> fibres converge and pass beneath the inguinal ligament, meet the psoas fibres, and together they insert via a conjoint tendon (iliopsoas tendon) –> insert into the lesser trochanter

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14
Q

position exactly of the psoas major muscles

A

lie in the gutter between the bodies and transverse processes of the lumbar vertebra

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15
Q

venous drainage of the anterior abdominal wall

A

dual system - anastomose - by IVC (canal system) - by portal venous system

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15
Q

function of quadratus lumborum

A

stabilises the 12th rib and laterally flexus the spine

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16
Q

difference between intraperitoneal viscera and retropertioneal viscera

A

intra - organ completely surrounded by visceral peritoneum and connected to the posterior abdominal wall by a mesentry retro - pareital peritoneum only goes over the front of the organ (the posterior part of the organ sits back on the posterior abdominal wall)

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17
Q

what is mesentry

A

the double fold of peritoneum that goes to surround the viscera

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18
Q

order of movement through the inguinal canal

A
  • creates an opening in the transversalis fascia = deep/internal inguinal ring - traverses the inguinal canal - exits through the superficial/external inguinal ring
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19
Q

medial margin of the external oblique

A

meet with fibres from the other side at the linea alba (midline vertical raphe)

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20
Q

what forms the floor, roof, anterior walls and posterior walls of the inguinal canal

A

floor - inguinal ligament roof - arching fibres of internal oblique and transversus abdominus anterior wall: external oblique aponeurosis, internal oblique muscle (lateral) posterior wall: transversalis fascia, conjoint tend (medial)

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21
Q

where is the lumbar plexus relative to psoas

A

within psoas

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21
Q

origin of psoas minor

A

from the lower borders of T12 and L1

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23
Q

where is the neurovascular plane of the anterior abdominal wall

A

lies between internal oblique and transversus abdominus

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24
Q

inferior margin of the external oblique

A

inferior fibres insert onto the anterior half of the iliac crest and the pubic tubercle and pubic crest

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25
Q

what is important about where the 3 layers of the thoracolumbar fascia fuse

A

it is the anchor point for the muscles of the abdominal wall

26
Q

posterior margin of the external oblique

A

free posterior edge

26
Q

major structures of the kidney hilum from anterior to posterior

A

renal vein renal artery dilated upper part of the ureter (renal pelvis) (also nerves and lymphatics)

27
Q

surrounding the kidney…

A

fibrous capsule perirenal fat renal fascia

28
Q

where does the innervation of the anterior abdominal wall originate from

A

segmental innervation by the ventral rami of T6-L1

28
Q

length and position of the ureter

A

25-30cm long - initially relates to psoas as it passes down the posterior abdominal wall –> then tip over the pelvic brim –> run around the lateral wall of the pelvis and into the bladder

30
Q

direction of fibres of the transversus abdominus

A

horizontally forwards towards the midline

31
Q

inferior margin of the internal oblique

A
  • most fibres take origin form the anterior 2/3 of the iliac crest - lowermost fibres actually arise from the lateral 2/3 of the inguinal ligaments –> arch over and downwards and insert into the pubic crest with transversus abdominus via conjoined tendon
32
Q

where do the gonads develop

A

in the extraperitoneal fat of the superior lumbar region of the posterior abdominal wall

34
Q

lateral and medial parts of all three abdominal muscles

A

lateral - fleshy medial - aponeurotic

35
Q

direction of rectus abdominus

A

long vertical muscle

36
Q

origin and insertion of quadratus lumborum

A

arises from the posterior half of the iliac crest and the iliolumbar ligament and inserts into the inferior border of the 12th ribs

37
Q

framework of the position of the poster abdominal muscles

A

fills in the gap left between 12th rib above, the posterior half of the iliac crest inferiorly and lateral to the lumbar vertebra 1-5, sitting in the paravertebral gutters

38
Q

where are the levels of the tendonous intersections of the rectus abdominus

A
  • umbilicus - xyphisternum - halfway between the other two
39
Q

3 layers of the thoracolumbar fascia

A
  • posterior leaf - attaches to the tip of the spinous processes - middle leaf - attaches to the tip of the transverse processes - anterior leaf - attaches to the anterior aspect of the transverse processes 3 layers fuse at the line of the tip of the 12th rib
40
Q

where is the sympathetic trunk relative to psoas

A

lying on the front

40
Q

foetal development of the kidney in respect to positioning in the body

A

starts off lower in the posterior abdominal wall due to differential growth rates –> kidney changes position –> T12-L3 (means they take change their blood supply throughout their development moving upwards through the abdominal wall)

41
Q

position of the right kidney relative to the left kidney

A

right sits slightly loweer than the left due to the liver

43
Q

function of tendonous intersections of the rectus abdominus

A

breaks up the vertical ascent of the fibres to make them more powerful (more powerful than one long muscle)

44
Q

routes of right and left renal veins

A

right - straight across into the IVC left - crosses anterior to the aorta and then into the IVC

46
Q

what makes up the mesentery

A

where the serous parietal peritoneum reflects off as a double fold of peritoneum to surround viscera

47
Q

major roles of the abdominal muscles

A
  • muscles of active expiration - increase abdominal pressure to assist with evacuation processes
48
Q

size of kidneys

A

10cm long, 5cm wide, 2.5cm thick

50
Q

landmark of T10

A

umbilicus

51
Q

compartments of the thoracolumbar fascia

A

posterior compartment - contains erector spinae anterior compartment - contains quadratus lumborum

52
Q

position of the kidney in the abdominal contents

A

lateral to lumbavertebral column and psoas, in the paravertebral gutters on quadratus lumborum, adjacent to T12-L3, intimately related to the diaphragm - retroperitoneal

54
Q

first muscles lateral to the lumbar vertebra of the posterior abdominal wall

A

pair of psoas major muscles

56
Q

superior margin of the transversus abdominus

A

underlaps the costal margin

58
Q

Superior margin of the external oblique

A

overlaps the costal margin onto the anterior surface of the lower 8 ribs lying edge to edge with pectoralis major and serratus anterior

59
Q

shape of right and left adrenal glands

A

right - pyramidal shaped which sits right on the top of the kidney left - crescent shaped - sits at the superior aspect of the medial border

60
Q

macroscopic anatomy of the cortex and medulla of the kidney

A
  • outer, pale continuous cortex - inner, discontinuous darker medulla arranged as a series -of pyramids
61
Q

where is the superficial/external inguinal ring

A

it is the medial triangular opening in the external oblique aponeurosis between the attachments of the internal oblique and transversus abdominus

62
Q

medial margin of internal oblique

A

linea alba (vertical raphe of the midline)

64
Q

what forms the rectus sheath

A

the aponeuroses of the 3 lower muscles of the abdominal wall

65
Q

insertion of psoas minor

A

blends in with the fascia overlying psoas major

67
Q

what is the inguinal ligmanet

A

the thickened free inferior edge of the external oblique spanning from the ASIS to the pubic tubercle

68
Q

blood supply of the anterior abdominal wall

A
  • superior epigastric (branch of internal thoracic artery - inferior epigastric (branch of external iliac artery) - (superficial epigastric lying in the superficial fascia)
69
Q

function of the inguinal canal

A

passageway that the testes takes through the anterior abdominal wall once its go down from its beginnings in the extra-peritoneal fat on the posterior abdominal wall

70
Q

timescale of testes migration

A

12th week in pelvis 28th week - close to the beginning of inguinal canal 3 day traverse through inguinal canal in the scrotum a couple of weeks later

71
Q

fascia of the posterior abdominal muscles

A

enclosed by the thoracolumbar fascia (except for psoas which has its own fascia = psoas fascia)

72
Q

landmarks of the pelvis

A

iliac crest with ASIS pubic crest with pubic tubercle

73
Q

direction of fibres of the external and internal obliques

A

external - front pockets internal - back pockets

74
Q

placement of the right and left renal arteries (relative to the abdominal aorta)

A

come out horizontal from the abdominal aorta (left arises slightly higher than the right) - right goes behind the IVC - left straight into the renal hilum

76
Q

posterior margin of the internal oblique

A

take origin from the thoro-columnar fascia

77
Q

anterior and posterior surfaces of the rectus sheath

A

anterior - complete posterior - complete until about an inch below the umbilicus - disappears at the arcuate line

78
Q

the hilum of the kidney faces which direction

A

anteriomedially

79
Q

superior margin of the internal oblique

A

edge to edge to the costal margin

80
Q

what is the lacunar ligament

A

where the inguinal ligmanet thickens medially and extends medially into a crescent shaped ligament extending onto the peritoneal lining of the pubic bone