Anatomy - Body Wall II Flashcards
Arrangement of abdominal wall muscles
EAO - caudal ventrally
IAO - cranial ventrally
TA - Dorso ventrally - contain intercostal nerves (lumbar regions of ventral spinal nerves)
Abdominal muscles
Attachment
Action
Innervation
Attachment: linea alba & prepubic tendon
Action: compress viscera, bilateral- flex trunk ventrally, unilateral- rotate trunk laterally
Innervation: lateral branches of intercostal nerves
Last intercostal nn & 1-3L nn
Internal fascia is comprised of
Endothoracic fascia - lining thoracic cavity
Endo-abdominal fascia - lining ab cavity & extends into pelvic cavity
- transversalis fascia - over TA
- diaphragmatic fascia - over diaphragm
- psoas fascia - over psoas muscles
EAO
Attachment
Costal: 4-13 ribs, interdigitates w serratus vent thora
Lumbar: thoracolumbar fascia extending from the transvers processes of lumbar vertebrae
More extensively formed in cats than dogs
Heaves
COPD
Airway obstruction causes excessive work of EAO can lead to hypertrophy of EAO
Heaves line is prominent musculotendiunous junction between EAO and its apenurosis
Subiliac lymph node
Absent in D&C
Easily palpable on ox
Drains superficial body wall of caudal thorax & ab
IAO
Runs cranioventrally
Caudal border forms cranial boundary of deep inguinal ring
Less develops in horses than cows
TA
Dorsi ventrally
Lumbar transverse process
Medial aspect of ribs & costal cartilages
Inserts on linea alba
RA
Longitudinal craniocaudal
3-6 transverse tendinous intersections/inscriptions (not distinct in cats)
OG: ventral aspect of sternum, xiphoid process & costal arch
IN: pecten pubis via prepubic tendon
Action: draws pelvis cranially
Paired & fused along linea alba
Prepubic tendon rupture
Important in herbs
Palpable
Late pregnancy could lead to rupture
Could be torn in dogs hit by cars
Cats have no distinct PPT
External laminate of rectus sheath
Formed by aponeurosis (flat tendon) of EAO & portion of Apon of IAO
apon of TA joins lamina near pubis
Internal lamina of rectus sheath
Portion of Apon of IAO and TA + transversalis fascia
Internal disappears in caudal 3rd of abdomen where Apon of IAO joins ext lamina, leaving caudal RA covered by transversalis fascia & peritoneum
Ventral branches of spinal nerves supply
Flank muscles but skin is supplies by both dorsal and ventral branches
Disadvantages of dorsal approach to paravertebral block
Block all branches of spinal nerves including to Epaxial muscles = back muscle paralysis on one side, convex trunk to one side = viscera bulge out incision
Verifying T block or L block
1/3 upper flake unaffected = missed dorsal branches
Ventral 2/3 flank unaffected=missed ventral branches
Successful block will cause vasodilation and are blocked will become warm and red