Anatomy week 1 Flashcards
Name the 4 quadrants of the abdominal cavity
RUQ
LUQ
RLQ
LLQ
What 2 imaginary lines (vertical and horizontal) divide the abdomen into 4 quadrants
Vertical - median line
Horizontal - trans umbilical line
Name the 4 imaginary lines that divide the abdomen into 9 regions
Right and left midclavicular lines
Transtubercular line
Subcostal line
Level of transpyloric plane
L1
Name the 9 regions of the abdominal cavity
Right hypochondrium
Epigastric
Left hypochondrium
Right lumbar
Umbilical
Left lumbar
Right iliac/inguinal
Hypogastric/suprapubic
left iliac/inguinal
Name 2 structures present in the right hypochondrium
Liver (extends down to right lumbar)
Gallbladder (Extends down to right lumbar)
Name 3 structures present in the epigastric region
Liver
Stomach
Pancreas
Name 3 structures present in the left hypochondrium
Spleen
Stomach
Pancreas
Name 3 structures present in the right lumbar region
Ascending colon
Liver
Right kidney
Name 3 structures present in the umbilical region
Transverse colon
Small intestine - duodenum, jejunum, ileum
Aorta
Name 3 structures present in the left lumbar region
Descending colon
Left kidney extends down from left hypochondrium
Jejunum + ileum extends here too
Name 3 structures present in the right iliac region
Caecum
Appendix
Terminal ileum
What valve exists between the terminal ileum and caecum
Ileo-caecal valve
Name 3 structures present in the hypogastric region
Urinary bladder
Sigmoid colon
Uterus
Name 2 structures present in the left iliac region
Descending colon
Sigmoid colon
The anterolateral abdominal wall is composed of what 3 flat muscles and what 2 vertical muscles
External oblique
Internal oblique
Transversus abdominis
Rectus abdominis
Pyramidalis
2 actions and innervation (2) of external oblique
Compress + support abdominal viscera
Flex + rotate trunk
Anterior rami of T7-T12
Subcostal nerve
2 actions and innervation (3) of internal oblique
Compress + support abdominal viscera
Flex + rotate trunk
Anterior rami of T7-T12
Subcostal nerve
1st lumbar nerve
Action and innervation (3) of transversus abdominis
Compress + support abdominal viscera
Anterior rami of T7-T12
Subcostal nerve
1st lumbar nerve
3 actions and innervation of rectus abdominis
Flex trunk in lumbar region
Compress abdominal viscera
Stabilises + controls tilt of pelvis
Anterior rami of T7-T12
What artery supplies rectus abdominis
Inferior epigastric a
What muscle is superficial to the rectus abdominis and what is its function
Pyramidalis - small triangular muscle
Tenses the lines alba
What is the lines alba
Vertical fibrous white structure that runs down the midline of the abdomen from the xyphoid process to the pubic symphysis
What is the rectus sheath + what is it made up of
Fused aponeurosis of the 3 flat abdominal muscles
Aponeuroses of the external oblique, internal oblique and transversus abdominis
What is an aponeurosis
Flat sheet of tendinous tissue
How does the rectus sheath differ above and below the umbilicus
Above - internal oblique splits into 2 layers, so a layer above and below the umbilicus
Below - all 3 aponeurosis of the flat muscles pass anterior to the rectus abdominis
Order of layers pierced above the umbilicus (11)
Skin Fat External oblique fascia Anterior part of internal oblique fascia Rectus abdominis Posterior part of internal oblique fascia Transversus abdominis fascia Transversalis fascia Parietal peritoneum Peritoneal cavity Visceral peritoneum
What 2 layers is the transversals fascia found between
Transversus abdominis and parietal peritoneum
Vertebral level of umbilicus (not dermatomal level)
L3/4
dermatome is T10
What 2 landmarks is the umbilicus in the middle of vertically
Xiphoid process and pubic symphysis
What thoracic segments innervate anterior abdominal wall
Anterior rami of T7-T12
How is the inguinal canal formed during foetal development
Relocation of the gonads
Layers of the anterior abdominal wall push through the wall obliquely to form a canal
What ligament does the inguinal canal lie parallel to (and above)
Medial half of inguinal ligament
What tubercles are found in the pubic bone of the pelvis
Pubic tubercles
The inguinal ligament is attached to which 2 bony points of the pelvis (pelvic bone)
Anterior superior iliac spine
Pubic tubercle
What 3 things makes up the anterior wall of the inguinal canal
External oblique aponeurosis
Lowermost fibres of internal oblique muscle
Superficial inguinal ring
What 3 things makes up the posterior wall of the inguinal canal
Transversalis fascia
Inguinal falx (conjoint tendon)
Deep inguinal ring
What 3 things makes up the roof of the inguinal canal
Aponeurosis of internal oblique and transversus abdominis
Transversalis fascia
What makes up the floor of the inguinal canal
Inguinal ligament
What is the inguinal falx
Pubic attachments of internal oblique and transversus abdominis aponeuroses
The inguinal canal has an opening at each end - what are they and which is superior/inferior
Deep inguinal ring superiorly
Superficial inguinal ring inferiorly
Relationship of the deep inguinal ring to the inferior epigastric vessels
Ring is lateral to the inferior epigastric vessels
Relationship of superficial inguinal ring to the pubic tubercle
Superolateral to the tubercle
What muscle are the superior and inferior epigastric vessels deep to
Rectus abdominis
Superior epigastric vessels are branches of what a
Internal thoracic a
Inferior epigastric vessels are branches of what a
External iliac a
5 contents on the male inguinal canal
Spermatic cord Ductus deferens Genitofemoral nerve Ilio-Inguinal nerve Lymphatics
4 contents of the female inguinal canal
Round ligament of uterus
Genitofemoral nerve
Ilio-Inguinal nerve
Lymphatics
Which inguinal ring is the terminal end of the inguinal canal
Superficial inguinal ring
What fascia forms the deep inguinal ring
Transversalis fascia
What muscle forms the superficial inguinal ring
External oblique muscle