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Extras > Anterior Abdominal Wall > Flashcards

Anterior Abdominal Wall Flashcards

1
Q

Nine Abdominal Regions:

  • H
  • L
  • I
  • E
  • U
  • P
  • -dividing right and left by ____ ____
A 
Hypochondriac
Lateral
Inguinal
Epigastric
Umbilical
Pubic
--Midclavicular Planes
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2
Q

Four Abdominal Regions:

  • Quadrants
  • -divided through center by ____
A

Median Plane

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3
Q

Anterolateral Wall:

  • S
  • C
  • S
  • I
  • E
  • I
  • I
  • I
  • T
  • T
  • E
  • P
A
  • Skin
  • Superficial Fatty Layer of Subcutaneous Tissue (camper fascia)
  • Deep Membranous Layer of Subcutaneous Tissue (Scarpa fascia)
  • Investing (deep) fascia
  • Exernal Oblique M
  • Investing (deep) fascia
  • Interal Oblique M
  • Investing (deep) fascia
  • Transversus Abdominis M
  • Endo-Abdominal (transversalis) fascia
  • Extraperitoneal fat
  • Parietal Peritoneum
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4
Q

-
-

A
  • External Oblique m
  • Internal Oblique m
  • Transversus Abdominis m
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5
Q

-

A
  • Rectus Abdominis m

- Pyramidalis m

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6
Q

Rectus Sheath:

  • _______ (tendinous) sheath
  • envelopes _____ _____ and ______ mm
  • consists of anterior and posterior layer
  • -structure of sheath is relative to the _____ ____ (midway btw umbilicus and public symphysis)
A
  • aponeurotic
  • rectus abdominus and pyramidalis
  • arcuate line
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7
Q

Superior to Arcuate Line:

Anterior Layer of the Rectus Sheath- formed by aponeuroses of _____ and 1/2 _____

A

aponeuroses of external oblique

1/2 internal oblique

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8
Q

Superior to Arcuate Line:

Posterior Layer of the Rectus Sheath- formed by aponeuroses of 1/2 ____ and ____; along w/ ______ fascia

A

aponeuroses of 1/2 internal oblique and transversus abdominis
transversalis fascia

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9
Q

Inferior of Arcuate Line:

Anterior Layer of the Rectus Sheath- formed by aponeuroses of ____, ____, ____

A

aponeuroses of external oblique, internal oblique, transversus abdominis

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10
Q

Anterior Abdominal Wall Layer:

- ____ and ____ to ______ line

A

superior
inferior
arcuate

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11
Q

Inferior of Arcuate Line:

Posterior Layer of the Rectus Sheath- formed by _____ _____

A

transversalis fascia

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12
Q

Infraumbilical Peritoneal Folds:

-median umbilical fold= from ____ ____ to ____; covers ____ ____ _____

A
  • urinary bladder to umbilicus

- median umbilical ligament

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13
Q

Infraumbilical Peritoneal Folds:

-medial umbilical folds= covers ____ ____ ____; occuded portions of ______ aa

A

medial umbilical ligaments

umbilical aa

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14
Q

Infraumbilical Peritoneal Folds:

-lateral umbilical folds= covers _____ _____ _____

A

inferior epigastric vessels

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15
Q

Superficial Vessels:
Epigastric a/v
-branch of ______ a/v
-supplies abdomen _____ to _______

runs in superficial fat/fascia

A

femoral a/v

abdomen inferior to umbilicus

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16
Q

Deep Circumflex Iliac Vessels:

  • branch of ____ _____
  • runs btw ____ and ____
  • supplies ___ ____ abdominal mm
A

external iliac
internal oblique and transversus abdominis
inferior lateral abdominal mm

17
Q

Inferior Epigastric Vessels:

  • branch of _____ ____
  • enters ___ rectus sheath at ______ line
  • supplies ____ ____ _____mm
  • anastomoses w/ ____ _____
A

external iliac
posterior rectus sheath at arcuate line
lower rectus abdominus mm
superior epigasatric

18
Q

Superior Epigastric Vessels:

  • branch of ___ ___ (mammary)
  • enters ____ rectus sheath lateral to _______
  • supplies ____ ____ ____ mm
  • anastomoses w/ ______ _______
A

internal thoracic
posterior; lateral to sternum
upper rectus abdominus mm
inferior epigastric

19
Q

Superficial Vessels:
Circumflex Iliac a/v
-branch of _______ a/v
-supplies region of _______ ______

runs in superficial fat/fascia

A

femoral a/v

inguinal ligament

20
Q

NN of the Abdominal Wall:

  • Ventral ______ of T7-L1 spinal nn
  • T7, T8, and T9= supply region _____ umbilicus
  • T10= supplies _____ region
  • T11, T12, and L1= supply region ______ umbilicus

runs btw ____ and _____ mm

A

Venteral (anterior) rami
above
umbilical
below
internal oblique and transversus abdominus
-predisposes to developing direct inguinal hernias

21
Q

Inguinal Region:

  • inferior lateral abdominal region
  • ____ to thigh
  • ____ to ilium
  • ____ to pubic bone

area extends btw the ___ ___ ___ ___ and ____ ____

A

superior
medial
lateral

anterior superior iliac sping (ASIS) and pubic tubercle

inguinal ligament, inguinal canal, sup./deep rings of inguinal canal, walls of canal

22
Q

Inguinal Ligament:

  • folded ____ border of the ____ ____ ____
  • extends from _____ to ____ ____
A

inferior; external oblique aponeurosis

ASIS to pubic tubercle

23
Q

Inguinal Canal:

  • obliquely set tunnel __ to __ cm long
  • traverses ____ abdominal wall
  • runs parallel and superior to _____ _____
A

3 to 5 cm
anterior abdominal wall
inguinal ligament

24
Q

Musculophrenic Vessels:

  • branch of _____ _____ (mammary)
  • runs along ______ _______
  • supplies ____ abdominal mm and ______
A

internal thoracic
costal cartilages
upper abdominal mm and diaphram

25
Q

Male Inguinal Canal:
-contains ____ cord and its contents
(vas deferens, testicular nn/vv, cremasteric m/fascia)
-_______ n. (____)

A

spermatic

ilioinguinal n of L1

26
Q

Inguinal Canal Rings:
Superficial Ring- opening in ____ _____ _____
-obvious triangular opening lateral to ____ _____

canal extends btw sup and deep rings

A

external oblique aponeurosis

pubic tubercle

27
Q

Inguinal Canal Rings:
Deep Ring- opening in _____ _____
-subtle piercing just lateral to ____ ____ vv

canal extends btw sup and deep rings

A

transversalis fascia

inferior epigastric cc

28
Q

Female Inguinal Canal:

  • contains ____ ligament of _____ (corresponds to spermatic cord in males)
  • ______ n (L1)
A

round ligament of uterus

ilioinguinal n of L1

29
Q 
Abdominal Hernia:
-outpouching of \_\_\_ \_\_\_ w/in sec
-hernial sac composed of 3 layers
(p\_\_\_\_\_\_, e\_\_\_\_\_\_ \_\_\_\_, t\_\_\_\_ \_\_\_\_\_\_)
~\_\_\_% of hernias occur in inguinal region
A

abdominal viscera
peritoneum, extraperitoneal fat, transversalis fascia
90%

30
Q 
Inguinal Canal Walls:
-Anterior Wall= \_\_\_\_ \_\_\_\_\_ \_\_\_\_\_
-Posterior Wall= \_\_\_\_\_ \_\_\_\_\_ and conjoint tendon
(fusion of IO, TA aponeuroses medially)
-Roof= \_\_\_ \_\_\_ and \_\_\_ \_\_\_ mm
-Floor= \_\_\_\_\_ \_\_\_\_\_
A

external oblique aponeurosis
transversalis fascia
internal oblique and transversus abdominus
inguinal ligament

31
Q

Indirect Inguinal Hernia:

  • extends thru ______ inguinal canal
  • ______ to inferior epigastric vv
  • commonly enters ______ or _____ ____
  • most common type of hernia (more in men than in women)
  • usually from persistent _____ _____ in males
  • -(connects peritoneum w/ descended testis)
  • referred to as canal of Nuck in females
A

entire
lateral
scrotum or labia majora
processus vaginalis

32
Q

Direct Inguinal Hernia:

  • thru inguinal _____ (Hesselbach’s)
  • emerges thru conjoing tendon by or at _______ ring
  • ____ to inferior epigastric vv
  • usually does not enter scrotum or labia majora
  • more common in men than women
  • usually associated w/ weakened abdominal wall
A

triangle
superficial
medial

33
Q

Femoral Hernia:

  • thru ____ ring and canal
  • ____ compartment of sheath
  • more common in females than males (ring is wider)
A

femoral

medial

34
Q

Umbilical Hernia:

  • thru _____ ring
  • most common in ______
  • more common in females and obese individuals
A

umbilical

newborns

35
Q

Epigastric Hernia:

  • thru ____ ___
  • most common in over ____
  • usually associated w/ obesity
A

linea alba

40

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