anterior abdominal wall Flashcards

1
Q

how many regions are in the anterior abdominal wall

A

nine

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2
Q

how are the nine regions of the anterior abdominal wall divided

A

by two vertical & two horizontal planes

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3
Q

what plane extends inferiorly from the midpoints of the clavicles to the midpoints of lines joining the ASIS to the pubic symphyses

A

midclavicular planes

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4
Q

what horizontal plane joins the lowest point of the costal margin on each side and lies at the inferior margin of rib 10 (L.V. 3)

A

subcostal plane

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5
Q

what horizontal plane joints the tubercles of the iliac crests (L.V. 5)

A

transtubercular plane

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6
Q

name the nine regions of the anterior abdominal wall

A

right hypochondrium, epigastric, left hypochondrium, right flank, umbilical, left flank, right groin, pubic, left groin

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7
Q

how else is the anterior abdominal wall divided

A

into four quadrants (right upper, left upper, right lower, left lower)

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8
Q

how are the quadrants divided

A

median plane, transumbilical plane

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9
Q

what is the variable landmark of the quadrants and at what L.V. does it lie

A

umbilicus; L.V. 2 & 5

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10
Q

layers of the anterior abdominal wall

A

skin, superficial layer of superficial fascia, deep layer of superficial fascia, deep (investing) fascia, external oblique muscle, internal oblique muscle, transversus abdominis muscle, transversalis fascia, extraperitoneal fascia, parietal peritoneum, parietal cavity, visceral peritoneum, abdominal organs

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11
Q

what are the layers of the anterior abdominal wall fascia

A

superficial fascia and deep (investing) fascia

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12
Q

what fascia is a thin fatty layer that is continuous with the superficial fascia of the perineum and thigh

A

superficial layer of superficial fascia

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13
Q

what fascia is a membranous layer that is firmly fastened to the fascia lata of the thigh and lies just below the inguinal ligament

A

deep layer of superficial fascia

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14
Q

what fascia covers the anterior abdominal wall muscles on its anterior and posterior surface

A

deep (investing) fascia

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15
Q

what are the muscles of the anterior abdominal wall

A

external oblique, internal oblique, transversus abdominis, rectus abdominis, pyramidalis muscles

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16
Q

a median tendinous raphe that extends from the xiphoid process to the pubic symphysis

A

linea alba

17
Q

what insert into the linea alba

A

the muscles of the anterior abdominal wall

18
Q

where does the linea alba lie

A

between the left and right rectus abdominis muscles

19
Q

a curved line along the lateral border of the rectus abdominis muscle

A

linea semilunaris

20
Q

3 bundles of connective tissue which run transversely across the rectus abdominis muscle and which fuse with the rectus sheath

A

tendinous intersections

21
Q

what is the muscle that is small, often absent, and lies anterior to the rectus abdominis muscle within its sheath

A

pyramidalis muscle

22
Q

what is formed by the aponeuroses of the external oblique, interal oblique and transversus abdominis muscle

A

rectus sheath

23
Q

what does the rectus sheath enclose

A

rectus abdominis muscle, pyramidalis muscle, superior epigastric vein and artery, inferior epigastric vein and artery, and anterior primary rami of lower 6 thoracic nerves

24
Q

a crescent shaped line in the posterior layer of the rectus sheath located midway between the umbilicus and pubic crest

A

arcuate line

25
Q

what is located above the arcuate line

A

anterior layer of rectus sheath (composed of the aponeurosis of the external & internal obliques); posterior layer of rectus sheath (composed of the aponeurosis of the internal oblique & transversus abdominis)

26
Q

what does the internal oblique muscle do above the arcuate line

A

splits to enclose the rectus abdominis

27
Q

what is located below the arcuate line

A

anterior layer of rectus sheath (composed of the aponeurosis of the external oblique, internal oblique, and transversus abdominis muscles); posterior layer of rectus sheath (formed by the transversalis fascia)

28
Q

how many folds are present below the umbilicus

A

five

29
Q

extends from the apex of the bladder to the umbilicus; contains the urachus

A

median umbilical fold

30
Q

extends fro the sides of the bladder to the umbilicus; contains the obliterated umbilical artery

A

medial umbilical fold

31
Q

extends fro the deep inguinal ring to the arcuate line; contains the inferior epigastric vessels

A

lateral umbilical fold

32
Q

what form the boundaries between 3 paired fossae

A

the folds below the umbilicus

33
Q

fossa located between the median and medial umbilical folds

A

supravesical fossa

34
Q

fossa located between the medial and lateral umbilical folds

A

medial inguinal fossa

35
Q

fossa located lateral to the lateral umbilical fold

A

lateral inguinal fossa

36
Q

lies above the umbilicus and contains the obliterated umbilical vein; forms the free edge of the falciform ligament (attached to the liver)

A

ligamentum teres

37
Q

what is the blood supply to the anterior abdominal wall

A

superior epigastric artery, inferior epigastric artery, lumbar arteries, deep circumflex artery

38
Q

what is the innervation of the anterior abdominal wall

A

lower 6 thoracic nerves