Anterior abdominal wall and peritoneum Flashcards

1
Q
A
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2
Q
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3
Q

From superficial to deep, what structures are in the:

  • Upper right abdominal quadrant
  • Upper left abdominal quadrant
  • Lower right abdominal quadrant
  • Lower left abdominal quadrant
A
  • S: liver, body/antrum of stomach, half of transverse colon, some of small intestine; D: Gallbladder, duodenum, part of pancreas
  • S: Fundus and body of stomach, half transverse colon, part of small intestine; D: pancreas, spleen
  • S: Small intestine; D: Ascending colon
  • S: small intestine; D: descending colon
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4
Q

Which quadrant would you palate if concerned about appendicitis?

A

Lower right

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5
Q

Where are the kidneys located with respect to costal margin and upper quadrants?

A
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6
Q

The abdominal aorta bifurfaces at level of […]

A

Umbilicus

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7
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9
Q
A
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10
Q

For each structure:

  • Name
  • Action
  • Innervation
A
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11
Q

For each structure:

  • Name
  • Action
  • Innervation
A
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12
Q

For each structure:

  • Name
  • Action
  • Innervation
A
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13
Q

For each structure:

  • Name
  • Action
  • Innervation
A
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14
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15
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16
Q

Where is the arcuate line?

A

Halfway between umbilicus and pubic bone

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17
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18
Q
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19
Q

For each structure:

  • What is the name
  • What is it a branch of
  • Where does it travel in abdomen
A
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20
Q

What vessel assists in providing blood to the anterior abdominal if a patient has had a CABG (coronary artery bypass graft) surgery?

A

Inferior epigastric

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21
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22
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23
Q

Inferior to the arcuate line, the anterior rectus sheath is made up which tissue layers?

A

EO aponeurosis + IO aponeurosis + transversus abdominis aponeurosis

24
Q

Inferior to the arcuate line, the posterior rectus abdomins sheath is […]

A

Non existant - only the transversalis fascia is posterior to the RA inferior to arcuate line

25
Q

Superior to arcuate line, the anterior rectus sheath is composed of what structures?

A

EO aponeurosis + anterior 1/2 of IO aponeurosis

26
Q

Superior to arcuate line, the posterior rectus sheath is composed of what structures?

A

posterior 1/2 of IO aponeurosis + transversus abdominis aponeurosis

27
Q

For each structure:

  • What is the name
  • What is contained in the fold
A
28
Q

The medial umbilical fold contains the obliterated remains of what structure?

A

Umbilical artery

29
Q

The median fold contains the obliterated remains of what structure?

A

Urachus

30
Q

The lateral fold contains what structure?

A

Epigastric vessels

31
Q
A
32
Q

What provides the innervation to the skin of the anterior abdominal wall?

A

Ventral rami spinal nerves T7-T12

33
Q
A
34
Q

What is diastasis recti?

A
35
Q

Label image. Also, what is the peritoneum?

A
36
Q
A
37
Q

What’s the difference between an intraperitoneal organ, primary retroperitoneal organ, and secondary retroperitoneal organ?

A

Intraperitoneal = organ that developed by growing into the peritoneum. As such, can be freely moved around in body during dissection/surgery.

Primary retro = developed behind peritoneum, cannot be moved around

Secondary retro = developed behind peritoneum but got pushed into peritoneum during development, in between level of movement from other 2

38
Q

Label image.

Also, what is the mesentery?

A

Double fold of visceral peritoneum that attaches small bowel to abdominal wall

39
Q

What is the greater omentum?

What does it connect?

A
  • Double fold of double-layered peritoneum forming a 4-layered apron over the intestines
  • Connects from stomach to transverse colon
40
Q

What is the lesser omentum?

What does it connect?

A
  • Double fold of peritoneum
  • Connects liver to stomach; two parts: hepatogastric ligament + hepatoduodenal ligament
41
Q
A
42
Q
A
43
Q

What is the predominant structure shown in this image?

A

Greater omentum

44
Q
A
45
Q

True/false: The entire small intestine is intraperitoneal.

A

False

46
Q

True/false: the pancreas is intraperitoneal.

A

False - retro

47
Q

True/false: the spleen is intraperitoneal.

A

True

48
Q

True/false: the gallbladder is retroperitoneal

A

False - intraperitoneal

49
Q

True/false: the liver is retroperitoneal.

A

False - intra

50
Q
A
51
Q

What is ascites?

A
52
Q

Why can the peritoneal cavity be used in treatment of hydrocephaly?

A
53
Q

What is peritonitis?

A

Innervation here is important

54
Q

Which organs are retroperitoneal?

A
55
Q

Within the abdomen, which organs are intraperitoneal?

A
  • Stomach
  • Small intestines (jejunum, ileum, some of duodenum)
  • Spleen
  • Liver
  • Gallbladder
  • Cecum
  • Appendix
  • Large intestine (transverse and sigmoid colons)