Anterior Abdominal Wall/ Inguinal Canal Flashcards

1
Q

Transpyloric Plane

A

L1 level

gallbladder, pylorus, pancreatic Neck, Hepatic Portal Vein, transverse mesocolon, hilia of kidneys

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2
Q

Subcostal plane

A

L3
transverse colon level
passes 10th costal cartilage

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3
Q

Transtubercle Plane

A

between iliac tubercles

at iliocecal junction

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4
Q

Interspinous Plane

A

Between ASIS

appendix and sigmoid colon

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5
Q

Pelvic Inlet

A

separates the pelvis and abd.

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6
Q

Abdominopelvic Cavities are lined by

A

Peritoneum

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7
Q

abdominal cavity

A

has greater pelvis

can extend to the 4th intercostal space

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8
Q

Camper’s Fascia

A

fatty layer of superficial fascia

like right under the skin

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9
Q

Scarpa’s Fascia

A

membranous under CT layer of the superficial fascia (Campers)
Continuous with Colle’s Fascia (superficial perineum) and fuses with fascia lata (lower limb)

=blood can flow from scarpas to colles however not down to the fascia lata of legs

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10
Q

External Oblique M.

A

interdigitates around serratus anterior
makes opening of superficial inguinal ring
N: T7-T12 intecostal
Action: compress the abd and increase intra-abd pressire
move trunk and retain posture

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11
Q

Internal Oblique M

A

makes part of the Inguinal falx
N: T7-T12 and L1
Action: compress and support viscera, lateral flexes and rotates

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12
Q

Transverse Abdominis Muscle

A

makes the rectus sheath from its apneurosis
N: T7-L1
Action: compress and support viscera

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13
Q

Rectus Abdominis Muscle

A
paired, wider at top
N: T7-T12
Action: flex abdomen and compress it
Linea Semilunaris: lateral border of M
Pyramidis: goes down to the pubic area
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14
Q

Rectus Sheath how it is found

A
TOP: 3/4 above ARCUATE LINE
External Oblique
Internal Oblique
Rectus Abd.
Internal Oblique
Transverse Abd
BELOW 1/3 below ARCUATE LINE
External Oblique
Internal Oblique
Transverse Abd
Rectus Abd.
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15
Q

Iliohypogastric Nerves

A

IO motor and upper inguinal and hypogastric sensory

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16
Q

Ilioinguinal N

A

Lower IO and TA motor
and lower inguinal and anterior scrotum/labia, medial thigh sensory
transverses inguinal canal + exits superior ring lateral to spermatic cord

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17
Q

Superficial vessels above umbilicus drain to

A

Axillary nodes

some to parasternal nodes

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18
Q

Superficial vessels below the umbilicus drain to

A

Superficial inguinal nodes

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19
Q

External and internal iliac veins (deep veins of abd wall)

A

Deep lympth vessels

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20
Q

Inguinal Ligament

A

EO apneurosis rolled under—-> ASIS and pubic tubercle

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21
Q

Conjoint Tendon (Inguinal flax)

A

inferion/medial of IB and Transversus abd. apneurosis—–> pubis

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22
Q

Superficial Ring

A

external opening of inguinal ligament (EO) = spermatic cord exits
exit for inguinal canal
has crural fibers

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23
Q

Lacunar Ligament

A

between pubic rami and inguinal ligament to attach them

24
Q

Pectineal Ligament

A

Fibers from lacunar lig —-> pubic pubic

25
Q

Femoral canal (subinguinal space)

A

lateral to lacunar lig and the superficial inguinal ring

26
Q

Deep Ring

A

entrence to the inguinal canal (transversalis fascia)
vas deferens and gonadal vessels/ nerves pass = males
round ligament pass= females

27
Q

Genitofemoral Nerve L1, L2

A

Cremasteric branch motor

medial thigh and scrotum/labia sensory

28
Q

where do gonads from

A

T10

29
Q

gonads are connected to what future thing

A

future scrotal swellings by the gubernaculum

30
Q

how does the gonads descend

A

descends by an out-pocketing (peritoneal cavity)= process vaginalis
down to the future scrotum ,leaving behind the Suspensory Ligament

31
Q

when connection to perironeum is closed for the gonads what is the remains of the process vaginalis around the testes

A

TUNICA VAGINALIS

32
Q

which tree muscles help develop the spermatic cord as the gonads descend

A

Transversalis fascia - internal spermatic fascia
IO- cremasteric muscle
EO- external spermatic fascia

33
Q

Processus vaginalis

A

evagination of the peritoneal cavity

communication closes around 1st year postnatally

34
Q

Cryptorchid testis

A

undescended testis = increase risk of testicular cancer

35
Q

5 contents in the spermatic cord

A
  1. Vas Deferens (ductus deferens)
  2. Testicular A
  3. Testicular V (pampiniform plexus)
  4. Gonadal N
  5. Gonadal Lymph
36
Q

persistent processus vaginalis

A

failure to close connection between the tunica vaginalis and abd.

37
Q

Hydrocele

A

peritoneal fluid accumulated in the tunica vaginalis
(babies, if in adults= inflammation due to scrotum testies or epididymis injury)
Dx with :transillumination -> shine light through

38
Q

Hematocele

A

accumulation of blood in the tunica vaginalis

39
Q

Ovarian Descent

A

when descending the gubernaculum gets attached to the uterus

40
Q

What does gubernaculum form in females

A

ovarian lig and round lig of uterus

41
Q

how does the round lig of uterus travel

A

enters the deep ring and travels through it exiting the superficial ring and —> attaches to the labial swellings

42
Q

3 contents of the Female inguinal canal

A
  1. Round lig of uterus
  2. Iliolinguinal N
  3. Genitofemoral N
43
Q

scrotum is related to what in the female

A

Labia

44
Q

where do veins drain into from the scrotum

A

superficial inguinal node and —> iliac and lumbar lymph nodes

45
Q

where do veins drain into form the testes

A

lumbar and pre-aortic lymph nodes

46
Q

inferior epigastric is part of the

A

anterior abd

47
Q

Median umbilical fold

A

from the obliterated urachus (paraumbilical veins)

48
Q

Medial umbilical fold

A

from obliterated umbilical arteries

49
Q

Lateral umbilical fold

A

from inferior epigastric A.

50
Q

Direct Hernia

A

Happens inferior to conjoint tendon and umbilical tendons = lateral umbilical fold
Medial to inferior epigastric A
peritoneum and transversalis fascia go through the superficial ring next to the spermatic cord

51
Q

Indirect Hernia

A

the abd fascia and peritoneum enters the deep ring and exits the superficial ring WITHIN the spermatic cord

52
Q

Femoral Hernia

A

abd fascia and peritoneum exit below the superficial ring and below the inguinal lig through the femoral canal.

53
Q

Hesselbach’s Triangle

A

above and medial to the inguinal canal (superficial ring) on the EO

54
Q

Inguinal canal is made of

A

inguinal lig

Lateral border of the rectus abd.

55
Q

Iliopubic tract

A

reinforces the floor of the inguinal canal by the transversalis fascia posterior to the inguinal lig.