Anterolateral Andominal Wall Flashcards

1
Q

Borders of the Abdomen

●Superior:
_______________
_______________

●Inferior:
___ bone and ____

●Umbilicus:
Level of _______

A

Costal cartilages 7-12.

Xiphoid process

Pubic

iliac crest:

IV disc L3-4

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2
Q

Xiphoid process:

Level of ____ cartilage = ___ vertebrae

A

10th

L3

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3
Q

iliac crest:

Level of ____ vertebrae .

A

L4

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4
Q

Lines of the Anterior Abdominal Wall

●Linea alba:
       Located along the \_\_\_.
       = connective tissue raphe.
●Linea semilunaris:
       Along each \_\_\_\_ border of \_\_\_\_\_\_
●Linea transversa:
      \_\_\_\_\_ of \_\_\_
A

midline

lateral; rectus abdominis.

Tendinous bands; rectus abdominis.

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5
Q
Abdominal Regions
●Divided into 9 regions by two pairs of planes:
       Vertical Planes:
           Left and right lateral planes
               =\_\_\_\_\_\_\_ planes
       Horizontal Planes:
          \_\_\_\_\_\_ plane:
      \_\_\_\_\_\_\_ plane:
A

midclavicular

Transpyloric

Intertubercular

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6
Q

Transpyloric plane:

Midway between ______ and _________ (between _____ and ______).

A

jugular notch and pubic symphysis

xiphoid and umbilicus

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7
Q

Intertubercular plane:

Through ______ of _______

A

tubercles

iliac crests.

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8
Q

Cutaneous Nerves of the abdomen

●Derived from ventral rami of _____ through ____
●Pass (Superiorly or inferiorly?) and (medially or laterally ?) in plane between ____ and _____ muscles.

●Motor innervation:
To abdominal muscles.

A

T7 through L1.

Inferiorly

Medially

transverse and internal oblique

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9
Q

Cutaneous innervation of the abdomens :

  \_\_\_\_\_\_\_\_\_\_\_ branches.
   \_\_\_\_\_\_\_\_\_\_ branches
A

Lateral cutaneous

Anterior cutaneous

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10
Q

_______ cutaneous branches of cutaneous nerve of the abdomen Penetrate rectus sheath.

A

Anterior

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11
Q

Cutaneous Nerves of the abdomen

●Ventral rami of \_\_\_\_ through \_\_\_:
       = thoracoabdominal nerves.
           T7 to dermatome over \_\_\_\_\_\_\_.
           T10 at level of \_\_\_\_\_\_.
●\_\_\_\_\_ nerve
●Ventral ramus of \_\_\_\_\_:
       Gives rise to:
          \_\_\_\_\_\_\_\_ nerve.
          \_\_\_\_\_\_ nerve.
A

T7 through T11

xiphoid process

umbilicus

Subcostal

L1

iliohypogastric

ilioinguinal

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12
Q

Fascia of the abdomen

●Superficial superficial:
_____ fascia
Continuous with fascia over __________
_____ layer.

Deep Superficial:
_______ fascia
_______ layer.
Continues into ______

●Deep:
Thin layer covering abdominal muscles.

A

Camper’s

thorax and thigh.

Fatty

Scarpa’s

Membranous

perineum

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13
Q

Scarpar’s fascia Continues into perineum as: _____ fascia = _______ fascia.

A

Superficial perineal

Colle’s

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14
Q

Arterial Supply Above Umbilicus

List all 6

A
Posterior intercostal arteries 10-11.
●Subcostal artery.
●Lumbar arteries 1-4.
●Musculophrenic arteries.
●Superior epigastric arteries.
●Inferior epigastric arteries.
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15
Q

Arterial Supply Below Umbilicus

List all 3

A

●Superficial epigastric arteries.
●Superficial circumflex iliac arteries.
●Superficial external pudendal arteries.

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16
Q

Venous Drainage

●(Superficial or deep?) veins are paired with arteries.
●Above the umbilicus:
Drain into the _____ venous system.
●Below the umbilicus:
Drain into the _____ system (via _________ ).

A

Superficial

azygos

femoral

great saphenous

17
Q
Lymphatic Drainage
●Above the umbilicus:
       Drain into the \_\_\_\_\_ and \_\_\_\_ nodes.
●Below the umbilicus:
       Drain into the \_\_\_\_\_\_\_\_\_\_ nodes.
A

axillary and sternal

superficial inguinal

18
Q

Superior epigastric:
_____ branch of _____
Descends in rectus sheath (anterior or posterior?) to muscle.
Anastomoses with ______

A

Terminal; internal thoracic.

Posterior

inferior epigastric.

19
Q
●Inferior epigastric:
       Arises from \_\_\_\_\_\_ artery.
       Enters rectus sheath at ———-
       Branches:
          \_\_\_\_\_\_\_ artery.
          \_\_\_ branch.
A

external iliac

arcuate line.

Cremasteric

Pubic

20
Q

Deep circumflex iliac artery:
Branch of ________

●Superficial epigastric artery:
Arises from _________

●Superficial circumflex iliac artery:
Arises from _______

●Superficial external pudendal artery:
Arises from ________

A

external iliac.

femoral artery.

femoral artery.

femoral artery.

21
Q

Anterior Abdominal Wall Veins
●External iliac vein:
Receives from _____ and _______ veins.

●Femoral vein:
Receives ____,_____,_____,_____:
Drains to _________ vein.

A

epigastric

deep circumflex iliac

superficial circumflex iliac vein,
Superficial epigastric vein,
Superficial external pudendal vein.
Superior epigastric vein

brachiocephalic

22
Q

Muscle Layers of abdomen
●General Characteristics:
Three large flat sheets connecting ______ to ___
Muscular (anterior or posteriorly ?) and (Medially or laterally?)
Aponeurotic (anterior or posteriorly ?) and (Medially or laterally?)

A

rib cage to hip bone.

Posteriorly

laterally

anteriorly and medially.

23
Q

Muscle Layers of abdomen

●Include:
      \_\_\_\_
\_\_\_\_\_\_
\_\_\_\_\_\_\_
\_\_\_\_\_
A

External oblique.
Internal oblique.
Transversus abdominus.
Rectus abdominus.

24
Q
Linea Alba
●Median raphe
●Extends from \_\_\_\_\_\_ to \_\_\_\_\_\_\_
●Lies between paired  \_\_\_\_\_\_\_\_\_ muscles.
●= fusion of aponeuroses of \_\_\_\_\_,\_\_\_\_\_,\_\_\_\_\_
A

xiphoid to pubic symphysis.

rectus abdominus

transversus abdominus, internal oblique, and external oblique.

25
●Linea semilunaris: Along lateral margin of ________ Crosses costal margin near ___ of ___ costal cartilage
rectus abdominus. tip 9th
26
●Arcuate line: (Upper or Lower?) free edge of (anterior or posterior?) lamina. Lies midway between _______ and _____
Lower Posterior umbilicus and pubis.
27
●Inguinal ligament: Thickened lower border of ___________ From _______ to ______
external oblique aponeurosis. anterior superior iliac spine to pubic tubercle.
28
●Rectus sheath: Encloses ______ Formed by fusion of ____ of other three layers of ________.
rectus abdominus. fascia
29
Umbilical hernia Occurs at site where umbilical cord penetrates between muscles and fascia of anterior abdominal wall. T/F
T
30
The cartilages of the _________ ribs form the costal margins.
7th, 8th, 9th, and 10th
31
Murphy’s Point It is a point where _____ meets the ______. It corresponds to the tip of the ___ costal cartilage. The _____ of gall bladder lies deep to this point.
linea semilunaris right subcostal margin 9th fundus
32
The anterior abdominal wall is firm and elastic. It consists of eight layers. From superficial to deep, these are: List them all
1. Skin. 2. Superficial fascia. 3. External oblique muscle. 4. Internal oblique muscle. 5. Transversus abdominis muscle. 6. Fascia transversalis. 7. Extraperitoneal tissue. 8. Parietal layer of peritoneum.
33
Pyramidalis is innervated by _____ nerve
Subcoastal nerve
34
Origin of EOM By ____ fleshy slips from the ______ of lower _____
eight outer surfaces eight ribs
35
Origin of IOM Fleshy origin from: a) Lateral 2/3rd of the ___ b) Anterior 2/3rd of the intermediate area of __ c) ______ fascia
inguinal ligament iliac crest Thoraco-lumbar
36
Origin of TM Fleshy origin from: a) Lateral 1/3rd of the _____ b) Anterior 2/3rd of the inner lip of ____ c) _______ fascia d) (outer or Inner ?) surfaces of the _____________ (these fibres interdigitate with diaphragm)
inguinal ligament iliac crest Thoraco-lumbar Inner lower six costal cartilages
37
Origin of rectus abdominis By two tendinous heads: a) Lateral head from (medial or lateral?) part of the _____ b) Medial head from (anterior or posterior?) surface of the _____
Lateral ; pubic crest Anterior pubic symphysis
38
Insertion of rectus abdominis a) ________ b) _________
5th, 6th, and 7th costal cartilages Xiphoid process
39
Pyramidialis is inserted into ???
Linea Alba