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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Xiphoid process:

Level of ____ cartilage = ___ vertebrae

A

10th

L3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

iliac crest:

Level of ____ vertebrae .

A

L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Transpyloric plane:

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

A

jugular notch and pubic symphysis

xiphoid and umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Intertubercular plane:

Through ______ of _______

A

tubercles

iliac crests.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cutaneous innervation of the abdomens :

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

Lateral cutaneous

Anterior cutaneous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

Anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

A

Superficial perineal

Colle’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Arterial Supply Below Umbilicus

List all 3

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
Q

●Linea semilunaris:
Along lateral margin of ________
Crosses costal margin near ___ of ___ costal cartilage

A

rectus abdominus.

tip

9th

26
Q

●Arcuate line:
(Upper or Lower?) free edge of (anterior or posterior?) lamina.

   Lies midway between \_\_\_\_\_\_\_ and \_\_\_\_\_
A

Lower

Posterior

umbilicus and pubis.

27
Q

●Inguinal ligament:
Thickened lower border of ___________

From _______ to ______

A

external oblique aponeurosis.

anterior superior iliac spine to pubic tubercle.

28
Q

●Rectus sheath:
Encloses ______
Formed by fusion of ____ of other three layers of ________.

A

rectus abdominus.

fascia

29
Q

Umbilical hernia Occurs at site where umbilical cord penetrates between muscles and fascia of anterior abdominal wall.

T/F

A

T

30
Q

The cartilages of the _________ ribs form the costal margins.

A

7th, 8th, 9th, and 10th

31
Q

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.

A

linea semilunaris

right subcostal margin

9th

fundus

32
Q

The anterior abdominal wall is firm and elastic. It consists of eight layers. From superficial to deep, these are:

List them all

A
  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
Q

Pyramidalis is innervated by _____ nerve

A

Subcoastal nerve

34
Q

Origin of EOM

By ____ fleshy slips from the ______ of lower _____

A

eight

outer surfaces

eight ribs

35
Q

Origin of IOM

Fleshy origin from:

a) Lateral 2/3rd of the ___
b) Anterior 2/3rd of the intermediate area of __
c) ______ fascia

A

inguinal ligament

iliac crest

Thoraco-lumbar

36
Q

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)

A

inguinal ligament

iliac crest

Thoraco-lumbar

Inner

lower six costal cartilages

37
Q

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 _____

A

Lateral ; pubic crest

Anterior

pubic symphysis

38
Q

Insertion of rectus abdominis

a) ________
b) _________

A

5th, 6th, and 7th costal cartilages

Xiphoid process

39
Q

Pyramidialis is inserted into ???

A

Linea Alba