Ch. 31 Abdominal Wall Flashcards

1
Q

Portion of the trunk between the thorax and the pelvis

A

Abdomen

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2
Q

The abdomen consists of an outer wall and an inner cavity, termed the ___

A

abdominal cavity

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3
Q

Abdominal wall is subdivided into

A

Anterolateral abdominal wall

Posterior abdominal wall

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4
Q

In examining and describing the abdomen, n it is customary to relate __, ___, and ___ of an organ to one of its regions.

A

Pain, swelling, position

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5
Q

The system that subdivides the abdomen into nine regions uses ____ and ____ of references.

A

Two horizontal planes

Two vertical planes

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6
Q

Horizontal plane halfway between the jugular notch of the sternum and the pubic symphysis. Lies at LV1

A

Transpyloric plane

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7
Q

Which vertebral layer does the transpyloric plane lie at?

A

LV1

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8
Q

Plane lying horizontally through the tubercles of the iliac crest. Les at level LV5.

A

Transtubercular plane

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9
Q

Which vertebral layer does the transtubercular plane lie?

A

LV5

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10
Q

Planes located in the midpoint of the clavicle.

A

Right and LeftMid-clavicular (lateral) planes.

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11
Q

Regions of the abdomen

A
Umbilical 
Epigastric
Pubic
R and L Hypochondriac 
R and L Lateral (lumbar) area
R and L Inguinal area
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12
Q

Midgut referred pain

A

Umbilical region

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13
Q

Area of epigastric fossa, just inferior to the infrasternal angle (forget referred pain)

A

Epigastric region

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14
Q

area above the pubic symphysis (hindgut referred pain)

A

Pubic (hypogastric)

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15
Q

Right and left hypochondriac areas related to ____

A

costal cartilages

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16
Q

The system thats subdivides the abdomen into four regions uses the ____ for both the horizontal and vertical planes. This results in four regions, called quadrants.

A

Umbilicus

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17
Q

Upper right quadrant:

A
Liver
Gallbladder
Superior part of the ascending colon
Right colic or hepatic flexure of the colon
Right half of the transverse colon
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18
Q

Upper left quadrant

A
Stomach
Spleen
Pancreas
Left half of the transverse colon
Left colic or scenic flexure of the colon
Superior part of the descending colon
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19
Q

Lower right quadrant

A

Inferior part of the ascending colon
Cecum
Veriform appendix

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20
Q

Lower left quadrant

A

Inferior part of the descending colon

Sigmoid colon

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21
Q

Anterolateral abdominal wall is composed of

A

Skin
Subcutaneous tissue
Muscles
Peritoneum

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22
Q

The skin of the abdomen is of average _____ as compared with other parts of the body

A

thickness

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23
Q

Reddish lines that are sometimes seen in the skin of the abdomen during pregnancy

A

Stiae gravidarum

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24
Q

After parturition, striae gravid arum gradually change into thin white starlike lines called

A

lineae albicante

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25
Q

Subcutaneous tissues of the abdominal wall exists in two layers:

A

Superficial fatty layer (Camper’s fascia)

Deep membranous layer (Scarpa’s fascia)

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26
Q

Muscles of the anterolateral abdominal wall

A

External oblique
Internal oblique
Transversus abdominis
Rectus abdominis

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27
Q

Origin of External Oblique

A

Lower 8 ribs (interdigitates with the serrates anterior and latissimus dorsi)

28
Q

Insertion of the external oblique

A

Iliac crest

Rectus sheath via aponeurosis

29
Q

Action of external oblique

A

Tenses the abdominal wall
Aids in rotation of the trunk
Aids in lateral flexion of the trunk
Important in forced expiration

30
Q

Innervation of external oblique

A

Thoracoabdominal nerves

Subcostal nerve

31
Q

Muscle who’s aponeurosis forms the inguinal ligament

A

External oblique

32
Q

External oblique’s fibers course ___ and ____

A

medially and inferiorly

33
Q

Origin of the internal oblique

A

Iliac crest

34
Q

Insertion of the internal oblique

A
Costal margin (superiorly) 
Rectus sheath via aponeurosis (anteriorly) 
Pubic crest (inferiorly)
35
Q

Action of internal oblique

A

Tenses of the abdominal wall
Aids in rotation of the trunk
Aids in lateral flexion of the trunk
Important forced expiration

36
Q

Innervation of internal oblique

A

Thoracoabdominal nerves

Subcostal nerve

37
Q

Internal oblique’s fibers fan out coursing anteriorly and superiorly in the ____

A

upper half

38
Q

Internal oblique’s fibers van out coursing transversely and inferiorly in the ____

A

lower half

39
Q

Origin of transversus abdominis

A

Iliac crest
Fascia of the back
Lower 6 costal cartilages

40
Q

Insertion of transversus abdominis

A

Rectus sheath via aponeurosis

41
Q

Action of transversus abdominis

A

Tenses the abdominal wall
Aids in rotation of the trunk
Aids in lateral flexion of the trunk
Important in forced expiration

42
Q

Innervation of transversus abdominis

A

Thoracoabdominal nerve

Subcostal nerve

43
Q

Origin of rectus abdominis

A

Pubic crest

Pubic symphysis

44
Q

Insertion of rectus abdominis

A

Xiphoid process

Costal cartilages of ribs 5 to 7

45
Q

Action of rectus abdominis

A

Flexion of trunk

46
Q

Innervation of rectus abdominis

A

Thoracoabdominal nerves

Subcostal nerve

47
Q

Fiber direction of rectus abdominis

A

vertical

48
Q

3 to 4 fibrous brands that pass transversely across the rectus abdominis and adhere to the rectus sheath

A

tendinous intersections

49
Q

The rectus sheath is a fibrous structure formed by the aponeuroses of :

A

External oblique
Internal oblique
Transversus abdominis

50
Q

Anatomical lines formed by the rectus sheath

A

Linea alba
Linea semilunaris
Arcuate line

51
Q

Median furrow from the xiphoid process to the pubis. Consists of a tough, tendinous raphe of interlacing fibers of the aponeurosis on each side

A

linea alba

52
Q

Curved line at the lateral border of the rectus abdominis. Formed where the aponeurosis of the internal oblique splits to form layers of the rectus sheath

A

Linea semilunaris

53
Q

Lines semilunaris is formed when the aponeurosis of the ___ splits to form layers of the rectus sheath

A

internal oblique

54
Q

Horizontal landmark change in the rectus sheath

A

arcuate line

55
Q

Lines the inner wall of the abdomen

A

Parietal peritoneum

56
Q

Chief arteries of the abdominal wall:

A

Two branches of internal thoracic artery/internal mammary artery

Two branches of external iliac artery

57
Q

Another name for internal thoracic artery

A

Internal mammary artery

58
Q

Branches of the internal thoracic artery (superiorly)

A

Superior epigastric

Musculophrenic

59
Q

Two branches of the external iliac artery (inferiorly)

A

Inferior epigastric

Deep circumflex iliac

60
Q

The anastomoses of the superior and inferior epigastric represent an anastomoses between _____ and ____

A

subclavian (via internal mammary artery) and external iliac arteries)

61
Q

The anastomoses of musculophrenic and deep circumflex iliac also represent and anastomosis between ____ and the ____

A

subclavian artery and external iliac artery

62
Q

Innervation of muscles of the anterior abdominal wall

A

Segmentally innervated by the thoracoabdominal nerves, and subcostal nerve

63
Q

In addition to innervating the muscles of the anterolateral abdominal wall, thoracoabdominal nerves and subcostal nerve give off ______

A

Anterior and lateral cutaneous branches to skin of the abdomen

64
Q

Muscles making up the posterior abdominal wall include

A

Quadratus lumborum

Psoas major

65
Q

Abdominal aorta lies _____ on the posterior abdominal wall

A

retroperitoneally