EX2 Anterior Abdominal Wall Flashcards

1
Q

What are the boundaries of the abdominal cavity

A

it stretches from the diaphragm to the pelvic brim (imaginary line between the superior iliac crests)

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2
Q

The abdomen is divided into nine regions, what are they

A
right hypochondriac
epigastric
left hypochondriac
right lateral
umbilical
left lateral
right inguinal
pubic
left inguinal
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3
Q

True or False

Scarpa’s fascia is the superficial fascia; fatty layer

A

False; Scarpa’s fascia is the membraneous layer and Camper’s fascia is the fatty layer

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4
Q

What are the layers of the abdominal wall starting most superior

A
skin
Camper's fascia
Scarpa's fascia
investing fascia
muscles (with investing fascia between each
endo-abdominal (transversalis) fascia
extra peritoneal fat
parietal peritoneum
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5
Q

What are the muscles of the abdomen

A
Internal oblique
external oblique
transverse abdominus
rectus abdominus
pyramidalis
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6
Q

This is an aponeutrotic (tendinous) sheath that envelops rectus abdominus and pyramidalis

A

rectus sheath

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7
Q

The structure of the rectus sheath is relative to what?

A

the arcuate line (midway between umbilicus and pubic symphysis

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8
Q

Superior to the arcuate line you can see what regarding the rectus sheath

A

You can see the anterior and posterior rectus sheath coming around and surrounding the rectus abdominus; it conjoins after crossing posterior to the muscle

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9
Q

What forms the anterior layer of the rectus sheath superior to the arcuate line

A

aponeuroses of external oblique and 1/2 internal oblique

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10
Q

What forms the posterior layer of the rectus sheath superior to the arcuate line

A

aponeuroses of 1/2 internal oblique, transverse abdominus, and transversalis fascia

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11
Q

What forms the anterior layer of the rectus sheath inferior to the arcuate line

A

aponeuroses of the external oblique, internal oblique, and transverse abdominus

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12
Q

What forms the posterior layer of the rectus sheath inferior to the arcuate line

A

transversalis fascia

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13
Q

The median umbilical fold extends where and what does it cover

A

extends from urinary bladder to umbilicus

covers median umbilical ligament

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14
Q

The medial umbilical folds are located where and what do they cover

A

they are located on either side of the median umbilical fold
covers medial umbilical ligaments
occluded portions of umbilical artery

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15
Q

The lateral umbilical folds are located where and what do the cover

A

located on either side of the medial umbilical folds and they cover the inferior epigastric vessels

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16
Q

The circumflex iliac artery is a branch of what and supplies which region

A

branch of femoral artery

supplies region of inguinal ligament

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17
Q

The epigastric artery is a branch of what and supplies which regions

A

branch of femoral artery

supplies abdomen inferior to umbilicus

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18
Q

The circumflex vein drains into what and from what region

A

drains into femoral vein

drains regions of inguinal ligament

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19
Q

The epigastric vein drains into what and from what region

A

drain into femoral vein

drains abdomen inferior to umbilicus

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20
Q

The superficial vessels of the abdomen are located/run in where?

A

superficial fat and fascia

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21
Q

The deep circumflex iliac vessels are branches of what, run where, and supply what

A

branches of external iliac
runs between IO and TA
supplies inferior lateral abdominal muscles

22
Q

The inferior epigastric vessels are branches of what, run where, and supply what

A

branches of external iliac
it enters the posterior rectus sheath at arcuate line
supplies lower rectus abdominus
**anastomoses with superior epigastric

23
Q

The superior epigastric vessels are branches of what, run where, and supply what

A

branches of internal thoracic (mammary)
it enters poster rectus sheath lateral to sternum
supplies upper rectus abdominus
**anastomoses with inferior epigastric

24
Q

The musculophrenic vessels are branches of what, run where, and supply what

A

branches of internal thoracic (mammary)
runs along costal cartilages
supplies upper abdominal muscle and diaphragm

25
The deep circumflex and inferior epigastric veins drain into which vein
external iliac vein
26
The superior epigastric and musculophrenic veins drain into which vein
internal thoracic vein
27
These nerves supply the region above the umbilicus
T7, T8, and T9 | ventral rami
28
This nerve supplies the umbilical region
T10 | ventral rami
29
These nerves supply the region below umbilicus
T11, T12, L1 | ventral rami
30
The nerves of the abdomen run between which muscles
IO and TA
31
Injury to nerves T11, T12, and L1 can do what
it can weaken the muscles in the inguinal region and predisposes an individual to inguinal hernias
32
This region is inferior to lateral abdominal region, superior to thigh, medial to ilium, and lateral to pubic bone
inguinal region
33
This is the folded inferior border of the EO aponeurosis and extends from the anterior superior iliac spine to pubic tubercle
inguinal ligament
34
This is an obliquely set tunnel 3-5cm long from the transverse abdominal wall and running parallel and superior to inguinal ligament
inguinal canal
35
In males, the inguinal canal contains what
``` spermatic cord and its contents ilioinguinal nerve (L1) ```
36
In females, the inguinal canal contains what
``` round ligament of uterus ilioinguinal nerve (L1) ```
37
The superficial ring is the opening in which aponeurosis and is located where
opening in EO aponeurosis | obvious triangular opening lateral to pubic tubercle
38
The deep ring is the opening in which aponuerosis and located where
opening in transversals fascia | subtle piercing just lateral to inferior epigastic vessels
39
What is the anterior/posterior wall, roof, and the floor of the inguinal canal
anterior wall --> EO aponeurosis posterior wall --> transversals fascia and conjoin tendon roof --> IO and TA muscles floor --> inguinal ligament
40
An abdominal hernia is an out pouching of what
out pouching of abdominal viscera within a sac; composed of peritoneum, extra peritoneal fat, and transversals fascia
41
True or False | 90% of hernias occur in inguinal region
True
42
This type of inguinal hernia extends through entire inguinal canal lateral to the epigastric vessels
indirect inguinal hernia
43
An indirect inguinal hernia commonly enters what structures in males and females
males --> scrotum; processus vaginalis females --> labia majora; canal of Nuck *more common in males than females
44
This type of inguinal hernia extends through the inguinal triangle (Hesselbach's) and emerges through conjoint tendon by or at superficial ring medial to inferior epigastric vessels
direct inguinal hernia
45
What structures make up the inguinal triangle (Hesselbach's)
inferior epigastric artery rectus abdominus muscle inguinal ligament
46
A direct inguinal hernia is usually associated with what
weakened abdominal wall
47
This type of hernia extends through the femoral ring and canal; more common in females than males
femoral hernia
48
This type of hernia extends through the umbilical ring; most common in newborns, females, and obese individuals
umbilical hernia
49
The most common type of hernia is females is what
indirect inguinal
50
This type of hernia extends through line alba; most common in people over 40 and associated with obesity
epigastric hernia