Exam 3 Abdomen Week 11 Flashcards
rectus sheath surrounds what
rectus abdominis muscle
what is the origin of the rectus sheath
4th to 9th costal cartilages and adjacent sternum
what is the insertion of the rectus sheath
pubis via prepubic tendon
internal rectus sheath is composed of
aponeurosis of transversus abdominis m.
external rectus sheath is composed of
fused aponeuroses of internal and external abdominal oblique m.
prepubic tendon is made from
linea alba, insertion tendons of right and left rectus abdominis ms (other contributions from other muscles)
prepubic tendon inserts on the
pubis
rupture of prepubic tendon is not common but is more likely in
late gestation mares; usually older, multiparous mares and those that are less fit
rupture of prepubic tendon observations
sudden ventral displacement of caudal abdomen; edema and cranioventral displacement o fthe udder, with painful ventral edema cranial to udder
what is the most extensive flank muscle
external abdominal oblique
insertion of external abdominal oblique
linea alba, prepubic tendon, plus tuber coxae, medial femoral fascia
inguinal ligament
attaches to tuber coxae and to fascia over iliopsoas and sartorius mm.
allergic disease often associated with exposure to
molds
what are clinical signs of recurrent airway obstruction (RAO) (heaves, COPD)
Cough and increased pulmonary airway secretions, exercise intolderance, pronounced abdominal m, contractions with expiration (heaving)
with chronic disease, horses develop heave line which is
hypertrophy of external abdominal oblique m.
dorsal part of transversus abdominis m. is
dorsal part is aponeurotic, costal attachment is muscular
innervation of flank includes
dorsal and ventral branches of T13, L1, L2
General spinal nerve diagram
x
with incisions in upper flank, you need to block what
dorsal and ventral branches of spinal nerves; insert needle in vertically next to vertebral bodies (paravertebral block)
T13 spinal nerve
inject caudal to last rib in angle between L1 transverse process and last rib (or caudal to last rib at lateral edge of iliocostalis m. if cant palpate tip of transverse process of L1)
L1 and L2 spinal nerves
inject caudal to transverse processes of L1 and L2
TO anesthetize dorsal and ventral spinal nerves
inject both dorsal and ventral to level of transverse processes
advantages of paravertebral block
uniform anesthesia of all structures of the paralumbar fossa including the peritoneum; good muscle relaxation
disadvantages of paravertebral block
must avoid puncturing aorta or caudal vena cava (if too deep)
paralyzes epaxial muscles on the side of the operation causing convexity of trunk (viscera may bulge out of incision, closure may be more difficult)
paralumbar block
nerves are blocked at tips of transverse processes
T13 spinal nerve
dorsal and ventral to tip of L1 transverse process (and between last rib and L1 transverse processes)
L1 spinal nerve
dorsal and ventral to caudal of L2 transverse process
L2 spinal nerve
dorsal and ventral to caudal of L4 transverse processes
may need additional injection where
midway between L3 and L4 or cranial to L1 lumbar transverse processes due to variability in nerve placement
paralumbar block advantages
uniform anesthesia of structures of the paralumbar fossa including peritoneum
good flank muscle relaxation
epaxial muscles are not anesthetized
disadvantages of paralumbarblock
individual variation in position of spinal nerves may necessitate additional injections of anesthetic
additional procedures for anesthesia of the flank include
inverted L block; epidural anesthesia
anesthesia of udder (excluding caudal portion innervated by pudendal nerve) not commonly used but need to block
genitofemoral nerve
genitofemoral arises from
L3 and L4 spinal nervs and can include L2 spinal nerve
in cows, block
ventral branches of L1 to L4 spinal nerves
ewe and doe block
ventral branches of L2-L4 spinal nerve
abdominal topography
note normal location and relationships of organs
note relative mobility of different organs (length of mesentery; attachment to other organs)
for horse note potential sites of impactions (decrease in size of intestinal lumen; drastic change in direction/flow of intestinal content)
spleen of the horse extends
obliquely; cranioventrally from last 3 ribs to ventral third of 9th to 10th ribs
spleen parietal surface contacts
diaphragm
gastrosplenic ligament
between hilus of spleen and greater curvature of stomach (continous with greater omentum)
nephrosplenic ligament
between spleen and left kidney
equine stomach size
small; volume 5-15 L
fundus is the
saccus cecus (nonglandular stomach)
what is the wavy edge seaprating non-glandular from glandular portions of equines stomach
margo plicatus
in the horse, the ____ sphincter is well developed
cardiac
anatomical reasons why it is difficult for horse to vomit
pronounced cardiac sphincter
esophagus enters the stomach at an oblique angle; when pressure within stomach increases, the cardia closes tighter
stomach does not touch the ventral abdominal wall; it is situated dorsal to ascending colon; thus abdominal muscular contractions associated with vomiting will first be absorbed by colon
what is the epiploic foramen
the connection between peritoneal cavity and omental bursa
epiploic foramen is located on what side
the right side
dorsal boundary of epiploic foramen
caudate process of liver (CPL) and caudal vena cava
ventral boundary of epiploic foramen
pancreas< hepatoduodenal ligament (HDL) and hepatic portal vein
equine large intestine is composed of
cecum
ascending colon
transverse colon
descending colon
cecum capacity in equine
30 L in large horses
what are the parts of the cecum
base, body, apex
base _____ paralumbar fossa
more than fills
interior cecum of horse
ilieal papilla and cecocolic orifice
ileal papilla
eopening of ileum into cecum
cecocolic orifice
connects to right ventral colon
cecum leads to
ascending colon
what are the parts of the ascending colon
right ventral colon
left ventral colon
left dorsal colon
right dorsal colon
right ventral colon turns to left side at the
ventral diaphragmatic flexure (sternal flexure)
left ventral colon turns 180 degrees at
pelvic flexure
left dorsal colon turns to right side at the
dorsal diaphragmatic flexure
right dorsal colon turns medially at base of cecum to become
transverse colon
ventral colon characteristics
4 bands (four on the floor)
distinct saccules
large diameter
dorsal colon characteristics
1-3 bands +/- saccules
initial portion-1 band
quickly acquires 2 more bands
less elastc fiberes in bands so saccules are less distinct
transverse colon characteristics
short segment short mesentery crosses cranial to the root of the mesentery from right to left decresing diameter two bands
descending colon characteristics
very elongated in the horse
supsended from mesentary
relatively small lumen called small colon
two bands with saccules
changes in diameter associated with impaction occurs at
base of cecum
pelvic flexure (most common)
transverse colon
changes in direction
pelvic flexure
mobility
rotation of ascending colon around common axis (torsion)
lodging of left components of ascending colon above the spleen and left kidney (left dorsal displacement)
lodging of intestines (distal jejunum and ileum) in epiploic foramen (internal incarceration)
anything cranial to ____ will not be in reach within rectal palpation
Cranial mesenteric artery at L1
ruminant spleen dorsal extermit lies under
dorsal ends of last two ribs
spleen visceral surface contacts
left side of rumen
spleen dorsal part attached to
left crus of diaphragm