Exam #4: Anterior Abdominal Wall Flashcards

1
Q

How are the four quadrants of the abdomen delineated?

A

Cross through the umbilicus

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2
Q

How are the nine regions of the abdomen delineated?

A
  • Sagittal (vertical) lines through the midclavicular planes

- Transverse (horizontal) lines through the subcostal & intertubercular planes

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3
Q

Vertebral level of the umbilicus

A

L3-L4

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4
Q

Umbilicus dermatome

A

T10

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5
Q

What are the borders of the abdominal cavity?

A
  • Costal arch (ribs 6-10) & xiphoid process
  • Iliac crest
  • Inguinal ligament
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6
Q

What are the functions of the abdominal wall?

A
  • Protection & stabilization of the abdominal contents
  • Maintain posture
  • Generation of intra-abdominal pressure necessary for parturition & defecation
  • Respiration: opposes the diaphragm during exhalation
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7
Q

Name the nine fascial & muscular layers of the abdominal wall from superficial to deep.

A
  1. Skin
  2. Camper’s Fascia
  3. Scarpa’s Fascia
  4. External Oblique
  5. Internal Oblique
  6. Transversus abdominus
  7. Rectus abdominus
  8. Transversalis Fascia
  9. Parietal peritoneum
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8
Q

What is Camper’s Fascia?

A

Adipose layer w/ cutaneous nerves & blood vessels

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9
Q

What is Scarpa’s Fascia?

A

Membranous layer that becomes Dartos’ Fascia in the scrotum & Colles Fascia in the perineum

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10
Q

What is the clinical significance of the potential space between Scarpa’s Fascia & the aponeurosis of the external oblique?

A
  • Potential space NOT seen in healthy individual

- Trauma to urethra in males–>urine extravasation into this potential space

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11
Q

External Oblique: Origin

A

External surface of ribs 5-12

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12
Q

External Oblique: Insertion

A
  • Linea Alba
  • Pubic tubercle
  • Anterior 1/2 of iliac crest
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13
Q

External Oblique: Action

A
  • Compress & support abdominal viscera

- Flex & rotate trunk

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14
Q

External Oblique: Innervation

A
  • Thoraco-abdominal nerves (ant. rami T7-T11)

- Subcostal nerve (T12)

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15
Q

Internal Oblique: Origin

A
  • Thoracolumbar fascia
  • Anterior 2/3 of iliac crest
  • Connective tissue deep to inguinal ligament
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16
Q

Internal Oblique: Insertion

A
  • Inferior borders of ribs 10-12

- Lina Alba & Pubis via conjoin tendon

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17
Q

Internal Oblique: Action

A
  • Compress & support abdominal viscera

- Flex & rotate trunk

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18
Q

Internal Oblique: Innervation

A
  • Thoraco-abdomina nerves (ant. rami of T7-T11)

- L1

19
Q

Transversus Abdominis: Origin

A
  • Internal surface of ribs 7-12 costal cartilage
  • Thoracolumbar fascia
  • Iliac crest
  • Connective tissue deep to inguinal ligament
20
Q

Transversus Abdominis: Insertion

A
  • Linea Alba w/ aponeurosis of internal oblique

- Pubic crest & pectin pubis via conjoin tendon

21
Q

Transversus Abdominis: Action

A

Compresses & supports abdominal viscera

22
Q

Transversus Abdominis: Innervation

A
  • Thoraco-abdominal nerves (ant. rami of T7-T11)

- L1

23
Q

Rectus Abdominus: Origin

A
  • Pubic Symphysis

- Pubic Crest

24
Q

Rectus Abdominus: Insertion

A
  • Xiphoid process

- Costal cartilages 5-7

25
Q

Rectus Abdominus: Action

A
  • Flexes trunk
  • Compresses abdominal viscera
  • Antagonist to the diaphragm
  • Stabilizes & control pelvic tilt (antilordosis)
26
Q

Rectus Abdominus: Innervation

A

Thoraco-abdominal nerves (T7-T12)

27
Q

Arcuate Line

A
  • Horizontal line demarcating the lower limit of the posterior rectus sheath
28
Q

What is the significance of the arcuate line?

A
  • **Rectus sheath= aponeuroses of the transversus abdominis, external oblique, & internal oblique muscles
  • Above, tendons split & envelop the rectus abdominis
  • Below, tendons fuse & only wrap anteriorly around the rectus abdominis; thus, the posterior surface of the ant. abdominal wall is only covered by the transversalis fascia & parietal peritoneum–>weak/ prone to hernia
29
Q

Which fascial layer forms the deep inguinal ring?

A

Transversalis fascia

30
Q

What is the function of the parietal peritoneum?

A

Production of serous fluid that lubricates the abdominal organs

31
Q

Where are the inferior epigastric arteries & veins found?

A

Between the transversalis fascia & parietal peritoneum

32
Q

Falciform Ligament

A

Remnant of the ventral mesentery

33
Q

Where is the Ligamentum Teres found? What is the Ligamentum also called? What is the Ligamentum Teres a remnant of?

A
  • Found in the free edge of the Falciform Ligament
  • Also called the round ligament
  • Remnant of the fetal umbilical vein (oxygenated blood from mother to fetus)
34
Q

Median Umbilical Fold

A

Urachus (remnant of the allantois) & paraumbilical veins

35
Q

Medial Umbilical Fold

A

Remnant of the umbilical arteries

36
Q

Lateral Umbilical Fold

A

Inferior epigastric arteries & veins

37
Q

A patient has an infection of an abdominal organ. If the organ is above the umbilicus, where will lymphadenopathy present? What about below the umbilicus?

A
  • Above= axillary lymph nodes

- Below= inguinal lymph nodes

38
Q

A patient is undergoing a cholecystectomy. What type of surgical incision will be utilized for the procedure?

A

Subcostal

39
Q

A patient is undergoing surgery to transverse colon (or small intestine). What type of surgical incision will be utilized for the procedure?

A

Median (through the linea alba)

40
Q

A patient is undergoing an appendectomy. What type of surgical incision will be utilized for the procedure?

A

Gridiron (McBurney’s Point)

41
Q

A patient is undergoing an oophrectomy. What type of surgical incision will be utilized for the procedure?

A

Transverse (Horizontal incision)

42
Q

A patient is undergoing a hysterectomy. What type of surgical incision will be utilized for the procedure?

A

Suprapubic

43
Q

What are the consequences of corset wear?

A
  • Lung volume compromised & dyspnea present
  • Weaken abdominal muscles (fake transversus abdominis)
  • Reduce appetite
  • Constipation
  • Exacerbate prolapsed uterus
  • Harmful to fetus during pregnancy
  • Does NOT harm the liver
44
Q

Conjoint Tendon

A

Fused aponeurosis of the internal oblique & transversus abdominis m.
- Reinforces lower part of the rectus sheath