Exam #4: Anterior Abdominal Wall Flashcards
How are the four quadrants of the abdomen delineated?
Cross through the umbilicus
How are the nine regions of the abdomen delineated?
- Sagittal (vertical) lines through the midclavicular planes
- Transverse (horizontal) lines through the subcostal & intertubercular planes
Vertebral level of the umbilicus
L3-L4
Umbilicus dermatome
T10
What are the borders of the abdominal cavity?
- Costal arch (ribs 6-10) & xiphoid process
- Iliac crest
- Inguinal ligament
What are the functions of the abdominal wall?
- Protection & stabilization of the abdominal contents
- Maintain posture
- Generation of intra-abdominal pressure necessary for parturition & defecation
- Respiration: opposes the diaphragm during exhalation
Name the nine fascial & muscular layers of the abdominal wall from superficial to deep.
- Skin
- Camper’s Fascia
- Scarpa’s Fascia
- External Oblique
- Internal Oblique
- Transversus abdominus
- Rectus abdominus
- Transversalis Fascia
- Parietal peritoneum
What is Camper’s Fascia?
Adipose layer w/ cutaneous nerves & blood vessels
What is Scarpa’s Fascia?
Membranous layer that becomes Dartos’ Fascia in the scrotum & Colles Fascia in the perineum
What is the clinical significance of the potential space between Scarpa’s Fascia & the aponeurosis of the external oblique?
- Potential space NOT seen in healthy individual
- Trauma to urethra in males–>urine extravasation into this potential space
External Oblique: Origin
External surface of ribs 5-12
External Oblique: Insertion
- Linea Alba
- Pubic tubercle
- Anterior 1/2 of iliac crest
External Oblique: Action
- Compress & support abdominal viscera
- Flex & rotate trunk
External Oblique: Innervation
- Thoraco-abdominal nerves (ant. rami T7-T11)
- Subcostal nerve (T12)
Internal Oblique: Origin
- Thoracolumbar fascia
- Anterior 2/3 of iliac crest
- Connective tissue deep to inguinal ligament
Internal Oblique: Insertion
- Inferior borders of ribs 10-12
- Lina Alba & Pubis via conjoin tendon
Internal Oblique: Action
- Compress & support abdominal viscera
- Flex & rotate trunk