GIS01 General anatomy of the abdomen and abdominal wall Flashcards

1
Q

Name the skeletal boundaries of the abdominopelvic cavity.

A

5 lumbar vertebrae
Superior part of bony pelvis
Bony components of the inferior aspect of the thorax

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2
Q

Name the muscles of the anterolateral abdominal wall.

A

Transversus abdominis
Internal oblique
External oblique

Rectus abdominis
Pyramidalis

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3
Q

Name the muscles of the posterior abdominal wall.

A

Quadratus lumborum
Psoas major
Iliacus

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4
Q

The aponeurosis of external oblique merges with … at the midline, which runs from … to …

A

linea alba
xiphoid process
pubic symphysis

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5
Q

Name the line forming and marking the transition from muscle to aponeurosis in transversus abdominis.

A

Linea semilunaris / Semilunar line

Also lateral margin of rectus abdominis

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6
Q

Rectus abdominis is intersected by … which give rise to the “six-pack” seen in athletes.

A

transverse tendinous intersections

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7
Q

The anterior layer of the rectus sheath is formed by … while the posterior layer is formed by …

A

Aponeuroses of external oblique + 1/2 of internal oblique

Aponeuroses of 1/2 of internal oblique + transversus abdominis

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8
Q

At which point is there only the anterior wall of the rectus sheath but no posterior sheath? At this junction, the transversalis fascia is in direct contact with which muscle?

A

About midway between umbilicus & pubic symphysis

Rectus abdominis

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9
Q

The area of transition at which the posterior wall of rectus sheath disappears is called the …

A

Arcuate line

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10
Q

Name 3 nerves that innervate the anterior abdominal wall.

A
  1. Intercostal nerves (T5-T11)
  2. Subcostal nerve (T12)
  3. L1 spinal nerve: iliohypogastric & ilioinguinal nerve
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11
Q

The anterior rami / continuations of 7th-11th intercostal nerves into abdominal wall are called …

A

thoraco-abdominal nerves (T7-T11)

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12
Q

Which incision is the most versatile when approaching abdominal organs and why?

A

Midline incision

Linea alba is poorly vascularised => minimal blood loss
No nerves excised

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13
Q

Why incision provides access to the kidney, adrenal and spleen? Is it widely used today?

A

Paramedian incision

No, due to ligation of blood vessels and cutting of nerves

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14
Q

Which incision is made just above the umbilicus? Is it widely used today?

A

Transverse incision

No, due to poor healing

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15
Q

Which abdominal incision requires emptying / decompression of the bladder beforehand?

A

Pfannenstiel / Suprapubic transverse incision

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16
Q

Which incision allows access to the spleen or gallbladder?

A

Subcostal / Kocher incision

Limited incision with restricted exposure

17
Q

Which incision is widely used during an appendectomy?

A

McBurney’s incision

Split but not cut muscle fibres