Inguinal Region Flashcards

1
Q

Roof of Inguinal Canal

A

2 Muscles

  1. Internal oblique
  2. Transversus Abdominus fibers
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2
Q

Anterior Wall of Inguinal Canal

A

2 Aponeuroses

  1. External Oblique
  2. Reinforced by internal oblique
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3
Q

Floor of Inguinal Canal

A

2 Ligaments

  1. Lacunar ligament
  2. Inguinal ligament
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4
Q

Posterior Wall of Inguinal Canal

A

2 Tendons

  1. Transversalis fascia
  2. Conjoint Tendon
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5
Q

Deep Inguinal Ring

A

Entrance

Oval opening in transversalis fascia

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6
Q

Superficial Inguinal Ring

A

Exit

Above pubic tubercle

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7
Q

Hesselbach’s Triangle- Boundaries

A

Where direct hernia’s can occur
Superficial- inferior epigastric vessels
Medially- rectus abdominus
Inferior- inguinal ligament

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8
Q

Ligaments of Inguinal region

A
  1. Inguinal Ligament
  2. Lacunar Ligament
  3. Pectineal Ligament
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9
Q

Inguinal Ligament

A

Runs from ASIS to pubic tubercles

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10
Q

Lacunar Ligament

A

Connects inguinal ligament to pubic ramus

Thickened region

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11
Q

Pectineal Ligament

A

Lateral part of lacunar ligament

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12
Q

What are the contents of the inguinal canal for males?

A

Spermatic cord
Genital nerve
Ilioinguinal Nerve

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13
Q

What are the contents of the inguinal canal for females?

A

Round ligament

Ilioinguinal canal

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14
Q

External Spermatic Fascia

A

comes from external abdominal oblique aponeurosis

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15
Q

Cremasteric Fascia

A

Middle layer
Comes from internal abdominal oblique
runs with cremaster muscles

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16
Q

Internal spermatic fascia

A

Comes from transversalis fascia

17
Q

Vas (ductus) Deferens

A

help transport sperm into abdominal cavity before they come back out again

18
Q

Development of testes

A

They begin in the abdomen as retroperitoneal

Descend down via gubernaculum pulling them down

19
Q

Processus Vaginalis

A

Early extension of peritoneal cavity into scrotum

Gets pinched off to form tunica vaginalis

20
Q

Tunica Vaginalis

A

remnant of processus vaginalis

21
Q

Cremasteric Reflex

A

2 nerves in testes that should pull testes up if not twisted

  1. Ilioinguinal nerve L1
  2. Genital branch from genitofemoral nerev L1-L2
22
Q

Direct Hernia

A

Pass through Hesselbach’s Triangle
Medial to inferior epigastric vessels
Occurs in older males
Often reducible

23
Q

Indirect Hernia

A

Pass through inguinal canal
Lateral to inferior epigastric vessels
Occurs in younger males
Irreducible

24
Q

Femoral Hernia

A

Fill medial portion of femoral triangle
Inferior to inguinal ligament
More common in females
Often reducible

25
Q

Incarcerated

A

trapped and cannot be manually reduced

26
Q

Strangulation

A

blood supply is cut off

27
Q

Is a sports hernia a true hernia?

A

No, it is a torn muscle in the lower abdominal region