Introduction to abdomen Flashcards
Boundaries of the abdomen
Superior- Diaphragm
Inferior- Pelvic inlet
Anterolaterally- musculo-aponeurotic abdominal wall
Posterior- lumbar vertebrae
What. is the umbilicus a reference point for
Transumbilical plane
What dermatome does the umbilicus indicate
T10
What is the linea alba
It is the thin muscle band stretching down from xiphoid process down to the umbilicus (can be seen in slim and toned individuals)
What two things define a 6 pack
Rectus abdominis and tendinous intersections
What is the linea semilunaris
Muscle that runs along the lateral aspect of the rectus abdominis in the anterior abdominal wall
Where does the linea semilunaris extend to and from
Inferior costal margin (near cc9) to pubic tubercles
What does the inguinal groove separate
Antolateral abdominal wall and the thigh
What are the two planes in the abdomen
Median plane (Run directly down the middle of the abdomen)
Transumbilical plane- IV disc between L3 and L4 and runs horizontally across umbilicus
What are the 9 planes of the abdomen
Transtubercular plane
Subcostal plane
Midalcvicular plane
What is the transtubercular plane
Iliac tubercle and body of L5
What is the subcostal plane
Inferior border of 10th cc and body of L3
What are midclavicular planes
Half way along clavicle and mid inguinal point
What are the 9 regions of the abdomen
R&L hypochondriac region Epigastric R&L lateral regions Umbilical regions R&L inguinal regions Hypogastric region
What are the viscera associated with the R hypochondriac region
Pylorus of stomach, part of right lobe of liver, gall bladder, right kidney
What are the viscera associated with the epigastric region of the abdomen
Liver
Stomach
Duodenum
Pancreas
What are the viscera associated with the L hypochondriac
Stomach and left kidney
What are the viscera associated with the R Lumbar (lateral) region
Ascending colon
What are the viscera associated with the umbilical region
Small intestines
What are the viscera associated with the L lumbarl region
Descending colon
What are the viscera associated with the R inguinal region
caecum, appendix
What are the viscera associated with the L inguinal region of the abdomen
Descending colon
What are the viscera associated with the Hypogastric region of the abdomen
Sigmoid colon
What are the lymph nodes superior to umbilicus
Axillary lymph nodes
What are the lymph nodes inferior to umbilicus
Superficial inguinal lymph nodes
What are retroperitoneal organs
Behind the peritoneum
What is a peritoneum
Smooth transparent serous membrane (parietal and visceral)
What is inside the peritoneal cavity
Potential space
Peritoneal fluid
What is peritonitis
Inflammation of peritoneum
- Release of serum into cavity which will result in pain, tenderness, nausea, vomiting
- extra fluid inside is called ascitic fluid
What is a mesentry
Double of layer of peritoneum which occurs because of the invagination of the peritoneum by an organ
What is an example of a mesentery
Small intestine
What does the mesentery act as
Neuvascular communication between the viscera and the body wall so therefore viscera with mesentery are mobile
What is a peritoneal ligament
Connects an organ to another organ or an organ to a body wall
What is an example of a peritoneal ligament and what is it
falciform ligament - attaches liver to the anterior abdominal wall
What is the omentum
Double layered extension of peritoneum which passes from stomach and first part of duodenum to adjacent organs
What are the two omentums
Greater and lesser omentums
What is the mesentery of the transverse colon which attaches it to the abdominal wall
transverse mesecolon
What are the 3 parts of the greater omentum
Gastrophrenic ligament
Gastrosplenic ligament
Gastrocolic ligament
What does the gastrosplenic ligament attach
Stomach to the spleen
What does the gastrophrenic ligament attach
Stomsvh to the diaphragm
What does the lesser omentum attach
Part of the stomach
What are the ligaments of the lesser omentum
epiploic/ mental foramen
What are the greater sacs in the abdomen
Supracolic compartment and the infra colic compartment
What is the lesser sac in the abdomen
Infracolic compartment