L4 - Posterior Abdominal Wall & Diaphragm Flashcards
Posterior Abdominal Wall consists of how many lumbar vertebrae?
Five L1-L5
Which muscles are associated with the posterior abdominal wall?
Quadratus Lumborum Psoas Major and minor Illiacus
Quadratus Lumborum Muscle
Innervation : T12-L4 Action: Unilaterally Flexes the Trunk
Psoas Major
Inf Attachment : along with the illacus muscle, lesser trochanter of femur
Innervation : ventral rami L1-L3
Action : Flexes thigh and trunk
Illiacus Muscle
Inf attachment : Along with psoas major m, lesser trochanter of femur
Action : flexes thigh
Innervation : Femoral Nerve
Which of these matches are INCORRECT?
- A. Psoas Major…Rami from T12-L4
- B. Quadratus Lumborum…Rami from T12-L4
- C. Iliacus…Femoral Nerve (L2-L4)
- D. Psoas Major…Rami from L1-L3
•A. Psoas Major…Rami from T12-L4
actually
L1-L3
Quadratus Lumborum in relation to Psoas Major and Kidenys
Quadratus Lumborum:
- LATERAL to the Psoas Major
- POSTERIOR to the Kidney
How is the skeletal muscle arranged around the central tendon? and what tissue is the central tendon made up of?
IVC: # vertebrae?
Esophagus : # Vertebrae?
Aorta: # Vertebrae?
I ate 10 eggs at 12
IVC : 8
Esophagus : 10
Aorta : 12
Whats muscle is under the medial arcuate ligament?
Psoas Major
What muscle is under the lateral arcuate ligament?
Quadratus Lumborum Muscle
What is under the median arcuate ligament?
Aorta
The median arcuate ligament is made up of?
Left and Right Crus
The right crus forms the ?
Esophageal hiatus
Right phrenic nerve passes with?
IVC T8
Vagus nerve passes with?
Esophagus T10
Innervation of the diaphragm from the phrenic nerve…spinal level?
C3,C4,C5 keeps you ALIVE
Peripheral part of the Diaphragm
Supplied by?
Innervation?
Supplied by the body wall
and Intercostal nerves are the innervation which is important in reffered pain.
Referred pain from the Diaphragm will present as?
Bc of its innervation from the cervical plexus irritation of the diaphragm is often felt as pain in the right or left shoulders
Appendicitis reffered pain will present as?
Umbillicus Region
Gall bladder reffered pain will present as?
Right shoulder
Hiatial Hernia
Portion of the stomach in the thoracic cavity bc of a weak esophageal sphincter.
A loose RIGHT CRUS results in a hiatal Hernia because the right crus is makes up the esophageal sphincter!
Which structure goes under the lateral arcuate ligament?
- A. Psoas Major Muscle
- B. Aorta
- C. Quadratus Lumborum Muscle
- D. Iliacus Muscle
•C. Quadratus Lumborum Muscle
Blood supply of the Diagphragm
Thoracic Surface?
Pericardiphrenic arteries
Musculophrenic arteries
Superior phrenic arteries
Blood supply of the Diagphragm?
Abdominal Surface:
Inferior Phrenic Arteries
Lumbar Plexus : Remember the Date Mneumonic!
Interested in getting lunch on friday?
Illihypogastiral L1
illioinguinal L1
Gentiofemoral L1 L2
Lateral Gentiofemora L2, 3
Obtruator Nerve L2-L4
Femoral Nerve L2-L4
Accessory Obtruator Nerve, not everyone has this but know the Lumbar level
and lumbarsacral trunk, what does it do and what level?
L3-L4 = Accessory Obtruator Nerve
Lumbosacral = L4-L5, connects lumbar and sacral plexus
Is the subcostal nerve part of the lumbar plexus?
Hell NO, but still on the posterior wall of the abdomen.
and T-12