Lab 10: Posterior Abdominal Wall, Pelvis, Pelvic Floor, and Viscera Flashcards

1
Q

Name bones that border post abd wall

A

5 lumbar vertebrae - lordosis
Sacrum = fused vertebrae
Bone = ilium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name general muscles of post abd wall

A

Psoas major
Quadratus lumborum
Iliacus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe psoas major

A

Inserts on ether side, n/v, t12-l5, through pelvis and inserts on femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe quadratus lumborum

A

Rib 12 to top of iliac crest, rectangular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Iliacus

A

In iliac fossa, psoas and iliacus join and insert on femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe lateral accurate ligament

A

Quadratus lumborum passes underneath it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe medial accurate ligament

A

Psoas comes out udner
More lateral than median

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe median accurate ligament

A

Middle, aorta comes out, t12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe right and left crura

A

Right = Lower bc liver l1-l3
Left = l1-l2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe thoracic duct

A

With aorta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name other structure passing through diaphragm

A

Vagus
Thoracic splanchnic nerves - general
Ascending lumbar/ hemi azygous veins
Sympathetic trunk = under medial accurate ligament
Esophagus
IVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe ureter

A

Tube, behind retro organs, over iliac vessels
3 points of constriction = ueteropelvic junction, cross over common iliac vessels,enter bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe kidney position

A

Retro
Anterior to quadratus
Lateral to psoas
Inferior to diaphragm
Laterally = convex shape, medially = hilum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe innervation of kidney

A

Renal plexus, from celiac plexus
Sympathetic =reduce blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe right kidney

A

Anterior to rib 12
L1-l3
Posterior to liver and descending duodenum and right colic flexure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe left kidney

A

Anterior to rib 11 and 12
Posterior to spleen
Left colic flexure,tail pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe cortex of kidney

A

Extends into medially region = renal columns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe medulla of kidney

A

Blood filtered here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Describe renal pyramid and papilla

A

Pyramid =apex inwards
Through papilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe hilum of kidney

A

Renal vein, renal artery, ureter
Renal sinus = continuation of hilum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe pathway of urine

A

Through papilla —> minor Calyx —> major calyx —> renal pelvis —> ureters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe organization of renal Hilum

A

Anterior = renal vein, big and flat
Artery then ureter - at back posterior, right kidney

23
Q

Describe left renal vein syndrome

A

Left renal vein udner sma = entrapment syndrome and varicoceles possibles

24
Q

Describe variations in length of renal arteries and veins

A

Right renal arteyr longer
Left renal vein longer = also receives blood from other veins, left gonadal and left suprarenal

25
Q

Describe pelvis

A

Cont with abd wall

26
Q

Describe sacrum

A

5 fused vertebrae

27
Q

Describe hip bones

A

Ilium, ischium and pubic bones - 2 rami, fuse at acetabulum as age- puberty

28
Q

Describe ischial spine

A

Separates 2 sciatic notches

29
Q

Describe iliac crest

A

Where 2 meet = Asis and psis

30
Q

Describe inferior and superior rami

A

Forms obturator foramen

31
Q

Desribe true and false pelvis

A

True =lesser
False = above pelvic inlet, has abd vsicera

32
Q

What forms lateral walls of pelvis

A

Ligaments

33
Q

Describe sacrotuberous ligament

A

Posterior sacrum and coccyx to ischial tuberosity

34
Q

Describe sacrospinous ligament

A

Ischial spine to sacrum

35
Q

Describe greater and lesser sciatic foramina

A

Created by sacrospinous ligament and sacrotuberous ligament - 2 ligaments make notches into foramina

36
Q

Describe ischial spine - what does it make

A

Above = greater sciatic notch
Below = lesser sciatic notch

37
Q

Describe pelvic girdle, Amab and afab

A

Amab = pelvic inlet heart shaped, narrows, smaller, deeper
Afab = 90-100degrees, shallower, wider, circular

38
Q

Describe Sciatic nerve

A

Passes udner prifiormis

39
Q

Describe obturator internus

A

Muscle covers foramen
Also obturator membrane
And tendinitis arch of obturator internus
Leaves pelvic cavity through lesser sciatic foramen

40
Q

What makes up wall of pelvis

A

Obturator internus and piriformis

41
Q

Describe piriformis

A

Anterior aspect sacrum and exits via greater sciatic foramen

42
Q

Describe coccygeus

A

Overlays sacrospinous ligament - on INSIDE

43
Q

What makes up pelvic floor

A

Levator ani = reinforces floor, closes rectum
3 parts = iliococcygeus, pubococcygeus and puborectalis

44
Q

Describe iliococcygeus

A

Ishcial spine and tensions arch obturator internus, inserts here on obturator and when inserts = forms tendinous arch

45
Q

Describe pubococcygeus

A

Pubic —> anterior coccyx

46
Q

Describe puborectalis

A

Around rectum
Pubic bones —> around rectum
Keeps it closed
Relaxes when poop

47
Q

Describe plevic diaphragm

A

Pelvic diaphragm,pelvic membrane and perineal pouch

48
Q

Describe perineal membrane

A

Sheet of fascia = forms pouch between pelvic diaphragm and perineal membrane
Has thin muscles

49
Q

Describe perineal body

A

Converge central tendon

50
Q

Describe position of pelvic vsicera generally

A

Rectum = posterior
Bladder = anterior

51
Q

Describe parts of bladder

A

Apex and base
Median umbilical ligament suspends, at apex of baldder
Detrusor muscle of bladder
Urethra
Ureters

52
Q

Describe urinary trigone

A

2 ureteric orifices - ureters enter, between = interuteric bridge
And internal urethral orifice - urethra exit
No detrusor here

53
Q

describe a saying to remember passages through diaphragm

A

I 8 10 EGGS AT 12
= ivc t8, eso t10 and aorta t12