Lecture 22: Anterior Abdominal Wall Flashcards

1
Q

What is the superior border of the abdomen?

A

costal cartilage 7-12

xiphoid process

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2
Q

What is the inferior border of the abdomen

A

pubic bone and iliac crest

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3
Q

Where is the line alba located?

A

along the midline

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4
Q

What is the line semilunaris?

A

scalloped lateral border on each side of the rectus abdominis

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5
Q

What is the linea transversa?

A

tendinous bands of retus abdominis

creates six pack

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6
Q

What are the quadrants of the abdomen?

A

upper left
upper right
lower left
lower right

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7
Q

What divides the abdominal regions?

A

vertical planes

horizontal planes

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8
Q

What are the two vertical planes?

A

left and right lateral planes= midclavicular planes

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9
Q

What are the two horizontal planes?

A

transpyloric plane

intertubercular plane

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10
Q

What does the right and left hypochondriac regions contain?

A

contain liver

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11
Q

What does the epigastric region contain?

A

liver, stomach, pancreas

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12
Q

What does the right and left lateral lumbar region contain?

A

right: ascending colon
left: descending colon

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13
Q

What does the umbilical region contain?

A

small intestines and transverse colon

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14
Q

What does the right and left inguinal region contain?

A

right contains ileocecal junction and appendix

left contains sigmoid colon

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15
Q

What does the hypogastric region contain?

A

small intestine, urinary bladder (full) , pregnant uterus

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16
Q

What is the superficial subcutaneous fascia called?

A

Camper’s fascia

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17
Q

What is the deep superficial subcutaneous fascia called?

A

scarpa’s fascia

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18
Q

Describe the transversals fascia

A

deep to transverses abdomens, fibroelastic CT with adipose tissue

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19
Q

Describe the peritoneum

A

serous membrane= parietal peritoneum

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20
Q

The superficial epigastric artery arises from the ____ artery

A

femoral

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21
Q

The superficial circumflex iliac artery arises from the ____ artery

A

femoral

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22
Q

the superficial external pudendal artery arises from the _____ artery

A

femoral

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23
Q

the deep circumflex iliac artery is a branch of the _____ artery

A

external iliac

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24
Q

the deep epigastric artery is a branch of the ______ artery

A

external iliac

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25
Above the umbilicus where does the superficial veins drain?
drain into the internal thoracic veins
26
Below the umbilicus where does the superficial veins drain?
drain into the femoral veins and external iliac veins
27
Above the umbilicus, lymphatic drainage is into what?
the axillary and sternal nodes
28
Below the umbilicus, lymphatic drainage is into what?
the superficial inguinal nodes
29
The deep circumflex iliac is a branch of what?
external iliac
30
The superficial epigastric artery arises from what?
femoral artery
31
The superficial circumflex iliac artery arises from what?
femoral artery
32
The superficial external pudendal artery arises from what?
femoral artery
33
external oblique origin
external surface of ribs 5-12
34
external oblique insertion
linea alba, pubic tubercle, anterior half of iliac crest
35
external oblique action
compresses and supports abdominal viscera; flexes and rotates trunk
36
external oblique innervation
T7-11; subcostal nerve
37
internal oblique origin
thoracolumbar fascia, anterior 2/3 of iliac crest, lateral 1/2 of iliac ligament
38
internal oblique insertion
linea alba, pubic crest, pubis
39
internal oblique action
compresses and supports abdominal viscera, flexes and rotates trunk
40
internal oblique innervation
T7-11; subcostal nerve; L1
41
transversus abdominus origin
internal surfaces of costal cartilages 7-12; thoracolumbar fascia, iliac crest; lateral inguinal ligament
42
transversus abdominus insertion
linea alba, pubic crest
43
transversus abdominus action
compresses and supports abdominal viscera
44
transversus abdominus innervation
T7-11; subcostal nerve; L1
45
rectus abdominis origin
pubic symphysis and pubic crest
46
rectus abdominis insertion
xiphoid process and costal cartilages 5-7
47
rectus abdominis action
compresses and supports abdominal viscera; flexes trunk
48
rectus abdominis innervation
T7-11; subcostal nerve
49
The inguinal ligament is a thickened lower border of the ________ aponeurosis
external oblique
50
Where does the inguinal ligament travel?
from anterior superior iliac spine to pubic tubercle
51
What does the inguinal canal transmit?
spermatic cord in males | round ligament of uterus in females
52
What is the deep inguinal ring?
opening of the evagination of the transversalis fascia
53
Where does the deep inguinal ring lie?
lies above inguinal ligament midway between anterior iliac spine and pubic tubercle
54
What is contained in the spermatic cord?
``` vas deferens ilioinguinal nerve genital branch of genitofemoral nerve testicular arteries and veins (pampiniform plexus) lymph vessels cremaster muscle ```
55
What is in the inguinal canals for females?
ilioinguinal nerve round ligament lymph vessels
56
Describe the direct inguinal hernia
occurs in older men due to weakness in abdominal wall behind or lateral to superficial inguinal ring does not extend into scrotum has sac formed by peritonea
57
Describe a indirect inguinal hernia
transverses deep and superficial inguinal rings and inguinal canal may descend into scrotum more common (and in boys and young men) may be congenital
58
describe a femoral hernia
occurs within femoral canal | more common in females
59
describe a umbilical hernia
occurs at site where umbilical cord penetrates between muscles and fascia of anterior abdominal wall
60
what is the median umbilical fold?
midline peritoneal fold on inner abdominal wall above bladder
61
What does the median umbilical ligament contain? what it is a remnant of?
contains: medium umbilical ligament remnant: embryonic urachus
62
what is the medial umbilical fold?
paired peritoneal folds on either side of median fold
63
What is the remnant of the medial umbilical ligament>
umbilical arteries
64
What is the lateral umbilical fold?
paired peritoneal folds lateral to medial folds
65
What does the lateral umbilical fold contain?
inferior epigastric vessels
66
Where does the falciform ligament attaches?
attaches liver to anterior to anterior abdominal wall and to inferior surface of diaphragm
67
what does the falciform ligament contain?
ligamentum teres hepatis (round ligament of liver)