Lecture 5: Posterior Abdominal Wall Flashcards

1
Q

which bones comprise the posterior abdominal wall

A
  • ribs 11 and 12
  • lumbar vertebrae
  • sacrum
  • ilia
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2
Q

which muscles comprise the posterior abdominal wall

A
  • diaphragm
  • quadratus lumborum
  • psoas major (and minor)
  • iliacus
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3
Q

where are the hiatuses of the diaphragm

A
  • T8 for IVC
  • T10 for oesophagus
  • T12 for aorta
    ( I ate ten eggs at 12 )
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4
Q

vascular supply of the diaphragm

A

superior and inferior phrenic vessels

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5
Q

nervous supply of diaphragm

A
  • phrenic C3,4 and 5 for motor

- intercostal and subcostal for sensory

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6
Q

where do the quadratus lumborum extend to and from

A

from iliac crest to rib 12

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7
Q

function of the quadratus lumborum

A
  • abdominal stability

- lateral flexion

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8
Q

neurovascular supply of the quadratus lumborum

A

lumbar vessels and nerves

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9
Q

where do the psoas muscles originate

A

lumbar vertebrae

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10
Q

where do the iliacus muscles originate

A

iliac fossa

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11
Q

where do the psoas and iliacus insert

A

lesser trochanter of the femur

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12
Q

vascular supply of the psoas and iliacus

A

lumbar vessels

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13
Q

nervous supply of the psoas and iliacus

A

femoral nerves

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14
Q

at what level does the aorta enter

A

T12

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15
Q

at what level does the IVC enter

A

T8

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16
Q

abdominal aorta branches

A
  • coeliac T12
  • sup. mesenteric L1
  • inf. mesenteric L3
  • lumbar
  • renal and gonadal L2
  • bifurcates into common iliac vessels at L4/5
17
Q

above which size is an abdominal aortic aneurysm considered at significant risk of rupture

A

5.5

18
Q

what provides somatic innervation of the posterior abdominal wall

A
  • lumbar plexus

- sacral plexus

19
Q

which nerves innervate the suprarenal glands

A
  • greater, lesser and least splanchnic nerves

- which synapse at the coeliac and aorticorenal ganglion

20
Q

where would you feel referred pain from the stomach

A

T5-T9

21
Q

where would you feel referred pain from the appendix

A

T10

22
Q

where would you feel referred pain from the gallbladder

A

T7-T9

23
Q

where would you feel referred pain from parietal peritoneum involvement

A

C3, 4