MIXTURE Flashcards
When dividing the abdominal cavity into 4 regions what is the name of the horizontal plane?
At what vertebral level does it cross?
Transumbillical plane
Umbillicus - L3/4
What are the 9 abdominal regions?
R Hypochondrium, Epigastrium, L Hypochondrium
R Lumbar, Umbillicus, L Lumbar
R Inguinal, Hypogastrium, L Inguinal
What are the 2 horizontal planes separating the 9 regions?
Where do they pass through?
Subcostal - T10
Transtubecular - iliac tubercules
What are the vertical planes passing separating the 9 regions?
Midclavicular
What are the boundaries of the foregut?
Oesophagus –> 2nd part of duodenum
What are the boundaries of the midgut?
2nd part of duodenum –> 2/3rds transverse colon
What are the boundaries of the hindgut?
distal 1/3rd of transverse colon –> upper anal canal
What are the 4 layers of the abdominal wall from outwards to in?
Skin
Superficial fascia
Muscle
Parietal peritoneum
Where does external oblique originate from?
Ribs 5-12
Where does internal oblique originate from?
Inguinal ligament
Which flat muscle is deepest?
Transversus abdominis
What are the 2 vertical muscles?
Rectus abdominis
Pyramidalis
What splits rectus abdominis into 2?
Linea alba
What makes up the lateral borders of rectus abdominis?
Linea semilunaris
In which plane does the neurovascular bundle supplying rectus sheath lie?
Plane between internal oblique and transversus abdominis
Above the umbillicus level what lies anterior to rectus abdominis?
ApoN of EO
Anterior lamina of IO
Above the umbillicus level what lies posterior to rectus abdominis?
Posterior lamina of IO
Transversus abdominis
Transversalis fascia
Below the umbillicus level what lies anterior to rectus abdominis?
ApoN of EO
Apo N of IO
Transversus abdominis
Below the umbillicus level what lies posterior to rectus abdominis?
Transveralis fascia
What is the arcuate line?
Transition between above and below umbillicus
Which nerves supply muscle, skin and parietal peritoneum?
Thoracabdominal T7-11
Subcostal T12
Ilioinguinal/iliohypogastric L1
What do T7-9 supply?
Upper region of abdominal wall
What does T10 supply?
Umbillical region
What does T11 supply?
Lower region of abdominal wall
What does T12 supply?
Region just inferior to umbillicus
What does L1 supply?
Skin
Where does the inguinal region extend between?
ASIS –> pubic symphysis
Where does the inguinal ligament extend between?
ASIS –> pubic tubercule
What passes through the inguinal canal?
Ilioinguinal nerve
Round ligament of the uterus
Spermatic cord
What are the boundaries of the inguinal canal?
Anterior: apoN of EO
Posterior: Transversalis fascia laterally and conjoint tendon more medially
Superior: IO, TF, TA
Inferior: Inguinal ligament
What is a direct hernia?
Protrusion at level of superficial ring
What is an indrect hernia?
Protrusion at level of deep ring
Where is the deep inguinal ring located?
Midpoint between ASIS and pubic tubercule