Posterior Abdominal Wall Flashcards

1
Q

Iliacus m. Innervation?

Actions?

A

Femoral n.

Flex thigh at hip

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2
Q

Psoas minor innervation?

Action?

A

L1 and L2

Depress 12th rib and fix 12th rib during DEEP inspiration
Bilaterally assist w/trunk extension
Unilaterally side bend trunk to same side

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3
Q

Quadratus lumborum m. Innervation?

Actions?

A

T12-L4

Extend and laterally flex vertebral column
Fixes 12th rib during inspiration

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4
Q

What is the iliopsoas test?

A

Pt lies on unaffected side and extend opposite thigh against resistance

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5
Q

What is the is the presentation of psoas syndrome?

What may it mimic?

A

Lumbosacral pain, difficulty standing up, pain in gluteal region, pain radiation down to lower extremity

Herniated disk

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6
Q

Where does the right renal artery travel in relation to the IVC?

A

Posterior to it

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7
Q

What peripheral origins insert on the central tendon of the respiratory diaphragm?

A

Sternal
Costal
Vertebral origins

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8
Q

Where do the right and left crus of the diaphragm meet?

A

Aortic hiatus

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9
Q

Describe the Right crus?

What does it form?

A

Longer

Forms the muscular esophageal hiatus

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10
Q

Describe the left crus

A

Shorter, more lateral

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11
Q

What is the vertebral level of the caval opening?

What comes out?

A

T8

IVC, Right phrenic nerve, lymphatics from liver

CLIPR (caval lymphatics IVC phrenic (R))

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12
Q

Vertebral level of esophageal hiatus?

What comes out?

A

T10

Esophagus, ant. And post. Vagal trunks, esophageal branches of left gastric A.
VEEL Vagal trunks, esophagus, esophageal arteries (left gastric)

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13
Q

Vertebral level of aortic hiatus?

What comes out?

A

T12

Aorta, thoracic duct, azygos vein
ATA boy

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14
Q

What comes out of the sternocostal hiatus?

A

Superior epigastric vessels

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15
Q

What does the median arcuate ligament form?

A

Aortic hiatus

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16
Q

What does the medial arcuate ligament form?

A

Gap for psoas major

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17
Q

What does the lateral arcuate ligament form?

A

Gap for quadratus lumborum

18
Q

Where do diaphragmatic hernias normally occur?

Why?

A

Left side

Protection of right hemidiaphragm by the liver

19
Q

Where does a parasternal hernia occur?

A

Sternocostal triangle

20
Q

Where does a Pleuroperitoneal hernia occur?

A

Lumbocostal triangle (bw 12th rib and diaphragm)

21
Q

What is the etiology of a congenital diaphragmatic hernia?

Presentation?

A

Failure of Pleuroperitoneal membranes to fuse with other components of the diaphragm

Respiratory distress and cyanosis, flat abdomen

22
Q

What arteries supplie the superior surface of the diaphragm?

A

Pericardiacophrenic
Musculophrenic
Superior phrenic

23
Q

What arteries supply the inferior surface of the diaphragm?

A

Inferior phrenic a
Right side -> post to IVC
Left side -> post to esophagus

24
Q

What is the motor innervation of the diaphragm?

What may some branches run with?

A

Phrenic n. (C3,4,5,)

Inferior phrenic a.

25
Q

Sensory innervation to diaphragm?

Central and peripheral portions

A

Central -> phrenic n.

Peripheral -> intercostal n.

26
Q

What is the lymphatic drainage to superior surface of the diaphragm, anterior?

Posterior?

A

A: parasternal nodes

P: mediastinal nodes

27
Q

What is the lymphatic drainage to inferior surface of the diaphragm?

A

Celiac nodes

Superior lumbar nodes

28
Q

What drain to the thoracic duct?

Where does it form?

A

Body wall, gi tract, lower extremity, perineum, gluteal region

L1,L2

29
Q

What drains to the intestinal lymphatic trunk?

A

Celiac nodes, SM nodes, lumbar nodes, IM nodes

SLIC nodes

30
Q

What is the cisterna chyli?

Where does it collect lymph from?

A

Dilation at the end of the thoracic duct

Intestinal lymphatic and lumbar lymphatic trunks

31
Q

Where is the cisterna chyli located?

A

Posterior to aorta, L1-2

32
Q

What does the para-aortic LN cluster drain?

A

Testes, ovary, kidney, uterus

33
Q

What does the Superficial inguinal LN cluster drain?

A

Scrotum, anal canal below Pectinate line, skin below umbilicus

34
Q

What does the deep inguinal LN cluster drain?

A

Lower extremity

35
Q

What does the Celiac LN cluster drain?

A

Liver, stomach, spleen, pancreas, upper duodenum

36
Q

What does the internal iliac LN cluster drain?

A

Lower rectum to anal canal (above Pectinate line)

Bladder, vagina, prostate

37
Q

What does the SM LN cluster drain?

A

Lower duodenum, Jejunum, ileum, colon

38
Q

What does the IM LN cluster drain?

A

Colon from splenic flexure to upper rectum

39
Q

What prevents the spread of fluid superiorly in the peritoneal cavity?

A

Phrenicolic ligament located on the left side

40
Q

What allows for free communication between the supracolic and infra colic compartments?

A

Paracolic gutters

41
Q

What is the innervation of Psoas Major m.?

Actions?

A

L2-4

Flex thigh at hip
Unilaterally side bend to same side