Posterior Abdominal Wall Flashcards

1
Q

Posterior Abdominal Wall formed by

A

bones (lumbar vertebrate, sacrum, wings of ilium and ribs)

muscles (diaphragm, iliacus, psoas major, QL)

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2
Q

Pelvis

A

pelvic girdle is made up of the sacrum and two os coxae (hip bones) fused by the pubic symphysis

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3
Q

Three elements of the os coxae

A

ilium, ischium and pubis

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4
Q

Muscles of the posterior abdominal wall

A

psoas major and minor, iliacus and quadrates lumborum.

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5
Q

Lumbosacral Plexus

A

Lumbar plexus is from L1,2,3, and part of L4

Sacral Plexus from L4-S1

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6
Q

Nerves of the Lumbar Plexus

A
Iliohypogastric L1
Ilioinguinal L1
Genitofemoral L1 L2
Lateral Femoral Cutaneous L2, L3
Femoral L2 L3 L4
Obturator L2 L3 L4
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7
Q

Lumbosacral Trunk

A

ventral primary ramus of L4 joins ventral primary ramus of L5. Then joins S1-4 to form the sacral plexus.

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8
Q

nerves of the Sacral plexus

A
Superior gluteal L4 L5 S1
inferior  gluteal L5 S1 S2
Sciatic L4 L5 S1 S2 S3
Pudendal S2 S3 S4
Twigs to the piriformis S1-S4
 Nerve to obturator internus L5-S2
Nerve to quadrates femoris L4-S1
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9
Q

Arterial and venous supply

A

descending thoracic aorta enters the thoracic cavity through the diaphragm and becomes the abdominal aorta.

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10
Q

The abdominal aorta divides at what vertebral level into the what

A

at the L4 and into the right and left common iliac artery

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11
Q

The common iliac arteries divide into the what

A

the internal and external iliac arteries.

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12
Q

What does the internal iliac supply

A

the viscera of the pelvic cavity

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13
Q

what does the external iliac supply and describe it. What does the name change to when it passes what point

A

passes under inguinal ligament and enters the anterior compartment of the thigh. Changes name to femoral nerve when it passes under the inguinal ligament.

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14
Q

Inferior epigastric artery

A

from the external iliac artery before it enters the anterior thigh compartment. Supplies the inferior aspect of the anterior abdominal wall.

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15
Q

IVC. Arises from what union at what vertebral level

A

largest vein. Returns blood from both lower extremities anterior abdominal wall and abdominal pelvic viscera. Arises from L5 from the union of the common iliac veins.

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16
Q

The IVC ascends through the _____ in the____ and continues to the heart

A

vena cava foramen, and diaphragm.

17
Q

Diaphragm separates what

A

the thoracic cavity and abdominal cavity

18
Q

Central tendon

A

the shape of the boomerang where peripheral muscles insert

19
Q

Peripheral muscle portion of the diaphragm

A
the sterna portion (from eh diploid press and inserting into the central tendon)
costal portion (from the internal surface of he lower six ribs and costal cartilages and lateral and medial arcuate ligaments)
Lumbar portions (from lumbar vertebrate. Right crus from L1-3 and the left crus from L1 and L2)
20
Q

Diaphragm openings

A

sternocostal hiatus for superior epigastric vessels and lymphatics)
Foramen for IVC (IVC and right phrenic nerve)
Esophageal hiatus (for esophagus and vagal trunks)
Aortic hiatus (for aorta anad thoracic ducts)

21
Q

Sympathetic trunk passes ____ to the medical arcuate ligament

A

posteriorly