Posterior abdominal Wall Flashcards

1
Q

median arcuate ligament

A

arch of crura of diaphragm over aorta

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2
Q

medial arcuate ligament

A

thickening of psoas fascia over psoas major

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3
Q

lateral arcuate ligament

A

thickening of fascia lining quadratus lumborum

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4
Q

right crus

A

larger and longer (L3-L4)

-encircles esophagus in most people

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5
Q

left crus

A

-shorter than right

L2-L3

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6
Q

Caval opening

A

T8

IVC and Rt phrenic N

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7
Q

esophageal hiatus

A

T10
esophagus
post and ant vagal trunks

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8
Q

aortic hiatus

A

T12
-aorta
thoracic duct
sometimes azygos and hemi-azygos vein

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9
Q

aorta spinal level

A

T12-L4

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10
Q

Celiac spinal level

A

T12

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11
Q

superior mesenteric artery spinal level

A

L1

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12
Q

renal arterys spinal level

A

L1-L2

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13
Q

gonadal arterys spinal level

A

L2

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14
Q

inferior mesenteric artery spinal level

A

L3

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15
Q

bifurcation of the aorta

A

L4

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16
Q

body of pancreas and splenic v spinal level

17
Q

left renal V spinal level

18
Q

horizontal part of duodenum spinal level

19
Q

blood supply of the adrenal glands

A

1) superior suprarenal a- from inf phrenic a
2) middle suprarenal a- from aorta
3) inferior suprarenal a- L and R renal A

20
Q

what does R. suprarenal V drain into

A

directly into IVC

21
Q

what does L. Suprarenal V drain into

A

into left renal vein

22
Q

what are both kidneys in contact with?

A

1) muscular floor muscles (psoas major, quadratus lumborum, transversus abdominis)
2) diaphragm
3) branches of ilioinguinal and iliohypogastric N
4) subcostal N
5) 12th rib

23
Q

what structures exit the kidney from ant to post

A

“VAP”

1) renal vein
2) renal artery
3) renal pelvis

24
Q

what spinal level is the hilum of the kidney?

25
what are the ureter relationships
1) posterior to ductus deferens (male) | 2) post to umbilical artery (female
26
what are the constriction points of the ureter?
1) urteropelvic junction 2) crossing external iliac artery/ pelvic brim 3) ureter enters bladder wall
27
what lymph nodes do the posterior abdominal wall, kidneys, ureters, testes or ovaries, uterus and uterine tubes drain into?
lumbar lymph nodes to cisterna chyli to thoracic duct