Posterior Abdominal Wall Flashcards

1
Q

Deep circumflex iliac artery anastomoses with

A

Iliolumbar artery

Going around the internal crest of the iliac spine crest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Psoas minor and major

And clinical condition

A

T12-L5 TP——> lesser trochanter
N: L1-L3 anterior rami
Can get infected due to (TB, cancer, infections in fascia that causes puss buildup) = Psoas Abscess
Sx: flank, back pain ,fever, limp, inguinal mass, *lower ABD pain when extending thigh)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Iliacus

A

Superior Iliac fossa ——> lesser trochanter

N : Femoral N

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Quadratics Lumborum

A

Iliolmbar lig at lip of iliac crest——> lumbar TP and 12 rib

N: T12-L4 anterior rami

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Medial Arcuate Lig

A

Fascia over the psoas major (from L1 body to L1 TP)

Lateral to the median arcuate lig

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lateral Arcuate Lig

A

Fascia thickening over the Quadratus Lumborum (L1 TP to 12th rib)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Median Arcuate Lig

A

Tendon facia of crura of diaphragm over the Aorta
Unites the left and right crura
Esophagus in the esophagus hiatus is above it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

IVC begins at

A

L5 to the right of the midline
For venous return from ABD to the portal venous system (hepatic Vein)
Makes the Lumbar Veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Azygos vein + Lumber veins

A

Anastomoses to go thorax to make SVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where does the LEFT Gonadal Vein drain into

A

Left renal vein ——> IVC (on right side)

The right gonadal ——> IVC directly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Inferior mesenteric vein

A

Empty to portal vein to enter hepatic vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hepatic Veins empty into what

A

IVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Caval Opening

A

T8
IVC goes through into the ABD cavity
Right Phrenic N goes through to the ABD cavity
*both go through diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Esophageal Hiatus

A

T10
Esophagus
Ant + Post Vagal trunks
*both go through diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Aortic Hiatus

A
T12 
Aorta 
Thoracic Duct
Sometimes Azygos and Hemiazygos 
* go behind diaphragm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Esophageal hiatus pierces what

A

The right crura (from L1-L4) some from left of aortic hiatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Left crura

A

From L1-L3

18
Q

Superior arteries of the diaphragm

A

Musculaophrinic and Pericardiophrenic A(internal thoracic)

Superior Phrenic A (thoracic Aorta)

19
Q

Inferior arteries of the diaphragm

A

Inf. Phrinic (ABD Aorta)

Intercostal br —> peripheral diaphragm

20
Q

Hiatal Hernia

Para-Esophageal Hiatal Hernia

A

Peritoneum punch and fundus of stomach extends through the esophageal hiatus (anterior to esophagus)
= NO Gastric regurgitation (since normal cardiac portion)

21
Q

Hiatal Hernia

Sliding Hiatal Hernia

A

Abdominal esophagus, cardiac of stomach and some fundus of stomach extend through the esophageal hiatus
= Regurgitation does happen

22
Q

Cause of Hiatal Hernia

A

Weakening of muscular diaphragm

Large amount of ABD fat

23
Q

Renal Hilum

A

Entrance to renal sinus (where BV, renal pelvis, N are in kidney)

24
Q

Which side of the kidney is lower

A

Right side due to the Liver above it

25
Q

Transpyloric Plane crosses

A

Hilum of left kidney, superior pole of right kidney, pyloris of stomach

26
Q

Where is the inferior role of the right kidney

A

1 index finger breath above iliac crest

27
Q

Kidney of anterior to which ribs

A

11 and 12, which protects it

28
Q

Which muscles cover the kidney

A
Quadratus Lumborum 
Transversus Abdominius (some more lateral)
Psoas Major (Some more medial)
29
Q

Which 2 nerves run posterior to the right kidney and you have to be careful if you are doing a procedure from the back

Which nerve goes to the Quadratus Lumborum which protects most of the kidney

A

Iliohypogastric N + Ilioingual N

Subcostal (protected by 12th rib, going inferior to it)

30
Q

Perinephric fat

A

Next to or right around kidney capsule (extends to renal pelvis)
Internal to renal fascia

31
Q

Renal Fascia

A

Fat over kidney and suprarenal glands (around renal vessels, continuous with inferior diaphragmatic fascia)- around the hiatus

32
Q

Paranephric fat

A

External to renal fascia

33
Q

Location of Ureter

A

Inf of renal pelvic brim and sling lateral pelvic wall + posterior to ducts deferens (m) or uterine A (f)

34
Q

Potential sites of obstruction of uterus

A
  1. Nuncio of ureteric and renal pelvis
  2. Crossing pelvic brim
  3. Entering bladder wall
35
Q

Pyelogram

A

X-ray of ureter enhanced with contrast media

36
Q

Where is the right suprarenal gland located

A

Near the right crus, right kidney , and IVC

37
Q

Location of Left Suprarenal Glands

A

Near left crus, spleen, stomach, pancreas, and left renal

38
Q

A and N to the suprarenal glands

A

A : superior middle inferior suprarenal arteries and veins

N: preganglionic sympathetic from T11-L1, Celiac plexus and abdominopelvic Splanchnic nerves

39
Q

Common iliac lymph nodes from and to

A

From external and internal iliac nodes

Drain into the lumbar lymph nodes

40
Q

Lumbar lymph nodes to and form

A

From posterior wall and posterior pelvic wall and organs + lumbar lymphatic trunks

Runs along both sides of IVC and aorta

41
Q

Pre-aortic lymph nodes to and form

A

Becomes intestinal lymph nodes
FROM into alimentary tract, liver, spleen, pancreas
DRAIN into Cisterni chyli (beginning of thoracic duct)