Posterior Thoracic + Abdominal Walls Flashcards
adrenal glands
composed of adrenal cortex and adrenal medulla (chromaffin cells); superior to each kidney
kidneys
primarily retroperitoneal; right kidney is 12th ribs, left kidney is 11th and 12th ribs
renal pelvis
drains urine into ureter from major calyxes
renal pyramid
compose medulla; contain distal portion of collecting duct which opens at minor calyx, which form major calyxes
what is path of urine before ureter?
collecting duct, minor calyx, major calyx, renal pelvis, ureter
ureter
takes urine from kidney to bladder - goes over pelvic brim (where it crosses common iliac artery) and goes over two muscles (quadratus lumborum and psoas major)
what supplies each 1/3rd of the ureter?
upper 1/3: renal artery
middle 1/3: common iliac artery
lower 1/3: superior vesical artery
iliacus muscle
lateral femoral cutaneous nerve crosses this muscle to reach the ASIS (after emerging lateral to psoas major)
psoas major
kidneys lie against this muscle; nerves of posterior abdominal wall lie along it and against it; ureter crosses it also.
quadratus lumborum
muscle of posterior abdominal wall; kidneys lies against it; subcostal nerve runs medial to it
sympathetic trunk
runs down either side of spinal cord; in posterior mediastinum; T1 to L2/L3
subcostal nerve
below 12th rib; passes between psoas major and quadratus lumburom; innervates abdominal musculature and overlying skin of lateral and anterior abdominal wall; ventral rami of T12!
iliohypogastric nerve
emerges between psoas major and quadratus lumborum; innervates abdominal musculature and skin of inguinal and hypogastric regions of lateral and anterior abdominal wall
-T12/L1
ilioinguinal nerve
- medial/inferior to iliohypogastric nerve
- innervates abdominal musculature and skin of inguinal and hypogastric regions of lateral and anterior abdominal wall
- passes thru inguinal canal and superficial ring to innervate skin of medial thigh, labium majus, and anterior aspect of scrotum.
- L1
lateral femoral cutaneous nerve
- lateral to femoral nerve and to the psoas major
- crosses iliacus to reach ASIS
- descends posterior to inguinal ligament to innervate lateral thigh
- L1/L2
femoral nerve
- lateral to psoas major
- passes into anterior thigh posterior to inguinal ligament and lateral femoral artery
- from L2, 3, 4
genitofemoral nerve
- passes anterior (on top of) psoas major
- femoral branch passes posterior to inguinal ligament to innervate medial thigh
- genital branch enters inguinal canal thru deep ring to innervate cremasteric muscle
- L1, L2
obturator nerve
- passes medial to psoas major
- crosses pelvic brim and innervates medial thigh and skin
- L2, 3, 4
lumbosacral trunk
- goes to sacral plexus
- L4/L5
celiac ganglia
- destination of greater splanchnic nerves of T5-T9
- adjacent to celiac trunk