Postrior Abdominal Wall, Kidney (Gray's) Flashcards

1
Q

What are the 3 regions of the diaphragm?

A
  1. Sternal Portion
  2. Costal Portion
  3. Vertebral Portion
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2
Q

Where does the sternal portion of the diaphragm arise from?

A

Xiphoid process

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3
Q

Where does the costal portion of the diaphragm arise form?

A

Lower ribs

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4
Q

Where does the vertebral portion of the diaphragm arise from?

A

Vertebrae via musculocutendinous crura

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5
Q

Which ligament of the the vertebrae are the musculocutendinous crura associated with?

A

Anterior longitudinal ligament

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6
Q

What is the attachment point of the right crus of the diaphragm?

A

vertebrae L1-L3 (and intervertebral discs)

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7
Q

What is the attachment point of the left crus of the diaphragm?

A

vertebrae L1-L3 (and intervertebral discs)

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8
Q

What is the attachment point of the median arcuate ligament of the diaphragm?

A

Connects R and L crus across midline

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9
Q

What is the attachment point of the medial arcuate ligament of the diaphragm?

A
  • Medially attaches to vertebrae L2 (left) and L3 (right)

- Laterally to the TRANSVERSE processes of L1

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10
Q

Which tendinous arch of the diaphragm is formed by the thickening of the fascia that cover quadratus lumborum?

A

Lateral arcuate ligament

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11
Q

Where is the lateral arcuate ligament attached medially and laterally?

A

Medially: transverse process of vertebra L1
Laterally: rib 12

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12
Q

T or F: the aorta enters the diaphragm by passing between the L and R crura.

A

True

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13
Q

What nerve passes through the diaphragm with the IVC?

A

right phrenic n.

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14
Q

What vein passes through the left crus of the diaphragm?

A

hemi-azygos vein

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15
Q

What passes on posteriorly on either side of the medial arcuate ligament?

A

Sympathetic trunks

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16
Q

What are the vertebral levels for the aortic, caval, and esophageal hiatuses?

A

Aortic - T12

IVC - T8

Esophagus - T10

17
Q

What supplies the motor innervation to the diaphragm?

A

C3,4,5

18
Q

Where does sensory innervation for the diaphragm come from?

A
  • Phrenic n.

- some contribution from intercostal n.

19
Q

Where does blood supply for the diaphragm come from?

A
  1. Musculophrenic
  2. pericardicophrenic
  3. superior phrenic aa.

Inferior surface
1. Inferior phrenic aa.

20
Q

Psoas major origin

A

Bodies of lumbar vertebrae

21
Q

Psoas major insertion

A

Lesser Trochanter of femur

22
Q

Psoas major innervation

A

L1-L3 ventral rami

23
Q

Psoas major action

A

Flexion of the Hip

24
Q

Psoas minor origin

A

bodies of the lumbar vertebrae

25
Q

Psoas minor insertion

A

Pectineal line (of pubis)

26
Q

Psoas minor innervation

A

Lumber Plexus

27
Q

Psoas minor action

A

Weak flexion of the vertebral column

28
Q

Qudratus lumborum origin

A

12th rib

29
Q

Qudratus lumborum insertion

A

Illiac crest

30
Q

Qudratus lumborum innervation

A

Lumbar Plexus

31
Q

Qudratus lumborum action

A

Stabilize Rib 12 and lateral bending of the trunk

32
Q

Illiacus origin

A

Iliac fossa

33
Q

Illiacus insertion

A

Lesser Trochanter of Femur

34
Q

Illiacus innervation

A

Fermoral N. (L2-L4)

35
Q

Illiacus action

A

Flexion of the Hip