REMEMBER!!! Flashcards
What is the origin and insertion of the rectus abdominis?
Origin: Pubic crest (1 inch)
Insertion: Ribs 5-7 and xiphoid process
What is the action of the rectus abdominis?
Depress the ribs
Compress the contents of the abdomen
Flex the trunk
What is the origin and insertion of the external oblique?
Origin: Ribs 5-12
Insertion: Pubis, Iliac crest, linea alba
What does UNIateral contraction of the external oblique cause and how is this different to the internal oblique?
External - contralateral rotation (to the OPPOSITE side)
Internal - Ipsilateral rotation (to the SAME side)
What does BIlateral contraction of the internal/external obliques cause?
Flexion of the trunk
Compresses the internal organs
Why are the internal obliques and the transverse abdominals innervated by thoratic nerves AND lumbar nerves, but the external obliques are only innervated by the thoratic nerves?
Internal obliques and transverse abdominals originate from the lumbar fascia, whereas the external obliques dont
Which of the abdominal muscles create the inguinal ligament in its free edge?
The external oblique - with its aponuerosis
What is the origin and insertion of the internal obliques?
Origin - Lumbar fascia, Iliac crest and inguinal ligament
Insertion - Costal cartilage of lower 4 ribs, linear alba, pubic crest
What is the origin and insertion of the transverse abdominals?
Origin - Lumbar fascia, Iliac crest, inguinal ligament, ribs 5-12
Insertion - Linear alba, pubic crest
How are the fibres of the external obliques and the internal obliques different?
External - run medially and DOWNWARDS
Internal - Run medially and UPWARDS
Below the arcuate line, what makes up the posterior sheath of the rectus abdominals?
Transversalis fascia
Parietal peritoneum
What is the role of the peritoneum?
Anchor organs and provides support for movements
What is contained within the double layer of peritoneum?
Serous fluid
What are the 2 layers of the peritoneum and what are they in contact with?
Visceral - organs
Parietal - abdominal cavity
What peritoneum makes the greater omentum?
Double layer fold of VISCERAL peritoneum
Which organs in the abdominal cavity have LESS motility?
Retroperitoneal organs:
Pancreas Duodenum Ascending Colon Descending Colon Oesophagus Rectum Kideny and Adrenal glands
What does ‘retroperitoneal’ mean?
Organs are only covered by peritoneum on their anterior side
Their posterior side are in direct contact with the posterior abdominal wall
What does ‘intraperitoneal’ mean?
These organs are completely surrounded by peritoneum
What is the ‘mesentery’ of the abdominal cavity?
‘mesentery propper’?
PERITONEAL FOLDS which connect the organs together and to the posterior abdominal wall
- Mesentery propper is a fan shaped mesentery - connecting the Jejunum and Ileum to the posterior abdominal wall
- Contains arteries and veins
What is the ‘rectus sheath’?
An envelope built by the aponeurosis of the LATERAL abdominal muscles
The rectus abdominals sit inside this envelope
What are ‘tendonous intersections’?
Fibrous horizontal strips along the rectus abdominals - where the anterior and posterior rectus sheaths are adhered together
What is the ‘linear alba’?
The band of fascia down the centre of the rectus abdominals
At which level does the abdominal aorta give off the celiac trunk?
T12
At which level does the abdominal aorta give off the superior mesenteric artery?
L1
At which level does the abdominal aorta give off the renal arteries?
L1 (but directly below the superior mesenteric arteries)
At which level does the abdominal aorta give off the gonadal arteries?
L2
At which level does the abdominal aorta give off the inferior mesenteric arteries?
L3
At which level does the abdominal aorta branch into the left and right common iliac arteries?
L4
What else does the abdominal aorta branch into at the same point as the right and left common iliac arteries?
The median sacral artery
What does the internal iliac arteries branch into?
What do these supply?
- Umbilical artery - supplies bladder
- Vaginal and uterine artery
- INTERNAL PUDENDAL artery - supplies the penis through the bulbourethral, deep and dorsal arteries
What is the major artery of the pelvis?
The INTERNAL iliac artery
What are the testicular and ovarian arteries a direct branch from?
The abdominal aorta at L2
Where does the right gastric artery branch from?
The proper hepatic artery
Going clockwise, what are the branches from the superior mesenteric artery?
Jejunal and ileal arteries
Ileocolic artery
Right colic
Middle colic
Inferior pancreaticoduodenal
Going clockwise, what are the branches from the inferior mesenteric artery?
Superior rectal
Sigmoid
Left colic
What is the marginal artery?
The connection between the superior and inferior mesenteric artery (along the transverse colon)
What does the ileocolic artery supply?
The terminal ileum
The caceum
The start of the ascending colon
What is Merckel’s diverticulum?
Bulge of the ileum
Remenant of the vitelline duct
What are the 9 regions of the abdomen?
Right and left HYPOCONDRIAC
Epigastric
Right and left LUMBAR
Umbilical
Right and left ILIAC
Hypogastric
How many parts does the duodenum have?
4 Superior Descending Inferior Ascending