Retroperitoneal Space And Structures Flashcards

1
Q

What is retroperitoneal space?

A

The space between the posterior abdominal wall and the parietal peritoneum of the abdomen

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2
Q

Muscles of the Retroperitoneal space

A

Posts, quadratus lumborum, and transversus abdominis

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3
Q

Borders of the Retroperitoneal space

A

Behind the parietal peritoneum

In front of the posterior abdominal wall

Below the 12th thoracic vertebrae/rib

Above the sacrum/iliac crests

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4
Q

What is the retroperitoneum?

A

Part of the abdominal cavity that lies between the posterior parietal peritoneum and anterior to the tranversalis fascia

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5
Q

The retroperitoneum is divided by:

A

Perirenal fascia

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6
Q

Divisions of the retroperitoneum

A
  1. Anterior para-renal space
  2. Peri-renal space
  3. Posterior para-renal space
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7
Q

Structures of the Retroperitoneal Space

A

SAD PUCKER

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8
Q

Of the aorta and inferior vena cava, what is the difference in length and why?

A

Due to the shape of the diaphragm, the Inferior Vena Cava has a longer path than the Aorta

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9
Q

Each kidney gives rise to _______ that runs vertically downward on top of the ______ ___________

A

Ureter, psoas muscle

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10
Q

Which kidney lies higher than the other?

A

Left kidney lies slightly higher than the right, due to the smaller size of the left side of the liver

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11
Q

Diaphragm blood supply

A

Internal thoracic arteries

  • Pericardiophrenic artery
  • Musculophrenic artery

Superior phrenic arteries (from the thoracic aorta)

Lower internal intercostal arteries

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12
Q

Diaphragm nerve supply

A

Phrenic nerve (for breathing)

Passes motor information and receives sensory information

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13
Q

Diaphragm interfaces

A

Caval opening: Inferior vena cava

Esophageal hiatus: Esophagus

Aortic hiatus: Descending Aorta

Gaps for Psoas Major: Insertion for Psoas Muscles

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14
Q

What is the aortic bifurcation?

A

Where the aorta divides into common iliac

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15
Q

What is the iliac bifurcation?

A

Where it dvides into external and internal iliac

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16
Q

External iliac passes under ________ ______ upon entering leg and right after bifurcation of internal and external iliac.

A

Inguinal canal

17
Q

3 anterior visceral branches of the Aorta

A

Celiac artery, superior Mesenteric artery, and inferior Mesenteric artery

18
Q

3 later visceral branches of the aorta

A

Suprarenal artery, renal artery, and testicular/ovarian artery

19
Q

5 lateral abdominal wall branches of the aorta

A

Inferior phrenic artery and 4 lumbar arteries

20
Q

3 terminal branches of the aorta

A

Two common iliac arteries and the median sacral artery

21
Q

2 anterior visceral tributaries of the Vena Cava

A

Hepatic veins

22
Q

3 lateral visceral tributaries of the inferior vena cava

A

Right suprarenal veins, renal veins, and right testicular or ovarian vein

23
Q

5 lateral abdominal wall tributaries of the inferior vena cava

A

Inferior phrenic vein and 4 lumbar veins

24
Q

3 veins of origin of the inferior vena cava

A

2 common iliac veins and the median sacral vein

25
Lymphatic system of the Deep Abdomen
Thoracic Duct to Cysterna Chyli
26
One of the main nervous pathways supplying the lower limb, formed in the psoas muscle
Lumbar plexus
27
Lumbar plexus is formed from the ____ rami of the _____ ______ ________ ______ nerves.
Anterior, upper four lumbar spinal
28
What four nerves emerge to form the lumbar plexus?
Iliohypogastric nerve, iliolingual nerve, lateral cutaneous nerve of the thigh, and femoral nerve
29
Supplies the skin of the lower part of the anterior abdominal wall
Iliohypogastric
30
Supplies the skin of the groin and the scrotum/labium majus Passes through the Inguinal canal
Ilioinguinal nerve
31
Crosses the iliac fossa in front of the iliac us muscle Supplies skin over the lateral surface of the thigh
Lateral cutaneous nerve of the thigh
32
Largest branch of the lumbar plexus Supplies the iliacus muscle
Femoral nerve
33
Branches of the lumbar plexus
Obturator nerve and genitofemoral nerve
34
Innervates inner thigh muscles
Obturator nerve
35
Innervated the cremaster muscle, and innervates a small area of the skin of inner thigh
Genitofemoral nerve
36
Where is the right sympathetic trunk in the abdomen?
Lies behind the right border of the inferior vena cava
37
Where is the left sympathetic trunk in the abdomen?
Lies close to the left border of the aorta
38
Aortic plexus
A plexus of nerves around the abdominal part of the aorta Celiac, renal, superior Mesenteric, inferior Mesenteric