Serrat - Posterior Abdomen Flashcards
What type of contraction is responsible for moving fecal material into the rectum ?
Mass movement
The ____ crus of the diaphragm gives rise to the suspensory muscle of the duodenum
Right
Tendinous band connecting the left and right crura anterior to the aorta
Median arcuate ligament
The median arcuate ligament is a tendinous band that connects the left and right crura _____ to the aorta
Anterio
The medial arcuate ligament is a superior thickening of the _____ fascia that overlies the ________ muscle
Psoas
Psoas major
The lateral arcuate ligament is a superior thickening of __________ fasica that overlies the ___________ muscle
Quadratus lumborum fascia
Quadratus lumborum muscle
The aortic hiatus in the diaphragm is at what vertebral level?
T12
The esophageal hiatus of the diaphragm is at what vertebral leve?
T10
The inferior vena cava foramen of the diaphragm (in the central tendon) is at what vertebral level?
T8
What passes thru the aortic hiatus of the diaphragm?
Aorta
Azygous vein
Thoracic duct
What passes thru the esophageal hiatus of the diaphragm
Esophagus
Anterior and posterior vagal trunks
Esophageal branches of left gastric vessels
What passes thru the inferior vena cava foramen of the diaphragm?
IVC
Branches of right phrenic nerve
What supplies blood to the diaphragm?
Musculophrenic artery (int thoracic)
Pericardiophrenic artery (int thoracic)
Inferior phrenic (from abd aorta)
Superior phrenic (thoracic aorta)
What are the layers of the fibrous capsule around the kidney from superficial to deep
Paranephric fat (only posterior)
Renal fascia (extraperitoneal fascia, around kidney and adrenal glands)
Perinephric fat (completely surrounds kidney, allows for vertical movement during respiration)
Renal capsule (only around kidney itself)
Renal veins empty into?
Inferior vena cava
The suprarenal glands receive a rich vascular supply from which 3 arteries?
Superior suprarenal artery (from inferior phrenic)
Middle suprarenal artery (from aorta)
Inferior suprarenal artery (from renal artery)
What are the 3 places that a kidney stones are most likely to lodge?
The junction of the renal pelvis and ureter
The pelvic inlet
The entrance to the bladder
Where is the cisterna chyli?
Posterior to the abdominal aorta at L1-L2
What is the level and distribution of the subcostal nerve
From T12
Distribution: skin and muscles of the anterolateral abdominal wall
What is the level and distribution of the iliohypogastric nerve?
From L1
Distribution: skin of upper inguinal and suprapubic region, internal oblique and transversus abdominis muscles
What is the level and distribution of the ilioinguinal nerve
From L1
Distribution; skin of lower inguinal, groin, and medial thigh
Internal obliquue and transversus abdominis muscles
What is the level of and distribution of the genitofemoral nerve?
From level L1 and L2
Distribution;
Genital branch - motor to cremaster muscle
Femoral branch - skin of medial thigh
What is the level and distribution of the lateral femoral cutaneous nerve?
L2, L3
Skin of lateral and anterior thigh
What is the level and distribution of the femoral nerve?
L2-L4
Anterior thigh muscles
What is the level and distribution of the obturator nerve?
L2 - L4
Medial thigh muscles
What is the level and distribution of the lumbosacral trunk ?
L4-L5
Joins sacral plexus in pelvis
The least splanchnic nerve usually ends up on the ______ plexus
Renal
The 3 splanchnic nerves all originate off the sympathetic trunk in the thorax, descend thru diaphragm (piercing muscular part) and enter the ________ ganglion or plexuses on the ______
Celiac
Aorta
Course of the subcostal nerve?
Starts from the ventral ramus of T12, passes beneath the lateral arcuate ligament and courses laterally
