Unit 3 Posterior Abd Wall Part 1 Flashcards
Bones of the post abd wall
5 lumbar vertebrae
12th ribs
Upper part of body pelvis
Muscles of the post abd wall
Psoas major
Quadratus lumborum
Transversus abdominis
Iliacus
OINA for psoas major
OR: T12-L5
INS: Lesser trochanter of femur
NS: Lumbar plexus
AC: Flexion of thigh on trunk
Flexes trunk against gravity when the body is supine
OINA for quadratus lumborum
OR: TVP of L5
Iliolumbar ligament
Iliac crest
INS: TVP of L1-4
Inf border of rib 12
NS: Lumbar plexus (T12-L1-4)
AC: Depresses and stabilized rib 12
Lateral flexion of the trunk
OINA for Iliacus
OR: Iliac fossa
INS: Lesser trochanter of femur
NS: femoral nerve
AC: Flexion of thigh on trunk
Flexes the trunk against gravity when the body is supine
Thoracic aorta bifurcates where?
L4
Peritoneum of kidneyes
Retroperitoneal
Kidneys extend from:
T12-L3
Which kidney is lower than the other?
Right
Which kidney is closer to the midline
Left kidney
Outer region of the kidney
Renal cortex
Renal medulla includes: (4)
Renal columns
Renal pyramids
Renal papilla
Minor calyx
Renal sinus includes: (3)
Major calyx
Renal pelvis
Renal columns are continuous with the:
Renal cortex
Nephron loops are located where?
Renal pyramids
Apex of the renal pyramids
Renal papilla
Collecting ducts in the kidney are located where?
Renal papilla
Renal sinus is typically filled with
Adipose
Entrance in and out of the kidney
Renal hilum
Structures at the renal hilum (4)
Renal vein
Renal artery (2 branches)
Ureter
Renal artery (third branch)
Renal artery arises from
Abdominal aorta
Which renal artery is slightly lower than the other?
Right
Lymphatic drainage for the kidney
Lumbar (lateral aortic) nodes around the origin of the renal artery
Nerve supply to the kidneys
Renal sympathetic plexus
NO PARASYMPATHETIC SUPPLY
Peritoneal for ureters
Retroperitoneal
Ureters extend from:
Urteropelvic junction to the urinary bladder
Ureters cross in front of the:
They cross over
Sacroiliac joint
Over the iliac vessels
Ureters enter the bladder from the:
Posterior
Ureter arterial supply
Upper: Renal artery
Middle: Testicular or ovarian arteries
Abdominal aorta
Common iliac arteries
Inferior: Superior vesicle artery branch— Internal iliac artery
Ureter lymphatic drainage
Upper part: Lumbar (lateral aortic) nodes
Middle part: Common iliac nodes
Inf. Part: external and internal iliac nodes
Plexuses providing innervation for ureter
Aortic Renal Testicular./ovarian Superior hypogastric Inf hypogastric
For ureter, visceral efferent fibers come from:
Both sympathetic and parasympathetic sources
For ureters, Viseral afferent fibers (pain) return to:
T11-L2 spinal cord levels
Abdominal pain is most commonly caused by
Kidney stones
What can cause kidney stones
Oxalate, calcium, or phosphate precipitate because of insufficient fluid levels
3 constriction points for kidney stones
1st- Ureteropelvic junction
2nd- Pelvic inlet
3rd- entrance to bladder
Pain from renal stones is referred to:
Cutaneous areas innervated by T11-L2 nerves