posterior body wall Flashcards

1
Q

kidney

A
primary retroperitoneal
in paravertebral gutters
inferior pole ore lateral than superior pole, hilum faces anteromedially
right kidney TV12-L3
left kidney TV11-L2
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2
Q

posterior to kidney

A
diaphragm
psoas major
quadratus lumborum
transversus abdominis
subcostal n
iliohypogastric n
ilioinguinal n
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3
Q

anterior to right kidney

A

liver
duodenum
ascending colon

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4
Q

anterior to left kidney

A
stomach
spleen
pancreas
jejunum
descending colon
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5
Q

renal fat

A

pararenal- external to renal fascia

perirenal-internal to fascia

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6
Q

renal aa

A

lateral paired visceral brr of aorta
right longer than left passes posterior to IVC
5 segmental/end aa

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7
Q

renal vv

A

course ant to renal aa
drain directly to ICV
left longer then right, receives gonadal, inferior phrenic, left suprarenal before joining IVC

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8
Q

nutcracker syndrome

A

left renal v passes btwn SMA and aorta -> compressed

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9
Q

ureter

A

retroperitoneal
posterior- psoas major, common iliac vessels
anterior- gonadal and colic vessels

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10
Q

ureter constrictions

A

at renal pelvis/ureteric jnx
over pelvic brim
at entry to bladder

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11
Q

arterial supply ureter

A

upper- renal
middle- gonadal, aorta, common iliac
lower- internal iliac

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12
Q

suprarenal gland fnx

A
endocrine
secretes:
-cortisol
-aldosterone
-androgens
-epi
-NE
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13
Q

suprarenal gland features

A

retroperitoneal
superior pole of kidney, btwn kidney and crura of diaphragm
invested w/in renal fascia, but separated by thin septum
right suprarenal gland is pyramidal-shaped
left suprarenal crescent shaped

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14
Q

internal suprarenal features

A

Cx- production f sterioids

medulla- postganglionic sympathetic neurons (epi/NE)

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15
Q

lymph suprarenal

A

drainage to lumbar nodes

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16
Q

thoracoabdominal diaphragm- sternal

A

small anterior

attached to xiphoid

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17
Q

thoracoabdominal diaphragm

A

large lateral

attached to ribs 7-12

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18
Q

lumbar portion

A

right crus- LV1-LV3

left crus- LV1-LV2

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19
Q

median arcuate lig

A

tendinous arch btwn left and right crura

forms aortic hiatus at TV12

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20
Q

medial arcuate lig

A

tendinous arch from body to transverse process of LV1

arches over psoas major

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21
Q

lateral arcuate lig

A

tendinous arch from transverse process of LV1 to 12th rib

arched over quadratus lumborum

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22
Q

lumbocostal triangle

A

muscular weakness btwn costal and lumbar portion of diaphragm where abdominal viscera can herniate into thorax

23
Q

lymph of diaphragm

A

superior diaphragmatic nodes -> mediastinal nodes

inferior diaphragmatic vessels -> superior diaphragmatic and or lumbar nodes

24
Q

psoas major

A

bodies and transverse processes of TV12-LV5 and IV discs
lesser trochanter
flexion of thigh, flexion of vertebral column
ventral rami of L1-3

25
Q

psoas minor

A

bodies of TV12-LV1 and IV discs
iliopectineal eminence
flex VC
ventral rami of L1

26
Q

iliacus

A

iliac fossa
lesser trochanter
flex thigh
femoral

27
Q

quadratus lumborum

A

iliac crest and iliolumbar lig
12th rib, transverse processes of lumbar vertebrae
extends/SB vc, inspiration
ventral rami T12-L4

28
Q

positive psoas sign right

A
kidneys
ureters
cecum
appendix
ascending colon
sacroiliac joint
29
Q

positive psoas sign left

A
kidneys
ureters
descending colon
sigmoid colon
pancreas
sacroiliac joint
30
Q

lumbar plexus sensory

A

anterolateral abdominal wall, inguinal region, ant scrotum/labia majora, gluteal region, perineum, LL

31
Q

lumbar plexus motor

A

anterolateral abdominal wall, posterior abdominal wall, LL

32
Q

iliohypogastric

A

L1
forms posterior to medial arcuate lig, arches over quadratus lumborum, pierces transversus abdominis to run btwn it and IAO
near ASIS pierces IAO to run btwn it and EAO
ends by providing suprapubic cutaneous brr

33
Q

ilioinguinal

A

L1
II to iliohypogastric, but inferior
near ASIS pierces IAO to run btwn it and EAO
enters inguinal canal and provides ant scrotal/labial brr

34
Q

femoral

A

L2-4
laterla to psoas major, runs across iliacus to pass deep to inguinal lig
LL

35
Q

lateral cutaneous nerve of thigh

A

L2-3
lateral to psoas major, corses along iliacus towards ASIS, passes under inguinal lig near ASIS to enter thigh
provides sensory to lat thigh

36
Q

genitofemoral

A

L1-2
pierces psoas major
genital br enters inguinal canal to innervate cremaster
femoral br passes under inguinal lig to provide cutaneous innervation to ant thigh

37
Q

obturator

A

L2-4
medial to psoas major, runs along lateral pelvic wall, exits pelvis via obturator canal to enter medial thigh
provides sensory and motor innervation to medial thigh

38
Q

lumbosacral trunk

A

L4-5 descends over pelvic brim to join sacral plexus

39
Q

accessory obturator

A

L3-4

present in 10% of population

40
Q

course of abdominal aorta

A

continuation of thoracic aorta at TV12
courses along midline, anterior to LV1-4
ends by dividing into left and right common iliac aa

41
Q

anterior to abdominal aorta

A

autonomic n plexuses
pancreas
left renal v
duodenum

42
Q

posterior to abdominal aorta

A

left lumbar vv

cistern chyli and thoracic duct

43
Q

celiac a

A

T12

44
Q

SMA

A

L1

45
Q

IMA

A

L1

46
Q

suprarenal

A

L1

47
Q

renal

A

L1

48
Q

gonadal

A

L2

49
Q

subcostal

A

T12

50
Q

inferior phrenic

A

T12

51
Q

lumbar

A

L1-4

52
Q

course of IVC

A

forms ant to LV5
ascends right of aorta
thru caval hiatus at TV8

53
Q

anterior to IVC

A
liver
bile duct
portal v
duodenum
pancreas
right gonadal a
right common iliac a
54
Q

posterior to IVC

A

right psoas major

right inferior phrenic, right middle suprarenal, right renal , and right aa