Abdominal Wall Flashcards

1
Q

quadrants

cross sections

A

right lower
right upper
left lower
left upper

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2
Q

regions

sagittal and horizontal

A

R hypochondriac>epigastric> L hypochondriac
R lumbar > umbilical > L lumbar
R iliac > hypogastric > L iliac

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3
Q

bones of pelvis

A

ilium
ischium
pubis

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4
Q

boundaries of abdominal cavity

A

costal arch (rib 6-10) + xyphoid process
to
iliac crest + inguinal ligament

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5
Q

inguinal ligament

A

from ASIS to pubic tubercule

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6
Q

function of abdominal wall

A

protect/stabilize contents
trunk rotation and flexion
maintain/control intra-ab pressure (parturition/defacation)
respiration

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7
Q

layers of anterior abdominal wall

A

skin
subcutaneous fascia
muscular layers w/aponeurotic fascia
transversalis fascia
peritoneum (parietal)

subcutaneous = campers (fat) and scarpas (thin serous fascia)

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8
Q

superficial fascia layers

A

campers = adipose with cutaneous nerves and blood vessels
scarpas= deep to campers, becomes dartos in scrotum and colles in perineum

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9
Q

external oblique

A

most superficial
fibers run down to center “hands in pockets”

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10
Q

external oblique O and I

A

ribs 5-12
to
linea alba + pubic tubercule + ant half iliac crest

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11
Q

internal oblique

A

deep to external oblique
fibers run up to center “hands in gloves”

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12
Q

internal oblique

O and I

A

thoracolumbar fascia + 2/3 iliac crest + lateral 1/2 inguinal lig
to
inferior rib 10-12 + linea alba + pecten pubis (conjoint tendon)

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13
Q

rectus abdominis

A

stereotypical abs
separated by tendonus intersections
deep to external aponeurosis

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14
Q

rectus abdominis

O and I

A

pubic symphysis + pubic crest
to
xyphoid process + ribs 5-7

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15
Q

transversus abdominis

TA

A

deepest muscle
fibers wrap back to front

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16
Q

transversus abdominis

O and I

A

ribs 7-12 internally + TL fascia + iliac crest + lateral 1/3 inguinal lig
to
linea alba w/ aponeurosis of internal oblique +
pubic crest + pecten pubis (conjoint tendon)

17
Q

rectus sheath

contents

A

aponeuroses of:
external + internal + transversus

surround rectus abdominus

18
Q

arcuate line

A

horizontal line dividing posterior layer of rectus sheath (inside of ab wall)

19
Q

below arculate line

A

all the aponeuroses in rectus sheath go above/in front (rather than split)

behind left less protected bc only thin fascia and perioteum = hernias

20
Q

layers of abdominal wall

order

A
  1. epidermis/skin
  2. camper’s fascia/fat
  3. scarpa’s fascia
  4. external oblique
  5. internal oblique
  6. rectus abdominus
  7. transversus abdominis
  8. transversalis fascia
  9. parietal peritoneum

internal oblique and rectus at same level

21
Q

innervation

A
  1. intercostal nerves > thoracoabdominal when cross costal cartilage
  2. lateral cutaneous branch
  3. anterior cutaneous branch
  4. iliohypograstric
  5. ilioinguinal
22
Q

lateral and anterior cutaneous

A

muscles and skin b/t iliac crest and umbilicus
from T12

23
Q

iliohypogastric

nerve

A

from L1
skin over iliac crest/upper inguinal and hypogastric region/internal oblique/transverse abdominis

runs too low to innervate external oblique

24
Q

ilioinguinal

A

from L1
skin of scrotum or labia majus/mons pubis + adj thigh regions + most inferior internal oblique and transversus

25
Q

superior blood supply

A

from internal thoracic and aorta

superior epigastric
musculophrenic
intercostal/subcostal
lumbar arteries

26
Q

inferior blood supply

A

from external iliac and femoral

inferior epigastric
superficial epigastric
superficial circumflex iliac

27
Q

deep vessel supply

A

from external iliac

deep circumflex
inferior epigastric

28
Q

superior epigastric

anastomose

A

inferior epigastrics

epigastrics go together

29
Q

musculophrenic

anastomose w/

A

ascending branch deep circumflex iliac