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Flashcards in Abdominal wall Deck (37):
1

What are the boundaries of the abdominal cavity?

- Cranial limit: diaphragm
- Caudal limit: pelvic inlet
- Abdominal wall around the outside (external, internal abdominal oblique, transversus abdominis)
- Ventrally abdominal wall (rectus sheath, rectus abdominis, linea alba)

2

What are the layers of the abdominal wall going from outside to inside

- Skin
- Fat
- External abdominal oblique
- Internal oblique
- Transverse abdominus
- Rectus abdominus

3

In what direction do the fibres of the external abdominal oblique muscle run?

- Caudoventrally (/\)
- "hands in pocket"

4

What is the function of the external abdominal oblique?

- Compression of abdominal cavity
- Rotation of trunk

5

What are the origins and insertions of the abdominal oblique muscle?

- Origin: costal cartilages
- Insertion: wide aponeurosis forming inguinal ligament

6

In what direction do the fibres of the internal abdominal obliue muscle run?

- Fibres run cranioventrally
- "Ymca" muscle (\/)

7

What is the function of the internal abdominal oblique muscle?

- Opposes rotation caused by the external oblique
- Compresses diaphragm

8

What are the origins and insertions of the internal abdominal oblique muscle?

- Origin: coxal tuberosity, transverse process of lumbar vertebra, iliac fascia
- Insertion: linea alba and final rib costal arch

9

In what direction do the fibres of the transverse abdominal muscle run?

- Transversely across the abdomen (=)
- Sling type muscle

10

What is the function of the transverse abdominal muscle?

- Compress ribs
- Provides stability

11

What are the origins and insertions of the transverse abdominal muscle?

- Origin: transverse processes of lumbar vertebrae, ribcage
- Insertion: linea alba

12

In what direction do the fibres of the rectus abdominal muscle run?

- Longitudinally on both sides of the linea alba (II)

13

What is the function of the rectus abdominal muscle?

- Assists in breathing and abdominal stability

14

What are teh origins and insertions of the rectus abdominal muscle?

- Origin: sternum, sternal rib cartilage
- Insertion: prepubic tendon and pecten of pubic bone

15

What is unusual about the rectus abdominus compared to the other abdominal muscles?

- Lies within sheath
- Has tendinous intersections (transverse bands of fibrous tissue across muscle)

16

What muscles are innervated by the ilioinguinal nerve?

- Internal and external oblique
- Transverse abdominal muscles

17

Where does the ilioinguinal nerve originate from?

L2

18

What muscles are innervated by the iliohypogastric nerve?

- Internal external abdominal obliques
- Transverse abdominal muscles

19

What structures are innervated by the genitofemoral nerve?

- Sensory and motor to inner thigh
- Cremasteric reflex, contraction when superior medial part of thich is touched

20

What areas are supplied by the cranial abdominal artery?

- Transversus abdominus
- Internal abdominal obliques

21

What areas are supplied by the deep circumflex iliac arteries?

- Skin of caudal abdominal area
- Flank
- Cranial thigh

22

Describe the anatomy of the inguinal canal

- Floor is inguinal ligament
- Formed from external oblique aponeurosis as it folds over and inserts
- More of a slit
- in males testes pass through here

23

Describe the crura of the diaphragm

- Right arises from vertebral bodies and intervertebral fibrocartilages of the first 3 lumbar vertebrae
- Left arises from the first 2 lumbar vertebrae

24

Describe the costal attachments of the diaphragm

Lower costal cartilages adn ribs by digitations

25

What are the openings in the diaphragm?

- Aortic hiatus
- Oesophageal hiatus
- Caval foramen (fixed to diaphragm and so moves with diaphragm)

26

What is the importance of the hiati in the diaphragm?

- Not attached to structures
- Herniation can easily occur

27

What structures pass through the diaphragm to the abdomen?

- Oesophagus
- Aorta
- Vena cava
- Nerves via sympathetic chain
- Hemiazygous vein

28

Describe the peritoneum

- Serous membrane which lines abdominal cavity
- 3 sections
- Sac between different sections called peritoneal cavity
- Peritoneum can excrete and resorb fluid (function in disease and peritonitis) and resorb gas
- Peritoneal fluid normally present in peritoneal cavity and acts as lubricant
- Diseases include peritonitis, neoplasia and haemorrhage

29

What are the 3 layers of peritoneum?

- Parietal (lining body wall)
- Visceral (lining abdominal organs)
- Connecting (forming mesentery)

30

What are the layers of teh body wall?

- Skin, epidermis, dermis and subcutis
- External fascia of trunk
- Deep sheet of external fascia
- External abdominal oblique
- Internal abdominal oblique
- Transversus abdominis
- Internal fascia of trunk (transverse fascia) and peritoneum

31

Describe the rectus sheath

- Tendinous sheath, encloses rectus abdominis
- Formed by aponeuroses of other abdominal muscles

32

Describe the linea alba

- Fibrous tissue
- Aponeurotic joining of left and right abdominal oblique and transversus muscles
- Extends from xiphoid process to pubis
- Includes umbilicus
- Wide cranially, narrows caudally
- Strongest point for abdominal incisions

33

Describe the innervation of the body wall

- Ventral branches of thoracic and lumbar nerves (T13, L1 and L2)
- Skin of abdomen supplied by dorsal and ventral rami of spinal nerves
- Muscles and deep structures supplied by ventral rami
- Nerves pass obliquely in caudal direction
- T13, L1, L2 exit from vertebra foramina at associated transverse processes
- Go in caudal direction so by the tips of transverse processes are positioned at L1, L2 adn L4

34

Describe a paravertebral nerve block

- Used as anaesthetic for paralumbar approach in large animals
- Can be blocked proximally (dorsal aspect of T13, L1 and L2) or distally (ventral to lateral tips of L1, L2, L4)

35

Describe the vascular supply to the abdominal wall

- Cranial region: internal thoracic artery adn cranial epigastric artery (branch of brachiocephalic trunk)
- Diaphragm: phrenicoabdominal artery (branch of abdominal artery)
- Caudal region: caudal epigastric artery and external pudendal artery (branch of external iliac artery)

36

Describe the anatomy of the inguinal canal

- 2 regions, superficial and deep inguinal ring
- Superficial between 2 tendons of external abdominal oblique
- Deep is on caudal border of internal abdominal oblique
- Testes descend through here

37

What structures are in the inguinal canal?

- Spermatic cord in males
- External pudendal artery and vein
- Genitofemoral nerve
- Lymphatics