Anterior Abdominal Wall Flashcards

(71 cards)

1
Q

What are the superior and inferior tissue boundaries of the abdomen?

A

Thoracic diaphragm (4th intercostal space) to pelvic inlet

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2
Q

The abdomen is skeletally bound by what structures?

A

Costal cartilages 7-10, ribs 11-12, xiphoid process, L1-5, and os coxae (ilium and pubis)

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3
Q

What are the boundaries of the greater pelvis or false pelvis?

A

Superior ilium border to pelvic inlet

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4
Q

What are the boundaries of the lesser pelvis or true pelvis?

A

Pelvic inlet to pelvic diaphragm

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5
Q

What happens to the diaphragm and abdominal muscles during inspiration?

A

Contraction of diaphragm and relaxation of abdominal muscles

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6
Q

What happens to the diaphragm and abdominal muscles during expiration?

A

Relaxation of diaphragm and contraction of abdominal muscles

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7
Q

The most superficial fascia of the abdomen is called…

A

camper fascia

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8
Q

Is camper fascia fatty or membranous?

A

Fatty

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9
Q

Which fascia is deep to camper fascia?

A

Scarpa fascia

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10
Q

Is scarpa fascia fatty or membranous?

A

Membranous

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11
Q

Where is scarpa fascia?

A

Inferior to umbilicus and deep to camper fascia

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12
Q

What is investing fascia and where is it found?

A

Mostly epimysium covering the external surface of muscles and aponeuroses

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13
Q

What type of fascia will cover the external surface of muscles?

A

Investing fascia

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14
Q

What muscle is immediately deep to scarpa fascia?

A

External oblique

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15
Q

What direction do the fibers of the external obliques run?

A

Direction of hands in pockets

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16
Q

What direction do the fibers of the internal obliques run?

A

Direction of prayer hands, opposite to external obliques

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17
Q

What muscle is immediately deep to internal obliques?

A

Transversus abdominus

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18
Q

What fascia is deep to the investing fascia around transversus abdominus?

A

Endoabdominal fascia (transversalis fascia)

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19
Q

Where is endoabdominal fascia found?

A

Lines anterolateral abdominal wall deep to muscles

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20
Q

What is immediately deep to endoabdominal fascia?

A

Extraperitoneal fat

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21
Q

What is found deep to extraperitoneal fat?

A

Peritoneum

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22
Q

abdominal wall muscles

Name the flat muscles

A

External oblique
Internal oblique
Transversus abdominis

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23
Q

abdominal wall muscles

Name the vertical muscles

A

Rectus abdominis
Pyramidalis

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24
Q

Origin and insertion of external oblique

A

O: external surfaces of ribs 5-12
I: Linea alba, pubic tubercle, and anterior half of iliac crest

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25
Innervation of external oblique
Anterior rami of T7-12 and subcostal nerve
26
Action of external oblique
Compress and support abdominal contents; together flex trunk; contralaterally bends trunk
27
Origin and insertion of internal oblique
O: thoracolumbar fascia, anterior two thirds of iliac crest, and connective tissue deep to lateral third of inguinal ligament I: Inferior borders of ribs 10-12, linea alba, and pecten pubis via conjoint tendon
28
Innervation of internal oblique
Anterior rami of T6-12 and first lumbar nerve
29
Action of internal oblique
Compress and support abdominal contents; together flex trunk; ipsilaterally bends trunk
30
Origin and insertion of transversus abdominis
O: Internal surfaces of 7-12 costal cartilages, thoracolumbar fascia, iliac crest, and connective tissue deep to lateral third of inguinal ligament I: Linea alba with aponeurosis of internal oblique, pubic crest, and pecten pubis via conjoint tendon
31
Innervation of transversus abdominis
Anterior rami of T6-12 and first lumbar nerve
32
Action of transversus abdominis
Compresses and supports abdominal viscera
33
Origin and insertion of rectus abdominis
O: Pubic symphysis and pubic crest I: Xiphoid process and costal cartilages 5-7
34
Innervation of rectus abdominis
Anterior rami of T6-12
35
Action of rectus abdominis
Flexus trunk (lumbar vertebrae) and compresses abdominal viscera; stabilizes and controls tilt of pelvis (antilordosis)
36
Origin and insertion of pyramidalis
O: Front of pubis and pubic symphysis I: Linea alba
37
Innervation of pyramidalis
Anterior ramus of T12
38
Action of pyramidalis
Tenses or draws down the linea alba
39
Fibers of the flat muscles end near the midclavicular line forming... which blend to form...
... forming aponeuroses which blend to form the rectus sheath
40
The rectus sheath surrounds...
rectus abdominis (except inferior fourth of posterior portion)
41
What marks the end of the posterior rectus sheath?
Arcuate line
42
Inferior to the arcuate line is what fascia?
Transversalis fascia
43
What forms the linea alba?
Interweaving aponeuroses
44
What does the linea alba separate?
Rectus abdominis muscles
45
What is the lateral margin of rectus abdominis?
Linea semilunaris
46
What is the function of tendinous intersections?
Attach to anterior rectus sheath and subdivide rectus abdominis Improve generation of force
47
The rectus sheath contains which vessels?
Superior and inferior epigastric arteries and veins, and lymphatic vessels
48
Innervation of rectus sheath
Ventral rami of thoracoabdominal nerves (T6/7-11) and subcostal nerve (T12)
49
Name five anterolateral abdominal wall nerves
1. Thoracoabdominal nerves 2. Lateral (thoracic) cutaneous branches 3. Subcostal nerve 4. Iliohypogastric 5. Ilioinguinal
50
Which nerves' motor branches supply all the muscles of the abdominal wall?
Thoracoabdominal nerves (ventral/anterior rami (T6) T7-11)
51
Which nerves' cutaneous branches provide the dermatomes?
Thoracoabdominal nerves (ventral/anterior rami (T6) T7-11)
52
Spinal levels of thoracoabdominal nerves
Ventral/anterior rami of T6/7-11
53
Spinal levels of lateral (thoracic) cutaneous branches
T7-9/10
54
Spinal level of subcostal nerve
Ventral/anterior ramus of T12
55
Spinal level of iliohypogastric nerve
Terminal branch of ventral/anterior ramus of L1
56
Spinal level of ilioinguinal nerve?
Terminal branch of ventral/anterior ramus of L1
57
#venous supply Skin and subcutaneous tissues drain into...
superior vena caval system
58
#venous supply The internal thoracic vein drains into the superior vena caval system in which direction?
Medially
59
#venous supply The lateral thoracic vein drains into the superior vena caval system is which direction?
Laterally and inferiorly
60
#venous supply Cutaneous veins surrounding umbilicus anastomose with...
hepatic portal vein tributaries
61
#arterial supply What arrangement do the arteries of the abdominal wall follow?
Arrangement of muscles: oblique and circumferential laterally and vertical anteriorly
62
#arterial supply What are circumferential vessels?
Continuations of 7-11 posterior intercostal, subcostal, and deep circumflex iliac vessels
63
#arterial supply What are the vertical vessels?
Superior and inferior epigastric vessels, musculophrenic artery and branches
64
#lymphatics Describe lymphatic draining superior to transumbilical line
Superficial lymphatic vessels drain into axillary lymph nodes and parasternal lymph nodes
65
#lymphatics Describe lymphatic draining inferior to transumbilical line
Superficial lymphatic vessels drain into superficial inguinal lymph nodes
66
#lymphatics Deep lymphatic vessels are like...
deep veins
67
#lymphatics Describe draining in deep lymphatic vessels
Drain into external iliac, common iliac, right and left lumbar lymph nodes
68
Based on the regional divisions of the abdominopelvic cavity, which quadrant would you expect to find the liver?
Right upper quadrant or right hypochondrium
69
In the anterior abdominal wall, ___ fascia is only found inferior to the umbilicus superficial to extraperitoneal fat
transversalis (endoabdominal)
70
What is the linea alba?
The midline fusion of the aponeuroses of the anterolateral abdominal muscles
71
Which dermatome is associated with the umbilicus?
T10