Anterior Abdominal Wall Flashcards

(35 cards)

1
Q

What is the division between the hypochondrium and the umbilical region?

A

10th rib

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2
Q

What is the division between the umbilical region and the pubic region?

A

Iliacs

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3
Q

What is found in the RUQ?

A

Liver: Right lobe
Gallbladder
pylorus of stomach
kidney

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4
Q

What is found in the RLQ?

A

Cecum
Appendix
ovary
Most of illeum

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5
Q

What is found in the LUQ?

A
Liver: Left lobe
Spleen
Stomach
Jejunum and proximal illeum
kidney
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6
Q

What is found in the LLQ?

A

Sigmoid colon
Descending colon: Inferior part
ovary

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7
Q

Transpyloric plane (L1)

A

Level of gallbladder fundus, pylorus, pancreatic neck

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8
Q

Subcostal plane (10th costal cartilage)

A

Level of transverse colon

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9
Q

Transtubercle plane (between iliac tubercles)

A

Level of iliocecal junction

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10
Q

Interspinous plane (between asis)

A

level of appendix, sigmoid colon

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11
Q

What is camper’s fascia?

A

fatty layer of superficial fascia

camping outside

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12
Q

What is scarpa’s fascia?

A

underlying membranous CT layer of superficial fascia

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13
Q

How does scarpa’s fascia protect you when bleeding?

A

Scarpa’s fascia keeps blood from going into the leg but blood will still go into the superficial perineal fascia (Colles fascia)

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14
Q

External Oblique m.

A

Origin: lower 6 ribs
Insertion: aponeurosis and linea alba
Innervation: Ventral rami of T7-12 of intercostal nerves
Action: Compress abdomen and increase intra-abdominal pressure

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15
Q

The lower part of the external oblique makes what?

A

inguinal ligament

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16
Q

Internal Oblique m.

A

Origin: Iliac crest
Insertion: Lower 10-12 ribs, aponeurosis, linea alba
Innervation: T7-12 and L1
Action: Compresses and supports viscera, laterally flexes and rotates

17
Q

Transversus Abdominis m.

A

Origin: lower 7-12 ribs
Insertion: linea albia, pecten pubis, and pubic crest
Innervation: T7-L1
Action: Compresses and supports visceral

18
Q

Rectus Abdominis m.

A

Origin: Pubic symphysis and pubic crest
Insertion: xiphoid process and outer surface of 5th-7th intercostal cartilages
Innervation: ventral rami of T7-T12
Action: flexes abdomen and compresses it

19
Q

Describe the muscles fibers on the top 3/4

A

EO anterior
IO splits
TA Posterior

20
Q

Describe the muscle fibers on the bottom 1/4

A

IO, EO, TA all anterior

21
Q

At what point do EO, IO, and TA become anterior to rectus abdominis m?

22
Q

Thoraco-abdominal n. (T7-T11)

A

continuation of intercostal n.

runs between TA and IO m.

23
Q

Subcostal n. (T12)

A

runs along inferior 12th rib

sensory: superior to illiac crest

24
Q

Iliohypogastric n. (L1)

A

runs between 2nd and 3rd muscle layers
motor: IO and TA
Sensory: upper inguinal & hypogastric region

25
Ilioinguinal n. (L1)
motor: lower IO and TA sensory: lower inguinal, anterior scrotum/labia
26
What does the superior epigastric a. anastamose with?
Inferior epigastric a.
27
When does the femoral artery become the external iliac a?
When it passes under the inguinal L.
28
Where does the inferior epigastric a. run?
Runs anterior to the posterior rectus sheath
29
The median umbilical fold is due to what?
obliterated urachus
30
The medial umbilical fold is due to what?
obliterated umbilical arteries
31
The lateral umbilical fold is due to what?
Inferior epigastric a.
32
Where do superficial vessels super to the umbilicus drain?
axillary nodes with a few going to parasternal nodes
33
Where do superficial vessels below umbilicus drain?
superficial inguinal nodes
34
When would you use a midline cut?
When you would need to cut rapidly
35
Describe how to find McBurney's point
Lower 1/3 from umbilicus to ASIS