Class 1 Flashcards

1
Q

What 3 things make up the posterior aspect of the abdomen?

A

lumbar vertebrae, intervertebral discs and inferior ribs

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2
Q

4 quadrants of abdomen

A

RUQ, LUQ, RLQ, LLQ

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3
Q

What 2 imaginary lines separate the 4 quadrants of the abdomen?

A

transumbilical and midline

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4
Q

9 regions of the abdomen

A
R+L hypochondriac
epigastric 
R+L lumbar 
umbilical 
R+L iliac 
hypogastric
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5
Q

What lines separate the 9 regions of the abdomen?

A

transcostal, midclavicular lines and transtubercular

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6
Q

Organs present in right hypochondriac

A

liver, gallbladder, duodenum

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7
Q

Organs present in epigastric region

A

pyloris, duodenum, head of liver

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8
Q

Organs present in Left hypochondriac

A

spleen, stomach, pancreas tail

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9
Q

Right lumbar regions organs

A

ascending colon, jejunum and right kidney

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10
Q

Umbilical region organs

A

jejunum and ileum, lower duodenum and aorta and iliac arteries

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11
Q

Right iliac region organs

A

caecum, appendix, ileum

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12
Q

Hypogastric region organs

A

uterus, bladder, ileum

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13
Q

Left iliac region organs

A

left ureter, sigmoid colon, left ovary

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14
Q

3 flat abdominal wall muscles

A

transversus abdominis, internal and external oblique

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15
Q

Innervation of abdominal wall muscles

A

ventral rami T7-11

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16
Q

Rectus abdominis action

A

flexion of lumbar spine

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17
Q

Transversus abdominis action

A

compress abdominal contents

18
Q

External oblique action

A

contralateral rotation of torso

19
Q

Internal oblique action

A
bilateral = compress abdomen 
unilateral = ipsilateral trunk rotation
20
Q

Difference with abdominal muscles below and above umbilicus

A

above they run infront and behind whereas below they only run anteriorly

21
Q

What is the aponeurosis of the 3 flat muscles called?

A

rectus sheath

22
Q

Vertebral level of umbilicus

23
Q

Dermatome of umbilicus

24
Q

When is the inguinal canal formed?

A

Relocation of gonads as anterior abdominal wall push through and form a canal

25
Length of inguinal canal?
4cm
26
What does the inguinal canal run parallel to?
inguinal ligament
27
What 2 bony points is the inguinal ligament connected to?
anterior superior iliac spine | pubic tubercle
28
What are the 2 openings of the inguinal canal called?
deep and superficial inguinal ring
29
Male contents of inguinal canal
spermatic cord ilioinguinal nerve blood vessels and lymphatics
30
Female contents of inguinal canal
round ligament of uterus | ilioinguninal nerve, blood vessels, lymphatics
31
2 types of inguinal hernias
indirect or direct
32
What inguinal hernia is due to congenital weakness? where?
indirect - deep inguinal ring
33
Indirect inguinal hernia - what happens?
abdominal contents enter into inguinal canal and even out of deep inguinal ring
34
Direct inguinal canal - what happens?
contents push through posterior wall into inguinal canal and possibly out of superficial inguinal ring
35
Where do femoral hernias occur?
below inguinal ligament
36
What type of hernias is strangulation high? Common in male or female?
femoral - more common in females
37
What can contribute to weakness in abdominal wall in umbilical hernias?
linea alba fibres abnormal
38
In adults are umbilical hernias congenital or acquired?
acquired
39
4 layers of GI tract histology
Mucosa - epithelium, lamina propria, muscularis mucosae submucosa muscularis externa - longitudinal and circular serosa/adventitia
40
4 basic mucosal types in GI tract (function) and their site
protective eg oesophagus, anal canal secretory - stomach only absorptive - small intestine absorptive and protective - large intestine
41
Protective epithelium
stratified squamous
42
Secretory epithelium
simple columnar