Final Flashcards

1
Q

What actions do the anterior compartment of the thigh do?

A

Hip flexion
Knee Extension

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2
Q

What action does the medial compartment of the thigh do?

A

Adductor

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3
Q

What invests the LE?

A

Deep Fascia

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4
Q

What separates the compartments of the thigh and what are those compartment?

A

Fibrous septa of the fascia lata & crural fascia
Anterior, medial & posterior

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5
Q

Where does the fascia lata attach superiorly?

A

Inguinal ligament, pubic arch, body of pubis & pubic tubercle

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6
Q

Where does the fascia lata attach laterally & posteriorly?

A

Iliac crest

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7
Q

Where does the fascia lata attach posteriorly to?

A

Sacrum, coccyx, sarcrotuberous ligament & ischial tuberosity

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8
Q

What is an extremely strong, thickened lateral compartment of the fascia lata?

A

Iliotibial band

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9
Q

What muscles does the iliotibal band enclose?

A

Tensor fascia lata & Gluteus maximus

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10
Q

Where does the IT band attach at distal?

A

Gerdy’s tubercle on the tibia

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11
Q

What permits the passage of the great saphenous vein and where?

A

Saphenous opening
Inferior to medial part of the inguinal ligament

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12
Q

What is the name of the deep fascia of the leg and what is it continuous with?

A

Crural fascia
Continuous with the fascia lata

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13
Q

Which veins contain more valves? superficial or deep?

A

Deep

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14
Q

What are the 2 major superficial veins?

A

Great & small saphenous veins

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15
Q

What combines to give rise to the great saphenous veins?

A

Dorsal vein of great toe & dorsal venous arch

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16
Q

Where does the great saphenous vein empty into?

A

Femoral vein

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17
Q

What combines to form the small saphenous vein?

A

Dorsal vein of the small toe & dorsal venous arch

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18
Q

Where does the small saphenous vein empty into?

A

Popliteal vein

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19
Q

What doe pulsations from arteries & compression from muscles aid in?

A

Venous return

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20
Q

Why does perforating veins always allow blood from superficial to deep only?

A

Pierce the deep fascia and valves

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21
Q

What are the boundaries of the femoral triangle?

A

Superiorly: Inguinal ligament
Medially: Adductor longus muscle
Laterally: Sartorius Muscles
Apex: Where sartorial m & adductor longus muscle cross
Roof: Fascia lata, subcutaneous tissue & skin
Floor: iliopsas & pectinous mm

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22
Q

What are the contents of the femoral triangle?

A

Femoral N & branches
Femoral Sheath
Femoral A
Femoral V
Lymph Nodes

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23
Q

What is the femoral sheath?

A

Funnel shaped fascial tube extending 4 cm inferiorly from inguinal ligament

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24
Q

What is the femoral sheath a continuation of?

A

Transveralis fascia of abdominal wall & fascia covering the iliopsoas muscle
Blends with outer layer of femoral vessels (tunica adventitia)

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25
What does the femoral sheath allow?
Femoral vessels to glide easily beneath the inguinal ligament during movement of the hip (flex/ext)
26
What are the three compartments of the femoral sheath & what is the contents?
Lateral: femoral artery Intermediate: Femoral Vein Medial: is the femoral canal (normally empty)
27
What is the proximal opening into the femoral canal?
Femoral ring
28
What are the boundaries of the femoral ring?
Laterally: Fascial partition b/w femoral canal & vein Posteriorly: Superior ramus of pubis covered by pectinous m Medially: Lacunar ligament Anteriorly: Medial aspect of inguinal ligament
29
What is the inguinal ligament and what it is formed by?
Retinaculum Formed from aponeurosis of external oblique muscle of the anterior abdominal wall
30
Fibers of the inguinal ligament that attach to the superior pubic ramus make up what?
Lacunar ligament
31
Fibers of the inguinal ligament that attach most posterior & laterally projecting represent what?
Pectineal ligament
32
What muscles make up the anterior compartment of the thigh?
Sartorius Pectineus Iliopsoas Tensor of fascia lata Quadriceps femoris
33
All muscle in the anterior compartment of the thigh are innervated by the femoral nerve except?
Psoas major & Tensor fascia lata
34
What muscles make up the medial compartment of the thigh?
Gracilis Adductor Longus Adductor brevis Adductor Magnus
35
Branches of the obturator nerve innervate the muscles of medial compartment except?
Part of adductor Magnus
36
What is the adductor canal?
Narrow fascial tunnel coursing about 15 cm long in the thigh, deep to middle 1/3 of sartorius muscle
37
What does the adductor canal provide a passage way for?
Provides passage through the musculature for vessels to reach the popliteal fossa
38
Where the does the proximal end of the adductor canal begin and what is the distal end?
Prox: Where sartorius muscles cross over the adductor longus muscle Distal: Adductor hiatus
39
What things pass through the adductor canal?
Femoral artery & veins Femoral nerves Saphenous N Nerve to vastus medialis m
40
What things pass through the adductor canal and then through the hiatus to the popliteal fossa?
Femoral artery & vein
41
What is the name of the branch off the femoral artery?
Profunda femoris artery (deep artery of the thigh)
42
What artery does the deep artery of the thigh give off?
Circumflex femoral arteries
43
How does the posterior compartment of the thigh get blood?
Deep artery sends several perforating branches
44
Does the posterior compartment have an artery coursing through it?
No
45
What is the transitional region from trunk to limb posteriorly?
Gluteal region
46
What are 3 clinical correlation of Femoral triangle?
Cannulation of femoral A & V Femoral hernia
47
What is a hip pointer?
Contusion of iliac crest, usually anterior near ASIS & organ of sartorius muscle caused by collision
48
What is a charley horse?
Muscle fibers tearing, hematoma in quadriceps causing localized pain
49
Which muscle is the largest & most powerful adductor in the thigh?
Adductor Magnus
50
What are the three parts of adductor magnus?
Minimus, adductor & hamstring parts
51
Where is the adductor portion of adductor Magnus attached and what can it do?
Attached along entire length of linea aspera of femur & inferiorly onto medial supracondylar ridge Can flex the thigh
52
What are the difference between the hamstring portion of adductor Magnus & the rest of the muscle?
Attachment: Attached to ischial tuberosity to adductor tubercle Nerve Supply: Tibial division of sciatic nerve Main Action: Extend the thigh
53
True or False: Hamstring portion does not fulfill all the criteria to be a true hamstring
True
54
What is a pulled groin?
Stretching injury (strain of adductor muscles/and or tearing of their proximal attachments
55
Within the proximal thigh what nerves travel from the abdominal wall & send branches to innervate the skin?
Subcostal, iliohypogastric & ilioinguinal nerves
56
What muscle does the genitofemoral nerve pierce & where does it go?
Psoas Major - Descends on the surface of the muscles to the inguinal region
57
Where does the lateral femoral cutaneous nerve emerge & where does it travel?
- Emerges Superolateral to femoral nerve from deep to lateral edge of psoas muscle - Travels laterally to anterolateral thigh by cousin deep to most lateral part of inguinal ligament
58
What does the lateral femoral cutaneous nerve innervate?
Anterolateral thigh
59
How does the obturator nerve reach the medial thigh?
Travels through obturator foramen
60
What muscle does the femoral nerve originate within?
Psoas Major
61
Where does the femoral nerve travel?
Lateral to pass major on surface of lilacus muscle, then deep to middle of inguinal ligament & into thigh
62
What does the femoral nerve innervate?
Iliac muscle Anterior compartment muscle of thigh
63
What is the farthest reaching branch of the femoral nerve & what does it innervate?
Saphenous nerve Cutaneous innervation to medial leg & medial aspect of proximal foot
64
What is the gluteal region bounded by?
Superiorly: Iliac Crest Medially: Intergluteal cleft Inferiorly: Gluteal fold
65
What bones form the aceatublum?
All 3 pelvic bones (ilium, ischium & pubis)
66
How is the femur oriented and why?
Obliquely to put knees more adjacent & inferior to trunk
67
What are the prominent feature of the femur?
Head, neck, greater & lesser trochanter & large condyles
68
What is the angle of inclination?
Obtuse angle b/w basic of femoral neck & femoral shaft
69
What does the angle of inclination of the femur have to do with mobility?
Arrangement allows for greater mobility of hip joint by placing head & neck of femur more perpendicular to acetabulum
70
Due to the angle of inclination how can the muscles be oriented?
Rotator muscle oriented laterally Abductors placed superiorly (freeing lateral surface of femur for attachment of knee extensors)
71
The articulation of what forms the anterior sacroiliac joint?
Auricular surfaces of sacrum & ilium have irregular surfaces of which interlock
72
Why is the anterior sacroiliac joint unique?
Synovial joint with very little mobility
73
What are the thin anterior fibers of the capsule?
Anterior sacroiliac ligaments
74
What surrounds the posterior sacroiliac joint?
Posterior sacroiliac ligaments
75
What are the posterior sacroiliac ligaments?
External continuations of deeper interosseous ligaments
76
What are interosseous ligaments?
Strong fibers that connect the tuberoses of sacrum & ilium
77
What does the orientation of the interossus ligament do to the ilia?
Pulls it inward when body weigh drives sacrum downward
78
What do the iliolumbar ligaments do?
Strengthen lumbrosacral joints by spanning from transverse process of L4,5 to ilium
79
Where does the sacrotuberous ligament run?
Posterior ilium & lateral sacrum & coccyx to ischial tuberosity
80
Where does the sacrospinous ligament run?
From lateral sacrum & coccyx to ischial spine
81
What force does the sacrospinous & sacrotuberous ligament resist?
Anterior/Inferior rotation of sacrum from body weight
82
What is the greater sciatic foramen an opening for?
Structures entering or leaving the pelvis
83
What is the lesser sciatic foramen an opening for?
Structures entering or leaving the perineum
84
What is the name of the part on the femur that is not covered with articular cartilage>
Central area called the fovea
85
What attaches to the fovea?
ligament of femoral head (ligament teres)
86
Why are the surfaces of the femoral head not congruent when standing upright?
B/c acetabulum faces anteriorly, laterally & inferiorly - Angle of femoral neck & head
87
What part of the femoral head is exposed when standing upright?
Anterior portion
88
Where is the lunate surface of the acetabulum and what does it cover?
Covered with cartilage at the periphery, covers the rim
89
What is the acetabular notch?
Inferiorly the lunate surface of the acetabulum is deficient this makes the acetabular notch
90
What is the labrum & what does it do?
Lip of cartilage Extends off the rim to keep socket & adds about 10% more surface area to acetabulum
91
What is the transverse acetabular ligament & what does it span?
Inferior continuation of labrum & spans the notch
92
What is the acetabular fossa?
Deepest, most central part of acetabulum - Formed mainly by ischium
93
What are the movements of the hip joint?
Flexion- Extension Adduction- Abduction Medial - Lateral Rotation Cirumduction
94
Where does the capsule of the hip attach to?
Proximally: From acetabular rim & transfers acetabular ligament Anteriorly: Intertrochanteric line
95
T/F: There is an attachment of the capsule to the femur posteriorly
F
96
What are the 3 intrinsic ligament that support the hip joint?
Iliofemoral ligament Pubofemoral ligament Ischiofemoral ligament
97
Where does the iliofemoral ligament span & what does it prevent?
Spans AIIS & acetabular rim to intertrochanteric line Prevents hyperextension of hip by screwing the femoral head into the acetabulum
98
Where does the pubofemoral ligament span & what does it prevent?
- Spans from obturator crest (of pubic bone) to blending with capsule & iliofemoral ligament - Prevents hyperabduction but also tightness during extension
99
Where does the ischiofemoral ligament span and what does it limit?
Posterior, Spans from ischial part of acetabular rim to neck of femur, medial to greater trochanter - Not as strong as other but limits hyperextension
100
Of the intrinsic ligaments of the hip joint, which is the weakest?
Ischiofemoral ligament
101
What is the main blood supply of the hip?
Medial circumflex femoral artery
102
What does the medial circumflex femoral artery arise from and where?
Arises from deep femoral artery near the neck of the femur
103
Where do penerating branches of the deep femoral artery pierce the capusle?
Posterior side
104
If the medial circumflex artery was damaged would the femoral head be able to get enough blood?
No because the artery to the femoral head is not significant enough to sustain it
105
Where does the artery to the femoral head arise from?
Obturator artery
106
What is the similarities of the superficial gluteal muscles?
- Proximal attachment to Ala & margins of the ilium - Mainly extend, abduct & medially rotate
107
What is the similarities of the deep gluteal muscles?>
- Smaller -Distal attachments on or near the intertrochanteric crest of femur - Laterally rotate & stabilize hip joint by steading femoral head in acetabulum
108
What is the most superficial gluteal muscle and what is the attachments?
- Gluteus maximus - Attached posterior to posterior gluteal line on ilium & along sacrum, coccyx, & sacrotuberous ligament - Most fibers insert into ITB, some directly onto gluteal tuberosity
109
When is the gluteus maximus most active?
Extending thigh from flexed position
110
What are the actions of gluteus maximus?
Extending thigh from flexed position Laterally rotate Steady thigh going from sitting to standing
111
True or false: Glutues maximus is active when standing upright
False
112
What are the shared attachments and actions of gluteus maximus & minimus?
- Posterior ilium, greater trochanter - Abduct & medially rotate thigh - Keep Pelvis level when the contralateral limb is in swing phase
113
True or False: Tensor Fascia lata functions as medius & minimus do
True
114
What are the attachments of the tensor of fascia lata?
Prox: ASIS & anterior iliac crest Distal: Gerry's tubercle
115
All smaller gluteal muscles can abduct the flexed thigh except?
Quadratus femoris
116
What is the roll of the smaller muscles of the gluteal region?
Lateral rotators of thigh Steady femoral head in acetabulum
117
What nerves supply the skin of the butt?
Clunial nerves
118
True or False: Superior & middle clonal nerves are anterior rami coming from upper lumbar & sacral levels
False- Posterior Rami
119
Where do the deep gluteal nerves arise from?
Sacral plexus (L4-S3)
120
What do all the deep gluteal nerves pass through?
Greater sciatic foramen
121
All the deep gluteal nerves pass through the greater sciatic foramen and emerge inferior to piriformis muscle except?
Superior gluteal nerve
122
Where doe the superior gluteal nerve emerge from to innervate what?
- Above piriformis - Innervate gluteus medius, gluteus minimus & tensor of fascia lata
123
What does the inferior gluteal nerve innervate?
Gluteus maximus
124
What does the nerve to quadratus femoris innervate?
inferior gemellus & quadratus femoris
125
What does posterior cutaneous nerve of the thigh innervate?
Large area of skin including: - inferior half of butt - Posterior thigh - Popliteal fossa - Lateral perineum - Upper medial thigh
126
What nerve does the posterior cutaneous nerve give off?
Inferior clonal nerve
127
What does the pudenal nerve innervate in the gluteal region & posterior thigh?
Nothing
128
Where does the pudenal nerve go and how does it get there?
Most medial nerve that dives back into the pelvis through the lesser sciatic foramen
129
What does the nerve to obturator internus innervate in gluteal region?
Superior gemellus & obturator internus
130
The nerve to obturator internus ends up where and how does it get there?
Pelvis through inferior sciatic foramen
131
What provides the main blood supply to the pelvis?
Internal iliac artery
132
Where doe the external iliac artery course?
Stay anterior, pass through femoral canal to supply lower extremity structures
133
What arteries of the gluteal region emerge through the greater sciatic foramen?
Superior gluteal artery Inferior gluteal artery Internal pudendal artery
134
The superior gluteal emerges (blank) to piriformis whereas inferior gluteal artery emerges (blank) to piriformis?
Superior Inferior
135
What is the name of the artery that gives off the artery to the sciatic nerve?
Inferior gluteal artery
136
What does the inferior gluteal artery supply?
Glut max obturator internus quadratus femoris superior part of hamstring
137
What two arteries often participate with anastomoses around the hip?
Superior & inferior gluteal arteries
138
What does the internal pudendal artery course with and where does it go & what does it supply?
Pudenal nerve Goes back into pelvis through lesser sciatic foramen Supply perineal skin, external genitalia & perineal muscles
139
Deep artery of thigh gives off branches to posterior thigh called? What do they penetrate?
Perforating branch Aponeurotic aspect of adductor Magnus
140
What criteria must a muscle meet to be considered a true hamstring?
- Prox attachment to ischial tuberosity - Span & act on 2 joints: (extend thigh & flex leg) - Innervated by tibial division of sciatic nerve
141
Does short head of bicep femoris meet any criteria to be a hamstring?
No
142
Where doe the sciatic nerve typically emerge?
From pelvis inferior to piriformis muscle through the greater sciatic foramen
143
Within sciatic nerve large sheath it is really 2 separate nerves named what?
Tibial nerve & common fibular nerve
144
Does the sciatic nerve innervate anything in the gluteal region?
No
145
Of the posterior thigh what does the tibial part innervate?
Hamstrings & hamstring part of adductor magnus
146
Of the posterior thigh what does the common fibular part innervate?
SHort head of biceps femoris
147
Everything inferior to the knee is innervated by branches of the sciatic nerve except for one exception which is?
Saphenous nerve
148
What are the 3 main divisions of the thorax?
Mediastinum: central compartment, housing all thoracic contents except lungs Paired Lateral pulmonary cavities: Occupied by lungs
149
What bones make up the thoracic cage?
- 12 pairs of ribs & associated costal cartilages - 12 thoracic vertebrae & intervening IVD - Sternum
150
What is the primary function of the thoracic cage?
Protective of thoracic & abdominal contents
151
What are the 3 parts of the sternum?
manbrium body xiphoid process
152
What is the name of the junction between the manubrium & body?
Manubiostenal joint or sternal angle
153
Articulation of what 3 bones make up the xiphisternal joint?
7th rib attaching at junction of body & xipohiod process
154
What represents the inferior limit of the thoracic cavity?
Xiphoid process
155
The facets on the head of ribs articulate with vertebrae of same numerical level & one superior except?
1st rib articulates with T1 & ribs 10-12 with their respective vertebrae
156
Which ribs attach to the sternum directly via their costal cartilages?
True ribs 1-7
157
False ribs articulate to what via their costal cartilages?
Next superior rib
158
Where do floating ribs end?
Abdominal musculature
159
Which ribs are false ribs?
8-10
160
which ribs are floating ribs?
11-12
161
What are costal grooves?
Concavities on the inferior, internal borders of ribs for intercostal nerves & vessels
162
Where are intercostal spaces present and what are they named for?
B/w each successive rib & named for superior rib
163
What is the costovertebral joints?
b/w head of ribs & vertebral bodies
164
What is the costotransverse joint?
b/w tubercle of ribs & transverse process of thoracic vertebrae
165
What is the costochondral joint?
b/w ribs & costal cartilage
166
What is the sternocostal joint?
b/w costal cartilage & sternum
167
What joints of thorax are synchondroses?
All costochondral joint 1st rib/manubrium (1st sternocostal joint) Xiphisternal joint
168
Where do symphyses occur in the thorax?
Posteriorly b/w thoracic vertebral bodies Anteriorly at manubriosternal joint
169
What are the boundaries of the superior thoracic aperture?
Posteriorly: Vertebrae T1 Laterally: 1st rib & their costal cartilage Anteriorly: Superior border of manubrium
170
What structures pass through superior thoracic aperture?
Trachea, esophagus, nerves & vessels that supply/drain the head, neck & upper extremity
171
What are the boundaries of the inferior thoracic aperture?
Posteriorly: T12 vertebrae Posterolaterlly: 11th & 12th pairs of ribs Anterolaterally: costal margins, made up of costal cartilages 7-10 Anteriorly: Xiphisternal joint
172
What covers the inferior thoracic aperture?
diaphragm
173
What abdominal viscera lay superior to the plane of the inferior thoracic apenture?
liver, stomach, spleen
174
How do the external intercostal run?
Inferoanteriorly b/w successive ribs b/w tubercles & costochondral junctions
175
When are the eternal intercostal most active?
Inspiration, maintaining the tone of muscles & elevating the ribs during forced inspiration
176
What are the external intercostal continuous with?
External oblique muscles
177
How do the internal intercostals run and what are they continuous with?
Inferoposteriorly Continuous with internal oblique muscles
178
When are internal intercostal most active?
Expiration
179
What do intercostal nerves & vessels travel between?
Internal intercostals & innermost intercostals
180
Where do the transverse thoracic muscles run and what is their action?
- 4-5 slips of muscle deep on anterior wall from diploid process & body of sternum running to costal cartilages - Help w/ inspiration & proprioceptive role
181
What is transverse thoracic muscles continuous with?
Transverse abdominis layer inferiorly
182
Where do the subcostal muscles run & what is their action?
- Span 2-3 ribs oriented inferoposteriorly -Depress ribs
183
What is the primary muscle of inspiration?
Diaphragm
184
What are the 3 hiatus in the diaphragm?
Inferior vena cava, aorta & espousal
185
Where do internal thoracic arteries & vein run?
internal anterior thoracic wall, running on either side of the sternum
186
What does the internal thoracic artery divide into?
Musculophrenic & superior epigastric
187
What artery supplies the first 6 intercostal spaces?
Anterior intercostal arteries
188
What artery supply intercostal spaces 7-9 & the diaphragm?
Musculophrenic
189
What artery supplies anterior abdominal wall supplying muscles?
Superior epigastric
190
What does the pulmonary cavities contain?
Lungs & pleura
191
What separates the pulmonary cavities and what does it contain?
Mediastinum & all other thoracic structures
192
What lines the entire thoracic wall?
Endothoracic fascia
193
What does the end-thoracic fascia cover?
Apices of lungs superior to 1st rib
194
How many lobes the right lung have?
3
195
What is the pleural sleeve?
Reflection of pleura where all tubular structures enter/exit the lung
196
What compromises the root?
Actual structures passing into & out of the lung at the hilum
197
What are the strucutres of the root of the lung?
Bronchus, pulmonary artery, Superior & inferior pulmonary veins
198
What is the pulmonary ligament?
Double layer pleural structure continuons with sleeve but inferior to root
199
What is the lingula?
Inferior, anterior projection of the superior lobe that tucks around the apex of the heart
200
What is found on the left lung in regards to impression?
Cardiac notch Cardiac impression Grooves for aortic arch & descending aorta
201
Where does the trachea begin, terminate & into what?
Begin: inferior to cricoid cartilage Terminate: Level of sternal angle into right & left main bronchi
202
Where does the trachea ascend & enter?
Anterior to esophagus entering superior mediastinum
203
What is the transverse thoracic plane?
Horizontal plane running from sternal angle anteriorly to T4-T5 IV disc
204
What is the inferior mediastinum subdivided into?
Anterior, middle & posterior compartments
205
What makes up the mediastinum?
Pericardium & contents Contents: - Pericardial sac - Heart - Cardiac nerve plexus - Roots of great vessels (Ascending aorta, SVC/IVC & pulmonary trunk
206
What are the 2 layers of the pericardium? And what do they blend into?
External fibrous Pericardium --> tunica adventitia of great vessels superiorly & central tendon of diaphragm inferiorly Parietal layer--> become visceral layer of serous pericardium
207
What innervated the pericardium?
Cardiac nerve plexus -Autonomic fibers from vagus nerve - Sympathetic nerves
208
What supplies general sense to pericardium?
Phrenic nerve
209
What supplies blood to pericardium?
Pericardiophrenic artery
210
What forms the base of the heart?
Left atrium (some right)
211
What forms the apex of the heart?
inferolateral part of left ventricle
212
What are the 4 surfaces of the heart?
Anterior (Sternocostal)--> right ventricle Diaphragmatic --> left ventricle Right Pulmonary --> right atrium Left pulmonary --> left ventricle
213
What are the 4 borders of the heart?
Right--> right atrium Inferior --> main right ventricle Left Border --> left ventricle (little bit of left auricle) Superior --> right & left atria & auricles
214
What are the component of the abdominal wall?
-Musculoaponeurotic walls - Diaphragm - Pelvic floor muscles - Lumbar section of vertebral
215
What bounds the anterolateral abdominal wall?
Superiorly: Cartilages of 7th-10th ribs & diploid process Inferiorly: Inguinal ligament & superior margins of anterolateral aspect of pelvic girdle
216
What does the linea semilunaris represent?
lateral limit of rectus sheath
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What are the component of rectus sheath?
External abdominal oblique & aponeurosis + Internal abdominal oblique & aponeurosis + Transverse abdominal & aponeurosis
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What does the abdominal aorta branch into that supplies the abdominal wall?
Posterior intercostal artery
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What does the external iliac/femoral artery branch into that supplies the abdominal wall?
superficial epigastric, circumflex iliac & inferior epigastric
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What is the inguinal canal formed to permit ?
Descent of testes
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What are the lateral & medial crura ?
Parts of external oblique aponeurosis which surround superficial inguinal ring
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What is the inguinal falx (conjoint tendon)?
Medial reinforcement of posterior wall of inguinal canal formed by fused aponeuroses of internal oblique & transverse abdomens
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What are lateral umbilical folds?
Inferior epigastric a. & v
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What are the meidal umbilical folds>
obliterated umbilical arteries
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What is the medial umbilical fold (single) ?
obliterated urachus
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What are the boudaries of the inguinal triangle?
Medially: rectus abdominis Inferiorly: Inguinal ligament & inferior epigastric artery & vein
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What is the deep inguinal ring in?
Transverse abdominal muscle lateral to vessels
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What structures does the iliohypogastric innervate?
- Skin over iliac crest - Upper inguinal & hypogastric regions - Superolateral quadrant of buttock - Internal oblique - Transverse abdominal muscles
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What does the ilioinguinal innervate?
- Skin of lower inguinal region - Mons pubis/labia majora - Adjacent medial thigh Inferiormost internal oblique & transverse abdominal muscles
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What does the genitofemoral nerve pierce & split into?
Psoas major Femoral & genital branch
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What type of innervation does the parietal part of the peritoneum receive?
Somatic