I: Anterior Abdominal Wall Flashcards

1
Q

What quadrant is the gall bladder located in?

A

epigastric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What quadrants might the appendix be located in?

A

mostly hypogastric

maybe umbilical or r. iliac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the vertebral level of the umbilicus?

A

L3-4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does the abdominal wall function in respiration?

A

opposes diaphragm during exhalation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the adipose layer of the abdominal wall?

A

Camper’s fascia

the tough fibrous Scarpa’s fascia is deep to the camper’s fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does scarpa’s fascia become in the scrotum? perineum?

A

scrotum -> dartos fascia

perineum -> colles fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Origin - external oblique

A

external surfaces of ribs 5-12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Insertion- external oblique

A

linea alba, pubic tubercle, anterior half of iliac crest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

action- external oblique

A

compress and support abdominal viscera; flex and rotate trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Innervation- external oblique

A

thoraco-abdominal nerves (anterior rami of T7-T11) and subcostal nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Origin- internal oblique

A

thoracolumbar fascia, anterior 2/3 of iliac crest, and connective tissue deep to inguinal ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Insertion- internal oblique

A

inferior borders of ribs 10-12, linea alba and pubis via conjoin tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Action- internal oblique

A

compress and support abdominal viscera; flex and rotate trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Innervation- internal oblique

A

thoraco-abdominal nerves (anterior rami of T7-T11) and first lumbar nerve (L1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is the internal oblique different below and above the arcuate line?

A

above: tendons split and wrap anteriorly and posteriorly around the rectus abdominus
below: tendon fuses and wraps only anteriorly around the rectus abdominus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Origin- Transversus abdominus

A

internal surfaces of ribs 7-12 costal cartilages, thoracolumbar fascia, iliac crest, and connective tissue deep to the inguinal ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Insertion- transversus abdominus

A

linea alba with aponeurosis of internal oblique, pubic crest and pectin pubis via conjoin tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

action- transversus abdominus

A

compresses and supports abdominal viscera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Innervation- transversus abdominus

A

thoraco-abdominal nerves (anterior rami of T7-T11) and first lumbar nerve (L1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Origin- rectus abdominus

A

pubic symphysis and pubic crest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

insertion- rectus abdominus

A

xiphoid process and costal cartilages 5-7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

action- rectus abdominus

A

flexes trunk (lumbar vertebrae) and compresses abdominal viscera

  • can acts as an antagonist to the diaphragm
  • stabilizes and controls pelvic lift (antilordosis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How is the rectus abdominus different above and below the arcuate line?

A

above: internal oblique fascia split contibuting to both anterior sheath fusing with external oblique aponeurosis and posteriorly fusing with transversus abdominus
below: all three aponeuroses pass anteriorly to the rectus and posterior wall is composed of only the transversalis fascia and parietal peritoneum (weaker area and prone to hernias)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the arcuate line?

A

horizontal line that demarcates the lower limit of the posterior layer of the rectus sheath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

_________________: layer of fascia that lines the internal abdomial wall and forms the deep inguinal ring

A

transversalis fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

__________________: serous lining of the peritoneum

A

parietal peritoneum

- produces a serous fluid that lubricates the abdominal organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Where do you look for inferior epigastirc arteries and veins?

A

Between the transversalis fascia and parietal peritoneum

28
Q

What innervates the parietal peritoneum?

A

somatic body wall nerves

29
Q

Last remnant of ventral messentry

A

falciform ligament

30
Q

remnant of fetal umbilical vein

A

round ligament / ligamentum teres

31
Q

main O2 from placenta to fetus

A

fetal umbilical vein

32
Q

remnant of allantosis and paraumbilical veins

A

median umbilical fold

33
Q

drains fetal bladder

A

allantosis

34
Q

remnants of umbilical arteries

A

medial umbilical folds

35
Q

returns low O2 blood back to placenta

A

umbilical arteries

36
Q

lateral umbilical folds contain…

A

inferior epigastric arteries and veins

37
Q

somatic innervation of the anterior abdominal wall

A

ventral rami of spinal nerves T7-L2

38
Q

Thoracoabdominal nerves

A

T7-T11

39
Q

Subcostal nerve

A

T12

40
Q

iliohypogastric nerve

A

L1

41
Q

ilioinguinal nerve

A

L1

42
Q

what do the thoracoabdominal nerves innervate?

A

muscles of anterolateral wall and overlying skin

43
Q

What does the subcostal nerve innervate?

A

muscles of anterolateral abdominal wall and overlying skin superior to iliac crest and inferior to umbilicus

44
Q

What does the iliohypogastric nerve innervate?

A

skin overlying iliac crest, upper inguinal and hypogastric regions; internal oblique and transvesus abdominus

45
Q

What does the ilioinguinal nerve innervate?

A

skin of scrotum or labia majus and mons pubis, and adjacent medial aspect of thigh; most inferior internal oblique and transversus abdominus

46
Q

What two arteries take their origin from the internal thoracic a. ?

A

musculophrenic and superior epigastric

47
Q

“descends along costal margin” what a?

A

musculophrenic

48
Q

“descend in rectus sheath deep to rectus abdominus” what a?

A

superior epigastric

49
Q

what does the musculophrenic a supply?

A

abdominal wall of hypochondirac region, anterolateral, diaphragm

50
Q

What blood supplies the rectus abdominus and superior part of anterolateral wall?

A

superior epigastric a.

51
Q

what anterior abdominal arteries take their origin from the aorta AND supply the lateral region of abdominal wall?

A

subcostal a.

posterior intercostal a. (10th and 11th)

52
Q

“continues beyond ribs to descend in abdominal wall between internal oblique and transversus abdominus” what a. ?

A

posterior intercostal a. (10th and 11th)

AND subcostal a. (essentially the 12th)

53
Q

what anterior abdominal a. take their origin from the external iliac a.?

A

inferior epigastric a. and deep circumflex iliac a.

54
Q

“runs superiorly and enters rectus sheath, runs deep to rectus abdominus” what anterior abdominal a.?

A

inferior epigastric a.

55
Q

“runs on deep aspect of anterior abdominal wall, parallel to inguinal ligament” what anterior abdominal a. ?

A

deep circumflex a.

56
Q

what does the inferior epigastric a. supply?

A

rectus abdominus and medial part of anterolateral abdominal wall

57
Q

what does the deep circumflex iliac a. supply?

A

iliacus muscle and inferior part of anterolateral abdominal wall

58
Q

what does the superficial circumflex iliac a. supply?

A

superficial abdominal wall of inguinal region and adjacent anterior thigh

59
Q

the superficial circumflex iliac a. and superficial epigastric a. come off of…

A

femoral a.

60
Q

what a. runs in superficial fascia along inguinal ligament?

A

superfical circumflex iliac. a.

61
Q

“runs in superficial fascia towards umbilicus”

A

superficial epigastric a.

62
Q

what does the superficial epigastric a. supply?

A

subcutaneous tissue and skin over pubic and inferior umbilical region

63
Q

What 3 arteries anastomose with aorta?

A
  1. posterior intercostals
  2. subcostals.
  3. lumbar a.
64
Q

What 2 arteries anastomose with int. thoracic a.?

A
  1. superior epigastric

2. musculophrenic via anterior intercostals

65
Q

What 2 arteries anastomose with ext. iliac a.?

A
  1. inferior epigastric

2. deep circumflex iliac

66
Q

What 2 arteries anastomose with femoral a?

A
  1. superficial circumflex iliac a.

2. superficial eppigastric a.

67
Q

where does lymph drain in the anterior abdominal wall ABOVE transumbilical plane? BELOW?

A

ABOVE: axillary lymph nodes
BELOW: superficial inguinal nodes