Sievert: posterior abdominal wall Flashcards Preview

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Flashcards in Sievert: posterior abdominal wall Deck (53)
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1

Structures that are retroperitoneal

urinary system
adrenal glands
sympathetic trunk and its branches to ganglia
thoracic duct/cisterna chyli
posterior abdominal wall
aorta and IVC
rectum

2

peritoneal ligaments

lesser omentum
epiploic foramen
lesser sac
gastrosplenic ligament
splenorenal ligament

3

Two ligaments that make up the lesser sac

hepatogastric
hepatoduodenal

4

Which kidney is lower?

right kidney

5

What ribs does the left kidney cover? What about the right kidney?

11 and 12
part of 12

6

Which layer of fat is between the peritoneum and the renal fascia? Which layer lies between the kidney and the renal fascia?

pararenal; perirenal

7

Near what mesenteric branch of the aorta do the renal arteries come off?

near the superior mesenteric branch

8

3 areas of narrowing of the ureter

1. where the ureter leaves the kidney
2. where the ureter passes over the pelvic brim
3. where the ureter enters the bladder

9

Where does parasympathetic innervation to the kidneys come from? Where do these neurons synapse?

Levels S2-4 (pelvic splanchnics) and the vagus
on ganglia in the renal sinus

10

Where does sympathetic innervation to the kidneys come from? Where do they synapse?

lesser and least thoracic splanchnics and lumbar splanchnics
on ganglia on superior mesenteric artery or renal artery

11

How do sensory fibers from the kidneys return to the spinal cord?

Via the vagus and the sympathetics

12

Where do sensory fibers from the ureters return to?

T11-T12 spinal nerves

13

Are the suprarenal glands developmentally related to the kidney?

No

14

What kind of gland is the suprarenal gland?

endocrine

15

What is the blood supply to the suprarenal glands?

superior suprarenal off inferior phrenic
middle suprarenal directly off the aorta
inferior suprarenal off the renal

16

Discuss the innervation to the adrenal gland. Is the neuron to the adrenal gland postganglionic or preganglionic? Are the neurons to the cortex post or preganglionic?

preganglionic; postganglionic

17

Where do hypogastric nerves arise from?

the superior hypogastric plexus

18

Where do 90% of the sympathetics to the pelvis come from?

hypogastic nerves

19

Where do the remaining 10% of sympathetics to the pelvis come from?

sacral splanchnics

20

Where do the vagal trunks terminate?

left colic flexure

21

After the left colic flexure, where does the remainder of the gut tube get its parasympathetic fibers from?

pelvic splanchnics S2-4

22

Formed by the combination of two lumbar trunks and one intestinal trunk as a small dilation just inferior to the diaphragm known as the cisterna chyli

thoracic duct

23

What is the small dilation just inferior to the diaphragm known as?

cisterna chyli

24

What are two muscles of the posterior wall musculature?

quadratus lumborum
psoas major

25

List the abdominal aortic branches from superior to inferior

Inferior phrenics
celiac artery
middle suprarenal
SMA
renal
gonadal
IMA
lumbar arteries
common iliacs
median sacral artery

26

The lumbar veins connect the IVC to the (blank) which ultimately connects to the azygos system

ascending lumbar vein

27

What is the ligament where the diaphragm abuts the quadratus lumborum?

Lateral arcuate ligament

28

What is the ligament where the diaphragm abuts the psoas major?

Medial arcuate ligament

29

This extends inferiorly to attach to the vertebral bodies

crura.

30

Which crura is tighter, longer, and makes up the esophageal hiatus

right crura