Week 16 - Posterior Abdominal Wall & Kidney Flashcards
* Be familiar with the anatomy of the posterior abdominal wall * Describe the anatomy, innervation and functions of the muscles of the posterior abdominal wall * Be able to discuss their functional relationship with the diaphragm and roles in posture, ventilation and voiding of abdominal/thoracic contents * Describe the anatomical features of the kidneys: position, extent, relations, hilum, and peritoneal coverings * Describe and relate the internal structure of the kidneys: cortex, medulla and (65 cards)
What is the posterior abdominal wall fascia?
Continuous layer of endoabdominal fascia
It is located between parietal peritoneum & muscles and is continuous with transversalis fascia.
What structure does the posterior abdominal wall fascia connect to medially?
Lumbar vertebrae.
What does the posterior abdominal wall fascia connect to laterally?
Thoracolumbar fascia and quadratus lumborum.
What forms the medial arcuate ligament?
A thickening of the fascia overlying the psoas major muscle
What does the posterior abdominal wall fascia connect to inferiorly?
Iliac fascia covering iliacus.
How many layers does the thoracolumbar fascia have?
Three layers.
Where does the posterior layer of thoracolumbar fascia lie?
Between the 12th rib and iliac crest.
What does the anterior layer of thoracolumbar fascia attach to?
- Anterior aspect of transverse processes of lumbar vertebrae
- 12th rib
- Iliac crest.
What does the anterior layer of thoracolumbar fascia thicken to form?
Lateral arcuate ligament.
What is the lumbar plexus composed of?
Anterior rami of L1-5.
What are the branches of the lumbar plexus?
- Iliohypogastric
- Ilioinguinal
- Genito-femoral
- Lateral femoral cutaneous of the thigh
- Femoral
- Obturator
- Lumbosacral trunk.
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Which lumbar plexus branch pierces the psoas major?
Genito-femoral.
What does the iliohypogastric nerve supply?
Skin of the lower abdomen and part of the buttocks.
What does the lateral femoral cutaneous nerve supply?
Skin on anterolateral surface of thigh.
What does the femoral nerve innervate?
- Iliacus
- Flexors of hip
- Extensors of knee
What is the role of the obturator nerve?
Innervates adductor muscles of the medial thigh.
What forms the sacral plexus?
Lumbosacral trunk with anterior rami of S1-S4.
Also receives contributions from L4 & L5
What are the branches of the abdominal aorta?
- Coeliac artery: Supplies blood to the stomach, liver, and pancreas
- Superior mesenteric artery: Supplies blood to the small intestine
- Inferior mesenteric artery: Supplies blood to the large intestine
- Renal arteries: Supply blood to the kidneys
- Common Iliac arteries: Supply blood to the legs and pelvis
- Inferior phrenic arteries: Supply the diaphragm
- Adrenal arteries: Supply the adrenal glands
- Lumbar arteries: Supply the lower back muscles, joints, and skin
- Median sacral arteries: Supply the sacrum and lumbar vertebrae
- Gonadal arteries: Supply the gonads (ovaries in women and testes in men)
What branches does the external iliac give off?
- Inferior epigastric
- Deep circumflex iliac branches
- Becomes Femoral after passing through inguinal canal
The external iliac artery is a major blood vessel that supplies blood to the lower limbs.
At what level is the inferior vena cava formed?
L5
The inferior vena cava is formed by the union of the common iliac veins.
What structures does the inferior vena cava separate from the portal vein?
Lesser sac
The lesser sac is a cavity in the abdomen that is behind the stomach.
What is the course of the inferior mesenteric vein?
- Tributary of portal system
- Begins as superior rectal vein
- Joins splenic vein behind pancreas
The inferior mesenteric vein drains blood from the large intestine.
Where does the splenic vein begin?
Hilum of spleen
The splenic vein collects blood from the spleen and other abdominal organs.
What veins join the splenic vein?
- Short gastric veins
- Left gastro-omental veins
These veins contribute to the formation of the portal vein.