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45 Cards in this Set

  • Front
  • Back

Abdomen - definition

Part of trunk between thorax and pelvis

Anterolateral abdominal wall - borders

Pelvic bones inferiorly


Vertebral column posteriorly (L1-L5)


Ribs, costal cartilages, and xiphisternal joint superiorly

Layers of muscles in anterolateral abdominal wall (superficial to deep)

External oblique - hands down fibers


Internal oblique - hands up fibers


Transversus abdominis - horizontal fibers

Rectus abdominis - Location

Runs up center of anterior abdominal wall

Functions of muscles of anterior abdominal wall

Flexing trunk


Compressing/supporting internal viscera

Muscles of posterior abdominal wall


Iliacus


Psoas major


Quadratus lumborum

Psoas and Iliacus combined action

Flex the thigh

Slips of muscle that attach diaphragm to vertebral column

Left and right crus

Vena caval foramen


Passes through what?


Structure that passes through?


At what vertebral level?

Central tendon of diaphragm


IVC


T8

Esophageal hiatus


Passes through what?


Structures that pass through?


At what vertebral level?

Right crus


Esophagus & vagal trunks


T10

Aortic hiatus


Passes through where?


Structures that pass through?


At what vertebral level?

Gap behind margin of diaphragm


Aorta, thoracic duct, azygos vein


T12

Abdomen - contents

Gastrointestinal system organs (stomach & intestines, liver, pancreas, gall bladder)


Urinary system structures


Spleen


Nervous system structures


Vascular structures

Peritoneum - definition

Closed sac w/in interior of abdominal cavity containing thin layer of serous fluid

Epiploic foramen

Separates greater and lesser sacs of peritoneum

Mesentery - definition

Double layers of peritoneum that hang off an edge of an organ and fuse together

Greater omentum


Definition?


Attachments?

Double layer of peritoneum formed form mesentery hanging off greater curvature of stomach, folding back on itself, fusing with mesentery of transverse colon



Greater curvature of stomach

Lesser omentum


Definition?


Attachments?

Double layer of peritoneum running from lesser curvature of stomach and proximal duodenum to inferior surface of liver



Lesser curvature of stomach, duodenum


Liver

Transverse mesocolon


Attachments?

Mesentery of transverse colon



Attaches transverse colon to posterior abdominal wall

Sigmoid mesocolon

Mesentery attaching sigmoid colon to posterior abdominal wall

"The Mesentery"

Mesentery of small intestine



Attaches jejunum and ileum to posterior abdominal wall

Mesoappendix

Mesentery attaching appendix to cecum

Falciform ligament - definition

Mesentery attaching liver to anterior abdominal wall

Greater sac

Portion of peritoneal cavity "anterior" to stomach and most of gut tube organs



Majority of peritoneal cavity

Lesser sac

Small pinched off recess of peritoneal cavity (dead end due to spleen on left side of stomach)



Portion of peritoneal cavity posterior to stomach and lesser omentum

Abdominal arterial supply - general

Aorta to common iliac as.

Arteries supplying diaphragm

Inferior phrenic as.

Arteries supplying suprarenal glands

Middle suprarenal as.

Arteries supplying muscular wall of abdomen

Lumbar as.

Arteries supplying retroperitoneal kidneys

Renal as.

Arteries supplying ovaries or testes

Gonadal as.

3 unpaired branches of as. supplying peritoneal viscera within abdomen

Celiac trunk, superior mesenteric a., inferior mesenteric a.

Celiac trunk - supplies?

Foregut structures (stomach, duodenum, pancreas, liver, gall bladder, spleen)

Superior mesenteric artery - supplies?

Midgut structures (jejunum, ileum, ascending colon, transverse colon)

Inferior mesenteric artery - supplies?

Hindgut structures (left colic flexure region of transverse colon, descending colon, sigmoid colon)

Abdominal vs. draining directly into IVC or Azygos v.

Inferior phrenic vs.


Suprarenal vs.


Renal vs.


Gonadal vs.


Lumbar vs.

Abdominal vs. draining into portal v.

Superior mesenteric v.


Inferior mesenteric v.


Splenic v.


Left gastric v.

Function of right, middle, and left hepatic vs.

Return processed blood from liver to systemic circulation at IVC

Portal-Systemic anastomoses

Esophageal veins & azygos (systemic) <> left gastric vein (portal)



Superior rectal vein (portal) <> middle/inferior rectal veins (systemic)



Paraumbilical veins (portal) <> superficial epigastric veins (systemic)


Four parts of the stomach

Cardia


Fundus


Body


Pyloric part (antrum & canal)

Pyloric sphincter

Muscular ring that closes pyloric orifice (opening into duodenum)

Blood supply to stomach - lesser curvature

Left gastric a. (from celiac trunk)


Right gastric a. (from proper hepatic a.)

Blood supply to stomach - greater curvature

Left gastroepiploic a. - from spenlic a.


Right gastroepiploic a. - from gastroduodenal a.

Spleen - Relationship

Lateral to stomach, anterior to left kidney

Spleen - blood supply

Splenic a. (branch off celiac trunk)

Attachments of spleen

To stomach via gastrosplenic ligament


To posterior abdominal wall via splenorenal ligament