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42 Cards in this Set

  • Front
  • Back
What are the borders of the abdominal cavity? Superiorly, inferiorly, posteriorly, laterally and anteriorly
Superiorly- Diaphragm
inferiorly- countinuous with the pelvic cavity
posteriorly-vertebral column and abdominal wall
laterally and anteriorly- by abdominal wall, ribs in top portion
What are the functions of the abdomen?
-Protection of abdominal organs
-breathing
-change in intra-abdominal pressure
-container for important visceral organs
what structures are found in the RUQ and LUQ?
RUQ: liver and gall bladder
LUQ: stomach and spleen
What structures are found in the RLQ and LLQ
RLQ: appendix, ascending colon
LLQ: descending colon and Sigmoid colon
Pancrease- R and L UQ
Small bowl- in all 4 quadrants
What does the diaphragm divide
divides the thoracic and abdominal cavities
Anterior and posterior diaphragm attachment
anteriorly- attached to costal margin
Posterios- the diaphragm has two muscular extensions, right and left crus
What are the crus attached to?
crus attached to the median arcuate ligament
What is the parietal peritoneum?
lines the abdominal wall
Visceral peritoneum
covers organs suspended in the peritoneal cavity
Peritoneal cavity
potential space between parietal and visceral perotneum
Intraperitoneal
organs suspended in the abdominal cavity by mesentery: these structures are free to move within the mesentary
Mesentary
this thissue composed of regleted peritoneal double layer
Retroperitoneal
organs that are positioned between the parietal peritoneum and abdominal wall in the extraperitoneal fascia
Peritoneal folds form special structures
including mesentery, ligaments, omentum
What are bony components of abdominal wall
Lumbar vertebrae, upper wings of pelvic bones, costal margin and ribs 11 and 12
What are muscular components of abdominal wall
Posterior- quadratus lumborum, psoas, iliacus
Lateral- external and internal oblique, transversus abdominis
Anterior- rectus abdominis
Layers of abdominal wall from superficial to deep
Skin
Superficial fascia
Muscles and deep fascia (transversalis fascia)
Extraperitoneal fascia
Parietal peritoneum
Superficial Fascia of abdomen
Subcutaneous tissue, mostly fat
Below the umbilicus the subcutaneous tissue divides into superficial layer(camper's fascia) and deeper layer (scarpa's fascia)
Camper's fascia (superficial layer)
Continues to become tissue in penis and scrotum (dartos fascia) or labia majora
Deeper layer (Scarpa’s fascia):
membranous layer
Continues into the perineum as Colles’ fascia.
What muscles are on the anterior-lateral wall of the abdomen?
Posterior-lateral:
External oblique
Internal oblique
Transversus abdominis

Medial:
Rectus abdominis
Pyramidalis
What is aponeurosis?
flat, broad tendinous sheets
Exteral Olique Muscle
Deep to superficial fascia
- Runs inferior-medially (“hands in the pockets”)
- Continues as aponeurosis of external oblique in midline, and linea alba in the middle
What is the inguinal ligament
Inferior thickening of the aponeurosis form the inguinal ligament which runs from the ASIS to the pubic tubercle of the pelvic bone
Internal oblique muscle
Runs superior-medially (most of it)
- Aponeurosis continues to linea alba
Transvesus abdominis
Deepest layer, deep to internal oblique
- Runs horizontally
- Aponeurosis continues to linea alba
Transversalis fascia
Deep fascia deep to transversus abdominis is called the transversalis fascia
What is deep to trasnversalis fascia
Deep to that is the extraperitoneal fascia and fat and parietal peritoneum
Function of flat muscles, and innervation
Flat muscles compress abdominal contents and flex/rotate trunk. Innervated by thoracic spinal nerves
Rectus abdominis muscle
Flat muscle from ribs to pubis, runs vertically
- Separated by linea alba and 3-4 horizontal insertions
- Covered by rectus sheath (aponeurosis) formed by various layers of flat muscles
- Except for posterior inferior quarter of the muscle which is in direct contact with transversalis fascia
vessels that supply the anterior abdominal wall
superior epigastric artery: from the internal thoracic artery
inferior epigastric arter from external iliac artery
these will meet and form the anastomosis
Inguinal region
Region between anterior abdominal wall and thigh

Has weaknesses from development of the gonads (testes descend through the wall)
Inguinal canal
Anatomical passageway in anterior abdominal wall formed by folding of aponeurosis of abdominal muscles
Location of the inguinal canal
Starts at deep (internal) inguinal ring (transversalis fascia) and ends at superficial (external) inguinal ring (external oblique aponeurosis
difference in men vs. women with inguinal canal
Passes spermatic cord in men or round ligament in woman (and nerves, vessels, and lymphatics) from deep ring to superficial ring
Inguinal canal is much more prominent in men
Major spermatic cord contents
Vas deferens
Venous plexus
Testicular artery + others
Genitofemoral nerve – cremaster muscle
SEVEN UP
Cremaster muscle
extension from internal oblique around scrotum and cord: draws testes up in response to cold or fear
hernia
abnormal protrusion of an organ or its coverings through the wall of a cavity
Inguinal hernia-
passage of peritoneal sac +/- abdominal contents through the abdominal wall to the groin, much more common in men
indirect inguinal hernias
through the deep inguinal ring, can extend all the way through the superficial ring into the scrotum:
Indirect hernias pass through the deep inguinal ring (lateral to the epigastric vessels)
Direct inguinal hernia
through the posterior wall of the inguinal canal, can extend through the superficial ring
Does not go through the whole inguinal canal:
Initial protrusion is usually through weakened space in the inguinal triangle

Direct hernias pass through the inguinal triangle (medial to the epigastric vessels)
Inguinal triangle
made:

Lateral: inferior epigastric artery
Medial: rectus abdominis muscle
Inferior: inguinal ligament