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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
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Superiorly- Diaphragm
inferiorly- countinuous with the pelvic cavity posteriorly-vertebral column and abdominal wall laterally and anteriorly- by abdominal wall, ribs in top portion |
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What are the functions of the abdomen?
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-Protection of abdominal organs
-breathing -change in intra-abdominal pressure -container for important visceral organs |
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what structures are found in the RUQ and LUQ?
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RUQ: liver and gall bladder
LUQ: stomach and spleen |
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What structures are found in the RLQ and LLQ
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RLQ: appendix, ascending colon
LLQ: descending colon and Sigmoid colon Pancrease- R and L UQ Small bowl- in all 4 quadrants |
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What does the diaphragm divide
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divides the thoracic and abdominal cavities
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Anterior and posterior diaphragm attachment
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anteriorly- attached to costal margin
Posterios- the diaphragm has two muscular extensions, right and left crus |
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What are the crus attached to?
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crus attached to the median arcuate ligament
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What is the parietal peritoneum?
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lines the abdominal wall
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Visceral peritoneum
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covers organs suspended in the peritoneal cavity
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Peritoneal cavity
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potential space between parietal and visceral perotneum
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Intraperitoneal
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organs suspended in the abdominal cavity by mesentery: these structures are free to move within the mesentary
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Mesentary
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this thissue composed of regleted peritoneal double layer
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Retroperitoneal
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organs that are positioned between the parietal peritoneum and abdominal wall in the extraperitoneal fascia
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Peritoneal folds form special structures
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including mesentery, ligaments, omentum
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What are bony components of abdominal wall
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Lumbar vertebrae, upper wings of pelvic bones, costal margin and ribs 11 and 12
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What are muscular components of abdominal wall
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Posterior- quadratus lumborum, psoas, iliacus
Lateral- external and internal oblique, transversus abdominis Anterior- rectus abdominis |
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Layers of abdominal wall from superficial to deep
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Skin
Superficial fascia Muscles and deep fascia (transversalis fascia) Extraperitoneal fascia Parietal peritoneum |
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Superficial Fascia of abdomen
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Subcutaneous tissue, mostly fat
Below the umbilicus the subcutaneous tissue divides into superficial layer(camper's fascia) and deeper layer (scarpa's fascia) |
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Camper's fascia (superficial layer)
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Continues to become tissue in penis and scrotum (dartos fascia) or labia majora
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Deeper layer (Scarpa’s fascia):
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membranous layer
Continues into the perineum as Colles’ fascia. |
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What muscles are on the anterior-lateral wall of the abdomen?
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Posterior-lateral:
External oblique Internal oblique Transversus abdominis Medial: Rectus abdominis Pyramidalis |
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What is aponeurosis?
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flat, broad tendinous sheets
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Exteral Olique Muscle
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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 |
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What is the inguinal ligament
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Inferior thickening of the aponeurosis form the inguinal ligament which runs from the ASIS to the pubic tubercle of the pelvic bone
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Internal oblique muscle
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Runs superior-medially (most of it)
- Aponeurosis continues to linea alba |
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Transvesus abdominis
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Deepest layer, deep to internal oblique
- Runs horizontally - Aponeurosis continues to linea alba |
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Transversalis fascia
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Deep fascia deep to transversus abdominis is called the transversalis fascia
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What is deep to trasnversalis fascia
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Deep to that is the extraperitoneal fascia and fat and parietal peritoneum
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Function of flat muscles, and innervation
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Flat muscles compress abdominal contents and flex/rotate trunk. Innervated by thoracic spinal nerves
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Rectus abdominis muscle
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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 |
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vessels that supply the anterior abdominal wall
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superior epigastric artery: from the internal thoracic artery
inferior epigastric arter from external iliac artery these will meet and form the anastomosis |
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Inguinal region
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Region between anterior abdominal wall and thigh
Has weaknesses from development of the gonads (testes descend through the wall) |
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Inguinal canal
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Anatomical passageway in anterior abdominal wall formed by folding of aponeurosis of abdominal muscles
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Location of the inguinal canal
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Starts at deep (internal) inguinal ring (transversalis fascia) and ends at superficial (external) inguinal ring (external oblique aponeurosis
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difference in men vs. women with inguinal canal
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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 |
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Major spermatic cord contents
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Vas deferens
Venous plexus Testicular artery + others Genitofemoral nerve – cremaster muscle SEVEN UP |
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Cremaster muscle
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extension from internal oblique around scrotum and cord: draws testes up in response to cold or fear
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hernia
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abnormal protrusion of an organ or its coverings through the wall of a cavity
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Inguinal hernia-
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passage of peritoneal sac +/- abdominal contents through the abdominal wall to the groin, much more common in men
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indirect inguinal hernias
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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) |
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Direct inguinal hernia
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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) |
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Inguinal triangle
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made:
Lateral: inferior epigastric artery Medial: rectus abdominis muscle Inferior: inguinal ligament |