Anatomy - Posterior Abdominal Wall

Front 1

part of pelvic bone that attaches to sacrum of sacro-iliac joint

Back 1

ilia

Front 2

rib behind top of left kidney

Back 2

11

Front 3

rib behind top of right kidney

Back 3

12

Front 4

muscles forming medial boundary of posterior abdominal region

Back 4

psoas major and minor

Front 5

muscles forming lateral boundary of posterior abdominal region

Back 5

quadratus lumborum

Front 6

muscles forming inferior boundary of posterior abdominal region

Back 6

iliacus

Front 7

muscles forming superior boundary of posterior abdominal region

Back 7

diaphragm

Front 8

this anchors the diaphragm to the lumbar vertebrae

Back 8

musculotendinous crura

Front 9

right crus attaches to what vertebra(e)?

Back 9

L1-3

Front 10

left crus attaches to what vertebra(e)?

Back 10

L1-2

Front 11

connects the right and left crus

Back 11

median arcuate ligament

Front 12

medial arcuate ligament is formed by ____ at vertebrae ______

Back 12

psoas major at L1-2

Front 13

lateral arcuate ligament is formed by ____ at vertebrae ______

Back 13

quadratus at L1 and rib 12

Front 14

aorta passes through diaphragm at _____ with ____

Back 14

T12 with thoracic duct and azygos vein

Front 15

esophagus passes through diaphragm at _____ with ____

Back 15

T10 with ant and post vagal trunks, L gastric A and V, lymph vessels

Front 16

IVC passes through diaphragm at _____ with ____

Back 16

T8 with R phrenic nerve

Front 17

greater/less splanchnics pass through ___ in diaphragm

Back 17

crus

Front 18

hemiazygos passes through ____ in diaphragm

Back 18

L crus

Front 19

superior epigastrics pass ____ to diaphragm

Back 19

anterior to

Front 20

location of L dome of diaphragm

Back 20

5th ICS

Front 21

location of R dome of diaphragm

Back 21

rib 5

Front 22

superior diaphragm BS

Back 22

musculophrenic, pericardiacophrenic and superior phrenic

Front 23

inferior diaphragm BS

Back 23

inferior phrenic

Front 24

musculophrenic and pericardiacophrenic branch from

Back 24

internal thoracic

Front 25

inferior phrenic branches from

Back 25

abdominal aorta

Front 26

motor IV of diaphragm

Back 26

phrenic from below

Front 27

sensory IV of diaphragm

Back 27

phrenic (center) and IC (outside)

Front 28

cause of most herniations through diaphragm

Back 28

failed fusion of embryologic precursors of diaphragm

Front 29

location of Morgagni herniation

Back 29

xiphoid and R costal margin

Front 30

location of Bochdaleck herniation

Back 30

L posterior pleuroperitoneal membrane

Front 31

kidney location supine

Back 31

T12-L3 on the R

Front 32

renal fascia fuses laterally with

Back 32

transversalis fascia

Front 33

renal fascia fuses superiorly with

Back 33

diaphragm

Front 34

renal fascia posteriorly fuses medially with

Back 34

psoas major fascia

Front 35

renal fascia fascia covers ___ inferiorly

Back 35

uterus

Front 36

paranephric fat covers kidney where?

Back 36

posterior and posterolaterally

Front 37

BS of kidney and from where it branches including vertebral level

Back 37

renal A, aorta at L1-2

Front 38

renal veins are anterior to or posterior to the arteries?

Back 38

anterior to

Front 39

describe relation of L renal vein with other structures

Back 39

behind SMA, in front of aorta

Front 40

relation of muscles to kidney from medial to lateral:

Back 40

psoas major, quadratus, transverse abdominal

Front 41

nerves that lie behind the kidney

Back 41

subcostal, iliohypogastric, ilio-inguinal

Front 42

ureters can be constricted at these 3 points:

Back 42

uretopelvic junction, pelvic inlet (as it crosses common iliac) and bladder entrance

Front 43

upper BS of ureter

Back 43

renal A

Front 44

middle BS of ureter

Back 44

abdominal aorta, testicular and common iliacs

Front 45

pelvic BS of ureter

Back 45

internal iliac

Front 46

upper lymph drainage of ureter

Back 46

lumbar

Front 47

middle lymph drainage of ureter

Back 47

common iliac

Front 48

pelvic lymph drainage of ureter

Back 48

external and internal iliac

Front 49

visceral efferent IV of ureter

Back 49

sympathetic and parasympathetitc

Front 50

visceral afferent IV of ureter

Back 50

T11-L2 for pain

Front 51

most common urinary tract CA

Back 51

renal cell carcinoma from proximal tubular epith

Front 52

sx of UT CA

Back 52

hematuria, pain in loin, mass

Front 53

spread of UT CA by

Back 53

renal vein

Front 54

sx of renal stone

Back 54

loin pain, hematuria

Front 55

transitional UT CA requires this type of tx

Back 55

removal of whole UT system

Front 56

which suprarenal is larger?

Back 56

L

Front 57

what is related to R suprarenal anteriorly?

Back 57

liver, IVC

Front 58

What is related to L suprarenal anteriorly?

Back 58

stomach, pancreas, spleen

Front 59

are suprarenals enclosed by renal fascia?

Back 59

yes

Front 60

R suprarenal vein drains into:

Back 60

IVC

Front 61

L suprarenal vein drains into:

Back 61

L renal vein

Front 62

superior suprarenal BS

Back 62

inferior phrenic

Front 63

middle suprarenal BS

Back 63

aorta

Front 64

inferior suprarenal BS

Back 64

renal A

Front 65

level of bifurcation of aorta

Back 65

lower L4 and at line between iliac crests

Front 66

structures anterior to aorta

Back 66

pancreas, splenic vein, L renal vein, inferior duodenum

Front 67

structures posterior to aorta

Back 67

lumbar veins draining into IVC

Front 68

structures to the R of the aorta

Back 68

cisterna chyli, thoracic duct, axygos vein, R crus and IVC

Front 69

structures to the L of the aorta

Back 69

L crus

Front 70

visceral branches of aorta: unpaired (3)

Back 70

celiac, SMA, IMA

Front 71

visceral branches of aorta: paired (3)

Back 71

mid suprarenal, renal, testicular

Front 72

posterior branches of aorta (3)

Back 72

inferior phrenic, lumbar and median sacral

Front 73

level of formation of IVC

Back 73

L5, right of midline

Front 74

IVC is crossed anteriorly by

Back 74

R external iliac, root of mesentery, R testicular, inferior duodenum, head of pancreas, superior duodenum, bile duct, portal vein, liver

Front 75

5th lumbar vein drains to ___ then ___

Back 75

iliolumbar, external iliac

Front 76

3rd/4th lumbar veins drain to

Back 76

IVC

Front 77

1st/2nd lumbar veins drain to

Back 77

ascending lumbar vein

Front 78

back up for blocked IVC:

Back 78

ascending lumbar vein

Front 79

fat from small intestine is drained by:

Back 79

lacteals

Front 80

there is lymph drainage from everywhere except

Back 80

brain, bone marrow, and avascular tissue

Front 81

origin of psoas major

Back 81

T12-L5

Front 82

insertion of psoas major

Back 82

lesser trochanter

Front 83

IV of psoas major

Back 83

anterior rami of L1-3

Front 84

function of psoas major

Back 84

flexion of thigh at hip

Front 85

origin of psoas minor

Back 85

T12-L1

Front 86

insertion of psoas minor

Back 86

pelvic brim and iliopubic eminence

Front 87

IV of psoas minor

Back 87

anterior rami of L1

Front 88

function of psoas minor

Back 88

weak flexion of vertebra

Front 89

origin of quadratus

Back 89

TP of L5, iliac crest

Front 90

insertion of quadratus

Back 90

TP of L1-4, rib 12

Front 91

IV of quadratus

Back 91

anterior rami of T12-L4

Front 92

function of quadratus

Back 92

depress and stabilize rib 12; lateral bending

Front 93

origin of iliacus

Back 93

iliac fossa, sacrum

Front 94

insertion of iliacus

Back 94

less trochanter

Front 95

IV of iliacus

Back 95

femoral nerve (L2-4)

Front 96

function of iliacus

Back 96

flexion of thigh at hip

Front 97

area drained by R jugular trunk

Back 97

R neck and head

Front 98

area drained by L jugular trunk

Back 98

L head and neck

Front 99

area drained by R subclavian

Back 99

R UE, superficial thoracic and upper abd wall

Front 100

area drained by L subclavian

Back 100

L UE, superficial of thoracic and upper abdominal wall

Front 101

area drained by R bronchomediastinal trunk

Back 101

R lung and bronchi, mediastinum, thoracic wall

Front 102

area drained by L bronchomediastinal trunk

Back 102

L lung and bronchi, mediastinum, thoracic wall

Front 103

area drained by thoracic duct

Back 103

lower limbs, abd wall and viscera, pelvic wall and viscera, thoracic wall

Front 104

lower limb/perineum drains into ___ then ___

Back 104

external iliac then common iliac

Front 105

pelvis drains into __ then __

Back 105

internal iliac then common iliac

Front 106

lateral/lumbar nodes drain

Back 106

body wall, kidney, suprarenal testes

Front 107

lateral/lumbar nodes drain into

Back 107

R and L lumbar trunks

Front 108

pre-aortic nodes drain the

Back 108

intestinal trunk

Front 109

pre-aortic nodes drain into

Back 109

cisterna chyli

Front 110

lumbar splanchnic carries

Back 110

preganglionic symp and visceral afferents

Front 111

3 parts of abdominal plexus

Back 111

celiac, abdominal aortic and superior hypogastric

Front 112

pelvic splanchnic carries:

Back 112

pregang parasympathetic

Front 113

referred pain from heart through and to

Back 113

thoracic splanchnic, T1-4, upper thorax and medial arm

Front 114

referred pain from foregut through and to

Back 114

greater splanchnic, T5-9, lower thorax and epigastric

Front 115

referred pain from midgut through and to

Back 115

lesser splanchnic, T9-10, umbilical

Front 116

referred pain from kidney/upper ureter through and to

Back 116

least splanchnic, T12, flank and pubic

Front 117

referred pain from hindgut through and to

Back 117

lumbar splanchnic, L1-2, L and R flanks, groin, lateral/anterior thigh