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26 Cards in this Set

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Question
Answer
Hint
Fascia holds sutures well is?
Scarpa's
Abdominal reflex tests what nerves segments for upper and lower quadrants?
Upper quadrants test T7-T9 and lower quadrants test T10-T12.
Planter reflex tests what nerve segments?
testing L5-S1
Anal reflex reflex tests what nerve segments?
testing S2-S4 (makes it pucker or wink)
Median Surgical Incisions
avoids muscle, major vessels and nerves and involves the linea alba
Paramedian Surgical Incisions?
is made in the sagittal plane and involves the rectus sheath
Transverse Lanz Surgical Incisions endanger what nerves and predispose patient to what?
iliohypogastric and ilioinguinal nerves, and predispose inguinal herniation later in patients
Pfannenstiel or suprapubic Surgical Incisions are used for what?
is a curved surgical incision that may be used for a caesarian section or urinary bladder surgery. It is a transverse incision through the external sheath of the recti muscles, just above the pubes. It follows natural folds of the skin and curves over the mons pubis in such a way that the pubic hairs cover the incision after surgery.
What canal does the ilioinguinal nerve travel within?
inguinal canal
What type of hernia leaves the abdominal cavity medial to the inferior epigastric artery?
Direct Inguinal Hernia. It protrudes through an area of weakness in the posterior wall of the inguinal canal. The hernial sac is formed by the transversalis fascia. It occurs outside the processes vaginalis and is usually obliterated, parallel to the spermatic cord. Thus, it is outside one or two of the fascial coverings of the cord. It will not traverse the entire canal and protrudes through the wall of the inguinal canal. It emerges from or about the conjoint tendon to reach the superficial inguinal ring. Thus, it gains an outer covering of external spermatic fascia, inside or parallel to that of the cord. In males, it usually does not enter the scrotum.
Importance of Intercristal line?
Spinal Tap level. L4. Just below Transumbilical plane of the quadrants that is located @ L3/L4
linea semilunaris (semilunar) lines are clinically important becasue why?
Usually incisions are not made along the semilunar lines because doing so would interrupt the multiple nerves and vessels that supply the rectus muscle. (Verticle lines and medial to midclavicular lines)
How many regions and planes are there in the abdominal wall?
9 regions and 5 planes
What organs does the transpyloric plane or line cross?
left kidney hila, right kidney superior border, neck of pancreas, duodenojunjual junction. @ L1 vertebra.
Interspinous plane crosses what two structures?
From Left ASIS to Right ASIS
Intertubercular or tanstubercular plane connect what?
Illac crests at L5/S1.
arises from the anterior rami of L1-L3 and part of L4 (communicates with T12), and is embedded within the psoas major muscle and has major branches and segmental derivations.
lumbar plexus
(T7-11) are a continuation of the lower intercostal nerves, which courses between the 2nd and 3rd layers of the abdominal muscles (IO & TA).
thoracoabdominals nerves
arises from the ventral ramus of the 12th thoracic nerve and runs along the inferior border of the 12th rib.
subcostal nerve
arises from the ventral ramus of L1 and pierces the transverse abdominal muscle and branches (these pierce the external oblique aponeurosis).
iliohypogastric nerve
arises from the ventral ramus of L1 and passes between the 2nd and 3rd layers of the abdominal muscles and through the inguinal canal and lateral to the spermatic cord or round ligament of the uterus.
ilioinguinal nerve
arises via L1-L2 spinal nerves and has two major, named branches: 1) femoral branch (supplies femoral triangle of thigh) and 2) genital branch (supplies anterolateral surface of scrotum or labia majora).
genitofemoral nerve
What are the most common of all abdominal hernias and occur lateral to the inferior epigastric artery?
Indirect Inguinal Hernia. Such a hernia enters the deep inguinal ring or the canal of Nuck in females. It is also termed a congenital inguinal hernia which has a hernial sac formed by a persistent processus vaginalis. In males, it is a type of hernia that usually traverses the entire canal, and commonly enters the scotum.
The two medial fossae lie posterior to Hesselbach’s area, which is a potential site for?
A direct hernia.
The lateral fossae are the locations where the exit for what type of inguinal hernia may occur.
Indirect