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10 Cards in this Set
- Front
- Back
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What are the names of the 2 superficial fascia of the abdomen and there compositions?
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Scarpa's (Fibrous)
Camper's (Fatty) |
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Contraction of the abdominal muscles aid in...........?
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Coughing, vommitting, defecation, micturation, parturation, expiration - Anything requiring raided intra-abdominal pressure
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Which vertabrae principally supply the epigastic, umbilical, suprapubic and groin and scrotum regions?
Clinical - Damage to which nerves causes ill effect (The lateral muscles nerves or RA)? |
T8, T10, T12, L1
Nerves to RA as there is little cross-communication unlike that of the lateral muscles |
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The superior and I.epigastric vessels supply the abdominal wall - But what are these arteries branches off??
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Superior - Internal thoracic artery
Inferior - External Iliac artery |
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What are the contents of the inguinal canal in men and women?
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Men - Spermatic cord
Women - Round ligament of the uterus Both - Ilioinguinal nerve |
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Inguinal Canal
Roof: Floor: Posterior and anterior walls: |
Roof - Internal Oblique and transversus abdominis
Floor - Inguinal ligament Anterior - Aponeuroses of the EO - IO reinforce later 1/3 Posterior - Tranversalis fascia, conjoint tendon reinforces medial 1/3 |
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Define:
Mid-inguinal point Mid-point of the inguinal ligament Add clinical relevance |
ASIS and pubic symphasis - Femoral A.
ASIS and pubic tubercle - Deep inguinal ring Note: above PT = Superfial inguinal ring |
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What are the borders of Hesselbach's (inguinal) triangle and clinical significance?
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Inferior - Inguinal ligament
Medial RA Lateral - Inferior epigastric vessels Clinical - Direct inguinal hernia (medial of I.epigastric A.) |
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What is a sliding inguinal hernia?
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Extraperitoneal structures (Caecum and A.colon RHS or descending colon LHS) form part of the wall of the sac
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Define:
Reducible Irreducible Obstructed Strangulated |
Reducible - Hernia can be push back into place - May reappear and sac may persist
Irreducible - Cannot do the above due to narrow neck which prevents reduction Obstructed - Lumen may collapse and adhere leading to blockage Strangulation - Reduced blood supply - Vein and lymph compress and pressure rises overcoming arterial pressure |
