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Abdominal
1st Lecture, 2nd Half
| Question | Answer |
|---|---|
| What is the origin/insertion of the rectus abdominis? | Origin: Xiphoid & 5-7th Costal CartsInsertion: Pubic Symphasis and Crest |
| What is the orgin/insertion of the external oblique? | Origin: External surfaces of 5-12th ribsInsertion: Linea alba, pubic tubercle, anterior half of iliac crest |
| What is the orgin/insertion of the internal oblique? | Insertion: Thoracolumbar fascia, anterior 2/3 of iliac crest, lateral 1/3 of inguinal ligament INSERTION: Inferior border of 10th-12th rib, linea alba, and pacten pubis via conjoined tendon |
| What is the orgin/insertion of the transversus abdominus? | Internal surfaces of 7th-12th costal carts, thoracolumbar fascia, iliac crest, lateral 1/3 of inguinal ligament INSERTAION: Linea alba, pecten pubis via conjoined tendon |
| What and where is the arcuate line? | The end of the posterior rectus sheath, 1/3 of the way below the umbilicus |
| Where will lymph above the umbilicus drain? | Axillary node |
| Where will lymph below the umbilicus drain? | Inquingal node |
| What is the cutaneous innervation of the Iliohypogastric? | L1 |
| What is the cutaneous innervation of the Ilioinguinal? | L1 |
| What is the level of the Xiphoid? | T5-6 |
| What is the level of the Umbilicus? | T-10 |
| What is the level of the pubis? | L1 |
| What are the names and levels of the three structures that pass thru the diaphragm? | IVC, T8; Esophagus, T10; Aorta; T12 |
| What passes thru the diaphragm with the esophagus? | The vagus nerve |
| What results from the failure of the diaphragm to fuse during fetal development? | Congenital Diaphragmatic Hernia |
| A protrusion thru which layer results in a hernia? | Transversalis fascia |
| What may convert an area of weakness into a hernia? | Intraabdominal pressure |
| What is contained in the inguinal canal? | Spermatic cord/round ligament of uterus and ilioinguinal nerve |
| What is the floor of the inguinal canal? | Top of inguinal ligament |
| What is the ceiling of the inguinal canal? | Aponeurosis of internal oblique and transverse abdominal muscles |
| What is the anterior border of the inguinal canal? | External oblique |
| What is the posterior border of the inguinal canal? | Transversalis fascia |
| What is an indirect hernia? | One that protrudes thr the processus vaginalis instead of the transversalis fascia |
| Describe Hesselbach's Triangle | bordered by the lateral edge of rectus muscle; a hernia located medial is direct, lateral to it is indirect |
| Which type of hernia is more common? | Indirect |
| Which type of hernia is congenital? | Indirect |