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WEEK 1:
Introduction to the abdominal cavity:
| Question | Answer |
|---|---|
| what planes make up the four quadrants | median plane and transumbilical plane |
| what makes up the transumbilical plane | IV disk between L3 & L4 |
| name the four quadrants | RUQ, RLQ, LUQ, LLQ |
| what planes make up the nine regions | transtubercular plane, subcostal plane and midclavicular planes |
| where are the midclavicular planes | halfway along clavicle and midinguinal point |
| where makes up the subcostal plane | inferior border of 10th costal cartilage and L3 (body) |
| what makes up the transtubercular plane | iliac tubercles and L5 (body) |
| name the nine regions | right hypochondriac, epigastric, left hypochondriac, right lumbar, umbilical, left lumbar, right iliac/ inguinal, hypogastric, left iliac. inguinal |
| abdominal boundaries | superior, inferior, anterolateral, and posterior |
| superior abdominal boundary | diaphragm |
| inferior abdominal boundary | pelvic inlet (continuous with pelvis) |
| anterolateral abdominal boundary | musculo-aponeurotic abdominal wall |
| posterior abdominal boundary | lumbar vertebrae |
| abdominal viscera include | liver, pancreas, gall bladder, left kidney, small intestines, appendix, ascending colon, descending colon, and sigmoid colon |
| what nodes are superior to umbilicus | axillary lymph nodes |
| what nodes are inferior to umbilicus | superficial inguinal lymph nodes |
| melanomas in men are most often where | on thorax, abdomen or back |
| melanomas in women are most often where | on lower legs |
| superficial lymphatic vessels drain with | subcutaneous veins |
| deep lymph vessels drain with | deep veins into external iliac, common iliac and lumbar lymph nodes |
| T7-T9 dermatomes | supply skin superior to umbilicus |
| T10 dermatome | supply umbilicus |
| T11-T12 dermatomes | supply skin below umbilicus |
| iliohypogastric and iliolingual nerves | both come from (L1 spinal nerve) which help supply skin below umbilicus (T11-T12) |
| L1 dermatome | supply suprapubic region |
| clinical significance of dermatomes | helps with understanding of dermatomal innervation during sensory testing to identify nerve/ spinal cord functioning |
| peritoneum | smooth transparent serous membrane |
| types of peritoneum | parietal and visceral |
| peritoneal cavity | space (different in males and females) filled with peritoneal fluid |
| peritonitis | inflammation of peritoneum or ascites (abnormal build up of fluid in abdomen) |
| peritoneal formations/ folds which help with attachment include | mesentery, peritoneal ligament (eg falciform ligament), and omentum (greater and lesser omentum) |
| types of peritoneal organs can be | intraperitoneal (inside peritoneal cavity eg stomach) or retroperitoneal (behind/outside peritoneum eg kidneys) |
| supracolic area | superior to transverse colon |
| infracolic area | inferior to transverse colon |
| paracolic area (gutter) | lateral to ascending & descending colons |
| abdominal wall consists of | skin, subcutaneous tissue (camper's fascia and scarpa's fascia), muscles (rectus abdominis, external and internal oblique, and transverse abdominis), endoabdominal fascia, and extraperitoneal fat |
| contents of the rectus sheath | Rectus abdominis & pyramidalis, Anastomosing superior and inferior epigastric arteries and veins, Lymphatic vessels, Distal portions of the anterior rami of spinal nerves T7-T12, and Arcuate line |
| where is the arcuate line | 1/3 of the distance from pubic crest to umbilicus |
| distal portions of the anterior rami of spinal nerves T7-T12 function | supply muscles overlying skin |
| linea alba | 'white line' is the fused aponeuroses of three flat muscles in the midline and extends from xiphoid process to pubic symphysis |
| what lies on the other side of the linea alba | rectus abdominis muscles |
| rectus abdominis | strap muscle attached to pubic symphysis, pubic crest, xiphoid process and adjacent costal cartilages |
| function of rectus abdominis | compresses abdominal contents and flexes the vertebral column |