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Systemic Examination Station L2P2

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lunalovegood's version from 2015-10-04 01:27

Section

Question Answer
The thoracoabdominal nerves (T7-T11 intercostal nerves) also supply the skin and muscles of the ___ _________.abdominal wall
The ___ nerve (T12) passes below the last rib to the skin and muscles of the abdominal wall.subcostal nerve
The costal arch (margin) is formed by costal cartilages _________-_________.7-10
The hip (coxal) bones are formed by _________ bones fused together.3
Name the 3 bones that fused together to form the hip (coxal) bone.ilium, ischium, pubis
The depression separating the leg from the abdomen is indicated by the ____ ligament.inguinal ligament (runs between the anterior superior iliac spine and the pubic tubercle)
Linea alba is the midline from the ____ to the ___ bone.xiphoid, pubic bone (or umbilicus - belly button - at level of L4)
Linea semilunaris parallels the line alba on each side marking the lateral border of _________ ___.rectus abdominis
The 3 horizontal divisions of the rectus abdominis between the linea semilunaris are called...tendinous intersections
Superficial Vessels of Ant. Ab Wall: Above the umbilicus?thoraco-epigastric vein
Superficial Vessels of Ant. Ab Wall: At umbilicus?umbilical venous plexus
Superficial Vessels of Ant. Ab Wall: Below umbilicus?superficial inferior epigastric and superficial circumflex iliac vessels
Superficial Vessels of Ant. Ab Wall: Above the umbilicus the thoraco-epigastric vein goes into the ____ vein.axillary vein
Superficial Vessels of Ant. Ab Wall: At the umbilicus the umbilical venous plexus goes into the ___ vein of the liver.portal vein
Superficial Vessels of Ant. Ab Wall: Below the umbilicus the superficial inferior epigastric and superficial circumflex iliac vessels go into the _________ _________ vein.great saphenus vein (femoral vein)
Deep Vessels of Ant. Ab Wall: the ___ and ___ epigastric arteries.superior and inferior epigastric arteries
Deep Vessels of Ant. Ab Wall: the superior epigastric artery is from the _________ ___ artery. internal thoracic artery (accompanied by corresponding vein)
Deep Vessels of Ant. Ab Wall: the inferior epigastric artery is from the _________ _________ artery.external iliac artery (accompanied by corresponding vein)
_______ nerves: continuations of intercostals 7-11 and subcostal from thorax to abdomen, between internal oblique and transverse abdominis (abdominal neurovascular plane)thoracoabdominal nerves
_________ ___ ___ nerve: terminal branches of thoracoabdominal nerves to the skin.: anterior, lateral cutaneous nerve
Anterior, Lateral Cutaneous Nerve: _________-_________ to skin superior to umbilicus.T7-T9
Anterior, Lateral Cutaneous Nerve: _________ to skin surrounding umbilicus.T10
Anterior, Lateral Cutaneous Nerve: _________-_________ and _________ to skin inferior to umbilicus.T11-T12 and L1
memorize

 

From the Window, to the Wall
Question Answer
The ___ nerve innervates the skin over the inguinal region.iliohypogastric nerve
The ____ nerve innervates the skin just inferior to the iliohypogastric. The superior and medial thigh area.ilioinguinal nerve (also scrotum of males and labia of females)
The iliohypogastric nerve is the ___ division of L1 and the ilioinguinal nerve is the ___ division.superior, inferior
The iliohypogastric nerve and the ilioinguinal nerve travel through the ___ ___ of the ___ abdominal wall.neurovascular plane, anterolateral (between internal oblique and transverse abdominal)
Fibrous compartment for rectus abdominis muscle.rectus sheath
Fibrous compartment for rectus abdominis muscle. Formed of the aponeurosis of abdominal muscles and has a posterior and anterior layer.rectus sheath
The rectus abdominis muscle, superior and inferior epigastric vessels, terminal parts of the lower 5 intercostal nerves, the subcostal nerve and the pyramidalis muscle are all located in the _________ _________.rectus sheath
Superior 3/4 of rectus sheath: the anterior border is the ___ ___ ___ and 1/2 of the internal oblique aponeurosis.external oblique aponeurosis
Superior 3/4 of rectus sheath: the posterior border is 1/2 of the _________ ___ _________, the transversus abdominis aponeurosis, and the transversalis fascia.internal oblique aponeurosis
Inferior 1/4 of rectus sheath: the anterior border is described as "the aponeurosis of ALL THREE MUSCLES"... I have no fucking idea which 3 muscles it is referring tomaybe external oblique, internal oblique, and transversus abdominis aponeurosis ??????
Inferior 1/4 of rectus sheath: the posterior border is ONLY the ___ ___.transversalis fascia
The inguinal canal extends ____ and ___.inferiorly and medially
The inguinal canal is a short passage that extends inferiorly and medially through the inferior part of the ___ ___ between the superficial and deep inguinal rings.abdominal wall
The _________ ___ is a pathway where structures can pass from the abdominal wall to the external genitalia.inguinal canal
What is a potential weakness in the abdominal wall?the inguinal canal
The inguinal canal is a common site of ___.herniation
The superficial (external) inguinal ring marks the end of the _________ ___. It lies just superior to the pubic tubercle. It is a triangular shaped opening in the external oblique. inguinal canal
The ____ (internal) inguinal ring just above the midpoint of the inguinal ligament, which is lateral to the epigastric vessels.deep
The deep (internal) inguinal ring is created by the ___ ___.tranversalis fascia
The testes form in the ___ ___ ___ and descend into the scrotum.posterior abdominal wall
A fibrous cord of tissue called the ____ attaches to the gonad and guides its descent.gubernaculum
The ___ ___ is the path by which the testes leave the abdominal cavity and enter the scrotum.inguinal canal
The ovaries are attached to the uterus by the ______, thus they only descend into the pelvic cavity.gubernaculum
Contents if Inguinal Canal: In men, the ___ ___ (testicular vessels and vas deferens) passes through the inguinal canal to supply and drain the testes.spermatic cord
Contents if Inguinal Canal: In women, the ___ ___ of the uterus traverses through the canal.round ligament
The inferior border is the inguinal ligament, the lateral border is the epigastric artery and the medial border is lateral edge of the rectus abdominis muscle...inguinal triangle
Direct hernia of the inguinal triangle occurs _____ to the ___ ____ ____medial to the inferior epigastric artery
The protrusion of an organ or fascia through the wall of the cavity that normally contains it...hernia
If the peritoneal sac enters the inguinal canal through the deep inguinal ring - that's a ____ hernia.indirect
If the peritoneal sac enters the inguinal canal through its posterior wall and medial to the epigastric vessels - that's a ___ hernia.direct
memorize

 

And back to the diaphragm folks...
Question Answer
The primary inspiratory muscle is the ________ .diaphragm
The diaphragm forms the ____ floor of the thoracic cavity and the ______ roof of the abdominal.convex, concave
The diaphragm has a right and left dome. The ___ dome is usually higher due to the liver.right
The _________ ___ allow passage of the esophagus, vessels, lymphatics, and nerves between the thorax and abdomen.diaphragmatic aperatures
Diaphragmatic Aperature: For the Inferior Vena Cava?caval opening
Diaphragmtic Aperature: For the esophagus?esophageal hiatus
Diaphragmatic Aperature: For the aorta?aortic hiatus
The caval opening is at the level of ___ in the ___ ___.T6, central tendon
The caval opening allows passage of the IVC, _____ _____ nerve, and some lymphatic vessels.right phrenic nerve
The esophageal hiatus is at the level of ___ and is surround by ___ ___.T10, right crus (external esophageal sphincter)
The esophageal hiatus allows passage of esophagus and the right and left ___ nerves.vagus (gastric nerves)
The aortic hiatus is at the level of ___ and is located behind the diaphragm.T12
The aortic hiatus allows passage of the ____ duct, ____ vein, and the ___ ___ from right to left.thoracic, azygose, descending aorta
memorize

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