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2scarpa's fascia on scrotum (_______) on deep fascia of thigh (_______)
dartos fascia; fascia lata

3o and i external oblique m
rib 5 to linea alba, form inguinal ligament

4fx external oblique m and internal
flex trunk, same side bend

5O and I internal obliques
9-12 ribs, lateral inguinal ligament

6innervation internal oblique m
intercostal nerves (T7-T11), the subcostal nerve (T12), the iliohypogastric nerve (L1), and the ilioinguinal nerve (L1).

7innervation external oblique m
thoracic spinal nerves (T7-T12) and the iliohypogastric nerve (L1).

8O and I transverse abdominus
lower 6 ribs to inguinal ligament tp linea alba

9fx transverse abdominus
compress abdominal contents

10O and I rectus abdominus
costal cartilage to pubic sympjysis

11fx rectus abdominus
flex vertebral column

12innervation rectus abdominus
anterior rami of the thoracic spinal nerves, specifically T6-T12

13innervation transverse abdominus
intercostal nerves (T7-T11), the iliohypogastric nerve (L1), and the ilioinguinal nerve (L1).

14these muscles all attach to the thick aponeurotc sheet medially forming the rectus sheath
external and internal oblique
transversus abdominus

15star

superficial inguinal ring
16blue dotted line

semilunar line
17PrS

posterior rectus sheath
18ARS

anterior rectus sheath
19a weakened area in the abdominal wall located in the groin, bounded by the rectus abdominis muscle medially, the inguinal ligament inferiorly, and the inferior epigastric vessels laterally; herniation can occur here
hesselbach's triangle

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23a triangular depression of the peritoneum on the inner abdominal wall, above the bladder, formed by the peritoneal fold covering the bladder's surface.
supravesical fossa

24this innervates the skin above the pubic bone
iliohypgastric n (L1)

25spermatic to and give cutaneous inn. To anterior scrotum
ilioinguinal n

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34the internal thoracic a. branches into ____________ which runs deep to rectus abdominus and meets with ___________ which is from the external iliac a
superior epigastric a; inferior epigastric a

35This vein connects the superficial epigastric v to lateral thoracic v
thoracoepigastric v
36what does the thoracoepigastric v drain into

SVC via axillary v and IVC via femoral v
37pathway of the paraumbilical veins

the superficial epigastric vein, which then flows into the femoral vein and subsequently into the external iliac vein and inferior vena cava
38what drains the superficia abdomen wall (lymph); deep
axillary and superficial inguinal
deep: external iliac or lumbar nodes
39what passes through the inguinal canal
spermatic cord OR round ligament of uterus
40an extension of the fibers of the internal oblique muscle. The fibers of this muscle are innervated by the genital branch of the genitofemoral nerve.
reflex: an involuntary muscle contraction that elevates the testicle on the same side of the body
cremaster

41what is at risk of injury in triangle of pain

genitofemoral, femoral, and lateral femoral cutaneous at risk of injury
42what is at risk of injury in triangle od doom

external iliac vessels
43direct or indirect inhuinal hernia: is covered by parietal peritoneum and transversalis fascia
direct
44drect or indirect inguinal hernia: does not traverse the entire inhuinal canal
direct
45direct/indirect inguinal hernia: is outside of the spermatic cord
direct
46dorect/indrect inguinal hernia: emerges from the seuperficial ring
direct
47direct/indirect inguinal hernia: pass drectly through hesselbach's triangle
dorect
48dorect/indirect inguinal hernia: goes indirectly through the inguinal canal
indirect
49dorect/indirect inguinal hernia: is the most common type
indirect
50dorect/indirect inguinal hernia: leaves the abdominal cavty lateral to the epigastric vessels through a congenitally patent deep ring
indirect
51dorect/indirect inguinal hernia: traverse the entire inguinal cana;
indirect
52dorect/indirect inguinal hernia: has the same coverings of the spermatic cord
indirect
53dorect/indirect inguinal hernia: commonly enters the scrotum
imdirect
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61this mesentery/peritoneum holds the liver to the body wall
visceral peritoneum

62suspends most digestive organs (other than liver) to the body wall
dorsal mesentery

63digestive organ term for the digestive organs that have lost their mesentery during developent
retroperitoneal

64The stomach is attached to the dorsal and ventral mesenteries. Rotation of the stomach pulls the dorsal mesentery to the left forming ...
omental bursa

65this is the only entrance to the omental bursa
epiploic foramen of winslow

66this continues to lengthen and then fuses to form the greater omentum
dorsal mesentery

67what is the fx of the greater omentum; what does it extend from
encapsulate organs, encapsulate infection, tumors, etc that enter the cavity;
extends from the greater curvature of the stomach

68this connects the liver to the stomach via the hepatoduodenal and hepatogastrix ligaments
lesser omentum

69what ligaments/folds make up the lesser omentum
hepatogastric and hepatoduodenal

70this connects the greater and lesser sacs and is the only communication point between them
omental foramen=epiploic foramen

71what makes up the portal triad? (x3) where is itcontained?
hepatic artery proper, bile duct, portal vein
lies within the hepatoduodenal ligament

72this ligament of the liver is the former L umbilical v
ligamentum teres
73is the liver peritoneal or retroperitoneal
retroperitoneal
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107O and I quadratus lumborum
O: Transverse process L1-L5
I: Iliac Crest

108fx of the quadratus lumborum
stabilize ribs

109what are the visceral branches of the abdominal aorta
-celiac, SMA, IMA
-middle suprarenal
-renal
-testicular/ovarian

110what are the parietal braches of the abdominal aorta
inferior phrenic, lumbar, middle sacral

111what are the terminal branches of the abdominal aorta
common iliac

112what are the tributaries of the IVC
-lumbar
-right testicular/ovarian
-renal
-suprarenal
-inferior phrenic
-hepatic

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118what ribs when they fracture can hurt the kidneys
Ribs 11 and 12

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159what is used to find the appendix
McBurney point

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171what is the liver in contact with
bare area in contact with diaphragm

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178what is this?

gallstones
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192what does the portal triad include
bild duct, hepatic artery proper, portal vein

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197branches of SMA
middle colic a, ileocolic a, right colic a, intestinal a

198iliocolic a

199blood supply to descending colon
left colic a

200blood supply to sigmoid colon
sigmoid a
201branches of IMA
left colic a, sigmoidal a, superior rectal a

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206this artery connects IMA to SMA

marginal artery
207what are the IMP porto caval anastomosis points
L gastric to esophageal
superor rectal with middle and inferior rectal
paraumbilical vv with superior epigastric v
208a clinical sign characterized by swollen, snake-like veins radiating from the navel, caused by portal hypertension, a dangerous increase in blood pressure in the portal vein

caput medusae
209a condition where blood is present in the urine
hematuria

210a genetic disorder characterized by the growth of numerous fluid-filled cysts in the kidneys. These cysts gradually enlarge, damaging the kidney tissue and leading to progressive kidney failure.
polycystic kidney disease

211a condition where the kidney drops below its normal position when standing up, often without causing symptoms. However, if it causes issues, symptoms can include abdominal or flank pain relieved by lying down, blood in the urine, and repeated infections.
nephroptosis

212what nerve is responsible for the cremaster reflex?

genital branch of genitofemoral n. and ilioingional n.
213where the superior mesenteric a compresses the left renal artery= causes verocele in testicular v
nutcracker syndrome

214what does this show?

renal stones in the ureters
215what are the most common sites of anatomical constriction in the ureters
1) ureter passes over inferior renal pole
2) ureter crosses over external iliac vessels
3) ureter transverses the bladder wall

216what leaves through the lateral accurate ligament
subcostal n

217what leaves through the medial arcuate ligament
iliolinguinal n
iliohypogastric n

218pulsatile lump in ulbilical region. Imaging shown
abdominal aortic aneurism

219what is the structure of a parasympathetic neuron?
long preganglionic fiber; innervate more than one ganglion cell
220this is the sympathetics to the foregut
celiac

221this is the sympathetics pre aortic ganglia to the midgut
superior mesenteric

222sympathetics pre aorticic ganglia renal
aorticorenal

223sympathetcs pre aortica ganglia hindgut
inferior mesenteric

224what does the greater splantnic n supply
celiac an superior mesenteric

225what does the lesser splantnic n supply
superior mesenteric and aorticorenal
226what does the least splantnic n supply
aorticorenal

227what does the lumbar splantnic supply
inferior mesenteric

228what travels through the hypogastric plexus and nerves
lumbar splanchnics and pelvic splanchnics

229location of preganglionic GVE sympathetic cell bodies abdominal
IML
230where does the sympathetic GVA cell body reside in abdominal autonomics
posterior root ganglion
231where do the abdominal lymphatics drain?
corresponding pattern to cisterna chyli to thoracic duct to left jugular venous plexys
232lymph: what drains the foregut
celiac

233lymphatics: what drains the midgut?
superior mesenteric

234lymphatics: what drains the kidneys and testes
lumbar

235lymphatics: what drains the hindgut and superior rectum
inferior mesenteric

236enlarged lymph node on neck; sign of gastric, hepatic, or pancreatic cancer
virchow's node

237what drains the bare area of the liver
phrenic nodes
238what drains the falciform ligament of liver
parasternal
239what drains the round ligament ofd the liver
periumbilical node
240enlarged nodule of the anterior abdomen; sign of stomach cancer

Sister mary joseph node
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266what runs through the deep inguinal ring?
iliohypogastric n
ilioinguinal n
gen branch of genitofemoral n
267what is this? what ligament?

testicular torsion; scrotal ligament twisted cutting off blood supply
268what is this?

hydrocele: no blood; blood accumulates between the two layers of the tunica vaginalis
269what layers are cut in a vasectomy?
skin, dartos fascia, external spermatic fascia, cremasteric m and fascia, internal spermatic fascia, parietal layerof tunica vaginalis
270what is cutemoved in a vasectomy?
vas deferens
271what structure are most at risk of injury in a vasectomt
testicular a most at risk; ilioingional n and genital branch of genitalfemoral also at risk
272What does the cremaster reflex test?
L1-2 spinal cord level
273How is the cremaster reflex elicited?
Stroking the medial aspect of the upper thigh
274What is absent with spinal cord injuries above T5-6?
Abdominal reflex
275What vessel most commonly causes rectus sheath hematoma?
Inferior epigastric artery
276What layer is fat removed from during liposuction?
Subcutaneous tissue (superficial fascia)
277What nerves, arteries, and veins are most at risk in liposuction?
Cutaneous nerves, superficial arteries, superficial veins
278What abdominal incision is at risk of injuring the inferior epigastric vessels?
Transverse incisions
279Which layer must always be sutured during closure of the abdominal wall?
Fascia
280What are the two main types of inguinal hernias?
Direct and indirect inguinal hernias
281Which hernia is medial to the inferior epigastric vessels?
Direct inguinal hernia
282Which hernia traverses the inguinal canal and often enters the scrotum?
Indirect inguinal hernia
283What is Amyand’s hernia?
An inguinal hernia that contains the appendix
284What is the triangle of pain?
A region bound by the inguinal ligament and testicular vessels, containing key nerves
285What is the triangle of doom?
A region bound by the vas deferens and testicular vessels, containing major vessels
286What is an epigastric hernia?
Hernia through the midline between xiphoid and umbilicus
287Where does a femoral hernia protrude?
Through the femoral ring, inferolateral to the pubic tubercle
288What surgery removes part of the ductus deferens?
Vasectomy
289What is at risk of iatrogenic injury in vasectomy?
Genital branch of genitofemoral nerve, testicular artery
290What happens in torsion of the testes?
Rotation and twisting of the spermatic cord, causing vascular compromise
291What is a hydrocele?
Fluid accumulation in the tunica vaginalis of the testes
292What is a hematocele?
Blood collection in the tunica vaginalis of the testes
293Where does the lymph from the testes drain?
Lumbar (para-aortic) lymph nodes
294Where does the lymph from the scrotum drain?
Superficial inguinal lymph nodes
295Name a peritoneal ligament between spleen and kidney.
Splenorenal (lienorenal) ligament
296What is the epiploic foramen of Winslow?
Entry to the lesser sac, bordered by portal triad anteriorly
297What recess accumulates fluid in the supine position?
Morrison’s pouch (hepatorenal recess)
298What is volvulus?
Twisting of an organ with mesentery, leading to obstruction and ischemia
299What is paracentesis?
Removal of ascitic fluid from the peritoneal cavity
300What is the main complication of peritoneal adhesions?
Intestinal obstruction or chronic pain