Abdomen

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4 major branches off the abdominal aorta
celiac trunk, superior mesenteric artery, renal arteries, inferior mesenteric artery
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celiac trunk serves
stomach, pancreas, and spleen
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supeior mesenteric artery serves
small intestine, part of large intestine
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inferior mesenteric artery serves
large intestine, rectum
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at the L4 vertebra, the abdominal aorta splits into two
common iliac arteries
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smaller veins drain into the
inferior vena cava
transcends the abdomen, thorax and connects directly to the right atrium
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capillaries of the small and large intestines drain into veins that merge together to form the
hepatic portal vein
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absorbed nutrients pass through the _____ for filtration
liver
things we ingest usually go through blood supply, need to filter before main blood stream
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the liver is drained by the
inferior vena cava
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most anterior abdominal muscles are innervated by
intercostal nerves T7-12
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the lower abdominal muscles are often innervated by
iliohypogastric and ilioinguinal nerves
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most posterior abdominal muscles are innervated by
branches of anterior rami of L nerves or lumbosacral plexus nerves
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midline of tranverse abdominal is called
abdominal aponeurosis
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transverse abdominal muscles are
core stabilizers
used when goal is to make the abdomen/thorax immobile
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thoracolumbar fascia is the origin for both
internal oblique and transverse abdominals
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external oblique originates on the
ribs
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rectus abdominus is the antagonist to
erector spinae muscles
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rectus abdominus sits within the
rectus sheath
formed by the aponeurosis of the internal obliques
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iliacs and psoas major both pass
deep to the inguinal ligament and insert on the femur, hip flexors
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thoracolumbar fascia is a critical
structural connection, connects force between trunk and leg
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thoracolumbar fascia is origin of
transverse abdominal, internal oblique, and latissimus dorsi
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thoracolumbar fascia wraps around
quadratus laborum
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abdomen divided into
peritoneal and retroperitoneal cavities
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organs are held into place and anchored to body walls with sheets of connective tissue called
mesenteries
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abdominal organs are in the peritoneal cavity except the
kidnneys (retroperitoneal)
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greater omentum
hangs down from the stomach like a curtain, serparating visceral and parietal peritoneum
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subcutaneous fat does
thermoregulation (keeps us warm)
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visceral fat does
cushioning, energy production, signaling
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visceral fat _______ in some individuals
accumulates in and under the omentum and mesenteries in some individuals
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visceral fat is an ______ organ
endocrine
releases adipokines - hormones that affect our metabolism
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the inguinal canal passes between
the aponeurosis of the external oblique (superior) and inguinal ligament (inferior)
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what passes through the inguinal canal
spermatic cord or round ligament of uterus pass through
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spermatic cord inguinal canals are larger in individuals with testes, so they are
8x more likely to develop hernias
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risk factors for hernia
chronic cough
constipation
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Why are hernias bad?
blockage
could rupture and bacteria gets released which leads to sepsis
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the contents of the GI tract are considered
outside the body
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stomach functions
HCl and pepsin/pepsinogen denature proteins
three layers of muscle in the wall grind food
Holder of food - up to 1L - with slow release into small intestine
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three sections of small intestine
Duodenum, jejunum, and ileum
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majority of digestion occurs in the
duodenum
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what aids the duodenum in digestion
bile from gall bladder/liver
pancreatic juice from pancreas
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jejunum and ileum are long with masssively folded internal structures for
surface area
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where does absorption occur?
jejunum and ileum
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absorbed nutrients have 1 of 2 fates
carbohydrates and proteins are broken into small monomers, absorbed into intestinal capillaires -> hepatic portal vein to liver for filtration/processing, also water absorbed into blood

lipids assemble into small droplets due to hydrophobic properties, too large for capillaries, absorbed into lacteals (lymph) head straight to venous return
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large intestine functions
absorbs water and vitamins from the remaining material
compaction of feces
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the appendix is a haven for
bacteria
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bacteria in the appendix ____ the large intenstine after
repopulate
diarrheal disease
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the appendix has some ________ ______ in wall
lymph tissue
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if a lump of feces or swelling of lymph tissue causes blockage in the appendix
the bacteria cannot escape which results in swelling and rupture can result
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Liver functions - the liver recycles
red blood cells - produces bilirubin, secreted into bile -> feces
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Liver functions - produces ____
bile -> lipid breakdown
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Liver functions - produces ______ ________
plasma proteins - main osmotic regulators of the blood
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Liver functions - filters
nutrient rich/toxin rich blood from the small intestine
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Liver functions - ______ storage
glycogen storage -> metabolic role
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pancreas is both an _______ and _______ organ
endocrine and exocrine
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exocrine function of pancreas
pancreatic juice to GI tract
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endocrine function of pancreas
regulator of blood sugar through the antagonistic action of insulin and glucagon
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the pancreas connects to the
duodenum
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the spleen recycles
red blood cells
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the spleen is a ________ organ
lymphoid - scans the blood for pathogens
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the spleen is highly
vascularized
main risk of abdominal injury is splenic bleeding
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kidneys filter
blood from renal arteries - return filtered blood in renal veins to IVC
does not go through hepatic portal system
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adrenal glands contain
medulla and cortex
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the ____ kidney is lower
right -> liver
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