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Lecture 39: Abdominal Wall- Scarpa’s Camper’s Fascia. Rectus Sheath, Inguinal canal, Hernias, Dermatomes

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Posted by lae2 on October 13, 2021 at 18:04:06:

Essay Questions

A man discovers a lump in his inguinal region. An examination determines that he has an indirect inguinal hernia. Describe the cause of indirect inguinal hernias in relation to development. How does this differ from a direct inguinal hernia? Include in your answer a description of the contents of the inguinal canal in both males and females.
A patient presents with a small protrusion directly between each rectus abdominis muscle superior to the umbilicus. The patient has been dramatically increasing their amount of abdominal exercises. Describe the anatomy and relationships of the rectus sheath, both superior and inferior to the arcuate line. Include in your answer a description of hernias that may occur through the anterior abdominal wall.

True False Questions

The umbilicus is at the L3/4 vertebral level and at the T10 dermatomal level.
The tela subcutanea of the anterior abdominal differentiates into a membranous layer known as Scarpa's fascia.
Inferior to the arcuate line of the rectus sheath, the rectus abdominis muscle is on the outside surface of the transversalis fascia.
The medial umbilical fold is a fold of parietal peritoneum deep to the obliterated umbilical artery.
The lateral umbilical fossa is lateral to the lateral umbilical fold and is the site of herniation for an indirect inguinal hernia.
The superficial inguinal ring is formed by derivatives of the external oblique aponeurosis.
The external spermatic fascia is a derivation of the external oblique aponeurosis.
The cremasteric muscle and fascia is a derivation of the internal oblique aponeurosis.
The testicular artery and pampiniform plexus are deep to the internal spermatic fascia.
The subcostal nerve passes superficial to the lateral arcuate ligament.
An indirect inguinal hernia that descends into the scrotum is palpated at the anterior wall of the scrotum.



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