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Islamic Republic of Afghanistan
Ministry of Higher Education
Ghalib university of Higher Education
Medical faculty
Presenter: Mohammad Azizi
date:3-6-2019
Outline:
 Describe the surface anatomy of the anterolateral
abdominal wall
 Describe the planes and regions of the 4 quadrant
and 9 region pattern
 List of the regions where pain is referred by
derivatives of the foregut , midgut and hindgut
 List the skeletal and muscular elements of the
abdominal wall
 List of the layers of abdominal wall from superficial
to deep
 List three important anatomic landmarks with
respect to the dermatomes
 Umbilicus
 Linea alba
 Linea semilunaris
 Tendinous intersections
 RUQ
 LUQ
 RLQ
 LLQ
1-planes:
 Right midclavicular
 Left midclavicular
 Subcostal
 Intertubercular
2-regions:
Referred pain
 Epigastric-foregut
 Umbilical- midgut
 Pubic(hypogastric)-hindgut
Skeletal:
 Xiphoid process
 Costal margin
 Lumber vertebrae
 IV discs
 llia
 Sacrum
 Ribs Xl and Xll
 Posterior muscles
 Anterolateral muscles
flat muscles
vertical muscles
Muscles:
 Skin
 Superficial fascia
camper’s (fatty layer) fascia
scarpa’s(membranous) fascia
Skin and fascia :
 T4-at level of nipple
 T5-below nipple
 T10-umbilicus
 L1-inguinal region
Reference landmarks:
Outline:
 List of the three major compartments of the
thoracic cavity
 Describe the topography of the lungs
 Describe the boundaries and divisions of the
mediastinum
 List the major viscera located in the each of the
divisions of the mediastinum
 Describe surface topography for the auscultation of
the cardiac valves
 Right pleural cavity
 Left pleural cavity
 Mediastinum
 Note cardiac window
Three major compartments:
Topography :
 Anterior
 Posterior
 Superior
 Inferior
Boundaries of the mediastinum:
 Superior
 Inferior
anterior
meddle
posterior
 Boundaries
Divisions :
Viscera :
topography of chest and abdomen
topography of chest and abdomen

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topography of chest and abdomen