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Abdomen Figure 1.9 Abdominal Wall • Surface Anatomy • Muscular Wall and Hernias Bony Landmarks around Abdomen • • • • Costal margin Xiphoid process Iliac crest Anterior superior iliac spine (ASIS) • Pubic crest • Inguinal ligament Figure 7.27a Four-quadrant pattern • • • • Right upper Left upper Right lower Left lower Figure 1.12 Nine-region organizational pattern Abdominal wall • Skin • Superficial fascia – Fat tissue – Cutaneous nerves – Superficial vessels • Deep fascia • Muscles Muscles of abdominal wall • Rectus abdominusvertical midline • Three layers- lateral – External oblique (“handsin-pocket”) – Internal oblique (fibers perpendicular to external) – Transverse abdominus (wraps around) Muscles of abdominal wall Muscles of abdominal wall Muscles of abdominal wall Pregnancy Exercise: Abdominal Exercises • • • • diastasis recti back pain make labor and delivery easier improves the way you look and feel during pregnancy http://www.progressiveparent.com/Pregnancy_postnatal_exercise/pregnancy-exercise-abs.htm External oblique Inguinal ligament and canal Hernias Hernias Hernias Internal oblique Transversus abdominis Rectus abdominis Rectus sheath Rectus sheath Hernias