A Manual of Surgical Anatomy

Cover A Manual of Surgical Anatomy
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In the examination of the abdomen, it is ad- vantageous that the muscles should be relaxed as far as possible, and to overcome the traction of the fascia lata, the patient's legs are drawn up, flexing both the hip and the knee- joints. This is the posture which is naturally assumed when there is much distension of the abdomen, since it allows the maximum amount of relaxation of the abdominal parietes.
The highest point on the iliac crest lies on a level with the lower part of the body of the fo
...urth lumbar vertebra. In subjects with firm abdominal muscles, the umbilicus also corresponds to this level, but in obese subjects with lax ab- dominal parietes, it may sink down to a lower plane.
A linear furrow can be seen, in muscular subjects, in the middle line of the anterior abdominal wall. It corresponds to 2 3 8 THE ABDOMEN AND PELVIS the Linea Alba (p. 247), a tendinous raphe which separates the two recti muscles. It widens out somewhat above the umbilicus, Transpyloric plailc ~ W$i Right lateral / plane "7* — wfr% Xiphoid process I Tuberosity of iliac crest Fig.


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