3 Peritoneal Cavity And Mesenteries Flashcards

1
Q

The parietal peritoneum is sensitive to

A

Pressure and temperature

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2
Q

What is the visceral peritoneum sensitive to

A

Stretch and chemical irritation

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3
Q

In the __________ peritoneum pain is well localized and in the _____________ peritoneum the pain is poorly localized

A

Parietal; visceral

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4
Q

What supplies the parietal peritioneum

A

Same neurovasculature as the region of the wall it lines

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5
Q

What supplies the visceral peritoneum

A

Same neurovasculature as the organ

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6
Q

What does the foregut form

A

Primordial pharynx, esophagus, stomach, duodenum, liver, billiary apparatus, and pancreas

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7
Q

What direction dose the ventral mesogastrium/mesentery rotate

A

Right

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8
Q

What direction does the dorsal mesogastrium/mesentery rotate

A

Left

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9
Q

What organ forms in the ventral mesogastrium

A

Liver

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10
Q

What organ forms in the dorsal mesogastrium

A

Spleen

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11
Q

What is the separate pertioneal cavity behind the stomach called

A

Lesser sac

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12
Q

What are intraperitoneal organs

A

Organs that are almost entirely covered by visceral peritoneum

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13
Q

What are retroperitoneal organs

A

Organs between the parietal peritoneum and posterior abdominal wall

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14
Q

Which organ only has parietal peritoneum only on the anterior surface

A

Kidneys

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15
Q

What are primarily retroperitoneal organs? Secondarily?

A

P - no mesentery

S - initially had mesentery but lost during development

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16
Q

What are the main primarily peritoneal organs

A

SAD PUCKER

Suprarenal gland
Aorta/IVC
Duodenum

Pancreas
Ureter
Colon (ascending and desecending)
Kidney
Esophagus
Rectum
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17
Q

What is the greater omentum

A

Four-layered peritoneal fold that hands like an apron from the greater curvature of the stomach

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18
Q

What does the greater omentum connect to

A

Greater curvature of the stomach and attaches to the transverse colon

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19
Q

What does the lesser omentum connect to

A

Lesser curvature of the stomach and proximal duodenum to the liver

Connects stomach to the portal triad

20
Q

What connnects the liver to the anterior abdominal wall? Stomach? Duodenum?

A

AAW - falciform ligament
S - hepatogastric ligament
D - hepatoduodenal ligament

21
Q

What do the hepatogastric and hepatodudodenal ligaments make

A

Lesser omentum

22
Q

What connects the stomach to the inferior diaphragm? Spleen? Transverse colon?

A

ID - gastrophrenic ligament
S - gastrosplenic ligament
TC - gastrocolic ligament

23
Q

What do the gastrophrenic, gastrosplenic, and gastrocolic ligaments make up

A

Greater omentum

24
Q

What is the the greater sac

A

Main and larger part of the peritoneal cavity

25
Q

What is the omental bursa

A

Lesser sac that lies posterior to stomach and lesser curvature

26
Q

What does the supracolic compartment contain

A

Stomach, liver, and spleen

27
Q

What does the infracolic compartment contain

A

Small intestine and ascending/descending colon

28
Q

Where is the infracolic compartment

A

Lies posterior to greater omentum and is divided into right and left infracolic spaces

29
Q

From lateral to medial, what is the arrangement of paracolic spaces and gutters

A

R paracolic gutter, R infracolic space, L infracolic space, L paracolic gutter

30
Q

Which paracolic gutter is smaller? Why?

A

Left,, phrenicolic ligament

31
Q

What limits the superior recess of the lesser sac

A

Limited superiorly by the diaphragm and coronary ligament of the liver

32
Q

Where is the inferior recess of the lesser sac

A

Between superior parts of the layers of the greater omentum

33
Q

What are the boundaries of the epicloic foramen

A

Anterior - lesser omentum, stomach, and gastrocolic ligament

Posterior - pancreas, L suprarenal gland, L kidney, aorta, IVC, splenic A/V

Superior - liver and diaphragm

Inferior - transverse mesocolon, 1st part of duodenum

L - hilum of spleen and gastrosplenic ligament

R - eplicloic foramen opens into greater sac

34
Q

What is peritonitis

A

Infection of the peritoneal cavity from external wound or ruptured organ

35
Q

What is ascites

A

Fluid collection in the peritoneal cavity

36
Q

What can be used to drain ascites

A

Abdominal paracentesis

37
Q

What portions of the pancreas are retroperitoneal

A

Head w/ uncinate process, neck, and body

38
Q

The tail of the pancreas is

A

Intraperitoneal

39
Q

What is anterior to the pancreas

A

Lesser sac and stomach

40
Q

What is posterior to pancreas

A

Aorta/IVC, splenic V, bile duct, R crus of diaphragm, L kidney and vessels, L suprarenal gland, SMA/SMV

41
Q

What is to the right of the pancreas

A

2nd part of duodenum

42
Q

What is left of the pancreas

A

Spleen

43
Q

What is inferior to the pancreas

A

3rd part of the duodenum

44
Q

What ligament is associated with the splenic A/V

A

Splenorenal ligament

45
Q

What ligament is the R gastric A associated with

A

Hepatoduodenal ligament

46
Q

What ligament is the left gastric a associated with

A

Hepatogastric ligament

47
Q

What ligament is the proper hepatic a associated with

A

Hepatoduodenal ligament