wk 1 9 anatomy of abdominal pain

Question 1

whats foud in the foregut

Answer 1

oeseophagus to mid-duodenim
liver and gall lbladder
spleen
0.5 of pancreas

Question 2

midgut

Answer 2

mid-duodenm to proximal 2/3rd of transvers colon

Question 3

hindgut

Answer 3

distal 1/3rd of transverse colon to proximal 1/2 of anal canal

Question 4

other than quadrants, how else can the abdominal organs be organised

Answer 4

9 sections, through splitting from mid-claviluar plane which a subcostal and transtubecular plane

Question 5

5 layer of anterolateral abdominal wall

Answer 5

rectus abdominus
external oblqiue
internal obliqu
transversus abddominus parietal peritoneum

Question 6

define guarding,associated disease

Answer 6

muscle contraction, to protect organs

peritonitis

Question 7

2 layers of peritoneum

Answer 7

parietal - body wall

visceral - organ `

Question 8

3 sections of peritoneum, what differs between each

Answer 8

intraperitoneal - almost completely covered in visceral p,, minimallly mobile

organs with a mesentery - (still in intraperitoneal area, double layer of peritoneum, small intestines, v mobile

retroperitoneal - only peritoneum on anterior surface, stuck in place, pancreas

Question 9

what is omentum

Answer 9

double layer of peritoneum that passes from stomach to adjacent organs

Question 10

function of omentum in relation to pathology

Answer 10

will move to source and cover in attempt to reduce spread

Question 11

what does the greater omentum attach to

Answer 11

greater curvature of stomach to transverse colon

4layers

Question 12

what does the lesser omentum attach to, what differs between greater and large omentum

Answer 12

lesser curvature fo stomach and duodenum to liver

has a free edge

Question 13

name for window into lesser sec

Answer 13

omental foramen

Question 14

2 ligaments found in lesser omentum

Answer 14

hepogastric ligament 
hepatoduodenal ligament (free edge)

Question 15

another name fro recto-uterine pouch

Answer 15

pouch of douglas

Question 16

ascites

Answer 16

collection of fluid in peritoneal cavity

Question 17

procedure for draning fluid from peritoneal cavity

Answer 17

paracentesis

Question 18

2 diseases most commonly cause ascites

Answer 18

cirrosis

portal hypertension

Question 19

how do the pouches of the peritoneum differ between m and f

Answer 19

m - only 1 - rectovesical

f- 2 - vesico-uterine, recto-uterine pouch

Question 20

what needs to be avoided in abdominocentesis

Answer 20

right inferior epigastric artery

Question 21

where does the needle need to be placed paracentesis

Answer 21

lateral to rectus sheath

Question 22

nerves affecting organs

Answer 22

visceral afferents
enteric nervous
autonomic - sympa and para

Question 23

what carries nerve fibres to organs

Answer 23

periarterial plexus

Question 24

which organ differs from the rule with sympa nerves and associated organ, how so

Answer 24

adrenal gland

doesnt synapse at prevertebral ganglia

Question 25

what else suppplies para to the lower organs (when vagus stops)

Answer 25

pelvic sphlanic nerves (s,2,3,4)

Question 26

pain associated with midgut

Answer 26

pain in umbical region

Question 27

2 nerves which make up L1 anterior ramus

Answer 27

iliohyogastric and iliolinginual nerve

Question 28

T12 anterior ramus nerve is

Answer 28

subcostal nerve

Question 29

associated area od pain for appendicitis

Answer 29

T8-T10, felt at umbilicus, dull aching pain

changes due to stop irritating visceral, and affects parietal becoming v sharp at the iliac fossa