EX2 The Peritoneum and Upper Abdomen Flashcards Preview

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Flashcards in EX2 The Peritoneum and Upper Abdomen Deck (51):
1

This is a thin, translucent, serous membrane where vessels tend to travel between the layers

peritoneum

2

What is the peritoneal sac

all visceral and parietal peritoneal membranes

3

What is the peritoneal cavity

a potential space within the peritoneal sac
contains serous fluid
allows organs to move freely

4

True or False
The peritoneal cavity may become filled with fluid

True; it can fill with fluid (ascites) and can cause disease and/or injury/infection

5

This attaches to the greater curvature of stomach and transverse colon; it drapes over the small intestine

greater omentum

6

The greater omentum serves to do what

it can wall off infections and inflammation site; an form adhesions

7

This ligament is the largest portion of the greater omentum and consist of 2 double layers --> 4 layers total

gastrocolic ligament

8

This attaches to the lesser curvature of the stomach and the duodenum and connect to the liver

lesser omentum

9

What are the two ligaments associated with the lesser omentum

hepatogastric ligament (liver to stomach)
hepatodueodenal ligament (lifer to deodenum)

10

This ligament contains the portal triad

Hepatoduodenal ligament
it contains the hepatic artery, portal vein, and bile duct

11

This anchors most of the small intestine to posterior abdomen wall; running diagonally from duodenojejunal junction to ileocecal junction

mesentery proper

12

This fibromuscular ligament descends from the right crus of diaphragm crossing over the left crus and holds the duodenum in place (preventing sagging)

suspensory ligament of Treitz

13

This anchors portions of the colon to the posterior abdominal wall

mesocolon

14

True or False
The ascending and descending colon have no mesentery; they are anchored directly to the posterior wall

True

15

The transverse and sigmoid colons are anchored by what type of mesocolon

transverse colon --> transverse mesocolon
sigmoid colon --> sigmoid mesocolon

16

True or False
The rectum is fully covered with peritoneum

False; it is only partially covered

17

This divides the liver into right and left lobes; anchors the liver to the diaphragm and anterior body wall

falciform ligament

18

This is an inferior extension of the falciform ligament of which contains the obliterated umbilical vein

round ligament

19

This is a reflection of peritoneum around the bare area of the liver; attaches the liver to the inferior surface of the diaphragm

coronary ligament

20

What are the single layered peritoneal folds

median umbilical fold
medial umbilical folds (2)
lateral umbilical folds (2)

21

The median umbilical fold covers what structure

fetal urachus

22

The medial umbilical folds cover what structure

fetal umbilical artery

23

The lateral umbilical folds cover what structure

inferior epigastric vessels

24

True or False
potential peritoneal spaces in standing become actual spaces in recumbent patients

True; fluids can accumulate in these recesses
this is why it is important to move bedridden patients

25

What are the peritoneal pouches that can become spaces in recumbent patients

hepatorenal pouch
rectovesical or retrouterine pouch

26

This pouch is bounded by the liver, right kidney, colon, and duodenum

hepatorenal pouch (pouch of Morrison)

27

This pouch is between the rectum and bladder

rectovesical and rectouterine pouch

28

True or False
fluids can move between the hepatorenal and rectovesical/rectouterine pouches

True

29

This organ detoxifies chemical products and produces bile

liver

30

This organ stores bile for the emulsification of fats

gallbladder

31

This organ produces enzymes for digestion

pancreas

32

This organ produces lymphocytes and filters blood

spleen

33

This organ is attached to inferior surface of the liver; contacts the duodenum, colon, and AAW

gallbladder

34

These bile ducts receive bile from the right and left lobes of the liver

right and left hepatic ducts

35

This bile ducts receives the right and left hepatic ducts

common hepatic duct

36

This bile duct is connected to the gall bladder

cystic duct

37

This bile duct receives cystic and common hepatic ducts

common bile duct

38

The common bile duct joins which duct and they empty where

joins to main pancreatic duct
empty into the major duodenal papilla

39

This organ consists of a head, neck, tail, and uncinate process; its retroperitoneal and transverse across PAW; surrounded by C-chaped duodenum on the right and spleen on the left

pancreas

40

The enzymes of the pancreas drain via what ducts

main pancreatic duct (empties into duodenum)
accessory pancreatic duct (superior to the major papilla

41

True or False
The drainage of the pancreas is variable

True

42

This organ contacts the diaphragm along ribs 9-11

spleen

43

The celiac trunk is the 1st major branch of which artery and supplies what, with what branches

branch of abdominal aorta
supplies liver, gall bladder, esophagus, stomach, pancreas, and spleen
3 branches --> common hepatic, left gastric, splenic

44

The common hepatic artery is a branch of what, supplies what, with what branches

right branch of celiac trunk
runs toward liver and gallbladder
2 branches --> proper hepatic and gastroduodenal

45

The proper hepatic artery is a branch of what, runs toward where and supplies what (via what branches)

superior branch of common hepatic artery
runs toward liver; medial to common bile duct and superficial to portal vein
splits to R and L hepatic arteries supplying R and L lobes of the liver

46

The gastroduodenal artery is a branch of what, runs where and supplies what (via what branches)

inferior branch of common hepatic
runs toward jxn of stomach and duodenum
sends pancreaticoduocenal artery to pancreas and duodenum
sends R gastroepiploic to greater curvature
sends supraduodenal to superior duodenum

47

The left gastric artery is a branch of what, runs to where, and supplies what (via what branches)

superior branch of celiac trunk
runs left toward lesser curvature
supplies stomach and esophagus via esophageal branches

48

The splenic artery is a branch of what, runs to where, and supplies what (via what branches)

left branch of celiac trunk
runs toward spleen; supplying pancreas and spleen
sends short gastric artery and left gastroepiploic artery which supplies greater curvature

49

True or False
The hepatic artery has few variations

False; the hepatic artery has a significant number of variations; roughly 40%

50

What type of complications can arise from cystic artery variations

the cystic artery can run posterior/anterior to the common hepatic duct and complications can cause constrictions

51

True or False
Even with variations in the right gastric artery, anastomoses are always maintained

True