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GIGU Exam 1 > Mesenteries And Abdominal Foregut Organs > Flashcards

Mesenteries And Abdominal Foregut Organs Flashcards

(51 cards)

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1
Q

what peritoneum lines the inner surface of abd wall

A

parietal peritoneum
continuous with visceral peritoneum around organs
CAVITY: make fluid, lower friction of organs, resist infection, mobilize WBCs

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2
Q

2 parts of peritoneal cavity

A 
Greater Sac
Lesser Sac (omental bursa)
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3
Q

Mesentary

A

double layer of peritoneum
attach to interaperitoneal organs
A, V, L travel through it
A LOT OF FAT inside it

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4
Q

regional mesenteries

A

Peritoneal Ligaments

connect two organs or an organ to the abd wall

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5
Q

Greater Sac vs Lesser Sac

A

Greater Sac is anterior to lesser sac

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6
Q

Lesser Omentum

A

A peritoneal Lig of (Heptaoduodenal lig and Hepatogastric Lig)
connects liver to stomach and liver to duodenum (1st part)

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7
Q

Greater Omentum

A

A peritoneal Lig of (Gastrocolic lig, Gastrophrenic lig, gastrosplenic lig)
Drappes over anterior surface of intestines
connects greater cruve of stomach, duodenum, Tr Colon, to abd wall, spleen, and diaphragm

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8
Q

Epiploic Foramen

A

Opening connection greater and lesser sacs
ANT : hepatoduedental lig
POST : 1st part of duodenum
SUP : Peritoneal reflection from liver to IVC
INF : peritoneum covering IVC

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9
Q

Stomach loaction right and left

A

left: T10-T11
right: L1

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10
Q

Esophagus hiatus

A

T10

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11
Q

Esophagus enter stomach at

A

cardiac orifice T11

Cardiac notch separates esophagus from stomach

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12
Q

Hiatal Hernia

A

protrusion of stomach into mediastinum through the esophageal hiatus
2 types sliding and para-esophageal

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13
Q

Para-esophageal Hiatal Hernia

A

Cardia in normal place
fundus goes through the esophageal hiatus
NO REGURGITATION

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14
Q

Sliding Hiatal Hernia

A

Cardia and some fundus out from esophageal hiatus

REGURGITATION

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15
Q

Spleen location and ligaments

A

T9 - T11 ULQ (left hypochondriac region)
Gastrosplenic Lig
Splenorenal Lig

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16
Q

Duodenum 4 parts

PART 1

A

PART 1 : SUPERIOR

interaperitoneal, sup and right attached to hepatoduedenal ligament

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17
Q

Duodenum 4 parts

PART 2

A

PART 2: DESCENDING
retroperitoneal, has opening of hepatopancreatic duct
(bile duct + pancreatic duct)
1. Minor Duodenal Papilla - accessory pancreatic duct
2. Major Duodenal Papilla - hepatopancreatic duct

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18
Q

Duodenum 4 parts

PART 3

A

PART 3 : HORIZONTAL

retroperitoneal, crossed by superior mesenteric A and V

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19
Q

Duodenum 4 parts

PART 4

A

PART 4: ASCENDING

retroperitoneal, joins to jejunum with the Suspensory Ligament (Ligament of Treitz)

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20
Q

Foregut innervation

SYMPATHETIC

A

T5- T9 greater splanchnic Nerves from thorax—-> Celiac ganglion

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21
Q

Foregut innervation

PARASYMPATHETIC

Study These Flashcards
A

(right) Ant and (left) Post vagal trunk
pierce diaphragm at T10
celiac plexus and organs

22
Q

Liver location and 2 surfaces

Study These Flashcards
A

URQ (epigastric and rigth hypochondriac) and left lobe is in LUQ

  1. Diaphragm surface
  2. Visceral surface
23
Q

Diaphragm surface of liver

Study These Flashcards
A

connect to diaphragm, IVC and covered in peritoneum

24
Q

Visceral surface of liver

Study These Flashcards
A

covered in peritoneum except over gallbladder and portal hepatic
Hepatic portal

25
Portal Hepatic
on visceral surface of liver | hepatic A, hepatic portal V, Hepatic Bile Duct, L, N
26
Cirrhosis
from alcohol, hepatomegaly and hobnail appearance of surface of liver, from fatty changes and fibrosis
27
Right lobe of liver
1. Caudate lobe : IVC and Falciform ligament on either side 2. Quadrate Lobe: inferior to caudate Gallbladder and Falciform lig on either side
28
Left Lobe of liver, and what separates it from the right
separated from right by falciform lig | smaller
29
Bare Area
on top of right lobe attached to diaphragm by the CORONARY LIGAMENT (visceral peritoneum)
30
What forms the Falciform lig and what is it the remanent of
from the ligamentum teres hepatis (round lig of liver) folding Remnant of LEFT UMBILICAL VEIN
31
two other ligs of liver
left and right triangular ligs
32
Hepatic Portal is a
Dual BLOOD SUPPLY
33
Hepatic A
O2 blood from common hepatic a to liver
34
Hepatic Portal Vein
venous blood from stomach, gallbladder, Interstines, spleen to liver and then to IVC---> heart
35
Bile duct
from liver to intestines
36
Hepatoduodenal Lig forms the what
Portal TRIAD 1. Hepatic A 2. Hepatic Portal V 3. Bile duct
37
Pringle manuever
clip the hepatic A and v in portal triad lig (hepatoduodenal lig- lesser omentum) and stop liver bleeding
38
Pancreas location and what does it touch
``` L1-L2 ANT : lesser sac and stomach - BODY POST: aorta, IVC, CBD, Left kidney, Superior mesenteric A - NECK, TAIL (kidney) RIGHT: Duodenum ( 2 ) - HEAD LEFT: Spleen - TAIL INF: Duodenum ( 3 ) - UNCINATE PROCESS ```
39
``` Gallbladder Function Shape connection parts A, N ```
``` STORES BILE pear shapped attached to liver by CT fundus, Body, Neck (connected to hepatic duct by Cystic Duct) A: Cystic A and N: Celiac Plexus ```
40
Gallstones
CHOLELITHIASIS, cholesterol crystals | in cystic duct, hepatic duct, hepatopancreatic ampulla
41
CHOLELITHIASIS
Gallstones
42
Gallstones blocking the Heptopancreatic ampulla cayses
both blockage of bile and pancreatic secretions | = bile backs up into pancreas causing PANCREATITIS
43
ABD Foregut Arteries from Celiac Trunk | Common Hepatic A =
Common Hepatic A = Gastroduadoneal (right gastroomental (gastropiploic A) Supraduodenal A Hepatic A PORTAL TRIAD
44
ABD Foregut Arteries from Celiac Trunk | Splenic A =
Short gastric A Left gastromental (gastroepiploic A) Pancreatic Br.
45
ABD Foregut Arteries from Celiac Trunk | Left Gastric A =
Esophageal Br
46
Cystohepatic Triangle of Calot
Cystic A comes from within it
47
Bile duct
Common hepatic + Cystic Duct
48
Common Hepatic Duct | Cystic Duct
Right and Left hepatic D | gallbladder to common hepatic duct
49
Common bile duct and main pancreatic duct have sphincters for
so bile dont go to pancreas and pancreatic enzymes dont go to liver
50
Main Pancreatic duct
tail---> head where it joins accessory duct
51
Hepatopancreatic Ampulla (of Vater)
Common bile D + Main Pancreatic D | associated with 1 sphincter ODDI (Hepatopancreatic sphincter) 2 major duodenal papilla

GIGU Exam 1 (19 decks)

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