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S&F 4 test 1 > Serrat - Abdominal Viscera > Flashcards

Serrat - Abdominal Viscera Flashcards

(60 cards)

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1
Q

Which part of the duodenum has the suspensory muscle (ligament of Treitz)?

A

4th part

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2
Q

Organs derived from foregut?

A

Esophagus, stomach, liver, upper duodenum, gallbladder, and pancreas

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3
Q

The organs derived from the foregut (esophagus, stomach, upper duodenum, liver gallbladder and pancreas) are all supplied blood by what ?

A

Celiac trunk

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4
Q

Organs derived from midgut are?

A

Lower duodenum, jejunum, ileum, cecum, appendix, ascending colon, proximal 2/3 of the transverse colon and lower part of the pancreas

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5
Q

The organs derived from midgut (lower duodenum, jejunum, ileum, cecum, appendix, ascending colon, proximal 2/3 of transverse colon and lower part of the pancreas) are supplied blood by ?

A

The superior mesenteric artery

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6
Q

Organs derived from the hindgut are ?

A

Distal 1/3 of the transverse colon

Descending colon

Sigmoid colon

Rectu

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7
Q

Organs derived from the hindgut ( distal 1/3 of the transverse colon, descending colon, sigmoid colon, and rectum ) are supplied blood by ?

A

The inferior mesenteric artery

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8
Q

What vertebral level does the esophagus pass thru the esophageal hiatus at ?

A

T10

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9
Q

Longitudinal ridges on the inner surface of stomach, raised folds of mucosa that allow for stomach expansion

A

Rugae

Rugal folds

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10
Q

What does the transpyloric plane pass thru?

A

Pylorus of stomach

Duodenojejunal junction

Hila of kidneys

Tips of 9th costal cartilage

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11
Q

The 2nd (descending) part of the duodenum receives the common bile duct and the main pancreatic ducts via the _________

A

Hepatopancreatic amuplla (of vater)

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12
Q

A small, nipple-like protrusion on the internal surface of the duodenum where the hepatopancreatic ampulla enters

A

The major duodenal papilla (of vater)

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13
Q

A circular smooth muscle that surrounds the ampulla, controlling bile and pancreatic secretions

A

Hepatopancreatic sphincter (of Oddi)

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14
Q

The ______________ marks the junction between foregut and midgut

A

Major duodenal papilla

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15
Q

The jejunum and ileum are attached to the posterior abdominal wall by the _____

A

Mesentery

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16
Q

First part of large intestine in lower right quadrant; is a dilated sac that is continuous w/ ascending colon.

Contains appendix

Almost completely covered w/ peritoneum & moves freely (no mesentery)

A

Cecum

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17
Q

What is the most common position for the appendix?

A

Retrocecal

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18
Q

Has variable position around cecum.

Has short triangular mesentery

Intraperitoneal

Deep to McBurney’s point

A

Vermiform appendix

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19
Q

Ascends along right side of abd wall to hepatic flexure (right colic flexure)

Retroperitoneal, fixed to rt side of post abd wall

Immobile

A

Ascending colon

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20
Q

Extends across abd from right to left colic flexure

Intraperitoneal

Has mesentery

Most mobile part of colon

Position varies

A

Transverse colon

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21
Q

Immobile

Fixed to post abd wall

From splenic flexure to sigmoid colon

A

Descending colon

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22
Q

S-shaped loop of colon between descending and rectum

Has long mesentery associated and considerable mobility

Intraperitoneal

A

Sigmoid colon

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23
Q

Persistence of vitelline duct (connection to yolk sac) as outpouching of ileum

Often asymptomatic, but can contain tissue from stomach or pancreas (and have gastric secretion) and or can be site of infection

Bleeding
Ulceration
Perforation

A

Meckel’s Diverticulum

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24
Q

Rule of two’s for Meckel’s Diverticulum

A

2% of people

W/in 2 feet of ileocecal orifice

Up to 2 inches in length

Usually presents in first 2 years of life

Can have 2 types of tissue (gastric/pancreatic)

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25
What are some defining features of the large intestine
Appendices epiploicae Plicae semiluminares Haustra Teniae coli
26
3 longitudinal muscle bands formed by the outer muscular coat of the large intestine
Teniae coli
27
Sacculations of the colon produced by tenia coli, which are slightly shorter that the gut
Haustra
28
Infoldings of intestinal wall between haustra
Plicae semilunares
29
Peritoneum-covered pouches of fat, attached in rows along the teniae
Appendices epiploicae
30
Fixed terminal part of the intestinal canal, continuous w/ the anal canal. Retroperitoneal Rectosigmoid junction marked by end of sigmoid mesocolon
Rectum
31
Large lymph organ in left hypochondrial region deep to ribs 9 and 10. Intraperitoneal Covered in peritoneum except at the hilum
Spleen
32
The ________ ligament of peritoneum connects the spleen to the greater curvature of the stomach
Gastrosplenic
33
__________ ligament connects spleen to the left kidney
Splenorenal
34
Spleen is susceptible to traumatic injury at ribs _____
9 and 10
35
Runs head to tail of the pancreas and enters into the hepatopancreatic ampulla before entering the duodenum at the duodenal papilla
Main pancreatic duct
36
Drains part of the head; often communicates w/ main pancreatic duct; opens into minor duodenal papilla about 2 cm above the major papilla
Accessory pancreatic duct
37
Largest visceral organ Largest gland in body Found in right hypochondrial and epigastric regions Intraperitoneal except bare area on diaphragm where liver contacts diaphragm
Liver
38
What are the namees of the ligaments formed from the free folded edges of peritoneum that connect the liver to the diaphragm?
Coronary Falciform Right triangular Left triangular
39
a fold of peritoneum that connects liver to anterior abdominal wall; it contains ligamentum teres hepatis, or the round ligament, in its inferior border – this is the obliterated umbilical vein, which connected liver to umbilicus
Falciform ligament
40
Hepatic veins drain into inferior vena cava on the _______ side
Posterior
41
What are the 4 lobes of the liver ?
Left Right Caudate Quadrate
42
The left lobe is separated along groovees for what ?
Ligamentum teres Ligamentum venosum
43
The obliterated umbilical vein, makes up part of the falciform ligament
Ligamentum teres
44
Obliterated ductus venosus becomes the ?
Ligamentum venosum
45
A transverse fissure between the quadrate and caudate lobes that transmits portal vein, hepatic arteries, lymphatic vessels, hepatic nerve plexus, hepatic ducts
Porta hepatis
46
What is transmitted in the porta hepatis, which is the transverse fissure between quadrate and caudate lobes?
Portal vein Hepatic arteries Lymphatic vessels Hepatic nerve plexus Hepatic ducts
47
________ is a fold of peritoneum that connects the duodenum with the liver to its lesser omentum and contains the portal triad
Hepatoduodenal libament
48
The portal triad (contained w/in the hepatoduodenal ligament) consists of ?
1. Bile duct 2. Hepatic artery 3. Portal vein
49
In regards to blood supply, the liver has ____- subdivisions?
8
50
The gallbladder is a pear shaped sac, beneath the 9th costal cartilage and lateral border of the rectus abdominis superificially that lies between the _____ and ______ lobe of the liver
Quadrate Right
51
An important surgical landmark formed by the inferior visceral surface of the liver, the cystic duct and common hepatic duct Contains the cystic artery which supplies blood to the gall bladder and lymph node that becomes enlarged during gall bladder inflammation
Cystohepatic triangle (of Calot)
52
Right and left hepatic ducts leave the liver thru the ______
Porta hepatis
53
Formed by the union of the left and right hepatic duct
Common hepatic duct
54
Fills and drains the gall bladder
Cystic duct
55
Formed from union of common hepatic and cystic ducts Descends posterior to 1st part of duodenum and runs thru head of pancreas
Bile duct
56
Occurs when the cardia and/or fundus of the stomach protrudes thru the esophageal hiatus of the diaphragm
Hiatal hernian
57
Abnormal twisting of the intestine Can cause intestinal obstruction and interruption of blood supply leading to necrosis Various causes
Volvulus
58
Left to right inversion of the body’s organs
Situs inversus
59
Calcifications formed in the gallbladder or bile passages Primarily consist of cholesterol and bile pigment Occur in 10% of people over 40 More common in women
Gallstones
60
Jaundice of skin or sclera 2nd to blockage of bile ducts from gallstones, tumors, and/or compression of the pancreas
Obstructive jaundice

S&F 4 test 1 (22 decks)

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