Week 3B Flashcards

(57 cards)

1
Q

What is the line called?

A

linea terminalis

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2
Q

Foregut blood supply

A

celiac trunk

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3
Q

Foregut parts

A

esophagus, stomach, duodenum, liver, gallbladder, spleen, pancreas

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4
Q

midgut blood supply

A

superior mesenteric artery

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5
Q

midgut parts

A

duodenum, jejunum, ileum, cecum & appendix, ascending colon, 2/3 of transverse colon

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6
Q

hindgut artery

A

inferior mesenteric artery

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7
Q

hind gut parts

A

1/3 transverse, descending & sigmoid colon, rectum & anal canal

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8
Q

a serous membrane

A

peritoneum

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9
Q

What are the 2 subdivisions of the peritoneum/

A

parietal layer and visceral layer(serosa)

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10
Q

what is the parietal layer?

A

lines the body wall

has abundant pain fibers via nerves from the body wall

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11
Q

What is the visceral layer?

A
  • covers visera

- lacks pain fibers

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12
Q

These organs have a mesentery and are completely covered by peritoneum

A

intraperitoneal organs

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13
Q

What are intraperitoneal organs in the abdominal peritoneal cavity? 7

A
  • stomach
  • small intestine (jejunum, ileum, some of the superior part of the duodenum)
  • spleen
  • liver
  • gallbladder
  • cecum w vermiform appendix (portions of variable size may be retroperitoneal)
  • large intestine (transverse and signmoid colons)
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14
Q

What are intraperitoneal organs of the pelvic peritoneal cavity?

A

uterus(fundus and body)

  • ovaries
  • uterine tubes
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15
Q

these organs either have no mesentery or lost it during development

A

extraperitoneal organs

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16
Q

What are extraperitoneal organs of the retro peritoneal-primary?

A

kidneys
suprarenal glands
uterine cervix

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17
Q

What are extra peritoneal organs of the retroperitoneal secondary?

A

duodenum(descending, horizontal, and ascending)
pancreas
rectum (upper 2/3)
ascending and descending colon

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18
Q

What are extraperitoneal organs of the infraperiotneal/subperitoneal?

A
urinary bladder
distal ureters
protstate
seminal vesicle
uterine cervix
vagina
rectum (lower 1/3)
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19
Q

retroperitoneal organs

A

lie deep to the parietal perioteneaum

covered by parietal peritoneum on one side only

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20
Q

intraperitoneal organs

A

covered on most sides by visceral peritoneum

suspended by mesentery from the body wall

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21
Q

nerve supply to the peritoneum

A
  • nerves from the adjacent body wall supply parietal peritoneum
  • supply pain and vasomotor fibers
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22
Q

THE mesentery

A

attaches the free small intestine to the posterior body wall

  • jejunum
  • ileum
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23
Q

transverse mesocolon

A
  • mesentery of the transverse colon
  • hold the transverse colon to the posterior body wall
  • fuses with the posterior layer of the greater omentum
24
Q

sigmoid mesocolon

A
  • mesentery of the sigmoid colon

- holds the sigmoid colon to the posterior body wall

25
mesoappendix
mesentery of the vermiform appendix
26
peritoneal ligaments
- may be subdivisions of a larger stuructre - usually transmit nerves and vessels - usually lack connective tissue and are not the same as ligaments that join bones - gastospelnic ligament - splenoreanal (lienorenal) ligament
27
omentum(epiploon)
-broad,2-4 layered sheet of peritoneum that attaches the stomach to other viscera
28
lesser omentum
-develops from the ventral mesogastrium (mesentery)
29
What parts is the lesser omentum subdivided into?
``` hepatogastric ligament (stomach to liver) hepatoduodenal ligament (liver to duodenum) ```
30
What does the greater omentum develop from?
the dorsal mesogastrium
31
stomach to transverse colon legament
gastrocolic
32
stomach to diaphragm | continuous with phrenicosplenic ligament
gastrophrenic legament
33
stomach to speen
gastrosplenic ligament
34
LIgaments associated with the liver
coronary ligaments R and L triangular ligament falciform ligament ligamentum teres hepatis
35
a ridge or elevation in the peritoneum produced by underlying vessels
folds
36
are depressions btw folds
fossae or recesses
37
median umbilical fold
urachus | midline from bladder
38
medial umbilical folds
medial umbilical ligaments | obliterated umbilical aa
39
lateral umbilical fold
inferior epigastric vessels | functional aa and vv
40
What is the curved ligaments of the ventral mesogastrium(obliterated umblical vein)
falciform ligament | ligamentum teres hepatsi is the lower free border
41
supravesical fossa
btw the median and medial umbilical folds | site for supravesical hernias
42
medial inguinal fossa
btw the medial and lateral umbilical folds site for direct inguinal hernia also called inguinal tirangle
43
lateral inguinal fossa
lateral to the lateral umbilical folds | site for indirect inguinal hernias
44
what has the most potential space within the abdomen?
the greater sac
45
How can the greater sac be subdivided/
supracolic and infracolic regions by the colon and transverse mesocolon
46
supramesocolic region
superior and anterior to the liver and stomach | includes heptarenal & subphrenic spaces & fossae of the anterior wall
47
What is a closed potential space bt parietal and visceral layers of the peritoneum
the peritoneal cavity
48
recesses and fossae of the peritoneal cavity
subphrenic recess subhepatic / hepatorenal recess rectovesical / rectouterine recess
49
What are the recess and fossae of the peritoneal cavidy clinically important?
bc the abscesses may develop and excess fluid will pool here
50
inferior and posterior part of the greater sac
inframesocolic region
51
R and L paracolic gutters are?
lateral to the ascending and descending colon
52
Upper and lower parts are divided by?
THE mesentery into R and L infracolic spaces
53
What limits the spread of fluid superioroly in the greater sac?
the phrenicocolic ligament
54
Recesses of the lesser sac
superior recess-posterior to the liver inferior recess- potential space btw the 2 layers of the gatocolic ligament splenic recess- posterior to and left of the stomach
55
What develops as a part of the greater sac?
The lesser sac (omental bursa)
56
Where is the lesser sac located?
posterior and inferior to the stomach | -greater and lesser peritoneal sacs communicate through the Epiploidc foramen (of Winslow)
57
What is the Epiploid foramen (of Winslow)?
- the opening btw the greater and lesser sacs - anterior: hepatoduodenal ligament w the portal vein, hepatic arter and bild duct - posterior: IVC, diaphragm - superior: liver, caudate lobe - inferior : duodenum, 1st part