3 Peritoneal Cavity And Mesenteries Flashcards

1
Q

The parietal peritoneum is sensitive to

A

Pressure and temperature

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2
Q

What is the visceral peritoneum sensitive to

A

Stretch and chemical irritation

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3
Q

In the __________ peritoneum pain is well localized and in the _____________ peritoneum the pain is poorly localized

A

Parietal; visceral

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4
Q

What supplies the parietal peritioneum

A

Same neurovasculature as the region of the wall it lines

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5
Q

What supplies the visceral peritoneum

A

Same neurovasculature as the organ

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6
Q

What does the foregut form

A

Primordial pharynx, esophagus, stomach, duodenum, liver, billiary apparatus, and pancreas

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7
Q

What direction dose the ventral mesogastrium/mesentery rotate

A

Right

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8
Q

What direction does the dorsal mesogastrium/mesentery rotate

A

Left

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9
Q

What organ forms in the ventral mesogastrium

A

Liver

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10
Q

What organ forms in the dorsal mesogastrium

A

Spleen

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11
Q

What is the separate pertioneal cavity behind the stomach called

A

Lesser sac

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12
Q

What are intraperitoneal organs

A

Organs that are almost entirely covered by visceral peritoneum

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13
Q

What are retroperitoneal organs

A

Organs between the parietal peritoneum and posterior abdominal wall

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14
Q

Which organ only has parietal peritoneum only on the anterior surface

A

Kidneys

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15
Q

What are primarily retroperitoneal organs? Secondarily?

A

P - no mesentery

S - initially had mesentery but lost during development

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16
Q

What are the main primarily peritoneal organs

A

SAD PUCKER

Suprarenal gland
Aorta/IVC
Duodenum

Pancreas
Ureter
Colon (ascending and desecending)
Kidney
Esophagus
Rectum
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17
Q

What is the greater omentum

A

Four-layered peritoneal fold that hands like an apron from the greater curvature of the stomach

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18
Q

What does the greater omentum connect to

A

Greater curvature of the stomach and attaches to the transverse colon

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19
Q

What does the lesser omentum connect to

A

Lesser curvature of the stomach and proximal duodenum to the liver

Connects stomach to the portal triad

20
Q

What connnects the liver to the anterior abdominal wall? Stomach? Duodenum?

A

AAW - falciform ligament
S - hepatogastric ligament
D - hepatoduodenal ligament

21
Q

What do the hepatogastric and hepatodudodenal ligaments make

A

Lesser omentum

22
Q

What connects the stomach to the inferior diaphragm? Spleen? Transverse colon?

A

ID - gastrophrenic ligament
S - gastrosplenic ligament
TC - gastrocolic ligament

23
Q

What do the gastrophrenic, gastrosplenic, and gastrocolic ligaments make up

A

Greater omentum

24
Q

What is the the greater sac

A

Main and larger part of the peritoneal cavity

25
What is the omental bursa
Lesser sac that lies posterior to stomach and lesser curvature
26
What does the supracolic compartment contain
Stomach, liver, and spleen
27
What does the infracolic compartment contain
Small intestine and ascending/descending colon
28
Where is the infracolic compartment
Lies posterior to greater omentum and is divided into right and left infracolic spaces
29
From lateral to medial, what is the arrangement of paracolic spaces and gutters
R paracolic gutter, R infracolic space, L infracolic space, L paracolic gutter
30
Which paracolic gutter is smaller? Why?
Left,, phrenicolic ligament
31
What limits the superior recess of the lesser sac
Limited superiorly by the diaphragm and coronary ligament of the liver
32
Where is the inferior recess of the lesser sac
Between superior parts of the layers of the greater omentum
33
What are the boundaries of the epicloic foramen
Anterior - lesser omentum, stomach, and gastrocolic ligament Posterior - pancreas, L suprarenal gland, L kidney, aorta, IVC, splenic A/V Superior - liver and diaphragm Inferior - transverse mesocolon, 1st part of duodenum L - hilum of spleen and gastrosplenic ligament R - eplicloic foramen opens into greater sac
34
What is peritonitis
Infection of the peritoneal cavity from external wound or ruptured organ
35
What is ascites
Fluid collection in the peritoneal cavity
36
What can be used to drain ascites
Abdominal paracentesis
37
What portions of the pancreas are retroperitoneal
Head w/ uncinate process, neck, and body
38
The tail of the pancreas is
Intraperitoneal
39
What is anterior to the pancreas
Lesser sac and stomach
40
What is posterior to pancreas
Aorta/IVC, splenic V, bile duct, R crus of diaphragm, L kidney and vessels, L suprarenal gland, SMA/SMV
41
What is to the right of the pancreas
2nd part of duodenum
42
What is left of the pancreas
Spleen
43
What is inferior to the pancreas
3rd part of the duodenum
44
What ligament is associated with the splenic A/V
Splenorenal ligament
45
What ligament is the R gastric A associated with
Hepatoduodenal ligament
46
What ligament is the left gastric a associated with
Hepatogastric ligament
47
What ligament is the proper hepatic a associated with
Hepatoduodenal ligament