Abdo 2

Question 1

where is the falciform ligament attached

Answer 1

intraperitoneally

attached to anterior abdo wall

Question 2

what does the falciform ligament contain

Answer 2

umbilical vein

Question 3

where is the round ligament found

Answer 3

on the free edge

Question 4

intraperitoneal organs: SALT DSPRS

Answer 4

Stomach 
appendix 
liver
transverse colon 
duodenum 
small intestine 
pancreas(tail) 
rectum(only part of it) 
sigmoid colon

Question 5

retroperitoneal organs : SAD PUCKER

Answer 5

suprarenal glands 
aorta/IVC 
duodenum (parts 2,3,4)
pancreas- uncinate, neck, body 
ureters
colon 
kidneys 
esophagus 
rectum

Question 6

what does the greater omentum hang over

Answer 6

over abdominal contents like an apron

Question 7

what is the function of the greater omentum

Answer 7

abdominal policemen:

• fights infection by preventing bacteria entering
• fat depostion
• wound isolation

Question 8

what does the lesser omentum contain

Answer 8

portal triad:

• portal vein
• common bile duct
• hepatic artery

Question 9

what is the transverse mesocolon

Answer 9

mesentery associated with transverse colon

divides peritoneal cavity into supracolic and infracolic compartments

Question 10

what is the function of the mesentery of the small intestine

Answer 10

circulation of arterial blood

drains lymph

Question 11

what is the sigmoid mesocolon

Answer 11

mesentery associated with sigmoid colon

Question 12

what is a sigmoid volvus

Answer 12

gas develops which leads to a distended abdomen
vomitting
large bowel obstruction

Question 13

what is a peritoneal recess

Answer 13

regions where peritoneum is reflected away from posterior abdominal wall
fluid and pus can collect

Question 14

what is the left and right paracolic gutters

Answer 14

provide pathways for the flow of ascitic fluid and spread of peritoneal infections, or tumour cells that have sloughed from the ulcerated surface of a tumour and entered the peritoneal cavity

Question 15

male sub-hepatic pouch

Answer 15

rectovesical

Question 16

2 female sub-hepatic pouchs

Answer 16

utero-vesical

recto-uterine(pouch of douglas)

Question 17

how would you drain the pouch of douglas

Answer 17

lowest part is immediately posterior to fornix of vagina and accessible to cannulation under ultra sound guidance

Question 18

what is murphys sign

Answer 18

whe a patient takes a deep breath in and the gall bladder hits hand- sign of cystic colitis

Question 19

what could a fractured rib on the left side lead to

Answer 19

a ruptured spleen since it has a lack of fascia and rich blood supply

Question 20

where does the jejunum start

Answer 20

duodenojejunal flexure- position of this is maintained by suspensory ligament (ligament of Trietz)

Question 21

where is the ileum

Answer 21

distal 3/5th of the small intestine

Question 22

does ileum have shorter or longer vasa recta than jejunum

Answer 22

shorter

Question 23

does ileum have less or more arcades than jejunum

Answer 23

more

Question 24

what is the function of the ileum

Answer 24

absorb Vit B12 and bile salts

Question 25

what is the mesoappendix

Answer 25

fold of peritoneum between caecum and appendix