Abdo 2 Flashcards
where is the falciform ligament attached
intraperitoneally
attached to anterior abdo wall
what does the falciform ligament contain
umbilical vein
where is the round ligament found
on the free edge
intraperitoneal organs: SALT DSPRS
Stomach appendix liver transverse colon duodenum small intestine pancreas(tail) rectum(only part of it) sigmoid colon
retroperitoneal organs : SAD PUCKER
suprarenal glands aorta/IVC duodenum (parts 2,3,4) pancreas- uncinate, neck, body ureters colon kidneys esophagus rectum
what does the greater omentum hang over
over abdominal contents like an apron
what is the function of the greater omentum
abdominal policemen:
- fights infection by preventing bacteria entering
- fat depostion
- wound isolation
what does the lesser omentum contain
portal triad:
- portal vein
- common bile duct
- hepatic artery
what is the transverse mesocolon
mesentery associated with transverse colon
divides peritoneal cavity into supracolic and infracolic compartments
what is the function of the mesentery of the small intestine
circulation of arterial blood
drains lymph
what is the sigmoid mesocolon
mesentery associated with sigmoid colon
what is a sigmoid volvus
gas develops which leads to a distended abdomen
vomitting
large bowel obstruction
what is a peritoneal recess
regions where peritoneum is reflected away from posterior abdominal wall
fluid and pus can collect
what is the left and right paracolic gutters
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
male sub-hepatic pouch
rectovesical
2 female sub-hepatic pouchs
utero-vesical
recto-uterine(pouch of douglas)
how would you drain the pouch of douglas
lowest part is immediately posterior to fornix of vagina and accessible to cannulation under ultra sound guidance
what is murphys sign
whe a patient takes a deep breath in and the gall bladder hits hand- sign of cystic colitis
what could a fractured rib on the left side lead to
a ruptured spleen since it has a lack of fascia and rich blood supply
where does the jejunum start
duodenojejunal flexure- position of this is maintained by suspensory ligament (ligament of Trietz)
where is the ileum
distal 3/5th of the small intestine
does ileum have shorter or longer vasa recta than jejunum
shorter
does ileum have less or more arcades than jejunum
more
what is the function of the ileum
absorb Vit B12 and bile salts
what is the mesoappendix
fold of peritoneum between caecum and appendix
