Abdomen 2: Peritoneal cavity Flashcards
What is the abdominal cavity space bounded by?
- Diaphragm
- Anterolateral abdominal wall
- Posterior abdominal wall
- Pelvic inlet
What is visceral peritoneum?
Visceral peritoneum is when the peritoneum touches the organ
What is the parietal peritoneum?
Parietal peritoneum is when the peritoneum doesn’t touch the organ
What does peritoneal fluid in the peritoneal cavity contain?
-Peritoneal fluid contains water, electrolytes, interstitial fluid, leukocytes and antibodies
What is type of cavity is the peritoneum in males?
In males, peritoneum is a closed cavity
What type of cavity is the peritoneum in females?
In females, peritoneum is an open cavity as there’s communication with the exterior via the vagina, uterus and uterine tubes
What is a peritoneum?
A thin, serous membrane lining the abdominal and pelvic cavities
What does the parietal peritoneum line?
Lines the walls of the abdominal and pelvic cavities
What is the parietal peritoneum sensitive to?
- Pain
- Temperature
- Touch
- Pressure
What is the parietal peritoneum innervated by?
Innervated by somatic spinal nerves from T7-L1
What does the visceral peritoneum line?
Lines the abdominal and pelvic organs/viscera
What is the visceral peritoneum sensitive to?
- Stretch
- Tearing
What does over distention of the viscera lead to?
Over distention of the viscera leads to sensation of pain
What is the visceral peritoneum innervated by and what implications can arise due to the way its innervated?
- Innervated by afferent nerves that travel with autonomic supply to viscera it covers
- Referred pain implications
What is a dermatome?
Dermatome is an area of skin supplied by one spinal nerve root
How are sensory inputs from visceral organs interpreted by the brain as?
Sensory input from visceral organs is interpreted by the brain as originating from one of the midline dermatomes
What do dermatomes share a convergent spinal root with?
Dermatomes share a convergent spinal root with the autonomic nerve which supplied that
What nerve gives a sympathetic supply to the foregut?
Greater splanchnic nerves T5-T9(T10)
What nerve gives a sympathetic supply to the midgut?
-Lesser splanchnic nerves T9-T11(T12)
What nerve gives a sympathetic supply to the hindgut?
Lumbar splanchnic nerves L1-L2
Convergence example of T7 and visceral organ
- If someone touches the skin at T7, the epigastric region, it activates the somatic sensory nerve from the dermatome
- It then comes to the level T7
- Also at T7, we have nerve roots running from the greater splanchnic nerve which travels down to the organ ,so in this case the stomach
- The cutaneous nerve converges with the autonomic nerve
- If the stomach is stretched, the visceral peritoneum is also stretched travelling with the greater splanchnic nerve, hitchhiking along is the visceral afferent, a sensory nerve from the visceral peritoneum and it converges into the same spinal nerve root as the dermatome
- If pain is coming from the visceral peritoneum, it interprets it as its coming from the epigastric region, hence the converging pain.
How are organs like with intraperitoneal organs?
Organs are completely covered with visceral peritoneum
How are organs attached to each other or to the abdominal wall?
Organs are attached to each other or to the abdominal wall by a double fold of peritoneum:
- Mesentery - Ligaments - Omentum
What is the mobility like for intraperitoneal organs?
Organs have greater mobility