Abdomen Flashcards
What is the discount code for Brainscape Pro?
MCPHS91BS
Small intestine made of what three parts?
Duodenum, ileum, jejunum
Pancreas makes two important things
Bicarbonate to neutralize pH, enzymes to breakdown proteins, (released into the duodenum) lipases and carbohydrases
Fat broken down by….
bile
Spleen does..?
spleen filters blood, recycles heme, recycles globins
Head of pancreas lies in the arms of the…?
duodenum
Ligamentum teres was what in embryological development
Umbilical vein
What discs is the Transumbilical Line at?
L3-L4
What quadrants does the Transumbilical Plane separate?
Upper quadrant and lower quadrant
The Transumbilical Plane is above or below the umbilicus?
Below
What is the vertical line separating the rectus abdominus muscles? (Goes down the midline and through umbilicus)
Linea Alba
What are the horizontal lines that separate each of the recti abdomini?
Tendinous insertions
What is the line that separates the oblique muscles from the rectus abdominus? (Sort of runs mid-clavicular)
Semilunar Line
What is the layer of attachment for rectus abdominis called?
Tendinous insertion
Where does the spermatic cord comes out? (Where aponeurosis splits, common herniation site.)
Superficial inguinal ring
What comes through the Superficial Inguinal Ring?
Spermatic cord
What are the three layers of muscles oblique muscles in the abdomen?
External Oblique, Internal Oblique, Transversus Abdominus
Which two aponeurosis makes up the Rectus Sheath?
Aponeuroses of the transversus abdominis and oblique muscles (external and internal)
Which two muscles does the Rectus Sheath contain?
Rectus Abdominis Muscle and Pyramidalis Muscle.
What are the two divisons of the lamina of the Rectus Sheath?
Anterior and posterior laminae.
What and where is the Arcuate Line?
Horizontal line where all three aponeurosis of abdominal muscles are in front of the Rectus Abdominus. Before the line there is 1.5 layers on either side of Rectus Abdominus which had made up the Ant & Post Rectus Sheath. Also, Divides the upper 3/4 of abdominal wall from lower 1/4.
The Linea Alba is on which sheath?
Midline where embryo fuses right and left sides during lateral body folding. In middle of rectus sheath where both sides join. All aponeurosis join at Linea Alba.
What is good about the Linea Alba and surgery?
Best place to make an incision for abdominal surgery and not risk hitting any nerves
The Round Ligament of Uterus is found in men or women?
Women only
In the abdomen which two vessels are inside the rectus sheath?
Superior and Inferior Epigastric
The Illioinguinal Nerve is a branch of which spinal nerve?
L1
The Inguinal Ligament connects what to what?
Anterior superior iliac spine (ASIS) and Pubic Tubercle
Superficial Inguinal Ring is made up of two components called…?
Lateral Crus and Medial Crus
The inguinal canal’s start is called the ___ ____ ___ and the end of the canal is called the ____ ____ ____
Start=Deep Inguinal Ring; End=Superficial Inguinal Ring
What is an Indirect Inguinal Hernia?
indirect inguinal hernia when enter at deep inguinal ring and exits superficial inguinal ring. Goes “indirectly” through wall of transversus abdominus, int and ext obliques. Can enter the scrotum in males.
Who most frequently gets an indirect inguinal hernia?
Male children
In males where can an indirect inguinal hernia end up? Where can it end up in females?
Males=Scrotum; Females=Labia majora
What is an indirect inguinal hernia made of?
Fat (most common), can also be small or large bowel (uncommon)
Which muscle covers the spermatic cord?
Cremaster muscle
What is the reflex of the cremaster muscle?
Retract testicle
Which ring is the start of the Inguinal Canal?
Deep Inguinal Ring
Which inguinal ring of the end of the Inguinal Canal?
Superficial Inguinal Ring
The Lateral Crus and Medial Crus make up what?
Superficial Inguinal Ring
How many layers of fascia cover the spermatic cord?
Three, including the cremaster muscle
What does the Cremaster Reflex do and to who?
In males. Causes testicles to retract.
Direct Inguinal Hernias occur through what triangle?
Hesselbach’s Triangle
What age group and gender tends to get a Direct Inguinal Hernia?
Older men
Why is it important for the tested to be counter-cooled?
To prevent sterilization of gametes
What does the Pampiniform Plexus do in men?
Surrounds the testicular arteries and works as a countercurrent heat-exchange system to cool the arterial blood before it enters the testis, prevents gamete sterilization due to high heat
The Arcuate Line marks the transition of what to what?
Transition in formation of anterior and posterior lamina of rectus sheath
Hesselbach’s Triangle is associated with which type of inguinal herniation?
Direct Inguinal Herniation
Fermoral hernia occurs most often in men or women?
Women
At what stage of life in the gubernaculum found?
Embryonic development, around 2-3 months
What is the job of the gubernaculum?
Aids in the descent of the gonads (tested and ovaries)
In men what does the gubernaculum become and what is its job?
Anchors the testes to the inferior scrotum, preventing testes from floating away
In women what does the gubernaculum become and what is its job?
Becomes the round ligament and also ovarian ligament. Anchors ovaries and uterus in the pelvis.
At what stage in life is the processus vaginalis found and in who?
Embryonic development (around 12 weeks), in both men and women
What is the job of the processus vaginalis?
Descends before testes and becomes the tunica vaginalis (covers the testes). In women it becomes the Canal of Nuck and can allow a herniation.
If the processus vaginalis fails to obliterate what can happen?
Herniation
What quadrants is the liver in?
Right upper quadrant (most), left upper quadrant (only left lobe)
What are the three parts of the Small Intestine?
SI made of duodenum, jejunum, ileum.
What is the job of the Small Intestine?
Where all absorption of nutrients happens. Duodonem is very short and doesnt get a chance to do much. Jejunum and Illeum.
What quadrant is the gall bladder in?
Upper Right Quadrant
What does the gallbladder store? What makes it?
Bile, made from the liver
What connects the Gallbladder to the Common Bile Duct?
The Cystic Duct
What makes up the Common Hepatic Duct?
Right and Left Hepatic Ducts
The Common Hepatic Duct and the Cystic Duct become what?
Common Bile Duct
The Common Hepatic Duct goes into what?
Common Bile Duct
What quadrant is the spleen in?
Left Upper Quadrant (LUQ)
What does the spleen do?
Filters blood, recycles heme, recycles globins
What quadrant(s) is the pancreas in?
Both the Left Upper Quadrant and Right Upper Quadrant
What shape/letter is the duodenum in?
C-shape.
What does “duodenum” mean in Latin?
12 inches
What is the end of the Illeum and begins the large intesting (colon)?
Cecum
Where is the appendix?
Cecum
What are the parts of the colon/large intestine?
Ascending Colon, Transverse Colon, Descending Colon, Sigmoid Colon, Rectum
What is the sphincter at the end of the stomach?
Pyloric Sphincter
What are the four parts of the duodenum?
Superior, Descending, Horizontal, Ascending
Which part of the duodenum are peritoneal and which three are retroperitoneal?
Peritoneal=Superior Part; Retroperitoneal=Descending, Horizontal, Ascending Parts
The Ascending Colon turns at what point?
Hepatic Flexure aka Right Colic Flexure
What is the name of the colon when it turns at the hepatic flexure (aka right colic flexure)?
Transverse Colon
Where does the Transverse Colon turn?
Splenic Flexure (aka Left Colic Flexure)
At the Splenic Flexure (aka left colic flexure) what does the Transverse Colon become?
Descending Colon
What is the Ileocecal Junction?
Where the Ileum becomes the Cecum, from small to large intestine
What does “retroperitoneal” mean?
Means organs on posterior wall of abdomen but covered on front/anterior side by peritoneum
Suprarenal Glands also known as?
Adrenal glands
What shape are the kidneys?
Bean shaped
What artery supplies the kidneys?
Renal arteries
What do the ureters connect?
Connect kidneys to bladder
Arteries that supply the GI system come off what main artery?
Aorta
Are the arteries of the GI system coming off the aorta paired or unpaired?
Unpaired
Which vein drains the anterior abdomen?
Portal Vein, which goes through the liver
The Portal Vein drains what and where?
Anterior abdomen, viscera (organs), goes into liver
The Portal Vein drains which organs?
Spleen, stomach, pancreas, intestines
Portal Vein delivers blood to what organ?
Liver
The Parietal Peritoneum lines what and is where?
Lines abdominal cavity, on body wall
The Visceral Peritoneum is on what?
Actual organ
The Peritoneum is made up of what two layers?
Parietal Peritoneum and Visceral Peritoneum
Where and what does the IVC drain from the abdomen?
IVC does back wall and limbs.
Does the IVC have a direct connection with organs of the anterior body?
No direct connection with organs of anterior body which does absorption, but does have a direct connection with kidneys.
In the abdomen which organ has a direct connection with the IVC?
Kidneys
Which region of the abdomen does the IVC drain?
Posterior abdomen
Which region of the abdomen does the IVC and Portal Vein each drain?
IVC drains posterior abdomen, Portal Vein drains anterior abdomen
Where is the Peritoneal Cavity?
Between the Parietal and Visceral layers of the peritoneum
The Greater Curvature of the Stomach connects to which Omentum?
Greater Omentum
The Lesser Curvature of the Stomach connects to which Omentum?
Lesser Omentum
Lesser Curvature of the Stomach is connected to the Liver by what?
Lesser Omentum
What does a vesicle hold?
Fluid
Which artery wraps around the pancreas?
Superior Mesenteric Artery
The Retrovesicle Pouch aka?
Pouch of Douglas
What two organs does the Retrovesicle Pouch cover?
Covers rectum and urinary bladder. aka pouch of douglas. cul-de-centesis.
Where is the Teniae Coli?
Along the middle of the colon (large intestine)
What was the umbilical vein in embryology called in adults? Where?
Ligamentum Teres, which is on the Falciform Ligament
How many layers does the Greater Omentum have?
Four
What is the shape of the Greater Omentum (think of a kitchen)?
Apron-like
What is the superior attachment of the Greater Omentum (aka where does it come from)?
Transverse colon
What are the two arterie and veins for the Rectus Abdominus?
Superior and Inferior Epigastric Artery and vein
What are the three Umbilical Folds called?
Lateral Umbilical Fold, Medial Umbilical Fold, Median Umbilical Fold
Which artery & vein are in the Lateral Umbilical Fold? What muscle do they supply/drain?
Inferior Epigastric Artery & Vein. Rectus Abdominus
The Inferior Epigastric Artery and Vein are in which fold?
Lateral Umbilical Fold
What artery is obliterated in the Medial Umbilical Fold?
Umbilical Artery
How many Umbilical Arteries present in embryonic development?
Two
Where is the obliterated umbilical artery located?
Medial Umbilical Fold
What obliterated part is present in the Median Umbilical Fold?
Obliterated Urachus
Where is the Obliterated Urachus found?
Median Umbilical Fold
What is the Obliterated Urachus?
Top/closure of the bladder
What does mesentery mean?
“Double layer of peritoneum that encloses the intestines and attached them to the posterior abdominal wall” (radiopedia)
What is the ouble layer of peritoneum that encloses intestines and attache them to the posterior abdominal wall?
The Mesentery
What is the shape of the Falciform Ligament and where is it found? What other ligament is on it?
Attaches umbilicus to liver. Sickle-shape. Ligamentum Teres.
What is in the mesentery?
Arteries, veins, and lymphatics. Nerves also, but they run along the arteries.
All aponeurosis join where?
Linea Alba
Omental Bursa is what and where? AKA?
A potential space. aka lesser sac. space behind stomach, below liver, floor is transverse mesocolon, in front of pancreas.
Where is the Lesser Omentum from and to?
From peritoneum of stomach to liver is lesser omentum. AKA hepatogastric ligament
What and where are haustra?
aka saculations=circular muscle on colon circumferential contraction
What and where are Taeni Coli?
Longitidional muscle on colon and does longitudinal contaction. Gives LI more surface area for better fluid absorption
The Omental Bursa is what kind of space?
Potential Space
Unpaired arteries supply what system?
GI System
Small Intestine absorbs what? Large Intestine absorbs what?
SI=Nutrients; LI=Water
What is the Taeniae Coli?
Longitudional muscle along the large intestine
What does the Transverse Mesocolon go to and carry?
To Transverse Colon, carries Middle Colic Artery and Vein
How many thirds is the Jejunum and Ilieum of the Small Intestine?
Jejunum is 2/3 of SI, Ilieum is 1/3 of SI. Cannot tell when one becomes another.