Abdomen, Pelvis, Perineum Part 2 DR Flashcards

1
Q

describe the structure of the peritoneum

A

visceral - lines organs

parietal - lines the internal abdominopelvic wall

both layers are single layers of simple squamous epithelium

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2
Q

describe the blood and nerve supply of the visceral peritoneum

what sensation is it sensitive to

A
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3
Q

describe the blood and nerve supply of the parietal peritoneum

what sensation is it sensitive to

A
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4
Q

describe the relationship of the organs to peritoneum

A

intraperitoneal

retroperitoneal

subperitoneal

extraperitoneal

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5
Q

what is peritoneal fluid

where is it found

what is its function

A
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6
Q

how does the peritoneal cavity differ in males vs females

what is the clinical significance of this

A
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7
Q

how does the growth rate of the gut compare to growth of the body embryologically

what is the impact of this

A
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8
Q

how are intraperitoneal and retroperitoneal organs formed embryologically

A
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9
Q

how are viscera connected to the abdominal wall

A
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10
Q

what are the properties of an organ which determine whether they have intra or retroperitoneal (embryologically)

A
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11
Q

what is the difference between retroperitoneal and secondary retroperitoneal

A
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12
Q

what is the clinical implication of organs being secondarily retroperitoneal

A

toldt fascia

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13
Q

why is the peritoneum highly folded

A
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14
Q

what is mesentery

what is its function

A
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15
Q

how are is mesentery named

A
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16
Q

what is omentum

A
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17
Q

what are the attachments of the greater omentum

A
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18
Q

what are the attachments of the lesser omentum

A
19
Q

what is a peritoneal ligament

A
20
Q

what are the peritoneal ligaments of the liver

A

falciform ligament

continuous parts of lesser omentum

21
Q

what are the peritoneal ligaments of the stomach

A

continuous parts of greater omentum

22
Q

what are bare areas

why are they necessary

what dictates their location

A
23
Q

what are the peritoneal folds

A
24
Q

what are peritoneal fossa

A
25
Q

how is the peritoneal cavity divided

A

greater peritoneal sac - everything not in lesser sac

lesser peritoneal sac (omental bursa) - space behind lesser omentum, inbetween posterior stomach and anterior kidney

communicate via epiploic foramen

greater sac further divided into

supra colic infra colic - separated by mesentery of transverse colon, communicate through paracolic gutters

infra colic - separated into left and right by mesentery of small intestine

26
Q

describe the extent of the omental bursa

A

superior recess - limited by diaphragm and coronary ligament of liver

inferior recess - between greater omentum folds

27
Q

what is the function of the omental bursa

A

allows stomach to move freely on structures inferior and posterior to it

28
Q

where is the epiploic foramen

what are its borders

A

posterior to free edge of lesser omentum (where the hepatoduodenal ligament is)

anterior border - hepatoduodenal ligament

posterior - IVC (covered with peritoneum)

superior - liver

inferior - first part of duodenum

29
Q

what is the foregut, midgut, hindgut

A

all branches of abdominal aorta

foregut - coeliac axis

midgut - superior mesenteric

hindgut - inferior mesenteric

30
Q

what makes up the gastrointestinal tract

A

oesophagus, stomach, small intestine (duodenum, jejunum, ileum) and large intestine (cecum, appendix, ascending, transverse, descending, sigmoid, rectum, anal canal)

31
Q

what is the blood supply to the gastrointestinal tract

A

from abdominal aorta:

foregut - coeliac axis

midgut - superior mesenteric

hindgut - inferior mesenteric

32
Q

describe the blood supply coming from coeliac axis

A
33
Q

describe blood supply coming from superior mesenteric artery

A
34
Q

describe blood supply coming from inferior mesenteric artery

A
35
Q

describe venous drainage of GI tract

A
36
Q

what are the constrictions of the oesophagus

A
37
Q

describe the muscle changes of the oesophagus

A
38
Q

what level does the oesophagus enter the stomach

A
39
Q

describe the blood supply to the liver

A
40
Q

describe the blood supply to the stomach

A
41
Q

describe the blood supply to the small intestine

A
42
Q

describe the blood supply to the large intestine

A
43
Q
A

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