Gray's GI Tract 1 Flashcards
A 55 year old man was admitted to the hospital with severe abdominal pain. Examinations revealed a perforating ulcer in the posterior wall of the stomach. Where would peritonitis develop initially?
- the omental bursa is located directly posterior to the stomach and be the most likely space for peritonitis to develop initially
A 36 year old man was brought to the ER with a bullet wound to the abdomen. The bullet penetrated the anterior abdominal wall superior to the umbilicus. If the bullet passed directly posterior in the midline, which of the following structures would it hit first?
The bullet would first penetrate the transverse colon because it is the most superficial structure located slightly superior the umbilicus.
A 48 year old woman is admitted to the hospital with a distended abdomen. Examination shows presence of ascites. While location would show presence of ascitic fluid with the patient in the supine position?
In a supine patient, fluid accumulation occurs in the hepatorenal pouch (of Morison)
A 42 year old woman is admitted to the hospital after a traumatic landing while skydiving. Examination reveals a ruptured spleen. Splenectomy is performed. Which structure must be carefully manipulated to prevent intraperitoneal bleeding?
The splenorenal ligament is the attachment of the spleen to the left kidney and is the only ligament that contains the major branches of the splenic artery to the spleen.
A 50 year old woman has epigastric pain. Examination reveals a perforated ulceration in the posterior wall of the stomach. Where in the peritoneal cavity would liquid first collect when the patient is supine?
The hepatorenal pouch (of Morison) is between the liver and both the parietal peritoneum covering the right kidney and suprarenal gland. This is the lowest space in supin patients.
A 43 year old female complains of epigastric pain. She has a perforated ulceration in the posterior wall of the greater curvature of her stomach. There is a small amount of free air in the peritoneal cavity–where is the air located?
The right subphrenic space, located between the inf. aspect of the diaphragm and the sup. surface of the liver. An ulceration in the post. stomach wall would allow the passage of air from the stomach into the right subphrenic space through an open communication in the omental bursa (lesser).
25 year old woman admitted to hospital. Ultrasound reveals a ruptured cyst on the left ovary and 100 mL fluid in the pelvis. Where is the fluid most likely located?
Rectouterine pouch (of Douglas) because it is the lowest point in the pelvis when a patient is standing erect.
