Lab 5 - Abdomen Flashcards

1
Q

What organs are found in the different quadrants and regions?

A

intestines

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2
Q

What ligaments hold the liver in place?

What are these ligaments made of?

A

Coronary Ligament, Falciform Ligament, Round Ligament of the Liver (Ligament of Teres Hepatis; obliterated umbilical vein)

Double layer of peritoneum (mesentery?)

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3
Q

What structures are found at the porta hepatis?

A

Bile duct, Portal Vein, Proper Hepatic Artery

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4
Q

Which ducts carry bile from the liver to the small intestine?

A

Common Bile duct

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5
Q

Which duct would have to be cut to remove the gall bladder?

A

Cystic duct

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6
Q

What structure controls the release of chyme into the small intestine?

A

Pylorus ?

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7
Q

What organ is found immediately posterior to the stomach?

A

Pancreas?

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8
Q

If gas accumulates in the stomach, in which region would it be found?

A

?

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9
Q

How does its location make the spleen vulnerable to injury?

A

Lies in the upper left abd quadrant, protected by the 9th-12th ribs. Can be punctured from fractured ribs; rupture of thin capsule due to increase in intra-abd pressure (most injured organ in abd)

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10
Q

Which component of the small intestine is the shortest?

A

Duodenum ?

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11
Q

Where does the pancreatic duct terminate?

A

At the duodenum ?

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12
Q

What structure attaches the small intestine to the posterior abdominal wall?

A

Mesentery ?

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13
Q

What are the distinguishing features of the jejunum and ileum?

A

Jejunum:
Mesentery: Thin (relative)
Arcades: Few & large
Vasa recta: Long
Plicae circulares: Dense (for absorption)

Ileum:
Mesentery: Thick
Arcades: Many & short
Vasa recta: Short
Plicae circulares: Sparse

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14
Q

What 3 anatomical features distinguish the large intestine from the small intestine?

A

?

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15
Q

Where is the appendix found?

A

Right Lower Quadrant

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16
Q

Which part of the large intestine is the largest and most mobile?

A

Transverse Colon

17
Q

What are the 3 major branches of the celiac trunk?

A

Left Gastric a., Splenic a., Common Hepatic a.

18
Q

What structures does the superior mesentaric a. it supply?

A

?

19
Q

What structures does the inferior mesentaric a. supply?

A

Duodenum, Pancreas ?, Jejunum & Ileum ?

20
Q

What veins join to form the portal vein?

A

Splenic & Superior Mesenteric Veins ?

21
Q

What organs are drained by the portal venous system?

A

Gallbladder, Spleen, Pancreas, Stomach, & Small & Large Intestines ?

22
Q

Identify the veins that correspond to the arteries mentioned above. Do these veins drain into the systemic circulation or the portal venous system?

A

?

23
Q

What ligament attaches to the anterior superior iliac spine and pubic tubercle?

A

Inguinal Ligament

24
Q

External oblique
▪ Actions:

A

flexion & rotation of trunk, compression of viscera

25
Q

Internal oblique
▪ Actions:

A

flexion & rotation of trunk, compression of viscera

26
Q

Transversus abdominis
▪ Actions:

A

compression of viscera only!

27
Q

Rectus abdominis
▪ Actions:

A

flexion of trunk, compression of viscera

28
Q

What nerves innervate the muscles of the anterolateral abd wall?

A

Thoracoabdominal nerves (T7-11), subcostal (T12), & L1 nerves

29
Q

What structures form the rectus sheath?

A

?

30
Q

Which arteries supply the rectus abdominis?

A

Superior/Inferior Epigastric arteries (run posterior to it)

31
Q

What structures form the roof, floor, and anterior and posterior walls of the inguinal canal?

A

Anterior Wall –> EO aponeurosis

Posterior Wall –> Mostly transveralis fascia

Roof –> Inferior border of IO & TA muscles

Floor –> Mainly inguinal ligament

32
Q

What are the contents of the inguinal canal in males?

Females?

A

Ilioinguinal Nerve & Spermatic Cord

Ilioinguinal Nerve & Round Ligament of the Uterus

33
Q

What is the difference between a direct inguinal hernia and an indirect inguinal hernia?

A

Direct Inguinal Hernia: intestines pass MEDIAL to inferior epigastric vessels, Indirect Inguinal Hernia: intestines pass LATERAL to inferior epigastric vessels

34
Q

What is the landmark that can be used to differentiate between the two types of hernias?

A

The Inferior epigastric vessels

35
Q

Identify the paired muscles that form the posterior abdominal wall.

  • psoas major (look for iliacus too)
    ▪ Actions:
A

powers hip flexion & can also flex the trunk laterally

36
Q

Identify the paired muscles that form the posterior abdominal wall.

quadratus lumborum
▪ Actions:

A

powers lateral flexion of the lumbar spine, stabilizes the 12th rib against the action of the diaphragm during inspiration