lec 5

Question 1

sigmoid mesocolon lies
apex
left limb
right limb

Answer 1

inverted V shape apex lies near the division of left common iliac artery

medial to left psoas major

descends to pelvis lies in medial plane

Question 2

what passes in the sigmoid mesocolon

Answer 2

sigmoid + superior rectal vessels

Question 3

mesoappendix is attached to

Answer 3

back of lower end of mesentery near ileocaecal junction

Question 4

what causes referred pain to the tip of the shoulder

Answer 4

The parietal peritoneum lining the central part of diaphragm is supplied by the phrenic nerve (C4)

Question 5

what separates the infra and supra colic compartment

Answer 5

attachment of mesocolon

Question 6

what separates the right and left infracolic compartment

Answer 6

mesentery of small intestine

Question 7

peritoneum N supply 
central part of diaphragm --> 
lateral parts --> 
rest of the diaphragm --> 
pelvic part -->

Answer 7

1-phrenic (C4)
2- lower 6 intercostal
3- lower 6 intercostal L1
4- obturator N. mainly

Question 8

the parietal peritoneum is sensitive to

Answer 8

Is sensitive to pain, temperature, touch, and pressure

Question 9

the visceral peritoneum is sensitive to

Answer 9

stretch , tearing

Question 10

innervation of visceral peritoneum

Answer 10

afferent fibers travel with autonomic supply to the viscera

Question 11

stomach relation to anterior wall

Answer 11

in epigastric, umblical, and left hypochondriac regions of abdomen

Question 12

cardiac orifice lies

Answer 12

behind left 7th costal cartilage, 2.5cm from its sternal junction
at the level of T11 vertebra

Question 13

pyloric orifice lies

Answer 13

Lies about 1.2 cm to the right of median plane near the level of lower border of L1

Question 14

stomach anterior relations

Answer 14

abdominal wall 
diaphragm
left lung and pleura 
left lobe of liver 
left costal margin

Question 15

posterior relations of the stomach

Answer 15

stomach bed :
splenic artery + spleen
supra renal gland + upper part of left kidney 
body of pancreas 
transverse mesocolon + transverse colon
lesser sac + diaphragm

Question 16

blood supply to stomach

Answer 16

Right and left gastric arteries:
Are branches of hepatic and celiac arteries, respectively.
They form an anastomosing arch along lesser curvature.
b. Right and left gastroepiploic arteries:
are branches of
gastroduodenal and splenic arteries, respectively.
They form a similar arch along the greater curvature.
C. Short gastric arteries
Branches of the splenic artery.
They supply the fundus.

Question 17

lymph drainage of stomach

Answer 17

drain into right and left gastric nodes, the right and left gastoepiploic nodes, and the short gastric nodes.

Lymph from these node drains into the celiac  nodes.

Question 18

nerve supply to stomach

Answer 18

The stomach is supply by sympathetic and parasympathetic fibers (vagi) via the celiac plexus.