Lecture 29: Abdomen II Guit Development Of Peritoneum Flashcards

1
Q

foregut will form what structures (6)

A

stomach
liver
gallbladder
spleen
pancreas
1/5 duodenum

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2
Q

midgut will form (6)

A

4/5 duodenum
jejunum
ileum
cecum
ascending colon
2/3 transverse colon

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3
Q

midgut will form (6)

A

4/5 duodenum
jejunum
ileum
cecum
ascending colon
2/3 transverse colon

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4
Q

hindgut will form (4)

A

1/3 transverse colon
descending colon
sigmoid colon
rectum

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5
Q

intraembryonic coelem: 4 cavities

A

-1 pericardial cavity
-2 pericardioperitoneal canals
-1 peritoneal cavity

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6
Q

peritoneum definition

A

single serous layer of flattened mesothelial cells supported by fibroelastic connective tissue that attaches to body wall, diaphragm and viscera

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7
Q

peritoneum develops from

A

intraembryonic coelom

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8
Q

parietal peritoneum derived from

A

parietal layer of lateral plate mesoderm (next to body wall)

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9
Q

visceral peritoneum derived from

A

visceral layer of lateral plate mesoderm (next to organs)

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10
Q

what structures are derived from the intraembryonic coelom (3)

A

-peritoneum
-visceral and parietal pericardium
-pleura

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11
Q

peritoneal cavity definition

A

space enclosed by peritoneum

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12
Q

peritoneal fluid secreted by what cells

A

-secreted by mesothelial cells into peritoneal cavity

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13
Q

function/role of serous fluid in GI motility

A

-allows layers of peritoneum to glide against one another
-prevent viscera from attaching to abdominal wall

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14
Q

unique feature of peritoneum (hint: clinical relevance)

A

-large, rapidly absorptive surface area
-toxins are readily absorbed, good environment for bacterial growth = peritonitis

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15
Q

how does herniation of midgut during development lead to adult intestinal topography

A
  • The size of the developing midgut is too large to be contained within the embryonic abdomen so it is forced to herniate into umbilical cord = makes for weak ventral abdominal wall in newborns and young animals
    -Herniates into peritoneal cavity ventrally, takes two layer of peritoneum = mesentery, completes a 270 degree rotation so large intestine becomes looped around small intestine
    -During this herniation the intestine drags vasculature, nerve supply, and lymphatics
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16
Q

mesentery: developmental definition

A

2 layers of peritoneum that migrate together as the developing midgut migrates ventrally

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17
Q

mesentery: definition

A

double layer of peritoneum that forms from invagination of peritoneum

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18
Q

what structure suspends the midgut from the dorsal abdominal wall

A

dorsal mesentery

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19
Q

root of the mesentery

A

peritoneal attachment between dorsal/great mesentery and dorsal abdominal wall

20
Q

what structures are suspended/supported by dorsal mesentery

A

-duodenum
-jejunum
-ileum

21
Q

intraperitoneal organs: definition

A

organs suspended from dorsal abdominal wall within peritoneal reflections

22
Q

retroperitoneal organs: definition

A

-organs directly joined to abdominal wall
-no mesentery or peritoneum dorsally

23
Q

3 retroperitoneal organs

A

kidneys
aorta
pancreas

24
Q

volvulus

A

loop of intestine and mesentery that becomes twisted
can lead to strangulated and obstructed bowel

25
Q

greater omentum functions

A

-prevent adhesions between abdominal viscera/organs and ventral abdominal wall
-prevent spread of infection from perforations of intestines (seals off site of perforation)

26
Q

greater omentum definition

A

extended fold of dorsal mesogastrium
-attaches greater curvature of stomach to dorsal body wall at pancreas
-covers abdominal cavity

27
Q

lesser omentum definition

A

-spand distance from lesser curvature of stomach to porta of liver

28
Q

lesser omentum contains (3)

A

-portal vein
-hepatic artery
-bile duct

29
Q

foregut: blood supply, sympathetics, parasympathetics

A

-celiac trunk/artery
-sympathetics: celiac ganglion
-parasympathetics: vagus (CN X)

30
Q

midgut: blood supply, sympathetics, parasympathetics

A

-cranial mesenteric artery
-sympathetics: cranial mesenteric ganglion
-parasympathetics: vagus

31
Q

hindgut: blood supply, sympathetics, parasympathetics

A

-caudal mesenteric artery
-sympathetics: caudal mesenteric ganglion
-parasympathetics: pelvic splanchnic nerves

32
Q

4 layers of gut/GI

A

-mucosa
-submucosa
-muscularis externa
-adventitia (rough) or serosa (smooth)

33
Q

3 layers of mucosa

A

-epithelium
-lamina propria
-muscularis mucosa

34
Q

lamina propria

A

CT layer with immune cells

35
Q

muscularis mucosa function and definition

A

contract mucosa
multiple smooth muscle layers

36
Q

muscularis externa: 2 sublayers of muscle

A

inner circular
outer longitudinal

37
Q

muscularis externa function

A

move luminal conent

38
Q

inner circular layer function

A

acts as series of sphincters to restrict luminal flow

39
Q

where is adventitia found (2 organs)

A

-esophagus
-rectum, anal canal

40
Q

does esophagus have a lamina propria

A

no

41
Q

mucosa epithelium in stomach, small intestine and large intestine

A

simple columnar

42
Q

mucosa epithelium in esophagus

A

stratified squamous

43
Q

mucosa epithelium in rectum

A

stratified sqamous

44
Q

submucosa in stomach called

A

rugae

45
Q

small intestine submucosa

A

all circular folds
brunners glands in duodenum

46
Q

what muscle layer is absent in large intestine

A

submucosa

47
Q

lamina propria in stomach

A

fundic, cardiac and pyloric glands