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GIGU Exam 1 > Mesenteries And Abdominal Foregut Organs > Flashcards

Mesenteries And Abdominal Foregut Organs Flashcards

1
Q

what peritoneum lines the inner surface of abd wall

A

parietal peritoneum
continuous with visceral peritoneum around organs
CAVITY: make fluid, lower friction of organs, resist infection, mobilize WBCs

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2
Q

2 parts of peritoneal cavity

A 
Greater Sac
Lesser Sac (omental bursa)
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3
Q

Mesentary

A

double layer of peritoneum
attach to interaperitoneal organs
A, V, L travel through it
A LOT OF FAT inside it

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4
Q

regional mesenteries

A

Peritoneal Ligaments

connect two organs or an organ to the abd wall

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5
Q

Greater Sac vs Lesser Sac

A

Greater Sac is anterior to lesser sac

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6
Q

Lesser Omentum

A

A peritoneal Lig of (Heptaoduodenal lig and Hepatogastric Lig)
connects liver to stomach and liver to duodenum (1st part)

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7
Q

Greater Omentum

A

A peritoneal Lig of (Gastrocolic lig, Gastrophrenic lig, gastrosplenic lig)
Drappes over anterior surface of intestines
connects greater cruve of stomach, duodenum, Tr Colon, to abd wall, spleen, and diaphragm

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8
Q

Epiploic Foramen

A

Opening connection greater and lesser sacs
ANT : hepatoduedental lig
POST : 1st part of duodenum
SUP : Peritoneal reflection from liver to IVC
INF : peritoneum covering IVC

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9
Q

Stomach loaction right and left

A

left: T10-T11
right: L1

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10
Q

Esophagus hiatus

A

T10

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11
Q

Esophagus enter stomach at

A

cardiac orifice T11

Cardiac notch separates esophagus from stomach

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12
Q

Hiatal Hernia

A

protrusion of stomach into mediastinum through the esophageal hiatus
2 types sliding and para-esophageal

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13
Q

Para-esophageal Hiatal Hernia

A

Cardia in normal place
fundus goes through the esophageal hiatus
NO REGURGITATION

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14
Q

Sliding Hiatal Hernia

A

Cardia and some fundus out from esophageal hiatus

REGURGITATION

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15
Q

Spleen location and ligaments

A

T9 - T11 ULQ (left hypochondriac region)
Gastrosplenic Lig
Splenorenal Lig

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16
Q

Duodenum 4 parts

PART 1

A

PART 1 : SUPERIOR

interaperitoneal, sup and right attached to hepatoduedenal ligament

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17
Q

Duodenum 4 parts

PART 2

A

PART 2: DESCENDING
retroperitoneal, has opening of hepatopancreatic duct
(bile duct + pancreatic duct)
1. Minor Duodenal Papilla - accessory pancreatic duct
2. Major Duodenal Papilla - hepatopancreatic duct

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18
Q

Duodenum 4 parts

PART 3

A

PART 3 : HORIZONTAL

retroperitoneal, crossed by superior mesenteric A and V

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19
Q

Duodenum 4 parts

PART 4

A

PART 4: ASCENDING

retroperitoneal, joins to jejunum with the Suspensory Ligament (Ligament of Treitz)

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20
Q

Foregut innervation

SYMPATHETIC

A

T5- T9 greater splanchnic Nerves from thorax—-> Celiac ganglion

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21
Q

Foregut innervation

PARASYMPATHETIC

A

(right) Ant and (left) Post vagal trunk
pierce diaphragm at T10
celiac plexus and organs

22
Q

Liver location and 2 surfaces

A

URQ (epigastric and rigth hypochondriac) and left lobe is in LUQ

  1. Diaphragm surface
  2. Visceral surface
23
Q

Diaphragm surface of liver

A

connect to diaphragm, IVC and covered in peritoneum

24
Q

Visceral surface of liver

A

covered in peritoneum except over gallbladder and portal hepatic
Hepatic portal

25
Q

Portal Hepatic

A

on visceral surface of liver

hepatic A, hepatic portal V, Hepatic Bile Duct, L, N

26
Q

Cirrhosis

A

from alcohol, hepatomegaly and hobnail appearance of surface of liver, from fatty changes and fibrosis

27
Q

Right lobe of liver

A
  1. Caudate lobe : IVC and Falciform ligament on either side
  2. Quadrate Lobe: inferior to caudate
    Gallbladder and Falciform lig on either side
28
Q

Left Lobe of liver, and what separates it from the right

A

separated from right by falciform lig

smaller

29
Q

Bare Area

A

on top of right lobe attached to diaphragm by the CORONARY LIGAMENT (visceral peritoneum)

30
Q

What forms the Falciform lig and what is it the remanent of

A

from the ligamentum teres hepatis (round lig of liver) folding
Remnant of LEFT UMBILICAL VEIN

31
Q

two other ligs of liver

A

left and right triangular ligs

32
Q

Hepatic Portal is a

A

Dual BLOOD SUPPLY

33
Q

Hepatic A

A

O2 blood from common hepatic a to liver

34
Q

Hepatic Portal Vein

A

venous blood from stomach, gallbladder, Interstines, spleen to liver and then to IVC—> heart

35
Q

Bile duct

A

from liver to intestines

36
Q

Hepatoduodenal Lig forms the what

A

Portal TRIAD

  1. Hepatic A
  2. Hepatic Portal V
  3. Bile duct
37
Q

Pringle manuever

A

clip the hepatic A and v in portal triad lig (hepatoduodenal lig- lesser omentum) and stop liver bleeding

38
Q

Pancreas location and what does it touch

A 
L1-L2
ANT : lesser sac and stomach - BODY
POST: aorta, IVC, CBD, Left kidney, Superior mesenteric A - NECK, TAIL (kidney)
RIGHT: Duodenum ( 2 ) - HEAD
LEFT: Spleen - TAIL
INF: Duodenum ( 3 ) - UNCINATE PROCESS
39
Q 
Gallbladder
Function
Shape
connection
parts
A, N
A 
STORES BILE
pear shapped
attached to liver by CT 
fundus, Body, Neck (connected to hepatic duct by Cystic Duct)
A: Cystic A and N: Celiac Plexus
40
Q

Gallstones

A

CHOLELITHIASIS, cholesterol crystals

in cystic duct, hepatic duct, hepatopancreatic ampulla

41
Q

CHOLELITHIASIS

A

Gallstones

42
Q

Gallstones blocking the Heptopancreatic ampulla cayses

A

both blockage of bile and pancreatic secretions

= bile backs up into pancreas causing PANCREATITIS

43
Q

ABD Foregut Arteries from Celiac Trunk

Common Hepatic A =

A

Common Hepatic A =
Gastroduadoneal (right gastroomental (gastropiploic A)
Supraduodenal A
Hepatic A PORTAL TRIAD

44
Q

ABD Foregut Arteries from Celiac Trunk

Splenic A =

A

Short gastric A
Left gastromental (gastroepiploic A)
Pancreatic Br.

45
Q

ABD Foregut Arteries from Celiac Trunk

Left Gastric A =

A

Esophageal Br

46
Q

Cystohepatic Triangle of Calot

A

Cystic A comes from within it

47
Q

Bile duct

A

Common hepatic + Cystic Duct

48
Q

Common Hepatic Duct

Cystic Duct

A

Right and Left hepatic D

gallbladder to common hepatic duct

49
Q

Common bile duct and main pancreatic duct have sphincters for

A

so bile dont go to pancreas and pancreatic enzymes dont go to liver

50
Q

Main Pancreatic duct

A

tail—> head where it joins accessory duct

51
Q

Hepatopancreatic Ampulla (of Vater)

A

Common bile D + Main Pancreatic D

associated with 1 sphincter ODDI (Hepatopancreatic sphincter) 2 major duodenal papilla

GIGU Exam 1 (19 decks)

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