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GI Midterm 1 > Peritoneal Cavity and Abdominal Vasculature > Flashcards

Peritoneal Cavity and Abdominal Vasculature Flashcards

1
Q

what are double layers of peritoneum that reflect off body wall and enclose viscera

A
  • mesenteries
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2
Q

parietal peritoneum is supplied by blood vessels of ______

A
  • the abdominal wall
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3
Q

parietal peritoneum innervated by ________

result

A
  • general sensory fibers

- painful

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4
Q

parietal peritoneum drained by lymphatic vessels in ________

A
  • abdominal wall
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5
Q

visceral peritoneum supplied by blood vessels of ______

A
  • viscera
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6
Q

visceral peritoneum innervated by _________

result

A
  • visceral sensory fibers

- not as painful

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7
Q

visceral peritoneum drained by lymphatic vessels from

A
  • viscera
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8
Q

visceral peritoneum often referred to in histology as

A
  • serosa

- mesothelium

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9
Q

intraperitoneal structures protrude completely into

A
  • peritoneal sac
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10
Q

intraperitoneal structures almost completely invested by _______-

A
  • visceral peritoneum
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11
Q

intraperitoneal structure examples

A
  • stomach
  • duodenum
  • ileum
  • jejunum
  • liver
  • pancreas (tail)
  • spleen
  • colon (transverse and sigmoid)

JIDS

LPSC

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12
Q

retroperitoneal structures are located ________ to the peritoneum

A
  • posterior
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13
Q

examples of retroperitoneal structures

A
  • Suprarenal (adrenal) glands
  • Aorta and IVC
  • Duodenum
  • Pancreas
  • Ureters
  • Colon (descending and ascending)
  • Kidneys
  • Esophagus
  • Rectum

SADPUCKER

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14
Q

some intraperitoneal structures come into contact with the body during development and become ______________

A
  • secondarily retroperitoneal
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15
Q

how to become secondarily retroperitoneal

A
  • intaperitoneal organ rotates and fuses with posterior body wall
  • visceral and parietal peritoneum fuse
  • organ covered with parietal peritoneum
  • organ now retroperitoneal
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16
Q

greater omentum is a _________ of the peritoneum

A
  • reflection
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17
Q

greater omentum is suspended from the __________

A
  • greater curvature of the stomach
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18
Q

greater omentum provides pathways for ________ structures

A
  • pathways for neuromuscular structures
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19
Q

how can the greater omentum prevent peritonitis

A
  • wrap itself around inflamed organs
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20
Q

lesser omentum is a ______ of the peritoneum

A
  • reflection
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21
Q

lesser omentum is a _______ layer of the peritoneum from the _________ to the _________-

A
  • double layer of peritoneum

- from lesser curvature of stomach to the liver

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22
Q

lesser omentum provides pathways for the _________

A
  • portal triad
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23
Q

lesser omentum is composed of

A
  • hepatogastric ligaments

- hepatoduodenal ligaments

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24
Q

which ligament contains the portal triad

A
  • hepatoduodenal ligament
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25
Q

most of the peritoneal cavity is known as the

A
  • greater sac
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26
Q

the greater sac spans from the ________ to the ________

A
  • spans from diaphragm to lower aspect of abdominal cavity
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27
Q

which division of the greater sac is above the transverse colon?

A
  • supracolic compartment
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28
Q

which division of the greater sac is below the transverse colon

A
  • infracolic compartment
29
Q

what is another name for the sub hepatic recess in the greater sac

A
  • hepatorenal recess

- Morison’s pouch

30
Q

the paracolic recesses of the greater sac are filled with what

A
  • ascending and descending colon
31
Q

the subphrenic recess is a division of the

A
  • greater sac
32
Q

what side is the sub hepatic recess on?

A
  • on the right side
33
Q

where is the lesser sac located

A
  • behind the lesser omentum
34
Q

recesses of the lesser sac

A
  • superior recess
  • splenic recess
  • inferior recess
35
Q

what is the natural opening between lesser sac and greater sac

A
  • omental foramen
36
Q

what is the superior boundary of the omental foramen

A
  • caudate lobe of liver
37
Q

what is the inferior boundary of the omental foramen

A
  • first part of the duodenum
38
Q

what is the anterior boundary of the omental foramen

A
  • hepatoduodenal ligament
39
Q

what is the posterior boundary of the omental foramen

A
  • inferior vena cava
40
Q

portal triad composed of

where are they located in regard to the omental foramen

A
  • common bile duct (left)
  • portal vein (posterior)
  • proper hepatic artery (right)
41
Q

blood vessels travel in between the 2 _______ layers of a mesentary

A
  • peritoneal
42
Q

the _________ of a mesentary is the location on the posterior body wall where parietal and peritoneum reflects and forms the double layer of the mesentery

A
  • root of a mesentery
43
Q

root of the mesentery typically refers to the root of the _______

A
  • small intestine
44
Q

what are double layers of peritoneum between organs referred to as

A
  • ligaments
45
Q

a ______ ligament is a specific subdivision of a mesentery

A
  • peritoneal ligament
46
Q

the celiac trunk arises at what vertebral layer

A
  • T12
47
Q

the superior mesenteric artery arises at what vertebral layer

A
  • L1
48
Q

the inferior mesenteric artery arises at what vertebral layer

A
  • L3
49
Q

the celiac trunk arises from aorta just ______ to diaphragm

A
  • arises from aorta just inferior to diaphragm
50
Q

branches of celiac trunk

which is the smallest branch

A
  • common hepatic artery
  • splenic artery
  • left gastric artery (smallest branch)

CT CH SLG
Common Truth Chapel Hill Sucks Large Gonads (at basketball per that last game)

51
Q

common structures give rise to ________ structures

A
  • proper
52
Q

common hepatic artery runs along upper border of _________

A
  • pancreas
53
Q

branches of common hepatic artery

A
  • proper hepatic artery
  • right gastric artery
  • gastroduodenal artery

CH PH RG G

Chapel Hill, Really Gets, Pretty Hung, Guys

54
Q

shape of splenic artery

A
  • winding and twisting
55
Q

branches of splenic artery

A
  • short gastric
  • left gastroepiploic

S SG LG
Should SG Leave, G

56
Q

common hepatic artery supplies what organs

A
  • liver
  • gallbladder
  • stomach
  • pancreas
  • part of duodenum

CH

Loses Sports Games Pretty Publicly

LGSPP

57
Q

splenic artery supplies what organs

A
  • body of pancreas
  • spleen
  • greater curvature of stomach

S

BS GS

Some BS GS

58
Q

left gastric artery supplies

A
  • distal esophagus
  • lesser curvature of stomach

LDL

59
Q

superior mesenteric artery arises from aorta _______ neck of pancreas

A
  • behind
60
Q

branches of superior mesenteric artery

A
  • inferior pancreaticoduodenal
  • jejunal and ileal branches
  • middle colic artery
  • right colic artery
  • ileocolic artery
  • appendicular artery

PICA Just In Case

61
Q

branches of inferior mesenteric artery

A
  • left colic
  • sigmoid
  • superior rectal

IM Screaming Really Loud

62
Q

what is the marginal artery of the colon

importance

A
  • artery of Drummond

- will help out if there is a blockage

63
Q

venous drainage of the spleen, pancreas, gallbladder, and abdominal part of the GI tract is through the _______ which delivers blood to the liver

A
  • hepatic portal system
64
Q

portal vein formed by union of

A
  • splenic vein
  • superior mesenteric vein
  • inferior mesenteric vein
65
Q

what happens if there is an obstruction in the liver or portal vein

can be caused by

A
  • blood re-routed around the liver to the systemic circulation
  • cirrhosis or portal hypertension
66
Q

obstruction in the liver or portal vein - what happens with the left gastric vein

clinical sign

A
  • routed to esophageal veins

- esophageal varices

67
Q

obstruction in the liver or portal vein - what happens with paraumbilical veins

clinical sign

A
  • re-routed to superficial veins on abdominal wall

- caput medusa

68
Q

obstruction in the liver or portal vein - what happens with superior rectal vein

clinical sign

A
  • drains into middle and inferior rectal veins

- anorectal varices (hemorrhoids)

69
Q

how are hemorrhoids caused in cirrhosis or portal hypertension

A
  • blood pumps into middle and inferior rectal veins

- veins become overworked and enlarged

GI Midterm 1 (25 decks)

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