Peritoneum Flashcards

1
Q

Peritoneum

A

Serous membrane = lining of abdominal cavity
Closed in males
Open in females
Visceral and parietal layers with cavity in between

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2
Q

Parietal peritoneum

A

Lines internal surface of abdominal walls
Sensitive to pain

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3
Q

Visceral peritoneum

A

Lines walls of organs
Insensitive to pain

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4
Q

Peritoneal cavity

A

Contains serous fluid

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5
Q

Intraperitoneal organs

A

Have complete visceral covering
Including liver, stomach, spleen

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6
Q

1ary retroperitoneal/extraperitoneal organs

A

Develop and remain behind peritoneum

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7
Q

2ary retroperitoneal organs

A

Develop within peritoneum but move out and only covered anteriorly

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8
Q

Lesser omentum

A

Fold
Hepatogastric and hepatoduodenal ligaments
Liver to stomach, liver to duodenum

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9
Q

Hepatoduodenal ligament

A

Contains portal triad - portal vein, hepatic artery proper, common bile duct

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10
Q

Greater omentum

A

Fold
Gastrophrenic, gastrosplenic, gastrocolic ligaments
Can migrate to inflamed areas and localize inflammation

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11
Q

Liver

A

Split by falciform ligament, connects to abdominal wall

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12
Q

Mesentery

A

Continuation of visceral and parietal peritoneum
Attaches intenstines to posterior abdominal wall

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13
Q

Mesentery proper

A

Jejenum and ileum

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14
Q

Transverse mesocolon

A

Transverse colon

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15
Q

Sigmoid mesocolon

A

Sigmoid colon

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16
Q

Mesoappendix

A

Appendix

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17
Q

Splenorenal ligament

A

Connects spleen and kidney
Contains splenic artery and vein

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18
Q

Ligamentum teres hepatitis

A

Floor of falciform ligament
Obliterated left umbilical vein

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19
Q

Coronary ligament

A

Connects liver and diaphragm

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20
Q

Gastrosplenic ligament

A

Contains short gastric and left gastroepiploic a & v

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21
Q

Peritoneal fold

A

Contains umbilical folds = median, medial and lateral folds

22
Q

Duodenojejunal fold

A

Duodenum and jejenum

23
Q

Ileocecal fold

A

Ilium and cecum

24
Q

Endoderm

A

Develops into primitive gut - foregut, midgut and hindgut

25
Q

Development of peritoneal cavity

A

Organs will protrude into the peritoneal sac
Blood supply from dorsal aorta
Organs will protrude into peritoneal sac

26
Q

Primordial gut

A

Suspended by dorsal mesentery to posterior abdominal wall

27
Q

Mesogastrium

A

Becomes greater omentum

28
Q

Greater sac

A

Larger part of peritoneal cavity

29
Q

Lesser sac

A

AKA omental bursa
Only behind stomach with inferior & superior recess
Tumors can spread to structures in stomach bed

30
Q

Mental bursa fluid accumulation

A

Can be caused by perforation of stomach, inflamed pancreas

31
Q

Omental foramen

A

AKA epiploic foramen
Greater and lesser sacs communicate
Hepatoduodenal ligament, IVC, liver and duodenum

32
Q

Suphepatic recess

A

AKA Morison’s pouch, space btwn liver and right kidney
Fluid can collect white laying

33
Q

Cholecystectomy

A

Pinch hepatoduodenal ligament

34
Q

Peritoneal recesses

A

Small intestine can herniate into these areas

35
Q

Intersigmoid recess

A

Left ureter lies here

36
Q

Paraduodenal recess

A

IMV and left colic artery

37
Q

Pouch of Douglas

A

Space between rectum and uterus, rectouterine pouch

38
Q

Rectovesical pouch

A

Space between rectum and bladder

39
Q

Cuidocentesis

A

Fluid removed at Pouch of Douglas

40
Q

Peritonitis

A

Localized or generalized inflammation, can be due to perforation

41
Q

Ascites

A

Excess fluid in peritoneal cavity
Remove fluid with paracentesis

42
Q

Intraperitoneal resuscitation

A

Infuse drugs or fluid

43
Q

Peritoneal dialysis

A

Cheaper, short term option for dialysis

44
Q

Peritoneal adhesions

A

Image causes fibrin deposits and scar tissue

45
Q

Paracentesis

A

Remove fluid

46
Q

Volvulus

A

Mesentery of ascending colon doesn’t fuse with post and wall - twisting, abnormal movements of gut

47
Q

Paracolic gutter

A

Space between the colon (ascending and descending) and the abdominal wall

48
Q

Urachus

A

Embryonic remnant fetal structure, attaches apex of bladder to umbilicus, drain urine from bladder thru umbilicus

Usually closes before birth, but if it remains, possible that urine may be leaking out of umbilicus

49
Q

Falciform ligament

A

Splits liver, attaches it to ant ab wall
Derivative of ventral mesentery

50
Q

Coronary ligament

A

Attaches liver to diaphragm

51
Q

Gastrocolic ligament

A

Connects spleen to post ab wall and provides access to lesser sac