Peritoneum Flashcards

1
Q

Describe the two layers of the peritoneum

A

parietal layer: lines the body wall, has abundant pain fibers via nerves from the body wall

visceral layer: covers viscera, lacks pain fibers

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2
Q

Intraperitoneal organs are covered by what on most sides?

A

visceral peritoneum

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3
Q

Intraperitoneal organs are suspended by what from the body wall?

A

mesentary

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4
Q

True or False?

retroperitoneal organs are only covered by parietal peritoneum on one side

A

true

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5
Q

What are the intraperitoneal organs?

A

stomach, small intestine, spleen, liver, ovaries, gallbladder, cecum, large intestine, uterine tubes

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6
Q

What are the retroperitoneal organs?

A

kidneys, pancreas, urinary bladder, ureters, gonads, aorta and inferior vena cava, part of duodenum

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7
Q

Where do the nerves that supply the peritoneum come from?

A

the adjacent body wall; supply pain and vasomotor fibers

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8
Q

THE mesentery attaches what?

A

the “free” small intestine to the posterior body wall, jejunum, and ileum

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9
Q

The transverse mesocolon fuses with what?

A

the posterior layer of the greater omentum

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10
Q

Which mesenteries are lost during development?

A

duodenum, ascending colon, descending colon and cecum

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11
Q

True or False?

Peritoneal ligaments usually transmit nerves and vessels

A

true

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12
Q

What is the greater omentum?

A

broad, 2-4-layered sheet of peritoneum that attaches the stomach to other viscera

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13
Q

The lesser omentum is subdivided into what two ligaments?

A

hepatogastric ligament

hepatoduodenal ligament

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14
Q

Coronary ligaments, right and left triangular ligaments, falciform ligament, ligamentum treres hepatic are all peritoneal ligaments associated with what?

A

the liver

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15
Q

What is a fold?

A

a ridge or elevation in the peritoneum produced by underlying vessels

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16
Q

What are fossae or recesses?

A

depressions between folds

17
Q

Structures coursing through the extra peritoneal tissue form elevations on the interior abdominal wall called what?

A

peritoneal (umbilical) folds

18
Q

How many medial and lateral umbilical folds are there in the abdominal wall?

A

medial: 2
lateral: 2

19
Q

Median umbilical fold is formed by what?

20
Q

The medial umbilical folds are formed by what?

A

medial umbilical ligaments

21
Q

The lateral umbilical folds are formed by what?

A

inferior epigastric vessels

22
Q

The falciform ligament is a remnant of what?

A

obliterated umbilical vein

23
Q

What is the site for supravesical hernias?

A

supravesical fossa

24
Q

What is the site for direct inguinal hernias?

A

medial inguinal fossa

25
What is the site for indirect inguinal hernias?
lateral inguinal fossa
26
What is the greater sac of the peritoneal cavity?
most of the "potential" space within the abdomen
27
Recesses and fossae of the peritoneal cavity are clinically important because...?
abscesses may develop and excess fluid will pool there
28
The upper and lower parts of the inframesocolic region of the greater sac are divided by what?
THE mesentary
29
Which ligament limitsj the spread of fluid superiorly in the inframesocolic region of the greater sac?
phrenicocolic
30
Where is the lesser sac located?
posterior and inferior to the stomach
31
How do the greater and lesser sac communicate?
through the epiploic foramen (of Winslow)
32
Where is the superior recess located?
posterior to the liver
33
Where is the inferior recess located?
potential space between the 2 layers of the gastrocolic ligament
34
Where is the splenic recess found?
posterior to and left of the stomach