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?

A

urachus

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
Q

What is the site for indirect inguinal hernias?

A

lateral inguinal fossa

26
Q

What is the greater sac of the peritoneal cavity?

A

most of the “potential” space within the abdomen

27
Q

Recesses and fossae of the peritoneal cavity are clinically important because…?

A

abscesses may develop and excess fluid will pool there

28
Q

The upper and lower parts of the inframesocolic region of the greater sac are divided by what?

A

THE mesentary

29
Q

Which ligament limitsj the spread of fluid superiorly in the inframesocolic region of the greater sac?

A

phrenicocolic

30
Q

Where is the lesser sac located?

A

posterior and inferior to the stomach

31
Q

How do the greater and lesser sac communicate?

A

through the epiploic foramen (of Winslow)

32
Q

Where is the superior recess located?

A

posterior to the liver

33
Q

Where is the inferior recess located?

A

potential space between the 2 layers of the gastrocolic ligament

34
Q

Where is the splenic recess found?

A

posterior to and left of the stomach