Peritoneum and Upper Abdomen

Question 1

True or False:

Parietal Peritoneum and Visceral Peritoneum are continuous with one another.

Answer 1

True

Question 2

Vessels tend to travel _______ the peritoneal layers.

Answer 2

between

Question 3

_____ ______ is the continuous area of all visceral and parietal peritoneal membranes.

Answer 3

Peritoneal Sac

Question 4

_____ ______ is a potential space within the sac.

• contains only a small amount of serous fluid
• allows organs to move freely w/out friction (peristalsis)

Answer 4

Peritoneal Cavity

Question 5

Liters of fluid pertaining to the actual space in the Peritoneal Cavity:

Answer 5

ascites

Question 6

Double layers of Peritoneum create:

Answer 6

anchoring and restrict movement

Question 7

Portal Triad: (a,d,v)

Answer 7

hepatic artery
bile duct
hepatic portal vein

Question 8

Portal Triad is in:

Answer 8

hepatoduodental ligament

Question 9

What do hepatoduodenal ligament, hepatogastric ligament, gastrosplenic ligament, and splenorenal ligament have in common?

Answer 9

double layers (pockets) of peritoneum

Question 10

____ _____: attaches to greater curvature of stomach and transverse colon

Answer 10

Greater Omentum

Question 11

_____ ______: drapes over small intestines like an “apron”

Answer 11

Greater Omentum

Question 12

“Apron” of the Greater Omentum is from what ligament?

Answer 12

gastrocolic ligamen

Question 13

How many layers is the “apron” of the Greater Omentum?

Answer 13

4 layers of peritoneum

Question 14

______ _______: functionally it can wall off infections and inflammation sites

Answer 14

Greater Omentum

-resulting in the formation of adhesion (BAD=limit mobility)

Question 15

______ ______: attaches to lesser curvature of stomach and duodenum

Answer 15

Lesser Omentum

Question 16

____ _____: 2 portions connect the stomach/duodenum to the live

• _____ ______
• _____ ______

Answer 16

Lesser Omentum
hepatogastric ligament
hepatoduodenal ligament (contains portal triad)

Question 17

______ ______: anchors most of the small intestine to posterior abdominal wall

Answer 17

Mesentery Proper

Question 18

_____ _____: runs diafonally from duodenojejunal jxn to ileocecal jxn (15-20 cm in adults)

Answer 18

Mesentery Proper

Question 19

_____ anchored to abdominal wall by suspensory ligament of Treitz

Answer 19

duodenum

Question 20

_____ _____ of _____: fibromuscular ligament descends from R. crus of diaphragm

Answer 20

suspensory ligament of Treitz

Question 21

____ ____ of _____: crosses over L crus and holds distal duodenum in places

Answer 21

suspensory ligament of Treitz

Question 22

____ _____of _____: prevents duodenojejunal jxn from sagging

Answer 22

suspensory ligament of Treitz

Question 23

______: anchors portions of the colon to posterior abdominal wall

Answer 23

mesocolon

Question 24

______ and _____ colon have no mesentery and attach directly to the posterior wall

Answer 24

ascending and descending colon

Question 25

_____ only partially covered w/ peritoneum

Answer 25

rectum

Question 26

_______ ______: divides liver into R and L lobes

Answer 26

Falciform Ligament

Question 27

____ _____: anchors liver to diaphragm and anterior body wall

Answer 27

Falciform Ligament

Question 28

____ _____: round ligament of the liver (obliterated umbilical vein)

Answer 28

Falciform Ligament

Question 29

_____ ______: reflections of peritoneum around the bare area of the liver

Answer 29

coronary ligament

Question 30

____ ______: attach liver to inferior surface of diaphragm

Answer 30

coronary ligament

Question 31

_____ ______: upper posterior part of liver

Answer 31

bare area

Question 32

Single Layered Peritoneal Fold that covers the fetal urachus:

Answer 32

median umbilical fold

Question 33

Single Layered Peritoneal Fold that covers the fetal umbilical aa:

Answer 33

medial umbilical folds

Question 34

Single Layered Peritoneal Fold that covers inferior epigastric vessels:

Answer 34

lateral umbilical folds

Question 35

______ ______: potential peritoneal spaces in standing pts

Answer 35

peritoneal pouches

Question 36

_____ _____: becomes actual spaces in recumbent pts - _____ - _____/______

Answer 36

peritoneal pouches - hepatorenal pouch - rectovesical/retrouterine pouch

Question 37

_______ pouch: deepest/most inferior of peritoneal pouches

Answer 37

hepatorenal

Question 38

______ pouch: highest pouch; liquid can go over pelvic brim into hepatorenal pouch

Answer 38

rectovesical/retrouterine

Question 39

_____ _____: bounded by liver, R kidney, colon, duodenum

Answer 39

Hepatorenal Pouch

Question 40

_____ _____: lowest part of peritoneal cavity when recumbent

Answer 40

Hepatorenal Pouch

Question 41

______ ______: fluids may move down to rectovesical/rectrouterine pouch- when in reclining positions or sitting up

Answer 41

Hepatorenal Pouch

Question 42

_______: between rectum and bladder in males

Answer 42

Rectovesical Pouch

Question 43

_____/______ ______: fluids here may move up to hepatorenal pouch when in Trendelenburd position

Answer 43

Rectovesical and Retrouterine Pouch

Question 44

______ ______: between rectum and uterus

Answer 44

Retrouterine Pouch

Question 45

_______: detoxifies chemical products and produces bile

Answer 45

liver

Question 46

______:stores bile for emulsification of fats

Answer 46

gallbladder

Question 47

______: produces enzymes from digestion

Answer 47

pancreas

Question 48

_____: produces lymphocytes and filters blood

Answer 48

spleen

Question 49

_____: attached to inferior surface of liver

Answer 49

gallbladder

Question 50

______: contacts duodenum, colon, anterior abdominal wall

Answer 50

gallbladder

Question 51

______: receives bile produced by liver via bile duct | -bile then drains into duodenum thru several ducts

Answer 51

gallbladder

Question 52

______: receives bile from R and L lobes of liver

Answer 52

R and L hepatic ducts

Question 53

______: receives R and L hepatic ducts

Answer 53

Common Hepatic Duct

Question 54

______: connected to gallbladder

Answer 54

Cystic Duct

Question 55

______: receives cystic and common hepatic ducts

Answer 55

Common Bile Duct

Question 56

Common bile duct joins ____ ______ duct.

Answer 56

main pancreatic duct

Question 57

Common bile duct and main pancreatic duct empty into______ ______ ______ in descending part of duodenum.

Answer 57

major duodenal papilla

Question 58

_______: consists of a head, neck, body, tail, and uncinate process

Answer 58

Pancreas

Question 59

_______: retroperitoneal and transverse across posterior abdominal wall

Answer 59

Pancreas

Question 60

_____: surrounded by C-shaped duodenum (R) and spleen (L)

Answer 60

Pancreas

Question 61

____ _____ duct: enters duodenum w/ bile duct at major duodenal papilla

Answer 61

main pancreatic duct

Question 62

____ ____ duct: may enter duodenum as well; ~2cm superior to major papilla

Answer 62

accessory pancreatic duct

Question 63

______: diaphragmatic surface- contacts diaphragm along ribs 9-11

Answer 63

spleen

Question 64

______: visceral surface- gastric:superior; renal:inferior; colic:anterior extremity

Answer 64

spleen

Question 65

____ _____: first major branch of abdominal aorta

Answer 65

Celiac Trunk

Question 66

____ ____: supplies liver, gallbladder, esophagus, stomach, pancreas, spleen

Answer 66

Celiac Trunk

Question 67

______ ____: main branches: - common hepatic - L gastric - splenic aa

Answer 67

Celiac Trunk

Question 68

____ ____ A: right branch of celiac trunk

Answer 68

Common Hepatic A

Question 69

____ ___ A: runs toward liver and gallbladder

Answer 69

Common Hepatic A

Question 70

_____ ____A: branches - proper hepatic a - gastroduodenal a

Answer 70

Common Hepatic A

Question 71

___ ____A: superior branch of common hepatic a

Answer 71

Proper Hepatic A

Question 72

____ ____ A: runs toward liver

Answer 72

Proper Hepatic A

Question 73

____ ____ A: medial to common bile duct and superficial to portal v

Answer 73

Proper Hepatic A

Question 74

____ ____A: splits to R and L hepatic aa supplying R and L lobes of liver

Answer 74

Proper Hepatic A

Question 75

_______ A: inferior branch of common hepatic a

Answer 75

Gastroduodenal A

Question 76

_____ A: runs toward junction of stomach and duodenum

Answer 76

Gastroduodenal A

Question 77

______A: sens superior pancreaticoduodenal aa to pancreas/duodenum

Answer 77

Gastroduodenal A

Question 78

____A: sends R gastroepiploic a to greater curvature of stomach

Answer 78

Gastroduodenal A

Question 79

_____A: sends supraduodenal a to superior duodenum

Answer 79

Gastroduodenal A

Question 80

____ _____A: superior cranch of celiac trunk

Answer 80

Left Gastric A

Question 81

____ ____ A: runs left toward lesser curvature of stomach

Answer 81

Left Gastric A

Question 82

____ ____A: supplies stomach and esophagus via esophageal branches

Answer 82

Left Gastric A

Question 83

_____ A: left branch of celiac trunk

Answer 83

Splenic A

Question 84

_____ A: runs toward spleen

Answer 84

Splenic A

Question 85

____ A: supplies pancreas and spleen

Answer 85

Splenic A

Question 86

_____ A: sends short gastric aa and left gastroepiploic a supplying greater curvature of stomach

Answer 86

Splenic A

Question 87

Arterial Supply of Upper Abdomen:

Answer 87

Celiac Trunk