Peritoneum & Upper Abdomen Viscera

Question 1

what is the thin serous membrane lining the inner abdominal wall

Answer 1

parietal peritoneum

Question 2

what is the thin serous membrane lining the organs

Answer 2

visceral peritoneum

Question 3

where does vasculature in reference to the peritoneum travel through

Answer 3

b/w the parietal and visceral peritoneal layers

Question 4

what is the difference b/w the peritoneal sac and peritoneal cavity

Answer 4

sac is the term used to describe the ALL of the parietal and visceral membranes whereas cavity is the potential space w/in the sac where organs can move

Question 5

what is the term used when the peritoneal cavity is overfilled w/fluid (pooling of fluids)

Answer 5

marked ascites and umbilical herniation

Question 6

what is the potential space directly posterior to the stomach

Answer 6

omental bursa

Question 7

what is the name of the anchoring ligament b/w stomach and spleen ?

Answer 7

gastrosplenic ligament

Question 8

what is the name of the anchoring ligament b/w the spleen and kidney

Answer 8

splenorenal ligament

Question 9

what is the greater omentum and where does it attach to

Answer 9

apron of fatty tissue draping over anterior surface of small int. like an apron
-attaches to greater curvature of stomach superiorly and transverse colon inferiorly

Question 10

where is the lesser omentum and what does it attach to ?

Answer 10

sup. /medial to stomach

- attaches to lesser curvature of stomach and duodenum, and liver

Question 11

what are the 2 portions of the lesser omentum that connects the stomach and duodenum to the liver

Answer 11

Hepatogastric ligament

Hepatoduodenal ligament

Question 12

in what membrane can the portal triad be found and what passes through it ?

Answer 12

in the hepatoduodenal ligament of the lesser omentum

-hepatic a, portal v, common bile duct

Question 13

what is the purpose of the mesentery proper

Answer 13

anchors most of small intestine to posterior abdominal wall

Question 14

what is the suspensory ligament of Treitz and what does it function in

Answer 14

anchors the duodenum to posterior abdominal wall

-prevents sagging of dudenojejunal junction

Question 15

what is the purpose of the mesocolon

Answer 15

its a mesentery that anchors parts of the colon to the posterior abdominal wall

Question 16

what parts of the colon have NO mesentery

Answer 16

Ascending and Descending colon

Question 17

what divides the liver into right and left lobes

Answer 17

falciform ligament

Question 18

what is the purpose of the falciform ligament and what can be found at the inferior part of this ligament

Answer 18

anchors liver to anterior body wall and diaphragm

-round ligament of liver inferiorly

Question 19

Where can coronary ligaments be found and what are their function

Answer 19

upper posterior bare area of the liver

-attatch liver to inferior diaphragm

Question 20

what is the difference in peritoneal pouches in a standing/healthy patient vs. recumbent patients

Answer 20

potential spaces in standing patients BUT become actual spaces if constantly laying down

Question 21

what are the 2 peritoneal pouches in a recumbent patient

Answer 21

hepatorenal pouch and rectovesical pouch

Question 22

where would you find a rectovesicle pouch

Answer 22

b/w the rectum and bladder in men

Question 23

where would you find a rectouterine pouch

Answer 23

b/w rectum and uterus in women

Question 24

the Pouch of Morrison is also called ?

Answer 24

Hepatorenal pouch

Question 25

what is the function of the liver

Answer 25

detoxifies chemical products and produce bile

Question 26

function of the gall bladder

Answer 26

stores bile and emulsify fats

Question 27

function of the pancreas

Answer 27

produce enzymes for digestion

Question 28

function of the spleen

Answer 28

produce lymphocytes and filter blood

Question 29

explain the flow of bile after it is produced in the liver

Answer 29

R and L hepatic ducts to

• -common hepatic duct which joins with the cystic duct to
• —–common bile duct to duodenum

Question 30

what does the common bile duct join with before it empties into the major duodenal papilla

Answer 30

main pancreatic duct

Question 31

what drain into the major duodenal papilla and what drains into the minor duodenal papilla

Answer 31

main pancreatic duct into major

accesory pancreatic duct into minor (2 cm. superior)eft

Question 32

the spleen contacts the diaprhagm at what level

Answer 32

ribs 9-11

Question 33

what is the hilum of the spleen

Answer 33

area on visceral surface where all vasculature enters the spleen

Question 34

what are the 3 main branches of the celiac trunk

Answer 34

• common hepatic a.
• Left Gastric a.
• splenic a.

Question 35

what organs does the celiac trunk supply

Answer 35

esophagus, stomach, liver, spleen, pancreas, gall bladder

Question 36

the common hepatic a. has 2 terminal branches, what are they ?

Answer 36

• proper hepatic

- gastroduodenal

Question 37

what does the proper hepatic a. bifurcate into

Answer 37

R and L hepatic aa.

Question 38

what does the gastroduodenal a. divide into

Answer 38

• Superior pancreaticoduodenal a.

- Right gastroepiploic a.

Question 39

where would you find the right gastroepiploic a. ?

Answer 39

on the greater curvature of the stomach

Question 40

what does the splenic a. supply and what does it bifurcate into

Answer 40

spleen and pancreas

• short splenic aa
• Left gastroepiploic

Question 41

what aretery is known for having multiple variations

Answer 41

hepatic aa.

Question 42

what does the cystic a. supply ?

Answer 42

gallbladder and cystic duct