Session 2: Case Studies Flashcards

1
Q

What are the two major divisions of the peritoneal cavity?

A

Lesser and greater sac.

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2
Q

What is the connection between the lesser and greater sac called?

A

Foramen of Winslow
Omentum foramen
Epiploic foramen

They are all the same

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3
Q

Due to the surrounding anatomical structures the peritoneal cavity has areas called peritoneal pouches where abnormal fluid such as gastric contents can collect.

In a man, name two such areas.

A

Recto-vesical pouch

Morrison’s pouch (area between liver and right kidney)

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4
Q

State one peritoneal pouch that is only found in females.

A

Vesico-uterine pouch found between bladder and uterus.

Pouch of douglas found between the uterus and the rectum.

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5
Q

Describe the basic layout of the parasympathetic nervous system as it relates to the GI tract.

A

It is cranio-sacral with the synapses in the visceral wall.

The vagus nerve and S2-S4 pelvic splanchnic nerves.

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6
Q

What is the purpose of the parasympathetic nervous system in relation to the GI tract.

A

The on button also called rest and digest.

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7
Q

Which thoracic nerves form the greater splanchnic nerve?

A

T5-T9

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8
Q

Which thoracic nerves form the lesser splanchnic nerve?

A

T10-T11

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9
Q

Which thoracic nerves form the least splanchnic nerve?

A

T12

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10
Q

Which parts of the GI tract are supplied by the greater splanchnic nerve?

A

The foregut

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11
Q

Which parts of the GI tract are supplied by the lesser splanchnic nerve?

A

Midgut

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12
Q

Which parts of the GI tract are supplied by the least splanchnic nerve?

A

Hindgut

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13
Q

How do the splanchnic nerves enter the abdomen?

A

Crossing the diaphragm

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14
Q

What is the enteric nervous system?

A

A division of the autonomous nervous system supplying the gut that is independent to the parasympathetic and the sympathetic (although it does communicate with them).
It goes from oesophagus to anus.

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15
Q

Name the two main plexuses of the enteric nervous system and briefly describe their location in the gut wall.

A

Meissner’s which is submucosal.

Auerbach’s which is myenteric.

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16
Q

In simplistic terms what are the main functions of each plexus?

A

Meissner’s: secretions and blood flow

Auerbach’s: motility

17
Q

Briefly summarise the relationship that the autonomic nervous system has with the enteric nervous system.

A

The sympathetic and parasympathetic nervous systems communicate with the enteric to either enhance it or the opposite.

They synapse with the Meissner’s and Auerbach’s plexuses.