Stomach, Spleen and Liver Dissector Flashcards

1
Q

Name the attachments of the Gastrocolic Ligament

A

Extends inferiorly from the greater curvature of the stomach to attach to the transverse colon.

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2
Q

Name the 3 ligaments that contribute to the greater omentum.

A

Gastrocolic, Gastrolenial (Gastrosplenic), and Gastrophrenic

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3
Q

Attachments of the gastrolenial ligament.

A

greater curvature of the stomach and the spleen

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4
Q

Attachments of the gastrophrenic ligament.

A

diaphragm and stomach

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5
Q

Name the two ligaments that compose the lesser omentum, and their attachments.

A

Hepatogastric ( liver and lesser curvature) and Hepatoduodenal (liver and first part of duodenum)

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6
Q

What attaches the liver to the anterior body wall and the diaphragm?

A

Falciform ligament

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7
Q

What structure does the falciform ligament contain?

A

Ligamentum Teres (obliterated umbilical vein)

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8
Q

The continuations of the falciform ligament are what?

A

Coronary ligaments

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9
Q

What ribs protect the spleen

A

Left side, ribs 9,10,11

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10
Q

What two ligaments attach to the spleen?

A

gastrosplenic and splenorenal

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11
Q

The spleen rests on which part of the transverse colon?

A

The splenic flexure (left colic flexure)

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12
Q

The mesentery proper is attached to what body parts

A

Jejunum and ileum

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13
Q

What connects the large and small intestine?

A

iliocecal valve

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14
Q

Where does the appendix attach?

A

inferior portion of the cecum

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15
Q

The peritoneal cavity is divided into what two compartments?

A

Greater and Lesser Sacs

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16
Q

What is another name for the lesser sac?

A

Omental Bursa

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17
Q

If you were standing inside the omental bursa on the transverse colon, facing anteriorly, what would be around you?

A

In front: Posterior surface of stomach, gastrocolic ligament, and lesser omentum.
Underneath: Transverse colon and mesocolon
Above: Left lobe of the liver and left coronary ligament (falciform specialization)
Behind: Pancreas

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18
Q

The omental bursa communicates with the greater sac via……?

A

The Epiploic foramen of Winslow

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19
Q

What are the boundaries of the epiploic foramen?

A

Inferior: First part of duodenum
Superior: Caudate lobe of liver
Posterior: IVC
Anterior: Hepatic Portal vein in the hepatoduodenal ligament of the lesser momentum

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20
Q

What quadrant is the stomach in?

A

Upper Left

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21
Q

The transpyloric plane crosses what level vertebrae?

22
Q

Name the four major parts of the stomach.

A

Cardia, Fundus, Body, and Pylorus

23
Q

The cardia is continuous with….

A

the esophagus

24
Q

Which two parts of the stomach are protected by the left costal margin?

A

Cardia and Fundus

25
The body of the stomach is related to what structures anteriorly and posteriorly?
Anteriorly: abdominal wall Posteriorly: omental bursa
26
The visceral surface of the spleen has 3 facets. Name them.
Renal (posterior), Colic (inferior), and Gastric.
27
Which parts of the stomach are located in the transpyloric plane?
pyloric canal and sphincter
28
The SPLENORENAL ligament contains?
The tail of the pancreas and the splenic vessels.
29
At what vertebral level does the celiac trunk arise?
L1 - TRANSPYLORIC PLANE
30
Three main branches of the celiac trunk.
Splenic, Left Gastric, and Common Hepatic
31
What branches off the distal end of the Splenic Artery?
Short gastric branches to the fundus of the stomach, and the left gastroepiploic artery to the greater curvature of the stomach.
32
The Gastroepiploic arteries run in and supply what ligament?
Gastrocolic
33
The gastric arteries run through what ligament?
Hepatogastric (NOT HEPATODUODENAL)
34
The right gastric artery is a branch of the.....
Proper Hepatic Artery
35
Where does the common hepatic artery fork and what branches does it form?
Splits at the duodenum to form the proper hepatic artery and the gastroduodenal artery.
36
What is the pathway of the proper hepatic artery?
Runs through the hepatoduodenal ligament to the porta hepatis, where it splits into right and left hepatic arteries.
37
What is the one branch of the Right Hepatic Artery called?
Cystic artery (to the gallbladder)
38
What is the pathway of the gastroduodenal artery?
Runs posteriorly to the first part of the duodenum then terminates into the right gastroepiploic, supra duodenal and the anterior/ posterior superior pancreaticoduodenal arteries.
39
From what artery does the anterior inferior pancreaticoduodenal artery arise?
Superior Mesenteric Artery
40
What anastomosis does the pancreaticoduodenal arteries create?
An anastomosis between the celiac trunk and the SMA.
41
What is the largest gland in the body?
The liver
42
What quadrant is the liver located in?
Upper Right
43
Name the two surfaces of the liver.
Diaphragmatic and visceral
44
Where does the falciform ligament end?
Superior to the umbilicus
45
Name the 3 structures in the hepatoduodenal ligament.
Portal Vein, Hepatic artery, and Common bile duct.
46
Where are the hepatic veins located?
Hepatic veins empty directly into the IVC and can be seen in the fossa of the IVC
47
The H-shaped area of the liver contains what structures?
1-Ligamentum teres 2- Ligamentum venosum 3- Gallbladder 4-IVC
48
The IVC touches which lobe of the liver?
Caval/CAUDATE
49
What lobe of the liver is located in between the gallbladder and the ligamentum teres?
Quadrate lobe
50
What lobe of the liver is located between the IVC and the ligamentum venosum?
Caudate
51
The cystic duct joins with what to become the common bile duct?
Common hepatic duct (formed by fusion of R&L hepatic ducts)