The abdominal cavity Flashcards

1
Q

How does the GI tract form (embryology)?

A

Blastopore forms GI tract – one end is anus and one end is mouth.
The GI tract is outside the body

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2
Q

What are the regions of the stomach?

A
  • Cardia
  • Fundus
  • Body
  • Antrum
  • Pylorus

Has greater and lesser curvature

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3
Q

What is the function of the stomach?

A

Mechanical digestion via churning. Has oblique muscle in addition to inner circular and outer longitudinal muscles.

Enzymatic digestion using gastric juice (HCl and enzymes).

Forms chyme.

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4
Q

What are the small intestines?

A

Function: Primary site of absorption of nutrients from food
Consists of three parts: duodenum, jejunum (which has more circular folds – can see on imaging), ileum

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5
Q

What are some differences between the jejunum and ileum?

A

Jejunum - has longer vasa recta, has less complex vasa recta, has more plicae circulares and folds. No fat in mesentery

Ileum - has shorter vasa recta, more complex arterial arcasdes, less pilcae circulares and folds. Fat in mesentery

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6
Q

What is the large intestines?

A

Composed of the cecum, colon, rectum, and anal canal
Function: Absorb water, generating faces

Four parts of colon- ascending, transverse, descending, and sigmoid
Cecum- receives the distal ileum

There is the ileocecal junction

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7
Q

What are some features of the large intestines?

A

Haustra: segmented pouches of the colon. Helps move food slowly

Taeniae coli: longitudinal bands of muscle - helps efficient contraction of circular muscles, helps peristalsis + propelling faces. Helps form haustra

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8
Q

What is the appendix?

A

Vermiform appendix: blind-ended tube
No longer thought to be vestigial
Function: store gut bacteria, T cells

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9
Q

What is the peritoneum?

A

The peritoneum is the double-layered sheet of serous tissue lining the abdominal cavity.

The peritoneum attaches some organs to the body wall with special folds called mesenteries.

Mesentery = The mesentery is a fold of membrane that attaches the intestine to the abdominal wall and holds it in place.

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10
Q

What are the different types of organs?

A

Intraperitoneal: contained within the peritoneum

Retroperitoneal: between the peritoneum and the posterior body wall

Secondarily retroperitoneal: develop in peritoneum and become affixed to the posterior body wall

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11
Q

Which organs are retroperitoneal?

A

SADPUCKER

S- suprarenal glands
A- arota/IVC
D- duodenum
P- pancreas
U- ureters
C- colon (ascending and descending)
K- kidneys
E- e(oesophagus)
R- rectum

The ascending and descending colon, duodenum and pancreas are secondary retroperitoneal organs.

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12
Q

What are some intraperitoneal organs?

A

Stomach, liver, spleen

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13
Q

What are the secondary retroperitoneal organs?

A

Ascending and descending colon, duodenum and pancreas

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14
Q

What are peritoneal ligaments?

A

Folds of the peritoneum that are used to connect viscera to viscera or the abdominal wall.

Examples:

  • gastrosplenic ligament
  • splenorenal ligament
  • falciform ligament
  • gastrocolic lig
  • gastrosplenic lig
  • hepatogastric lig
  • hepatoduodenal lig
  • splenorenal lig
  • coronary lig (connects liver and diaphgram)
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15
Q

What is the greater omentum?

A

Double folded “apron” of peritoneum extending inferiorly from stomach and proximal duodenum to the transverse colon and transverse mesocolon (so from stomach to transverse colon).

Greater omentum can trap infections in the abdominal cavity.

Greater Omentum: a visceral adipose tissue with unique immune functions. Although it is primarily an adipose tissue, the omentum also contains lymphoid aggregates, called milky spots (MSs), that contribute to peritoneal immunity by collecting antigens, particulates, and pathogens from the peritoneal cavity and, depending on the stimuli, promoting a variety of immune responses, including inflammation, tolerance, or even fibrosis.

Omenta are the fused peritoneal folds,

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16
Q

What is the lesser omentum?

A

The lesser omentum connects the liver and stomach.
The right side is formed by hepatoduodenal ligaments (to do with the portal triad).

Behind this is the epiploic foreman which is a hole that allows communication between greater and lesser sacs.

Free margin of lesser momentum: hepatoduodenal ligament, contains the hepatic artery proper, the common bile duct, the portal vein, lymphatics, and the hepatic plexus of nerves

17
Q

What are hepatorenal recess/pouch and Subphrenic recess?

A

Hepatorenal recess or pouch = Potential space where fluid can enter

Subphrenic recess = between liver and diaphragm

18
Q

What is the Root of the Mesentery?

A

The origin of the mesentery of the jejunum and ileum from the posterior abdominal wall

19
Q

What are paracolic gutters?

A
  • Space between lateral abdominal wall and colon
  • Pathway for travel of fluids, for example, fluid from a burst appendix can travel upright parabolic gutter into the lesser sac (via epiploic foreman)
20
Q

What is the rectouterine pouch?

A

The lowest point in the abdominal cavity while supine.

A common site for collection of pathologies including ascites

21
Q

What are ascites?

A

Fluid in peritoneal cavity.

Causes:

  • cirrhosis of the liver
  • cancer within the abdomen
  • congestive heart failure
  • tuberculosis
  • Starvation
22
Q

What is the gallbladder?

A

Function: concentrates and stores bile
Location: under liver in the cystic fossa

23
Q

What is the spleen?

A

Function: mechanical filtration of blood cells, generate white blood cells, generate red blood cells (prenatally only)

Location: left upper quadrant, lateral to the stomach

24
Q

What does the pancreas do?

A

Exocrine secretion: alkaline pancreatic juice from the acinar cells.
Endocrine secretions: glucagon and insulin from the pancreatic islets

There are two pancreatic ducts-
main and accessory. Pancreatic ducts transmit pancreatic juice, which is created by the exocrine part of the pancreas.

Location: behind the stomach, between duodenum and spleen

25
Q

What is the biliary tree?

A

-Bile is created in the liver in bile canaliculi
-Goes to left and right hepatic ducts
-There merge to form the common hepatic duct
-Hepatic duct joins with the cystic duct from the gall bladder to form the common bile duct
-Common bile duct and main pancreatic duct
merge to form the hepatopancreatic ampulla (of Vater) – empties into the duodenum

The raised area around the orifice of
the ampulla of Vater is the major duodenal papilla.
The major duodenal papilla is surrounded by the sphincter of Odi.