Vasculature organization Flashcards

1
Q

what is enterobrosis

A

perforated bowel

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2
Q

what are the layers of peritoneum and what does it secrete

A

parietal and visceral. secrete serous fluid

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3
Q

what are the peritonealized organs

A

stomach, spleen, parts 1 and 4 of duodenum, jejunum, ileum, transverse and sigmoid colon

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4
Q

what is the definition of a primary retroperitoneal organ

A

posterior to peritoneum no mesentery

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5
Q

what are the primary retroperitoneal organs

A

kidneys ureters and suprarenal glands

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6
Q

what is the definition of a secondary retroperitoneal organ

A

organ was peritonealized and associated with a mesentery.

later the mesentery is pushed against post wall and fuses with parietal pertoneum

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7
Q

what organs are secondary retroperitoneal organs

A

duodenum, ascending and descending colon, pancreas

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8
Q

What is peritonitis

A

inflammation of peritoneum

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9
Q

what are common causes of pertonitis

A

inflammation of organs, surgery, trauma, ascites, ulcers

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10
Q

why is peritonitis very painful and localized

A

richly innervated by same somatic nerves which innervate the body wall

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11
Q

what is the innervation to the visceral peritoneum and what does it sense

A

autonomic–>chemical irritation rather than pain

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12
Q

what is a peritoneal adhesion

A

fusion of various parts of the peritoneal membranes

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13
Q

what causes peritoneal adhesions

A

inflammation of organs, surgery, trauma, ulcers

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14
Q

why is the pertoneum a good area for blood dialysis

A

because of blood and lymphatic supply

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15
Q

what is the general structure of the mesentery

A

double layer of peritoneum

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16
Q

what structures are included in dorsal mesentery

A

mesoesophagus, greater omemtum, splenorenal ligament, phrenicocolic ligament, mesentery proper, mesoappendix, transverse mesocolon, sigmoid mesocolon

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17
Q

what structure does the mesoesophagus cover

A

the final inch of esophagus

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18
Q

where does the greater momentum attach to

A

greater curvature of stomach

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19
Q

what are the ligaments associated with greater omentum

A

gastrocolic, gastrosplenic, gastrophrenic

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20
Q

where does the gastrophrenic lig attach to

A

fundus of stomach to diaphragm

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21
Q

where does the gastroclic lig attach to

A

stomach to transverse colon

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22
Q

where is the splenorenal ligament

A

from spleen to posterior body wall near kidney

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23
Q

where does the phrenicocolic ligament attach to

A

diaphragm to left colic fissure

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24
Q

where is the mesentery proper

A

small intestine

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25
Q

where is the mesoappendix

A

to appendix

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26
Q

where is the transverse mesocolon

A

to transverse colon

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27
Q

where is the sigmoid mesocolon

A

sigmoid colon

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28
Q

What structures lay under ventral mesentery

A

lesser omentum
falciform ligament
coronary ligament
triangular ligament

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29
Q

where does the lesser omemtum attach

A

lesser curvature of stomach/duodenum to liver

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30
Q

what ligaments are associated with lesser omentum

A

hepatogastric lig

hepatoduodenal lig

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31
Q

where is the falciform ligament

A

peritoneal attachment of liver to anterior body wall

contains ligamentum teres hepatis

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32
Q

whre are the coronary ligaments

A

pertoneal attachment of liver to inferior surface of diaphragm

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33
Q

where are the triangular ligaments

A

where anterior and posterior coronary ligaments meet

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34
Q

where is the pertonea cavity

A

space between visceral and parietal peritoneal layers

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35
Q

where is the lesser sac of the peritoneal cavity

A

omental bursa that lays posteiror to sotmach and lesser omentum

36
Q

describe the recesses assoc with lesser sac

A

superior recess- bounded superiorly by diaphragm

inferior recess- between 2 layers of greater omentum

37
Q

what are the various parts of the greater sac of the peritoneal cavity

A

supracolic compartment, infracolic compartment, and paracolic gutters

38
Q

where is the supracolic compartment of the abdomen

A

superior to transverse mesocolon

39
Q

what organs are found in the supracolic compartment

A

stomach, liver, spleen, gall bladder

40
Q

where is the infracolic comparment of the pertoneal cavity

A

inferior to transverse mesocolon

41
Q

what organs are withint the infracolic compartment

A

small intestine, ascending colon and descending colon

42
Q

what separates the infracolic compartment into left and right

A

the mesentery proper

43
Q

where are left and right paracolic gutters of the abdomen

A

between posterolateral body wall and ascending/descending colon

44
Q

where is the epiploic foramen of Winslow

A

communcation between greater and lesser sacs

45
Q

what are the boundaries of epiploic foramen

A

anterior- hepatoduodenal lig
post- IVC
superior- liver
inferior- first part of duodenum

46
Q

what is ascites

A

excess fluid in peritoneal cavity

47
Q

what happens if ascites fluid becomes purulent

A

could lead to abcesses

48
Q

what can cause ascites

A

cirrhosis with portal hypertension, kidney failure, CHF, ruptured ulcer, abdominal cancers, internal bleeding

49
Q

can fluid in the right or left infracolic compartment spread into pelvic peritoneal cavity

A

the left infra colic fluid can move into pelvic peritoneal cavity
the right comparment is preventes because ot the mesentery proper joining to cecum and ascending colon so must go left first

50
Q

where do the paracolic gutters drain

A

the right opens to the hepatorenal and subphrenic recesses superiorly–>can cause abscesses here
the left is closes superiorly by phrenicocolic log
both these gutters will drain to pelvic pertoneal cavity

51
Q

where does fluid in the supracolic compartment and hepatorenal recess go

A

through epiploic foramen to lesser sac

52
Q

what are the 3 unparited anterior branches of abdominal aorta

A

celica a
superior mesenteric a
inferior mesenteric a

53
Q

What level is the celiac trunk

A

T12

54
Q

what does the celiac trunk supply

A

distal esophagus and second portion of duodenum

55
Q

where does the celiac trunk anastomose with

A

SMA around duodenum and pancreas

56
Q

what are the branches of the celiac trunk a

A

lesft gastric
common hepatic
splenic

57
Q

what are the branches of left gastric a

A

esophageal a

accessory left hepatic a

58
Q

what are the branches of the common hepatic a

A

gastroduodenal and proper and hepatic

59
Q

what are the branches of gastroduodenal a

A

supraduodenal, retroduodenal, posterior superior pancreaticoduodenal a
anterior superio pancreaticoduodenal a
right gastrioepiploic

60
Q

what are the branches of proper hepatic a

A

right gastric a
left hepatic a
right hepatic a
cystic a

61
Q

what are the branches of splenic a

A

pancreatic branches, short gastric aa, left gastroepiploic a, splenic branches

62
Q

what are the pancreatic branches of the splenic a

A

dorsal pancreatic,
pancreatica magna
caudal pancreatic aa

63
Q

where does the superior mesenteric A supply

A

3rd part of duodenum to distal 2/3 of transverse colon

64
Q

what level does the superior mesenteric a branch off aorta at

A

LV1

65
Q

what does the superior mesenteric a anastomose with

A

inferior mesenteric a around distal 2/3 transverse colon

66
Q

what are the branches of the superior mesenteric a

A
inferior pancreaticoduodenal
middle colic
jejunal a ileal branches
right colic a
ileocolic
67
Q

what are the branches of the inferior pancreaticoduodenal a

A

anterior inferior pancreaticoduodenal

posterior inferior pancreaticoduodenal

68
Q

what are the branches of the ileocolic

A
anteiror cecal a
posterior cecal a
appendicular a
ileal a
ascending colic a
69
Q

what level does the inferior mesenteric a branch off aorta at

A

LV3

70
Q

where does the inferior mesenteric artery supply

A

distal 1.3 of transverse colon to anorectal junction

71
Q

what does the inferior mesenteric a anastomose with

A

middle and inferior rectal aa at the anorectal junction

72
Q

what are the branches off the inferior mesenteric a

A

left colic
sigmoidal branches
superior rectal a

73
Q

where do the veins of abdominal viscera drain

A

vena comitantes into hepatic portal vein

74
Q

what is a portal vein

A

vein begins and ends in capillary bed

75
Q

where is the first capillary bed in the heaptic portal vein system

A

in the wall of the abdominal GI tract( distal esophagus to rectum)

76
Q

where is the second capillary bed in the abdomen

A

in the liver

77
Q

where does the hepatic portal vein receive all its nutrients

A

from food digestion, secretions from accessory organs of digestion and products of RBC breakdown from spleen

78
Q

what veins form portal vein

A

inferior mesenteric joins with splenic vein–>splenic merges with superior mesenteric vein around LV2

79
Q

where does the portal vein travel in

A

portal triad within hepatoduodenal ligament to liver

80
Q

What is unique to the portal venous system

A

no valves

81
Q

why is the no valve portal system important

A

if the portal vein gets blocked, blood can reverse flow into the IVC to enter heart

82
Q

Describe esophageal varices

A

dilated veins from esophageal veins (tributary to SVC) and left gastric vein (tributary to portal system)

83
Q

describe caput medusa

A
dilated veins of superior and inferior epigastric veins (tibrutaries of IVC and SVC)
paraumbilical veins (tributary to portal system)
84
Q

describe hemorrhoids

A

dilate veins of middle and inferior rectal veins (tribuatires of IVC)
dilated superior rectal veins (tributary to portal system)

85
Q

describe the dilate veins in the retropreitoneal region

A

gonadal and renal veins (tirbutary to IVC)

ileocolic, right, middle, left colic veins (tributary to portal system)