Week 2 Flashcards

1
Q

Define peritoneum

A

a double-layered, serous membrane which lines the walls of the abdominal and pelvic cavities and invests the viscera

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2
Q

What is the lesser omentum?

A

a double layer of peritoneum that connects the liver and the lesser curvature of the stomach

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3
Q

What is the greater omentum?

A

a double layer of peritoneum that connects the greater curvature of the stomach with the transverse colon

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4
Q

What is a mesentery?

A

a double layer of peritoneum that connects an intraperitoneal organ with the body wall

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5
Q

What is the peritoneal cavity?

A

the fluid-filled potential space between the parietal and visceral peritoneums

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6
Q

What is the visceral peritoneum?

A

the serous membrane that covers the external surfaces of the abdominal surfaces

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7
Q

What is the parietal peritoneum?

A

the serous membrane that lies the inner surface of the body wall

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8
Q

What is a retroperitoneal organ?

A

An organ that is pushed up against the body wall and is only partially covered by peritoneum

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9
Q

What is an intraperitoneal organ?

A

an organ that is suspended from the body wall by a mesentery

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10
Q

What is the greater sac?

A

the largest portion of the peritoneal cavity- it comprises the whole of the peritoneal cavity aside from the lesser sac- it is divided into the supracolic and infracolic compartments

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11
Q

What is the lesser sac?

A

the smallest portion of the peritoneal cavity which lies posterior to the lesser omentum and stomach

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12
Q

What is the infracolic compartment?

A

part of the peritoneal cavity inferior to the transverse mesocolon

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13
Q

What does the infracolic compartment contain?

A

small intestine, ascending and descending colon

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14
Q

What is the supracolic compartment?

A

part of the peritoneal cavity superior to the transverse mesocolon

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15
Q

What does the supracolic compartment contain?

A

stomach, liver and spleen

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16
Q

How are the supracolic and infracolic compartments connected?

A

By the paracolic gutters

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17
Q

Where do the paracolic gutters lie?

A

these lie between the posterolateral abdominal wall and the lateral aspect of the ascending or descending colon

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18
Q

What is the hepatorenal recess?

A

the part of the peritoneal cavity which lies between the diaphragm and liver

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19
Q

Where does the lesser sac communicate with the greater sac?

A

At the epiploic (omental) foramen

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20
Q

What is the subphrenic space?

A

the part of the peritoneal cavity which lies between the diaphragm and the liver

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21
Q

What are the boundaries of the epiploic foramen?

A

anterior- hepatoduodenal ligament
superior- liver
inferior- superior part of duodenum
posterior- inferior vena cava

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22
Q

What is the hepatoduodenal ligament formed from?

A

the free border of the lesser omentum

23
Q

Which structures pass through the hepatoduodenal ligament?

A

portal triad: hepatic artery, portal vein and common bile duct

24
Q

What are the three types of umbilibal folds?

A
  • 1 median umbilical fold
  • 2 medial umbilical folds
  • 2 lateral umbilical folds
25
What is the median umbilical fold a remnant of?
the foetal urachus
26
What are the medial umbilical folds remnants of?
the umbilical arteries
27
What do the lateral umbilical folds overlie?
inferior epigastric arteries
28
How can the GI tract be divided?
into the foregut, midgut and hindgut
29
Where does the foregut run from?
the lower part of the oesophagus to the second part of the duodenum
30
What structures does the foregut contain?
liver, duodenum proximal to major papilla, spleen, gallbladder, pancreas, stomach
31
Where does the midgut run from?
from the second part of the duodenum to the distal third of the transverse colon
32
What structures does the midgut contain?
part of the pancreas, ileum, proximal 2/3 of transverse colon, duodenum distal to major papilla, hepatic flexure, caecum, jejenum, appendix, ascending colon
33
Where does the hindgut extend from?
the distal third of the transverse colon to the proximal part of the anus
34
What structures does the hindgut contain?
proximal part of anus, sigmoid colon, distal 1/3 of transverse colon, rectum, splenic flexure, descending colon
35
Blood supply to foregut:
coeliac trunk
36
Blood supply to midgut:
superior mesenteric artery
37
Blood supply to hindgut:
inferior mesenteric artery
38
Lymph drainage of each section of the gut corresponds to the names of arteries- what are the names of the nodes?
foregut- coeliac nodes midgut- superior mesenteric nodes hindgut- inferior mesenteric nodes
39
Where do the three main lymph nodes drain into?
intestinal lymph trunk
40
Where does the intestinal lymph trunk empty into?
the cysterna chyli (located at the end of the thoracic duct)
41
Where does the thoracic duct drain into the venous system?
junction between left subclavian vein and internal jugular vein
42
Autonomic innervation of the foregut:
preganglionic fibres originate at T5-T9; greater splanchnic nerve; coeliac ganglion
43
Autonomic innervation of the midgut:
preganglionic fibres originate at T10-T11; lesser splanchnic nerve; superior mesenteric ganglion
44
Autonomic innervation of the hindgut:
preganglionic fibres originate at T12-L1; lumbar splanchnic nerve; inferior mesenteric ganglion
45
Which nerve provides parasympathetic innervation of the gut?
vagus nerve
46
Which regional pains are associated with the structures of the gut?
foregut- epigastric region midgut- umbilical region hindgut- hypogastric region
47
What are the two plexuses of the enteric nervous system?
myenteric plexuses and submucosal plexuses
48
Where are the myenteric plexuses located?
Between the inner circular and outer longitudinal layers of the muscularis externa
49
What is the myenteric plexus responsible for?
gastrointestinal motility
50
What is the submucosal plexus responsible for?
senses environmental changes in the lumen and regulates GI blood flow and epithelial cell function
51
What is the role of the rugae in the stomach?
they expand to store food
52
What do the chies cells of the stomach do?
produce pepsinogen
53
Which branches of the coeliac trunk supply the stomach?
common hepatic artery, left gastric artery and the splenic artery