Term
| T/F - spleen and stomach are in the peritoneal cavity |
|
Definition
| FALSE - they are intraperitoneal but there are no organs in the peritoneal cavity |
|
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Term
|
Definition
| between greater curvature of stomach & diaphragm |
|
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Term
|
Definition
| between greater curvature of stomach & spleen |
|
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Term
|
Definition
inferior portion of the greater curvature of stomach to transverse colon
-4 layer fatty "omental apron" |
|
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Term
| 3 parts of the greater omentum |
|
Definition
gastrophrenic ligament
gastrosplenic ligament
gastrocolic ligament |
|
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Term
| what makes of lesser omentum |
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Definition
| hepatogastric & hepatoduodenal ligaments |
|
|
Term
| subdivisions of the peritoneal cavity |
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Definition
-greater sac
-omental bursa/lesser sac (superior & inferior recesses) |
|
|
Term
| communication between omental bursa with greater sac |
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Definition
| epiploic foramen / omental foramen* |
|
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Term
| boundaries of the omental foramen |
|
Definition
ANTERIORLY - hepatoduodenal ligament
POSTERIORLY - IVC & right crus of diaphragm
SUPERIORLY - liver
INFERIORLY - superior duodenum |
|
|
Term
| transverse mesocolon divides abdominal cavity into: |
|
Definition
supracolic compartment (stomach, liver, spleen)
infracolic compartment (small intestine, ascending/descending colon)
infracolic compartment (s |
|
|
Term
|
Definition
| communications between supracolic & infracolic compartments |
|
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Term
|
Definition
| Excess Fluid in the periotneal cavity |
|
|
Term
| Functions of the Greater Omentum |
|
Definition
-Prevents visceral peritoneum from sticking to parietal peritoneum
-Mobility
-Protects adjacent organs from an inflamed organ |
|
|
Term
| hepatic vein is formed by union of what 2 veins? |
|
Definition
| superior mesenteric & splenic veins |
|
|
Term
| 3 main branches of abdominal aorta |
|
Definition
|
|
Term
| What opening does the esophagus pass thru the diaphragm? What vertebral level? |
|
Definition
-Esophageal hiatus - Muscular Right Crux of Diaphragm
-T10 |
|
|
Term
| At what vertebral level does esophagus join with stomach? |
|
Definition
| T11 @ esophagogastric junction |
|
|
Term
| What marks the esophagogastric junction? |
|
Definition
Z Line
-just above it diaphragm functions as inferior esophageal sphincter |
|
|
Term
| arterial supply of esophagus |
|
Definition
-Esophageal branches of the L gastric A (from celiac trunk)
-Left inferior phrenic artery |
|
|
Term
| Venous drainage of esophagus |
|
Definition
-Left gastric vein --> portal venous system
-Proximal part Esohpageal vein --> azygos vein |
|
|
Term
| Cardial notch is located between |
|
Definition
|
|
Term
| Arterial supply of stomach |
|
Definition
From Celiac Trunk
-L & R Gastric Arteries
-L & R Gastro-omental artery |
|
|
Term
| Anterior relation of the stomach |
|
Definition
| Diaphragm, L lobe of liver, Ant Abdominal Wall |
|
|
Term
| Anterior relation of the stomach |
|
Definition
| Diaphragm, L lobe of liver, Ant Abdominal Wall |
|
|
Term
| Posterior Relations of Stomach |
|
Definition
|
|
Term
| Vertebral level of the superior (first part of) Duodenum |
|
Definition
|
|
Term
| Vertebral Level Descending (second part of) duodenum |
|
Definition
Runs inferiorly along the right side of L2 & L3
-ampulla of vater enters here |
|
|
Term
| Entry of bile duct into duodenum embryologically is the |
|
Definition
| site of the junction between foregut & midgut |
|
|
Term
| What is the terminal branch of the SMA |
|
Definition
|
|
Term
| What is the terminal branch of the IMA |
|
Definition
|
|
Term
|
Definition
Ileum has LONG arterial Arcades & SHORT vasa recta
Jejunum has SHORT Arterial Arcades & LONG Vasa Recta |
|
|
Term
|
Definition
| protrusion of part of the stomach into the mediastinum thru esophageal hiatus of diaphragm |
|
|
Term
| paraesophageal hiatal hernia |
|
Definition
cardia remains in its normal position but pouch of peritoneum (containing fundus) extends thru esophageal hiatus
-no regurg of gastric contents |
|
|
Term
|
Definition
abdominal part of esophagus (cardia, and pats of funds slide superiorly thru esophageal hiatus into thorax
-some regurg |
|
|
Term
| ileal diverticulum (of Meckel) |
|
Definition
| remanant of the proximal part of the embryonic omphalo-enteric duct - finger0like ouch 3-6 cm |
|
|
Term
|
Definition
multiple false diverticula develop along intestine
-common in elderly
-found in sigmoid colon |
|
|
Term
|
Definition
| Left Upper Abdominal Quadrant between 9 & 11 rib |
|
|
Term
| Vertebral levels of neck of pancrease |
|
Definition
|
|
Term
| spleen is covered by peritoneum except at |
|
Definition
|
|
Term
| Pancreatic enzymes derive mainly from branches of which artery? |
|
Definition
|
|
Term
| why does pancreatic cancer involve extrahepatic bile obstruction? |
|
Definition
| cancer of the head compresses & obstructs the bile duct & hepatopancreatic ampulla |
|
|
Term
|
Definition
deep to ribs 7 to 11
crosses midline toward the left nipple |
|
|
Term
| why do subphrenic abscesses occur more frequently on right side |
|
Definition
| frequency of ruptured appendices and perforated duodenal ulcers is greater on Right side |
|
|
Term
| round ligament of the liver is the obliterated remnant of the |
|
Definition
umbilical vein
-carried well oxygenated blood from placenta to fetus |
|
|
Term
| ligamentum venosum is remnant of ... ? |
|
Definition
fibrous remnant of fetal ductus venosus
-shunted blood from umbilical vein to the IVC |
|
|
Term
| hepatic lymph nodes drain to ...? |
|
Definition
| celiac lymph nodes --> cisterna chyli |
|
|
Term
| cystic artery commonly arises from which artery? |
|
Definition
|
|
Term
| 4 sites of portal-systemic anastamoses: |
|
Definition
-esophageal veins: to azygos vein (systemic) or to Left gastric (portal)
-dialeted --> varices
*between rectal veins: inferior & rectal --> IVC (systemic) & superior rectal continuing as IMA (portal)
*hemorrhoids
-paraumbilical veins: anterior abdominal wall (portal) & with superfiical epigastric veins (systemic)
*Caput medusae
-Colic veins (portal) anastomosing with retroperitoneal veins (systemic) |
|
|
Term
| Falciform ligament contains ligamentum teres which is the obliterated ...? |
|
Definition
|
|
Term
Posterior border of epiploic foramen?
Anterior border? |
|
Definition
IVC
Hepatoduodenal ligament |
|
|
Term
| what are remnant of dorsal mesentery? |
|
Definition
Greater omentum (gastrocolic, gastrolienal, lineorenal ligaments)
Mesentery of small intestines (mesentery proper)
Sigmoid mesocolon |
|
|
Term
| T / F - Spleen is an immune organ derived from the foregut |
|
Definition
| FALSE - is an immune organ but is NOT derived from foregut |
|
|
Term
| What lobes of liver border Gall Bladder? |
|
Definition
| Right Lobe & Quadrate Lobe |
|
|
Term
| Duct of Wirsung vs Duct of Santorini? |
|
Definition
Wirsung is chief bile duct
Santorini is the accessory duct |
|
|
Term
| Marginal artery is an anastamoses between: |
|
Definition
| Left colic (IMA) & Middle Colic (SMA) |
|
|
Term
| Dermatomes for referred pain of stomach, liver, pancreas, spleen: |
|
Definition
|
|
Term
| Dermatomes for referred pain of Kidneys: |
|
Definition
|
|
Term
| Dermatomes for referred pain of colon: |
|
Definition
|
|
Term
| Main branches of celiac trunk: |
|
Definition
L Gastric A
Splenic A
Common Hepatic A |
|
|
Term
|
Definition
-Myenteric neurons in lower esophagus
-For sphincter & peristalsis
-damage ==> achalasia |
|
|
Term
Somatic Mesoderm -->
Splanchnic Mesoderm --> |
|
Definition
Parietal Pleura
Visceral Pleura |
|
|
Term
| sympathetic nerve supply of hindgut |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Esophageal veins (portal) with Azgous / Left Gastric Veins (caval) |
|
|
Term
| Paraumbilical Anastaomoses |
|
Definition
| Umbilical Veins w. Superficial epigastric |
|
|
Term
|
Definition
| Superior Rectal Vein(portal) w/ Inferior middle rectal (caval) |
|
|
Term
| Retroperitoneal anastaomses |
|
Definition
| Colic vein w/ Retroperitoneal veins |
|
|
Term
| Common bile duct passes _______ head of pancrease to empty into duodenum |
|
Definition
|
|
