Lecture #58

  1. how many region are in the abdominal cavity ?
  2. what are the 9 regions of the abdonminal
    • the epigastric region
    • the umbilical region 
    • pubic region 
    • right and left hypocondriac
    • the right and left flank ( lateral)
    • right and left inguinal
  3. what organs are in the Upper right quadrant of the abdomen ?
    • Right lobe of liver
    • gallbladder
    • duodenum
    • right half of the transverse colon 
    • right colic flecture 
    • part of the juenum and illum
    • posterior 
    • the right kidney and superrenal gland
  4. what organs are in the Upper left quadrant of the abdomen ?
    • left half of the transerve colon
    • left lobe of the liver
    • spleen
    • juejunum 
    • stomach
    • proximal illium
    • body and tail of the pancreas
    • left kidney and super renal gland
    • left colic flexture ( splenic flexure) 
    • superior part of the descending colon
  5. what membrane covers the gut, accessory organs and abdominal wall ?
    The peritoneum
  6. how is the peritoneal ligament formed ?
    the peritinum folding in on itself and forming a double layered membrane
  7. what are the type of peritineal formation
    omenta and mesentery
  8. what are omentums
    double memebrane visercal peritineum that connects viscera
  9. what are mesenteries
    connect organ to the body wall
  10. what are the ligaments of the greater omentum ?
    • gastroprenic
    • gastrospleen
    • gaostro collect
  11. transever mesocolon
    connect transverse colong to body wall
  12. what are the ligaments of the lesser omentum ?
    • heptogastric
    • hypatoduedoneal
  13. What does the greater omentum connect
    connect greater curvature of the stomach to the transverse colon
  14. What does the lesser omentum connect
    connect lesser curvature of the stomach to the liver
  15. what how does the gut start out and end ?
    starts out as a single tube then is get convoluted and fills up the abdominal cavity.
  16. what is the different between the peritoneal cavity of the embryo and the adult?
    in the adult it is a potential space but in the embryo it is an actual space
  17. what is retro peritoneal ?
    when peritoneal only covers th anterior surface
  18. mesentery of the small intestine
  19. supracolic
    anterior to the stomach and superior to the transver colon
  20. infracolic
    anterior to the stomach and inferior to the transver colon
  21. how do the supr and infracolic compartment communicate?
    paracolic gutter
  22. how does the omental bursa communicated with the supracolic
    ommental formanen
  23. how is the omental burse seperated from the infracolic compart.
    it is seperated by infracolic transverse colon and the transvere mesocolon
  24. where is the orientation and position of the omental bursa?
    btween the supracolic and infracolis compartment . it is seperated by infracolic transverse colon and the transvere mesocolon
  25. what does the hepatoduoduenal ligament contain
    • hepatic artery
    • bile duct
    • and hepatic portal vein
  26. how is the omental burse seperated from the supracolic compart.
    it is seperated by supracolic compartment by  the liver lesser omentum stomach and greater omentum
  27. what is the posterior border of the omental bursa
    the pancreas and the bodywall
  28. why is it important to know the compartmnt of the abdomen?
    help us, physicians, predict how infection can spread and how blood might accumulate if there is bleed in the abdomen.
  29. in regards to isolation the compartments of the peritoneal formation are..
  30. the omental bursa is posterior to which ligament?
    the hepatoduodenal ligament
  31. what is a portal triad
    • the hepatic artery
    • hepatic portal vein 
    • bile duct
  32. why would a surgeon compress the hepatoduodenal ligament
    • stop bleeding in one of the structures that the portal traid supplies 
    • e.g.
    • if you had bleeding from the cystic artery which is a branch of the hepatic artery , compressing the ligament would stop bleeding in that artery.
  33. where does the blood supply of the abdomen comes from
    • celiac trunk
    • superior mes. art
    • inferior mes. art
  34. what supplies the midgut?
    superior mes. art
  35. what supplies the hindgut?
    the inferior mes. art
  36. what supplies the foregut?
    celiac trunk
  37. what are the structures of the forgut?
    • liver esophagus stomach half duodenum
    • gall bladder and pancreas
  38. what are the structures of the forgut?
    mid duodenum, jejunum ileum cecum appendix acsending colon and 2/3of the transverse colon
  39. what are the structures of the hindgut?
    • distal 1/3 of transverse colon
    • descending colon
    • sigmoid colon 
    • rectum
    • proximal anus
  40. branches of celiac trunk
    • common hepatic artery 
    • splenic artery 
    • left gastric
  41. superior mesentery artery
  42. what is the cardia of the stomach ?
    where the esophagus enteres
  43. what does the plyloric spincter control?
    food traveling from the stomach into the intestines
  44. what are the part of the stomach
    • pyloric cannal
    • fundus
    • body
    • cardia
    • greater and lesser curvature
  45. what is the blood supply of the stomach?
    the gastricomental artery and the short gastric arteries
  46. what is the blood supply of the liver?
    • hepatic artery
    • hepatic portal vein
  47. what divides the left and right lobes of the liver?
    the falciform ligament
  48. what are the part of the right lobe of the liver?
    • the quadrate lobe 
    • the caudate lobe
  49. what is interesting about the blood supply of the liver?
    it has its own blood supply to each supply to each specific parts of it. this makes it possible to remove part of the liver without other parts being affeceted.
  50. how is blood supply divided in the liver and by how may ways?
    8 hepatic segment
  51. what is the hepatoancreatic  ampulla?
    where the pancreatic duct and the common bile duct meet fro empting intothe duodenum.
  52. what is the travel path of bile
    • made in the liver
    •  left and right hepatic duct
    • common heptatic duct
    • cystic duct
    • common bile duct
    • heptopancreatic ampulla 
    • duodenum
  53. what artery supply the gall bladder?
    • the cystic artery
    • cystic mean galbladder
  54. what is the billiary tree ?
    a system of vessels that directs the secrestion from the liver gallbladder and pancrea through a serieso of ducts into the duedenum
  55. what compartment is the pancreas within
    the omental bursa
  56. blood supply pancreas
    • pancreticoduoduenal 
    • splenic art.
  57. blood supply spleen
    spleenic artery
  58. the spleen is apart of ....system
    lymphatic system
  59. clinical relevance of spleen
    superficial so damage -> hemmorrage intraperitoneal ; excess bleeding in adb. cavity
  60. which structure of the midgut are retro peritoneal ..
    duodenum ( mostly)
  61. midgut structure intraperitoneal
    jujunum and illeum
  62. differences btwn jejunum and illeum
    • jejunum
    • -more and bigger structure except lymp structures and mesentary 
    • illeum 

    • similar
    • blood supply both from superior mes. art.
  63. characteristic of large intestin
    • tenia coli
    • haustra
    • omental appendicies
  64. travel path of feces
    • ileum 
    • illiocecal valve
    • cecum
    • ascending colon 
    • right colic fecture
    • transverse colon 
    • left colic flecture 
    • descending colon
    • sigmoid colon 
    • rectum
    • anal canal
  65. where is the appendix located?
    • end of the tenia coli
    • right lower quadrant 
    • near illiocecam junction
    • retrocecal 
    • or in the lesser pelvis
  66. How is the jejunum different from the ileum?
    • larger fewer arterial archades
    • longer more vasa recta
    • thicker and heavy
    • more fat in mesentery
  67. characteristics of the large intestine (colon)
    • haustra
    • tenia coli
    • omental appendices ( little fatty flaps)
Card Set
Lecture #58
abdomincal Viscera and Peritoneal Cavity I