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18 Cards in this Set
- Front
- Back
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What is the primary mechanism for preventing infections in the uterine tubes?
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A mucous plug that blocks the external opening of the uterus to most pathogens, but not sperm.
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Why do patients undergoing abdominal surgery experience more pain with large, invasive, open incisions than in small laparoscopic incisions?
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Because the peritoneum is well innervated.
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Which makes a watertight end to end anastomoses of intraperitoneal organs easier to achieve, serosa or adventitia?
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Serosa
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What is peritonitis?
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An infection of the peritoneal cavity caused by gas, fecal matter and bacteria entering the cavity from trauma or surgery.
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What symptoms does a patient present with when they have peritonitis?
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Severe abdominal pain, tenderness, nausea/vomiting, fever and constipation.
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What is "general peritonitis?
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Occurs when an ulcer perforates the wall of the stomach or duodenum, spilling acid content into the peritoneal cavity.
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What is ascitic fluid?
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Excess fluid in the peritoneal cavity.
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Why is lying with knees flexed benefitial to relieving pain in peritonitis?
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It relaxes the anterolateral abdominal muscles.
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Adhesions after surgery are important why?
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They can limi normal movements of the viscera and cause chronic pain or emergency complications such as intestinal obstruction.
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What is an adhesiotomy?
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Surgical separation of adhesions.
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What is paracentesis?
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Surgical puncture of the peritoneal cavity for the aspiration or drainage of fluid.
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What is the function of the greater omentum?
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The large, fat laden organ prevents the visceral peritoneum from adhering to the parietal peritoneum.
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Perforation of a duodenal ulcer, rupture of the gall bladder, or perforation of the appendix may lead to what formation in the subphrenic recess?
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Abscess.
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Why are paracolic gutters clinically important?
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Provide pathways for the flow of ascitic fluid and spread of intraperitoneal infections.
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What is the result of perforation of the posterior wall of the stomach?
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Results in the passage of its fluid contents into the omental bursa.
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A pancreatic psuedo-cyst can occur as a result of what?
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Inflamed or injuried pancreas that results in the passage of pancreatic fluid into the omental bursa.
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A loop of small intestine may pass through what structure, into the omental bursa?
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Omental foramen
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What artery must be ligated or clamped, then severed during cholecystectomy?
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Cystic artery
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