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55 Cards in this Set
- Front
- Back
From what is the peritoneum derived?
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Mesenchymal cells
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In which sex is the peritoneum a closed cavity?
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Male; in the female it is open due to the communication via the opening of uterine tube
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Lines the wall of the abdominal and pelvic cavities
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Parietal peritoneum (Outside the parietal layer is a layer of CT called the extraperitoneal layer:fatty)
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Name the 3 specializations of the peritoneum
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Mesentary, Omentum, Ligament
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What connects the greater sac to the lesser sac?
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Epiploic foramen/Foramen of WInslow
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Lesser sac AKA
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Omental bursa
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Which division of the peritoneal cavity is formed as a result of the rotation of the gut?
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Lesser Sac/Omental bursa
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Allows an organ's neruovascular structures to reach it from the abdominal wall
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Mesentery
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When the peritoneum continues to an organ
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Mesentery (Ex, Transverse mesocolon and mesentery of the SI)
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A 2 layered fold of peritoneum that attaches the STOMACH to another structure
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Omentum (Greater and Lesser)
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To what does the greater omentum attach the stomach?
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To the transverse colon
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To what does the lesser omentum attach the stomach?
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To the liver (Note: it also attaches a small part of the duodenum to the liver)
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2 layered folds of peritoneum that attach the less mobile, solid viscera to the abdominal wall or other organs
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Peritoneal Ligaments
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Attachment of falciform ligament
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Attaches liver to anterior abdominal wall
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Attachment of Lienoreal/Splenorenal ligament
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Attaches spleen to posterior wall at the level of the kidney
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Attachment of the triangular ligament
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Attaches liver to inferior diaphragm (helps to form bare area of liver)
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When viscera is only covered with peritoneum on the anterior surface
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Retroperitoneal
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An abdominal organ that is almost completely covered by visceral peritoneum and grows into the peritoneal cavity
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Intraperitoneal
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From where and to where does the ligamentum teres extend? Also, what is it a remnant of?
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Extends from the umbilicus to the porta hepatis (door of liver); remnant of the fetal left umbilical vein
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The R lamina of the falciform ligament forms what?
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anterior and posterior layer of the coronary ligament, and the right triangular which encloses the bare area of the liver
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The L lamina of the falciform ligament forms what?
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Left triangular ligament
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The GO is a derivative of which mesentary?
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Dorsal
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The LO is a derivative of which mesentary?
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Ventral
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The Falciform ligament is a derivative of which mesentary?
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Ventral
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Name 2 subdivisions of the LO
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Hepatoduodenal ligament and Hepatogastric Ligament
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From the porta hepatis to the first inch of duodenum
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Hepatoduodenal ligament (encloses the portal triad)
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Encloses the portal triad
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Hepatoduodenal ligament
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What is the portal triad?
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Common bile duct, Hepatic artery, Portal vein
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What forms the anterior border of epiploic foramen?
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Hepatoduodenal ligament
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From the fissure for the ligamentum venosum near porta hepatis to the lesser curvature of the stomach
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Hepatogastric ligament
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What does the hepatogastric ligament enclose?
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Right and Left gastric arteries
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What forms the floor of the omental foramen?
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IVC
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Name the 4 lobes of the liver
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R,L, Quadrate and Caudate
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Where there is no peritoneum that intervenes between the liver and the diaphragm
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Bare area of the liver
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Where does the GO extend?
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Extends from the greater curvature of the stomach down over the coils of the intestine. (Doubles up on itselft o form a 4 layered structure of mesentary that attaches to the transverse colon)
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Name the 3 parts of the GO
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Gastrocolic, Gastrosplenic (gastrolineal) and Gastrophrenic
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What does the GO enclose?
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R and L gastroepiploic vessels
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Policeman of the peritoneal cavity; walls of areas of infection
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GO
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What does the gastrosplenic ligament enclose?
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Short gastric vessels
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The gastrosplenic ligament extends from the hilus of the spleen to what part of the stomach?
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Fundus of the stomach
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What does the splenorenal ligament enclose?
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Splenic vessels
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What does the transverese mesocolon enclose?
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middle colic vessels (branches of superior mesenteric)
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What does the sigmoid mesocolon enclose?
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sigmoid colon vessels (branches of inferior mesenteric)
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The intestine may strangulate in which fossa?
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Paraduodenal
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Name to 4 parts of the stomach
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Cardiac, fundus, body, pyloric part (antrum, canal, sphincter)
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Name the 3 parts of the pyloric part of the stomach
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Antrum, canal and sphincter
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The only part of the SI that is mostly retroperitoneal
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Duodenum
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Direct the flow of fluids toward the pelvis when standing
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Paracloic gutters
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Why are only the transverse and sigmoid colons mobile?
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during development, the asc and desc colon are forced against the posterior ab wall and their mesentery dissapears rendering them immobile
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Suspends the jejunum and ileum from the posterior ab wall
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THE Mesentery
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What does THE Mesentery enclose?
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intestinal and ileocolic vessels (superior mesenteric branches)
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Which nerves innervate the parietal peritoneum?
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somatic afferent fibers sensitive to pain, touch, temp and pressure. (Intercostal and subcostal nerves: T7-12, Phrenic, L1)
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Name some functions of the peritoneum
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ensures mobility of viscera, fat sotrage, conduit for lymph and BV and nerves, wall off infections, pushes fluid into the subphrenic spaces
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Large fossa that lies to the left of the ascending duodenum that may pose a threat for a hernia/strangulation
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Paraduodenal fossa
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When surgically repairing a paraduodenal hernia, what 2 arteries do you have to be careful of?
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Inferior mesenteric artery/vein and Ascending branches of the L colic artery
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