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SEM 2 ANATOMY > Abdo 2 > Flashcards

Flashcards in Abdo 2 Deck (25)
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1
Q

where is the falciform ligament attached

A

intraperitoneally

attached to anterior abdo wall

2
Q

what does the falciform ligament contain

A

umbilical vein

3
Q

where is the round ligament found

A

on the free edge

4
Q

intraperitoneal organs: SALT DSPRS

A
Stomach 
appendix 
liver
transverse colon 
duodenum 
small intestine 
pancreas(tail) 
rectum(only part of it) 
sigmoid colon
5
Q

retroperitoneal organs : SAD PUCKER

A
suprarenal glands 
aorta/IVC 
duodenum (parts 2,3,4)
pancreas- uncinate, neck, body 
ureters
colon 
kidneys 
esophagus 
rectum
6
Q

what does the greater omentum hang over

A

over abdominal contents like an apron

7
Q

what is the function of the greater omentum

A

abdominal policemen:

  • fights infection by preventing bacteria entering
  • fat depostion
  • wound isolation
8
Q

what does the lesser omentum contain

A

portal triad:

  • portal vein
  • common bile duct
  • hepatic artery
9
Q

what is the transverse mesocolon

A

mesentery associated with transverse colon

divides peritoneal cavity into supracolic and infracolic compartments

10
Q

what is the function of the mesentery of the small intestine

A

circulation of arterial blood

drains lymph

11
Q

what is the sigmoid mesocolon

A

mesentery associated with sigmoid colon

12
Q

what is a sigmoid volvus

A

gas develops which leads to a distended abdomen
vomitting
large bowel obstruction

13
Q

what is a peritoneal recess

A

regions where peritoneum is reflected away from posterior abdominal wall
fluid and pus can collect

14
Q

what is the left and right paracolic gutters

A

provide pathways for the flow of ascitic fluid and spread of peritoneal infections, or tumour cells that have sloughed from the ulcerated surface of a tumour and entered the peritoneal cavity

15
Q

male sub-hepatic pouch

A

rectovesical

16
Q

2 female sub-hepatic pouchs

A

utero-vesical

recto-uterine(pouch of douglas)

17
Q

how would you drain the pouch of douglas

A

lowest part is immediately posterior to fornix of vagina and accessible to cannulation under ultra sound guidance

18
Q

what is murphys sign

A

whe a patient takes a deep breath in and the gall bladder hits hand- sign of cystic colitis

19
Q

what could a fractured rib on the left side lead to

A

a ruptured spleen since it has a lack of fascia and rich blood supply

20
Q

where does the jejunum start

A

duodenojejunal flexure- position of this is maintained by suspensory ligament (ligament of Trietz)

21
Q

where is the ileum

A

distal 3/5th of the small intestine

22
Q

does ileum have shorter or longer vasa recta than jejunum

A

shorter

23
Q

does ileum have less or more arcades than jejunum

A

more

24
Q

what is the function of the ileum

A

absorb Vit B12 and bile salts

25
Q

what is the mesoappendix

A

fold of peritoneum between caecum and appendix