Term
where does the esophagus pierce the diaphragm |
|
Definition
T10 slightly to the left of the midline |
|
|
Term
where is the esophagus in relation to the trachea and liver |
|
Definition
|
|
Term
in which of the 9 regions is the stomach located |
|
Definition
left hypochondriac, epigastric, umbilical |
|
|
Term
what are the orifaces of the stomach |
|
Definition
|
|
Term
where is the cardial oriface |
|
Definition
between the stomach and esophagus |
|
|
Term
where is the pyloric oriface |
|
Definition
between the stomach and the duodenum |
|
|
Term
describe the physical curvature of the stomach |
|
Definition
the left is more curved than the right |
|
|
Term
where does the small intestine begin |
|
Definition
|
|
Term
where does the small intestine end |
|
Definition
at the ileocecal junction |
|
|
Term
what is the ileocecal junction, what quadrent is it in |
|
Definition
where the small and large intestines join, in the right lower quadrant |
|
|
Term
what are the parts of the small intestine |
|
Definition
|
|
Term
where is the duodenum located and in what regions |
|
Definition
deep to the peritoneal sac in the epigastric and umbilical |
|
|
Term
describe the shape of the duodenum, what does it surround |
|
Definition
it is C shaped and surrounds the head of the pancreas |
|
|
Term
where does the duodenum begin |
|
Definition
|
|
Term
where does the duodenum end |
|
Definition
duodenojejunal flexure (junction) |
|
|
Term
what is the duodenojejunal flexure |
|
Definition
the joining point of the duodenum and the jejunum |
|
|
Term
what are the parts of the duodenum |
|
Definition
superior (1), descending (2), horizontal or transverse (3), ascending (4) |
|
|
Term
what is the difference between the jejunum and illeul and the duodenum |
|
Definition
the jejunum and ileum are more mobile |
|
|
Term
where does the jejunum begin |
|
Definition
the duodenojejunal flexure |
|
|
Term
what is the ileocecal junction |
|
Definition
where the ileum ends and joins the large intestines |
|
|
Term
what divides the jejunum and ileum |
|
Definition
there is no sharp boundray, just a gradual transition |
|
|
Term
describe the proportions and locations of the jejunum and ileum |
|
Definition
jejunum is the proximal upper left 2/5 40%, the ileum is the distal lower right 2/5 60% |
|
|
Term
where is the jejunum located |
|
Definition
the upper part of the infracolic compartment |
|
|
Term
where is the ileum located |
|
Definition
the lower part of the infracolic compartment and some of the pelvis |
|
|
Term
where is the large intestine located in reference to the small intestine |
|
Definition
it arches around and encloses the jejunum and ileum |
|
|
Term
what are the parts of the large intestine |
|
Definition
cecym, vermaiform apendix, ascending, transverse, descending, and sigmoid colon, rectum, anal canal |
|
|
Term
where is the cecum located |
|
Definition
in the right inguinal region inferior to the ileocecal junction |
|
|
Term
|
Definition
|
|
Term
where is the appenxid located |
|
Definition
originates from the posteromedial aspect of the cecum |
|
|
Term
|
Definition
|
|
Term
where does the ascending colon begin |
|
Definition
|
|
Term
what is the hepatic or colic flexure |
|
Definition
where the ascending colon bends to become the transverse on the right side of the body |
|
|
Term
describe the shape of the transverse colon |
|
Definition
a U from right to left in the body and lies some on the small intestines |
|
|
Term
where does the transverse colon begin |
|
Definition
|
|
Term
where does the transverse colon end |
|
Definition
left colic or splenic flexure |
|
|
Term
where does the decending colon begin |
|
Definition
left colic or splenic flexure |
|
|
Term
where does the descending colon end |
|
Definition
|
|
Term
where does the sigmoid colon begin |
|
Definition
|
|
Term
where does the sigmoid colon end |
|
Definition
in the pelvis around S3 where it becomes continous with the rectum |
|
|
Term
where does the rectum begin |
|
Definition
around S3 where the sigmoid colon ends |
|
|
Term
where does the rectum end |
|
Definition
when it pierces the pelvic floor becoming continous with the anal canal |
|
|
Term
how long is the anal canal |
|
Definition
|
|
Term
where does the anal canal begin |
|
Definition
pelvic floor or diaphragm |
|
|
Term
where does the anal canal end |
|
Definition
|
|
Term
what does the pancreas function as |
|
Definition
an exocrine and endocrine gland |
|
|
Term
where is the pancreas located |
|
Definition
deep to the peritoneal sac, across the posterior abdominal wall from the duodenum on the right to the spleen on the left |
|
|
Term
what regions is the pancrease in |
|
Definition
the epigastric and left hypochondriac |
|
|
Term
what are the parts of the pancreas |
|
Definition
|
|
Term
what is the largest lymhoid organ in the body |
|
Definition
|
|
Term
where is the spleen locationa and in what region and under what ribs |
|
Definition
posterior to the stomach, in the left hypochondriac under ribs 9-11 |
|
|
Term
where are the kidneys located |
|
Definition
upper posterior abdominal wall on each side of the vertebral column, sitting in part of the diaphragm |
|
|
Term
where does the ureter begin and end |
|
Definition
the kidney to the urinary bladder |
|
|
Term
what muscle is associated with the ureter, where is it located |
|
Definition
the psoas major, the pelvic cavity enterance |
|
|
Term
where are the suprarenal (adrenal) glands |
|
Definition
on the upper pole of each kidney deep in the abdoman |
|
|
Term
what are the parts of the adrenal glands and their relative locations |
|
Definition
cortex (outer), medulla (inner) |
|
|
Term
what is the function of the adrenal glands |
|
Definition
endocrine glands that secrete hormones |
|
|
Term
during embryology, where do the adrenal glands come from |
|
Definition
they have different origins in different people, usually the neural crest |
|
|
Term
describe the differences between the peritoneum and the pleura and pericardium |
|
Definition
surrounds many organs, more complex arangement |
|
|
Term
which direction did the organs fill into the peritoneum during development |
|
Definition
mainly from the posterior abdominal wall |
|
|
Term
what are the layers of the peritoneum |
|
Definition
|
|
Term
describe the peritoneal cavity |
|
Definition
potential space between parietal and visceral layers, has some serous fluid |
|
|
Term
describe te paritoneal cavity in females |
|
Definition
communicates with the outside via the uterine tubes, uterus, and vagina |
|
|
Term
describe the peritoneum in males |
|
Definition
|
|
Term
what is the definition of a intraperitoneal organ |
|
Definition
almost totally covered with visceral peritoneum, think organs that are suspended or hanging |
|
|
Term
what are the intraperitoneal organs |
|
Definition
stomach, jejunum, ileum, transverse colon, spleen |
|
|
Term
what is the definition of a retroperitoneal organ |
|
Definition
located posterior to the peritoneal sac between the sac and abdominal wall, only the anterior surface is coered with peritoneum |
|
|
Term
what organs are retroperitoneal |
|
Definition
most of the duodenum and pancreas, ascending and descending colon, kidneys, supraparenal glands, abdominal aorta, inferior vena cava |
|
|
Term
what are the categories of peritoneal folds |
|
Definition
ligament, omentum, mesentary |
|
|
Term
what is a peritoneal ligament |
|
Definition
a two layered peritoneal fold that connects an organ to the abdominal wall or another organ |
|
|
Term
what types of peritoneal ligaments are there |
|
Definition
falciform, coronary, splenorenal, gastrosplenic, omentum, mesentary, umbilical folds |
|
|
Term
what is the falciform ligament |
|
Definition
peritoneal fold that connects liver to anterior abdominal wall and diaphragm. runs from umbilicus to diaphragm |
|
|
Term
what is the coronary ligament |
|
Definition
peritoneal fold that connects the liver to the diaphragm, suspends it from the diaphgram |
|
|
Term
what is the splenoreal ligament |
|
Definition
peritoneal fold that connects the spleen to left lidney |
|
|
Term
what is the gastrosplenic ligament |
|
Definition
peritoneal fold that connects the spleen to the stomach |
|
|
Term
|
Definition
peritoneal fold that passes from the sotmach and proximal part of the duodenumm to another organ |
|
|
Term
what are the types of omentums |
|
Definition
|
|
Term
what is the lesser omentum |
|
Definition
two layered peritoneal fold that connects the lesser curvature of the stomach to the 1st part of the duodenum to the visceral surface of the liver, has a free edge |
|
|
Term
what are the parts of the lesser omentum |
|
Definition
hepatogastric ligament and hepatoduodenal ligament |
|
|
Term
what does the hepatoduodenal ligament contain |
|
Definition
it is thicker because it has ducts, blood, lymph vessels, and nerves traveling to and from the liver, it is a free edge in the peritoneum |
|
|
Term
what is the greater omentum |
|
Definition
hangs from the greater curvature of the stomach in front of coils of the jejunum and ileum |
|
|
Term
what does the greater omentum contain |
|
Definition
|
|
Term
what are the layers of the greater omentum |
|
Definition
two anterior and two posterior, no space between so 4 layers because they fused |
|
|
Term
describe the path of the layers in the greater omentum |
|
Definition
descend from the greater curvature of the stomach, fold back on themselves, and ascend, they seperate into the two layers again and go around the transverse colon to the pancreas forming the transverse mesocolon |
|
|
Term
|
Definition
a two layered peritoneal fold that connects intestines to the posterior abdominal wall |
|
|
Term
what is the function of a mesentery |
|
Definition
allows blood vessels, lymph, and nerves to reach organs from the posterior abdominal wall, provide mobility and make intestine parts intraperitoneal |
|
|
Term
what is the mesentery of the small intestine |
|
Definition
connects coils of the jejunum and ileum to the posterior abdominal wall, has lots of branching with vessels and lymph in it to supply intestines |
|
|
Term
what is the mesentery of the transverse colon (mescolon) |
|
Definition
connects transverse colon to posterior abdominal wall |
|
|
Term
what is the mesentery of the sigmoid colon (mesocolon) |
|
Definition
connects sigmoid colon to the posterior abdominal and pelvic walls |
|
|
Term
|
Definition
a mesentaries have one, attaches it to the posterior abdominal wall, formed early in development |
|
|
Term
what is different about mesentaries in early development vs adult |
|
Definition
early all parts of the digestive tract are intraperitoneal and have a mesentery, with development movements some parts adhere to the posterior abdominal wall and losse their mesentary becoming fixed (secondary retroperitoneal organ) |
|
|
Term
what is a secondary retroperitoneal organ |
|
Definition
parts that used to have a mesentary but with developmental movements have attached to the posterior abdominal wall and lost their mesentary |
|
|
Term
what organs are secondary tetroperitoneal organs |
|
Definition
most of the duodenum, most of the pancrease, ascending and descending colon |
|
|
Term
what is the omentum burse where is it located |
|
Definition
a perrtoneal pouch posterior to the lesser omentum and stomach |
|
|
Term
what is another name of the omentum bursa |
|
Definition
|
|
Term
what are the parts to the omentum bursa |
|
Definition
superior recess, inferior recess, left margin, right margin, epiploic foramen |
|
|
Term
what is the superior recess of the omentum burse, where is it located |
|
Definition
upward extension, between the liver and diaphragm |
|
|
Term
what is the inferior recess of the omentum burse, where is it located |
|
Definition
downward extension of the omental burse, between the 2 anterior and 2 posterior layers of the greater omentum, usually short due to the adherance of these layers |
|
|
Term
what is included in the left margin of the ometal bursa |
|
Definition
spleen, gastrosplenic and splenorenal ligaments |
|
|
Term
what is included in the right margin of the ometal bursa |
|
Definition
omental (epiploic) formamen |
|
|
Term
what is the omental foramen |
|
Definition
opening of the omental burse, connects lesser to greater sac, the only opening in the lesser sac |
|
|
Term
what is another name from the omental foramen |
|
Definition
epiploic foramen, foramen of winslow |
|
|
Term
|
Definition
the remaining of the peritoneal cavity |
|
|
Term
what are the boundries of the omental foramen |
|
Definition
anterior: lesser omentum hepatodudoneal ligament, posterior: inferior vena cava, superior caudate lobe of liver, inferior: 1st part of duodenum |
|
|
Term
what are the main structures of the hepatoduodenal ligament |
|
Definition
portal vein, hepatic artery proper, bile duct, lymph, autonomic nerves |
|
|
Term
where is the umbilical folds located |
|
Definition
in the lower anterior abdominal wall |
|
|
Term
what are the different umbilical folds |
|
Definition
|
|
Term
where is the median umbilical fold |
|
Definition
covering the median umbilical ligament from the apex of the bladder to the umbilicus |
|
|
Term
what is the median umbilical fold a remnant of |
|
Definition
the allantos of the embryo, when its lumen obliterates it is called urachus, in the adult it is the median umbilical ligament |
|
|
Term
where is the medial umbilical fold located |
|
Definition
one on each side covering the medial umbilical ligaments ascending from the pelvis to the umbilicus |
|
|
Term
what is the medial umbilical fold a remnant of |
|
Definition
the distal, obliterated parts of the umbilical artery |
|
|
Term
where is the lateral umbilical fold located |
|
Definition
one on ach side covering the inferior epigastric vessels |
|
|
Term
where is the supravesical fossa located |
|
Definition
between the median and medical umbilica folds on top of the bladder |
|
|
Term
how is the supravesical fossa formed |
|
Definition
as the peritoneum passes from the anterior abdominal wall onto the urinary bladder |
|
|
Term
why does the supravesical fossa change shape |
|
Definition
it rises and falls with the filling and emptying of the bladder |
|
|
Term
where is the medial inguinal fossa located |
|
Definition
between medial and lateral umbilical folds |
|
|
Term
what is located in the medial inguinal fossa, what is the medical relivence of this structure |
|
Definition
the inguinal (hesselbach's) triangle, potentionally a direct inguinal hernia |
|
|
Term
where is the lateral inguinal fossa located |
|
Definition
lateral to the lateral umbilical fold, covers inferior epigastric on their way out to the rectus abdominus |
|
|
Term
what is located in the lateral inguinal fossa, what is the medical relivence of this structure |
|
Definition
deep inguinal ring, potential site for an indirect inguinal hernia |
|
|
Term
where is the supracolic compartment located |
|
Definition
above the transverse colon and its mesentery |
|
|
Term
what does the supracolic compartment contain |
|
Definition
|
|
Term
where is the infracolic compartment located |
|
Definition
below the transverse colon and its mesentery, right and left spaces on each side of the mesentary root between cecum and duodenum/jejunum junction |
|
|
Term
what does the infracolic compartment contain |
|
Definition
most of the small and large intestines |
|
|
Term
what is the infracolic compartment divided into and by what |
|
Definition
right and left infracolic spaces by mesentery of small intestines |
|
|
Term
what are the paracolic gutters |
|
Definition
a free communicating area between the supracolic and infrocolic compartments, on each side of each ascending and descending colon and abdominal wall |
|
|
Term
what nerves supplies the central part of the diaphragm |
|
Definition
|
|
Term
where is the pain from the central diaphragm refered to |
|
Definition
|
|
Term
what nerves supply the parietal peritoneum |
|
Definition
lower 5 intercostal nerves (T6-T12), subcostal nerves, and iliohpyogastric and ilioinguinal nerves |
|
|
Term
what nerves supply the peripherial diaphgram |
|
Definition
lower 5 intercostal and subcostal (T6-T12) |
|
|
Term
what nerves supply the visceral peritoneum |
|
Definition
visceral sensory fibers that travel with the sympathetic and parasympathetic nerves that supply the organs they cover |
|
|
Term
how is pain in the parietal paritoneum elicted |
|
Definition
mechanical, chemical, or thermal stimulation |
|
|
Term
describe pain from the pariteal peritoneum |
|
Definition
|
|
Term
how is pain elicted in the visceral peitoneum |
|
Definition
stretching due to over distension of a hollow organ or pulling on a mesentery |
|
|
Term
describe pain from the vericral peritoneum |
|
Definition
|
|
Term
what vertebral level does the inferior vena pierce the diaphragm |
|
Definition
|
|
Term
what vertebral level does the aorta pierce the diaphragm |
|
Definition
|
|
Term
what takes up most of the abdominal cavity |
|
Definition
|
|
Term
what is another word for the pelvic floor |
|
Definition
|
|
Term
in regards to peritoneium, how are the ascending and decending colon attached |
|
Definition
the used to be in the mesentary but are not connected to the posterior abdominal wall making them secondary retroperitoneal organs |
|
|
Term
where is the anal triangle located |
|
Definition
in the anal canal perineium |
|
|
Term
what does the pancreas release as an exocrine organ |
|
Definition
enzymes released into the duodenum for digestion |
|
|
Term
what does the pancreas release as an endocrine organ |
|
Definition
|
|
Term
in regards to the peritoneium, how is the kidney classified |
|
Definition
|
|
Term
what does the outer adrenal cortex produce |
|
Definition
steroids, corticoids, glucocorticoids, sex hormones |
|
|
Term
what does the adrenal medulla product |
|
Definition
epinepherine, norepinepherine |
|
|
Term
which kidney sits higher, why |
|
Definition
the left because the right is blocked by the liver |
|
|
Term
at approxamently what vertebral level is the hilum of the kidney |
|
Definition
|
|
Term
describe the difference in the peritonieum of a male and female |
|
Definition
a male is completely closed, a females is open because you could go through the uterine tube to the uterus and out the vagina |
|
|
Term
what is the peritoneal ligaments made of |
|
Definition
loose connective tissue, fat, few fibers |
|
|
Term
what is another name for the gastrosplenic ligament, why |
|
Definition
gastrosplenic omentum because it connects to the stomach |
|
|
Term
what does the hepatogastric ligament contain |
|
Definition
the lesser omentum that isnt part of the hepatoduodenal ligament (free edge) |
|
|
Term
|
Definition
|
|
Term
|
Definition
the bladder during development (between embryo and adult) |
|
|
Term
what does the urachus become |
|
Definition
the median umbilical ligament |
|
|
Term
what does the allantois become |
|
Definition
|
|
Term
what are the spaces between the umbilical folds |
|
Definition
supravesical fossa, medial inguinal fossa, laternal inguinal fossa |
|
|
Term
wha s the alamentery canal |
|
Definition
|
|