Term
| intraperitoneal structures include |
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Definition
stomach
spleen
liver and gallbladder
1st pt. of duodenum
jejunum
ileum
appendix
transverse colon
sigmoid colon |
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Term
| retroperitoneal structures include |
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Definition
2nd-4th pt. of duodenum
pancreas
cecum
ascending colon
descending colon
rectum
kidneys
aorta
IVC |
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Term
| ligamentum teres is a remanent of... |
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Definition
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Term
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Definition
collection of fluid within in peritoneal cavity, which most often occurs as a complication of heart failure or portal hypertension. signs and symptoms include increased abdomen size, striae formation, difficulty breathing, decreased appetite, GERD, and lower extremity edema.
paracentesis may be used to remove fluid in order to analyze the fluid and to make the patient more comfortable. |
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Term
| abdominal aorta extends from ... to... |
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Definition
| diaphragm at T12 to L4 when if bifurcates into two common iliac arteries |
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Term
| ileocolic artery supplies |
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Definition
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Term
| right colic artery supplies |
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Definition
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Term
| middle colic artery supplies |
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Definition
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Term
| middle colic artery supplies |
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Definition
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Term
| left colic artery supplies |
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Definition
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Term
| sigmoidal artery supplies |
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Definition
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Term
| superior rectal artery supplies |
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Definition
| superior portion of rectum |
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Term
| gastric outlet obstruction |
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Definition
any condition that results in blockage of gastric content flow into the duodenum such as pyloric stenosis, cancer, and annular pancreas.
pyloric stenosis is caused by congenital or acquired narrowing of the pyloric lumen diameter. |
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Term
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Definition
left gastric
right gastric
left gastroepiploic
right gastroepiploic
short gastric
dorsal gastric |
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Term
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Definition
greater splanchnic nerves- sympathetic innervation from T6-T9 spinal nerves that pass through diaphragm to the celiac plexus
anterior and posterior vagal trunks - parasympathetic--> control acid secretion |
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Term
| the vagal trunks control what in the stomach? by what type of IN? |
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Definition
acid secretion
parasympathetic |
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Term
| vagotomy used to be to treat... the gastric branches of vagal trunks called... are cut to reduce amount of acid production in stomach |
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Definition
peptic ulcers
nerves of Latariet |
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Term
| during gastric surgery this artery is at risk... |
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Definition
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Term
| during gastric surgery this artery is at risk... |
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Definition
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Term
| the small intestine is insensitive to most... but sensitive to..., which is perceived as colic cramps. |
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Definition
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Term
| sm. intestine is IN by.... (sympathetic) and ... (parasympathetic) |
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Definition
thoracic splanchnic nerves and celiac plexus
anterior and posterior vagal trunks |
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Term
| if the vagal trunks (ant. and post.) were damaged, parasympathetic IN to would be at destroyed |
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Definition
| small intestine, stomach, and lg. intestine proximal to spleenic flexure |
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Term
| lg. intestine composed of... |
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Definition
| cecum, colon, rectum, and anal canal |
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Term
cecum receives blood supply from...
appendix receives blood supply from... |
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Definition
ileocolic a.
appendicular a. branch of ileocolic |
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Term
| appendix is located at ... which is... |
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Definition
McBurney's Point
2/3 way between umbilicus and ASIS on R (1/3 way b/w ASIS and umbilicus) |
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Term
| appendicitis pain begins in the... then in the... |
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Definition
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Term
Peptic (duodenal) ulcers are located in the posterior wall of the superior duodenum.
The ... and ... may also become ulcerated |
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Definition
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Term
| a peptic ulcer may erode this artery... |
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Definition
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Term
| ascending colon receives blood supply from... |
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Definition
| ileocolic and right colic arteries |
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Term
| descending colon receives blood supply from... |
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Definition
| left colic and superior sigmoid arteries |
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Term
| marginal artery (of Drummond) connects the... and ... for collateral circulation of lg. intestine. |
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Definition
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Term
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Definition
proper hepatic artery
portal vein (from SMV and splenic vein) |
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Term
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Definition
| Liver enlargement. Common causes include hepatitis, alcoholic liver disease, portal hypertension, and right heart failure. Enlarged livers are more easily palpated on abdominal exam. Liver span (superior to inferior length at the most lateral edge) is often checked clinically to determine whether hepatomegaly is present. |
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Term
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Definition
| Occurs as a result of liver disease processes such as hepatitis. It is characterized by fibrosis and scarring after destruction of large numbers of liver cells. Typically this process is irreversible despite the liver’s massive regenerative ability. Eventually the liver is too scarred to continue to function properly, leading to liver failure. |
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Term
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Definition
| It results from cirrhosis, other liver disease, or any other blockage or narrowing of the portal vein that decreases blood flow through it toward the inferior vena cava. This inhibits venous return from portions of the body below the level of the heart. The body opens collateral routes of venous return to the heart as an attempt to restore venous return to the heart. This results in the caput medusa (swollen periumbilical veins that appear as the snake like hair of medusa around the umbilicus), esophageal varices and internal hemorrhoids as blood is shunted through these alternate venous routes toward the heart. |
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Term
| if portal vein is blocked and divert blood from portal to systemic venous system by... |
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Definition
communication between portal vein and IVC OR
join splenic and renal veins |
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Term
| gallbladder stores biles and releases it upon hormonal stimulation from... |
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Definition
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Term
| gallbladder stores biles and releases it upon hormonal stimulation from... |
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Definition
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Term
| production, storage, and secretion of bile is as follows: |
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Definition
| Bile ducts-->R & L hepatic ducts-> common hatic duct (joins cystic duct from gallbladder to form)--> common bile duct -->hepatopancreatic ampulla �� duodenum |
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Term
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Definition
| “Gallstones”: Rocky solid particles within the gall bladder are fairly common. Most stones are composed of cholesterol and bile pigments. The stones may block some portion of the bile duct or ampulla of Vater. Occasionally, large stones may also erode through the wall of the gall bladder and through the wall of an adjacent small intestine loop and thus gain entry to the small intestine. If large enough, such a stone may obstruct the ileocecal valve. Gallstones typically are diagnosed using Ultrasound. |
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Term
| gallstones are found in (4)... |
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Definition
| gallbladder, hepatic ducts, cystic ducts, or bile duct |
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Term
| common site for impaction of gallstone is... |
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Definition
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Term
| gallstone pain is referred to..then to... |
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Definition
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Term
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Definition
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Term
| annular pancreas can cause the pancreas to wrap around the... constricted it |
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Definition
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Term
| annular pancreas can cause |
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Definition
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Term
| portal hypertension can cause |
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Definition
| splenomegaly, ascites, hepatomegaly |
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