Podcast
Questions and Answers
Which of the following structures is NOT involved in the formation of the hepatic portal vein?
Which of the following structures is NOT involved in the formation of the hepatic portal vein?
Which of the following organs is considered intraperitoneal, but DOES NOT attach to the abdominal wall via a mesentery?
Which of the following organs is considered intraperitoneal, but DOES NOT attach to the abdominal wall via a mesentery?
Which part of the duodenum is NOT retroperitoneal?
Which part of the duodenum is NOT retroperitoneal?
Which of the following statements about the liver's blood supply is FALSE?
Which of the following statements about the liver's blood supply is FALSE?
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What is the function of the Falciform ligament?
What is the function of the Falciform ligament?
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Which of the following organs is NOT considered a part of the retroperitoneal organs mnemonic "SAD PUCKER"?
Which of the following organs is NOT considered a part of the retroperitoneal organs mnemonic "SAD PUCKER"?
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Which of these does NOT contribute to the inferior vena cava?
Which of these does NOT contribute to the inferior vena cava?
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Which of the following is a function of the liver NOT related to its role in metabolism?
Which of the following is a function of the liver NOT related to its role in metabolism?
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Which of these statements about the liver's surgical segments is FALSE?
Which of these statements about the liver's surgical segments is FALSE?
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The bare area of the liver is devoid of what?
The bare area of the liver is devoid of what?
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Which of the following statements accurately describes the location of the cell bodies of the presynaptic neurons involved in the parasympathetic innervation of the hindgut?
Which of the following statements accurately describes the location of the cell bodies of the presynaptic neurons involved in the parasympathetic innervation of the hindgut?
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What is the primary pathway for the distribution of postganglionic fibers from the lumbar splanchnic nerves to their target organs?
What is the primary pathway for the distribution of postganglionic fibers from the lumbar splanchnic nerves to their target organs?
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Which of the following cranial nerves does NOT contribute to the parasympathetic innervation of the head?
Which of the following cranial nerves does NOT contribute to the parasympathetic innervation of the head?
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Which of the following structures is NOT a target of the parasympathetic innervation via pelvic splanchnic nerves?
Which of the following structures is NOT a target of the parasympathetic innervation via pelvic splanchnic nerves?
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The sympathetic innervation of the kidneys is primarily derived from which of the following?
The sympathetic innervation of the kidneys is primarily derived from which of the following?
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Where do the presynaptic fibers of the pelvic splanchnic nerves primarily synapse?
Where do the presynaptic fibers of the pelvic splanchnic nerves primarily synapse?
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Which of the following structures does NOT receive parasympathetic innervation from the vagus nerve?
Which of the following structures does NOT receive parasympathetic innervation from the vagus nerve?
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Which of the following statements regarding the location of parasympathetic postsynaptic cell bodies is TRUE?
Which of the following statements regarding the location of parasympathetic postsynaptic cell bodies is TRUE?
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Which of the following structures is primarily responsible for carrying preganglionic fibers of the vagus nerve that contribute to the parasympathetic innervation of the foregut and midgut?
Which of the following structures is primarily responsible for carrying preganglionic fibers of the vagus nerve that contribute to the parasympathetic innervation of the foregut and midgut?
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Which of the following correctly describes the relationship between the sympathetic and parasympathetic innervation of the digestive tract?
Which of the following correctly describes the relationship between the sympathetic and parasympathetic innervation of the digestive tract?
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Which of the following structures is NOT directly involved in the absorption of water and electrolytes in the large intestine?
Which of the following structures is NOT directly involved in the absorption of water and electrolytes in the large intestine?
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Which specific structure is responsible for the pouch-like appearance of the large intestine due to its contraction?
Which specific structure is responsible for the pouch-like appearance of the large intestine due to its contraction?
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What structure is the point of union between the pancreatic duct and the common bile duct?
What structure is the point of union between the pancreatic duct and the common bile duct?
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Which of the following is NOT a characteristic feature of the ileum compared to the jejunum?
Which of the following is NOT a characteristic feature of the ileum compared to the jejunum?
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Which of these structures forms a fan-shaped fold of peritoneum attaching the jejunum and ileum to the posterior abdominal wall?
Which of these structures forms a fan-shaped fold of peritoneum attaching the jejunum and ileum to the posterior abdominal wall?
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Identify the branch of the celiac trunk that supplies the stomach and the spleen.
Identify the branch of the celiac trunk that supplies the stomach and the spleen.
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Which artery, arising from the abdominal aorta at L1, is responsible for supplying the midgut?
Which artery, arising from the abdominal aorta at L1, is responsible for supplying the midgut?
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Which of the following structures is NOT considered part of the foregut?
Which of the following structures is NOT considered part of the foregut?
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Which autonomic nervous system division primarily inhibits peristalsis and constricts blood vessels to the GI tract?
Which autonomic nervous system division primarily inhibits peristalsis and constricts blood vessels to the GI tract?
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What is the primary function of the kidneys?
What is the primary function of the kidneys?
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Which of the following layers surrounding the kidneys is directly responsible for enclosing the kidneys, suprarenal glands, and perinephric fat?
Which of the following layers surrounding the kidneys is directly responsible for enclosing the kidneys, suprarenal glands, and perinephric fat?
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Which of the following represents the correct sequence of structures involved in urine flow from the renal papilla to the ureter?
Which of the following represents the correct sequence of structures involved in urine flow from the renal papilla to the ureter?
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What is the name of the structure that provides an anastomotic connection between the superior and inferior mesenteric arteries?
What is the name of the structure that provides an anastomotic connection between the superior and inferior mesenteric arteries?
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Which of the following is a characteristic feature of the autonomic nervous system?
Which of the following is a characteristic feature of the autonomic nervous system?
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Identify the type of splanchnic nerves that carry presynaptic sympathetic fibers to the abdominal and pelvic viscera.
Identify the type of splanchnic nerves that carry presynaptic sympathetic fibers to the abdominal and pelvic viscera.
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Which of these is NOT a major autonomic plexus located in the abdomen and pelvis?
Which of these is NOT a major autonomic plexus located in the abdomen and pelvis?
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Which of the following organs is NOT located in the Right Upper Quadrant?
Which of the following organs is NOT located in the Right Upper Quadrant?
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What is the function of the mesentery?
What is the function of the mesentery?
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Which of the following is a peritoneal ligament?
Which of the following is a peritoneal ligament?
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The peritoneal cavity is a potential space between which two structures?
The peritoneal cavity is a potential space between which two structures?
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The abdominopelvic cavity is formed by the combination of which two cavities?
The abdominopelvic cavity is formed by the combination of which two cavities?
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Which of the following organs is NOT part of the digestive tract?
Which of the following organs is NOT part of the digestive tract?
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Which of the following is a characteristic of the peritoneal cavity in females?
Which of the following is a characteristic of the peritoneal cavity in females?
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Which of the following is NOT a region of the abdomen?
Which of the following is NOT a region of the abdomen?
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Which of the following structures represents the presynaptic neuron involved in the sympathetic innervation of the foregut?
Which of the following structures represents the presynaptic neuron involved in the sympathetic innervation of the foregut?
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Where do the presynaptic sympathetic fibers that innervate the abdominal viscera synapse?
Where do the presynaptic sympathetic fibers that innervate the abdominal viscera synapse?
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A patient presents with a disorder affecting the superior mesenteric ganglion. Which of the following structures is most likely to be affected?
A patient presents with a disorder affecting the superior mesenteric ganglion. Which of the following structures is most likely to be affected?
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Which of the following nerve groups contribute to the formation of the renal plexus?
Which of the following nerve groups contribute to the formation of the renal plexus?
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Which of the following describes the path of postganglionic sympathetic fibers to the abdominal viscera?
Which of the following describes the path of postganglionic sympathetic fibers to the abdominal viscera?
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What is the role of the least splanchnic nerve in the sympathetic innervation of the abdominopelvic viscera?
What is the role of the least splanchnic nerve in the sympathetic innervation of the abdominopelvic viscera?
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The lateral horn of the spinal cord (T1-L2) contains which type of neurons in the context of the sympathetic nervous system?
The lateral horn of the spinal cord (T1-L2) contains which type of neurons in the context of the sympathetic nervous system?
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What is the primary role of the abdominopelvic splanchnic nerves in the sympathetic nervous system?
What is the primary role of the abdominopelvic splanchnic nerves in the sympathetic nervous system?
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Which of the following is NOT a part of the Portal Triad?
Which of the following is NOT a part of the Portal Triad?
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What structure is responsible for preventing reflux of duodenal contents into the stomach?
What structure is responsible for preventing reflux of duodenal contents into the stomach?
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In a patient presenting with Caput Medusae, which of the following is the most likely underlying cause?
In a patient presenting with Caput Medusae, which of the following is the most likely underlying cause?
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Which of these is NOT a part of the stomach?
Which of these is NOT a part of the stomach?
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Which of the following correctly describes the location of the major duodenal papilla?
Which of the following correctly describes the location of the major duodenal papilla?
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Which peritoneal fold connects the liver to the stomach and the superior portion of the duodenum?
Which peritoneal fold connects the liver to the stomach and the superior portion of the duodenum?
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Which of the following accurately describes the relationship between the jejunum and the ileum?
Which of the following accurately describes the relationship between the jejunum and the ileum?
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Which of the following statements about the greater omentum is true?
Which of the following statements about the greater omentum is true?
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Which of these is the largest part of the stomach?
Which of these is the largest part of the stomach?
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Flashcards
Abdominal Cavity
Abdominal Cavity
The space bounded by the abdominal walls, diaphragm, and pelvis, containing digestive organs, spleen, kidneys, and ureters.
Quadrants of the Abdomen
Quadrants of the Abdomen
The abdominal area divided into four sections: Right Upper, Left Upper, Right Lower, and Left Lower quadrants.
Right Upper Quadrant
Right Upper Quadrant
Contains the liver, gallbladder, pylorus, duodenum, hepatic flexure of colon, and head of pancreas.
Left Lower Quadrant
Left Lower Quadrant
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Peritoneum
Peritoneum
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Visceral Peritoneum
Visceral Peritoneum
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Mesentery
Mesentery
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Peritoneal Cavity
Peritoneal Cavity
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Retroperitoneal
Retroperitoneal
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Intraperitoneal
Intraperitoneal
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Mnemonic for Retroperitoneal organs
Mnemonic for Retroperitoneal organs
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Functions of the liver
Functions of the liver
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Hepatic portal vein
Hepatic portal vein
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Bare area of the liver
Bare area of the liver
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Liver ligaments
Liver ligaments
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Portal venous system
Portal venous system
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Caval venous system
Caval venous system
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Divisions of the liver
Divisions of the liver
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Presynaptic neuron
Presynaptic neuron
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Postsynaptic neuron
Postsynaptic neuron
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Sympathetic ganglia
Sympathetic ganglia
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Prevertebral ganglia
Prevertebral ganglia
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Celiac ganglion
Celiac ganglion
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Abdominopelvic splanchnic nerves
Abdominopelvic splanchnic nerves
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Thoracic splanchnic nerves
Thoracic splanchnic nerves
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Renal plexus
Renal plexus
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T12 Sympathetic Origin
T12 Sympathetic Origin
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Lumbar Splanchnic Nerves
Lumbar Splanchnic Nerves
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Parasympathetic Division
Parasympathetic Division
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Cranial Outflow
Cranial Outflow
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Sacral Outflow
Sacral Outflow
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Parasympathetic Ganglia in Head
Parasympathetic Ganglia in Head
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Vagus Nerve Function
Vagus Nerve Function
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Pelvic Splanchnic Nerves
Pelvic Splanchnic Nerves
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Intrinsic/Enteric Ganglia
Intrinsic/Enteric Ganglia
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Aorticorenal Ganglia Synapse
Aorticorenal Ganglia Synapse
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Portal-Caval Anatomoses
Portal-Caval Anatomoses
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Caput Medusae
Caput Medusae
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Common Bile Duct
Common Bile Duct
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Portal Triad
Portal Triad
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Stomach Functions
Stomach Functions
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Rugae
Rugae
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Greater Omentum
Greater Omentum
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Small Intestine
Small Intestine
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Duodenum
Duodenum
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Jejunum vs. Ileum
Jejunum vs. Ileum
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Ileum
Ileum
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Plicae circulares
Plicae circulares
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Pancreas
Pancreas
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Haustra
Haustra
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Teniae coli
Teniae coli
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Kidneys
Kidneys
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Renal capsule
Renal capsule
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Foregut
Foregut
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Superior Mesenteric Artery
Superior Mesenteric Artery
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Parasympathetic nervous system
Parasympathetic nervous system
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Splanchnic nerves
Splanchnic nerves
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Marginal artery
Marginal artery
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Study Notes
Abdominal Cavity Organs
- The abdominal cavity is bordered by abdominal walls, diaphragm, and pelvis.
- It forms the major portion of the abdominopelvic cavity, which is continuous with pelvic cavities.
- It contains most digestive organs, spleen, kidneys, and ureters.
Digestive Tract
- The viscera of the abdomen make up most of the digestive tract.
- The digestive tract components are listed in the figure.
Abdominal Quadrants
- The abdomen is often divided descriptively into four quadrants by imaginary vertical and horizontal lines that cross at the umbilicus.
- Each quadrant contains specific organs. Right upper quadrant (RUQ) contains liver, gall bladder, pylorus, duodenum, hepatic flexure of colon, and head of pancreas. Left upper quadrant (LUQ) contains spleen, splenic flexure of colon, stomach, body & tail of pancreas. Right lower quadrant (RLQ) contains terminal ileum, cecum, appendix, ascending colon, and right ovary. Left lower quadrant (LLQ) contains descending colon, sigmoid colon, and left ovary.
Abdominal Regions
- The abdomen can be subdivided into nine regions for more precise localization of organs. These regions are epigastric, right hypochondriac, left hypochondriac, umbilical, right lumbar, left lumbar, hypogastric/suprapubic, right iliac/inguinal, and left iliac/inguinal.
Peritoneum
- The peritoneum consists of parietal peritoneum (lining the abdominopelvic cavity) and visceral peritoneum (investing the viscera).
- The peritoneal cavity is the potential space between parietal and visceral peritoneum, containing a small amount of peritoneal fluid (~50mL).
- The space is closed in males and females with an opening for oocytes to travel from ovaries to fallopian tubes.
Peritoneum: Mesentery & Ligaments
- Mesentery is a double layer of peritoneum that encloses an organ and connects it to the posterior abdominal wall, providing pathways for nerves, vessels, and lymphatics.
- Peritoneal ligaments are another double layer of peritoneum that connect one organ to another or to the abdominal wall.
Intraperitoneal vs. Retroperitoneal Organs
- Retroperitoneal organs are partly external to the peritoneal cavity and posterior to the peritoneum. They are connected to the abdominal wall. Examples are kidneys.
- Intraperitoneal organs are completely within the peritoneal sac and are almost entirely invested by visceral peritoneum. Examples of these are stomach and liver.
Intraperitoneal Organs
- This list gives examples of intraperitoneal organs: Liver, Tail of Pancreas, Spleen, Stomach, Portion of Duodenum(1st part), Jejunum & Ileum, Cecum, Appendix, Sigmoid Colon, and Upper 1/3 of Rectum.
Retroperitoneal Organs
- This list provides examples of retroperitoneal organs: Suprarenal glands, Aorta/IVC, Parts of Duodenum(2nd, 3rd, 4th part), Pancreas (except tail), Ureters, Colon (Ascending and Descending only), Kidneys, Esophagus, and Rectum. Use "SAD PUCKER" as a memory aid.
Liver
- The liver has four anatomical lobes: Right, Left, Quadrate, and Caudate.
- The liver is divided into 8 surgically resectable hepatic segments, each supplied by tertiary branches of the portal triad (portal vein, hepatic artery, and bile duct).
- Liver functions: Detoxification, glycogen storage, hormone production, plasma protein synthesis, and bile production.
- The liver can be divided into 4 anatomical lobes, right, left, quadrate, and caudate.
- The bare area portion of the liver sits directly against the diaphragm and is not covered by peritoneum.
- Ligaments associated with the liver include the falciform ligament, coronary ligaments, right and left triangular ligaments, and the round ligament. The round ligament is a fibrous remnant of the umbilical vein.
Liver: Blood Supply
- Hepatic portal vein brings 75-80% of blood to liver containing nutrients absorbed by Gl tract, formed by superior mesenteric vein & splenic vein, and terminates by dividing into right & left branches.
- It carries absorbed nutrients or other substances
Portal Venous System
- The portal venous system carries blood from GI visceral structures to the liver. The hepatic portal vein is formed by superior mesenteric vein & splenic vein. It typically sends blood to the liver for filtration.
Caval Venous System
- The caval venous system drains blood from structures of posterior abdominal wall, kidneys, suprarenal glands, gonads, pelvic region, and lower limbs.
- This blood bypasses the liver en route to the right atrium of the heart.
- The inferior vena cava is formed by union of left & right common iliac veins.
Portal-Caval Anastomoses
- Anastomoses between caval and portal veins enable collateral circulation in cases of liver or portal vein obstruction.
- Different anastomotic connections (points where veins meet or communicate) may or may not form as a result of obstruction.
Stomach
- The stomach stores and chemically and mechanically breaks down food.
- Four parts of the stomach are cardia (first part), fundus (dome-shaped superior portion), body (largest/middle section), and pylorus (terminal end).
- Ligaments connected to the stomach are greater omentum (double-layered peritoneal sheet), gastrosplenic ligament (connects stomach to spleen), gastrophrenic ligament (connects stomach to diaphragm), gastrocolic ligament (apron-like part of greater omentum, connects stomach to transverse colon), hepatogastric ligament, and hepatoduodenal ligament.
Small Intestine
- The small intestine is the primary site of nutrient absorption and consists of duodenum, jejunum and ileum.
- Duodenum is C-shaped and short (about 1 foot).
- Jejunum is ~8 feet
- Ileum is ~12 feet
- Small intestine is divided into 3 parts: Duodenum (first/shortest part), Jejunum, and Ileum.
Small Intestine: Mesentery
- The small intestine's mesentery is a fan-shaped peritoneum fold that attaches the jejunum and ileum to the posterior abdominal wall—carrying blood vessels, lymphatics, and nerves.
Pancreas
- The pancreas is an accessory digestive gland located behind the stomach between the duodenum and spleen.
- It produces pancreatic juice (exocrine secretion) that enters the duodenum & endocrine secretions (glucagon & insulin)
- The pancreas is divided into Head, Neck, Body, and Tail.
Large Intestine
- The large intestine absorbs water and electrolytes, produces and absorbs vitamins, and propels feces toward the rectum for elimination. It consists of Cecum, Ascending colon, Transverse colon, Descending colon, Sigmoid colon, & Rectum.
Kidneys
- Kidneys remove excess water, salts, and wastes from the blood and return nutrients and chemicals to the blood. They lie retroperitoneally on the posterior abdominal wall.
- They are positioned on either side of the vertebral column at the level of T12-L3.
- The left kidney is slightly more superior than the right kidney.
- The different capsules surrounding the kidneys include fibrous capsule, perinephric fat, renal fascia, and paranephric fat.
Blood Supply (of Foregut, Midgut, and Hindgut)
- The foregut is supplied by Celiac Trunk.
- The midgut is supplied by Superior Mesenteric artery.
- The hindgut is supplied by Inferior Mesenteric artery.
Celiac Trunk
- The Celiac Trunk arises from the abdominal aorta at T12 level. The Celiac Trunk branches into Left Gastric artery, Splenic artery, and Common Hepatic artery.
Superior Mesenteric Artery (SMA)
- Arises from abdominal aorta at L1 level and runs between the layers of the mesentery. Its branches include ileocolic, right colic, middle colic, and intestinal arteries.
Inferior Mesenteric Artery (IMA)
- Arises from the abdominal aorta at L3 level. This artery provides a supply of blood for descending colon, sigmoid colon, and the superior rectum.
Innervation (of Abdominal Organs)
- Sympathetic innervation is involved in inhibiting peristalsis, constricting blood vessels to GI, and contracting internal anal sphincters.
- Parasympathetic innervation is involved in promoting peristalsis, secretion of digestive juices, and relaxing internal anal sphincters.
Splanchnic Nerves: Sympathetic and Parasympathetic
- These nerves carry both visceral efferent & visceral afferent fibers to/from organs in the abdominopelvic cavities.
- Sympathetic pathways run through cardiopulmonary, abdominopelvic, greater, lesser, least, lumbar and sacral splanchnic nerves.
- Parasympathetic pathways run through pelvic nerves as presynaptic parasympathetic pathways.
Autonomic Plexuses
- Include abdominal aortic plexus (celiac, superior, inferior mesenteric & renal).
- Superior and Inferior hypogastric plexuses carry autonomic innervation.
Ganglia
- Prevertebral/preaortic/collateral ganglia include celiac, aorticorenal, superior, and inferior mesenteric ganglia.
Parasympathetic Nervous System
- The parasympathetic system involves presynaptic neurons in cranial nerve nuclei (III, VII, IX, X) & sacral region (S2-S4) and postsynaptic neurons near or within target organs.
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Description
This quiz focuses on the anatomical structures and functions related to the liver and hepatic portal system. It covers the various organs involved, their placements, and the blood supply associated with these structures. Test your understanding of human anatomy with these challenging questions!