10
The Abdominal Cavity and Viscera "# $%&’()* $%+,-.-/-01/ 2# 30%& 4%(,&(15/ 6-.-,*, +7 8&(1/%9+-:-)(: (1, ;*,-(1 <:(1*/ =# >-1* ?*@-01/ ""# A*&-501*(: B(.-57 2# C*1*&(: ’*(5%&*/ (1, <&-1)-<:*/ D-9-5/ E ,-(<F&(@9G <*:.-) ,-(<F&(@9 (1, (+,# H(:: D-1*, +7 <*&-501*%9 E /-9<:* /I%(90%/ *<-5F*:-%9 A(&-*5(: E :-1*/ H(::/ (1, )(.-5-*/ J-/)*&(: E )0.*&/ 0&@(1/ >0 9(55*& F0H )09<:*K 5F* ’0&9 0’ 5F* <*&-501*(: )(.-57 9(7 (<<*(&G -5/ /%&’()* -/ )015-1%0%/ L-5F 5F* *K)*<5-01 <&0.-,*, +7 5F* %5*&-1* 5%+*/G 105F-1@ <(//*/ 5F&0%@F 5F* <*&-501*(: )(.-57# J(1 6* C&((’’G 2MM= ;00&* (1, N@%&G 2MMO N 9-,/(@-55(: P9*,-(1Q /*)5-01 /F0H-1@ 5F* +0,7 )(.-5-*/# EJ(1 6* C&((’’G 2MM=

June 17th

Embed Size (px)

Citation preview

Page 1: June 17th

The Abdominal Cavity and Viscera

!

"#!!$%&'()*!$%+,-.-/-01/!

! 2#!!30%&!4%(,&(15/!

! ! 6-.-,*,!+7!8&(1/%9+-:-)(:!(1,!

;*,-(1!<:(1*/!

! =#!!>-1*!?*@-01/!

!

""#!!A*&-501*(:!B(.-57!

! 2#!!C*1*&(:!'*(5%&*/!(1,!<&-1)-<:*/!

!

! D-9-5/!E!,-(<F&(@9G!<*:.-)!,-(<F&(@9!

(1,!(+,#!H(::!

! D-1*,!+7!<*&-501*%9!E!/-9<:*!

/I%(90%/!*<-5F*:-%9!

! A(&-*5(:!E!:-1*/!H(::/!(1,!)(.-5-*/!

! J-/)*&(:!E!)0.*&/!0&@(1/!

! !!!>0!9(55*&!F0H!)09<:*K!5F*!'0&9!0'!

5F*!<*&-501*(:!)(.-57!9(7!(<<*(&G!-5/!/%&'()*!-/!

)015-1%0%/!

! !!!L-5F!5F*!*K)*<5-01!<&0.-,*,!+7!5F*!

%5*&-1*!5%+*/G!105F-1@!<(//*/!5F&0%@F!5F*!

<*&-501*(:!)(.-57#!

!

!

!

!! ! ! J(1!6*!C&((''G!2MM=!

!

!

!

!! ! ;00&*!(1,!N@%&G!2MMO!

!

!N!9-,/(@-55(:!P9*,-(1Q!/*)5-01!/F0H-1@!5F*!+0,7!

)(.-5-*/#!!EJ(1!6*!C&((''G!2MM=!

Stephanie Brandt
Stephanie Brandt
Stephanie Brandt
Stephanie Brandt
Stephanie Brandt - Jun 17, 2010 1:06 PMLook at red/pink wording in picture
Stephanie Brandt
Stephanie Brandt - Jun 17, 2010 1:08 PMTwo layers are continuous (parietal and visceral)
Page 2: June 17th

!8F*!(+,09-1(:!0&@(1/!-1!/-5%#!8F*!'(:)-'0&9!:-@(9*15G!01!

5F*!:-.*&G!F(/!+**1!:(&@*:7!)%5!(H(7!'&09!5F*!(+,09-1(:!

H(::!-1!0&,*&!50!(::0H!5F(5!50!+*!&*':*)5*,#!8F*!/9(::!

-1/5*/5-1*!-/!F*&*!)09<:*5*:7!F-,,*1!+7!5F*!@&*(5*&!

09*15%9G!(/!-/!5F*!:(&@*!-15*/5-1*G!+%5!5F*!5&(1/.*&/*!

)0:01!/F0H/!(/!5F*!+%:@*!+*F-1,!5F*!%<<*&!<(&5!0'!5F*!

09*15%9#!!RS0::-1/F*(,G!2MTU! !!

! =#!!A(&5/!

! !!!!N#!!D*//*&!/()!PV9*15(:!+%&/(Q!

! ! !!W0%1,(&-*/!E!<0/5#!50!/509()F!

(1,!:*//*&!09*15%9!E!$%<*&-0&!(1,!"1'*&-0&!

?*)*//*/!

! !!!!W#!!C&*(5*&!/()!PA*&-501*(:!)(.-57Q!

! !!!!B#!!X<-<:0-)!'0&(9*1!E!<(//(@*H(7!

'&09!@&*(5*&!50!:*//*&!/()/!

!

!

8F*!@&*(5*&!09*15%9Y!5F*!@(/5&0)0:-)!:-@(9*15!F(/!+**1!

)%5!(1,!5F*!/509()F!F(/!+**1!:-'5*,!50!/F0H!5F*!

5&(1/.*&/*!9*/0)0:01#!

!8F*!,-@*/5-.*!5&()5!(/!/**1!('5*&!5F*!@&*(5*&!09*15%9!F(/!

+**1!&*':*)5*,!%<H(&,#!N/)*1,-1@G!5&(1/.*&/*G!(1,!

,*/)*1,-1@!<(&5/!0'!5F*!)0:01!(&*!-,*15-'-*,Y!)0-:/!0'!

/9(::!-15*/5-1*!'-::!90/5!0'!5F*!(+,09-1(:!)(.-57#!

!

!!!!!!!!!C&*(5*&!09*15%9!(1,!-5/!(+,09-1(:!&*:(5-01/F-</#

Page 3: June 17th

! Z#!!$<*)-(:-[(5-01/!0'!A*&-501*%9!

P;*/*15*&-*/\D-@(9*15/Q!

!

! N#!!C&*(5*&!09*15%9!

! 60%+:*!:(7*&!0'!<*&-501*%9!5F(5!-/!

/%/<*1,*,!'&09!@&*(5*&!)%&.(5%&*!0'!/509()F!

! ]N+,09-1(:!<0:-)*9(1^!

!

!!

!W#!!D*//*&!09*15%9!

! B011*)5/!:*//*&!)%&.(5%&*!(1,!

,%0,*1%9!H-5F!:-.*&!

! $<*)-'-)!&*@-01/!P:-@(9*15/Q!

! C(/5&0F*<(5-)!E!:*//*&!)%&.(5%&*!!!:-.*&!

! S*<(50,%0,*1(:!E!,%0,*1%9!!!:-.*&!

! ! B015(-1/_!F*<(5-)!(#G!<0&5(:!.#!!

! (1,!+-:*!,%)5!

! ! 30&9/!(15*&-0&!+0%1,(&7!0'!

! *<-<:0-)!'0&(9*1!

!

!! ! ! D-*+@055G!2M`O!

!

!!

N+,09-1(:!)015*15/#!N#!N15*&-0&!5F0&()-)!(1,!(+,09-1(:!

H(::/!(&*!)%5!(H(7!50!/F0H!%1,-/5%&+*,!)015*15/#!W#!

$509()F!(1,!:*//*&!(1,!@&*(5*&!09*15%9#!N&&0HG!/-5*!0'!

09*15(:!P*<-<:0-)Q!'0&(9*1#!B#!8&(1/.*&/*!/*)5-01!0'!

(+,09*1!(5!:*.*:!0'!09*15(:!'0&(9*1!50!/F0H!F0&-[015(:!

*K5*15!0'!09*15(:!+%&/(!P:*//*&!/()Q#!N&&0HG!<(5F!5(a*1!

+7!(!,-@-5!<(//*,!'&09!@&*(5*&!<*&-501*(:!/()!5F&0%@F!

09*15(:!'0&(9*1!-150!09*15(:!+%&/(!50H(&,!/<:**1#!

;00&*!(1,!N@%&G!2MMO!

!

D*//*&!09*15%9!(1,!<0&5(:!5&-(,#!8H0!/(@-55(:!)%5/!F(.*!

+**1!9(,*!5F&0%@F!5F*!:-.*&G!(1,!5F&**!)%5/!F(.*!+**1!

b0-1*,!+7!(!)0&01(:!)%5#!!!R;00&*!(1,!6(::*7G!2MMM

Stephanie Brandt
Stephanie Brandt
Stephanie Brandt - Jun 17, 2010 1:11 PMEpiploic foramen opens up to lesser sac
Page 4: June 17th

! B#!!D-@(9*15/!(//0)-(5*,!H-5F!:-.*&!

!

! 3(:)-'0&9!E!b0-1/!:-.*&!(1,!(15*&-0&!!

! ! (+,09-1(:!H(::!

! B0&01(&7!E!F0:,/!:-.*&!50!,-(<F&(@9!

!

! 6#!!8&(1/.*&/*!9*/0)0:01!

! 60&/(:!9*/*15*&7!0'!5&(1/.*&/*!)0:01!

!

! X#!!AF&*1-)0)0:-)!:-@#!

! D*'5!)0:-)!':*K%&*!!!,-(<F&(@9Y!!

! ! /%<<0&5/!/<:**1!

!

! 3#!!;*/*15*&7!<&0<*&!

! 3(1R:-a*!'0:,!0'!<*&-501*%9!/%/<*1,-1@!

! ! b*b%1%9!(1,!-:*%9!

!

! C#!!$-@90-,!9*/0)0:01!

! $-@90-,!)0:01!!!<0/5*&-0&!(+,09-1(:!

! ! H(::!

!;00&*!(1,!N@%&G!2MMO!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!

!8F*!/%<&()0:-)!)09<(&59*15!/F0H-1@!5F*!/509()FG!:*//*&!

09*15%9G!(1,!@&*(5*&!09*15%9#!

?0//*!(1,!C(,,%9R?0//*G!2MMT!

!

!8SX!6"$8ND!BVDV>#!8F*!/9(::!-15*/5-1*!F(/!+**1!

'0:,*,!50!5F*!&-@F5G!&*.*(:-1@!5F*!5&(1/.*&/*G!,*/)*1,-1@!

(1,!/-@90-,!)0:01#!8F*!,*/)*1,-1@!)0:01!-/!

&*5&0<*&-501*(:G!+%5!5F*!5&(1/.*&/*!(1,!/-@90-,!(&*!

-15&(<*&-501*(:#!

;(5F*&/!*5!(:#G!2MMO

Stephanie Brandt
Stephanie Brandt - Jun 17, 2010 1:16 PMVentral mesentery
Page 5: June 17th

"""#!!"15&(<*&-501*(:\?*5&0<*&-501*(:!

! "15&(<*&-501*(:!E!/5&%)5%&*!/%/<*1,*,!

H-5F-1!<*&-501*(:!)(.-57Y!,*:-9-5*,!+7!

<*&-501*%9!

! ?*5&0<*&-501*(:!E!/5&%)5%&*!:0)(5*,!

+*F-1,!<*&-501*%9!

!

! "15&(!

! $509()F!

! c*b%1%9\":*%9!

! 8&(1/.*&/*!)0:01!

! $-@90-,!)0:01!

! D-.*&!

! $<:**1!

!

! ?*5&0!

! 6%0,*1%9!

! N/)*1,-1@!)0:01!

! 6*/)*1,-1@!)0:01!

! ?*)5%9!

! A(1)&*(/!

! d-,1*7!

!

"J#!!N&5*&-*/!

!

! 2#!!N15*&-0&!.-/)*&(:!+&(1)F*/!

P%1<(-&*,Q!

! N#!B*:-()!E!/%<<:-*/!'0&*@%5!,*&-.(5-.*/!

E!*/0<F(@%/G!/509()FG!e<&0K#!f!0'!,%0,*1%9G!

<(1)&*(/G!:-.*&!(1,!/<:**1#!

!;00&*!(1,!6(::*7G!2MMM!

!!

!8F*!<*&-501*(:!)(.-57G!/F0H-1@!U!:(7*&/!0'!5F*!@&*(5*&!

09*15%9!(1,!(+,09-1(:!&*:(5-01/F-</!P?*<&0,%)*,!H-5F!

<*&9-//-01!'&09!L(7!DL_!B%&&*15!$%&@-)(:!6-(@10/-/!g!

8&*(59*15G!O5F!*,#!D(1@*G!2M`Z#Q!

!

!

!;00&*!(1,!N@%&G!2MMO

Stephanie Brandt
Page 6: June 17th

! W#!!$%<*&-0&!;*/*15*&-)!E!/%<<:-*/!

9-,@%5!,*&-.(5-.*/!E!,-/5(:!f!0'!,%0,*1%9G!

<(1)&*(/G!/9(::!-15*/5-1*/G!(/)*1,-1@!)0:01!(1,!

5&(1/.*&/*!)0:01!P50!:*'5!)0:-)!':*K%&*Q!

!

!!

!N&5*&-*/!(1,!.*-1/!0'!5F*!)0:01#!P;0,-'-*,!(1,!

&*<&0,%)*,G!H-5F!<*&9-//-01G!'&09!L(7!DL!h*,-50&!

B%&&*15!$%&@-)(:!6-(@10/-/!g!8&*(59*15G!T5F!*,#G!D(1@*G!

2M`i#Q!

!

!

! B#!!"1'*&-0&!9*/*15*&-)!E!/%<<:-*/!

F-1,@%5!,*&-.(5-.*/G!,*/)*1,-1@!)0:01G!/-@90-,!

)0:01!(1,!&*)5%9!

Page 7: June 17th

! =#!!D(5*&(:!J-/)*&(:!W&(1)F*/!P<(-&*,Q!

! ! N#!!$%<&(&*1(:!

! ! W#!!?*1(:!

! ! B#!!C01(,(:!P5*/5-)%:(&\0.(&-(1Q!

!

! Z#!!D(5*&(:!(+,09-1(:!+&(1)F*/!P<(-&*,Q!

! ! N#!!"1'*&-0&!<F&*1-)!

! ! W#!!D%9+(&!PUQ!

!

! U#!!8*&9-1(:!+&(1)F*/!

! ! N#!!B09901!-:-()!

! ! ! XK5*&1(:!-:-()!

! ! ! "15*&1(:!-:-()!

! ! W#!!;*,-(1!/()&(:!

!

J#!!J*10%/!6&(-1(@*!

!

! 2#!!S*<(5-)!<0&5(:!

! $5(&5/!H-5F!)(<-::(&7!1*5H0&a!(1,!*1,/!

-1!)(<-::(&7!1*5H0&a!

! $<:*1-)!(1,!$%<*&-0&!;*/*15*&-)!.#!

! ! "1'*&-0&!;*/*15*&-)!b0-1/!*-5F*&!

/<:*1-)!0&!/%<*&-0&!9*/*15*&-)!

! ! X15*&/!:-.*&!(5!A0&5(!S*<(5-/!!!

/-1%/0-,/!!!F*<(5-)!.*-1/!!!-1'*&-0&!.*1(!)(.(!

!

! =#!!J*-1/!0'!/7/5*9-)!)-&)%:(5-01!E!

,&(-1(@*!-150!"JBG!([7@0/!0&!-:-()/!!

! ! N15*&-0&!(1,!<0/5*&-0&!(+,#!H(::!

! ! AF&*1-)G!&*1(:/G!/%<&(&*1(:/G!

@01(,(:G!*/0<F(@*(:!

! ! D0H*&!f!0'!&*)5%9\(1%/!

!N&5*&-*/!0'!<0/5*&-0&!(1,!(15*&-0&!(+,09-1(:!H(::/#!

;00&*!(1,!N@%&G!2MMO!

!N@%&G!2MM2!

!J*-1/!0'!<0/5*&-0&!(+,09-1(:!H(::#!!

;00&*!(1,!N@%&G2MMO

Stephanie Brandt
Stephanie Brandt - Jun 17, 2010 1:26 PMRemember portal hypertension
Page 8: June 17th

! Z#!!B0::(5*&(:!<0&5(:!)-&)%:(5-01!

! "9<5#!-1!)(/*/!0'!<0&5(:!.*-1!0+/5&%)5-01!

!!<0&5(:!F7<*&5*1/-01!

! $-5*/!HF*&*!<0&5(:!(1,!/7/5*9-)!/7/5*9/!

(1(/5090/*!

! N#!!C(/5&0*/0<F(@*(:!E!X/0<F(@*(:!.#!

! ! D*'5!C(/5&-)!.#Y!*/0<F(@*(:!

.(&-)*/!

! W#!!N10&*)5(:!E!"1'#!(1,!;*,#!?*)5(:!.#\!

! ! $%<#!?*)5(:!.#Y!F*90&&F0-,/!

! B#!!A(&(%9+-:-)(:!E!X<-@(/5&-)!.#\A(&(R

%9+-:-)(:!.#Y!)(<%5!9*,%/(*!

! 6#!!?*5&0<*&-501*(:!E!?*5&0<*&-501*(:!

PD%9+(&Q!.#\W&(1)F*/!0'!?5#!N1,!D*'5!B0:-)!

(1,!":*0)0:-)!

! ;(7!+*!&*:-*.*,!+7!<0&5()(.(:!/F%15!

!

J"#!!J-/)*&(!

!

! 2#!!$509()F!

! ! ?*@-01/_! )(&,-(!

! ! ! ! '%1,%/!

! ! ! ! +0,7!

! ! ! ! <7:0&-)!(15&%9!

! ! ! ! <7:0&%/!

! =#!!6%0,*1%9!

! ! ?*@-01/_!! !

!

! $%<*&-0&!P2Q!

! ! ! !

! 6*/)*1,-1@!P=Q!

! ! ! !

! S0&-[015(:!PZQ!

! ! ! !

! N/)*1,-1@!PUQ!

!

! Z#!!c*b%1%9!(1,!":*%9!

! ! N+0%5!=j!'5#!-1!:*1@5F!P<&0K-9(:!

=\i!k!b*b%1%9Y!,-/5(:!Z\i!k!-:*%9Q!

! ! 6-''*&*1)*_!

! ! ! N#!!;(17!'0:,/!PA:-)(*!

B-&)%:(&*/Q!<&0K-9(::7G!,*)&*(/*!-1!1%9+*&!

,-/5(::7!

! ! ! W#!!W:00,!$%<<:7!

! ! ! ":*0)*)(:!b%1)5-01!

!c*b%1%9!(1,!":*%9#!8F*!0&-*15(5-01!,&(H-1@!/F0H/!5F(5!

5F*!b*b%1%9!+*@-1/!(5!5F*!,%0b*b%1(:!':*K%&*!(1,!5F*!

-:*%9!*1,/!(5!5F*!)*)%9#!!

!A0&5()(.(:!/7/5*9#!!N@%&G!2MM2!

!

!;00&*!(1,!N@%&G!2MMO!

!

!;00&*!(1,!6(::*7G!2MMM

Stephanie Brandt
Stephanie Brandt - Jun 17, 2010 1:30 PMParasympathetic innervation is vagus nerve (secretion, churning, parastalysis)
Page 9: June 17th

! U#!!D(&@*!"15*/5-1*!

! ! ?*@-01/_!

! ! B*)%9!

! ! N<<*1,-K!

! ! N/)*1,-1@G!8&(1/.*&/*G!!

! ! 6*/)*1,-1@!(1,!$-@90-,!B0:01!

! ! ?*)5%9!

! ! 3:*K%&*/!

! ! S(%/5&(!

! ! 8*1-(*!)0:-!

!

! i#!!D-.*&!

! ! $5&%)5%&(:!D0+*/!

! ! ! ?-@F5!

! ! ! D*'5!

! ! ! B(%,(5*!

! ! ! 4%(,&(5*!

!

! !!!!!! A0&5(!F*<(5-/!

! ! ! W-:*!<(//(@*!

! ! ! S*<(5-)!(#!

! ! ! A0&5(:!.#!

! ! ! S*<(5-)!.#!

!

!

!

!6-(@&(9/!0'!5F*!:-.*&#!N#!8F*!'0%&!:0+*/!0'!5F*!:-.*&#!W#!

8F*!0))%<(15/!0'!5F*!<0/5*&-0&!(1,!-1'*&-0&!(/<*)5/!0'!5F*!

:-.*&#!

N@%&G!2MM2!!

!

! O#!!A(1)&*(/!

! ! A0/-5-01!E!&*5&0<*&501*(:!

! ! $5&%)5%&*!

! ! 6%)5/!

! ! W-:*!,%)5!

!

! T#!!$<:**1!

!

!

!

!

!

!;00&*!(1,!N@%&G!2MMO!!

!

!

!

!

!

!!!!!!!!!!!!!!!!;00&*!(1,!N@%&G!2MMO

Page 10: June 17th

J""#!!V.*&.-*H!0'!6-@*/5-.*!$7/5*9!

!

!!

!

J"""#!!$%&'()*!N1(5097!0'!6-@*/5-.*!$7/5*9!

!;00&*!(1,!N@%&G!2MMO!