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Samenvatting collegeaantekeningen 'Mens tot Cel' Thema 5
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Alle collegeaantekeningen van het vak 'Mens tot Cel', Thema 5. Inclusief alle afbeeldingen uit de oorspronkelijke colleges (kleur).
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HC 29: BUIK EN BEKKEN: TOPOGRAFIEOpdeling buik:
Belangrijkste structuren:
- Dunne darm
Duodenum (12-v)
Jejunum
Illeum
- Dikke darm
Appendix
Caecum (blinde darm)
Colon ascendens
Flexura hepatica
Colon transversus
Flexura ilienaris
Colon descendens
Colon sigmoideum (s-vorm)
Rectum
Middenrif = plafond buik
1. Buikwand: huid, vet, spier
2. (parietale) peritoneum
, 3. Omentum majus (vetschort, onderdeel peritoneum)
4. Omentum minus = vlies tussen lever en maag
5. Achter omentum minus: bursa omentalis, via foramen omentalis
6. Achter de maag: bursa omentalis
7. Achter bursa omentalis: pancreas
1. Achter omentum majus: dunne darm (jejunum en illeum)
2. Dunne darm zit vast aan ophangwand: mesenterium
3. Achter mesenterium, ook wel retroperitoneaal genoemd: nieren, aorta,
vena cava, duodenum, pancreas
Röntgenfoto: geen duidelijk beeld van de buik
Gebruik maken van contrast (bariumsulfaat bij maag en darmen)
Bij detectie van poliep/tumor: dubbel contrast onderzoek
- Contrast laten uitlopen laagje aan de wand
- Lucht de darm in blazen (lumen)
- Duidelijk beeld van de dikke darmwand
Contrast kan ook in de maag worden gebruikt:
- Scherp afgrensbaar
- Slijmlaag zichtbaar
Maagzweer op röntgenfoto:
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