Ch 14 anatomy part 2

The accumulation of serous fluid in the peritoneal cavity:

• hepatorenal recess

• ascites

• exudate ascites

• abscess

The amount of intraperitoneal fluid depends on the:

• location

• volume

• patient position

• all of the above

Factors other than fluid volume that affects the distribution of intraperitoneal fluid are all of the following except:

• peritoneal pressure

• area from which fluid originates

• rapidity of fluid accumulation

• presence or absence of adhesions

• degree of bladder emptiness

______ appears as echo-free fluid regions indented and shaped by the organs and viscera it surrounds or between where it is interposed.

• malignant ascites

• inflammatory ascites

• exudate ascites

• serous ascites

The fluid first fills the _____, then the lateral paravesical recesses, before it ascends to both paracolic gutters.

• lesser sac

• greater sac

• pouch of Douglas

• Morison's pouch

Which of the following is in the ascitic fluid that would suggest an inflammatory or malignant process?

• fine or course internal echoes

• loculation

• unusual distribution, matting, or clumping of bowel loops

• thickening of interfaces between the fluid and neighboring structures

• all of the above

Factors that contribute to the formation of hepatorenal fluid collections include all of the following except:

• generalized ascites

• inflammatory fluid from acute cholecystitis

• fluid resulting from pancreatic autolysis

• blood from a ruptured hepatic neoplasm or ectopic gestation

• peritoneal pressure

Abdominal fluid collections do not persist _____ after abdominal surgery as a normal part of the healing process

• 24 hours

• 18 hours

• 4 days

• 1 week

Loculated ascites tends to be more irregular in outline, show less mass effect, and may change shape slightly with positional variations.

• transudate ascites

• abscess formation

• hepatorenal recess

• gas-containing abscess

The patient may present with a fever of unknown origin or with tenderness and swelling from a postoperative procedure.

• transudate ascites

• abscess formation

• hepatorenal recess

• gas-containing abscess