[2] Spleen, Pancreas, and Small Intestines Flashcards
5 Ligaments of the Liver
Falciform
Left and Right Triangular
Coronary
Round
What thick structure covers the liver?
Glisson’s Capsule
What forms the Triangular Ligament?
Fusion of the Coronary Ligaments (Upper and Lower)
What ligament is located at the base of the Falciform Ligament?
Round Ligament / Ligamentum Teres Hepatis
Origin of the Ligamentum Teres?
Umbilical Vein
Right Lateral Surface of the liver spans which ribs?
7th to 11th Ribs
What do you call Dilated Veins in:
- Anus
- Gastroesophageal
- Paraumbilical
- Hemorrhoids
- Esophageal Varices
- Caput Medusa
Gallbladder can hold how much bile?
50mL
Tip of the Fundus is found where?
Angle formed by the Lateral Border of the Rectus Abdominis and 9th Costal Cartilage
What do you call the bulging inferior surface of the infundibulum?
Hartman’s Pouch
What is the main arterial supply of the Gallbladder?
Cystic Artery arising from the right hepatic artery
Where can the cystic artery originate from?
Right and Left Hepatic Arteries
Common Hepatic Artery
Superior Mesenteric Artery
What is the main venous drainage of the Gallbladder?
There is no major cystic vein
Cystic veins pass directly into the liver and end in the portal capillary system
Biliary Colic is caused by impaction of stones at which part of the Gallbladder?
Neck
Components of the Greater Omentum
Gastrophrenic Ligament
Gastrosplenic Ligament
Gastrocolic Ligament
Components of the Lesser Omentum
Hepatoduodenal Ligament
Hepatogastric Ligament
Temporary Folds of the Stomach
Rugae
Permanent Folds of the Small Intestine
Plicae Circulares
[T/F]
The Spleen is normally palpable?
F, palpable ones are enlarged
DO NOT PALPATE
Location of the Spleen?
Under the 9th, 10th and 11th ribs in the Midaxillary Line
Fractures of the lower libs should always consider spleen damage
Notches are ONLY found on what part of the spleen?
On the superior border
Describe the location of the Pancreas
Located at the epigastric and left hypochondriac areas, retroperitoneal
What is the main Pancreatic Duct?
Duct of Wirsung
How long is the small intestine?
6-7 meters from pylorus to ileocecal valve?
3 Parts of the Small Intestine
Duodenum
Jejunum
Ileum
Length of Duodenum
20-25cm
What is the shortest, widest, and most sessile part of the small intestine?
Duodenum
Impressions on the Spleen
Colic
Pancreatic
Gastric
Where do the Spleen’s lymphatics drain?
Pancreaticosplenic Lymph Nodes
What innervates the Spleen?
Celiac Nerve Plexus
Vasomotor in function
What part of the Pancreas is exocrine? What does it secrete?
What part is endocrine? What does it secrete?
Exocrine: Acinar Cells, secretes pancreatic juice
Endocrine: Islets of Langerhans, secretes glucagon and insulin
General blood supply of the Pancreas
Splenic Artery
What supplies the Head of the Pancreas?
Anterior and Posterior Superior Pancreaticoduodenal Arteries [From Gastroduodenal Artery]
Anterior and Posterior Inferior Pancreaticoduodenal Arteries [From SMA]
What is the minor pancreatic duct?
What does it drain?
Duct of Santorini
Anterosuperior Part of the Head