2. Upper GI anatomy Flashcards
9 sections of abdomen
3 lines/planes
draw if possible
Hypogastric / epigastric / hypogastric
Lumbar / umbilical / lumbar
Iliac / hypogastric / iliac
Mid clavicular line
Transpyloric plane L1
Transtubecular plane
Name features of oral cavity (draw if poss) 7 (4,7) (4,7) (5) (13) (16,4) (8,7) (13,7)
Hard palette Soft palette Uvula Palatoglossus Palatopharyngeal arch Palatine tonsils Oropharyngeal isthmus
Name of buds on tongue (draw if poss) Mid tongue Mid left and mid right Sides Back
Very middle: Filiform papillae
Mid left/right: Fungiform papillae
Sides: Foliate papillae
Back: Vallate papillae
Parts of oesophagus
Cervical
Thoracic (T1-10)
Abdominal
Contractions of oesophagus
Include where/why
Cervical C5/6 bc cricoid cart
Thoracic bc aortic arch
Abdominal/diaphragmatic bs oesophageal hiatus
3 features of where oesophagus entering stomach draw if poss
Cardial notch
Cardial orifice
Cardia
Functions of liver
Makes and secretes bile
Metabolism of carbs, fats and proteins
Filters blood, removes foreign particles/bacteria
Makes heparin (detoxifying anticoagulant)
Describe 2 main surfaces of liver and the recesses
Diaphragmatic - smooth and domed Visceral - covered with visceral peritoneum apart from fossa for gall bladder and porta hepatis Subphrenic recess (anterior) Hepatorenal recess (posterior)
Describe lobes of liver
Right and left
Caudate and quadrate lobe part of right lobe but functionally related to left
What are couinaud segments
(Shape, related vessels, how separated)
Name of the group of vessels
Wedge shaped segments Apex point to hepatic hilum Segmental branch of hepatic artery, portal vein and bile duct enter at each segments’ apex Separated by outflow of hepatic veins Group known as PORTAL TRIAD
Name peritoneal reflections around liver
Include location
Draw if poss
Falciform ligament (between left and right lobe)
Left triangular ligament (visceral surface on left)
Right triangular ligament p (visceral surface on right)
Coronary ligament (visceral surface near right triangular ligament)
Micro anatomy of liver:
1) Liver surrounded by?
2) Made up of?
3) Drainage route
4) Spaces in liver between no. 2
5) what separates 2
6) Name of liver cells
1 Fibrous capsule 2 Liver lobules 3 cells, through sinusoids, central vein of each lobule, hepatic vein, IVC 4 Portal canals 5 interlobular septum 6 hepatocytes
Function of bile
Disgust and absorb fat and fat soluble vitamins in small intestine
Eliminate waste products (eg bilirubin-breakdown of haem)
1 Bile made and secreted by?
2 Rate of secretion
3 Route of bile
4 stored and concentrated by?
1 hepatocytes
2 40ml/hr
3 hepatocytes secrete into canaliculi>flow into bile duct
4 gall bladder (when digestion not happening)
Features of where gall bladder and intestine meet
DRAW AND CHECK! lecture 2
Gall bladder Cystic duct Right, left and common hepatic ducts Bile duct Descending part of duodenum Main pancreatic duct