ABD - KISS ll Flashcards
Gastrohepatic Ligament contains?
L Gastric A
- it separates the Lesser and Greater sacs
Gastrocolic Ligament contains?
gastroepiploic A.
Gastrosplenic A. contains?
short gastric A.
Hepatoduodenal Ligament contains?
portal triad
hepatic A., Portal V, common bile duct
Falciform Ligament is where? contains?
anterior L - separates L and R lobes
- contains Ligamentum Teres - remnant of umbilical V.
Splenorenal ligament contains?
spleen vessel
Ligament of Treitz attached to?
from duod. to diaphragm
- separates upper and lower GI bleed
Inf. Mesenteric V. drains to?
Splenic V.
Splenic V merges w _____ to drain into the ______
superior mesenteric V to drain into the hepatic portal V
Portal HTN can cause?
esophageal varices
caput medusa
internal hemorrhoids
Portal Systems drains blood from?
below neck of pancreas to above the pectinate line
Nutmeg LR seen in? eti?
Budd-Chiari Syndrome
- occlusion of the hepatic V.
- -> centrilobular congestion –> LR failure
2 hepatic ducts become _____.
common hepatic duct
common hepatic duct + _______ —> ______
cystic duct (from GB) —-> common bile duct
common bile duct enters the pancreas and converges w the ______ to become the ______ as it exits the pancreas.
common bile duct converges w the pancreatic duct to become the Ampulla of Vater
Tumors what part of the pancreas can obstruct the common bile duct?
head
—> jaundice
the epithelium of the common bile duct contains?
alkaline phosphatase
injury to the pancreas can cause?
saponification - which collects calcium
Islet of Langerhans cells secrete what?
A
B
D
A- glucagon
B - insulin
D - somatostatin
MC injured organ in traumatic events
SP
- its encapsulated
Splenomegaly caused by?
Mono or AI Dz
Gastric Ulcers vs Duodenal Ulcers
- pain
pain relieved w meals w duodenal ulcers
increased pain w meals w gastric ulcers
L supraclavicular nodes also known as?
Virchow’s Node
LA assoc w Gastric Carcinoma
Sister Mary Joseph Nodule
umbilical LA
parasympathetic innervation to ST?
vagus N
nonbilious V in baby w palpable olive-like mass in abd
Pyloric Stenosis
2nd part of the duodenum contains?
3rd is located by?
4th part connected to?
ampulla of vater
3rd - superior mesenteric A
4th - cx to ligament of treitz
“double bubble” sign on XRay assoc. w Down’s Syndrome
Duodenal Atresia
UC and Crohns
pain located where?
UC - LLQ (uLcerative)
Crohn’s - RLQ (cRohn’s)
Meckel’s Diverticulum is a remnant of?
true or false diverticulosis?
SSx
Vitelline Duct - dt failure of apoptosis
TRUE DIVERTICULUM
- abd pain, blood stools
Diverticulosis vs Diverticulitis
Diverticulitis - LLQ PAIN, no blood
Diverticulosis - no pain.. BLOOD.. usu dt constipation. false diverticulum
Coffee Bean sign on Xray
Volvulus
Stacked Coin appearance along w current jelly stool, colicky pain
Intussusception
SI and LI innervated by?
vagus N until spenic flexure, then S2 and S4
SNS: splanchnic N, celiac ganglia, sup. mesenteric ganglia, inf. mesenteric ganglia
Rectum Innervation and blood supply - above and below pectinate line
above there is no sensory innervation so painless internal hemorrhoids
vs below - painful external hemorrhoids
ABOVE- rectal branch of inf. mesenteric A.
BELOW- pudendal A., inf. rectal branch of pudendal N., pudendal V drains to IVC
failure of neural crest cells to migrate to sigmoid colon and rectum… assoc w CF and Down’s Syndrome
Hirschsprung’s Dz
- megacolon
3 layers of Cortex of Suprarenal Gland:
- blood supply?
1: Glomerulosa - aldosterone
2. Fasciculata - cortisol
3. Reticularis - steroids
- blood supply from Aorta and Renal A.
Medulla of Renals secrete what via?
Chromaffin cells –> EPI and NE
R Gonadal V drains to?
IVC
direct so faster CA spread
Which KD has a longer Renal V?
L
What does the Cisterna Chyli do?
drain lymph from organs and chyle from gut
- continues to thoracic duct
L gonadal V drains to?
L renal V so risk of varicocele
