Abdomen 2 Flashcards
abdominal viscera
includes gastrointestinal, endocrine, and urogenital systems
organization of the gastrointestinal system
foregut, midgut, and hindgut
foregut
-esophagus
-stomach
-proximal duodenum
-liver
-gallbladder
-pancreas
midgut
-distal duodenum
-jejunum
-ileum
-cecum
-appendix
-ascending colon
-2/3 transverse colon
hindgut
-distal 1/3 transverse colon
-descending colon
-sigmoid colon
-rectum
inferior phrenic arteries
supplies inferior diaphragm
suprarenal arteries
supplies adrenal glands
renal arteries
supplies kidneys to filter blood
gonadal arteries
supplies testes/ovaries
lumbar arteries
supply posterior abdominal wall
common iliac arteries
supples anterior abdominal wall, pelvic structures, and lower limb
celiac trunk
supplies foregut structures
superior mesenteric artery
supplies midgut structures
inferior mesenteric artery
supplies hindgut structures
celiac trunk divides into:
left gastric artery, splenic artery, and common hepatic arteries
superior mesenteric artery gives rise to
intestinal arteries, ileocolic artery, right colic artery, and middle colic artery
what does each common iliac artery give rise to
each common iliac artery gives rise to the internal and external iliac arteries
inferior mesenteric artery gives rise to
left colic artery, sigmoid artery, and superior rectal artery
what structures anastomose with the inferior vena cava
Paired:
-inferior phrenic veins
-suprarenal veins
-renal veins
-gonadal veins
-lumbar veins
-common iliac veins
inferior phrenic vein
dran inferior diaphragm
suprarenal vein
drain adrenal gland
renal vein
drain kidney of filtered blood
gonadal vein
drain testes/ovaries
lumbar vein
drain posterior abdominal wall
common iliac vein
drains anterior abdominal wall, pelvic structures, and lower limb
hepatic portal system contents:
-superior mesenteric vein
-inferior mesenteric vein
-splenic vein
superior mesenteric vein
drains portions of foregut and midgut
inferior mesenteric vein
drains hindgut
splenic vein
drains non-nutrient blood from spleen
hepatic portal vein function
return processed blood from liver to inferior vena cava
innervation of abdominal viscera
-aortic plexus
aortic plexus
network of ganglia and autonomic fibers coating the thoracic aorta
parasympathetic innervation of abdominal viscera
vagal trunk
sympathetic innervation of abdominal viscera
thoracic and lumbar splanchnic nerves
sympathetic ganglia associated with aortic plexus
-celiac
-aorticorenal
-superior mesenteric
-inferior mesenteric
-renal plexus
preganglionic pass through chains to form…
splanchnic nerves that synapse with postganglionic neurons that hitch a ride w arteries to innervate viscera
greater splanchnic nerve
-sympathetic: celiac ganglion
-foregut structures
-celiac trunk
- splenic vein of HPS
-parasympathetic: vagal trunk
lesser splanchnic nerves
-sympathetic: aorticorenal and superior mesenteric ganglia
-midgut structures
-superior mesenteric artery
-superior mesenteric vein of HPS
least splanchnic nerves
-sympathetic renal plexus
lumbar splanchnic nerves
-sympathetic: inferior mesenteric ganglion
-hindgut structures
-inferior mesenteric artery
-inferior mesenteric vein of HPS
-parasympathetic: pelvic splanchnic
when does vagus nerve become vagal trunk
after the esophageal plexus
vagal trunk
pregang neurons in a nerve plexuses that synapse with postgang neurons in intramural ganglia within viscera
plevic splanchnic nerves
-nervi erigentes
-anterior rami of spinal nerves S2-S4
-synapse with postgang neurons in intramural ganglia located within viscera
4 layers of gastrointestinal wall
-mucosa
-submucosa
-muscularis externis
-serosa
mucosa
-innermost layer
-surrounds lumen
-simple columnar epithelium
-lamina propria
-muscularis mucosae
lamina propria
connective tissue layer containing lymphocyte nodules
muscularis mucosae
produces segmentation (mixing motility pattern)
submucosa
dense layer of connective tissue containing blood vessels adn lymphatics and submucosal plexus
muscularis externis
produces paristalsis that propels food through tract, regulated by myenteric plexus
Serosa
-visceral peritoneum
-loose connective tissue
esophagus
-muscular tube that begins at the level of the cricoid cartilage
-descends posterior to trachea
-exits thorax through esophageal hiatus
-terminates at esophagogastric junction
types of muscle in the esophagus
-superior 1/3 skeletal muscle
-inferior 1/3 smooth
-middle 1/3 mix
distal esophagus supplied by
esophageal branches of left gastric artery and drained by left gastric vein
esophagus below the diaphragm innervated by
-sympathetic: splanchnic nerves
-parasympathetic: vagal trunk
what do vagal trunks innervate
smooth muscle of abdominal viscera up until the distal 1/3 of transverse colon
stomach
-composed of four regions and two curvatures
four regions of stomach
-cardia
-fundus
-body
-pylorus region
curvatures of stomach
lesser and greater curvature
rugae
gastric folds that allow the stomach gto expand
how does stomach process food
-mechanically via muscular contractions and chemically through HCl and pepsin
celiac trunk supplies stomach through
-lesser curvature via gastric artery
-greater curvature via gastroomental artery