Abdomen, GI tract Flashcards
What is the function of the splanchnic nerves?
They provide sympathetic innervation to the foregut, midgut and hindgut.
What 2 vertical lines divide the abdomen into it’s 9 nine regions?
Mid-clavicular lines that extend to the mid-inguinal point.
What 2 horizontal lines divide the abdomen into it’s 9 nine regions?
Upper - Subcostal: joins lower costal margins.
Lower - Intertubercular: connects the iliac crests.
How would you draw the transpyloric plane?
Also known as plane of Addison.
Half way between the suprasternal notch and the pubic symphysis.
midway between the xiphisternum and the umbilicus.
Through the 9th costal cartilages, at level of L1
What vertebral level is the transpyloric plane found?
Also known as plane of Addison.
L1
Name 5 structures found on the transpyloric plane
Also known as plane of Addison.
- Pylorus of stomach.
- Fundus of gall bladder.
- Pancreas.
- Hilum of Kidneys.
- Duodenojejunal flexure.
How would you draw the transtubercular plane?
pass through the iliac tubercles, small elevations found in the iliac crest of the iliac bone.
What vertebral level is the transtubercular plane found at?
L4. (Same level as the bifurcation of the abdominal aorta).
What is the intercristal plane?
It joins the highest points of the pelvis at the back.
What vertebral level is the intercristal plane found at? Why is this important?
Between the L4 and L5 vertebrae. This is important for lumbar punctures and epidurals.
What is McBurney’s point?
2/3 of the way along a line extending from the umbilicus to the right anterior superior iliac spine.
What is the significance of McBurney’s point?
Marks the base of the appendix and can act as a guide for the location of the caecum.
Name the 3 flat muscles of the Abdominal wall.
- External Oblique.
- Internal Oblique.
- Transversus Abdominis.
In what direction do the fibres of the flat muscles run in?
- External oblique - inferiorly and medially (down and in).
- Internal oblique - superiorly and medially (up and in).
- Transversus abdominis - transversely.
What is the origin of external oblique?
Lower 8 ribs and thoraco-lumbar fascia.
What is the insertion of external oblique?
Pubic crest, pubic tubercle, iliac crest and linea alba.
What is the origin of internal oblique?
Thoraco-lumbar fascia, iliac crest, lateral 1/2 of the inguinal ligament.
What is the insertion of internal oblique?
Linea alba, pubic tubercle.
Name 5 structures contained within the rectus sheath.
- Rectus Abdominis.
- Sup and inf epigastric arteries.
- Sup and inf epigastric veins.
- Nerves.
- Lymphatics.
What is the inferior epigastric artery a branch of?
The external iliac artery.
What is the internal thoracic artery a branch of? And what does it supply?
It is a branch of the subclavian artery and it supplies the anterior chest and abdominal wall and also the breasts.
What are the dermatomes of the abdominal wall?
T7 to L1.
What is the epithelium lining of the abdominal cavity?
Simple squamous epithelium.
What is the peritoneal cavity?
What is it filled with?
A potential space between the visceral and parietal peritoneum. It is filled with peritoneal fluid.
which consists of water, electrolytes, leukocytes and antibodies. This fluid acts as a lubricant, enabling free movement of the abdominal viscera, and the antibodies in the fluid fight infection.
What is a retroperitoneal organ
An organ that only has it’s anterior surface covered by peritoneum. These organs lie behind the peritoneum.
Name 6 retroperitoneal organs.
Duodenum, ascending colon, descending colon, pancreas, oesophagus, kidneys. (DADPOK).
What is an intraperitoneal organ
An organ fully covered in visceral peritoneum. It is suspended in the peritoneal cavity.
Name 6 intraperitoneal organs.
Sigmoid colon, appendix, liver, transverse colon, stomach, small intestine. (SALTSS).
What connects the lesser sac to the greater sac?
The epiploic foramen.
What does the lesser omentum attach to?
It extends from the liver and attaches to the lesser curvature of the stomach and the first part of the duodenum.
What is attached to the greater curvature of the stomach?
The greater omentum.
Describe the position and folding of the greater omentum in the peritoneal cavity.
It hangs down like an apron and then folds back on itself meaning there are 4 layers. The posterior 2 layers go on to enclose the transverse colon (transverse mesocolon) and then form the parietal peritoneum of the posterior abdominal wall.
What is it called when the peritoneal cavity becomes distended by fluid?
Ascites.
What embryological structure forms the ligamentum teres?
The umbilical vein.
What connects the jejunum to the posterior abdominal wall?
Small intestine mesentery.
What parts of the large intestine are intraperitoneal?
The transverse and sigmoid colon.
Define lesser sac.
The lesser sac lies posterior to the stomach and lesser omentum. It allows the stomach to move freely against the structures posterior and inferior to it.
It communicates with the greater sac through the epiploic foramen.
What structures lie posteriorly to the stomach?
Pancreas, diaphragm, splenic artery and vein.
Name the 4 main regions of the stomach.
- Cardia.
- Fundus.
- Body.
- Pylorus.
What are the folds of the internal stomach surface called?
Rugae.
Name the 2 sphincters of the stomach.
- Inferior oesophageal sphincter.
2. Pyloric sphincter.
What is the function of the pyloric sphincter?
Controls the exit of chyme from the stomach.
What vertebral level is the coeliac trunk found?
T12.
Where does the foregut begin and end?
The mouth to the 2nd part of the duodenum (major duodenal papilla).
What is the blood supply to the greater curvature of the stomach?
The short gastrics, and the right and left gastro-epiploic arteries
What is the blood supply to the lesser curvature of the stomach?
The lesser curvature of the stomach is supplied by the left and right gastric artery, which are branches of the celiac trunk and the common hepatic artery respectively.
What is the right gastro-epiploic artery a branch of?
It is the terminal branch of the gastroduodenal artery, this arises from the common hepatic artery which arises from the coeliac trunk.
What is the left gastro-epiploic artery a branch of?
The splenic artery which arises from the coeliac trunk.
What vein does venous blood from the GI tract, liver and spleen drain into?
The hepatic portal vein (goes to the liver).
What supplies sympathetic innervation to the stomach (foregut)?
The greater splanchnic nerve (T5-T9).
What supplies parasympathetic innervation to the stomach (foregut)?
The Vagus nerve Cn 10.