Abdominal Anatomy - Wet Room (Week 2) Flashcards

1
Q

At what vertebral level does the oesophageal hiatus occur/

A

T10

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2
Q

What four structures traverse the oesophageal opening?

A

Oesophagus
Vagus nerve
Left inferior phrenic vessels
Oesophageal arteries (from gastric vessels)

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3
Q

How is oesophagus’ lymph drained?

A

Upper 1/3 - deep cervical nodes
Middle 1/3 - superior and inferior mediastinal nodes
Lower 1/3 - celiac lymph nodes

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4
Q

What are the two orifices of the stomach?

A

Cardiac sphincter and pyloric sphincter

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5
Q

What are the two curvatures of the stomach?

A

Greater and lesser

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6
Q

What are the two surfaces of the stomach?

A

Anterior and posterior

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7
Q

What is the function of the pyloric sphincter?

A

Controlling gastric emptying

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8
Q

The pyloric sphincter is formed from thickening of what layer of the gut tube?

A

Muscularis externa - circular layer

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9
Q

What are the gastric folds/rugae formed from?

A

Mucosa

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10
Q

In which portions of the stomach are they most apparent?

A

Pyloric and fundus

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11
Q

Which sphincter controls discharge of food from the stomach into the duodenum?

A

Pyloric

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12
Q

The stomach lies on several structures in the abdominal cavity called the stomach bed; they are what?

A
  1. Left dome of the diaphragm
  2. Pancreas
  3. Spleen
  4. Left kidney
  5. Left adrenal gland
  6. Colon
  7. Mesocolon (mesentery of the colon)
  8. Splenic artery
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13
Q

The stomach is drained by what four groups of lymph nodes?

A
  1. Superior gastric
  2. Supra-pyloric
  3. Inferior gastric sub-pyloric
  4. Pancreaticolienal
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14
Q

All four primary lymph node groups of the stomach eventually drain into where?

A

Cisterna chill through the celiac nodes

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15
Q

What is the effect of increased vagal stimulation on the pyloris and gastric secretion?

A

Pyloris - increased emptying (relaxing)

Gastric secretion - Increased

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16
Q

What are the three parts of the small intestine?

A
  1. Duodenum
  2. Jejunum
  3. Ileum
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17
Q

Which part of the small intestine receives the opening of the bile and pancreatic duct?

A

Duodenum

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18
Q

Where is the foregut/midgut boundary in the small intestine?

A

Ampulla of Vater

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19
Q

How are the different parts of the small intestine peritonised?

A

Duodenum - First part peritonised and the rest is retroperitoneal
Jejunum - Intraperitoneal
Ileum - Intraperitoneal

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20
Q

Which part of the small intestine is shortest, widest and most fixed?

A

Duodenum

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21
Q

In which part of the small intestine (jejunum or ileum) do the arterial arcades have many loops?

A

Ileum

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22
Q

Which part of the autonomic system stimulates reduces the secretion and motility of the intestine and also acts as vasoconstrictor?

A

Sympathetic

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23
Q

Large intestine can be distinguished from the small intestine by what two macroscopic and two microscopic features?

A

Microscopic - Villi are absent in large intestine, no Peyer’s patches in large intestine

Macroscopic - haustra present in large intestine, circular folds in large intestine

24
Q

In which abdominal region is the caecum and appendix?

A

Right iliac

25
Q

What two structures open into the caecum?

A

Vermiform appendix and small intestine

26
Q

Locate McBurney’s point and its clinical relevance

A

1/3 of the way from the right anterior superior iliac spine to the umbilicus.

Sign of most tenderness in acute appendicitis

27
Q

Describe the arterial supply to the rectum

A

Superior 1/3 - superior rectal artery
Middle 1/3 Superior rectal artery
Inferior 1/3 - middle rectal artery

28
Q

Describe the venous drainage of the rectum

A

Superior 1/3 - superior rectal vein
Middle 1/3 - superior rectal vein
Inferior 1/3 - middle rectal vein

29
Q

Describe the peritonisation of the rectum

A

Superior 1/3 - intraperitoneal
Middle 1/3 - retroperitoneal
Inferior 1/3 - retroperitoneal

30
Q

What is the role of the pelvic floor in maintaining faecal continence?

A

Forms the urinary and anal sphincters

31
Q

What nodes drain the anal canal?

A

Deep - Internal iliac lymph nodes

Superficial - superficial inguinal lymph nodes

32
Q

Describe the innervation of the anal canal

A

Deep 2/3 - Visceral motor and sensory innervation

Superficial 1/3 - Somatic motor and sensory innervation

33
Q

Why is the superficial 1/3 of the anal canal under somatic innervation?

A

Give voluntary control of the external anal sphincter

34
Q

Describe the arterial, venous and lymphatic supply to the stomach

A

Arterial supply - Branches of coeliac trunk

Venous drainage - portal system

Lymphatics - 4 groupd into cisterns chyli

35
Q

Describe the arterial, venous and lymphatic supply to the first part of the duodenum

A

Arterial supply - branches of the coeliac trunk (gastroduodenal artery)

Venous drainage - portal system

Lymphatics - celiac nodes

36
Q

Describe the arterial, venous and lymphatic supply to the second part of the duodenum

A

Arterial supply - SMA (pancreaticoduodenal artery)

Venous drainage - Superior mesenteric vein

Lymphatics - Celiac nodes

37
Q

Describe the arterial, venous and lymphatic supply to the jejunum

A

Arterial supply - Jejunal arteries of SMA

Venous drainage - Superior Mesenteric Vein

Lymphatics - Superior mesenteric group

38
Q

Describe the arterial, venous and lymphatic supply to the ileum

A

Arterial supply - Ileal arteries of SMA

Venous drainage - Superior Mesenteric vein

Lymphatics - Superior mesenteric group

39
Q

Describe the arterial, venous and lymphatic supply to the caecum and ascending colon

A

Arterial supply - Right colic artery of SMA

Venous drainage - Right colic vein to SMV

Lymphatics - Superior mesenteric group

40
Q

Describe the arterial, venous and lymphatic supply to the right 2/3 of transverse colon

A

Arterial supply - Middle colic artery of SMA

Venous drainage - Middle colic vein to SMV

Lymphatics - Superior mesenteric group

41
Q

Describe the arterial, venous and lymphatic supply to the left 1/3 of the transverse colon and descending colon

A

Arterial supply - Left colic artery of IMA

Venous drainage - Left colic veins to IMV

Lymphatics - Inferior mesenteric group

42
Q

Describe the arterial, venous and lymphatic supply to the sigmoid colon

A

Arterial supply - sigmoid arteries from IMA

Venous drainage - sigmoid veins to IMV

Lymphatics - Inferior mesenteric group

43
Q

The hepatoduodenal and hepatogastric ligaments are parts of which omentum?

A

Lesser omentum

44
Q

What is the falciform ligament and what structures lie within its free border?

A

Ligament that separates the left and right lobes of the liver; in its free boarders are the ligamentum teres (round ligament) and paraumbilical veins

45
Q

What is the embryological origin of the ligamentum teres of the liver?

A

The foetal umbilical vein

46
Q

How many layers of the peritoneum are present in the greater omentum?

A

4

47
Q

What are the paracolic gutters?

A

Spaces between the colon and abdominal wall (laterally and posteriorly)

48
Q

What is the clinical significance of the paracolic gutters?

A

Fluid leaking from viscera collects there

49
Q

What type of muscle is the muscularis externa?

A

Smooth

50
Q

What secretory cells are present in the gastric pits?

A
Parietal cells (H+ and intrinsic factor)
ECL cell (histamine) 
G cells (gastrin) 
D cells (somatostatin) 
Chief cells (zymogens- pepsinogen)
51
Q

Where, along the gut tube, do glands extend down beyond the muslcularis externa and into the submucosa??

A

Duodenum

52
Q

What appear to be spaces can be seen scattered between the cells of the surface epithelium of the large intestine are actually the contents of secretory cells; what are they?

A

Crypt cells (secreting water and Cl-)

53
Q

What type of cells are present on the surface epithelium of the large intestine?

A

Enterocytes, goblet cells

54
Q

What is the transpyloric plane?

A

Upper transverse plane halfway between the jugular notch and the pubic symphysis

55
Q

How so you locate the transpyloric plane?

A

Hand breadth beneath the xiphoid process