Abdominal Anatomy - Wet Room (Week 2) Flashcards
At what vertebral level does the oesophageal hiatus occur/
T10
What four structures traverse the oesophageal opening?
Oesophagus
Vagus nerve
Left inferior phrenic vessels
Oesophageal arteries (from gastric vessels)
How is oesophagus’ lymph drained?
Upper 1/3 - deep cervical nodes
Middle 1/3 - superior and inferior mediastinal nodes
Lower 1/3 - celiac lymph nodes
What are the two orifices of the stomach?
Cardiac sphincter and pyloric sphincter
What are the two curvatures of the stomach?
Greater and lesser
What are the two surfaces of the stomach?
Anterior and posterior
What is the function of the pyloric sphincter?
Controlling gastric emptying
The pyloric sphincter is formed from thickening of what layer of the gut tube?
Muscularis externa - circular layer
What are the gastric folds/rugae formed from?
Mucosa
In which portions of the stomach are they most apparent?
Pyloric and fundus
Which sphincter controls discharge of food from the stomach into the duodenum?
Pyloric
The stomach lies on several structures in the abdominal cavity called the stomach bed; they are what?
- Left dome of the diaphragm
- Pancreas
- Spleen
- Left kidney
- Left adrenal gland
- Colon
- Mesocolon (mesentery of the colon)
- Splenic artery
The stomach is drained by what four groups of lymph nodes?
- Superior gastric
- Supra-pyloric
- Inferior gastric sub-pyloric
- Pancreaticolienal
All four primary lymph node groups of the stomach eventually drain into where?
Cisterna chill through the celiac nodes
What is the effect of increased vagal stimulation on the pyloris and gastric secretion?
Pyloris - increased emptying (relaxing)
Gastric secretion - Increased
What are the three parts of the small intestine?
- Duodenum
- Jejunum
- Ileum
Which part of the small intestine receives the opening of the bile and pancreatic duct?
Duodenum
Where is the foregut/midgut boundary in the small intestine?
Ampulla of Vater
How are the different parts of the small intestine peritonised?
Duodenum - First part peritonised and the rest is retroperitoneal
Jejunum - Intraperitoneal
Ileum - Intraperitoneal
Which part of the small intestine is shortest, widest and most fixed?
Duodenum
In which part of the small intestine (jejunum or ileum) do the arterial arcades have many loops?
Ileum
Which part of the autonomic system stimulates reduces the secretion and motility of the intestine and also acts as vasoconstrictor?
Sympathetic