Abdominal Aorta, IVC, and Abdominal Lymphatics Flashcards

1
Q

The aorta enters the abdomen through the _______ (median arcuate lig. of the diaphragm) at around T12. It is primarily retroperitoneal

A

aortic hiatus

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2
Q

The aortic hiatus pierces through the diaphragm through what structure?

A

median arcuate ligament

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3
Q

Is the aorta mesenteric or retroperitoneal?

A

primarily retroperitoneal

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4
Q

The aorta descends slightly to the _____ of the midline before dividing into ________ arteries at around L4

A

left; common iliac

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5
Q

Where does the aorta bifurcate?

A

Around L4

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6
Q

What are the branches off to the body wall of abdominal aorta?

A

Lumbar arteries, median sacral artery, inferior phrenic

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7
Q

The _____ arteries supply the kidneys. How many pairs?

A

renal arteries(1 pair)

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8
Q

The ______ arteries supply the suprarenal glands; How many pairs?

A

suprarenal arteries(3 pairs)

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9
Q

The _______ arteries supply either the testes (testicular aa.) or the ovaries (ovarianaa.); How many pairs?

A

gonadal arteries(1 pair)

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10
Q

For the aortic branches to the kidneys and to glands, All vessels are ______ but _________.

A

bilateral but asymmetric

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11
Q

What are the 3 branches supplying the suprarenal gland?

A

Inferior, middle, and superior

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12
Q

The _____ artery supplies foregut derivatives

A

celiac artery

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13
Q

The ______ artery supplies midgut derivatives

A

superior mesenteric artery

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14
Q

The _____ artery supplies hindgut derivatives

A

inferior mesenteric artery

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15
Q

Where does the celiac artery come out of aorta?

A

upper L1

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16
Q

Where does the superior mesenteric artery come out of aorta?

A

Lower L1

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17
Q

Where does the inferior mesenteric artery come out of aorta?

A

L3

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18
Q

Returns nearly all of the venous blood from structures below the diaphragm, but does not drain the gut directly

A

IVC

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19
Q

It forms at L5 from a joining of the common iliac veins. It ascends slightly to the right of the midline (and to the right of the aorta. It pierces the diaphragm at T8 and enters the right atrium

A

IVC

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20
Q

T/F: There are no direct branches of IVC from the gut

A

True

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21
Q

R. suprarenal v.drains

A

directly to IVC

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22
Q

R. gonadal v.drains

A

directly to IVC

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23
Q

L. suprarenal v. drains to

A

l. renal v.

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24
Q

the l. gonadal v. drains to

A

l renal v.

25
Q

Subcostal v. and lumbar vv. (4 pairs),connected by the vertically-running ascending _____ vein

A

lumbar v

26
Q

The IVC lies to the _____ of the aorta.

A

right

27
Q

The left renal vein crosses ____ to the aorta, and passes _____ to the origin of the SMA.

A

anterior; inferior

28
Q

The right testicular/ovarian a. passes _____ to the IVC.

A

anterior

29
Q

The IVC forms at ____, one level _____ to the division of the aorta

A

L5; inferior

30
Q

The common iliac veins lie _______ to the common iliac a.

A

posterior

31
Q

the median sacral a. lies ______ the left common iliac vein.

A

behind

32
Q

the _____ artery lies Behind the left common iliac vein

A

median sacral a.

33
Q

T/F: Lymphatics of gut derivatives follow the reverse course of the arteries

A

True

34
Q

Lymph from the gut collects in______ , which then drain into the _____

A

intestinal trunks; cisterna chyli

35
Q

The _____ is the beginning of thoracic lymphatic duct

A

cisterna chyli

36
Q

Lymph from the body wall drains to ______ nodes, which drain to the ______ duct

A

aortic nodes; thoracic duct

37
Q

T/F: Lymph from the gonads drain through nodes distributed with their arteries

A

True

38
Q

Lymph from the skin above the umbilicus will drain to _____ nodes

A

axillary nodes

39
Q

lymph from below the umbilicus will drain to _____ nodes

A

superficial inguinal nodes

40
Q

lymph from below the umbilicus will drain to superficial inguinal nodes and the to _____ and _____ nodes

A

deep inguinal and aortic nodes

41
Q

The bare area of the liver drains some of the liver’s lymph through the ______ to _____ lymph nodes

A

diaphragm; thoracic

42
Q

The descending and sigmoid colons drain some of their lymph into the

A

posterior abdominal wall

43
Q

The abdominal aorta is _____ of the midline

A

left

44
Q

____ arteries supply diaphragm on the inferior surface

A

inferior phrenic

45
Q

Which arteries are the first to branch off of the abdominal aorta?

A

inferior phrenic arteries

46
Q

____ arteries are analogs to intercostal arteries; segmental arteries that supply posterior abdominal wall (supply psoas and quadratus)

A

lumbar arteries

47
Q

Does the left inferior phrenic artery typically branch off of the celiac trunk?

A

No off of abdominal aorta

48
Q

___ artery is close to the midline; goes into pelvis and lies on anterior surface of sacrum

A

median sacral artery

49
Q

Which kidney is more superior than the other?

A

Left

50
Q

In development, the kidneys migrate _____

A

upward

51
Q

In development, the right kidney is impeded by what structure?

A

liver

52
Q

______ artery branches off renal artery and ascends on gland; major blood supply of suprarenal gland

A

inferior suprarenal artery

53
Q

_______ is on superior cole of kidney; it is a combo of endocrine and neural tissue

A

Suprarenal gland

54
Q

Which renal artery is longer

A

Right

55
Q

All ____ arteries anastomose in suprarenal gland

A

Suprarenal arteries

56
Q

How many hepatic veins drain blood from the liver into the IVC?

A

3

57
Q

The azygous and hemiazygous veins form from _______ veins

A

Vertical lumbar veins

58
Q

Which side of the body is a varicocele more common?

A

Left

59
Q

If SMA enlarges and causes venous backup, could flow back into the ______ vein on left causing _____

A

testicular vein; varicocele