Abdominal Viscera Flashcards
What are the contents of the foregut (celiac trunk)?
esophagus, stomach, duodenum, liver, gallbladder, spleen, pancreas
What are the contents of the midgut (superior mesenteric artery)?
duodenum, jejunum, ileum, cecum & appendix, ascending colon, 2/3 of transverse colon
What are the contents of the Hindgut (inferior mesenteric artery)?
1/3 transverse, descending & sigmoid colon, rectum & anal canal
Where does the thoracic esophagus pierce the diaphragm at?
T10, the esophageal hiatus
What structure passes through the diaphragm at T8? T12?
T8: IVC
T12: aorta
What is a sliding hiatal hernia?
where the esophageal hiatus of diaphragm enlarges or weakens, leading to parts of the abdominal esophagus and stomach to herniate into the thorax
What is a paraesophageal hiatal hernia?
a defect in diaphragm next to esophageal hiatus; permits fundus of stomach to herniate
Where is the stomach located?
left hypochondria and epigastric regions
The diaphragm, spleen, left suprarenal gland, upper left kidney, pancreas, left colic flexure, left transverse colon, transverse mesocolonto are all ____ the stomach?
posterior
What is anterior to the stomach?
left costal margin, left diaphragm, left & quadrate lobes of the liver
This is located between the stomach and the large intestine
small intestine
This division of the small intestine is C-shaped, 10 inches long, located approximately at L1 to L4, and is divided into 4 parts
duodenum
Where does the root of the mesentery begin?
duodeno-jejunal flexure
This part of the duodenum starts at the pyloric sphincter, is about 2 inches long, held in place by the hepatoduodenal ligament, head of the pancreas is inferior to this part
1st part (superior)
Describe the 2nd part (designing) of the duodenum
about 3 inches long, all retroperitoneal, the fundus of the gallbladder, right lobe of liver, and transverse colon are all anterior to this part, the right kidney and ureter are posterior, the bile and pancreatic ducts enter this part at the major duodenal papilla
The superior mesenteric artery and vein and the root of the mesentery cross the anterior surface of this part of the duodenum
3rd part (horizontal)
This part of the duodenum is not covered by peritoneum and is held in place by the suspensory ligament of the duodenum and anchors to the right crus of the diaphragm
4th part (ascending)
These two parts of the small intestine occupy most of the peritoneal cavity of the abdomen and pelvis and coiled, are about 20 feet long
Jejunum and Ileum
The jejunum and ileum are very mobile and held to the posterior wall by what?
THE mesentery
The jejunum by itself is how long?
8-10 feet; 2/5 of the free small intestine
The jejunum has ___ vascular arcades, ___ vasa recta, ___ pilcae circularis
simple; long; more
The ileum by itself is how long?
10-12 feet; 3/5 of the free small intestine
The ileum has ____ vascular arcades, ___ vasa recta, and ___ pilcae circularis
compound; shorter; fewer
Meckel’s diverticulum can be a feature of the what part of the small intestine?
ileum
THE mesentery is ___ inches long at it’s root and ___ feet long at it’s intestinal border
6-7; 20
What are the functions of the large intestine?
fecal formation, water absorption, and mucus secretion
What are taenia coli and where are they located?
3 bands of longitudinal muscle on the outside of the colon; they produce haustrae that slow the movement of feces
What are appendices epiploicae?
tags of fat on the large intestine