abdominal viscera blood supply, venous return and innervation Flashcards

1
Q

abdominal contents can be divided into

A

intraperitoneal and retroperitoneal region

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2
Q

intraperiotoneal contains

A
  • omentum, ligaments, mesentery
  • stomach, spleen, liver, pancreas, small intestine, vermiform appendix
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3
Q

retroperitoneal contains

A
  • kidney, adrenal gland, pancreas, IVC,
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4
Q

what comes after the esophagus

A

stomach

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5
Q

what is the first part of the stomach that attaches to the esophagus

A

cardia

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6
Q

on top of the cardia (also stomach) is region name?

A

fundus

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7
Q

cardial orifice

A

opening into the stomach; posterior to the 6th left costal cartilage

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8
Q

fundus

A

can dilate by food, gas or fluid; lies posterior to left 6th rib

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9
Q

correct word for food is

A

chyme (nutrition)

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10
Q

coming off the lesser curvature and greater curvature is the

A

lesser omentum and greater omentum

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11
Q

pyloric region

A

funnel shaped outflow = antrum and narrow canal

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12
Q

what is the gatekeeper of pyloric region

A

pylorus

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13
Q

on top of the pyloric canal is your

A

pyloric sphincter

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14
Q

after the pyloric sphincter you have your

A

duodenum

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15
Q

coming off the duodenum you have the

A

small intestine

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16
Q

if the stomach is cut opened, what are the folds?

A

longitudinal rugal folds

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17
Q

gastric ulcers

A

lesions of the mucosal layer

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18
Q

peptic ulcers

A

lesions of the pyloric canal or duodenum

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19
Q

gastric and peptic ulcers is caused by

A

helicobacter pylori infections

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20
Q

after the abdominal aorta you have your

A

celiac trunk

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21
Q

branches of the celiac trunk includes your

A
  • left gastric artery
  • splenic artery
  • common heptatic artery
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22
Q

left gastric artery

A

esophageal branch - anastomoses with right gastric artery
- supplies esophagus and stomach

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23
Q

splenic artery

A

early branches supply stomach, later branches
- supply spleen
- travels along superior border of pancreas
- supplies pancreas, spleen and stomach

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24
Q

common hepatic artery

A

supplies liver, gallbladder, stomach, duodenum and pancreas

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25
Q

branches of the common hepatic artery

A

proper hepatic branch
gastrodudodenal branch
right gastric branch

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26
Q

proper hepatic branch

A

heads to liver

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27
Q

gastroduodenal branch

A

moves inferior to duodenum

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28
Q

right gastric branch

A

anastomoses with left gastric

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29
Q

stomach innervation

A

vagal trunks, sympathetic trunk
(parasympathetic and sympathetic)
ANS - smooth, glands, heart

30
Q

visceral sensation

A

greater splanchnic nerve –> sympathetic trunk –> white rami communicant –> spinal nerves

31
Q

parasympathetic starts at the brainstem –>

A

anterior and posterior vagal trunks –> individual branches to liver, gall bladder and stomach –> posterior trunk sends a branch to celiac plexus –> stomach

32
Q

the sympathetic starts at the thoracic –>

A

T5-T9 cord segments –>sympathetic trunk –> greater splanchnic nerve –> celiac ganglia/plexus –> stomach

33
Q

what goes through the duodenum

A

enzymes

34
Q

true or false duodenum within the folds increase surface area

A

true

35
Q

2/5 of the intestine is made up of

A

jejunum (located in the LUQ)

36
Q

3/5 of small intestine is made up for

A

ileum (located in the RLQ)

37
Q

large intestine

A

cecum
ascending colon
right colic flexure
transverse colon
left colic flexure
descending colon
sigmoid colon
rectum

38
Q

what is coming off from the cecum

A

vermiform appendix

39
Q

superior mesenteric artery branches form arterial arcades (loops) and vasa recta (branches of loops) supplies to?

A

jejunum and ileum

40
Q

superior mesenteric artery branches to and they supply?

A

middle colic artery
right colic artery
ileocolic artery

  • ileum, cecum, ascending and transfer colon
41
Q

inferior mesenteric artery branches to the large intestine including

A

left colic artery
sigmoid arteries
superior rectal artery

42
Q

left colic artery and sigmoid arteries supplies

A

the descending colon and sigmoid colon

43
Q

the superior rectal artery supplies the

A

proximal rectum

44
Q

inside pancreas

A

accessory pancreatic
and main duct

45
Q

main pancreatic duct goes to what duodenal papilla

A

major duodenal papilla

46
Q

accessory pancreatic duct goes to

A

minor duodenal papilla

47
Q

head of pancreas is attached to

A

the descending and horizontal duodenum

48
Q

anterior portion of pancreas is covered with

A

peritoneum

49
Q

what forms the ampulla of vater

A

main pancreatic duct and common bile duct

50
Q

what supplies to the pancreas

A

splenic artery

51
Q

location and jobs of the spleen

A

located in the LUQ
involved in storing, removing and recycling RBC;s and their products

52
Q

which artery carries blood to the spleen

A

large splenic artery

53
Q

most frequently injured organ in abdomen is the

A

spleen

54
Q

clinical importance: spleen t or f: not usually able to palpate unless enlarged rupture results in internal bleeding and the spleen is usually removed

A

true

55
Q

portal triad

A

proper hepatic artery
hepatic portal vein
common hepatic duct

56
Q

what is the most common cause of portal hypertension

A

alcoholic cirrhosis

57
Q

how can portal hypertension be treated with

A

portosystemic shunt

58
Q

true or false: cirrhosis is the destruction of hepatocytes and replacement with fat and fibrous tissue

A

true

59
Q

what duct connects to the gallbladder

A

cystic duct

60
Q

cyst duct and common hepatic duct makes your

A

common bile duct

61
Q

what supply the kidneys

A

left and right renal arteries

62
Q

what supplies the testes and ovaries

A

left and right gonadal arteries

63
Q

what supplies the posterior abdominal wall, spinal cord and vertebral column

A

lumbar arteries

64
Q

what passes posterior to the IVC, longer than the left

A

right renal artery

65
Q

what consist of the suprarenal arteries

A

inferior suprarenal artery
middle suprarenal artery
superior suprarenal artery

66
Q

superior suprarenal artery is a branch of

A

inferior phrenic artery

67
Q

middle suprarenal artery is a branch of

A

abdominal aorta

68
Q

inferior suprarenal artery is a branch of

A

renal artery

69
Q

compression of the left renal vein is known as the

A

nutcracker syndrome

70
Q

visceral sensation –>

A

splanchnic nerves: response of reflexive/unconscious - pain included here