Alimentary Anatomy Flashcards
Innervation of External Oblique
T7-T11
Innervation of Internal Oblique
T6-L1
Innervation of Transversus Abdominus
T6-L1
Innervation of Rectus Abdominus
T6-T12
What 3 Muscles aponeurose to form the rectus sheath
External Obliques
Internal Obliques
Transversus Abdominus
What 2 muscles lie within the rectus sheath
Rectus Abdominus
Pyramidalis
What is the function of the pyramidalis muscle
Tense the rectus linae alba
Where does the rectus sheath terminate inferiorly
Arcuate line
Describe superficial blood supply of the anterior abdomen wall
Superior and inferior epigastric arteries
Describe superficial blood drainage of the anterior abdomen wall
Superior and inferior epigastric veins
Where does the superior epigastric artery arise
Internal thoracic artery
Where does the inferior epigastric artery arise
External ileac artery
Where does the superior epigastric vein drain
Subclavian/jugular junction
Where does the inferior epigastric vein drain
Common iliac vein
Where does superficial lymph drainage of the abdominal wall go above the umbilicus
Axillary LNs
Where does superficial lymph drainage of the abdominal wall go below the umbilicus
Inguinal LNs
Roughly how long is the inguinal canal
4cm
What is the origin and insertion of the inguinal ligament
Origin - Pubic tubercle
Insertion - ASIS
The inguinal ligament is formed by the aponeuroses of which muscle
External obliques
The superficial inguinal ring is a break in which layer of the muscle
External obliques
What layer is the deep inguinal ring an opening in
Fascia Transversalis
What goes through the inguinal canal in a male
Spermatic duct
Ilio-inguinal nerve
Blood and lymph vessels
What goes through the inguinal canal in a female
Round ligament of uterus
Ilio-inguinal nerve
Blood vessels and lymphatics
What level does the celiac trunk begin
T12
What level does the superior mesenteric artery begin
L1
What level does the inferior mesenteric artery begin
L3-4
What are the 3 branches of the celiac trunk
Left gastric artery
Common hepatic artery
Splenic artery
What level do the renal arteries begin
L1
What veins merge to form the portal vein
Superior mesenteric
Splenic vein
What level does the aorta and IVC bifurcate
L4
Where does the inferior mesenteric vein drain
Splenic vein
Name 3 points of portosystemic anastamoses
Lower oesophagus
Anal canal
Umbilical region
Where does the lumbar plexus originate
L1-L4
What nerves come from the lumbar plexus (in superior to inferior order)
Iliohypogastric
Ilio-inguinal
Genitofemoral
Lateral cutaneous
Femoral
Obturator
What are the root value(s) of the iliohypogastric nerve
L1
What are the root value(s) of the ilio-inguinal nerve
L1
What are the root value(s) of the genitofemoral nerve
L1 + L2
What are the root value(s) of the lateral cutaneous femoral nerve
L2 + L3
What are the root value(s) of the femoral nerve
L2 + L3 + L4
What are the root values of the obturator nerve
L2 + L3 + L4
What 3 structures enter the kidney
Renal vein
Renal artery
Renal pelvis (ureter)
How are the kidneys peritonised
Retroperitoneal
At what 3 points are the ureters constricted
Renal pelvis
Uretovesical junction
Pelvic brim
Which layer of peritoneum is more sensitive to pain, pressure and temperature
Parietal
How are the kidneys peritonised
Retroperitoneal
How is the pancreas peritonised
Retroperitoneal
How is the IVC peritonised
Retroperitoneal
How is the aorta peritonised
Retroperitoneal
How are the ascending and descending colon peritonised
Retroperitoneal
How is the transverse colon peritonised
Intraperitoneal
How is the small intestine peritonised
Intraperitoneal
How is the stomach peritonised
Intraperitoneal
How is the liver peritonised
Intraperitoneal
How is the spleen peritonised
Intraperitoneal
How is the sigmoid colon peritonised
Intraperitoneal
How is the greater sac continuous with the lesser sac
Epiploic foramen
How is the small intestine connected to the posterior wall of the abdomen
Mesentry
What level is the transpyloric plane
L1
Which costal cartilage is the surface marking for the gallbladder
9th
Which ribs does the spleen lie under
9-11
What is the blood supply of the abdominal oesophagus
Left gastric artery + left inferior phrenic artery
What is the uppermost part of the stomach called
FundusW
What is the main part of the stomach between the 2 curvatures called
Body
What parts are in the lower stomach
Antrum + Pylorus
What does the lesser omentum attach
Stomach (lesser curvature) to liver
What does the greater omentum attach
Stomach (greater curvature) to Transverse colon
What layer of the gut tube forms rugae
Mucosa + submucosa
What artery does the right gastric artery come from
Hepatic artery
What are the arteries that supply the greater curvature of the stomach called
Left and right gastro-omental arteries
Where do the left and right gastric vein drain
Portal vein
Where does the left gastro-omental vein drain
Splenic vein
Where does the right gastro-omental vein drain
Superior mesenteric vein
What is the parasympathetic supply of the stomach
Vagus nerve
What is the sympathetic supply of the stomach
T6-T9 - celiac plexus
How many parts does the duodenum have
4
What part of the duodenum is the ampulla of vater in
2nd
What is the main opening in the duodenum called
Hepatopancreatic ampulla (ampulla of vater)
What is the sphincter that controls the hepatopancreatic ampulla called
Major duodenal papilla/sphincter of oddi
What are the characteristics of the jejunum (vs ileum)
Darker
Thicker
Long vasa recta
Few large arterial arcades
Less fat in mesentry
Many tall circular folds
Few Peyer’s patches
What are the characteristics of the ileum (vs jejunum)
Lighter
Thinner
Short vasa recta
Many small arterial arcades
More fat in mesentry
Few/no tall circular folds
Many Peyer’s patches
What artery supplies the midgut
Superior mesenteric artery
What are the long bands of muscle that run alongside the colon
Teniae Coli
What are the small projections from the Teniae coli
Omental apendices
What are the segments of the colon called
Haustra
What is the upper right bend in the colon called
Hepatic flexure
What is the upper left bend in the colon called
Splenic flexure
What joins the apendix and the caecum
Orifice of apendix
What lies between the caecum and the ileum
Ileocecal valve
What is the arterial supply of the colon (after 2/3 of transverse colon)
Inferior mesenteric Artery
What is the blood supply of the rectum
Upper 1/3 - Inferior mesenteric A.
Lower 2/3 - Internal ileac arteries
What is the pectinate line in the anal canal
Where the epithelium switches from columnar -> non-keratinizing stratified squamous
What are the 4 lobes of the liver
Left
Right
Caudate
Quadrate
What is more superior out of the quadrate and caudate lobes of the liver
Caudate
What is in the porta hepatis
Portal vein
Hepatic artery
Common hepatic duct
Where do central veins of the liver drain
Hepatic vein
What do the left and right hepatic ducts unite to form
Common hepatic duct
What do the cystic duct and common hepatic duct unite to form
Common bile duct
Where do the pancreatic duct and common bile duct unite to enter the duodenum
Hepatopancreatic ampulla
What is another name for an accessory pancreatic duct
Duct of Santorini
What are the 4 parts of the pancreas (right to left)
Head
Neck
Body
Tail
Which vein is formed posterior to the neck of pancreas
Portal vein
What is the arterial supply of the pancreas
Dual supply; coeliac + superior mesenteric arteries