Anatomy Flashcards
Which layers of the thoracolumbar fascia is the quadratus muslce contained in?
Ant and middle layers
The oesophageal opening into the stomach is called the …?
Cardiac orifice
What is the hilum of the liver called?
The porta hepatis
The tail of the pancreas leads to what?
The spleen
Do all unpaired structured of the GIT have mesentery?
No. The did originally but some structure had theirs reabsorbed - these are the secondary retroperitoneal structures
Where does the superior mesenteric artery come off the aorta?
1cm below the celiac trunk
Between which muscles does the neuro-vascular plane lie?
Internal oblique and transversus abdominis
What lies inbetween the right and caudate lobes of the liver?
The IVC
What is the ucinate process?
The “tongue” off the head of the pancreas
What structures are from the midgut?
Second half of the duodenum
Jejunum and ileum
Ascending and transverse colon
Appendix
What feature in the jejunum reflects that there is more absorption there cf to the ileum?
Greater mucosal folding
All unpaired structures of the GIT are derived from what?
The primative tube
The fundus of the stomach usually contains what?
Gas bubble
What are the three major mesentery’s
The mesogastrium
The mesentery
The transverse mesocolon
Upon which muscle do the kidneys sit?
Quadratus lumborum
With which muscle does the ureter travel in the abdomen?
The psoas muscle
The diaphragmatic surface of the liver is separated into two lobes by what
The falciform ligament
Where does the superior mesenteric artery run?
Along the root of The mesentary
What is the gastroesophageal junction?
Transition point between oesophagus and stomach
What is the major duodenal papilla?
Point of insertion for the bile and pancreatic duct
Is the pancreas retro or intraperitoneal?
Retro
In what order do the vessels of the kidneys sit (from anterior to posterior)
Vein > Artery > Renal pelvis
Which is longer the jejunum or ileum?
Ileum
LNs from abdo structures are situated where?
On and beside the aorta
What structure does the pyloric area of the stomach make?
A funnel
How does bile enter the gallbladder?
When the sphincter is closed it backs up into the common bile duct (not the pancreatic) and drains into the gallbladder
What does the cystic duct drain?
The gall bladder
Is the hepatic vein in the hilum of the liver?
No
At what level does the oesophagus travel through the diaphragm?
T10
Parasympathetic innervation is from the vagus for which structures?
Foregut
Midgut
What is the significance of the narrowings the ureter?
Kidney stones can stop there
What is the function of the quadratus lumborum?
Lateral flexor of the spine
Stabiliser of the hip
Which of the liver’s lobes is the biggest?
The right
What veins drain the abdominal wall?
IVC and portal vein
What does the renal sinus contain?
Fat
What does the spleenic artery supply?
Spleen
Pancreas
Left gastroepiploic artery
What is the difference in the rectus sheath between the superior and anterior part?
Superiorly it completely surrounds the rectus abdominis (external’s aponeurosis infront, internal split and transersus behind). But inferiorly all three aponeurosis are ant to the rectus muscle and behind is the arcuate line.
T/F all the duodenum is intraperitoneal
False, only the first inch is intraperitoneal, the rest is retroperitoneal
What is the function of the pyloric sphincter?
Controls food exiting from the stomach
Name the secondary retroperitoneal structures
Ascending and descending colon
Pancreas
Bile duct
Duodenum
Where does the ileum insert into the large intestine?
Cecum
Where do ganglia for the hindgut come from?
T12-L3
Where is pain from unpair abdo structures down from midway along the sigmoid colon to the anus referred to?
Perineal region
In which part of the stomach do the left and right gastric arteries run?
Lesser curvature of the stomach
What is the course of the splenic artery?
Long turtuous
Along the pancreas, behind the stomach and into hilum of spleen
What is the origin and insertion of the quadratus luborum?
O: Transverse process and 12th rib
I: Post aspect of the iliac crest
What is the course of the greater omentum?
Starts on the greater curvature of the stomach
Extends over the transverse colon and small intestine
Folded backwards at the bottom and travels back to over the transverse colon and towards to post abdo wall
What are epiploic appendages?
Fat tags that hang from the colon
What is the minor duodenal papilla for?
Opening for the accessory pancreatic duct
What demarcates the diaphragmatic and visceral surface of the liver?
Inferior margin of the liver
How do the spleenic vein and inferior mesenteric vein drain into the portal vein?
The inferior mesenteric vein joins the spleen vein and they drain into the superior mesenteric vein which becomes the portal vein
What are the haustra of the large intestine?
The collections/bulges that are divided by folds
Most of the pancreas is behind which GIT structure?
The stomach
Where are the oblique muscle aponeurotic?
Medially
In what direct do the pyramid of the kidney’s medulla point?
Towards the hilum
Which has more fat in its mesentery, the jejunum or the ileum?
Ileum
What structures form the inguinal canal?
Floor: inguinal ligament
Roof: is the arching fibres of the internal oblique and the transversus abdominis
How is the stomach divided?
Fundus
Body (corpus)
Pylori (pyloric antrum then canal)
Parasympathetic innervation is from the pelvic splanchnics for which GIT structures?
Hindgut
Which artery supply the hindgut?
Inferior mesenteric artery
Where does the celiac trunk branch from the aorta?
T12
What is the falciform ligament?
A double fold of peritoneum
What is bad about liver fibrosis for the hepatic venous system?
Fibrosis impedes blood flow > increased pressure in an otherwise low pressure system > Veins that are alternate routes enlarge
What are the lobes of the liver?
Right
Caudate
Quadratic
Left
Name the paired structures of the abdomen?
Kidneys
Adrenal glands
Ureters
What is the length of the oesophagus in the abdomen?
1/2 an inch
Which parts of the colon are retroperitoneal?
The ascending and descending
The horizontal part of the duodenum runs between which muscles?
Right to left psoas muscles
In which part of the duodenum do the bile and pancreatic duct insert?
The middle part that runs downwards
Around which organ does the duodenum line?
Head of the pancreas
T/F Part of the greater omentum and transverse mesocolon attach to the post abdo wall at the same place. If so, where?
True
Above and behind the transverse colon
Where are sympathetic ganglia located?
Around unpaired branches of aorta and renal arteries
What is the name of the membrane that surrounds the post abdo wall muscles?
thoracolumbar fascia