Anatomy Flashcards

1
Q

What makes up the GI system?

A
Mouth 
Oesophagus
Stomach
Pancreas
Duodenum 
Liver
Biliary system 
Jejenum 
Ileum 
Caecum 
Ascending colon 
Transverse colon 
Descending colon 
Sigmoid colon 
Rectum 
Anus
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2
Q

What is the nervous control of the gut?

A

Autonomic nervous system

Enteric nervous system

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3
Q

Where does the parasympathetic supply from the gut come from?

A

Vagus nerve

Pelvic splanchnic nerves

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4
Q

What does the vagus nerve supply?

A

Foregut + midgut

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5
Q

Where do the pelvic splanchnic nerves originate?

A

S2-4

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6
Q

What do the pelvic splanchnic nerves supply?

A

Motor supply to the hindgut

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7
Q

Where does the sympathetic supply from the gut come from?

A

Greater splanchnic nerve
Lesser splanchnic nerve
Least splanchnic nerve

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8
Q

Where does the greater splanchnic nerve originate?

A

T5-9

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9
Q

What ganglion does the greater splanchnic nerve synapse at?

A

Coeliac ganglion

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10
Q

What does the greater splanchnic nerve supply?

A

Foregut

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11
Q

Where does the lesser splanchnic nerve originate?

A

T10-11

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12
Q

What ganglion does the lesser splanchnic nerve synapse at?

A

Aorticorenal ganglion

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13
Q

What does the lesser splanchnic nerve supply?

A

Midgut

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14
Q

Where does the least splanchnic nerve originate?

A

T12

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15
Q

What ganglion does the least splanchnic nerve synapse at?

A

Aorticorenal ganglion

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16
Q

What does the least splanchnic nerve supply?

A

Hindgut

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17
Q

What is the coeliac plexus?

A

Plexus of nerves in the upper abdomen

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18
Q

What nerves make up the coeliac plexus?

A

Greater splanchnic
Lesser splanchnic
Vagus

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19
Q

What does the coeliac plexus innervate?

A

Pain/sensory supply from foregut + midgut

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20
Q

What are the main plexuses in the enteric nervous system?

A

Submucosal plexus

Myenteric plexus

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21
Q

What is the submucosal plexus also known as?

A

Meissner’s plexus

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22
Q

Where is the submucosal plexus found?

A

Submucosa

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23
Q

What does the submucosal plexus provide?

A

Sensory + parasympathetic supply

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24
Q

What is the myenteric plexus also known as?

A

Auerbach’s plexus

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25
Q

Where is the myenteric plexus found?

A

Mucosa - in between circular and longitudinal muscle

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26
Q

What does the myenteric plexus provide?

A

Motor + sympathetic + parasympathetic supply

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27
Q

What makes up the foregut?

A
Oesophagus 
Stomach 
Pancreas
Liver
Gallbladder
Duodenum - proximal to bile duct
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28
Q

What makes up the midgut?

A
Duodenum - distal to bileduct 
Jejunum 
Ileum 
Caesum 
Ascending colon 
Proximal 2/3 transverse colon
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29
Q

What makes up the hindgut?

A
Distal 1/3 transverse colon
Descending colon 
Sigmoid colon 
Rectum
Upper anal canal
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30
Q

What is the arterial supply to the foregut?

A

Coeliac trunk

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31
Q

What is the arterial supply to the midgut?

A

Superior mesenteric artery

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32
Q

What is the arterial supply to the hindgut?

A

Inferior mesenteric artery

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33
Q

When does the abdominal aorta start?

A

T12 - when it crosses the diaphragm

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34
Q

When does the abdominal aorta bifurcate?

A

L4 - into common iliac arteries

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35
Q

How many branches of the abdominal aorta are there?

A

9

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36
Q

What are the branches of the abdominal aorta?

A
Inferior phrenic arteries
Coeliac artery 
Superior mesenteric artery 
Middle suprarenal arteries 
Renal arteries
Gonadal arteries
Inferior mesenteric artery 
Median sacral artery 
Lumbar arteries
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37
Q

What level do the inferior phrenic arteries branch from the abdominal aorta?

A

T12 - posteriorly

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38
Q

What do the inferior phrenic arteries supply?

A

Diaphragm

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39
Q

What level does the coeliac artery branch from the abdominal aorta?

A

T12 - anteriorly

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40
Q

What does the coeliac artery supply?

A

Forms the coeliac trunk

  • liver
  • stomach
  • abdominal oesophagus
  • spleen
  • superior duodenum
  • superior pancreas
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41
Q

What level does the SMA branch from the abdominal aorta?

A

L1 - anteriorly

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42
Q

What does the SMA supply?

A
Distal duodenum 
Jejunum 
Ileum 
Ascending colon 
Proximal 2/3 transverse colon
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43
Q

What level do the middle suprarenal arteries branch from the abdominal aorta?

A

L1 - posteriorly

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44
Q

What do the middle suprarenal arteries supply?

A

Adrenal glands

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45
Q

What level do the renal arteries branch from the abdominal aorta?

A

L1-2 - laterally

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46
Q

What do the renal arteries supply?

A

Kidneys

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47
Q

What level do the gonadal arteries branch from the abdominal aorta?

A

L2 - laterally

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48
Q

What do the gonadal arteries supply?

A

Males - testicles

Females - ovaries

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49
Q

What level does the IMA branch from the abdominal aorta?

A

L3 - anteriorly

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50
Q

What does the IMA supply?

A

Distal 1/3 of transverse colon
Descending colon
Sigmoid colon
Rectum

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51
Q

What level does the median sacral artery branch from the abdominal aorta?

A

L4 - posteriorly

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52
Q

What does the median sacral artery supply?

A

Coccyx
Lumbar vertebrae
Sacrum

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53
Q

What levels do the lumbar arteries branch from the abdominal aorta?

A

L1-4 - posterolaterally

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54
Q

What do the lumbar arteries supply?

A

Abdominal wall

Spinal cord

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55
Q

What are the major branches of the coeliac trunk?

A

Left gastric
Splenic
Common hepatic

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56
Q

What is the path of the left gastric artery?

A

Ascends across diaphragm - gives off oesophageal branches

Continues along lesser curve of stomach

Anastomoses with right gastric

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57
Q

What is the path of the splenic artery?

A

Travels posterior to stomach along superior margin of pancreas

Contained within the splenorenal ligament

Terminates at spleen

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58
Q

What branches does the splenic artery give off?

A

Left gastroepiploic
Short gastrics
Pancreatic branches

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59
Q

What does the left gastroepiploic artery supply?

A

Greater curve of stomach

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60
Q

What do the short gastrics supply?

A

Fundus of the stomach

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61
Q

What do the pancreatic branches supply?

A

Body + tail of pancreas

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62
Q

What is the path of the common hepatic artery?

A

Travels past the superior aspect of the duodenum

Divides into

  • proper hepatic artery
  • gastroduodenal artery
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63
Q

What are the branches of the proper hepatic artery?

A

Right gastric
Right hepatic
- branch = cystic artery
Left hepatic

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64
Q

What does the right gastric artery supply?

A

Pylorus

Lesser curve of stomach

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65
Q

What does the right hepatic artery supply?

A

Right lobe of liver

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66
Q

What does the left hepatic artery supply?

A

Left lobe of liver

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67
Q

What does the cystic artery supply?

A

Gall bladder

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68
Q

What is the path of the gastroduodenal artery?

A

Descends posterior to superior portion of the duodenum

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69
Q

What are the branches of the gastroduodenal artery?

A

Right gastroepiploic

Superior pancreaticoduodenal

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70
Q

What does the right gastroepiploic artery supply?

A

Greater curve of the stomach

Greater omentum

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71
Q

What does the superior pancreaticoduodenal artery supply?

A

Head of the pancreas

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72
Q

What are the main parts of the stomach?

A
Fundus - top 
Body - main part
Antrum - base 
Lesser curve - short edge
Greater curve - long edge
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73
Q

What are omenta?

A

Structures formed of folded layers of peritoneum that attach to the stomach

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74
Q

What are the 2 omenta?

A

Greater

Lesser

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75
Q

What are the greater omenutum’s attachments?

A

Attaches from greater curvature of the stomach to transverse colon

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76
Q

What is the role of the greater omentum?

A

Contains many lymph nodes
- GI immunity

Assists attachment to abdominal wall

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77
Q

What are the lesser omentum’s attachments?

A

Continuous with peritoneal layers of the stomach + duodenum

Arises at lesser curve

Attaches to liver

78
Q

What is the role of the lesser omentum?

A

Attach stomach + duodenum to liver

79
Q

What do the omenta divide the abdominal cavity into?

A

Greater sac

Lesser sac

80
Q

What divides the greater sac?

A

Transverse colon mesentery

81
Q

What is the greater sac divided into?

A

Supracolic compartment

Infracolic compartment

82
Q

Where does the supracolic compartment lie?

A

Above transverse mesocolon

83
Q

What is in the supracolic compartment?

A

Stomach
Liver
Spleen

84
Q

Where does the infracolic compartment lie?

A

Below transverse mesocolon

85
Q

What is in the infracolic compartment?

A

Small intestine
Ascending colon
Descending colon

86
Q

What connects the supracolic and infracolic compartments?

A

Paracolic gutters

87
Q

Where does the lesser sac lie?

A

Posterior to stomach and lesser momentum

88
Q

What connects the greater and lesser sacs?

A

Epiploic foramen of winslow

89
Q

What level does the SMA branch from the abdominal aorta?

A

L1

90
Q

How many branches does the SMA have?

A

6

91
Q

What are the main branches of the SMA?

A
Inferior pancreaticoduodenal artery 
Jejunal arteries
Ileal arteries
Middle colic artery 
Right colic artery 
Ileocolic artery
92
Q

What does the inferior pancreaticoduodenal artery supply?

A

Inferior head of pancreas
Uncinate process
Duodenum

93
Q

What do the jejunal arteries supply?

A

Jejunum

94
Q

What do the ileal arteries supply?

A

Ileum

95
Q

How can the jejunal and ileal arteries be distinguished?

A

Jejunal

  • fewer arterial arcades
  • longer vasa recta

Ileal

  • more arterial arcades
  • shorter vasa recta
96
Q

What does the middle colic artery supply?

A

Transverse colon

97
Q

What does the right colic artery supply?

A

Ascending colon

98
Q

What does the ileocolic artery supply?

A

Ascending colon
Appendix
Caecum
Ileum

99
Q

What level does the IMA branch from the abdominal aorta?

A

L3

100
Q

How many main branches of the IMA are there?

A

3

101
Q

What are the main branches of the IMA?

A

Left colic artery
Sigmoid arteries
Superior rectal artery

102
Q

What does the left colic artery supply?

A

Distal 1/3 transverse colon

Descending colon

103
Q

What do the sigmoid arteries supply?

A

Descending colon

Sigmoid colon

104
Q

What does the superior rectal artery supply?

A

Superior rectum

105
Q

What are the main parts of the pancreas?

A
Head
Neck 
Body 
Tail 
Uncinate process
106
Q

Where does the head of the pancreas lie?

A

In the duodenum

107
Q

Where does the neck of the pancreas lie?

A

Overlays superior mesenteric vessels

108
Q

Where does the body of the pancreas lie?

A

Left to the superior mesenteric vessels

109
Q

Where does the tail of the pancreas lie?

A

Close to the spleen hiatus

In the splenorenal ligament

110
Q

Where does the uncinate process lie?

A

Posterior to superior mesenteric vessels

111
Q

What arteries supply the pancreas?

A

Superior pancreaticoduodenal

Inferior pancreaticoduodenal

112
Q

What veins drain the pancreas?

A

Head -> superior mesenteric branches of portal vein

Pancreatic vein -> splenic vein

113
Q

What are the lobes of the liver?

A

Right
Left
Caudate
Quadrate

114
Q

What divides the right and left lobe?

A

Falciform ligament

115
Q

Where does the caudate lobe lie?

A

Between IVC and ligament venosum

116
Q

What is ligamentum venosum?

A

Remnant of fetal ductus venosus

117
Q

Where does the quadrate lobe lie?

A

Between gallbladder and ligamentum teres

118
Q

What is ligamentum teres?

A

Remnant of foetal umbilical vein

119
Q

What are the connecting ligaments of the liver?

A

Falciform
Coronary
Traingular

120
Q

What does the falciform ligament connect?

A

Anterior surface of liver to anterior abdominal wall

121
Q

What does the coronary ligament connect?

A

Superior surface of liver to inferior diaphragm

122
Q

What does the left triangular ligament connect?

A

Left lobe of liver to diaphragm

123
Q

What does the right triangular ligament connect?

A

Right lobe of liver to diaphragm

124
Q

What are the main parts of the biliary system?

A
Common hepatic duct
Gall bladder
Cystic duct
Common bile duct
Pancreatic duct
Ampulla of Vater
125
Q

What is the common hepatic duct?

A

Carries bile from liver to cysticduct/CBD

126
Q

What does the common hepatic duct run alongside?

A

Hepatic vein

127
Q

What is the cystic duct?

A

Connects the gall bladder to common hepatic duct and common bile duct

128
Q

Where does the common bile duct run?

A

Descends posteriorly to duodenum and pancreas head

129
Q

What is the pancreatic duct?

A

Carries pancreatic enzymes from pancreas to ampulla of vater

130
Q

What is the ampulla of Vater?

A

Connects the pancreatic duct and CBD

131
Q

Were does the ampulla of Vater open into?

A

Duodenum

132
Q

What regulates the ampulla of Vater?

A

Sphincter of Oddi

133
Q

Is the duodenum intra or retroperitoneal?

A

1st part = intraperitoneal
2nd part = retro
3rd part = retro
4th part = retro

134
Q

How many parts is the duodenum split into?

A

4

135
Q

What is the first part of the duodenum?

A

Superior part

136
Q

What spinal level is the first part at?

A

L1

137
Q

Where does the first part of the duodenum lie?

A

Ascends upwards from pylorus of stomach

Connect to the liver by the hepatoduodenal ligament

138
Q

What is the second part of the duodenum?

A

Descending

139
Q

What spinal level is the second part at?

A

L1-3

140
Q

Where does the second part of the duodenum lie?

A

Curves inferiorly around the head of the pancreas

Posterior to transverse colon

141
Q

What opens into the second part of the duodenum?

A

Ampulla of Vater

142
Q

What is the third part of the duodenum?

A

Inferior

143
Q

What spinal level is the third part at?

A

L3

144
Q

Where does the third part of the duodenum lie?

A

Travels laterally to left
Crosses over IVC + aorta

Inferior to pancreas

145
Q

What is the fourth part of the duodenum?

A

Ascending

146
Q

What spinal level is the fourth part at?

A

L3-2

147
Q

Where does the fourth part of the duodenum lie?

A

After crossing aorta, ascends and curves anteriorly to join jejunum

148
Q

Where is the jejunum located?

A

Upper left quadrant

149
Q

Where is the ileum located?

A

Lower right quadrant

150
Q

What makes up the large intenstine?

A
Caecum 
Ascending colon 
Transverse colon
Descending colon
Sigmoid colon
151
Q

Is the caecum intra or retroperitoneal?

A

Intraperitoneal

152
Q

Is the ascending colon intra or retroperitoneal?

A

Retroperitoneal

153
Q

Where does the ascending colon become the transverse colon?

A

Right colic (hepatic) flexure

154
Q

Is the transverse colon intra or retro peritoneal?

A

Intraperitoneal - transverse colon

155
Q

Where does the transverse colon become the descending colon?

A

Left colic (splenic) flexure

156
Q

Is the descending colon intra or retro peritoneal?

A

Retroperitoneal

157
Q

Is the sigmoid colon intra or retro peritoneal?

A

Intraperitoneal - sigmoid mesocolon

158
Q

What are the paracolic gutters?

A

Spaces between ascending/descending colon and posterior abdominal wall

159
Q

What level does the rectum start?

A

S3

160
Q

Is the rectum intra or retro peritoneal?

A

Upper 1/3 - intraperitoneal
Middle 1/3 - retroperitoneal
Lower 1/3 - no peritoneum

161
Q

What is the arterial supply to the rectum?

A

Superior rectal artery - from IMA
Middle rectal artery - from interal iliac
Inferior rectal artery - from pudendal

162
Q

When does the anal canal start?

A

Proximal border of anal sphincter complex

Joined to rectum by the anorectal ring

163
Q

What are the 2 anal sphincters?

A

Internal

External

164
Q

Where is the internal anal sphincter?

A

Surrounds the upper 2/3 of anal canal

165
Q

What muscle makes up the internal anal sphincter?

A

Circular smooth muscle

166
Q

Where is the external anal sphincter?

A

Surrounds lower 2/3 of anal canal

167
Q

What muscle makes up the external anal sphincter?

A

Voluntary muscle

168
Q

What makes up the anorectal ring?

A

Fusion of internal anal sphincter, external anal sphincter and puborectalis muscle

169
Q

What epithelium lines the anal canal above the dentate line?

A

Columnar epithelium

170
Q

What divides the anal canal?

A

Dentate line (pectinate line)

171
Q

What epithelium lines the anal canal below the dentate line?

A

Non-keratinized stratified squamous epithelium

172
Q

Where is the anal canal above the dentate line derived from?

A

Embryonic hindgut

173
Q

Where is the anal canal below the dentate line derived from?

A

Ectoderm of proctodeum

174
Q

What artery supplies the anal canal above the dentate line?

A

Superior rectal artery

175
Q

What artery supplies the anal canal below the dentate line?

A

Inferior rectal artery

176
Q

What makes the anterior wall of the inguinal canal?

A

Aponeurosis of external oblique

177
Q

What makes the posterior wall of the inguinal canal?

A

Transversalis fascia

178
Q

What makes the roof of the inguinal canal?

A

Transversalis fascia
Internal oblique
Transversus abdominis

179
Q

What makes the floor of the inguinal canal?

A

Inguinal ligament

180
Q

Where is the deep ring found?

A

Above the midpoint of the inguinal ligament

181
Q

What makes the deep ring/

A

Transversalis fascia

182
Q

Where is the deep ring in relation to the epigastric vessels?

A

Lateral to the vessels

183
Q

Where is the superficial ring found?

A

Superior to pubic tubercle

184
Q

What makes the superficial ring?

A

External oblique

185
Q

Where is the superficial ring in relation to the epigastric vessels?

A

Medial to the vessels

186
Q

What is the main vein in the abdomen?

A

Inferior vena cava

187
Q

Where does the vena cava receive tributaries from?

A
Common iliac veins
Lumbar veins
Renal veins
Right testicular/ovarian vein
Right suprarenal vein 
Inferior phrenic veins
Hepatic veins
188
Q

Which veins form the portal vein?

A

Splenic vein

Superior mesenteric vein

189
Q

Where does the portal vein receive tributaries from?

A

Left + right gastric veins
Cystic veins
Para-umbilical veins

190
Q

Where does the splenic vein receive tributaries from?

A

Short gastric veins
Left gastro-omental vein
Pancreatic veins
Inferior mesenteric vein

191
Q

Where does the superior mesenteric vein receive tributaries from?

A
Right gastro-omental vein 
Anterior + posterior inferior pancreaticoduodenal veins
Jejunal vein 
Ileal vein 
Ileocolic vein 
Right colic vein 
Middle colic vein