Anatomy Flashcards
three parts of small intestine
duodenum
jejunum
ileum
3 modifications of small intestine that increase SA
- plicae circularis (folds) - force the chyme to spiral through lumen slowed
- villi (contain blood cap and lateal)
- microvilli (on apical surface of absorptive cells)
which parts of duodenum are retroperitoneal
part 1 intra
parts 2-4 retro
which artery is at risk with posterior ulcers of 1st part of duodenum
gastroduodenal
which part of duodenum derived from foregut
up to ampulla of vater supplied by branches of common hepatic
rest is derived from midgut (supplied by inferior pancreaticoduodenal)
nerve supply to duodenum
sympathetic: greater splanchnic nerves (T5-9)
parasympathetic from vagus via coeliac and superior mesenteric plexuses
jejunum lies where in abdo
upper left
ileum features (5)
narrow
fewer plicae circularis
many peyer’s patches (lymphoid clumps)
many arcades
short vasa recta
what is the function of the ileocaecal valve
limit the reflux of colonic contents into ileum and control flow of ileal contents into caecum
SMA arises from where
supplies what
branches are what
aorta at lower border of L1
supplies midgut (from ampulla of vater) to 2/3rds alongt ransverse colon
jejunal, ileal, ileocolic
jejunum features (5)
wide
many plicae circularis
few peyer’s patches
one or two arterial arcades
long vasa recta
how does lymph drain from the jejunum/ileum
peyer’s patches –> mesenteric nodes –> SM nodes –> intestinal trunk –> cisterna chyli (also receives lacteal)
what does the lacteal absorb?
fats and lipids
is the large intestine retroperitoneal?
the ascending/descending are
the transverse and sigmoid are intra
what are the sacs of colon called
haustra
what are the tags of fat called
epiploic/omental appendices
where is the caecum
first and widest part of LI
below junction of ileum and LI in RIF
most appendices are in what position
retocaecal
root of verniform appendix lies where
in McBurney’s point
1/4 of way along oblique line joining R anterior superior iliac spine to umbilicus
branches of SMA
inferior pancreaticoduodenal middle colic right colic ileocolic ileal jejunal
branches of IMA
LEft colic
sigmoid
superior rectal
what anatomoses between iIMA and SMA
marginal artery of drummond
nerve supply running with:
coeliac trunk to foregut
SMA to midgut
IMA to hindgut
foregut: sym from T5-9 (greater splanchnic) and PSym from vagus
midgut: sym from T10-11 (lesser splanchnic)
PSym frm vagus
hindgut - sym from T12-L3 (least splanchnic and lumbar splancnic)
Psym from S2-4
Referred pain from
coeliac trunk
SMA
IMA
coeliac trunk: epigastric region (T7-9)
SMA: periumbilical region (T10-11)
IMA: suprapubic region (T12)