Anatomy - Abdominal Organs: Solid Viscera

Question 1

Spleen: 1x3x5x7x9x11 rule

Question 2

Which ribs potect the spleen?

Answer 2

9, 10 and 11

Question 3

What side of the body houses the spleen?

Answer 3

Left

Question 4

3 ligaments that support the spleen and what they connect to

Answer 4

1. splenorenal ligament (conects to body wall)
2. gastrosplenic ligament (connect to stomach)
3. phrenicocolic ligament (does not actually connect to the spleen, but helps support it - connects between diaphragm and duodenum i think)

Question 5

3 spleen impressions

Answer 5

gastric
renal
colic

Question 6

Spleen blood supply: main artery and vein and where they branch/drain

Answer 6

splenic artery (main branch of celiac trunk)
splenic vein (joins SMV to form hepatic portal vein)

Question 7

IMV

Question 8

How can we repair a spleen rupture?

Answer 8

Using the viable omental pedicle (hgihly vascularized)

Question 9

Splenomegaly

Answer 9

Enlarged spleen - causes are usually associated from increased workload

Question 10

How can we treat splenomegaly?

Question 11

Pancreas

Question 12

Majority of the pancreas is…
a) intraperitoneal
b) retroperitoneal

Answer 12

b) retroperitoneal

Question 13

Which part(s) of the pancreas is are intraperitoneal?

Question 14

What is the uncinate process?

Question 15

Name the main pancreatic duct (that most people have) and the accessory duct (that some people have)

Question 16

Bile duct function

Answer 16

Carries bile from the liver to the duodenum

Question 17

Major papillae

Question 18

Bile is produced in…
Bile is stored in…

Answer 18

Bile is produced in the liver
Bile is stored in the gallbladder

Question 19

Coronary ligament connects the liver to…

Answer 19

the diaphragm

Question 20

What is the porta hepatis?

Answer 20

Portal triad: Artery, vein & bile duct

• hepatic bile duct
• proper hepatic artery
• portal vein

Question 21

Where does the portal vein drain?

Question 22

Describe the anatomical and functional lobes of the liver, and what separates them in each case

Answer 22

Anatomical: separated by falciform ligament

Functional: separated by

YOU DO NOT NEED TO KNWO THE 8 SEGMENTS

Question 23

If sphincters are closed, bile will go to the gallbladder and stored
If sphincters are open, bile can be released to the duodenum

Answer 23

Common bile duct
Common hepatic duct
Cystic duct

Question 24

What is the caval system?

Answer 24

Vein system

Question 25

Postacaval anastomoses: 4 important sites

Answer 25

1. esophageal
2. paraumbilical
3. rectal
4. retroperitoneal

Question 26

How does the liver affect drug absorption?

Question 27

What rectal veins bypass the liver? Why would we administer a drug rectally?
What dosage would we use?

Question 28

Sympathetic nervous system effect on the GI vs parasympathetic

Answer 28

SNS: decreases GI activity
PSNS: increases GI activity

Question 29

Define GI activity as influenced by the SNS and PSNS

Answer 29

Gi activity:
* muscular contractions
* glandular secretions
* blood flow to GI organs