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UNIT 2 GI > anatomy final > Flashcards

anatomy final Flashcards

1
Q

where would appendicitis take place

A

right inguinial region

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2
Q

where would colecsytitis take place

A

right hypochondriac region

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3
Q

where would a peptic ulcer take place

A

epigastrium

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4
Q

superficial inguinal ring lies in

A

triangular gap in external oblique aponeurosis

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5
Q

the deep inguinl ring lies in

A

fasicaia transversalis

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6
Q

boundaries of the inguinal canal

A

ant wall = ext oblique apo
Post wall = fasicia transversalis

Roof = arching fibers of internal oblique and transverse abdominus

Floor = inguinal ligament + lucunar ligament

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7
Q

Structures passing inguinal canal

A

spermatic cord in males
round ligament in females

inguinal nerve

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8
Q

hernia enters lateral to epigastric vessels means

A

indirect

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9
Q

if hernia enters medial to epigastric vessels

A

direct hernia

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10
Q

what is the landmark to detmerine if a hernia is direct or indirect

A

inferior epigastric vessels

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11
Q

is a younger person gonna have a direct or indirect hernia

A

indirect

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12
Q

is a older person going to have a direct or indirect hernia

A

direct

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13
Q

indirect hernia is associated iwth what not dissapreaing

A

processes vaginalis

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14
Q

what part of the intestines usually enters the inguinal canal

A

the illeum

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15
Q

a direct hernia is due to the wht of the anterier abdominal wall

A

weakness of the anterior abdominal wall

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16
Q

what happens if you done treat a hernia

A

the blood supply can get off, leading to serous complications

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17
Q

intraperitoneal

A

completely surrounded by peritonium . mobile

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18
Q

retroperotoneal

A

only peritonium on one side. fixed and immobile

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19
Q

greater omentum

A

peritonium of the stomach

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20
Q

greater omentum ligaments

A

right left gastro epiploic vesssels

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21
Q

lesser omentum continents

A

2 parts:
free margin aka

hepatoduodenal ligament:

  1. hepatic artery
  2. portal vein
  3. bile duct
  4. lymphatic and nerves

Along lesser curvature:

  1. Right and left gastric vessels
  2. gastric lymph nodes
  3. gastric nerves
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22
Q

appendix

A

mesoappendix

artery : apendicualr artery (coming from illeocolic artery )

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23
Q

transverse colon

A

artery of the midgut ends and hind gut begins.

contents: middle colic vessels nerves lymphatics and lymph nodes

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24
Q

where does the midgut end and hind gut begin

A

splenic aka left colic flexture

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25
Q

where does the vegas nerve end and left splanic nerve begin

A

the transverse colon (left colic flexture)

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26
Q

where is the sigmoid mesocolon

A

left illiac fossa

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27
Q

how are the greater and lesser sack communicating

A

thru the omental foramen

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28
Q

where is the lesser sack

A

begind the stomach

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29
Q

to enter the lesser sack you must go thru the

A

omental foramen

30
Q

boundaries of the lesser sack

A

anterior = right free margin of lesser omentum

posterior = IVC
Superior = cuadate process of liver
Inferior = first part of duodenum
31
Q

where does abdominal aorta begin

A

t12

32
Q

where does abdominal aorta end

A

L4

33
Q

what does the external illiac arteries continue as

A

femoral arteries

34
Q

ulcer of the stomach can damage what artery

A

splenic artery

35
Q

what supplies each part of the colon

A

ascending colon = SMA
Stomach = Celiac
Descending = IMA

36
Q

Lymphtics follow

A

arterial supply

37
Q

IMA feeds in to

A

the marginal artery

38
Q

what artery is behind d1

A

Gastroduodenal artery

39
Q

right testicular or ovarian vein drain into

A

left opens into the left renal vein

40
Q

portocaval anastomosis in esophagus

A

left gastric vein anastomosis with tributaries of azygos vein

41
Q

what is the portocaval anastomosis in the anus

A

superior rectal witht he middle and inferior rectal

42
Q

in the umbilicus where is the portocaval anastamosis

A

left branch makes communiation thru paraumbilical veins of anterior abdominal wall

43
Q

what is the portocaval shunt

A

splenic vein with left renal vein

44
Q

where is the sympathetic nervous system

A

t1 =L2 (thorracolumbar )

45
Q

Where is the parasympathetic

A

s2,s3, s4

46
Q

what are the parasympathetic fibers

A

3,7,9,10

47
Q

vegas nerve is what nerve

A

10

48
Q

affarent pain from GIT

A

sympathetic = up to middle of sigmoid colon

Parasympathetic = rest

49
Q

reflex from GIT

A

parasympathetic

50
Q

reflex from GIT

A

parasympathetic

51
Q

where do all lymphatics drain into if in arteries … if in liver

A

celiac nodes …portal

52
Q

meckles diverticulum

A

persistance of the vitallene duct

53
Q

what is mc burneys point

A

site of max pain during appendicitis

54
Q

3 important features of the colon

A

omental appendages
taneia coli
haustra

55
Q

which part of the colon is retroperitoneal or intreaparatoneal

A

ascending and descedning = retro

transverse = intra

56
Q

which neves supply the colon

A

ascending and transverse = SMA an vegas

descending and sigmoid IMA and splanchnic

57
Q

what is missing in hershrpungs disease

A

no POST ganglionic parasympathetic ganglia

58
Q

what kind of muscle makes up internal anal sphinictor

A

skeltal muscle

59
Q

what nerve supplies the external anal canal

A

inferior rectal nerve

60
Q

what kind of control takes place above and below the anal canal

A

control above = autonomic
control below = somatic

lymphatic above = internal illiac

below = superficial inguinal nodes

61
Q

what liver connects the liver to the diaphram

A

falciform lligament

62
Q

ligamentum teres hepatis

A

left umbilical vein remnant

63
Q

ligamentum venosum

A

ductus venosus

64
Q

quadate and cuadate lobe belong to what physiological lobes

A

left

65
Q

common bile duct is located behind

A

D1

66
Q

Where does common bile duct open

A

D2

67
Q

Most commonly injured organ in the abdomin

A

spleen

68
Q

spleen is behind what ribs

A

9-11ribs

69
Q

rib fracture in left hypocondriac region

A

spleen

70
Q

what is present in the splenorenal ligament

A

splenic vessels and tail of pancreas

71
Q

what is the present in teh gastrosplenic ligaments

A

short gastric vessels and left gastro omental vessels

UNIT 2 GI (14 decks)

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