Anatomy of GI Bleeding Flashcards

1
Q

how many paracolic gutters are there?

A

two, right and left

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2
Q

where are the paracolic gutters found?

A

between the lateral edge of the ascending/descending colon and the abdominal wall

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3
Q

what are the paracolic gutters part of?

A

the greater sac of the peritoneal cavity

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4
Q

which flexure of the colon lies more superiorly?

A

splenic

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5
Q

what are the teniae coli?

A

3 distinct longitudinal bands of thickened smooth muscle

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6
Q

where do the teniae coli run?

A

from the caecum to the distal end of the sigmoid colon

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7
Q

what causes the formation of haustra?

A

tonic contraction of the teniae coli

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8
Q

where do the caecum and appendix lie?

A

in the right iliac fossa

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9
Q

what is the most common position of the appendix?

A

retrocaecal

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10
Q

where is the appendiceal orifice found?

A

on the posteromedial wall of the caecum

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11
Q

where does the appendiceal orifice correspond to?

A

mcburney’s point on the anterior abdominal wall

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12
Q

where is mcburney’s point?

A

a third of the way between the right ASIS and the umbilicus

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13
Q

where does the sigmoid colon lie?

A

the left iliac fossa

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14
Q

what is the mesentery attached to the sigmoid colon called?

A

the sigmoid mesocolon

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15
Q

why does the sigmoid colon have a large degree of movement?

A

it has a long mesentery

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16
Q

what is there a risk of due to the length of the sigmoid mesocolon?

A

sigmoid volvulus

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17
Q

what is sigmoid volvulus?

A

when the sigmoid colon twists around itself

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18
Q

what can sigmoid volvulus cause?

A

obstruction and infarction if not treated

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19
Q

is the abdominal aorta intra or retro peritoneal?

A

retroperitoneal

20
Q

where does the abdominal aorta lie?

A

midline
anterior to vertebral bodies
left of the IVC

21
Q

what are the three midline branches of the abdominal aorta?

A

celiac trunk
superior mesenteric artery
inferior mesenteric artery

22
Q

what is supplied by the celiac trunk?

A

foregut organs

23
Q

what is supplied by the superior mesenteric artery?

A

midgut organs

24
Q

what is supplied by the inferior mesenteric artery?

A

hindgut organs

25
Q

what do the lateral branches of the abdominal aorta supply?

A

kidneys and adrenal glands
gonads
body wall

26
Q

what does the abdominal aorta bifurcate into?

A

the common iliac arteries

27
Q

what does a common iliac artery bifurcate into?

A

internal and external iliac arteries

28
Q

what exists between branches of the superior mesenteric artery and the inferior mesenteric artery?

A

arterial anastomoses

29
Q

name the main arterial anastomoses between the SMA and the IMA

A

marginal artery of drummond

30
Q

what marks the end of the hind gut and where is this found?

A

the pectinate line

halfway through the anal canal

31
Q

what artery supplies the proximal half of the anal canal?

A

the inferior mesenteric artery

32
Q

what artery supplies the distal anal canal?

A

the internal iliac artery

33
Q

what is haematemesis?

A

vomiting up blood

34
Q

what are varices?

A

abnormal, dilated veins

35
Q

what are the bodies two main venous systems?

A

hepatic portal venous system

systemic venous system

36
Q

what does the hepatic portal venous system do?

A

drains venous blood from absorptive parts of the GI tract to the liver for cleaning

37
Q

what does the systemic venous system do?

A

drains venous blood from all other organs and tissues into the inferior vena cava

38
Q

is the IVC intraperitoneal or retroperitoneal?

A

retroperitoneal

39
Q

what is the role of the IVC?

A

drains clean blood from the hepatic veins into the right atrium

40
Q

what is the role of the splenic vein?

A

drains blood from foregut structures to the hepatic portal vein

41
Q

what is the role of the superior mesenteric vein?

A

drains blood from midgut structures to the hepatic portal vein

42
Q

what is the role of the inferior mesenteric vein?

A

drains blood from hindgut structures to the splenic vein

43
Q

what are anastomoses between the systemic and portal venous systems called?

A

portal systemic anastomoses

44
Q

how many portal systemic anastomoses are there?

A

three

45
Q

where are the three portal systemic anastomoses found?

A

distal end of the oesophagus
skin around the umbilicus
rectum/anal canal

46
Q

what is the clinical term given to increased blood pressure in the portal veins?

A

portal hypertension