Anatomy of the Lower GI system Flashcards

1
Q

At what level does the oesophagus pierce the diaphragm?

A

T10

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2
Q

Describe the abdominal and pelvic cavity?

A

The abdominal cavity and pelvic cavity are continuous with each other, only separated by peritoneum (roof of pelvic cavity).

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3
Q

What is peritonitis?

A

Inflammation of the peritoneum caused by infection from surgery or trauma - leads to guarding

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4
Q

Describe the peritoneum?

A

Continuous membrane which secretes lubricating peritoneal fluid into the peritoneal cavity

Lines the abdominal cavity and invests viscera

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5
Q

Describe the visceral and partial peritoneum?

A

Visceral - invests an orga

Parietal - touches the enteral body wall

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6
Q

What is retroperitoneal?

A

Lays posterior to the peritoneum - behind

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7
Q

What are the retroperitoneal organs?

A
Kidneys 
Adrenal gland
Pancreas
Parts of small intestine
Parts of large intestine
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8
Q

What are the pelvic organs of the GI tract?

A

Rectum
Anal canal
Anus

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9
Q

Where is the stomach mostly located?

A

in the left lower quadrant

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10
Q

What is the small intestine attached to the body wall by?

A

A mesentery

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11
Q

What are the parts of the small intestine?

A

Duodenum
Jejunum
Ileum

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12
Q

What is the mesentery?

A

A double layer of peritoneum

Connects intraperionteal organs to the body wall

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13
Q

What parts of the large intestine are retroperitoneal?

A

Ascending and descending colon are retroperionteal

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14
Q

What is peristalsis?

A

waves of SIMULTANEOUS shortening of the length of a segment of the tube PLUS narrowing of the luminal diameter in that segment

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15
Q

describe what the outer longitutal layer and the inner circular layer of the walls of the intestine do?

A

Outer longitudinal - smooth muscle - shortens the tube

Inner circular - smooth muscles - constricts (narrows) the diameter

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16
Q

What is the mucosa like in the oral cavity, oesophagus and anus?

A

Protective - areas of greatest mechanical friction

17
Q

What is the mucosa like in the stomach?

A

Secretory - minimally absorptive

18
Q

What is the mucosa like in the small intestine and large intestine?

A

Absorptive

19
Q

Name the sphincter at the junction between laryngopharynx & oesophagus to help prevent regurgitation?

A

Cricopharyngeal sphincter

20
Q

Name the sphincter at the junction between stomach & duodenum to control the release of chyme from the stomach?

A

Pyloric sphincter

21
Q

Name the sphincter at at the junction between anus & external environment to control the release of stool from the anal canal?

A

External anal sphincter

22
Q

What are anatomical sphincters?

A

are discrete areas where muscle completely encircles the lumen of the tract

Can be composed of smooth or skeletal muscle

23
Q

Describe the track of the IVC in the abdomen?

A

It ascend in the retroperitoneum then passes through the diaphragm into the right atrium

24
Q

Describe the track of the aorta in the abdomen?

A

The Aorta leaves the left ventricle passes through the diaphragm the descends in the retroperitoneum

25
Q

What are the 3 midline branches of the abdominal aorta from superior to inferior?

A

Coeliac trunk
Superior mesenteric artery
Inferior mesenteric artey

26
Q

What do the 3 midline branches supply?

A

Coeliac trunk - foregut organs
Super mesenteric artery - midgut organs
Inferior mesenteric artery - hindgut organs

27
Q

Describe the venous drainage to the abode organs, what drains each section?

A

Foregut - splenic vein
Midgut - Superior mesenteric vein
Hindgut - inferior mesenteric vein (drains hindgut via splenic vein)

28
Q

What do all the veins join up to form and take to the liver?

A

The hepatic portal vein

29
Q

What is the hepatic portal vein formed by?

A

The splenic vein and the superior mesenteric artery

30
Q

Describe the portal venous system?

A

Drains from absorptive parts of GI tract and associated organs to the liver via hepatic portal vein
This blood de-oxygenated and nutrient-rich

31
Q

Describe the systemic venous system?

A

Drains de-oxygenated blood from the rest of the body to the right atrium of the heart.
Include blood from the liver via hepatic veins

32
Q

Describe where foregut structures drain their lymph via?

A

Via nodes located along the splenic artery towards the coeliac nodes (located around the origin of the coeliac trunk)

33
Q

Describe where midgut structures drain their lymph via?

A

Via nodes located along the superior mesenteric artery towards the superior mesenteric nodes (located around the origin of the superior mesenteric artery)

34
Q

Describe where hindgut organs drain their lymph via?

A

Via nodes located along the inferior mesenteric artery towards the inferior mesenteric nodes (located around the origin of the interior mesenteric artery)

35
Q

What is the body response to obstruction of the GI tract?

A

increased peristalsis proximal to the site of the obstruction in an attempt to remove it

36
Q

Why might a patient experience colicky pain?

A

Because peristalsis occurs in waves so the pain will come and go as the body tried to get over the obstruction