Anatomy Overview 2 Flashcards
What are the 3 regions of the foregut from right to left?
Right hypochondrium
Epigastrium
Left hypochondrium
What are the 3 regions of the midgut from right to left?
Right lumbar
Periumbilical
Left lumbar
What are the 3 regions of the hindgut from right to left?
Right iliac fossa
Hypogastrium
Left iliac fossa
What are the 3 constrictions of the oesophagus?
Cervical = (pharyngo-oesophageal) 15cm from incisor teeth Thoracic = (broncho-aortic) crossed by arch of aorta (22cm from IT) and left main bronchus (27.5cm from IT) Diaphragmatic = where it passes through the oesophageal hiatus of the diaphragm (40cm from IT)
What are the 4 main parts of the stomach?
Cardia
Fundus
Body
Pyloric part
What is the function of the pyloric sphincter?
Controls discharge of stomach contents into the duodenum
What is congenital pyloric stenosis?
Thickening of the smooth muscle in the pylorus
What is the function of the biliary ducts?
Carry bile from the liver to the gallbladder
Where is bile produced?
Liver
Where is bile stored and concentrated?
Gallbladder
How much bile can the gallbladder store?
Up to 50ml
What artery supplies the gallbladder and where is it found?
Cystic artery
Found in the Triange of Calot
What is the Triangle of Calot?
Triangle between common hepatic duct, cystic duct and visceral surface of liver
What is the pancreas?
Accessory digestive gland
Exocrine - pancreatic juice
Endocrine - insulin + glucagon
Is the pancreas intraperitoneal or retroperitoneal?
Retroperitoneal
Where does the pancreas lie?
Along the transpyloric plane (L1/L2)
What are the parts of the pancreas?
Head
Neck
Body
Tail
Where is the portal vein formed?
Behind the neck of the pancreas
What would happen if the tail of the pancreas was damaged while removing the spleen?
Lifelong diabetes mellitus
What is the spleen?
Mobile haemo-lymphoid organ
What region is the spleen located?
Left hypochondrium
What is splenomegaly?
Abnormal enlargement of spleen
What supplies the foregut? = origin
Celiac trunk
origin = abdominal aorta (T12)
What are the 3 main branches of the celiac trunk?
Left gastric artery - runs along the LC of the stomach
Hepatic artery - supply liver and gallbladder
Splenic artery - runs retroperitoneally along the superior (upper) margin of the pancreas
What makes up the midgut?
Small intestine Most of duodenum Caecum Appendix Ascending colon Right 1/2 - 2/3 of the transverse colon
What is the duodenum?
Shortest, widest, most fixed part of the small intestine
4 parts
What part of the duodenum receives bile and pancreatic duct?
2nd
What is a duodenal ulcer?
Inflammatory erosions of the duodenal wall (mostly 1st part)
What is the difference in colour between jejunum and ileum?
Jejunum = deeper red Ileum = pale pink
What is the difference in wall between jejunum and ileum?
Jejunum = thick + heavy Ileum = thin + light
What is the difference in vascularity between jejunum and ileum?
Jejunum = greater Ileum = less
What is the difference in vasa recta between jejunum and ileum?
Jejunum = long Ileum = short
What is the difference in arcades between jejunum and ileum?
Jejunum = a few large loops Ileum = many short loops
What is the difference in lymphoid nodules between jejunum and ileum?
Jejunum = few Ileum = many
What is the difference in fat in mesentery between jejunum and ileum?
Jejunum = less Ileum = more
What supplies blood to the midgut? + origin
Superior mesenteric artery
origin = branch of abdominal aorta (L1)
What is the superior mesenteric artery relations?
Crossed anteriorly by splenic vein and neck of pancreas
What are the branches of the superior mesenteric artery?
Jejunal and ileal arteries (main)
Middle colic, right colic and iliocoloic (others)
What makes up the hindgut?
Left 1/3 of transverse colon Descending colon Sigmoid colon Rectum Upper part of anal canal Epithelium of the urinary bladder and most of the urethra
What is the artery of the hindgut?
Inferior mesenteric artery
Name 3 features that make the large intestine differ from the small intestine
Omental appendices (small,fatty, peritoneal like projections) Haustra/sacculations Teniae coli (thickened bands of smooth muscle - longitudinal layer)
What is the appendix?
Blind intestinal diverticulum with masses of lymphatic tissue
What are the 5 different appendix positions? + most common
Retrocecal - most common Subcecal Pelvic Postileal Preileal
What is Macburney’s point?
Site of maximum tenderness in acute appendicitis
What artery is the hindgut’s blood supply? + origin
Inferior mesenteric artery
origin = anterior branch of abdominal aorta (L3)
What are the branches of the inferior mesenteric artery?
Left colic
Sigmoid arteries
Superior rectal artery (terminal branch)
What is the rectum?
Pelvic part of the gut tube
Where is the recto-sigmoid junction?
Anterior to S3 vertebra
What 2 sphincters are in the anal canal? + difference
External (skeletal muscle, somatic nerves)
Internal (smooth muscle, autonomic nerves)
What are the innervations of abdominal organs?
Autonomic Parasympathetic: - vagus nerve (10th cranial) - pelvic splanchnic (S2,3,4) Sympathetic: - abdominopelvic splanchnic (greater - T5-9, lesser - T10-11 and least - T12) Prevertebral sympathetic ganglia Abdominal aortic plexus
What vein is responsible for drainage of the abdominal GI tract? + how
Portal vein
collects low O2 - high nutrient blood from abdominal GI tract (e.g. spleen, pancreas, gallbladder) and carries it to the liver
What forms the portal vein?
Union of splenic vein with the superior mesenteric vein
What is the location of the portal vein?
Behind the neck of the pancreas (L2)
What are portocaval shunts?
Venous enlargements (varices) during portal obstruction
What are 3 sites of portocaval shunts?
Anorectal junction = haemorrhoids/piles
Gastroesophageal junction = oesophageal varices
Around the umbilicus = caput medusae
What receives most of the lymph from the abdominal wall and organs?
Thoracic duct
What are the 3 terminal groups of lumbar nodes?
- Pre-aortic (celiac, superior and inferior mesenteric nodes) - drains organs supplied by the anterior branches of aorta
- Lateral aortic - drains organs supplied by lateral aortic branches
- Retro-aortic - drains the posterior abdominal wall