AP01 - overview of the digestive tract Flashcards

1
Q

What 3 muscles contribute to the posterior lining of the abdominopelvic cavity?

A

psoas major
quadratus lumborum
transversus abdominus

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2
Q

What 2 plexi are in the gut tissue?

A

submucosal plexus

myenteric plexus

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3
Q

Where are the borders of the foregut?

A

terminal oesophagus to the entrance of the bile duct into the duodenum

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4
Q

Where are the boundaries of the midgut?

A

duodenum to middle of transverse colon

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5
Q

Where are the boundaries of the hindgut?

A

distal transverse colon to rectum

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6
Q

What is the arterial supply to each part of the gut?

A

foregut - celiac trunk, superior mesenteric artery

midgut - superior mesenteric artery

hindgut - inferior mesenteric artery

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7
Q

Which nerves innervate the different sections of the gut?

A

Foregut - Vagus (parasymp), celiac plexus and greater splanchnic nerve (symp)

Midgut - Vagus

Hindgut - least splanchnic nerve and S2-S4

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8
Q

How do the GI organs get into the peritoneum?

A

they force themselves in hehe

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9
Q

At what spinal nerve level does the celiac trunk leave the aorta?

What position is this relative to the pancreas?

A

T12

just above the pancreas

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10
Q

At what spinal nerve level does he superior mesenteric artery leave the aorta?

A

L1

Just below the pancreas, between the splenic and left renal veins

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11
Q

how many celiac ganglia are there?

A

2

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12
Q

Are the celiac ganglia sympathetic or parasympathetic?

A

sympathetic

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13
Q

What larger structure contributes ot the celiac, superior mesenteric, and inferior mesenteric ganglia?

A

the sympathetic trunk

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14
Q

Which 2 nerves contribute to the celiac ganglia?

A

upper part - greater splanchnic nerve

lower part - lesser splanchnic nerve

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15
Q

What is another name for the lower part of each celiac ganglion?

A

aortico-renal ganglion

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16
Q

What contributes to the superior mesenteric ganglion?

A

lesser splanchnic nerve

17
Q

What contributes to the lesser splanchnic ganglion?

A

L1-L3

18
Q

What drains the foregut?

A

hepatic portal vein (ultimately)

19
Q

What drains the midgut?

A

superior mesenteric vein and the portal venous system

20
Q

What drains the hindgut?

A

inferior mesenteric vein into the superior mesenteric vein

21
Q

Where would foregut pain be referred to?

A

epigastric region

22
Q

Where would midgut referred pain be?

A

umbillical region

23
Q

Where would hindgut pain be referred to?

A

pubic region

24
Q

What innervates the parietal peritoneum?

A

phrenic nerves

25
Q

what innervates the visceral peritoneum?

A

sympathetic and parasympathetic nerves corresponding to organ of area

26
Q

What is the splenorenal ligament derived from?

A

the peritoneum

27
Q

What is the gastrosplenic ligament a part of?

what does it connect?

A

greater omentum

stomach to the hilum of the spleen

28
Q

What does the falciform ligament do?

A

attaches the liver to the front body wall, separating the liver into 2 lobes

29
Q

What imaging technique would you use to view duodenal ulcration?

A

fine catheter from femoral to coeliac artery

gastroscopy

30
Q

What imaging technique would you use to view intestinal obstruction?

A

plane radiograph
barium meal (with CT)
X-ray

31
Q

What imaging technique would you use to view Gallstones?

A

ultrasound

32
Q

What imaging technique would you use to viewhepatic carcinoma

A

barium meal
endoscopy (allows biopsy)
ultrasound for liver metastasis
CT - surgical resectability

33
Q

Wher is the bare area of the liver?

A

he posterior side inferior to the coronary ligament and superior to the kidney

34
Q

Where is the hepatorenal recess?

A

between the liver and kidney

35
Q

Where is the subphrenic recess?

A

between the ilver and diaphragm

36
Q

Where is the subhepatic space?

A

under the liver

37
Q

What pouch do males hale?

A

rectovesical pouch

38
Q

What pouches do females have?

A

visicouterine pouch

rectouterine pouch

39
Q

What is a spigelian hernia?

A

a hernia between the two groups of abdominal muscles (to the side of rectus abdominus)