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NYCC Gross Anatomy 3 > Celiac Trunk, Esophagus, Stomach, Duodenum > Flashcards

Celiac Trunk, Esophagus, Stomach, Duodenum Flashcards

1
Q

name the 3 branches of the celiac trunk

A
  • left gastric
  • splenic
  • common hepatic
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2
Q

the left gastro-omental artery originates from the ____

A

splenic a

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3
Q

name 2 branches of the common hepatic artery

A

proper hepatic
gastroduodenal

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4
Q

name 3 branches of the proper hepatic artery

A
  • right gastric
  • right hepatic
  • left hepatic
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5
Q

the cystic artery originates from the ____

A

right hepatic a

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6
Q

name the 2 branches of the gastroduodenal artery

A
  • right gastro-omental
  • sup. pancreaticoduodenal
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7
Q

the esophageal hiatus is located at the level of ____

A

T10
(where esophagus goes through diaphragm)

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8
Q

where is the cardial orifice of the stomach located?

A

left of midline at level of 7th costal cartilage & T11

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9
Q

what is the Z-line of the esophagus?

A

mucosa changes from esophageal to gastric

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10
Q

name the 3 esophageal constrictions and their locations

A
  • cervical (upper esophageal sphincter): pharyngo-esophageal junction
  • thoracic (broncho-aortic): aorta & left main bronchus
  • diaphragmatic: esophageal hiatus
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11
Q

arterial supply of abdominal portion of esophagus

A
  • left gastric a
  • left inf phrenic a
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12
Q

venous supply of abdominal portion of esophagus

A
  • portal system (L gastric v)
  • vena caval system (azygos v)
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13
Q

the esophagus is innervated by the ____

A

esophageal plexus

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14
Q

parasympathetic innervation of esophagus

A

vagus n

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15
Q

sympathetic innervation of esophagus

A

greater splanchnic n

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16
Q

lymph nodes of esophagus

A

left gastric & celiac lymph nodes

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17
Q

name 3 functions of the stomach

A
  • food blender & reservoir
  • enzymatic digestion
  • peristalsis
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18
Q

enzymatic digestion of food in the stomach produces ____

A

chyme

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19
Q

how much food can the stomach contain?

A

2-3 L

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20
Q

the gastric canal is located along the ____ of the stomach

A

lesser curvature

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21
Q

the superior opening of the stomach is called the ____

A

cardial oriface

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22
Q

where is the cardia of the stomach located?

A

posterior to left 6th costal cartilage at level of T11

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23
Q

where is the fundus of the stomach located?

A

posterior to left 6th rib in MCL plane

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24
Q

what separates the fundus and the esophagus?

A

cardial notch

25
what dilates the fundus of the stomach?
gas, food, fluid
26
where is the body of the stomach located?
between fundus & pyloric antrum
27
pyloric part of stomach
pyloric antrum --> pyloric canal --> pyloric sphincter (pylorus)
28
arterial supply of the stomach
- celiac trunk branches - L & R gastric a (anastomose) - L & R gastro-omental a (anastomose) - short & posterior gastric aa
29
the short & posterior gastric arteries are branches of the ____
splenic a
30
all veins from the stomach drain into the ____
portal v
31
the prepyloric vein travels...
over pyloric sphincter to R gastric v
32
lymph nodes of the stomach drain to ____
cisterna chyli
33
superior 2/3 lymph nodes of stomach drain to...
gastric nodes & pancreaticosplenic nodes
34
right 2/3 lymph nodes of inferior stomach drain to...
pyloric nodes
35
left 1/3 lymph nodes of inferior stomach drain to...
pancreaticoduodenal nodes
36
sympathetic innervation of the stomach
- greater splanchnic n (T6-T9) - celiac plexus --> celiac ganglion
37
parasympathetic innervation of the stomach
- anterior vagal trunk (hepatic, duodenal & ant gastric branches) - posterior vagal trunk (celiac branch to celiac plexus; posterior gastric branches)
38
duodenum is latin for ____
"12 fingers" (~25cm)
39
the duodenum forms a "C" around the ____
head of pancreas
40
name the 4 anatomical parts of the duodenum
superior descending inferior ascending
41
the superior part of the duodenum (~5cm) is anterolateral to ____
L1
42
the first 2 cm of the superior part of the duodenum is called the ____
ampulla (intraperitoneal)
43
the ____ ligament attaches to the ampulla
hepatoduodenal
44
the distal 3cm of the superior part of the duodenum is ____ retroperitoneal
secondarily
45
the descending part (~7-10cm) of the duodenum descends along...
right side of L1-L3
46
where does the hepatopancreatic ampulla enter the duodenum?
posteromedial wall of descending part
47
the descending part (~7-10cm) of the duodenum is ____ retroperitoneal
secondarily
48
the hepatopancreatic ampulla is continuous with the ____
major duodenal papilla/sphincter of Oddi
49
location of inferior part (~6-8cm) of the duodenum
- crosses L3 - inf to head and uncinate process of pancreas
50
the inferior part (~6-8cm) of the duodenum is ____ retroperitoneal
secondarily
51
location of ascending part (~5cm) of the duodenum
Left of L3, then rises to superior border of L2
52
the ascending part (~5cm) of the duodenum joins the jejunum at the ____
duodenojejunal flexure
53
what attaches the duodenum to the posterior abdominal wall?
suspensory ligament of duodenum (lig of Treitz)
54
arterial supply of duodenum
- celiac trunk branches - gastroduodenal - superior pancreaticoduodenal - superior mesenteric - inferior pancreaticoduodenal
55
inferior pancreaticoduodenal artery arises from the ____
superior mesenteric a
56
veins of the duodenum drain into the ___
portal v
57
lymph from the duodenum drains to celiac nodes via...
- anterior: pancreaticoduodenal & pyloric - posterior: superior mesenteric
58
innervation of duodenum
- celiac & superior mesenteric plexus - PSNS: vagus n - SNS: greater & lesser splanchnic nn
59
What part of the duodenum is intraperitoneal?
Ampulla (first 2cm of superior part)

NYCC Gross Anatomy 3 (27 decks)

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