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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
Q

what dilates the fundus of the stomach?

A

gas, food, fluid

26
Q

where is the body of the stomach located?

A

between fundus & pyloric antrum

27
Q

pyloric part of stomach

A

pyloric antrum –> pyloric canal –> pyloric sphincter (pylorus)

28
Q

arterial supply of the stomach

A
  • celiac trunk branches
  • L & R gastric a (anastomose)
  • L & R gastro-omental a (anastomose)
  • short & posterior gastric aa
29
Q

the short & posterior gastric arteries are branches of the ____

A

splenic a

30
Q

all veins from the stomach drain into the ____

A

portal v

31
Q

the prepyloric vein travels…

A

over pyloric sphincter to R gastric v

32
Q

lymph nodes of the stomach drain to ____

A

cisterna chyli

33
Q

superior 2/3 lymph nodes of stomach drain to…

A

gastric nodes & pancreaticosplenic nodes

34
Q

right 2/3 lymph nodes of inferior stomach drain to…

A

pyloric nodes

35
Q

left 1/3 lymph nodes of inferior stomach drain to…

A

pancreaticoduodenal nodes

36
Q

sympathetic innervation of the stomach

A
  • greater splanchnic n (T6-T9)
  • celiac plexus
    –> celiac ganglion
37
Q

parasympathetic innervation of the stomach

A
  • anterior vagal trunk (hepatic, duodenal & ant gastric branches)
  • posterior vagal trunk (celiac branch to celiac plexus; posterior gastric branches)
38
Q

duodenum is latin for ____

A

“12 fingers” (~25cm)

39
Q

the duodenum forms a “C” around the ____

A

head of pancreas

40
Q

name the 4 anatomical parts of the duodenum

A

superior
descending
inferior
ascending

41
Q

the superior part of the duodenum (~5cm) is anterolateral to ____

A

L1

42
Q

the first 2 cm of the superior part of the duodenum is called the ____

A

ampulla
(intraperitoneal)

43
Q

the ____ ligament attaches to the ampulla

A

hepatoduodenal

44
Q

the distal 3cm of the superior part of the duodenum is ____ retroperitoneal

A

secondarily

45
Q

the descending part (~7-10cm) of the duodenum descends along…

A

right side of L1-L3

46
Q

where does the hepatopancreatic ampulla enter the duodenum?

A

posteromedial wall of descending part

47
Q

the descending part (~7-10cm) of the duodenum is ____ retroperitoneal

A

secondarily

48
Q

the hepatopancreatic ampulla is continuous with the ____

A

major duodenal papilla/sphincter of Oddi

49
Q

location of inferior part (~6-8cm) of the duodenum

A
  • crosses L3
  • inf to head and uncinate process of pancreas
50
Q

the inferior part (~6-8cm) of the duodenum is ____ retroperitoneal

A

secondarily

51
Q

location of ascending part (~5cm) of the duodenum

A

Left of L3, then rises to superior border of L2

52
Q

the ascending part (~5cm) of the duodenum joins the jejunum at the ____

A

duodenojejunal flexure

53
Q

what attaches the duodenum to the posterior abdominal wall?

A

suspensory ligament of duodenum (lig of Treitz)

54
Q

arterial supply of duodenum

A
  • celiac trunk branches
  • gastroduodenal
  • superior pancreaticoduodenal
  • superior mesenteric
  • inferior pancreaticoduodenal
55
Q

inferior pancreaticoduodenal artery arises from the ____

A

superior mesenteric a

56
Q

veins of the duodenum drain into the ___

A

portal v

57
Q

lymph from the duodenum drains to celiac nodes via…

A
  • anterior: pancreaticoduodenal & pyloric
  • posterior: superior mesenteric
58
Q

innervation of duodenum

A
  • celiac & superior mesenteric plexus
  • PSNS: vagus n
  • SNS: greater & lesser splanchnic nn
59
Q

What part of the duodenum is intraperitoneal?

A

Ampulla (first 2cm of superior part)

NYCC Gross Anatomy 3 (16 decks)

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