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GI- WK 1-3 > Clinical anatomy of Jaundice: part 2 > Flashcards

Clinical anatomy of Jaundice: part 2 Flashcards

1
Q

The biliary tree is made up of a number of ducts.

The right & left hepatic ducts unite to form the _ duct

A

Common hepatic

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2
Q

Common hepatic duct unites with the _ duct to form the bile duct

A

Cystic

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3
Q

The duodenum has 4 parts: superior, descending, horizontal, ascending. Which part is partly intraperitoneal and contains the duodenal cap?

A

Superior

Duodenal cap- mobile

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4
Q

The duodenum begins at the _ sphincter and ends at the _ flexure

A

Pyloric & duodenojejunal

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5
Q

Pain from duodenal ulcer presents in _ region

A

Epigastric

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6
Q

The pancreas is an intraperitoneal organ. T/F?

A

False- Retro

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7
Q

Posterior structures of the pancreas?

A
  1. kidney
  2. IVC
  3. Bile duct
  4. Superior mesenteric artery
  5. Adrenal gland
  6. Abdominal aorta
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8
Q

Anterior to the pancreas lies the _

_ surrounds the head of the pancreas.

The splencic nerves are _ to the pancreas

A

Stomach

Duodenum

Supero-posterior

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9
Q

CT of abdomen

A
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10
Q

What are the functions of exocrine and endocrine cells of the pancreas?

A
  1. Exocrine- Acinar cells- pancreatic digestive enzymes
  2. Endocrine- Islets of Langerhans- insulin & glucagon
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11
Q

The bile duct joins with the main pancreatic duct to form the _

A

Ampulla of Vater.

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12
Q

What are the 3 sphincters of the duodenum?

A
  1. Bile duct sphincter
  2. Pancreatic duct sphincter
  3. Sphincter of Oddi
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13
Q

Obstruction of the biliary tree can be due to _ and _

A

Gallstones and carcinoma

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14
Q

What else can occur in the biliary tree in jaundice?

A

Backlfow of bile towards liver

Overspill of constiteunts into blood incl bile

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15
Q

Which two arteries supply the pancreas?

A
  1. Splencic artery
  2. Dorsal pancreatic artery
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16
Q

Which arteries supply the duodenum?

The superior & inferior pancreaticoduodenal artery _ together

A

Superior & Inferior panrceaticoduodenal artery

Anastamose

17
Q

Pancreatic pain can be a result of _

A

Pancreatitis

18
Q

Blockage of the _ by gallstones can cause pancreatitis

A

Ampulla.

19
Q

Why can pancreatic pain present in the epigastric and umbilical region?

A

Pancreas- forgeut & midgut organ

Pancreatic pain can Radiate to a patients back

20
Q

Acute pancreatitis can be a result of gallstone obstruction leading to reflux of _ and _ juice into the main _ duct

A

Bile, pancreatic, pancreatic

Advanced cases- Vascular haemorrhage causing blood/fluid accumulation in retroperitoneal space

21
Q

Contents of the small intestine?

A
  1. Duodenum
  2. Jejunum
  3. Ileum
22
Q

All of the contents of the small intestine are midgut structures. T/F?

A

False- 1st & 2nd parts of duodenum are foregut structures

23
Q

Jejunum starts at the _ flexure while the ileum ends at the _ junction

A

Duodenaljejunal, Ileocaecal

24
Q

What are the differences in colour between the jejunum and ileum

A

Jejunum deep red, ileum is lighter pink

25
Q

What are the differences in wall between the jejunum and ileum

A

Jejunum- thick & heavy

Ileum- Thin & light

26
Q

The Jejunum is less vascular than the ileum. T/F?

A

False- more

27
Q

The jejunum has less mesenteric fat than the ileum. T/F?

A

True

28
Q

Lymphoid tissue (peyers patches) are found in both the jejunm and ileum. T/F?

A

False- in ileum

29
Q

What are the differences in circular folds between the jejunm and the ileum?

A

Jejunum has large, tall more closely packed folds

30
Q

Which arteries and veins supply the jejunum and ileum? Which larger artery/vein do they join.

A

Arteries

Jejunal and ileal artery branches from the superior mesenteric

Veins

Jejunal & ileal veins join the superior mesenteric which joins the hepatic portal veins

31
Q

The superior mesenteric vessels leave the aorta at vertebral level _

A

L1

32
Q

Fats are aborbed from the intestinal cells into specialised lymphatic cells of the small bowel called _

A

Lacteals- these travel via lymphatics and drain into the left venous angle

33
Q

What are the 4 groups of lymph nodes draining abdominal organs?

A
  1. Celiac
  2. Superior mesenteric
  3. Inferior mesenteric
  4. Lumbar

GI- WK 1-3 (25 decks)

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