Digestive Glands pt 2

Question 1

Bile exits the liver through what structure?

Answer 1

Horizontal fissure/porta hepatic region

Question 2

The portal structures occupy a section of the lesser omentum that is divided into 2 parts:

Answer 2

Hepatic gastric ligament and hepatic duodenal ligament

Question 3

Ligament connecting the liver the the stomach

Answer 3

hepatic gastric lig

Question 4

Ligament connecting the liver (horizontal fissure) to the first segment of the duodenum

Answer 4

Hepatic duodenal lig

Question 5

Describe the spatial arrangment of the hepatic vessels

Answer 5

Hepatic artery closer to midline, bile duct to right, and portal vein posterior to both

Question 6

What is unique about the liver’s portal venous system?

Answer 6

Takes both venous and arterial blood supply into SAME capillary bed–allowing MIX

Question 7

____ drains blood from the gut tube into the liver

Answer 7

Portal Vein

Question 8

The blood entering the portal vein is __

Answer 8

deoxy and nutrient-rich

Question 9

The blood from the portal vein is processed in the liver and returned to the heart via the ________

Answer 9

Hepatic veins (and into IVC)

Question 10

Blood form the hepatic veins empty into

Answer 10

IVC (before pass through diaphragm and into right atrium)

Question 11

Where is the pancreas located in comparison to the stomach?

Answer 11

Posterior–embedded in posterior abd wall

Question 12

Describe shape/boundaries of pancreas:

Answer 12

Head: greater curve of duodenum (head and neck anterior to vert colum)
Body: extends to left side of abd
Tail: pointed toward spleen’s hilum (share supply) (body and tails curve left and post, pointing toward spleen)
Uncinate Process: hook-like process beneath neck with no specific function

Question 13

T/F: The pancreas is both endocrine and exocrine

Answer 13

True

Question 14

Pancreas connects to alimentary canal through ducts in ___ segment of duodenum

Answer 14

second segment (through the lesser curvature)

Question 15

T/F: The pancreatic duct follows the same path as the bile duct

Answer 15

True (both connecting at second seg of duodenum)

Question 16

The lesser sac (omental bursa) in located ____ the stomach and ____ the pancreas

Answer 16

behind stomach and anterior to pancreas

Question 17

What part of pancreas remains mesenteric?

Answer 17

tail

Question 18

Bile duct and pancreatic duct share common connection _____

Answer 18

hepatopancreatic ampulla (carries mix of bile and pac secretions)

Question 19

Accessory pancreatic duct is variable present and carries:

Answer 19

ONLY panc secretions

Question 20

The pancreas is a ___ derivative.
–positioned near the foregut/midgut transition (bet 2 and 3 segment of duodenum)

Answer 20

foregut

Question 21

Foregut blood supply:

Answer 21

Celiac artery supplies most of pancreas

Question 22

Midgut supply: Superior Mesenteric Artery supplies _____ of the pancreas and duodenum

Answer 22

head

Question 23

Body and Tail of pancreas are supplied by the _____

Answer 23

Splenic artery (suns on superior border of pancreas)

Question 24

Superior Pancreaticoduodenal arteries (branch of gastroduodenal) anastomse with Inferior Pancreaticoduodenal Arteries (branch of Superior Mesenteric) at ______

Answer 24

Foregut-midgut transition (near panc head and lesser curve of duodenum)

Question 25

Duodenal Papillae and Duct openings are in what segment?

Answer 25

2nd segment of duodenum

Question 26

--marks opening of accessory pancreatic duct --Found higher in second segment of duodenum

Answer 26

Minor Duodenal Papilla

Question 27

--marks opening for Hepatopancreatic Ampulla (Ampulla of Vater)

Answer 27

Major Duodenal Papilla

Question 28

where bile and panc secretions mix before entering lumen

Answer 28

Hepatopancreatic Ampulla (Ampulla of Vater)

Question 29

The Duodenum is ___ aas well as almost all of the pancreas

Answer 29

secondarily retroperitoneal

Question 30

What part of the pancreas remains mesenteric?

Answer 30

tail (located within liorenal ligament)

Question 31

Ligament containing the spenic artery and vein, connecting the spleen to the posterior abdominal wall ---only portion of pancreas remains mesenteric

Answer 31

liorenal ligament (headed for the hilum of the spleen)

Question 32

Pancreas Peritonal covering is ___ because of the way it is innervate. Result?

Answer 32

Parietal....pain sensitive!

Question 33

T/F: The splenic artery becomes retroperitoneal along with the majority of the pancreas

Answer 33

True

Question 34

Supplies the body and tail of the pancreas

Answer 34

Splenic Artery (first part is retroperitoneal but beomes mesenteric at tail of pancreas)

Question 35

Main artery supplying foregut structures

Answer 35

Celiac Artery

Question 36

The spleen is located ___ to the stomach and attached via ________

Answer 36

left of the stomach; attached via gastric splenic ligament and lionalrenal ligament (splenic vessels traverse these ligaments)

Question 37

Lesser Sac formed by lesser omentum divided into:

Answer 37

Hepatogastric ligament and Portohepatic Ligament

Question 38

Attaches to lesser curve of stomach and contains left and right gastric arteries (ligament)

Answer 38

Hepatogastric ligament

Question 39

Gastric Splenic Ligament and Lionalrenal ligament contribute to the ___ wall of the lesser sac

Answer 39

left wall

Question 40

T/F: the pancreas lies within the lesser sac, posterior to stomach and posterior abd wall covered by parietal peritoneum

Answer 40

True

Question 41

T/F: The spleen is a mesodermal lymphoid organ

Answer 41

True (NOT a gut derivative)

Question 42

Spleen location:

Answer 42

Left upper quad of abdomen, posterior to stomach and protected by rib cage

Question 43

T/F: The spleen is entirely coveref with visceral peritoneum

Answer 43

True (hanging from a couple mesenteries)

Question 44

2 Key ligaments of the Spleen:

Answer 44

Lienorenal Ligament (spleen to post ab wall--carries blood supply) abd Gastrosplenic Ligament (connects spleen to stomach greater curv with short gastric arteries and veins running through it)

Question 45

T/F: Pancreatitis can cause visceral and somatic pain

Answer 45

True (Visceral: Splanchnic nerves--inflam and distent) (Somatic: irritates peritoneal)