Dissection 15 Flashcards
Large Intestine, Biliary System and Liver, Portal Vein, Adrenal Glands, Ureters and Kidneys, Summarization of Abdominal Innervation, Blood and Lymphatic Supply, Diaphragm, Posterior Abdominal Wall Muscles, Lumbar Plexus
Where is appendix located internally?
Stems from cecum; suspended by mesoappendix
Where is appendix located on surface anatomy?
McBurney’s Point: 1/3 of the way between anterior superior iliac spine (ASIS) and umbilicus (closer to ASIS)
What lies between ascending and transverse colon?
Hepatic flexure (turn)
What lies between transverse and descending colon?
Splenic flexure
What suspends sigmoid colon?
Sigmoid mesocolon
What are the 6 components of large intestine?
- Cecum
- Ascending colon
- Transverse colon
- Descending colon
- Sigmoid colon
- Rectum
What vessels contribute to portal vein?
- Superior mesenteric vein (converges into portal vein)
- Inferior mesenteric vein (converges into splenic vein)
- Splenic vein (converges into portal vein)
What are 3 features of large intestine?
- Taenia coli: 3 smooth muscle bands (120* apart) spanning the large intestine
- Haustra: bulging pouches
- Semilunar folds: separate haustra internally
What forms haustra of large intestine?
Taenia coli shorter than intestine; causing sacculation (formation of haustra)
How does food move along large intestine?
Smooth muscle contracts and pushes food from one haustra to the next
What is proper name for bile system?
Biliary system
What is the course of bile (10 steps)?
- Made in liver
- Right and left hepatic ducts
- Common hepatic duct
- Cystic duct
- Gall bladder
- Cystic duct
- Common gall duct
- Pancreatic duct
- Greater duodenal papilla
- Descending duodenum
What supplies blood to gall bladder?
Cystic artery (branching from right branch of proper hepatic artery)
What are the 4 lobes of liver?
- Left
- Right
- Quadrate (inferior: between gall bladder, falciform ligament, porta hepatis)
- Caudate (superior: between superior vena cava, falciform ligament, porta hepatis)
What is hepatic triad?
Contents of hepatoduodenal ligament:
- Common gall duct
- Portal vein
- Proper hepatic artery
Where is bare area of liver?
Space between coronary (superior/inferior boarders) and triangular (medial/lateral boarders) ligaments
What separates the left and right lobes of liver?
- Quadrate lobe (superiorly)
2. Caudate lobe (inferiorly)
What is the fissure of liver? What occurs there?
Porta hepatis; hepatoduodenal ligament attaches; hepatic triad enters liver here; proper hepatic artery, portal vein, common gall duct
What structures could obstruct portal vein?
- Pancreatic head tumor
2. Hepatic disease (most frequently alcohol-induced cirrhosis)
What is a symptom of portal vein obstruction?
Splenic enlargement: splenic vein cannot dump into portal vein
What structures could obstruct splenic vein?
- Space-taking lesion of left adrenal gland
2. Space-taking lesion of left kidney
What features of portal venous system permit collateral channels around portal obstruction?
The tributaries to the portal vein are valve-less and thus permit backflow
What are the 5 components of adrenal glands?
- Cortex
- Medulla
- Pelvis
- Major calicle
- Minor calicle
Where are adrenal glands located?
Superior pole of kidneys