Duodenum Flashcards

0
Q

C shaped tube around the head of the pancreas - 25cm long

A

Duodenum
Mucous membrane - thick
First part - smooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

First and shortest part of the small intestine, widest and most fixed part

A

Duodenum
- partially retroperitoneal
Begins: pylorus
Ends: duodenojejunal flexure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Circular folds in the duodenum

A

Plicae circulares

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Primary site for absorption of nutrients from ingested materials

A

Duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Parts of the duodenum

A

Superior
Descending
Horizontal
Ascending

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Part of the superior duodenum that has a mesentery and is mobile

A

First 2 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Part of the superior duodenum that has no mesentery, retroperitoneal and is immobile

A

Distal 3 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Duodenal cap

A

Ampulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Part of the duodenum that curves around the head of the pancreas - 7 to 10 cm. lies to the right and parallel to the IVC. Retroperitoneal

A

Descending part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bile and main pancreatic ducts unite to form

A

Hepatopancreatic ampulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hepatopancreatic ampulla opens on and eminence called

A

Major duodenal papilla of Vater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Accessory pancreatic duct opens into the

A

Minor duodenal papilla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Part of the duodenum that runs transversely to the left - pass over IVC, aorta and L3

A

Horizontal/ inferior part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Horizontal part of the duodenum is crossed over by what surfaces

A

SMVessels and root of mesentery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Horizontal part of the duodenum passes over what surfaces

A

IVC
Aorta
L3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Part of the duodenum that runs superiorly along the left side of aorta - 5cm

A

Ascending part

16
Q

Asc duodenum curves anteriorly to join the jejunum where

A

Duodenojejunal flexure

17
Q

Duodenojejunal flexure is supported by what ligament

A

Ligament of treitz

18
Q

Attachment of a suspensory muscle of duodenum

A

Ligament of treitz

19
Q

Contraction of this widens the duodenojejunal flexure therefore allowing movements of intestinal contenta

A

Ligament of treitz

20
Q

Blood supply of digestive tract: proximally, extending orad including abdominal part of esophagus

A

Celiac trunk

21
Q

Blood supply of digestive tract: distally, extending aborad to L colic flexure

A

SMA

22
Q

Anterior SUPERIOR pancreaticoduodenal artery is a branch of

A

Gastroduodenal a

23
Q

Anterior INFERIOR pancreaticoduodenal artery is a branch of

A

SMA

24
Q

Supplies duodenum PROXIMAL to entry of bile duct

A

Anterior SUPERIOR pancreaticoduodenal artery

25
Q

Supplies duodenum DISTAL to entry of bile duct

A

Anterior INFERIOR pancreaticoduodenal artery

26
Q

Blood supply of duodenum

A

Anterior and posterior of the superior and inferior pancreaticoduodenal artery

27
Q

Venous drainage of duodenum

A

Superior and inferior pncreaticoduodenal vein

28
Q

SUPERIOR pancreaticoduodenal vein drains to

A

Portal vein (direct drainage)

29
Q

INFERIOR pancreaticoduodenal vein drains to

A

SMV (indirect blood flow - SMV and splenic)

30
Q

Lymphatic drainage of duodenum

A

Ante LV - pancreaticoduodenal LN

Poste LV - SMV LN

31
Q

Efferent LV from duodenal LN drain into

A

Celiac LN

32
Q

Nerve supply of duodenum is derived from

A

Vagus
Greater and lesser splanchnic nerves
- by way of celiac and SM Plexus

33
Q

Erosion of duodenal mucosa

A

Duodenal ulcer

34
Q

65% of cases of ulcer occurs in what part of the duodenum

A

Superior part