(first midterm) Lecture 2 (4.6.16) PT. 1 Flashcards
Where does the midgut end?
Where large intestine starts to go downward (descending colon)
left colic flexure
Parasympathetic nerve of the midgut:
Vagus (X)
According to Sumida, why don’t you want to lose your greater omentum?
The transverse colon is attached to it; keep the colon from “slumping down”
What makes up the hindgut?
Descending colon
Sigmoid colon
(through to) Rectum
Hindgut…
Sympathetic innervation:
Lesser and Least Splanchnic nn. & Lumbar splanchnics (T10-L2)
Hindgut…
Where does the sympathetic innervation synapse?
Inferior mesenteric ganglion
Hindgut…
Parasympathetic innervation:
Sacral outflow (S2-4)
Hindgut…
Arterial supply:
Inferior Mesenteric Artery and its branches
Hindgut…
Venous drainage:
Inferior Mesenteric Vein and its tributaries
When we have a system with capillary beds at BOTH ends, it is called….
a portal system
What is the system called that contains capillary beds in the large intestine connecting to the capillary beds in the liver?
hepatic portal system
The hepatic portal system draining the abdominal region has 3 major vessels:
Splenic
Superior mesenteric vein
Inferior mesenteric vein
The splenic, superior mesenteric vein, and inferior mesenteric vein are considered ________, NOT branches.
tributaries
What do tributaries do?
they act as “rivers” by dumping into something bigger
Hindgut…
Unpaired branch of abdominal aorta:
Inferior mesenteric artery
Hindgut…
Unpaired tributary of hepatic portal vein:
Inferior mesenteric vein
Hindgut…
Sympathetic nerve:
Lumbar Splanchnics
Lesser and Least Splanchnic Nerves
Hindgut…
Sympathetic nerve segmental levels:
L1-2
Hindgut…
Sympathetic Ganglion:
Inferior mesenteric ganglion
Inferior mesenteric plexus
Hindgut…
Parasympathetic nerve:
Pelvic outflow (S2-4) via pelvic splanchnic nerves
What is it called when the organs are surrounded by visceral peritoneum?
Intraperitoneal
What is it called when a structure is between peritoneum on one surface and the body wall on the other?
Retroperitoneal
Difference between Primarily Retroperitoneal and Secondarily Retroperitoneal?
Primarily - starts that way
Secondarily - gets pushed and becomes that way after the fact
These are primarily retroperitoneal:
Aorta
Kidneys
Vena cava
Other small veins
These are secondarily retroperitoneal:
Duodenum
Pancreas
Some “bits” of the liver
Metabolism:
all chemical reactions that occur in the body
Anabolism:
combining smaller molecules into larger ones
Catabolism:
breaking large molecules into smaller ones with release of energy