Foregut Flashcards
Where does blood from the stomach drain to
hepatic portal
what allows for communication between the greater and lesser sacs
epiploic foramen
what gives the stomach its smooth, shiny external appearance
serosa covering
Name the layers of the stomach (outer to inner)
serosa
muscularis externa (outer longitudinal, middle circular, inner oblique)
submucosa
mucosa
at what level does the pyloric valve meet the duodenum
L1
what structure lie posterior to the stomach
lesser sac, pancreas, spleen, left kidney
which branch of the coeliac axis is the smallest
left gastric artery
which branch is the largest of the coeliac axis
splenic artery
is the right common hepatic artery a branch of the coeliac axis
No, it is a branch the common hepatic artery (which itself is a branch of the coeliac axis)
Blood supply of lesser curvature
left and right gastric arteries
blood supply to fundus
short gastric arteries
(from splenic)
blood supply of greater curvature
gastro-omental arteries
name the lymph nodes of the stomach
pre-aortic coeliac, cardiac ring, gastro-omental, gastric, pyloric, pancreaticoduodenal, pancreaticosplenic
where does the hepatopancreatic duct open into
major duodenal papilla
relations of 1st part of duodenum
liver
relations of 2nd part of duodenum
right kidney and head of pancreas
relations of 3rd part of duodenum
inferior to SM vessels
relations of 4th part of duodenum
joins jejunum at root of mesentery
which part of the duodenum is supplied by the superior pancreaticoduodenal artery
proximal
what is the inferior pancreticoduodenal artery a branch of
superior mesenteric artery
what nerves supply sympathetic fibres to the duodenum
Greater and lesser splanchnic nerves
proximal duodenal lymph drainage
to pancreaticoduodenal, gastroduodenal and pyloric nodes
then to pre-aortic coeliac nodes T12
distal duodenum lymph drainage
pancreaticoduodenal to pre-aortic superior mesenteric nodes L1
where does the caudate lobe of the liver sit
between IVC and left lobe
where is the quadrate lobe of the liver found
between the left lobe and gall bladder
Give the surface marking of the gall bladder
right costal cartilage and mid-clavicular line
how long is the bile duct
8cm
what muscle does the pancreas sit anteriorly to
psoas muscle
detail the dual supply of the pancreas
superior pancreaticoduodenal and inferior pancreaticoduodenal arteries
also dorsal pancreatic arteries from splenic artery
venous drainage of pancreas
to splenic or superior mesenteric veins
then the portal system
what ribs protect the spleen
ribs 9-11
Describe the lymphatic drainage of the spleen
to pancreaticosplenic nodes then coeliac
