Foregut (spleen and pancreas)

Question 1

what are the 4 parts of the pancreas

Answer 1

head
neck
body
tail

Question 2

where does the head of the pancreas lie

Answer 2

in concavity of the duodenum

Question 3

the uncinate process of the pancreas lies where

Answer 3

posterior to the superior mesenteric vessels

Question 4

where does the neck of the pancreas lie

Answer 4

anterior to origin of superior mesenteric artery

Question 5

where does the body of the pancreas lie

Answer 5

passes laterally and superiorly to left

Question 6

where does the tail of the pancreas lie

Answer 6

passes in lienorenal ligament and into contact with hilar surface of spleen

Question 7

the pancreas is ___peritoneal

Answer 7

retroperitoneal

Question 8

what are the relations of the anterior surface of the pancreas

Answer 8

transverse colon
stomach

Question 9

what are the relations of the posterior surface of the pancreas

Answer 9

bile duct
portal vein
splenic vein
IVC
aorta
superior mesenteric artery
Left psoas
left suprarenal gland
left kidney
spleen

Question 10

the main duct draining exocrine secretions of the pancreas goes from where to where

Answer 10

from tail to ampulla of Vater in 2nd part of duodenum

Question 11

if an accessory pancreatic duct exists, it will open where

Answer 11

into 2nd part of duodenum, at a site superior to the ampulla

Question 12

what is the arterial supply of the pancreas

Answer 12

dorsal pancreatic artery and branches
superior and inferior pancreaticoduodenal arteries

Question 13

the dorsal pancreatic artery comes from

Answer 13

splenic artery

Question 14

the superior pancreaticoduodenal artery comes from

Answer 14

gastroduodenal artery

Question 15

the inferior pancreaticoduodenal artery comes from

Answer 15

superior mesenteric

Question 16

pancreatic veins drain where

Answer 16

into splenic or superior mesenteric veins and from there to the portal system

Question 17

lymph from the pancreas drains to where

Answer 17

local nodes then then to pre-aortic nodes at T12 (coeliac) and L1 (superior mesenteric)

Question 18

pain from the pancreas is referred where

Answer 18

epigastric region

Question 19

autonomic nerves of the pancreas are from where

Answer 19

coeliac plexus and superior mesenteric plexus

Question 20

true/false
the spleen is the largest single mass of lymphoid tissue in the body

Answer 20

true

Question 21

where does the spleen lie

Answer 21

inferior to ribs 9-11 in the left hypochondrium

Question 22

the spleen lies ____ to the stomach

Answer 22

posterior

Question 23

spleen is very similiar size to kideny - how is the spleen differentiated from the kidney

Answer 23

hilum of spleen doesnt have a ureter

Question 24

what carries short gastric and gastro-epiploic vessels

Answer 24

gastro-splenic ligament

Question 25

do the splenic artery and vein always pass into/out of hilum of spleen

Answer 25

usually but some variations - some vessels may pass into an upper or lower pole of the spleen

Question 26

what does the lienorenal ligament to left kidney carry

Answer 26

splenic artery and vein

Question 27

hilum of spleen is in contact with what

Answer 27

tail of pancreas

Question 28

what is the largest branch of the coeliac axis

Answer 28

splenic

Question 29

the splenic artery passes along where to reach hilum of spleen

Answer 29

along superior surface of pancreas

Question 30

describe the course of the splenic vein

Answer 30

exits the hilum and passes immediately posterior to the pancreas - joints with superior mesenteric vein to form portal vein

Question 31

what 2 vessels form the portal vein

Answer 31

splenic vein and superior mesenteric

Question 32

where does the inferior mesenteric vein drain

Answer 32

into the splenic vein at some point prior to formation of portal vein

Question 33

nerves of spleen come from

Answer 33

coeliac plexus

Question 34

lymph from spleen drains

Answer 34

to pancreaticosplenic nodes then coeliac