G.I Anatomy Flashcards

1
Q

What separates the Subphrenic Recesses?

A

Falciform Ligament

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2
Q

What is another name for the Hepatorenal recess?

whats is its significant?

A

Morrison’s Pouch

If patient in supine position then fluid form the lesser sac will drain into this.

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3
Q

Blood supply to the pancreas

A

Head: branch of the gastroduodenal artery:
- anterior and posterior pancreatico-duodenal branches

Body: branch of splenic

great, inferior, dorsal splenic arteries

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4
Q

What structures do the large intestines lack in comparison to the small intestine?

A

Plica circularis

Villi

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5
Q

What features do the large intestines have that the small intestines lack?

A

Taeniae Coli

Haustra

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6
Q

What vessels that supply the stomach branch of the splenic?

A

Small gastric arteries - supply fundus

Left Gastric Epiploic artery

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7
Q

What is the other name for the Vater of Ampulla?

A

Hepto-Pancreatic Ampulla

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8
Q

What is the bilary tree pathways?

A

Bilary caniculi&raquo_space; intralobular ducts&raquo_space; Septal Bile ducts&raquo_space; Intraheptic ducts&raquo_space; right and left heptic ducts&raquo_space; Common heptic duct&raquo_space; Common bile duct&raquo_space; hepta- pancreatic ampulla

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9
Q

Where does the greater omentum start and What is the attachment?

A

Greater curvature of stomach and folds down and double backs on itself to attach to the anterior surface of transverse colon

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10
Q

What is the surface landmark of the gallbladder?

A

Right abdominal rectus lateral edge to the costal margin. Around the 9th intercostal space.

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11
Q

What is the surgical landmark defined by the cystic duct, cystic artery and I hepatic duct?

A

Calot triangle

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12
Q

What is the surgical manoeuvre that is done to prevent bleeding to the liver or bile duct? and why does it work?

A

Pringle’s Manoeuvre.

placing fingers through the epiploic foremen allows the anterior border of the lesser omentum which contains the hepatic triad:
- portal vein 
- Hepatic artery 
- bile duct 
to be pinched - preventing blood loss.
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13
Q

In what structure is the Hepatic triad found in?

A

Lesser Omentum

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14
Q

What constitutes the foregut?

A
From lower esophagus to major duodenal papilla . 
includes; 
- liver 
- spleen 
- Gallbladder 
- pancreas
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15
Q

What constitutes the mid gut?

A
Major duodenum papilla to 2/3rd across the transverse colon 
Includes:
- small intestines 
- appendices 
- ascending colon
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16
Q

What constitutes the hindgut?

A

distal 1/3rd colon to anal canal

17
Q

What passes through the inguinal canal?

A

Males - spermatic cord
Females - round ligament

ilio- ingiunal nerve

18
Q

What is the transplyoric plane? and what lies in it?

A

Plane that cuts through the plyorus of the stomach

Fundus of the gallbladder

Hilum of kidneys

1st part of the duodenum

Superior Mesenteric Artery

Route of transverse mesocolon

19
Q

What is the blood supply to the Greater omentum?

A

Gastro epiplyoric arteries

20
Q

Anatomically where is the spleen located?

A

left upper quadrant, ribs 9-11

21
Q

To which rib level does the liver rise to?

A

Inferior border of the 5th rib

22
Q

What is meant by the bare area of the liver?

A

An area not covered by peritoneum - direct contact with the diaphragm

23
Q

Where is the Gall bladder located?

A

Fossa formed by the right lobe and quadrate lobe of the liver

24
Q

How long is duodenum and what is its break down?

A

25cm

Superior: 5 cm
Descending: 7.5cm
Inferior: 10cm
Ascending: 2.5cm

25
What cells produce mucus in the small intestines (not including the duodenum)?
Goblet cells
26
How many muscle layers are there to the gallbladder and bile ducts and is there any peristalsis?
1 layer of smooth muscle. No peristalsis - this is why stones are so prevalent
27
Is ulcerative colitis throughout the colon mucosa?
Yes from caecum to anus.
28
How could Crohns disease be described?
Transmural - all the way through the layers of the G.I. anywhere from mouth to anus skips lesions as opposed to being continuous
29
Where does the Oesophagus start?
inferior constrictor at level of cricoid cartilage at C6
30
Where does the oesophagus enter the diaphragm?
Right crus, T10 level
31
Where does the transplyoric plane lie and what is in it?
Half way between sternal notch and upper borders of pubic synphysis Hilum of Kidneys Neck of pancreas SMA emerges
32
What does the left colic flexure sit on?
Spleen
33
Where does the right gastric artery originate?
Hepatic artery
34
What are the secretions of the G.I?
Salvia: 1.5L Gastric: 2.5L Bile: 500ml Pancreas: 1.5L Small intestines: 1L Colon: 1502L