GI6 Flashcards

1
Q

Site of anastomosis: Esophagus

  • Clinical sign
  • Portal <> Systemic
A

Esophageal varices

Left gastric <> Esophageal

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

Site of anastomosis: Umbilicus

  • Clinical sign
  • Portal <> Systemic
A

Caput medusae

BELOW umbilicus:
-Paraumbilical <> Superficial and Inferior epigastric
ABOVE umbilicus:
-Superior epigastric <> Lateral thoracic

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

Site of anastomosis: Rectum

  • Clinical sign
  • Portal <> Systemic
A

Internal hemorrhoids

Superior rectal <> middle and inferior rectal

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

What is the treatment for Portosystemic anastomoses?

A

Transjugular Intrahepatic Portosystemic Shunt (TIPS)
-Between portal vein and hepatic vein percutaneously relieves portal hypertension by shunting blood to the systemic circulation

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

What is the pectinate line?

A

Where endoderm (hindgut) meets ectoderm

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

Above or Below Pectinate line:

- Internal Hemorrhoids

A

Above

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

Above or Below Pectinate line:

- Squamous cell carcinoma

A

Below

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

Above or Below Pectinate line:

- External Hemorrhoids

A

Below

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

Above or Below Pectinate line:

- Adenocarcinoma

A

Above

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

What is the arterial supply above the pectinate line?

A

Superior rectal artery

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

What is the arterial supply below the pectinate line?

A

Inferior rectal artery

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

The superior rectal artery is a branch off of what?

A

IMA

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

The inferior rectal artery is a branch off of what?

A

Internal pudenal artery

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

Lymph drainage from Above pectinate line.

A

Deep nodes

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

Lymph drainage from Below pectinate line.

A

Superficial inguinal nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What hemorrhoids are painful?

A

External (recieve somatic innervation - inferior rectal branch of pudendal n.)

17
Q

What is the venous drainage from Above the pectinate line?

A

Superior Rectal v. –> Inferior Mesenteric v. –> Portal system

18
Q

What is the venous drainage from Below the pectinate line?

A

Inferior Rectal v. –> Internal Pudendal v. –> Internal Iliac v. –> IVC