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AnatomyEx2 > GIT- Witwer > Flashcards

GIT- Witwer Flashcards

1
Q

Painful jaundice is….

A

obstruction at the bile duct

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2
Q

Painless jaundice is…

A

cancer

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3
Q

The ligament of trites is located where?

A

LUQ

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4
Q

This connects the common bile duct to the pancreatic duct

A

Ampulla of vater

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5
Q

This is important structure in determining an upper vs lower GI bleed?

A

ligament of tritez

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6
Q

foregut, midgut or hindgut?

Esophagus; Fundus,
Body, and Antrum of Stomach, Pylorus, Duodenal bulb and Proximal Descending Duodenum.

A

Basically first part stopping at the first part of the duodenum

Foregut

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7
Q

foregut, midgut or hindgut?

Distal Descending Duodenum, Transverse Duodenum, and Ascending Duodenum, Jejunum, Ileum, Cecum, Ascending and Proximal Transverse Colon.

A

midgut

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8
Q

foregut, midgut or hindgut?

Distal Transverse Colon, Descending Colon, Sigmoid Colon, And Rectum

A

hindgut (starting at transverse colon)

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9
Q

Abnormal rotation and fixation of the foregut leads to what in embryo development?

A

Midgut volvulus

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10
Q

The foregut rotates _______ whereas the midgut rotates ________

A
  • clockwise (think of the curve of the stomach)

- counterclockwise

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11
Q

What are the retroperitoneal organs?

A

SAD PUCKER

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12
Q

If you are missing the ligament of treitz, what could happen?

A

-can have a midgut rotation and subsequent volvulus (cut off blood supply)

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13
Q

Bilious vomiting is a sign for what clinical concern?

A

midgut volvulus

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14
Q

Bile is a ____ __________

A

fat emulsifier

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15
Q

This is the most common congenital defect of the GT tract and it is an outpouching or bulge in the lower part of the small intestine and is leftover umbilical cord

A

Meckel’s diverticulum

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16
Q

Where is douglas pouch located and where is morisons pouch located?

A

Douglas- behind uterus and rectum

Morrison’s- right hepatorenal space

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17
Q

You should never transect clamp which duct because it is too thin and will break?

A

common bile duct

18
Q

The most common hernia is the

A

inguinal hernia

19
Q

What type of hernia is direct weakness in the anterior abdominal wall?

A

direct hernia

hasselbach’s triangle

20
Q

This type of hernia projects through the inguinal ring

A

Indirect hernia

21
Q

The abdominal GIT has ______ innervation via the ______ nerve

A

PSNS, vagus

22
Q

The abdominal GIT has _______ innervation via the sphlancic n

A

SNS
Sympa = S
Splanchnic = S

23
Q

This nerve stimulates secretion and acid in the stomach?

A

Vagus n

24
Q

Is it bad to damage a sphlanic n?

A

No

25
Q

This artery supplies the foregut in abdomen – esophagus to proximal duodenum inferior to major duodenal papilla

A

The celiac artery (L1)

26
Q

The celiac artery and the superior mesenteric artery are at the level of L ___

A

L1

27
Q

This artery supplies the supplies the midgut – Duodenum distal to the major papilla to the proximal 2/3 of transverse colon

A

superior mesenteric artery (lower L1)

28
Q

This artery supplies the hindgut- distal 1/3 of transverse colon to the superior part of rectum

A

Inferior mesenteric artery (L3)

29
Q

The inferior mesenteric artery is at the level of L ___

A

L3

30
Q

Significance of the arcade of drummond?

A

It supplies the descending colon of the large intestine with blood . It connects the superior mesenteric artery to the inferior mesenteric artery

31
Q

If you block the _______ artery you can end up with ischemic bowel

A

mesenteric artery

32
Q

All venous drainage from the Gi tract passes through the _____

A

liver

33
Q

What dermatome is the transpyloric plane? What structures are around there?

A

*in between nipples and umbilicus
L1 - celiac artery, superior mesenteric artery

  • portal vein here
  • pancreas
  • duodenum
  • kidneys
  • gallbladder
34
Q

Signifcance of the spinchter of oddi?

A

The sphincter of Oddi refers to the smooth muscle that surrounds the end portion of the common bile duct and pancreatic duct. This muscle relaxes during a meal to allow bile and pancreatic juice to flow into the intestine.

35
Q

What is at the level of the subcostal plane?

A

Inferior mesenteric artery (L3)

-right above unbilicus

36
Q

This plane and corresponding dermatome is between the superior iliac crests and at the bifurcation of the aorta

A
  • right at and slightly above umbilicus

- L4 (supracristal plane)

37
Q

This type of pain is cramping, burning or gnawing and is nondescript meaning you can’t pin it

A

visceral

38
Q

This type of pain is more intense and more precisely localized (ex. McBurney’s point in appendicitis) and is aggrivated by moving and coughing

A

Somatoparietal

39
Q

This type of pain is remote from the diseased organ

A

Referred pain

40
Q

Appendicitis is referred pain to where?

A

T10 umbilicus

41
Q

This pain is referred to as colicky type of pain that comes and goes

A

appendicitis

AnatomyEx2 (5 decks)

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