hollow organ 2 Flashcards

1
Q

bagian penting pada diafragma

A

1.Crura: Right crus is larger and longer than the Left
crus. Right crus originate from vertebrae L1 to L3
(the left one originates from L1 to L2). Right crus
splits to enclose the esophagus
2.Medial Arcuate Ligament (Medial Lumbocostal
Arch): Extends from the body of L1 to the
transverse process of L1 and passes over the
psoas muscle and the sympathetic trunk
3.Lateral Arcuate Ligament (Lateral Lumbocostal
Arch): Extends from the transverse process of L1
to rib 12 and passes over the quadratus lumborum

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2
Q

letak diafragma

A

Arises from the xiphoid process (sternal part), lower six
costal cartilages (costal part), medial and lateral
lumbocostal arches (lumbar part), vertebrae L1 to L3 for
the right crus, and vertebrae L1 to L2 for the left crus

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3
Q

struktur pada diafragma

A

1.Vena Caval Hiatus (Vena Caval Foramen): Lies in
the central tendon of the diaphragm at the level of
T8 and transmits the IVC and occasionally the right
phrenic nerve
2.Esophageal Hiatus: Lies in the muscular part of the
diaphragm (right crus) at the level of T10 and
transmits the esophagus, anterior and posterior
vagal trunk, esophageal trunk of left gastric vessel
3.Aortic Hiatus: Lies behind or between two crura at
the level of T12 and transmits the aorta, thoracic
duct

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4
Q

jalannya vena azygos, hemiazygos dan vena sphlanica

A

Azygos vein and Right Greater Sphlancnic
nerve enter the abdomen through the split
between medial and intermediate part of the
right crus, while Hemiazygos vein and Left
Greater Sphlancnic nerve through the split
between medial and intermediate part of the
left crus.
Sympathetic trunk enter the abdomen through
the split between the intermediate and lateral
part of the left and right crus.

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5
Q

hollow organ terdiri dari

A

esofagus, gaster, intestinum crassum, intestinum tenue.

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6
Q

letak esofagus

A
• Lies to the left of the
midline
• Enters the abdomen through
the esophageal aperture
(T10)
• Ends at the
GASTROESOPHAGEAL
JUNCTION/CARDIAC
ORIFICE of the stomach (40
cm from the incisor teeth)
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7
Q

fungsi esofagus

A

• Conduct food from the

pharynx into the stomach

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8
Q

hubungan esofagus dengan organ lain

A
• Posterior to the left
lobe of the liver
• Anterior to:
– The left crus
– The left inferior
phrenic artery
– The left greater
splanchnic nerve
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9
Q

arteri esofagus

A
• Arteries:
– Left gastric artery (Esophageal
branches)
– Additional supply:
*Left inferior phrenic artery
*Upper short gastric arteries
*Esophageal branches of the thoracic
aorta
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10
Q

vena esofagus

A

– Drain via plexuses to:

  • Left gastric vein
  • Upper short gastric vein
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11
Q

nerve esofagus

A
• Nerve supply:
– Parasympathetic fibers
(n. X)
– Sympathetic fibers
(T5-T12)
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12
Q

lokasi gaster

A
• Between the esophagus
and the duodenum
• In the upper abdomen,
lying in the left
hypochondriac,
epigastric, and umbilical
region
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13
Q

fungsi gaster

A
  1. Storage of food
  2. Mixes the food with gastric secretion
     chyme
  3. Controls the rate of delivery of chyme
    to the small intestine
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14
Q

bagian gaster

A
• Fundus:
– upward and to the left of
cardiac orifice (incisura
cardiaca)
• Body (Corpus):
– From cardiac orifice 
incisura angularis
• Pyloric antrum:
• Pylorus:
– Pyloric sphincter
– Pyloric canal
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15
Q

struktur pada gaster

A

Mucous membrane 

Folds/Rugae

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16
Q

muscle gaster

A

• Longitudinal Fibers
• Circular Fibers 
Pyloric Sphincter
• Oblique Fibers

17
Q

hubungan gaster dengan organ lain

A
• Anteriorly:
– The anterior
abdominal wall
– The diaphragm
– The left lobe of the
liver
– The left costal margin
• Posteriorly:
– Lesser sac
– Diaphragm
– Spleen
– Left suprarenal gland
– Upper part of the left
kidney
– Splenic artery
– Pancreas
– Transverse mesocolon
– Transverse colon
18
Q

arteri gaster

A
• Ateries:
– Left gastric artery
– Right gastric artery
– Short gastric
arteries
– Left gastroepiploic
artery
– Right gastroepiploic
artery
19
Q

vena gaster

A

Veins:
– Drain into the portal
circulation

20
Q

nerve gaster

A
• Celiac sympathetic
plexus
• Right & left vagus
nerve (posterior &
anterior vagal
trunk)
21
Q

pembagian intestine

A
Small Intestine:
a. DUODENUM
b. JEJUNUM
c. ILEUM
Large Intestine:
a. CAECUM
b. APPENDIX
c. ASCENDING COLON
d. TRANSVERSE COLON
e. DESCENDING COLON
f. SIGMOID COLON
g. RECTUM
22
Q

arteri intestinum crassum

A
• Branches of Gastroduodenal
artery
• supraduodenal artery
• superior pancreaticoduodenal
artery
• Branches of Superior
Mesenteric artery
– inferior pancreaticoduodenal
artery
– Jejunal arteries
– Ileal arteries
– Ileocolic artery
• Arcades
23
Q

arteri intestinum tenue

A
• Superior Mesenteric artery
– Ileocolic artery
• Colic branches
• Ileal branches
• Appendicular artery
• Anterior Cecal artery
• Posterior Cecal artery
– Right Colic artery
– Middle Colic artery
• Inferior Mesenteric artery
– Left Colic artery
– Sigmoid arteries
– Superior Rectal artery
• MARGINAL ARTERY
24
Q

pembagian duodenum

A
C shaped
Parts of Duodenum:
• 1
st part (Cranial part)
– Intraperitoneal
– Plain radiograph
DUODENAL CAP
• 2
nd part (Descending
part)
– Major duodenal papilla
(Vater)
– Minor duodenal papilla
• 3
rd part (Horizontal part)
• 4
th part (Ascending part)
– Ligament of Treitz
(Suspensory muscle)
25
Q

arteri duodenum

A
• Supraduodenal artery
• Superior
Pancreaticoduodenal
artery
• Inferior
Pancreticoduodenal
Arcades
26
Q

arteri caecum

A
ILEOCOLIC BRANCHES:
ANTERIOR CECAL
BRANCHES
POSTERIOR CECAL
BRANCHES
27
Q

struktur pada appendix

A
  • Intraperitoneal (has
    mesoappendix /
    mesenteriolum)
28
Q

pembagian colon

A
• Ascending Colon:
– Retroperitoneal
• Transverse Colon:
– Intraperitoneal
– Transverse Mesocolon
– Root of Transverse Mesocolon
• Descending Colon:
– Retroperitoneal
• Sigmoid Colon:
– Intraperitoneal
– Mesosigmoid
– Root of Mesosigmoid
– Intersigmoid Recess
29
Q

portal circulation

A
PORTAL VEIN:
Receives blood from:
1. Superior Mesenteric vein
2. Splenic vein
3. Right & Left Gastric vein
4. Cystic vein
5. Paraumbilical vein
Portal systemic anastomoses
1. Gastroesophageal
2. Anorectal
3. Paraumbilical
4. Retroperitoneal