Large Intestine Flashcards
___ refers to three thickened bands of muscles
Taenia coli
Fatty tags is called ___
appendices epiploicae
What is the length of the transverse colon?
15 inches
What is the length of the sigmoid colon?
10-15 inches
What is the length of the descending colon?
10inches
What is the length of the rectum?
5 inches
What is the length of the ascending colon?
5 inches
What is the length of the anal colon?
4cm
The cecum lies in the ___ fossa
right iliac fossa
Which part of the large intestine with no mesentery?
cecum
What is the arterial supply of the cecum
Anterior/posterior cecal artery from SMA
Drains to the SMV
[Appendix]
what is the short triangular mesentery found in the appendix?
Mesoappendix
the base of the appendix is attached posteromedial of cecum aroung ___ inch below the ileocecal junction
1 inches
The mcburney point is located ___
1/3 of the way up the line joining the right ASIS to the umbilcus
What is the arterial supply of the appndix?
- Appendicular atery from ileocolic
The appendicular vein drains to ___
posterior cecal vein to SMV
Most common cause of appendicitis is adults
fecalith
Most common cause of appendicitis in children
hyperplasia of lymphatic tissue
In appendicitis, this corresponds to the irritated parietal peritoneum that is localized over the base of the appendix
McBurney point
What nerve may be injured in appendectomy
Iliohypogastric nerve
due to weakening of anterior abdominal wall
[Ascending colon]
What is the arterial supply of the ascending colon?
- Ileocolic
- right colic artery
both from SMA
[Ascending colon]
What vein drains the ascending colin?
- Ileocolic
- Right colic vein
both drain to the SMV
What is the longest, largest and most mobile portion of the colon?
Transverse colon
What is the arterial supply of the transverse colon?
- Middle colic A from SMA
- Right colic from SMA
- Left colic from IMA
What is the venous drainage of the transverse colon?
- Superior MV
2. Inferior MV
The descending colon passes ___ (peritoneally/retroperitoneally) from the L colic flexure to the L iliac fossa
retroperitoneal
What is the arterial supply of the descending colin?
- Left colic A
- Sigmoid A
both from the IMV
What vein drains the descending colon?
IMV
What artery provides collateral circulation if the IMA supplying the transverse colon is transected?
Middle colic artery
The sigmoid colon extends from the iliac fossa to the ___ sacral vertebra
3rd sacral vertebra
In males, what lies anterior to the sigmoid colon?
Urinary bladder
In females, what lies anterior to the sigmoid colin?
Uterus and vagina
The sigmoid artery supplies the sigmoid. It is a branch of?
IMA
What is the venous drainage of the sigmoid?
IMV
[diagnosis]
left sided colicky pain, abdominal distenstion, hematochezia
Sigmoid volvulus
What is the arterial supply of the ascending and transverse colons?
SMA
parasympathetic from vagus
What is the arterial supply of the descending and sigmoid colon?
IMA
parasympathetic fibers from the pelvic splanchnic nerve from S2 to S4
Sympathetic and parasympathetic supply of
foregut
P: Vagus
S: T5 to T9
Sympathetic and parasympathetic supply of midgut
P: Vagus
S: T5 to T12
Sympathetic and parasympathetic supply of hindgut
P: pelvic splanchnic from S2 to S4
S: T11 to L2
Pain originating from the foregut is perceived in the ___
epigastric area
Pain originating from the midgut is perceived in the ___
periumbilical region
Pain originating from the hindgut is perceived in the ___
hypogastric area
What compose pre-aortic lymph node
- Celiac
- Superior Mesenteric
- Inferior Mesenteric
The para-aortic LN are composed of
- Kidneys
- Suprarenal
- Gonads
Paraaortic = R/L lateral aortic = lumbar
The superficial inguinal nodes drain these structures
- Perineum
- Genitalia
- Anal canal BELOW THE PECTINATE LINE