Lecture 15: Accessory Digestive Organs, Topography, & Blood Supply (Exam 2) Flashcards

1
Q

Fill out the chart on the topography of the listed organs:

A
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2
Q

Do equine have a gallbladder

A

NO

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3
Q

Fill out the chart

A
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4
Q

What is a difference of the liver in equine

A

It does NOT extend to the abdominal floor like in dogs

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5
Q

Label the following

A
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6
Q

Label the following:

A
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7
Q

Label the following:

A
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8
Q

Label the following:

A
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9
Q

What is the yellow arrow pointing to

A

Epiploic foramen (opening into the omental bursa

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10
Q

What is the epiploic foramen opening into

A

The omental bursa

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11
Q

What is the epiploic foramen bounded by? What can become entrapped @ the epiploic foramen

A
  • Dorsally - caudal vena cava & caudate lobe of the liver
  • Ventrally - Hepatic portal vein & pancreas
  • The small intestine (the ileum or the ileum + jejunum
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12
Q

Label the following

A
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13
Q

Label the following (1,2,6’, 6”, 9, & 10):

A
  • 1: Spleen
  • 2: Fundus of stomach
  • 6’: Cranial duodenal flexure duodenum
  • 6”: Descending duodenum
  • 9: Body of the pancreas
  • 10: Hepatic portal vein
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14
Q

Where is the pancreas found

A
  • Largely to the right of the median plain
  • Pressed against the dorsal wall of the abdomen
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15
Q

Describe how the parts of the pancreas connect to the rest of the GI organs

A
  • The body extends into the cranial duodenal flexure
  • Right lobe contacts to the descending duodenum
  • Left lobe extends toward the left kidney, contacts spleen, & fundus of the stomach
  • Forms a ring (anulus) around the hepatic portal vein
  • Ventral surface is directly bound to the right dorsal colon & cecal base, the dorsal surface to the right kidney & liver
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16
Q

Where is the bulk of the liver found

A

Located to the right of the median plane

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17
Q

What rib/IC space is the point of the elbow aligned w/

A

4th rib/IC space

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18
Q

What can be used to the determine the location of the 6th rib/ICS

A

Caudal edge of the triceps brachii m.

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19
Q

Where is a liver biopsy performed

A
  • On the right side of the horse
  • Btw/ the 12th & 14th ICS
20
Q

What structures will the liver biopsy needle pass through

A
  • skin
  • Intercostal m
  • Costal pleura
  • pleural cavity
  • Diaphragmatic pleura
  • Diaphragm
  • Peritoneal cavity
  • Liver
21
Q

What other organs can be punctured if a liver biopsy is not placed right

A
  • Lung
  • Duodenum
  • Kidney
22
Q

When does a biopsy need to be repeated

A

If it contains intestinal contents

23
Q

Label the following

A
  • 2: Stomach
  • 3: liver
  • 4: Spleen
24
Q

Describe the spleen found in equine

A
  • Under cover of the ribs (caudal most corner can be found in the flank)
  • Parietal surface lies against the internal aspect of the diaphragm
  • Sickle-shaped
25
Q

How does the greater curvature of the stomach connect to the spleen in equine

A

By the gastrosplenic ligament

26
Q

Label the following Parts of the spleen

27
Q

What ligament extends from the left kidney to the spleen

A

Nephrosplenic lig.

28
Q

Label the yellow star (caudal view)

A

Nephrosplenic lig

29
Q

Why is the nephrosplenic lig important

A
  • Can be a sight of entrapment
  • Large colon can become entrapped
30
Q

Label the following

A
  • A: celiac artery
  • B: Cranial mesenteric artery
  • C: Caudal mesenteric artery
31
Q

What arteries supply the unpaired organs in the horse

A
  • Celiac a.
  • Cranial mesenteric a.
  • Caudal mesenteric a.
32
Q

What artery supplies the cranial abdominal organs

33
Q

What artery supplies the distal portion of the descending duodenum through the proximal part of the descending colon

A

Cranial mesenteric artery

34
Q

What artery supplies the distal (aboral) part of the descending colon & proximal (oral) part of the rectum

A

Caudal mesenteric artery

35
Q

Label the following:

36
Q

What are the branches of the caudal mesenteric a

37
Q

What are the branches of the cranial mesenteric a & what do they supply

38
Q

What are the branches of the celiac a & what do they supply

39
Q

Label the following:

40
Q

Label the following dog mesenteric arteries for review

41
Q

What is a difference of the blood supply in the GI tract of equine (compared to dogs)

A
  • The right colic & middle colic arteries usually come from a common trunk
  • Ileocolic a. is “on its own” doesn’t come from the same trunk as the right & middle colic
42
Q

Label the following

43
Q

Label the following

44
Q

Label the following

45
Q

Describe rectal palpation of the abdomen

A
  • Only palpable part is the caudal part of spleen
  • Use the root of the mesentery @ the level of the 1st lumbar vertebra as a reference point
  • Structures cranial to the root of the mesentery are out of reach
  • Structures caudal to the root of the mesentery are w/in reach
  • Impt to understand that palpable structures will always vary w/ the size of the animal & the length of the vets arm