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M: DS > Lecture 18 > Flashcards

Lecture 18 Flashcards

1
Q

What kind of glandular organ is the pancreas?

A

Exo and endocrine

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2
Q

What are the three regions of the pancreas?

A

Head, neck, body

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3
Q

Where is the head of the pancreas situated?

A

In concavity of the second part of the duodenum

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4
Q

What is the uncinate process?

A

Continuation which wraps behind the superior mesenteric vessels.

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5
Q

Describe the neck of the pancreas. Where is it situated?

A

Narrow area from head to body. Lies anterior to SM vessel origins

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6
Q

What is the position of the body of the pancreas?

A

Passes across to the left and superiorly. Hooks to where spleen is.

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7
Q

Where does the tail of the pancreas pass? What is it in contact with?

A

Passes into lienorenal ligament and in contact with hilus of spleen

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8
Q

How would you describe the pancreas in relation to peritoneum?

A

Secondary retroperitoneal

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9
Q

What structures are anterior to the pancreas?

A

Transverse colon, stomach

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10
Q

What structures are posterior to the pancreas?

A

Bile duct, portal vein, splenic vein, IVC, aorta, superior mesenteric artery, L psoas, L supra-renal gland, L kidney, spleen

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11
Q

What is the pathway of the main duct of the pancreas?

A

From tail to ampulla of Vater (joined by bile duct) and enters the descending duodenum via the sphincter of Oddi (major duodenal papilla)

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12
Q

If the accessory duct is present what does it drain into?

A

Upper part of head and into duodenum (not at ampulla of Vater) at minor duodenal papilla

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13
Q

What is the arterial supply of the pancreas

A

Coeliac origin

  • Common hepatic - Gastroduodenal - Superior pancreatoduodenal
  • Splenic - Dorsal pancreatic and Greater pancreatic

Superior mesenteric - Inferior pancreatoduodenal

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14
Q

What is the venous drainage of the pancreas?

A

Blood will flow back to the portal vein regardless of artery origin back through splenic or SMV into liver, into IVC

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15
Q

Describe the lymphatics of the pancreas

A

Majority of lymph: Coeliac nodes

SM nodes

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16
Q

What is the autonomic nervous system supply of the pancreas?

A

Mostly coeliac (SM) plexi

  • Greater and lesser splanchnic
  • Vagus [X]
17
Q

Where is pain in the pancreas referred to?

A

Epigastric region

18
Q

What are the functions of the spleen?

A

Filters and recycles blood and supports immune system

19
Q

Where does the spleen lie?

A

Inferior to ribs 9-11 in the left hypochondrium posterior to the stomach

20
Q

What are the two ligaments of the spleen?

A

Gastrosplenic ligament

Splenorenal ligament

21
Q

What are the two ligaments of the spleen remnants of?

A

Dorsal mesogastrium

22
Q

What does the gastrosplenic ligament carry?

A

Short gastric and gastro-epiploic vessels

23
Q

What does the splenorenal ligament carry?

A

Splenic vessels and tail of pancreas

24
Q

What is anterior to the spleen?

A

Tail of pancreas
Left colic flexure
Stomach

25
Q

What is posterior to the spleen?

A

Left kidney

Ribs 9-11

26
Q

What is the arterial supply of the spleen?

A

Splenic artery from coeliac axis

27
Q

What is the venous drainage of the spleen?

A

Splenic vein into portal vein

28
Q

Where does lymph in the spleen drain to?

A

Coeliac nodes at T12

29
Q

What is the nerve supply of the spleen?

A

Coeliac plexus at T12

  • Vagus [X]
  • Greater splanchnic (T5-9)
30
Q

Where does pain from the spleen get referred to?

A

Epigastric region

31
Q

The transpyloric plane is midway between … ?

A

Suprasternal notch and pubic symphysis

32
Q

What structures are on the transpyloric plane?

A 
Pyloric region of stomach
1st part of duodenum
Fundus of gallbladder
Hila of kidneys
Hilum of spleen
Neck of pancreas
Transverse mesocolon origin and colic flexures
SMA origin
Portal vein origin
Tip of 9th costal cartilage
End of spinal cord

M: DS (29 decks)

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