Lesson 19 (Part 1)

Question 1

How does the esophagus travel?

Answer 1

Posteriorly to trachea and pierces through the diaphragm

Question 2

Where is the terminal esophagus?

Answer 2

Posterior to the left lobe of liver

Question 3

Where does the stomach join the esophagus?

Answer 3

Esophagogastric junction

- EGJ

Question 4

Where can you see the EGJ clearly?

Answer 4

By the proximal aorta

Question 5

Is the stomach intra or retroperitoneal?

Answer 5

Intraperitoneal

Question 6

Where is the stomach located?

Answer 6

Within left hypochondrium and epigastric regions

Question 7

What parts make up the stomach?

Answer 7

1. Cardiac
2. Fundus
3. Body
4. Pylorus

Question 8

What does the pyloric orifice do?

Answer 8

Communicates with the duodenum

Question 9

What are the 3 sections of small bowel?

Answer 9

1. Duodenum
2. Jejunum
3. Ileum

Question 10

What is the shortest part of the small intestines?

Answer 10

Duodenum

Question 11

Where does the duodenum extend?

Answer 11

From the stomach to the jejunum

Question 12

How many sections of the duodenum are there?

Answer 12

4

Question 13

What is the shape of the duodenum?

Answer 13

C shaped

Question 14

Is the jejunum intra or retroperitoneal?

Answer 14

Intraperitoneal

Question 15

Where is the jejunum located?

Answer 15

Occupies the umbilical and left iliac region

Question 16

Where is the ileum located?

Answer 16

Occupies the umbilical , hypogastric, right iliac and pelvic regions

Question 17

What is the largest part of the small intestines?

Answer 17

The ileum

Question 18

How does the ileum terminate?

Answer 18

By opening into the inner side of the origin of the large bowel
- terminal ileum

Question 19

Where does large bowl originate?

Answer 19

In the right inguinal region

Question 20

Where does the large intestines extend from?

Answer 20

The ilium to the anus

Question 21

What is the length and diameter of the large intestines compared to the small intestines?

Answer 21

The length is shorter but the diameter is larger

Question 22

What kind of appearance does the large intestines have?

Answer 22

Segmented appearance from the haustra

Question 23

What are the layer of the bowel? (5)

Answer 23

1. Superficical Mucosa/interface
2. Muscularis mucosa
3. Submucosa
4. Muscularis Propria
5. Serosa or Adventitia/interface

Question 24

What is the echogenicity of the superficical mucosa/interface bowel layer?

Answer 24

Hyperechoic

Question 25

What is the echogenicity of the muscularis mucosa bowel layer?

Answer 25

Hypoechoic

Question 26

What is the echogenicity of the submucosa bowel layer?

Answer 26

Hyperechoic

Question 27

What is the echogenicity of the muscularis propria bowel layer?

Answer 27

Hypoechoic

Question 28

What is the echogenicity of the serosa or adventitia/interface bowel layer?

Answer 28

Hyperechoic

Question 29

What is the primary role with ultrasound when scanning the bowl? (2)

Answer 29

Looking for

1. Appendicitis **
2. Acute diverticulitis

Question 30

What are less common things to find but need to be looked for when scanning the bowel? (3)

Answer 30

1. Bowel cancer
2. Crohn’s Disease
3. Ulcerative colitis

Question 31

Acute diverticulitis

Answer 31

Creates a pouch that bacteria gets stuck and creates problems
- occurs in older age