Lower Abdomen Flashcards

1
Q

____ _____: entrance into stomach from esophagus

A

Cardiac orifice

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2
Q

_____ _____: exit of the stomach to duodenum

A

Pyloric sphincter

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3
Q

Stomach lined with _____: temporary folds w/in the body of the stomach

A

rugae

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4
Q

______ of the small intestine: fixed and relatively immoble

A

duodenum

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5
Q

____ and _____ of the small intestine: tethered, but very mobile
-combined length of 3 segments ~20ft

A

jejunum and ileum

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6
Q

_____ _____ of the small intestine: permanent folds w/in

  • become more diffuse distally
  • ileum empties into cecum at ileocecal junction
A

plicae cicularis

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7
Q

_____ (ileal) ______: remnant of embryonic yolk stalk

  • appears as a finger like pouch
  • located ~1m proximal to ileocecal valve
  • may become inflamed and mimic appendicitis
A

Meckel’s diverticulum

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8
Q

_____ ______: opens into cecum inferior to ileocecal orifice

-commonly retrocecal but varies

A

Veriform Appendix

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9
Q

Triangular mesentary=

A

mesoappendix

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10
Q

________:

  • vague pain begins in the _____ _____ region
  • -from afferent pain referred to _____ level
A

Appendicitis:

  • periumbilical region
  • T10
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11
Q

________:

  • severe pain later from R lower quadrant
  • from irritation of peritoneum of posterior abdominal wall
A

Appendicitis

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12
Q

_____:

-pain most severe over _________ pt btw ASIS and umbilicus

A

Appendicitis:

spinoumbilical pt

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13
Q

_____ _____:

  • 5 segments and 2 flexures
  • -“frames” small intestines
  • –terminates into rectum
A

Large Intestine (colon)

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14
Q

Large Intestine 5 Segments:

A
  • cecum
  • ascending
  • transverse
  • descending
  • sigmoid
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15
Q

Large Intestine 2 Flexures:

A
R colic (hepatic)
L colic (splenic)
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16
Q

_____ _____:

-3 smooth m bands paralleling length of colon

A

teniae coli

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17
Q

____ ____:

-outpouchings produced by teniae coli

A

haustra coli

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18
Q

_____ _____:

-fat tags found along the colon

A

epiploic appendages

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19
Q

____ ____ A:

  • 2nd major branch of addominal aorta
  • ~1cm inferior of celiac
A

Superior Mesenteric A

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20
Q

_____ _____ A:

  • sends 15-18 intestinal aa to small intestines
  • supplies up to proximal 2/3 of transverse colon via ileocolic, R colic and middle colic
A

Superior Mesenteric A

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21
Q

_____ _____ A:

  • 3rd branch of abdominal aorta
  • ~5 cm superior to aortic bifurcation
A

Inferior Mesenteric A

22
Q

____ ____A:

-supplies colon from distal 1/3 transverse colon via L colic, sigmoid, superior rectal

A

Inferior Mesenteric A

23
Q

Pancreatic AA:
-Gastroduodenal a gives off ______ _______ aa
-SMA gives off ______ ________ aa
(anastomose and supply head of pancreas and duodenum)
-______ a supplies rest of pancreas w/ additional branches

A

Superior Pancreaticoduodenal aa
Inferior Pancreaticoduodenal aa

Splenic

24
Q

_____ AA:

  • lateral branches of abdominal aorta (lateral to SMA)
  • enter hilum of each kidney to supply it
  • sends off branches to adrenal glands and ureters
A

Renal AA

25
Q

Other than Renal AA, ___ ___ aa and ____ branch to adrenal glands.

A

inferior phrenic aa and aorta

26
Q

____ AA:

-lateral branches of abdominal aorta (inferior to renal aa)

A

Gonadal AA

27
Q

___ aa:

  • crosses over ureters and iliac vessels
  • descends to pelvis to supply ovaries
A

Ovarian aa

28
Q

____ aa:

  • crosses over ureters and enters inguinal canal
  • descends into scrotum to supply testes
A

Testicular aa

29
Q

____ ____ ____:

  • largest vein in body
  • begins at ~L5 level at union of common iliac vv
A

Inferior Vena Cava

30
Q

_____ _____ _____:
-returns poorly oxygenated blood from lower limbs, most of back, abdominal wall, abdominopelvic viscera to the RIGHT ATRIUM of heart

A

Inferior Vena Cava

31
Q

_____ _____ _____:

-drains blood from viscera via Portal Venous System

A

Inferior Vena Cava

32
Q

Portal-Caval Anastomoses:

  • 4 anastomoses:
    1. Gastric vv and _______
A

esophageal vv

33
Q

Portal-Caval Anastomoses:

  • 4 anastomoses:
    2. Paraumbilical vv and _______
A

epigastric vv

34
Q

Portal-Caval Anastomoses:

  • 4 anastomoses:
    3. Superior rectal vv and _______
A

middle/inferior rectal vv

35
Q

Portal-Caval Anastomoses:

  • 4 anastomoses:
    4. colic vv and _______
A

retroperitoneal vv

36
Q

Portal Venous System has _____ valves
-reversal of blood flow into caval vv is possible
–portal hypertension restricts blood flow causing caval vv to become engorged
(may then become dilated and varicose)

A

no

37
Q

Dilated Caval Veins:

-dilated esophageal vv produce=

A

esophageal varices

38
Q

Dilated Caval Veins:

-dilated epigastric vv produce=

A

caput medusae

39
Q

Dilated Caval Veins:

-dilated inferior and middle rectal vv produce=

A

hemorrhoids

40
Q

Innervation to viscera via :

A

autonomic n plexuses

41
Q

Sympathetic fibers originate from __-__

A

T5-L2 (3)

thoracolumbar

42
Q

Parasympathetic fibers originate from ___ and __-_

A

CN X and S2-4

craniosacral

43
Q

Sympathetics of abdomen:

-preganglionic splanchinc nn synapse in ____ ____

A

collateral ganglia

44
Q
Sympathetics of abdomen:
-postganglionic fibers leave ganglia to reach effector organs traveling on all main arterial branches:
\_\_\_\_ \_\_\_\_
\_\_\_\_
\_\_\_\_\_\_ aa
\_\_\_\_
and all their branches
A

celiac trunk
SMA
renal aa
IMA

45
Q
Parasympathetics of Abdomen:
-preganglionic nerves from \_\_\_\_ travel on upper arterial branches=
\_\_\_\_ \_\_\_\_
\_\_\_\_
\_\_\_\_\_ aa
and all their branches
A

CN X
celiac trunk
SMA
renal aa

synapses occur w/in effector organs

46
Q

Parasympathetics of Abdomen:
-preganglionic nerves from ___-___ travel on lower arterial branches=
____
and branches

A

S2-S4
IMA

synapses occur w/in effector organs

47
Q

4 Major Autonomic Ganglia and Plexuses:
____ ganglion= plexus travels w. celiac branches
-receives thoracic splanchinic nn and CN X branches

A

Celiac Ganglion

48
Q

4 Major Autonomic Ganglia and Plexuses:
_____ _____ ganglion= plexus travels w/ SMA branches
-receives thoracic splanchinic nn and CN X branches

A

Superior Mesenteric Ganglion

49
Q

4 Major Autonomic Ganglia and Plexuses:
_____ ganglion= plexus travels w/ renal branches
-receives thoracic splanchinic nn and CN X branches

A

Aorticorenal Ganglion

50
Q

4 Major Autonomic Ganglia and Plexuses:
_____ ganglion= plexus travels w/ IMA branches
-receives lumbar splanchinic nn and S2-S4 branches

A

Inferior Mesenteric Ganglion