Module 2B: The Abdomen II Flashcards
Abdominal esophagus location
-lungs are lateral to thoracic esophagus
-abdominal esophagus is inferior to diaphragm
-thoracic esophagus is posterior to trachea
Lower esophageal sphincter
-at distal end of esophagus
-between abdominal esophagus and stomach
Function of lower esophageal sphincter
-prevents reflux of gastric contents into esophagus
What type of control is lower esophageal sphincter under
-involuntary control
Gastroesophageal reflux (GERD)
-weak or abnormal closure of lower esophageal sphincter which can result in regurgitation of stomach contents into esophagus
GERD symptoms
-chest pain
-nausea
-vomiting of refluxed contents
Pyloric sphincter
-gateway of pylorus that controls movement of contents from the stomach into the duodenum
What type of control is the pyloric sphincter under
-autonomic control
Pyloric orifice
-at distal end of stomach, where stomach empties into proximal part of small intestines
-the stomach walls narrow to form this
Rugae of the stomach
-gastric folds that allow expansion
Blood supply of the stomach
-celiac trunk
-left gastro-epiploic artery
-left gastric artery
-right gastric artery
-right gastro-epiploic artery
Small intestine location
-extends from the pyloric orifice to ileocecal junction and is divided into 3 parts
3 parts of the small intestine
-duodenum
-jejunum
-ileum
Small intestines mesentery
-intraperitoneal
-except for proximal part of duodenum which is retroperitoneal
Parts of the duodenum
-superior part
-descending part
-horizontal part
-ascending part
Superior part of the duodenum
-first
-duodenal cap
-the bile duct and gastroduodenal arteries pass posterior to this section
Decending part of the duodenum
-second
-runs vertically
-contains the major duodenal papilla
Major duodenal papilla
-the site where the hepatopancreatic ampulla drains into the duodenum
Horizontal part of the duodenum
-third
-passes transversely across inferior ven acava
Superior mesenteric artery syndrome
-rare condition where duodenum is compressed between aorta and superior mesenteric artery
Ascending part of the duodenum
-fourth
-passes upward and to the left of aorta
-forms duodenal flexure
Ligament of treitz
-anchors duodenal flexure to the posterior abdominal wall
Foregut section of duodenum blood supply
-gastroduodenal artery and its branch the superior pancreaticoduodenal artery
Midgut portion of duodenum blood supply
-inferior pancreaticoduodenal artery
Jejunum and ileum blood supply
-jejunal and ileal arteries
Meckels diverticulum
-outpouching of tissue in distal ileum of small intestines
-birth defect
Meckels diverticulum symptoms
-pain
-intestinal obstruction resulting in vomiting and constipation
-pain in epigastric and umbilical regions of abdomen
Teniae coli of large intestine
-3 thickened bands of longitudinal muscle
Haustra of large intestine
-segmented pouches or folds
Epiploic appendages of large intestine
-fatty tags enclosed by peritoneum
Hirschsprung disease
-birth defect
-motor nerve cells are absent in the muscles of the colon
-affects motility in the colon, making it difficult to pass stool
The cecum
-where the ileum joins the large intestines
Cecum mesentery
-intraperitoneal
Ileocecal valve
-where opening of the ileum into the cecum is controlled
Intraperitoneal structures of the large intestines
-cecum
-transverse colon
-sigmoid colon
Retroperitoneal structures of the large intestines
-ascending colon
-descending colon
-rectum