Pancreas & Spleen Flashcards

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1
Q

Structure of pancreas

A
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2
Q

Where is the head of the pancreas

A

Sits in C shaped curve of duodenum and lies to the right of the superior mesenteric artery

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3
Q

Where is the uncinate process in relation to the superior mesenteric artery

A

Posterior to superior mesenteric artery

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4
Q

Where is the neck of the pancreas

A

Constricted part - lies between the head and body and lies directly behind pylorus of stomach

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5
Q

Where is the body of the pancreas

A

Lies to left of superior mesenteric artery and passes anterior to the abdominal aorta

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6
Q

Where is the tail of the pancreas

A

Lies within splenorenal ligament

ONLY INTRAPERITONEAL PART - closely related to hilum of spleen

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7
Q

Is the pancreas mostly intraperitoneal or retroperitoneal

A

RETROPERITONEAL

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8
Q

What does the main pancreatic duct unite with and what does it open into

A

Unites with common bile duct

Opens into GIT with the common bile duct via major duodenal papilla

(Runs through parenchyma of gland)

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9
Q

Hepatopancreatic ampulla

A
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10
Q

Arterial supply of pancreas

A
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11
Q

Venous drainage of pancreas

A

Part of portal system - drain to liver before going to the heart

ultimately HEPATIC PORTAL VEIN

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12
Q

Summary of pancreas

A
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13
Q

Where is the spleen located

A

LUQ

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14
Q

Where does the spleen lie

Is it intraperitoneal or retroperitoneal

A

Mid-axillary line

Intraperitoneal

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15
Q

Which is the largest lymphatic organ in the body

A

Spleen

Capable of marked expansion and relatively rapid contraction

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16
Q

What does the spleen act as

A

A blood reservoir

  • Identifies, removes and destroys old RBCs
  • Recycles iron and globin
17
Q

Close anatomical relationships of spleen

A

ANTERIORLY

Stomach

POSTEROLATERALLY

Diaphragm - left dome

Ribs 9, 10, 11

MEDIALLY

Left colic flexure

INFERIORLY

Left kidney

Tail of pancreas

18
Q

Arterial supply of spleen

A

Splenic artery - direct branch of celiac trunk (arises from abdominal aorta @ T12)

Largest branch - tortuous in nature

Lies against posterior abdominal wall - therefore immediately posterior to the omental bursa and behind the peritoneum

Courses along the superior border of the pancreas

19
Q

What is the venous drainage of the spleen

A

Splenic vein is formed by the many tributaries that leave the hilum of the spleen

Splenic vein runs posterior to the body of the pancreas

Inferior mesenteric vein usually drains into splenic vein

Splenic unites with superior mesenteric to form the hepatic portal vein

20
Q

Summary of spleen

A