pectinate line Flashcards
other word for pectinate line?
dentate line
other word for dentate line?
pectinate
at what embryological point is pectinate line formed?
where endoderm (hindgut) meets ectoderm
what pathologies above pectinate line?
internal hemorrhoids, adenocarcinoma
where do internal hemorrhoids and adenocarcinoma form, above or below pectinate line?
above
hemorrhoids: what are these?
abnormal distension of anal venous plexus
hemorrhoids: risk factors?
older age, chronic constipation
abnormal distension of anal venous plexus
what is this?
hemorrhoids
are internal hemorrhoids painful?
no
why are internal hemorrhoids not painful?
they receive visceral innervation
pathologies below pectinate line?
external hemorrhoids, anal fissures, squamous cell carcinoma
external hemorrhoids, anal fissures, squamous cell carcinoma
above or below pectinate line?
below
are external hemorrhoids painful?
yes
why are external hemorrhoids painful?
receive somatic innervation
inferior rectal branch of pudendal nerve
Anal: what is this?
tear in anoderm below pectinate line
anal fissure: symptoms?
pain while pooping, blood on toilet paper
pain while pooping, blood on toilet paper
suggestive of?
anal fissures
what part of the anus are anal fissures the most common?
posterior midline
why are anal fissure most common on the posterior midline?
poorly perfused
what are anal fissures associated with?
low-fiber diets and constipation
what is the most common pathology on the posterior midline?
anal fissures
Above pectinate line: nerves?
visceral
inferior hypogastric plexus
inferior hypogastric plexus: above or below pectinate line?
above
inferior hypogastric plexus: vertebra levels?
T12-L3
Above pectinate line: arteries?
superior rectal artery (branch of IMA)
superior rectal artery: branch of what?
IMA
superior rectal artery: below or above pectinate line?
above
above pectinate line: vein drainage?
superior rectal vein -> IMV -> splenic vein -> portal vein
above pectinate line: lymphatics drain where?
internal iliac lymph node
iternal iliac lymph node: drains lymph from above or below pectinate line?
above
superior rectal vein -> IMV -> splenic vein -> portal vein
drainage from above or below pectinate line?
above
below pectinate line: nerves?
somatic
pudendal nerve (S2-S4)
pudendal nerve: vertrebrae levels
S2-S4
below pectinate line: artery?
inferior rectal artery (branch of internal pudendal artery)
inferior rectal artery: branch of what?
internal pudendal artery
below pectinate line: vein drainage?
inferior rectal vein -> internal pudendal -> internal iliac -> common iliac -> IVC
inferior rectal vein -> internal pudendal -> internal iliac -> common iliac -> IVC
drainage from above or below pectinate line?
below
below pectinate line: drainage lymph?
to superficial inguinal lymph node
superficial inguinal lymph node
drainage from above or below pectinate line?
below