Rectum Flashcards

1
Q

The rectum arises from what sacral level?

A

3rd sacral vertebra

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2
Q

The peritoneum covers what surfaces of the rectum

A

Anterior and lateral surfaces

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3
Q

Valves present in the rectum

A

Valves of Houston

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4
Q

What structures are anterior of the rectum in females?

A
  1. Sigmoid colon
  2. Coils of ileum
  3. Vagina
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5
Q

What structures are anterior of the rectum in males?

A
  1. Sigmoid colon
  2. Coils of ileum
  3. UB
  4. vas deferens
  5. Seminal vesicles
  6. prostate
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6
Q

The superior rectal artery is a branch of ____

A

IMA

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7
Q

The middle rectal artery is a branch of the ___

A

Internal iliac

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8
Q

The inferior rectal artery is a branch of the

A

internal pudendal to internal iliac

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9
Q

The U-shaped sling that marks the start of the anal canal

A

Puborectalis

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10
Q

[Rectum]

Upper 1/3 arterial supply is a branch of

A

IMA

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11
Q

[Rectum]

the middle 1/3 arterial supply

A

Internal Iliac

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12
Q

[Rectum]

The lower 1/3 arterial supply is a branch of

A

Internal pudendal

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13
Q

[Rectum]

The upper 1/3 lymphatic drain to the ___

A

inferior mesenteric LN

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14
Q

[Rectum]

the middle and inferior 2/3 LN drain to the

A

Internal iliac LN

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15
Q

The anal canal is guarded by 2 sphincters. The external anal sphincter is made of ___ muscles

A

3 striated voluntary muscles

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16
Q

What separates the anal canal into 2 segments

A

dentate line

each has a different embryonic origin

17
Q

[Embryology of the anal canal]

the upper part is derived from what embryonic layer?

A

Hindgut endoderm; columnar epithelium

sensitive to stretch with anal columns

18
Q

[Embryology of the anal canal]

the lower part of the anal canal is derived from?

A

Ectoderm

stratified squamous

sensitive to pain, temperature and touch

19
Q

What marks the start of the anatomic canal?

A

dentate line

ends at the anal verge

20
Q

What marks the start of the surgical anal canal?

A

anorectal ring or junction and ends at the anal verve

21
Q

Hemorrhoids can be palpated in what areas in the anus?

A
  1. Left lateral
  2. Right anterior
  3. Right posterior
22
Q

what is the rule of 2 in meckel diverticulum

A

2 feet from the ileocecal junction

2% of the population

2 inches long