Scribes Flashcards

1
Q

Name 3 abdominal arteries that are end arteries

A

Most vasa recta of GI tract
Splenic artery
Short gastric artery

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2
Q

3 major branches of abdominal aorta (aka Great Vessels)

A

Celiac artery
Superior Mesenteric Artery
Inferior Mesenteric Artery

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3
Q

Celiac trunk is found at what level?

A

T12/L1

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4
Q

Celiac trunk supplies blood to structures that originate from embryonic_______?

A

foregut

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5
Q

Celiac trunk branches supply what organs?

A

abdominal espophagus
stomach
proximal (first part) of duodenum

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6
Q

What is the path from the celiac trunk to the esophagus?

A

Celiac trunk>left gastric artery>esophageal branch

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7
Q

What artery does the left gastric artery anastomose with?

A

right gastric artery

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8
Q

What is the path of the celiac artery to the fundus of the stomach?

A

Celiac trunk>Splenic artery>Short Gastric artery>fundus of stomach

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9
Q

What is the path of the celiac trunk to the superior portion of greater curvature of stomach and omentum?

A

Celiac trunk>Splenic artery>Left Gastroepiploic>superior portion of the greater curvature of stomach and omentum

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10
Q

What artery does the left gastroepiploic artery anastomose with?

A

right gastroepiploic artery

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11
Q

What is the path of the celiac trunk to supply the pancreas?

A

Celiac trunk>Splenic artery>pancreatic branches

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12
Q

Which direction does the common hepatic artery split off of the celiac trunk ?

A

right

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13
Q

Common Hepatic Artery runs to the patient’s right and then splits into?

A

Proper Hepatic Artery
Gastroduodenal Artery

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14
Q

What is the path of the celiac trunk to supply the biliary tree?

A

Celiac trunk>Common hepatic artery> Proper Hepatic artery> Right Hepatic Artery>cystic artery>gallbladder

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15
Q

The Proper Hepatic Artery gives off__________ that anastomoses with_______?

A

the proper hepatic artery gives off right gastric artery that anastomoses with left gastric artery

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16
Q

What happens if the proper hepatic artery damaged?

A

damage to biliary tree

17
Q

What is the path of celiac trunk to inferior portion the greater curvature of the stomach?

A

Celiac trunk>Common Hepatic Artery> Gastroduodenal artery>Right gastroepiploic artery>inferior portion greater curvature of stomach (and then anastomoses with left gastroepiploic artery)

18
Q

What are the two branches of the Gastroduodenal artery?

A

Right gastroepiploic artery

Superior Pancreaticoduodenal artery

19
Q

Superior mesenteric artery found at vertebral level?

A

L1

20
Q

What structures does the superior mesenteric artery supply?

A

Embryonic midgut structures
Duodenum (except first part)
Small intestine
Cecum
Ascending colon
First 2/3 Transverse colon

21
Q

What is SMA Syndrome

A

Superior mesenteric artery constricts the duodenum causing intestinal obstruction

22
Q

What is nutcracker syndrome?

A
23
Q

What are the main branches of the SMA?

A

Inferior Pancreaticoduodenal

Colic

Ileal

Jejunal

24
Q

What Colic branch supplies ascending colon?

A

Right Colic artery

25
Q

What Colic branch supplies mesentery of transverse colon and splenic flexure?

A

Middle Colic Artery

26
Q

Middle Colic Artery and Left colic artery anastomose to prevent?

A

ischemia

27
Q

What Colic branch supplies ilieocecal junction?

A

Ileocolic artery

28
Q

Inferior Mesenteric artery found at vertebral level ?

A

L3

29
Q

IMA supplies what structures?

A

embryonic hindgut structures
Last 1/3 of transverse colon
Descending colon
Sigmoid colon
Rectum
Upper 1/2 of anus

30
Q

What are three main branches of IMA?

A

Left Colic artery
Sigmoid Artery
SUperior rectal artery

31
Q

What is the Marginal Artery (of Drummond)

A

Collection of anastomoses of the branches of the mesenteric arteries that runs the entire length of the inner border of colon

32
Q

What is function of Marginal Artery (of Drummond)?

A

provide collateral circulation between middle colic artery (SMA) and left colic artery (IMA)

33
Q

___ is occluded in 50% of men over 50

A

IMA

34
Q

Function of Portal Vein?

A

transports deoxygenated, nutrient-rich blood from GI tract to liver where it is processed and dumped into IVC

35
Q

What 3 veins come together to form portal vein?

A

Splenic vein
Superior Mesenteric Vein
Inferior Mesenteric Vein

36
Q

Venous return of foregut, midgut, hindgut?

A

Splenic vein-foregut
SMV-midgut
IMV-hindgut

37
Q

What is characteristic of the portal vein that differs from other circulation?

A

NO VALVES

38
Q

How does blood flow in the portal circulation?

A

Blood from RIGHT side (SMV) preferentially flows to RIGHT SIDE OF LIVER

Blood from LEFT side (IMV and SPLENIC v) flows to LEFT SIDE OF LIVER

39
Q
A