Serrat- Abdominal Vasculature And Lymphatics Flashcards

1
Q

Blood supply to the GI tract is from ?

A

Abdominal aorta

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2
Q

What are the three unpaired branches of the aorta that supply the GI tract?

A

Celiac trunk

Superior mesenteric artery

Inferior mesenteric artery

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3
Q

What artery supplies the embryological foregut?

A

Celiac trunk

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4
Q

What artery supplies the embryological hindgut?

A

Inferior mesenteric artery

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5
Q

What artery supplies the embryological midgut?

A

Superior mesenteric artery

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6
Q

What organs does the celiac trunk supply ?

A

Esophagus

Stomach

Gallbladder

Pancreas

Duodenum

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7
Q

What organs does the superior mesenteric artery supply?

A

Duodenum

Jejunum and ileum

Cecum and appendix

Ascending colon

Right (hepatic) colic flexure

Transverse colon

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8
Q

What organs does the inferior mesenteric artery supply?

A

Transverse colon

Left colic (splenic) flexure

Descending and sigmoid colon

Rectum

Anal canal (upper part)

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9
Q

What are the 3 major branches of the celiac trunk ?

A

Left gastric, splenic, common hepatic

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10
Q

The superior mesenteric artery passes over the _____ part of the duodenum and travels in the mesentery

A

3rd

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11
Q

The three main branches of the inferior mesenteric artery are?

A

Left intestinal (to descending colon)

Sigmoid branches

Superior rectal

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12
Q

The splenic artery gives multiple small unnamed branches to the _____ on its way to the spleen

A

Pancreas

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13
Q

The short gastric artery is a branch off of the splenic artery and supplies the ______

A

Fundus of the stomach

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14
Q

The _____ artery branches from the splenic artery very close to the spleen

A

Left gastroepiploic (supplies greater curvature of the stomach)

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15
Q

The right gastric artery (to lesser curvature) is a branch off of the?

A

Proper hepatic artery

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16
Q

What are the 5 main branches of the superior mesenteric artery?

A
  1. Inferior pancreaticoduodenal
  2. Intestinal branches (numerous)
  3. Middle colic
  4. Right colic
  5. Ileocolic
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17
Q

What does the inferior pancreaticoduodenal artery supply blood to ?

A

The inferior pancreas and duodenum

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18
Q

What do the numerous intestinal arteries (off SMA) supply blood to?

A

Jejunum

Ileum

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19
Q

What does the middle colic artery (off SMA) supply blood to ?

A

The transverse colon

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20
Q

What does the right colic artery (off of SMA) supply blood to ?

A

Ascending colon

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21
Q

What does the ileocolic artery (off SMA) supply blood to ?

A

Cecum

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22
Q

What are the three main branches of the inferior mesenteric artery?

A

Left colic (to descending colon)

Sigmoid branches (to sigmoid colon)

Superior rectal (to rectum)

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23
Q

What is the anastomoses between the celiac trunk and superior mesenteric artery?

A

These arteries anastamose around the head of the pancreas thru the superior and inferior pancreaticoduodenal arteries

(Both posterior and anterior)

24
Q

How do the superior and inferior mesenteric arteries anastamose?

A

They anastamose thru branches that are near the left colic flexure thru the marginal artery of drummond

25
Q

What is the marginal artery of drummond

A

The marginal artery of drummond is a continous anastamoses that runs along the entire margin of the colon on the inner aspect and connects the inferior and superior mesenteric artery.

26
Q

What are the 2 separate venous drainage systems in the abdomen ?

A

The portal system

The caval system

27
Q

The superior mesenteric A passes ________ to the 3rd part of the duodenum

A

Anterior

28
Q

What arteries form the marginal artery of drummond? (Anastamoses between midgut and hindgut)

A

Middle colic artery (superior mesenteric)

Left colic artery (inferior mesenteric)

29
Q

Blood from ________ goes through the portal system before entering the inferior vena cava

A

Digestive organs and spleen

30
Q

The portal vein is formed by the junction of the splenic and superior mesenteric veins ______ to the neck of the pancreas

A

Posterior

31
Q

Do veins of the portal system have valves ?

A

No

32
Q

Blood from -_______- drains directly into the inferior vena cava

A

Non-digestive

33
Q

What veins make the venous anastamosis near the esophagus?

A

Gastric V (portal system)

Esophageal V. (Caval System)

34
Q

What veins make the anastamosis near the umbilicus?

A

Paraumbilical vein (portal system)

Superficial epigastric V. (Caval system)

35
Q

What veins form the anastamoses near the rectum ?

A

Superior rectal vein (portal system)

Inferior rectal vein (caval system)

36
Q

What veins form the anastamoses in the posterior abdomen?

A

Colic vein (portal system)

Retroperitoneal vein (caval system)

37
Q

Blood enters the liver via the ?

A

Portal vein

38
Q

Blood returns to systemic circulation from the liver via?

A

Hepatic veins

39
Q

The superior mesenteric vein is _____ to the superior mesenteric artery

A

Lateral

40
Q

The splenic vein is _______ to the splenic artery

A

Inferior

41
Q

Blockage of the venous anastamoses that is at the esophagus may cause?

A

Esophageal varices

Hemorrhage may be fatal

42
Q

Blockage of the venous anastamoses that is in the umbilical region, may cause?

A

Caput medusae

43
Q

Blockage of the venous anastamoses that is in the area of the rectum may cause?

A

Internal hemorrhoids

44
Q

The abdominal wall above the umbilicus drain to ?

A

The anterior and posterior axillary nodes

45
Q

The abdominal wall below the umbilicus drain to ?

A

The superficial inguinal nodes

46
Q

The lymph from the skin of labia majora drains to ?

A

Superficial inguinal nodes

47
Q

The blood to the testis comes from the testicular artery which arises from the abdominal aorta. Lymph from the testis drains to the _______ nodes

A

Para-aortic (lumbar) nodes

48
Q

Blood to the scrotal skin and fascia, including tunica vaginalis comes from named branches off of the internal and external iliac aa. The lymph from these areas drains to the ?

A

Superficial inguinal nodes

49
Q

What are the names of the 3 pre-aortic lymph nodes?

A

Celiac nodes

Superior mesenteric nodes

Inferior mesenteric nodes

50
Q

Except for the inferior anal canal, lymph from the gastrointestinal tract does what?

A

The vessels follow the arteries and drain into the pre-aortic nodes

51
Q

The pre-aortic nodes are located _______ to the abdominal aorta?

A

Anterior

52
Q

The anal canal superior to the pectinate line receives blood from the inferior mesenteric artery. Lymph from this area drains to the ____ node

A

Inferior mesenteric nodes

53
Q

The anal canal inferior to the pectinate line receives blood from named branches of the internal iliac artery. Lymph from here drains to the ? Node

A

Superficial inguinal nodes

54
Q

The pre-aortic and para-aortic lymph nodes come together at the ?

A

Cisterna chyli

55
Q

Lymph from the posterior abdomen drains to the _____ and _______ nodes

A

Pre-aortic

Para-aortic (lumbar)