Small Intestine Flashcards

1
Q

the foregut receives arterial supply from the ____

A

celiac trunk

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2
Q

the midgut receives arterial supply from the ____

A

superior mesenteric a

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3
Q

the hindgut receives arterial supply from the ____

A

inferior mesenteric a

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4
Q

the superior mesenteric artery arises from the abdominal aorta at the level of ____

A

L1

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5
Q

name the organs supplied by the superior mesenteric artery

A

(midgut)
- jejunum
- ileum
- cecum
- appendix
- ascending colon
- transverse colon

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6
Q

name the branches of the superior mesenteric artery

A
  • inf pancreaticoduodenal a
  • middle colic a
  • right colic a
  • ileocolic a
  • appendicular a
  • jejunal aa
  • ileal aa
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7
Q

the middle colic artery goes to the ____

A

transverse colon

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8
Q

the right colic artery goes to the ____

A

ascending colon

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9
Q

the ileocolic artery goes to the ____

A

cecum

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10
Q

veins mirror arteries and drain into…

A

superior or inferior mesenteric vein

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11
Q

how many branches do the superior mesenteric vessels have for the jejunum and ileum?

A

15-18

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12
Q

jejunal and ileal arteries join to form loops called ____ that give rise to ____

A

arterial arcades
vasa recta

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13
Q

what vessels form the portal vein?

A

superior mesenteric v + splenic v

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14
Q

Superior mesenteric blood vessels are surrounded by ____

A

superior mesenteric plexus

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15
Q

superior mesenteric plexus

A
  • SNS from T8-T10 (greater & lesser splanchnic nn)
  • PSNS from vagus n
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16
Q

the small intestine is ____ m long, and is composed of more ____ than ____

A

6-7m
ileum > jejunum

17
Q

what mesentery covers the small intestine?

A

principle mesentery

18
Q

what attaches the small intestine to the posterior abdominal wall?

A

root of mesentery

19
Q

where does the root of the mesentery attach on the small intestine?

A

duodenojejunal junction (left side L2)
to ileocolic junction (right side SI jt)

20
Q

describe the differences in the pattern of arterial arcades in the jejunum and ileum

A
  • jejunum: simple, not complex
  • ileum: shorter, more complex/overlapping
21
Q

describe the differences in the vasa recta of the jejunum and ileum

A
  • jejunum: long, straight
  • ileum: shorter, more numerous
22
Q

describe the differences in plicae circulares (mucosal folds) of the jejunum and ileum

A
  • jejunum: taller, more numerous
  • ileum: shorter, less numerous (less absorption here)
23
Q

describe the differences in encroaching fat of the jejunum and ileum

A
  • jejunum: not present
  • ileum: present
24
Q

what are lacteals?

A

specialized lymphatic vessels in intestinal villi of the jejunum & ileum that absorb fat

25
lacteals drain sequentially through...
juxta-intestinal, mesenteric, and superior central lymph nodes in principle mesentery
26
mesenteric lymph nodes drain to ____
superior mesenteric nodes
27
terminal ileal branches drain into ____ nodes along the ____
ileocolic ileocolic a
28
What are Peyer patches?
specialized ileum lymphoid tissue nodules
29
sympathetic innervation of small intestines, ascending and transverse colon
- T8-T10 (v rami) via superior mesenteric plexus - greater (T5-9), lesser (T10-11), and least splanchnic (T12) nn
30
sympathetic nerves to the small intestines synapse on...
cell bodies of postsynaptic sympathetic neurons of celiac & superior mesenteric ganglia
31
parasympathetic innervation of small intestines, ascending and transverse colon
posterior vagal trunks
32
parasympathetic nerves to the small intestines synapse with...
postsynaptic neurons in intestinal wall