Small Intestine, Pancreas, Large Intestine and Mesenteric Arteries Flashcards
Internal Appearance of the Duodenum of the Small Intestine
1st part: mucosa is smooth
2nd-4th part(s): mucosa and submucosa form numerous folds
In the Duodenum of the small intestine, we have the MAJOR duodenal papilla, which
contains the opening of the hepatopancreatic ampulla and the longitudinal fold of the duodenum.
In the Duodenum of the small intestine, we have the MINOR duodenal papilla, which
contains the opening of accessory pancreatic duct
The Jejunum and ileum of the small intestine both
are freely mobile and attach to the posterior abdominal wll by the mesentary of the small intestine
How many arcades (of the Mesentary) does the Jejunum contain?
1-2
How many arcades (of the Mesentary) does the Ileum contain?
3+
Is the vasa recta (of the mesentary) for the Jejunum long or short?
Long
Is the vasa recta (of the mesentary) for the Ileum long or short?
Short
Describe the circular folds for the Jejunum and Ileum.
Jejunum: Large and many
Ileum: Few and small
How many lymphatic nodules can be in the Peyer’s patches of the mucosa & submusoca of the ileum?
10-200
The _______ makes up 99% of the pancreatic cells.
exocrine portion
The islets of Langerhans (insulin) makes up only ___ of the pancreatic cells.
1%
What glands are associated with the Duodenum? What do they secrete?
Brunner’s glands (of the submucosa) secrete mucus
What are pancreatic acini?
Clusters of exocrine cels
What do the pancreatic acini produce?
Digestive enzymes
What does the Hepatopancreatic Ampulla Sphincter?
Muscle that controls the release of digestive juices?
What is the difference between the Hepatopancreatic Ampulla vs the Hepatopancreatic Ampulla Sphincter?
HAS–> muscle???
HA– combined duct
The _____ exits the pancreas and merges with the common bile duct (from the liver & gall bladder).
Main Pancreatic Duct
The combined duct, _________, enters the duodenum and is visible (within duodenum) as Major Duodenal Papilla
Hepatopancreatic Ampulla
A much smaller, second duct, _______, exits the pancreas to empty into the duodenum at the Minor Duodenal papilla.
Accessory Pancreatic Duct
What is the path of bile flow from the liver into the duodenum?
Right & Left Hepatic Ducts –> Common Hepatic Duct –> Common Bile Duct –> Hepatopancreatic Ampulla
The Teniae coli, Omental appendices (Epiploic appendencies) and Haustra are all external features of the
Large Intestine
_____ are abundant within the Large Intestine
Goblet Cells
Name the internal features of the Cecum.
Ileal orifice and the orifice of the appendix
This orifice is located within the medial wall, contains superior and inferior lips or ileal papilla.
Ileal orifice
When are the superior and inferior lips formed on the ileocecal valve?
Post-mortem
When does the ileal papilla occur?
In vivo
Where is the orifice of the appendix located within the cecum?
It is located inferior to the ileal orifice.
The Appendix contains large groupings of ____
lympathic nodules
Where are the lympathic nodules located in the appendix?
In the lamina propria of mucosa and a few in the submucosa
It is normal to experience ____ with Appendicitis?
nausea and vomiting
Describe Appendicitis
Onset occurs as mild pain near umbilicus
Couple hours later, may experience pain and tenderness within RLQ over McBurney’s Point
May experience Nausea & Vomiting
Name the 5 branches of the superior Mesenteric Artery
Inferior Pancreaticodudodenal Artery Middle Colic Artery Right Colic Artery Ileocolic Artery Intestinal/Jejunal & Ileal Arteries
What are the 3 branches of the inferior mesenteric artery?
Left Colic Artery, Sigmoid Arteries, Superior Rectal Artery
What does the inferior Pancreaticoduodenal Artery Supply?
Pancreas and Duodenum
What does the Middle Colic Artery Supply?
Transverse Colon
What does the Right Colic Artery Supply?
Ascending colon & Transverse Colon
What does the Ileolocolic Artery Supply?
Terminal ileum, cecum, appendix, ascending colon
What do the Intestinal/Jejunal & Ileal Arteries form?
Arterial arcades –> straight arteries supplying intestinal wall
What does the Left Colic Artery Supply?
Transverse Colon and Descending Colon
What do the Sigmoid Arteries Supply?
Sigmoid Colon
What does the Superior Rectal Artery Supply?
Rectum and Anal Canal