Stomach, Spleen, Liver (Gray's) Flashcards

1
Q

What is positioned between the abdominal esophagus and the small intestine?

A

Stomach

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2
Q

What 3 abdominal regions can the stomach be found in?

A

epigastric, umbilical, and left hypochondrium

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3
Q

What most distal part of the stomach containes a thickened ring of gastric circular muscle?

A

pyloric sphincter

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4
Q

Describe the location of the pyloric orifice?

A

Its located just to the right of the midline in the transpyloric plane (through L1)

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5
Q

What area surrounds the opening of the esophagus to the stomach?

A

The cardia

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6
Q

What area of the stomach is superior to the cariac orifice?

A

Fundus

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7
Q

What is the largest region of the stomach?

A

the body

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8
Q

What two things make up the pyloric part of the stomach?

A
  • Pyloric antrum

- Pyloric canal

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9
Q

What attaches to the greater curvature of the stomach?

A
  1. Gastrosplenic ligament

2. greater omentum

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10
Q

What attaches to the lesser curvature of the stomach?

A

Lesser omentum

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11
Q

What is the arterial blood supply to the stomach?

A
  1. Left Gastric Artery (from celiac trunk)
  2. Right Gastric Artery (from Hepatic a. proper)
  3. Right Gastro-Omental Artery (from gastroduodenal a.)
  4. Left Gastro-Omental a. (from splenic a.)
  5. Posterior Gastric a. (from splenic a.)
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12
Q

In what quadrant of the abdomin is the spleen located in?

A

Left upper quadrant

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13
Q

T or F: the spleen lies on the diaphragmatic surface deep to ribs 9-11.

A

True

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14
Q

What connects the spleen to the stomach and what is contained in this structure?

A
  • Gastrosplenic Ligament

Contains:

  1. Short gastric vessels
  2. Gastro-omental vessels
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15
Q

Besides the stomach what other structure is the spleen attached to?

A
  • Left kidney via splenorenal ligament

Splenorenal ligament contains:
1. Splenic vessels

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16
Q

What is the arterial supply to the spleen?

A

Splenic artery from the celiac trunk

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17
Q

What is the entry point for the splenic vessels?

A

Splenic Hilum

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18
Q

What 3 facets are located on the visceral surface of the spleen?

A
  • Gastric
  • Colic
  • Renal
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19
Q

In what quadrants is the liver located?

A
  • Right upper quadrant

- a portion of Left upper quadrant

20
Q

T or F: the diaphragmatic surface of the liver extends into the anterior, superior, and posterior directions

A

True

21
Q

What surface of the liver is located in the inferior direction?

A

Visceral surface

22
Q

Describe the location and anatomical features of the subphrenic recess.

A
  • separates the diaphragmatic surface of the liver from the diaphragm (located more anteiorly)
  • divided into L and R areas by falciform ligament
23
Q

A portion of what embryologic structure gives rise to the falciform ligament?

A
  • ventral mesentary
24
Q

T or F: the hepatorenal recess is a part of the peritoneal cavity on the left side between the liver and the Left kidney and Left suprarenal gland

A

False, its located on the right side between the right kideny and left suprarenal gland

25
Q

What is the porta hepatis of the liver?

A
  • serves as the point of entry into the liver for:
    1. hepatic arteries
    2. portal vein
  • point of exit for:
    1. hepatic ducts
26
Q

What attaches the liver to the anterior abdominal wall?

A

falciform ligament

27
Q

What is the only part of the liver not surrounded by visceral peritoneum?

A

bare area (part that is pressed against the diaphragm)

28
Q

What are the boundaries of the bare area?

A
  • Anterior: anterior coronary ligament
  • Posterior: Posterior coronary ligament
  • Laterally: right triangular ligament
29
Q

What two structures come together laterally to form the right triangular ligament?

A

Anterior and Posterior Coronary ligaments

30
Q

What divides the liver into right and left lobes?

A

Fossae fot the gallbladder and inferior vena cava

31
Q

T or F: the caudate and quadrate lobes arise from the left lobe of the liver

A

False, they arise from the right lobe

32
Q

What are the boundaries of the quadrate lobe?

A

Left: ligamentum teres
Right: Fossa for gallbladder

-Note: the quadrate lobe is FUNCTIONALLY more related to the left lobe of the liver

33
Q

T or F: the caudate lobe is visible from the anterior part of the liver

A

False, the quadrate lobe is visible on the anterior part of the liver

34
Q

What are the boundaries of the caudate lobe of the liver?

A

Left: fissure for ligamentum venosum
Right: Groove for the inferior Vena Cava

35
Q

What provides arterial supply to the liver?

A
  • Right and Left hepatic arteries

both branch from the heaptic artery proper a branch of the common hepatic artery from the celiac trunk

36
Q

Where is the gallbladder located?

A

Between the right and quadrate lobes

37
Q

What is the fundus of the gallbladder?

A
  • rounded end of the gallbladder that projects to the inferior border of the liver
38
Q

What two structures join to form the common hepatic duct?

A

R and L hepatic ducts

39
Q

What two structures join to form the bile duct?

A

Cystic duct and common hepatic duct

40
Q

What artery branches from the abdominal aorta at the upper border of L1?

A

Celiac artery

41
Q

What artery branches from the abdominal aorta at the lower border of L1?

A

Superior mesenteric artery

42
Q

What artery branches from the abdominal aorta at at L3?

A

Inferior mesenteric a.

43
Q

What makes up the structures of the foregut and what is the blood supply to this area?

A

Start: Abdominal esophagus
End: Midway along descending duodenum (including major duodenal papilla)

-BS: Celiac Trunk

44
Q

What makes up the midgut and what is the blood supply to this area?

A

Start: Inferior to major duodenal papilla
End: Distal 1/3 of transverse colon

-BS: Superior Mesenteric a.

45
Q

What makes up the hindgut and what is the blood supply to this area?

A

Start: Distal 1/3 transverse colon
End: Midway down anal canal

-BS: Inferior Mesenteric a.