Theme 1: Lecture 3 - Contents of the abdomen Flashcards

1
Q

What are the 4 quadrants that the abdomen can be divided into

A
  • Right upper quadrant
  • Left upper quadrant
  • Right lower quadrant
  • Left lower quadrant
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2
Q

What are the 9 regions that the abdomen can be divided into

A

-Right hypochondriac region
-Right lumber region
-Right inguinal (iliac) region
-Epigastric region
-Umbilical region
-Hypogastric (pubic) region
-Left hypochondriac region
-Left lumber region
Left inguinal (iliac) region

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3
Q

Through which lines is the abdomen divided into 9 regions

A
  • The mid clavicular lines (vertical)
  • Through the transpyloric plane at L1, this sometimes drifts and becomes through the subcostal line at L3 because it’s easier to find on surface anatomy (horizontal)
  • Through the transtubercular line, this goes through the iliac tubercles at the level L5 (horizontal)
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4
Q

What are the contents of the right upper quadrant of the abdomen

A
  • Right lobe of liver
  • Gallbladder
  • Duodenum
  • Head of Pancreas
  • Hepatic flexure of colon
  • Part of ascending and transverse colon
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5
Q

What are the contents of the left upper quadrant of the abdomen

A
  • Stomach
  • Spleen
  • Left lobe of liver
  • Body of pancreas
  • Splenic flexure of colon
  • Part of transverse and descending colon
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6
Q

What are the contents of the right lower quadrant

A
  • Cecum
  • Appendix
  • Ascending colon
  • Small intestine
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7
Q

What are the contents of the left lower quadrant

A
  • Small intestine
  • Descending colon
  • Sigmoid Colon
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8
Q

What process does the digestive system do

A
  • Ingestion
  • Secretion of digestive fluids
  • Mixing and propulsion
  • Digestion
  • Absorption
  • Defacation
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9
Q

Describe the serous layer of the GI tract

A

the outer membrane; encloses several body cavities; secrete a lubricating fluid; outer epithelial layer (secretory) and inner layer (connective tissue with vessels)

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10
Q

Describe the muscular layer of the GI tract

A
  • The middle layer

- longitudinal or circular; responsible for movement of lumen contents

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11
Q

Describe the mucosal layer of the GI tract

A
  • inner layer; lines internal organs or cavities exposed to external environment; secrete mucus
  • also involved in absorption
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12
Q

What are the 3 types of layers of the GI tract

A
  • Serous
  • Muscular
  • Mucosal
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13
Q

What are the divisions of the GI tract in order

A
  • Oral cavity
  • Pharynx
  • Oesophagus
  • Stomach
  • Small intestine (duodenum, jejunum, ilieum)
  • Large intestine (colon)
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14
Q

Epiglottis

A
  • flap of cartilage located in the throat behind the tongue and in front of the larynx
  • Will fall down and cover the trachea and larynx during swallowing to prevent any digested material from getting into the respiratory tract
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15
Q

Contents and role of the oral cavity

A
  • Teeth - Accessory organs, assist with mechanical digestion
  • Palate - Roof of mouth, soft palate blocks nasal cavity during swallowing
  • Tongue - Accessory organ, taste, assist mixing, swallowing
  • Salivary glands - Secretion of saliva (dissolve foods)
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16
Q

Role of the pharynx

A
  • Directs food to oesophagus

- Blocks entry to trachea

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17
Q

Describe anatomy of the oesophagus

A
  • Muscular tube roughly 25 cm long
  • Posterior to trachea
  • Pierces diaphragm at oesophageal hiatus
  • Upper edge is the pharynx
  • Opens into the stomach
18
Q

At what level is the oesophageal hiatus

19
Q

Describe anatomy of the stomach

A
  • Most dilated part of alimentary canal
  • Between oesophagus and small intestine
  • J-shaped
  • lies under the diaphragm and under the heart
  • 2 openings, curvatures, surfaces
  • Mechanical (muscle) and chemical (gastric juices) digestion
20
Q

Cardial orifice

A

The link of the stomach to the oesophagus

21
Q

Pyloric orifice

A

The link of the stomach to the small intestine (duodenum)

22
Q

What is the superior border of the stomach

A

Lesser curvature

23
Q

What is the inferior border of the stomach

A

Greater curvature

24
Q

What are the 2 sphincters at the ends of the stomach

A
  • Pyloric sphincter (surrounds pyloric orifice)

- Cardial sphincter (surrounds cardial orifice)

25
What are the 3 layered muscles of the stomach
- Longitudinal - Circular - Oblique
26
Describe the small intestine
- Convoluted tube - allows time for digestion and absorption - Runs from pylorus of stomach to ileocaecal junction - 5 metres in length - Subdivided into: Duodenum, Jejunum, Ileum - Where digestion and absorption take place
27
Describe the duodenum
- About 20-25 cm long - Retroperitoneal - C shaped - Where the duct from the pancreas + gall bladder open (bile and pancreatic juices)
28
What are the 4 parts of the duodenum in order
- Superior - Descending - Horizontal - Ascending
29
Where does the duodenum end
Duodenal-jejunal flexure
30
Describe the jejunum/ileum (almost impossible to find the transition from one to the other)
- At least 3 m long - From duodenal - jejunal flexure to ileocaecal junction - Site of absorption: large surface area, further increased by circular folds + villi + microvilli; motility - Motility: one attached and one free edge
31
Describe the large intestine
-Terminal division of the GI tract – from end ileum to anus -1.5 m length; greater cross section compared to small intestine -4 parts -Ascending/descending are retroperitoneal -Absorption of water, from faeces and expelling these (defecating) -Rectum / Anus – sphincters close outside world except when defecating
32
What are the 4 parts of the large intestine in order
- Ascending - Transverse - Descending - Sigmoid
33
Name the arterial, venous, lymphatic, sympathetic and parasympathetic supply of the foregut
``` Arterial: Celiac Venous: Hepatic portal vein Lymphatic: Celiac nodes Sympathetic: Celiac ganglia Parasympathetic: Vagus ```
34
Name the arterial, venous, lymphatic, sympathetic and parasympathetic supply of the midgut
``` Arterial: Superior mesenteric Venous: Superior mesenteric Lymphatic: Superior mesenteric nodes Sympathetic: Superior mesenteric ganglia Parasympathetic: Vagus ```
35
Name the arterial, venous, lymphatic, sympathetic and parasympathetic supply of the hindgut
``` Arterial: Inferior mesenteric Venous: Inferior mesenteric Lymphatic: Inferior mesenteric nodes Sympathetic: Inferior mesenteric ganglia Parasympathetic: Pelvic splanchnic ```
36
What does the superior mesenteric and its branches supply
Distal part of duodenum to the proximal 2/3 of transverse colon
37
What branches does the superior mesenteric artery give off
- Jejunal and ileal branches - Middle colic - Right colic - Ileocaecal
38
Arterial arcades
a series of anastomosing arterial arches between the arterial branches of the jejunum and ileum.
39
What does the inferior mesenteric artery and its branches supply
Distal 1/3 of transverse colon to half way down anal canal
40
What branches does the inferior mesenteric artery give off
- Left colic - Sigmoid - Superior rectal
41
What are the glands associated with the gut
- Liver - Spleen - Gall bladder - Pancreas