Topography of the Small and Large Intestines (AP) Flashcards

1
Q

Parts of the small intestine in order, and how much of its length they make up

A
  • Duodenum (~5%)
  • Jejunum (~40%)
  • Ileum (~60%)
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2
Q

Which part of the small intestine is retroperitoneal?

A

Duodenum

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3
Q

What connects the duodenum and liver?

A

Hepatoduodenal ligament

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4
Q

4 parts of the duodenum

A
  • Superior
  • Descending
  • Horizontal
  • Ascending
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5
Q

Where does the duodenum start/end?

A
  • S = pylorus
  • E = duodenojejunal flexure
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6
Q

Parts of the large intestine in order

A
  • Caecum
  • Appendix
  • Ascending colon
  • Transverse colon
  • Descending colon
  • Sigmoid colon
  • Rectum
  • Anal canal
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7
Q

Primary large intestine function

A

Absorb water + electrolytes

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8
Q

What allows communication between the greater and lesser peritoneal sacs?

A

Epiploic foramen

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9
Q

What is the Pringle manoeuvre?

A
  • Hepatoduodenal ligament clamped
  • Interrupts blood flow through hepatic artery + portal vein
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10
Q

What do plicae circularis do?

A

Amplify surface area for nutrient absorption

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11
Q

What is the ligament of Treitz?

A

Thin, triangular, double fold of peritoneum lying posterior to pancreas + anterior to left renal vein

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12
Q

Sphincter of Oddi function

A

Controlling release of secretions of the pancreas, gallbladder + liver into duodenum

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13
Q

Where do lacteals of the small intestine drain into?

A

Mesenteric lymph nodes

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14
Q

Where does the foregut start/end?

A
  • S = oesophagus
  • E = major duodenal papilla
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15
Q

Where does the midgut start/end?

A
  • S = major duodenal papilla
  • E = 2/3 along transverse colon
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16
Q

Where does the hindgut start/end?

A
  • S = 2/3 along transverse colon
  • E = pectinate line
17
Q

Blood supply and innervation of foregut

A
  • BS = coeliac artery
  • I = vagus nerve
18
Q

Blood supply and innervation of midgut

A
  • BS = superior mesenteric artery
  • I = vagus nerve + less splanchnic nerves
19
Q

Blood supply and innervation of hindgut

A
  • BS = inferior mesenteric artery
  • I = lumbar splanchnic nerves
20
Q

Which parts of the colon are retroperitoneal, and are they primary or secondary retroperitoneal?

A

Ascending + descending colon (secondary)

21
Q

What does secondary retroperitoneal mean?

A

Viscera once had a mesentery, but it was lost during development

22
Q

What are colic flexures?

A

Where ascending/descending colon bends into transverse

23
Q

What are paracolic gutters?

A

Spaces between ascending/descending colon + abdominal wall

24
Q

What is rebound tenderness?

A

When the abdominal wall, having been compressed slowly, is released rapidly resulting in a sudden stabbing pain

25
Q

How does visceral pain differ from parietal peritoneal pain?

A

Poorly localised + often described as ache or cramp

26
Q

What is omental cake?

A

Infiltration of omental fat by material of soft-tissue density –> appearance resembles top of a cake