vasculature of abdominal viscera Flashcards
what 4 quadrants is the abdomen split into
right/left upper
right/left lower
which level does the aorta split into the left and right common iliac arteries
L4
are the kidneys intra or retro peritoneal
retroperitoneal
what is the structure found sitting on the superior aspect of the kidneys
adrenal glands
what is the function of adrenal glands
produce hormones such as cortisol, aldosterone and adrenaline.
- The adrenal hormones help regulate several bodily functions including metabolism, blood pressure and your body’s response to stress.
the superior aspect of the kidney is found at which landmark
rib 11
which vertebral level do the renal arteries branch off the aorta to supply kidneys
L1/L2
Which major branch from the aorta supples the foregut
celiac trunk
the neck of pancreas is located at which landmark
L1
the pancreas and duodenum is supplied by both the celiac trunk and superior mesenteric, what kind of supply is this
mesenteric
what is the main branch off the aorta that supplies the pancreas and spleen
Celiac trunk
which aortic branch supplies the spleen
splenic artery
which aortic branch supplies the liver
common hepatic
which aortic branch supplies the stomach and duodenum
gastroduodenal
what 2 branches of the gastroduodenal artery supply the upper front and back part of the pancreas and duodenum
- superior anterior pancreaticoduodenal artery ( upper front)
- superior posterior pancreaticoduodenal artery (upper back)
what 2 branches branches supply the lower front and lower back of the pancreas and duodenum
- inferior anterior pancraticoduodenal artery ( lover back)
- inferior posterior pancreaticoduodenal artery ( lower front)
which level does the celiac trunk branch off the aorta
t12
what artery supplies the stomach
celiac trunk
which artery supplies the lesser curvature of the stomach and is a branch of the proper hepatic artery
right gastric artey
which artery supplies liver
common hepatic
which artery supplies the greater curvature of the stomah
gastro-omental
what is the main aortic branch supplying the liver (not arterial branch)
cephalic trunk
- branched off common hepatic goes to liver
which arterial branch supplies the liver and gall bladder
proper hepatic
which arterial branch supplies the left and right lobe of the liver
left and right hepatic artery
at what point does the common hepatic artery become the hepatic proper artery
when the gastroduodenal artery branches off it
which part of the duodenum separates the foregut and midgut
2nd part (descending)
which major branch of aorta supplies the midgut
superior mesenteric
what artery supplies the lower part of pancreas and duodenum
inferior anterior/posterior pancreaticoduodenal artery
not the superior and inferior pancreaticoduodenal arteries anastomose
what artery supplies the small bowel
jejuenal and illeal artery
what structure does the large intestine meet the small intestine at
ileocaecal junction
where does the midgut meet the hindgut
2/3 along the transverse colon
what artery supplies the middle of the large intestine
middle colic
what artery supplies the right side of large intestine
right colic
which artery supplies the ileocaecal junction
ileocolic
which artery supplies the appendix
appendicular
which artery supplies the edge of large intestine
marginal artery of drummond
which branch off the aorta supplies the hind gut
inferior mesanteric
which vertebral level does the inferior mesenteric artery branch off the aorta
L3
which artery supplies the superior part of the rectum
superior rectal
which artery supplies the left side of the large intestine
left colic
which artery supplies the sigmoid
sigmoid artery
define what a watershed area is
regions of body that receive dual blood supply
what is a negative and positive of watershed regions in terms of ischaemia
pro :
- if theres a blockage in one of the arteries that supply a watershed area, they are spared from ischaemia due to dual supply
con :
- if there is systemic hypo perfusion (slow/reduced blood flow) it is extremely vulnerable to ischaemia as it is most distal to branches
what are the 3 watershed regions in the large intestine
- around the SMA ileal branches ( near the junction where the large intestine and small intestine meet)
- splenic flexure ( upper left corner of LI) (Griffith point)
- rectosigmoid junction (sudeck point)
what of the gut does the inferior mesenteric vein drain
hind gut
what vein drains the spleen
splenic vein
what 2 other structures does the splenic vein drain
pancreas and stomach
what part of the gut does the superior mesenteric vein drain
mid gut
the superior mesenteric and splenic vein fuse to form which major vein
hepatic portal vein
why does the venous blood from the gut go to the liver and not inferior vena cava
- substances absorbed by the bowel need to get stored, altered and detoxified first
note the lymphatic drainage has the same name as the arteries
what lymph node drains to which lymph nodes from the foregut
celiac lymph nodes
what lymph nodes drain midgut
superior mesenteric lymph nodes
what lymph nodes drain hindgut
inferior mesenteric lymph nodes
what is the name fo the structure into which the lymph nodes form the celiac lymph nodes will flow
thoracic duct