Vessels (1.8)

Question 1

Where does the left gastric run?

Answer 1

The left gastric runs along the lesser curvature of the stomach

Question 2

What does the left gastric anastomose with?

Answer 2

The left gastric and right gastric anastomose

Question 3

What are the three branches of the celiac trunk?

Answer 3

Common Hepatic
Splenic
Left Gastric

Question 4

What are the two major branches of the Common Hepatic?

Answer 4

Hepatic Proper

Gastroduodenal

Question 5

What does the gastroduodenal supply?

Answer 5

Greater curvature of the stomach (Right gastroomental)

The duodenum

Question 6

What are the three branches of the Hepatic Proper?

Answer 6

Right gastric

Right and Left Hepatic…enter liver at the porta hepatis

Question 7

The Cystic artery branches off of which Hepatic artery?

Answer 7

The Right Hepatic

Question 8

Besides the Gastroduodenal, what other artery supplies the duodenum? What is the significance of this?

Answer 8

The Superior Mesenteric Artery also supplies the duodenum

The SMA and Gastroduodenal anastomose…a connection between the celiac and SMA

Question 9

The Splenic Artery has branches to the pancreas, what other artery supplies the pancreas?

Answer 9

SMA

Question 10

Besides branching into Pancreatic Arteries, what are two other branch types off the Splenic Artery?

Answer 10

Left Gastroomental (supplies the greater curvature of the stomach…anastomoses with the Right Gastroomental in the greater omentum)

Short Gastric (supply the gastric fundus)

Question 11

The SMA has many major branches…what are they?

Answer 11

Jejunal and Ileal
Appendicular
Ileocolic
Right Colic
Middle Colic

Question 12

Which side of the SMA do the Jejunal and Ileal arteries branch?

Answer 12

Left side

Question 13

What are the differences between the Jejunal and Ileal networks?

Answer 13

The Jejunal has longer vasa recta and bigger windows in the mesentery

Question 14

Which artery supplies the proximal 2/3 of the transverse mesocolon?

Answer 14

The Middle Colic Artery

Question 15

What are some features of the jejunum not shared with the ileum?

Answer 15

Prominent folds (plicae circulares)
Adjacent mesentery doesn't have fat

Question 16

Where are lymphoid nodules (Peyer’s patches)?

Answer 16

The ileum

Question 17

The Inferior Mesenteric Artery has three major branches…what are they?

Answer 17

Left colic
Sigmoidal
Superior rectal

Question 18

What are the linear markings on the colon?

Answer 18

Teniae Coli

Question 19

What is important about the Marginal Artery of Drummond?

Answer 19

The Marginal Artery forms an anastomoses between the IMA and the SMA

Question 20

What causes the change of location of appendicitis pain?

Answer 20

Initially only visceral pain…gets referred to umbilicus through T10

The inflammation spreads to the parietal peritoneum

Question 21

What three veins come together to form the Hepatic Portal Vein?

Answer 21

Superior Mesenteric Vein
Splenic Vein
Inferior Mesenteric Vein

Question 22

Where is the Hepatic Portal Vein found?

Answer 22

In the Hepatoduodenal ligament…the free edge of the lesser omentum

Question 23

What forms the Portal Triad?

Answer 23

Hepatic Portal Vein
Hepatic Artery Proper
Common Hepatic Duct

Question 24

What can possibly happen with liver disease concerning the portal system?

Answer 24

Blood flow reverses directions from the portal veins into the systemic veins –> varicosity (Esophageal varices, Caput medusae [paraumbilical veins], and rectal hemorrhoids) and possible hemorrhages

Question 25

Where do the lymphatics of the GI tract above the middle rectum end up?

Answer 25

The cisterna chyli

Question 26

Where do the lymphatics from the middle/lower rectum go?

Answer 26

With the External Iliac