Visceral Anatomy and Histology - The GI tract Flashcards

1
Q

where is the lesser omentum

A

extends from the lesser curvature of the stomach and proximal duodenum -> to the inferior aspect of the liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the clinically important structures that lie within the lesser omentum?

A
  • hepatic artery
  • common bile duct
  • hepatic portal vein
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the mesentery?

A

double-fold of small intestinal peritoneal lining continuous with the serosa
- lines the jejunum and ileum, binds them to the posterior abdominal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what helps keep the small intestine from being “tangled”

A

mesentery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is mesocolon

A

2 separate double-folds that connect the transverse and sigmoid colon to the posterior abdominal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what divides the liver into left and right lobes and attaches to the anterior abdominal wall

A

the falciform ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what bursa is behind the stomach and lesser omentum?

A

omental bursa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

the arteries branch off the abdominal aorta at 3 major sites:

A
  • celiac trunk
  • superior mesenteric artery
  • inferior mesenteric artery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

celiac trunk gives rise to?

A
  • left gastric artery
  • common hepatic artery
  • splenic artery
  • pancreas
  • liver
  • gallbladder
  • stomach
  • duodenum
  • spleen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which branch of arteries from the abdominal aorta supplies the structures of the embryologic foregut

A

celiac trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

superior mesenteric artery gives rise to arteries that supply:

A
  • pancreas
  • stomach
  • small intestine
  • as well as the large intestine up to the point of the transverse colon
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

which branch of arteries from the abdominal aorta supplies the structures of the embryologic foregut and midgut

A

superior mesenteric artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

inferior mesenteric artery gives rise to arteries that supply:

A

the rest of the large intestine and superior anus (embryonic hindgut)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

venous circulation is a ?

A

portal circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is a portal circulation?

A

capillary networks that are in series with each other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

the inferior mesenteric vein joins with the ?

A

splenic vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

the splenic vein and the superior mesenteric vein come together to form the ?

A

hepatic portal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the hepatic portal vein carries ? but ? to the ? from most of the organs within the abdominal cavity

A

poorly-oxygenated
nutrient-rich blood
liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are the layers of the GI tract? (from lumen to outer wall)

A
  • mucosa
  • submucosa
  • muscularis
  • serosa/adventitia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

describe the mucosa

A

absorption, secretion, chemical digestion, many endocrine functions, some immune functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

describe the submucosa

A

secretion, lots of blood vessels, contains a large plexus of neurons (submucosal or Meissner’s plexus), some immune functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

describe the muscularis

A

two to three layers of smooth muscle, main function is propulsion, another large neuronal plexus exists here (muscular or Auerbach’s plexus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

describe the serosa/adventitia

A

connective tissue that anchors the GI tract and at the same time allows mobility – forms the peritoneum

24
Q

the epithelial lining consists of:

A
  • epithelium
  • goblet cells
  • enteroendocrine cells
25
goblet cells secrete ? which protects/lubricates the GI tract, forms a water layer for diffusion of nutrients, and helps "store" ?
mucous IgA
26
what forms the border between the mucosa and submucosa
muscularis mucosa
27
enteroendocrine cells (DNES) can be ? or ?
open or close
28
open enteroendocrine cells?
contact the lumen and can sense luminal contents
29
closed enteroendocrine cells?
do not contact the lumen, thus they are dependent on other sources of input to regulate secretion
30
where are G cells found?
stomach
31
G cell = what hormone ?
gastrin
32
what does gastrin mainly do?
increases secretion of stomach acid
33
where are I cells found?
small intestine
34
I cell = what hormone?
CCK
35
what does CCK do?
pancreatic enzyme secretion, gallbladder contraction
36
where are Mo cells found?
small intestine
37
Mo = what hormone?
Motilin
38
what does motilin do?
migrating motor complex
39
S cells are found where?
small intestine
40
S cells = what hormone?
secretin
41
what does secretin do?
bicarobonate and water secretion from pancrease inhibits gastric acid secretion and gastric emptying
42
what is MALT
smaller nodules rich in macrophages and lymphocytes, found in the mucosa (lamina propria)
43
what is Peyer's patches
very large (extends right through to the submucosa) nodules that may be cm in length ○ found mostly throughout the distal small intestine (jejunum, ileum)
44
in the epithelium overlying Peyer's patches are ?
M cells
45
what do M cells do?
selectively endocytose antigens and present them to dendritic cells and lymphocytes
46
esophagus has an ?
adventitia
47
what forms the outer layer of the GI tract?
serosa
48
in terms of the peritoneal membrane and peritoneal fluid, small particles are absorbed by ? and enter the portal circulation
venous pores
49
in terms of the peritoneal membrane and peritoneal fluid, large particles are absorbed by ? and enter the thoracic duct
lymphatic capillaries
50
The trunk is bounded by what superiorly?
Diaphragm
51
the trunk is bounded by what anterolaterally
musculo-aponeurotic walls
52
the trunk is bounded virtually by what inferiorly
the pelvic inlet
53
the trunk is bounded by what posteriorly
the vertebrae
54
what does the alimentary canal contain
- lower esophageal sphincter, stomach - duodenum, jejunum, ileum - Cecum, ascending colon, transverse colon, descending colon
55
what are some accessory organs
liver, gall bladder, pancreas, spleen, kidneys