Week 1 Flashcards
When does the primordial gut tube develop?
The fourth week of human development.
what is the primordial gut tube derived from?
endoderm lining the yolk sac
the primordial gut tube is divided into which three parts?
forgeut, midgut and hindgut
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how long is the oesophagus?
25cm
what are the three oesophagus constrictions?
cervical
thoracic
diaphragmatic
describe the cervical (pharyngo-oesophageal) constriciton
15cm from incisor teeth
describe the diaphragmatic oesophagus constriciton?
where it passes through the oesophageal hiatus of the diaphragm - 40cm from incisor teeth
label this stomach
what are the parts of the stomach?
cardia
fundus
body
pyloric part
what are the curvatures of the stomach called?
lesser and greater curvatures
what is the function of the pyloric sphincter?
controls discharge of stomach contents into the duodenum
what do bile ducts do?
carry bile from the liver to gallbladder
how much bile can the gallbladder store?
up to 50ml
describe the artery of the gallbladder?
Cystic artery is a branch of right hepatic artery and lies in the triangle of calot (triangle between common hepatic duct and visceral surface of the liver).
describe the exocrine and endocrine function of the pancreas in digestion
exocrine- pancreatic juice.
endocrine- insulin and glucagon.
what plane does the pancreas lie along?
the transpyloric plane (LI/L2)
WHAT IS THE FOREGUT BLOOD SUPPLY COMPOSED OF? and what are its branches and their areas of supply?
CELIAC TRUNK BRANCHES:
1) left gastic artery - runs along lesser curvature of the stomach
2) hepatic artery - supplies liver and gallbladder
3) splenic artery - supplies head of pancreas and spleen.
midgut structures
small intestine, including most of duodenum.
cecum
appendic
ascending colon
right half to two-thirds of the transverse colon
describe the duodenum
shortest, widest and most fixed part of small intestine.
its second part receives bile duct and pancreatic duct
what causes a duodenal ulcer?
inflammatory erosions of the duodenal wall (mostly 1st part)
describe the blood supply of the midgut
superior mesenteric artery (L1)
main branches: jejunal and ileal arteries
other branches: middle colic, right colic and iliocolic
what structures compose the hindgut?
left one-thirs of transverse colon, descending colon, sigmoid colon, rectum and upper part of anal canal
epithelium of the urinary bladder and most of the urethra
inferior mesenteric artery
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what is macburney’s point?
site of maximum tenderness in acute appendicities.
what artery supplies the hindgut? what vertebral level does it originate? and what are its branches?
inferior mesenteric artery (L3)
BRANCHES: left colic, sigmoid arteries and superior rectal artery.
what is the terminal branch of the inferior mesenteric artery called?
superior rectal artery
what nerves provide parasympathetic innervation to the abdominal organs?
vagus nerve (10th cranial nerve)
pelvic splanchnic nerves (S2, S3 & S4).
describe the sympathetic (T5-L2 OR L4) innvervation of abdominal organs
abdominopelvic splanchnic nerves (greater T5-T9, lesser T10-T11, and least T12).
PARAVERTEBRAL SYMPATHETIC GANGLIA
abdominal aortic plexus
what vein allows drainage of abdominal GI tract
portal vein
portal vein function
transport venous blood from the spleen, pancreas, gall bladder and abdmonal part of the GI tract
how is the portal vein formed?
by the union of splenic vein with the superior mesenteric vein.
where is the portal vein located?
Behing the neck of pancreas (L2 vertebral level
what are portocaval shunts?
venous enlargements (varices) during portal obstruction
what portocaval shunt occurs in the anorectal junction?
haemorrhoids
what portocaval shunt occurs in the gastroeosophageal junction?
eosophageal varices
what portocaval shunt occurs at the umbilicus?
caput medusae
describe the lymphatic drainage of GI tract/abdomen
thoracic duct recieves most of the lymph from abdominal walls and abdominal organs
at which vertebral levels does the oesophagus begin and end
It originates at the inferior border of the cricoid cartilage (C6) and extends to the cardiac orifice of the stomach (T11).
oesophageal constriction acronym
ABCD
arch of aorta
bronchus (left main stem)
cricoid cartilage
diaphragmatic hiatus
Label this A-F
A= DIAPHRAGM
B= LEFT SUPRARENAL GLAND
C= LEFT RENAL VEIN
D= IVC
E= ABDOMINAL AORTA
F= LEFT KIDNEY