wk 3 1 anatomy of jaundice pt 2

Question 1

duodenum can be separated into 4 parts, superior, descending, horzontal, ascending. Which parts are retroperitoneal

Answer 1

descending
horizontal
ascending

superior - part intraperitoneal

Question 2

sympathetic stimulation of pyloric sphincter will cause

Answer 2

contraction

Question 3

2 peptide hormones secreted to blood in duodenum

Answer 3

gastrin

CCK

Question 4

what does CCK cause an increase in movement of

Answer 4

bile

Question 5

associated pain from a duodenal ulcer

Answer 5

epigastric region

Question 6

foregut and midgut pain is usually

Answer 6

epigastric
umbilical
(not neccessarily, as duodenal pain in epigastric)

Question 7

t/f pancreas is intraperitoneal

Answer 7

false

pancreas = retroperitoneal

Question 8

ampulla vater is

Answer 8

the hepatopancreatic ampulla, where pancreas drain meets the common hepatic duct and into duodenum
(sphincter of oddi)

Question 9

where in duodenum do he papilla lie, which side

Answer 9

2nd part - descending

posterior side

Question 10

difference between cystic duct and other ducts

Answer 10

is a spiral, aids control for storage

Question 11

jaundice is due to biliary obstructin, what causes

Answer 11

obstruction of biliary tree

• gallstones
• carcinoma at head of pancreas

Question 12

how does biliary obstruction cause jaundice

Answer 12

flow of bile back up to liver

overspill into blood

Question 13

what can happen if obstruction affects head of pancreas

Answer 13

digestive enzymes pushed back and into other tissues, may erode

Question 14

where does the anastmosis lie in relation to the duodenum and pancreas? what arteries do these come from

Answer 14

superior pancreaticoduodenal artery (gastroduodenal a.)

and inferior pancreaticoduodenal artery (superior mesenteric a.\0

Question 15

where does the superior mesenteric artery come off of the aorta (vertebral level)

Answer 15

at L1

Question 16

pancreatitis can be due to blockage of ampulla by gallstone, where is rhe pain related

Answer 16

foregut and midgut organ:

epigastric/umbilical pain which can also radiate to the back

Question 17

vascular haemorrahe can occur in acute pancreatitis,where would this be observed

Answer 17

pool in the retroperitoneal space (not going to pouches!!)
grey-turners sign - right/left flanks, where kidneys lie

cullens sign - around umbilicus via falciform lig.

Question 18

colour, wall,vascular, fat, folds ,lymph tissue differecnes of jejunum and ileum

Answer 18

jejunum - deep red, thick and heavy, more vascular, less fat, large tall packed folds, and no lymph tissue (more associated with ileum, might be a bit) (peyers)

Question 19

jejunum and ileum supplied by

Answer 19

superior mesenteric artery (midgut)

Question 20

vessels of midgut travel within

Answer 20

the mesentery

Question 21

explain how venus drainage works in jejunum and ileum

Answer 21

begins jejunal and ileal veins

• superior mesenteric vein
• hepatic portal vein

Question 22

when chylomicrons are absorbed from intestinal cells, they go into specialised lymphatic vessels, name

Answer 22

lacteals

Question 23

lacteals travel via lymph system and eventually drain into the venous system via

Answer 23

left venous angle

Question 24

venous angle from

Answer 24

subclavian and internaljugular