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ana 202 > SPLEEN > Flashcards

SPLEEN Flashcards

1
Q

largest lymphoid organ is the ——-?

A

Spleen

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2
Q

SPLEEN

____,____, or _____ shaped

  • size of _____
  • (delicate or tough ?)
  • _____ in color
  • stores ___
  • removes ______ too
A

tetrahedral, ovoid, or wedge

one’s fist

Delicate

purple

rbc

worn out rbc

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3
Q

most vulnerable abdominal organ is the ______?

A

Spleen

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4
Q

The spleen is capable of expansion and contraction

T/F

A

T

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5
Q

SPLEEN

  • _________ region of the abdomen
  • between _____ and _____
  • ________ line
  • ____-____ ribs
  • ___peritoneal
A

left hypochondriac

fundus and diaphragm

midaxillary

9th to 11th

intra

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6
Q

The spleen doesn’t move Atall

T/F

A

F

moves a bit

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7
Q

SPLEEN

  • __cm thick
  • ____g in weight
  • length __cm
  • diameter __cm

-__inch thick;__ inches wide;__ inches long;weighs _______

A

3

150-200

12

7

1;3;5:7 ounces

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8
Q

SPLEEN

2angles- ______ and _____
2surfaces -_____ and _
2ends- ______ and _____ (extremities)
3edges- ____,_____,_____

A

anterobasal and posterobasal

Diaphragmatic and visceral

anterior and posterior

superior, inferior, and intermediate

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9
Q

Diaphragmatic surface

  • (concave or convex?) and (even or uneven?)
  • goes (superior or Inferior?) , (forwards or backwards?) and (left or right?)

VISCERAL SURAFCE

  • (concave or Convex?) and (even or uneven?)
  • ____, ____,_____, ____
A

convex; even

Superior

Backwards

Left

Concave ; uneven

gastric; colic; renal; pancreatic

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10
Q

___ligament prevents the spleen from going down towards the iliac fossa)

A

Phrenicocolic ligament

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11
Q

gastrosplenic ligament
Contains _____artery

-lienorenal ligament
_______
_____ artery

A

Short gastric

Tail of pancreas

Splenic

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12
Q

RELATIONS

Medially-_______,_____
Inferiorly-_____ flexure
Anteriorly- _____
Posterior- ______, ____ lung, ribs _____

A

tail of pancreas

left kidney

left colic

stomach

diaphragm; left

9-11

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13
Q

BLOOD SUPPLY

ARTERIES!!!

  • supplied by the ____ artery
  • in lienorenal ligament up to just near the hilum
  • then it divides into 5 or more branches then enters the hilum of the spleeen
A

splenic

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14
Q

_____ artery which is the largest branch of the coeliac artery

A

splenic

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15
Q

VEINS!!!
-splenic vein , found (behind or infront of?) the body of pancreas

Tributaries of splenic vein are : 
 \_\_\_\_\_ veins 
\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_
\_\_\_\_\_

NERVES

_____ plexus

A

Behind

Short

Inferior mesenteric

Left gastroepiploic

Pancreatic

Coeliac

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16
Q

SEGMENTS

  • the splenic artery divides into ______ and _______ branches that (do or do not?) anastomose
  • _______ plane seperates the up from down of the spleen
A

superior and inferior

Do not

avascular

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17
Q

CLINCAL ANATOMY

the spleen can be palpated

T/F

A

F

It can’t

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18
Q

splenomegaly: occurs during sicknesses like _______, the spleen gets _____

A

malaria or typhoid

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19
Q

Surgical removal of the entire spleen is ______

A

splenectomy

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20
Q

KEHR’s sign:

when you have acute pain in the _____ when you lay down and ______ due to ______ or _____ being in the peritoneal cavity . Have this in your left shoulder and we know your spleen has ruptured

A

tip of the shoulder

elevate your leg

irritants or blood

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21
Q

The stomach lies ____ in the (upper or lower?) and (left or right?) part of the abdomen, occupying the ______,_____,_____ regions.

A

obliquely

Upper

Left

epigastric, umbilical and left hypochondriac

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22
Q

Most of the lies under the cover of the right costal margin and the ribs.

T/F

A

F

Left

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23
Q

The exact size, shape and position of the stomach is constant from person to person and with position and respiration.
T/F

A

F

The exact size, shape and position of the stomach can vary from person to person and with position and respiration.

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24
Q

The shape of the stomach depends upon the degree of its _____ and that of the ______, e.g. the colon.

A

distension

surrounding viscera

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25
Q

When empty, the stomach is somewhat ___-shaped ( ____)

when partially distended, it becomes _____ in shape.

In obese persons, it is more _____.

A

J

vertical

piriform

horizontal

26
Q

The shape of the stomach can be studied in the living by radiographical examination after giving a _____

A

barium meal.

27
Q

The stomach is a semi distensible organ.

T/F

A

F

It’s a very distensible organ

28
Q

Stomach

is about __ cm long

The mean capacity is:one ___ ( ____ml) at birth,

One ___ (___ ml) at puberty,

_____ to _____ or more in adults.

A

25

Ounce; 30

liter; 1000

1½ to 2 liters

29
Q

Eternal Features of the stomach can be best remembered by “twos”.
Two openings _______ and _______

Two curvatures ______ and ____

Two surfaces ______ and ______

  • Two omenta _____ and _____
  • Two gastric nerves _____ and _____
A

Cardiac orifice ; Pyloric orifice

Lesser curvature; Greater curvature

Antero superior; Postero inferior

Lesser omentum ; Greater omentum

Anterior (Left vagal trunk); Posterior (Right vagal trunk)

30
Q 
4 Parts of the stomach 
•\_\_\_\_\_ region
•\_\_\_\_
•\_\_\_\_
•\_\_\_

The pylorus is formed by 3 parts
•Pyloric ____
•Pyloric ____
•Pyloric _____

A

Cardiac

Fundus

Body

Pylorus

antrum
Canal
Sphincter

31
Q

The cardiac orifice:

separates the _____ from the ____
lies at the (upper or lower?) border of the ____ of the ______ behind the ____ left costal cartilage and about ___ cm to the left of its chondro sternal junction.

There is _______ evidence of sphincteric action at this site, but a sphincter cannot be demonstrated _______.

A

oesophagus

stomach

Lower; body; 11th thoracic vertebra; 7th; 2.5

physiological; anatomically

32
Q

Pyloric orifice:

opens into the ____.
In an empty stomach and in the supine position, it lies ___ cm to the right of median plane, at the level of (upper or lower?) border of vertebra ___ or _____ plane.
•It can be indicated on the surface of the stomach by a _____ groove, the pyloric constriction produced by the ______ and identified by the _____ which runs (vertically or horizontally ?) across its (anterior or posterior?) surface.

A

duodenum

1.2

Lower; L1; transpyloric

circular

pyloric sphincter

prepyloric vein

Vertically

Anterior

33
Q

Cardiac orifice

It is the site of the _________ sphincter.
•It is a ____ rather than an ____, sphincter.

•Consists of a _____ layer of smooth muscle (under _____ and ____ control).

  • Function:
  • Prevents ___________
A

gastro- esophageal

physiological; anatomical

circular

vagal and hormonal

(GER) regurgitation (reflux)

34
Q

the abrupt mucosal transition from ____ to ____ (______)

A

esophagus

stomach

Z- line

35
Q

The lesser curvature is (concave or convex?) and forms the (right or left?) border of the stomach. It provides attachment to the _________

The most dependent part of the curvature is marked by the _______ or ____

A

Concave

Right

lesser omentum.

angular notch or incisura angularis.

36
Q

The greater curvature is (concave or convex?) and forms the (left or right?) border of the stomach.

A

Convex

left

37
Q

The greater curvature gives attachment to the following dorsal mesenteries starting from above.

  1. _______ ligament
  2. _______ ligament
  3. _______
A

Gastro phrenic

Gastro splenic

Greater omentum

38
Q

The gastro epiploic vessels lie between the two layers of the _____ at its point of attachment to the _______

A

greater omentum

greater curvature.

39
Q

At its upper end, the greater curvature presents the ______ which separates it from the oesophagus.

A

cardiac notch

40
Q

The stomach has four main anatomical divisions;

the ___, ____, ____ and ____

A

cardia

fundus

Body
Pylorus

41
Q
  • Cardia – surrounds the (superior or Inferior?) opening of the stomach at the ____ vertebrae level.
  • Fundus – the (rounded or flattened?) , often __ filled portion (superior or Inferior?) to and (left or right?) of the cardia.
  • Body – the large central portion (superior or inferior?) to the fundus.
  • Pylorus – This area connects the _____ to the _____.
A

Superior ; T11

Rounded ; gas

Superior

Left

Inferior

stomach; duodenum

42
Q

The pyloric sphincter demarcates the transpyloric plane at the level of ____.

A

L1

43
Q

The mucosa of an empty stomach is thrown into folds termed as gastric _____.

A

rugae

44
Q

The gastric rugae are ______ along the lesser curvature and are _______ elsewhere.

A

longitudinal

irregular

45
Q

The rugae are ______ in a distended stomach.

A

flattened

46
Q

On the mucosal surface there are numerous small depressions that can be seen with a hand lens.
• These are the _______.

The gastric ____ open into them.

A

gastric pits

gland

47
Q

The parts of the lumen of the stomach that lies along the lesser curvature, and has longitudinal rugae, is called the _______ or ______

A

gastric canal or magenstrasse.

48
Q

This gastric canal allows (slow or rapid?) passage of swallowed ____ along the ____ curvature directly to the (upper or lower?) part before it spreads to the other parts of stomach.

A

Rapid

liquids

lesser

Lower

49
Q

the_____ curvature bears maximum insult of the swallowed liquids, which makes it vulnerable to peptic ulcer

A

lesser

50
Q

The antero superior surface of stomach faces upwards and forwards and is related to the _____, ______ muscle and ____ organ on its left part and to the ___ and ____ lobe of the ___, anterior abdominal wall and the _____ on the right part.

A

diaphragm

transversus abdominis

spleen

left and quadrate; liver

transverse colon

51
Q

The postero inferior surface of stomach facing backwards and downwards is related to the structures of the stomach bed which is formed by the following:
List all ___ of them
•All there structures are separated from the stomach by the _______ or _____

A

7

Left Kidney
•2.    Left Suprarenal
•3.    Left Crus of diaphragm
•4.    Body of Pancreas
•5.    Left Colic Flexure
•6.    Transverse Mesocolon
•7.    Splenic artery

omental bursa or lesser sac.

52
Q

BLOOD SUPPLY
•The stomach being a derivative of the ____ is supplied by branches of the _______ through the :

  • (a) ______ artery – branch of ___
  • (b) _____ artery (branch of ______)
  • (c) _______(branch of _____)
  • (d) _______ branches of ______
  • (e) ________
A

foregut

coeliac trunk

Left gastric; celiac trunk

Right gastric; common hepatic

Right gastroepiploic ; gastroduodenal

Short gastric; splenic

Left gastroepiploic

53
Q

Left gastric artery:
•It is a branch of _______
•Runs along the ————.

Right gastric artery:
From the ________.
–Runs to the (left or right?) along the ______

A

celiac artery.

lesser curvature

hepatic of celiac

Left; lesser curvature

54
Q

Short gastric arteries
•arise from the ____ artery.
•Pass in the ______ ligament.

Left gastroepiploic artery:
from ______ artery
–Pass in the ______ ligament, along the ________ curvature

Right gastroepiploic artery:
• from the ________ artery of ____ .
–Passes to the (left or right?) along the ______ curvature.

A

splenic

gastrosplenic

splenic

gastrosplenic

greater

gastroduodenal; hepatic

Left; greater

55
Q

Venous drainage of the stomach

  • All of them drain into the _____ circulation.
  • The ___________ veins drain directly into the portal vein.
  • The ______ veins and the ______ vein join the splenic vein.
  • The ________ vein drain in the superior mesenteric vein.
A

portal

right and left gastric

short gastric; left gastroepiploic

right gastroepiploic

56
Q

The stomach receives innervation from the autonomic nervous system

  • Parasympathetic nerve supply arises from the __________________, derived from the ____ nerve.
  • Sympathetic nerve supply arises from the _____ spinal cord segments and passes to the ____ plexus via the _______ nerve. It also carries some ___ transmitting fibres
A

anterior and posterior vagal trunks; vagus

T6-T9

coeliac

greater splanchnic

pain

57
Q

The lymph vessels follow the arteries.

T/F

A

T

58
Q

The lymph vessels follow the arteries.

•They first drain to the:
–Left and right ____ nodes
–Left and right _____ nodes and the
–_____ nodes

Ultimately, all the lymph from the stomach is collected at the ____ nodes.

A

gastric

gastroepiploic

Short gastric

celiac

59
Q

Congenital hypertrophic pyloric stenosis is found at birth from _____ of the ____ muscle fibres of the pyloric _____.

A

hypertrophy

circular

sphincter

60
Q

Blood vessels and lymphatics of stomach are continuous with the _____ but not _____. Therefore carcinoma of stomach tends to spread to _____ but not ______.

A

oesophagus

duodenum

oesophagus

duodenum

61
Q

Gastric pain can be felt in the ______ because the ______ and the stomach are both supplied from segments _____-____ of the spinal cord.

A

epigastrium

epigastrium

T6 to T1O

62
Q

Gastric Triangle — a part of the anterosuperior surface of the stomach is in contact with the anterior abdominal wall.

This area is bounded by the (superior or Inferior?) border of the ___ to the (left or right?) , the _______ to the (left or right?) and the ______ below and it is through this area that a _______ is done.

A

Inferior

liver

Right

left costal margin

Left

transverse colon

gastrotomy

ana 202 (24 decks)

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