Chapter 94: Rectum, Anus and Perineum Flashcards

1
Q

What is unique about the resting membrane potential in GI smooth muscle cells?

A

The resting membrane potential is not constant. It oscillates in slow waves over time, generated by pacemaker cells called the interstitial cells of Cajal

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2
Q

How many bacteria are there per gram of feces?

A

10^9 bacteria per gram of feces
- Up to 90% anaerobes

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3
Q

Where is the most common location for a perineal hernia in dogs?

A

Between external anal sphincter and levator ani

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4
Q

What anatomical difference is there regarding the perineum in dogs and cats?

A

Cats do not have a sacrotuberous ligament

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5
Q

Where is the colorectal junction? The rectoanal junction?

A

Colorectal is arbitrary but the entry of the cranial rectal artery can be used as a point.

Rectoanal is ventral to 2nd or 3rd caudal vertebrae (also where the mesorectum ends).

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6
Q

Intraperitoneal rectum has what four layers?

A

Mucosa
Submucosa
Muscularis (has inner circular and outer longitudinal layers)
Serosa

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7
Q

What is different about retroperitoneal rectum vs intraperitoneal?

A

It LACKS serosa

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8
Q

What is the main blood supply to the rectum?

A

Cranial rectal artery

The intrapelvic has poorer supply in dogs, but in cats the middle and caudal rectal aa. step up)

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9
Q

How long is the anal canal?

A

1-2 cm, beneath the 4th caudal vertebra

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10
Q

What muscles surround the anal canal?

A

Smooth internal and striated external anal sphincter.

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11
Q

What is the anorectal line?

A

Where columnar rectal epithelium changes to stratified squamous (cutaneous) zone

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12
Q

Where do the anal sac ducts open through?

A

The cutaneous zone.

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13
Q

Blood supply to the anus?

A

Right and left caudal rectal aa. and branches of the internal pudendal.
**Cranial rectal artery too **

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14
Q

Where does venous drainage from the anus end up?

A

CVC and Portal systems

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15
Q

Where does the lymph drainage of the anus go?

A

Sacral, medial and internal iliac nodes.

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16
Q

How long and how wide are the ducts of the anal sacs?

A

5mm long, 2mm wide

17
Q

What are the anal sacs?

A

2 paranal sinuses between the inner smooth and outer striated sphincters lined with stratified squamous epithelium.

18
Q

What is the perineal fascia?

A

Convergence of the fascia of the tail, pelvis and thighs at the anus.

19
Q

What are the components of the pelvic diaphragm?

A

Pelvic fascia, coccygeus, levator ani

20
Q

What are the ischiorectal fossae?

A

Bilateral, deep, pyramidal depressions lateral to the tail and anus.

These are filled with hernia contents in perineal hernias.

21
Q

What is the blood supply to the pelvic diaphragm?

A

internal pudendal and caudal gluteal arteries
IMPORTANT

22
Q

What are the circumanal glands?

A

Hepatoid glands that regress in adult females/ are testosterone influenced.
Circumanal gland tumor, also referred to as perianal tumor/adenoma or hepatoid gland tumor is a common perineal neoplasm. Usually benign.

23
Q

What glands produce the anal sac yuck?

A

Paranal sinus glands. In the wall and duct of the sac, large, coiled apocrine tubules.

24
Q

Which extends further caudal, external or internal anal sphincter?

A

Internal.

25
Q

What is responsible for voluntary anal continence?

A

External anal sphincter, a circular band of striated muscle.

26
Q

What are the three components of the pelvic plexus?

A

Parasympathetic pelvic nn.
1-3 sacral nerves
Sympathetic fibers from hypogastric n.

27
Q

What nerve provides voluntary motor to the external anal sphincter?
Sensation?

A

Motor: Caudal rectal branch of pudendal nerve

Sensory: Perineal branch of pudendal nerve

28
Q

What are cells of Cajal?

A

Pacemaker cells that allow slow waves of peristalsis to reach both layers of rectal mm.