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GI > GI Anatomy > Flashcards

GI Anatomy Flashcards

1
Q

Retroperionteal Structures?

A 
SAD PUCKER
Suprarenal (adrenal) gland
Aorta/IVC
Duodenum (2nd/3rd parts)
Pancreas (except tail)
Ureters
Colon (descending and ascending)
Kidneys
ESO (lower 2/3)
Rectum (lower 2/3)
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2
Q

Contents of ligament that is dervived from ventral mesentary?

A

Falciform ligament. Contains ligamentum teres hepatis (from fetal umbilical vein)

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3
Q

Contents of ligament that may be compressed during surgery with the pringle maneuver? Ligament connects?

A

Hepatoduodena - connects lesser sac to greater sac. Portal triad (hepatic artery, portal vein, common bile duct).

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4
Q

Contents of ligament that separates the greater and lesser sacs on the right?

A

Gastrohepatic. Gastric arteries

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5
Q

Contents of ligament that connects greater curvature and transverse colon?

A

Gastrocolic. Gastroepiploic arteries.

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6
Q

Contents of ligament that separates the greater and lesser sacs on the left?

A

Gastrosplenic. Short gastrics, left gastroepioplic vessels

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7
Q

Contents of ligament thatconnets spleen to posterior adominal wall?

A

Splenorenal. Splennic artery and vein, tail of pancreas

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8
Q

Layers of gut wall (inside to out)

A

Mucosa - epithelium, lamina propria, muscularis mucosa
Submucosa - meissner’s plexus
Muscularis externa - myenteric (auerbachs) plexus
Serosa(intraperitoneal)/Adventitia (when retroperitoneal)

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9
Q

Erosion vs ulcer?

A

mucosa vs deeper

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10
Q

Frequencies of waves in stomach, duo, ileum?

A

3 waves/min, 12, 8-9

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11
Q

Histo: contains brunner’s glands? Function?

A

Duodenum. Secrete alkaline solution

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12
Q

Histo: contains plicae cicularis?

A

Jejunum

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13
Q

Histo: contains peyers patchers

A

ileum

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14
Q

Histo: contains largest number of golbet cells

A

ileum

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15
Q

Histo: contains crypts but no villi

A

colon

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16
Q

Level of celic trunk?

A

T12

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17
Q

Level of SMA?

A

L1

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18
Q

Level of Renal arteries?

A

L1

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19
Q

Level of IMA?

A

L3

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20
Q

Level of aoric biforcation?

A

L4

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21
Q

Arteries that supply GI structures branch?

A

Anteriorly off aorta

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22
Q

Arteries that supply non-GI structures branch?

A

Laterally off aorta

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23
Q

Testicular/ovarian arteries branch where? Which branches higher?

A

Below L1 (renal artery) but above L3 (IMA). Left artery branches first.

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24
Q

Small artery that comes off bifurcation of aorta?

A

median sacral artery

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25
Q

Intestinal obstruction is duodenum is caught between these vessel?

A

SMA syndrome. duodenum between SMA and aorta

26
Q

Innervation of foregut, midgut and hindgut

A

Vagus, Vagus, Pelvic

27
Q

Main artery of foregut, midgut and hindgut

A

celiac, SMA, IMA

28
Q

Branches of celiac trunk?

A

Common hepatic, splenic, left gastric

29
Q

Arteries of foregut that have strong anastomoses?

A

gastrics, gastroepiploics

30
Q

Branch of left gastric?

A

ESO branch

31
Q

right and left gastric from?

A

Hepatic artery (from common hepatic); celiac trunk

32
Q

Common hepatic splits into?

A

Hepatic and gastroduodenal

33
Q

Right and left gastroepiploic from?

A

Gastroduodenal; spleenic

34
Q

Collateral circulation: Between internal mamillary and external iliac via?

A

Superior epgastric to inferior epigastric

35
Q

Collateral circulation: celiac truck to SMA

A

Superior pancreaticoduodenal to inferior pancreaticoduodenal

36
Q

Collateral circulation: from SMA to IMA?

A

Middle colic to left colic

37
Q

Collateral circulation: IMA to internal iliac

A

superior rectal to middle/inferior rectal

38
Q

Pt with esophageal varices - anastomoses between?

A

left gastric and esophageal vein

39
Q

Pt with caput medusae - anastomoses between?

A

paraumbilical to

1) superior epigastric and lateral thoracic above the umbilicus
2) superfical and inferior epigastrics (below umbilicus)

40
Q

Pt with internal hemorrhoids - anastomoses between?

A

superior rectal and middle/inferior rectal

41
Q

Relieve portal hypotension by creating a TIPS shunt between

A

portal vein adn hepatic vein

42
Q

Where endoderm meets ectoderm in GI tract?

A

Pectinate line.

43
Q

Cancer above and below pectinate line?

A

Adenocarinoma vs SCC

44
Q

Artery (and origin) above and below pectinate line? Lymph drainage?

A

superior rectal (IMA) vs inferior rectal (internal pudendal)

deep nodes vs superficial inguinal nodes

45
Q

Venous drainage above and below pectinate line?

A

Superior rectal to IMV to portal system
vs
Inferior rectal vein to interal pudendal to IVC

46
Q

Hemorrhoids above and below pectinate line? (Nerves)

A

not painful (viceral innervation) vs painful (inferior rectal branch of pudendal)

47
Q

Liver: flow of blood? Flow of bile?

A

to central vein vs to bile ductule (away from central vein)

48
Q

Zone of liver affected: viral hepatits vs alcoholic hepatitis.

A

Zone 1: periportal vs Zone 3:pericentral

49
Q

Zone of liver affected most from ischemia or toxic injury?

A

Zone 3: pericentral

50
Q

Zone of liver that contains P450s?

A

Zone 3: pericentral

51
Q

Gallstone here blocks both bile and pancreatic secretions?

A

Ampulla of Vater

52
Q

Pancreatic tumor and that blocks bile duct. Location of tumor?

A

head of pancreas

53
Q

Femoral Region anatomy from lateral to media?

A

NAVEL

Nerve, Artery, Vein, Empty Space, Lymph

54
Q

Femoral triangle contains?

A

femoral vein, artery, nerve

55
Q

Femoral sheath does not contain?

A

femoral nerve

56
Q

Indirect hernia - protusion through where? to where?

A

Internal inguinal ring, into scrotum

57
Q

Direct hernia - bounded by?

A

Inferior epigastrics(lateral) rectus abdominus (medial) and inguinal ligament (below)

58
Q

Sliding hiatal hernia vs paraesophageal hernia? Both are types of?

A

Stomach herniates through the the esophageal hiatus (hourglass stomach) vs fundus protrudes into thorax
Both are diaphragmatic hernias

59
Q

infant with an enlarged scrotum. What failed?

A

Indirect hernia forming Hydocele from failure of fusion of processus vaginalis

60
Q

Hernia that pass only though superficial inguinal ligmanet?

A

Direct hernia

61
Q

Hernia most common in women leading cause of?

A

Femoral hernia. Bowel incarceration

GI (5 decks)

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