Anatomy Flashcards
(184 cards)
1
Q
Which layers of the thoracolumbar fascia is the quadratus muslce contained in?
A
Ant and middle layers
1
Q
The oesophageal opening into the stomach is called the …?
A
Cardiac orifice
1
Q
What is the hilum of the liver called?
A
The porta hepatis
1
Q
The tail of the pancreas leads to what?
A
The spleen
1
Q
Do all unpaired structured of the GIT have mesentery?
A
No. The did originally but some structure had theirs reabsorbed - these are the secondary retroperitoneal structures
1
Q
Where does the superior mesenteric artery come off the aorta?
A
1cm below the celiac trunk
2
Q
Between which muscles does the neuro-vascular plane lie?
A
Internal oblique and transversus abdominis
2
Q
What lies inbetween the right and caudate lobes of the liver?
A
The IVC
3
Q
What is the ucinate process?
A
The “tongue” off the head of the pancreas
3
Q
What structures are from the midgut?
A
Second half of the duodenum
Jejunum and ileum
Ascending and transverse colon
Appendix
4
Q
What feature in the jejunum reflects that there is more absorption there cf to the ileum?
A
Greater mucosal folding
5
Q
All unpaired structures of the GIT are derived from what?
A
The primative tube
6
Q
The fundus of the stomach usually contains what?
A
Gas bubble
6
Q
What are the three major mesentery’s
A
The mesogastrium
The mesentery
The transverse mesocolon
7
Q
Upon which muscle do the kidneys sit?
A
Quadratus lumborum
7
Q
With which muscle does the ureter travel in the abdomen?
A
The psoas muscle
7
Q
The diaphragmatic surface of the liver is separated into two lobes by what
A
The falciform ligament
7
Q
Where does the superior mesenteric artery run?
A
Along the root of The mesentary
8
Q
What is the gastroesophageal junction?
A
Transition point between oesophagus and stomach
8
Q
What is the major duodenal papilla?
A
Point of insertion for the bile and pancreatic duct
8
Q
Is the pancreas retro or intraperitoneal?
A
Retro
9
Q
In what order do the vessels of the kidneys sit (from anterior to posterior)
A
Vein > Artery > Renal pelvis
9
Q
Which is longer the jejunum or ileum?
A
Ileum
10
Q
LNs from abdo structures are situated where?
A
On and beside the aorta
12
What structure does the pyloric area of the stomach make?
A funnel
12
How does bile enter the gallbladder?
When the sphincter is closed it backs up into the common bile duct (not the pancreatic) and drains into the gallbladder
13
What does the cystic duct drain?
The gall bladder
14
Is the hepatic vein in the hilum of the liver?
No
15
At what level does the oesophagus travel through the diaphragm?
T10
15
Parasympathetic innervation is from the vagus for which structures?
Foregut
Midgut
16
What is the significance of the narrowings the ureter?
Kidney stones can stop there
18
What is the function of the quadratus lumborum?
Lateral flexor of the spine
Stabiliser of the hip
19
Which of the liver's lobes is the biggest?
The right
20
What veins drain the abdominal wall?
IVC and portal vein
21
What does the renal sinus contain?
Fat
21
What does the spleenic artery supply?
Spleen
Pancreas
Left gastroepiploic artery
23
What is the difference in the rectus sheath between the superior and anterior part?
Superiorly it completely surrounds the rectus abdominis (external's aponeurosis infront, internal split and transersus behind). But inferiorly all three aponeurosis are ant to the rectus muscle and behind is the arcuate line.
23
T/F all the duodenum is intraperitoneal
False, only the first inch is intraperitoneal, the rest is retroperitoneal
24
What is the function of the pyloric sphincter?
Controls food exiting from the stomach
24
Name the secondary retroperitoneal structures
Ascending and descending colon
Pancreas
Bile duct
Duodenum
25
Where does the ileum insert into the large intestine?
Cecum
25
Where do ganglia for the hindgut come from?
T12-L3
25
Where is pain from unpair abdo structures down from midway along the sigmoid colon to the anus referred to?
Perineal region
28
In which part of the stomach do the left and right gastric arteries run?
Lesser curvature of the stomach
29
What is the course of the splenic artery?
Long turtuous
Along the pancreas, behind the stomach and into hilum of spleen
31
What is the origin and insertion of the quadratus luborum?
O: Transverse process and 12th rib
I: Post aspect of the iliac crest
32
What is the course of the greater omentum?
Starts on the greater curvature of the stomach
Extends over the transverse colon and small intestine
Folded backwards at the bottom and travels back to over the transverse colon and towards to post abdo wall
33
What are epiploic appendages?
Fat tags that hang from the colon
35
What is the minor duodenal papilla for?
Opening for the accessory pancreatic duct
35
What demarcates the diaphragmatic and visceral surface of the liver?
Inferior margin of the liver
35
How do the spleenic vein and inferior mesenteric vein drain into the portal vein?
The inferior mesenteric vein joins the spleen vein and they drain into the superior mesenteric vein which becomes the portal vein
36
What are the haustra of the large intestine?
The collections/bulges that are divided by folds
37
Most of the pancreas is behind which GIT structure?
The stomach
38
Where are the oblique muscle aponeurotic?
Medially
39
In what direct do the pyramid of the kidney's medulla point?
Towards the hilum
40
Which has more fat in its mesentery, the jejunum or the ileum?
Ileum
41
What structures form the inguinal canal?
Floor: inguinal ligament
Roof: is the arching fibres of the internal oblique and the transversus abdominis
43
How is the stomach divided?
Fundus
Body (corpus)
Pylori (pyloric antrum then canal)
44
Parasympathetic innervation is from the pelvic splanchnics for which GIT structures?
Hindgut
45
Which artery supply the hindgut?
Inferior mesenteric artery
46
Where does the celiac trunk branch from the aorta?
T12
47
What is the falciform ligament?
A double fold of peritoneum
47
What is bad about liver fibrosis for the hepatic venous system?
Fibrosis impedes blood flow \> increased pressure in an otherwise low pressure system \> Veins that are alternate routes enlarge
49
What are the lobes of the liver?
Right
Caudate
Quadratic
Left
50
Name the paired structures of the abdomen?
Kidneys
Adrenal glands
Ureters
52
What is the length of the oesophagus in the abdomen?
1/2 an inch
52
Which parts of the colon are retroperitoneal?
The ascending and descending
53
The horizontal part of the duodenum runs between which muscles?
Right to left psoas muscles
54
In which part of the duodenum do the bile and pancreatic duct insert?
The middle part that runs downwards
56
Around which organ does the duodenum line?
Head of the pancreas
57
T/F Part of the greater omentum and transverse mesocolon attach to the post abdo wall at the same place. If so, where?
True
Above and behind the transverse colon
57
Where are sympathetic ganglia located?
Around unpaired branches of aorta and renal arteries
58
What is the name of the membrane that surrounds the post abdo wall muscles?
thoracolumbar fascia
58
Where are the cisterna chyli located? What comes from them?
Just below the diaphragm
Thoracic duct
60
What are the origins, course and insertions of the internal oblique muscle?
Origin: Thoracolumbar fascia, ant 2/3 of the of iliac crest, connective tissue deep to the lateral third of the linguinal ligament
Courses towards the linea alba
Insertions: Interferior borders of costal margin, linea alba, pubic crest via the conjoint tendon
61
Which is darker in colour, the cortex or medulla of the kidney?
Medulla
63
What is the difference between parietal peritoneum and visceral peritoneum?
Visceral peritoneum surrounds organs while parietal peritoneum lines cavity walls
64
Which quadrant is the spleen in?
Upper left
65
Which renal artery has a shorter trip to the its kidney?
Left
67
What is special about the free edge of the lesser omentum?
It contains the portal vein, hepatic artery and ducts
It demarcates the foramen of Winslow (omental foramen)
68
Where does the inferior mesenteric artery arise from the aorta?
L3
69
What is the common bile duct joined by?
The pancreatic duct
71
What lies inbetween the right and quadratus lobe of the liver?
The gall bladder
72
Why do psoas abscesses end in the inguinal area?
Because when they burst through the vertebrae they can't break through the thoracolumbar fascia
73
Describe the passage of the testis during development
Start at the extra peritoneal fat in the poster lumbar region inside the abdominal cavity
Travel to the deep ring which is located in the aponeurosis of the transversis abdominis, half way between the ASIS and the pubic tubercle, a finger's width above the inguinal ligament
Enter the inguinal canal
Travel down the canal and out the superficial ring (the triangle structure)
Go into the scotum
74
Which arteries run along the greater omentum of the stomach?
Left and right gastroepiploic
75
What is the name of the tubes that transports urine from the kidneys to the bladder?
Ureters
76
On which side of the body is the splenic flexture?
Left
77
What are the origins, course and insertions of the transversus abdominis
Internal/underlap of the costal margin, thoracolumnar fascia, illiac crest and lateral 1/3 of the inguinal ligament.
Runs horizontally
Inserts into the linea alba and joins with the internal oblique to insert in the pubic crest via the conjoint tendon
77
How do the vessels of the jejunal mesentery differ from the vessels of the ileum's mesentery?
There are fewer arterial arcades but longer vasa recta
78
Apart from making the fatty apron, where else does the greater omentum go?
One part goes lateral over the spleen
The other goes superio-lateral straight to the post abdo wall
79
What is contained in the porta hepatis?
Portal vein (behind)
Proper hepatic artery and common hepatic ducts (infront)
(nerves and lymphatics)
81
What are the part of the small intestine?
Duodenum
Jejunum
Ileum
82
What does the gastroduodenal artery do and supply?
Travel down behind the duodenum
Supplies the head of pancreas, first part of duodenum and greater curvature of stomach (via R gastroepiploic)
83
The preaortic LNs and paraaortic LNs form trunk and collect at what?
Ciscerna chyli
84
The liver receives blood from the other organs via what vein?
Portal
85
What are ganglia for foregut structures derived from?
T6-9
87
T/F The appendix most commonly extends into the pelvis
False, 65% lie retrocecal
88
What is the name of the gastric folds on the stomach?
Rugae
89
Which side of the stomach is the greater curvature?
Left
90
Foregut structures are supplied which arteries?
Celiac trunk
91
Which structures are derived from the hindgut?
Descending sigmoid colon
Rectum
93
What point demarcates the end of body of the stomach?
Angular notch
94
What is the origin and insertion of the iliacus muscle?
O: Iliac fossa
I: Conjoint tendon of the lesser trochanter of the femur
95
What are the 3 branches of the celiac trunk
Splenic artery
Common hepatic artery
Left gastric a.
97
How is the pancreas divided?
Head \> Neck \> Body \> Tail
98
What is mesentery?
Name for a double fold of parietal peritoneum
99
T/F there is perirenal fat outside the renal fascia
False, it is inbetween the kidney's fibrous capsule and the renal fascia
100
What is the course of the left gastric a.
Branches off the celiac trunk
Goes up and left
Onto the superior aspect of the lesser curvature of the stomach and travel down that
102
What is a hiatal hernia?
When the stomach herniates through the diaphragm
103
Into how many segmental arteries do the renal arteries split?
5
104
Name the foregut structures
Stomach
First part and half of the second part of duodenum
Liver
Spleen
Gall bladder
Pancreas
106
T/F the duodenum is attached to the right psoas muscle via fibrous tissue
False, it's attached to the left
107
A what point is the greater and lesser sack continuous?
Foramen of Winslow/Epiploic foramen
109
Which renal vein has the shortest route to the IVC?
Right
110
Where are the kidneys in relation to the vertebral column?
T12 to L3
111
What is the origins and course of the lesser omentum?
Lesser curvature and first part of duodenum to the under surface of the liver.
Once at the liver it splits and surrounds it
112
What is the of the course inferior mesenteric a. and what does supply?
Turns left and down towards the iliac fossa
It gives off left colic branch for descending colon and sigmoid colic branch for the sigmoid colon
Becomes the superior rectal artery
113
T/F the jejunum is intraperitoneal while the ileum is retroperitoneal
False, both are intraperitoneal
114
What is the ligamentum teres?
A round ligament at the end of the falciform ligament that used to transmit blood from placenta to the fetus
115
What are the intraperitoneal structures?
Oesophagus
Stomach
Jejunum and ileum
Transverse and sigmoid colon
Caecum and appendix
116
What is attached the lesser curvature of the stomach?
Lesser omentum
117
What does the common hepatic artery split into?
Proper hepatic artery
Gastroduodenal artery
118
How is the structure of the psoas minor similar to other evolutionary declining muscles?
The majority of its course is tendon
119
Where is the lesser sack?
Behind the stomach and liver
120
What is the function of the psoas muscle?
Flex hip
Posture
121
Where will pain from unpaired abdo viscera from top to mid sigmoid colon be refered to?
Midline of the anterior abdominal wall
122
What does The mesentery supply?
Jejunun and ileum
124
Where are the tendenous intersections of the rectus abdominis located?
Level of the xiphoid process and umbilicus and one inbetween
125
What nerves supply the abdominal wall?
T7-11 of the thoracoabdominal
126
Apart from the liver, where does the falciform ligament connect to?
The ant. abdominal wall
127
Where is the base of The mesentery?
Post. abdo wall from the duodenum to start of ascending colon, over the aorta, IVC and R ureter on the R psoas
128
What does the proper hepatic artery do and supply?
Turn up and travel in the lesser omentum
Supplies the liver (via L and R hepatic arteries) and the gall bladder (via cystic artery)
129
What is the inguinal ligament?
Thickened, undercurving, fibrosus band of the posterior border of the external oblique muscle. Spans from the ASIS to the pubic tubercle. Has a triangular opening before it beds down and attaches to the puberic crest
130
Where do ganglia for the midgut come from?
T8-12
131
Where is the cortex located within the kidney?
Outer layer
132
In what position is the duodenum in the abdomen?
It overlying the lumbar vertebral column
133
Which vein (being joined by others) becomes the portal vein?
Superior mesenteric vein
135
What the colonic flextures?
Directional changes in the colon, ie hepatic flexture is where the ascending become the transverse
136
What is the name of LNs that receive lymph from unpaired organs?
Preaortic LNs
137
What is the shape and where is the base of the sigmoid mesocolon?
Small V shape
Base is over the division of the L common illiac artery
138
Which ducts make up the common bile duct?
The common hepatic duct and the cytic duct
139
Which artery supplies the midgut?
Superior mesenteric artery
141
Where does the psoas major lie?
In the paravertebral gutter (between the body and transverse process of lumbar vertabrae)
142
The adrenal gland on top of which kidney is described as cresent shaped?
Left kidney
143
What are omenta?
Double folds of peritoneum that connect organs
144
From where do paraaortic LNs receive lymph?
Abdo walls
Kidneys
Adrenals
Testis/Ovary
Pelvis
Lower limb
145
Where are there narrowings in the oesophagus?
Upper oesophageal sphincter
Aortic arch, LMB
Diaphragmatic orifice
146
How many major calyces generally branch off the renal pelvis?
2-3
147
From outside to in, what are the layers of the abdominal wall?
Skin
Superficial fascia - fatty and membraneous layer
External, internal and transversus abdominis muscle/rectus abdominis
Transversalis fascia
Extraperitoneal fascia
Parietal peritoneum
148
What are in origins and insertions of the rectus abdoninis?
Origin: anterior surface of the 5th,6th and 7th ribs
Runs vertical
Attaches to the pubic crest and tubercle
148
What is the size of the kidney?
10cm long
5cm wide
2.5cm thick
149
What is the angular notch?
An angle at the base of the less curvature of the stomach
150
T/F the right renal artery travels over the IVC?
False, it travels behind the IVC - generally arteries travel behind veins
152
What are tenia (in the L intestine)
Strips of muscle
153
What are the origins, insertions and course of the external obliques?
Origin: External surfaces of the 5th-12th ribs, overlaps the costal margin
Course: Fibres are is the front pocket conformation
Insertion: Linea alba, Anterior aspect of the iliac crest, pubic tubercle
154
Which arteries supply the abdominal wall?
Musclophrenic
Superior epigastric
Inferior epigastric
Superficial epigastic
155
Which ant. abdo muscles originate from the thoracolumbar fascia?
Transversus abdominis
Internal oblique
156
Where in the duodenum do most peptic ulcers occur?
The first part that runs posterior
159
How many minor calyces branch off the major calyces?
2-3
160
Generally where do the ant abdominal muscles start and finish?
Costal margin
Linear alba, Illiac crest, ASIS (anterior superior iliac spine), pubic crest and pubic tubercle
161
For the most part of it's course the greater omentum is made up of how many layers?
4
162
T/F the erector spinae muscle is contained the thoracolumbar fascia
T
164
What landmarks make up the boarder (top and bottom) of the post abdo wall?
12th rib
Post. iliac crest
165
What are the 3 muscles on the post abdo wall?
Psoas major (and minor)
Quadratus lumborum
Iliacus
166
Where the aorta and IVC sit in relation to each other in the abdomen?
Aorta to the left of the IVC
167
At level does the aorta split into the L and R common iliac arteries?
L4
168
What branches does the superior mesenteric artery give off? What do they supply?
Inferior pancreaticduodenal artery - last part of the duodenum
Jejunal and ileal arteries
Middle colic a. - transverse colon
Right colic a. - ascending colon
Ileocolic a. - ileum, cecum and appendix
169
Where are the three point of narrowing the ureter?
At its origin in the renal pelvis
When is travels over the pelvis brim
When inserts into the bladder
170
Where does the base of the transverse mesocolon run?
Over the middle of the duodenum, head and body of the pancreas
171
What does the left gastric a. supply?
Some oesophagus
Lesser curvature of stomach
172
The abdo aorta must supply three groups of structures, what are they?
Unpaired structures of the GIT
Paired structures in the retroperitoneum
Abdo wall
173
Which ribs is the spleen close to?
9, 10 and 11
174
Which kidney is lower, R or L?
R - because of the liver
175
In which quadrant is the stomach located?
Upper left
176
What is the name of the divisions of the renal pelvis?
Calyces
177
What shape does the duodenum make?
C shape
178
How does pain in appendicitis progress?
Starts as dull localised pain (due to stretching of visceral peritoneum)
If inflammatory continues and parietal peritoneum is impinged on then the pain becomes sharp and localised
179
What are the parts of the gallbladder?
The fundus \>
Body \>
Neck (continuous with the cytic duct)
180
What is between the caudate and quadratus lobe and the left lobe?
The ligamentum venosum and the ligamentum teres
181
Does the internal oblique have any free edges?
Nay
182
Where does peritoneum receive it nervous supply?
The structures it supplies
183
Where does the psoas origin and insert
O: T12 to L1
I: Lesser trochanter of the femur
184
What vessel drains blood from the liver into the IVC?
Hepatic vein
