Anatomy of GI Bleeding Flashcards

(46 cards)

1
Q

how many paracolic gutters are there?

A

two, right and left

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2
Q

where are the paracolic gutters found?

A

between the lateral edge of the ascending/descending colon and the abdominal wall

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3
Q

what are the paracolic gutters part of?

A

the greater sac of the peritoneal cavity

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4
Q

which flexure of the colon lies more superiorly?

A

splenic

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5
Q

what are the teniae coli?

A

3 distinct longitudinal bands of thickened smooth muscle

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6
Q

where do the teniae coli run?

A

from the caecum to the distal end of the sigmoid colon

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7
Q

what causes the formation of haustra?

A

tonic contraction of the teniae coli

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8
Q

where do the caecum and appendix lie?

A

in the right iliac fossa

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9
Q

what is the most common position of the appendix?

A

retrocaecal

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10
Q

where is the appendiceal orifice found?

A

on the posteromedial wall of the caecum

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11
Q

where does the appendiceal orifice correspond to?

A

mcburney’s point on the anterior abdominal wall

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12
Q

where is mcburney’s point?

A

a third of the way between the right ASIS and the umbilicus

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13
Q

where does the sigmoid colon lie?

A

the left iliac fossa

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14
Q

what is the mesentery attached to the sigmoid colon called?

A

the sigmoid mesocolon

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15
Q

why does the sigmoid colon have a large degree of movement?

A

it has a long mesentery

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16
Q

what is there a risk of due to the length of the sigmoid mesocolon?

A

sigmoid volvulus

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17
Q

what is sigmoid volvulus?

A

when the sigmoid colon twists around itself

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18
Q

what can sigmoid volvulus cause?

A

obstruction and infarction if not treated

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19
Q

is the abdominal aorta intra or retro peritoneal?

A

retroperitoneal

20
Q

where does the abdominal aorta lie?

A

midline
anterior to vertebral bodies
left of the IVC

21
Q

what are the three midline branches of the abdominal aorta?

A

celiac trunk
superior mesenteric artery
inferior mesenteric artery

22
Q

what is supplied by the celiac trunk?

A

foregut organs

23
Q

what is supplied by the superior mesenteric artery?

A

midgut organs

24
Q

what is supplied by the inferior mesenteric artery?

A

hindgut organs

25
what do the lateral branches of the abdominal aorta supply?
kidneys and adrenal glands gonads body wall
26
what does the abdominal aorta bifurcate into?
the common iliac arteries
27
what does a common iliac artery bifurcate into?
internal and external iliac arteries
28
what exists between branches of the superior mesenteric artery and the inferior mesenteric artery?
arterial anastomoses
29
name the main arterial anastomoses between the SMA and the IMA
marginal artery of drummond
30
what marks the end of the hind gut and where is this found?
the pectinate line | halfway through the anal canal
31
what artery supplies the proximal half of the anal canal?
the inferior mesenteric artery
32
what artery supplies the distal anal canal?
the internal iliac artery
33
what is haematemesis?
vomiting up blood
34
what are varices?
abnormal, dilated veins
35
what are the bodies two main venous systems?
hepatic portal venous system | systemic venous system
36
what does the hepatic portal venous system do?
drains venous blood from absorptive parts of the GI tract to the liver for cleaning
37
what does the systemic venous system do?
drains venous blood from all other organs and tissues into the inferior vena cava
38
is the IVC intraperitoneal or retroperitoneal?
retroperitoneal
39
what is the role of the IVC?
drains clean blood from the hepatic veins into the right atrium
40
what is the role of the splenic vein?
drains blood from foregut structures to the hepatic portal vein
41
what is the role of the superior mesenteric vein?
drains blood from midgut structures to the hepatic portal vein
42
what is the role of the inferior mesenteric vein?
drains blood from hindgut structures to the splenic vein
43
what are anastomoses between the systemic and portal venous systems called?
portal systemic anastomoses
44
how many portal systemic anastomoses are there?
three
45
where are the three portal systemic anastomoses found?
distal end of the oesophagus skin around the umbilicus rectum/anal canal
46
what is the clinical term given to increased blood pressure in the portal veins?
portal hypertension