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First Aid 2016 - Bolu > FA 2016 pg 343- 349 GI > Flashcards

FA 2016 pg 343- 349 GI Flashcards

(68 cards)

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1
Q

list the branches of the celiac trunk

A

Left gastric artery, splenic artery & common hepatic artery

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2
Q

ulcer at the lesser curvature of the stomach will affect what artery?

A

Left Gastric artery

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3
Q

true or false duodenal ulcers are malignant?

A

False

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4
Q

Epigastric pain that improves with meals and posterior ulcer, what artery could be damaged?

A

Gastroduodenal artery

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5
Q

In the celiac trunk strong anastomosis exist between …..

A

left & right gastroepiploic

left & right Gastric

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6
Q

what anastomoses are seen in esophageal varices

A

left gastric & Azygous (apparently not with “esophageal” based on FA 2016)

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7
Q

what the anastomoses in anorectal varices

A

superior rectal—-middle & inferior Rectal

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8
Q

anastomoses between paraumbilical vein to small epigastric vein of the anterior abdominal wall is seen in what clinical sign

A

Caput Medusae

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9
Q

what two pathology is seen above the pectinate line?

A

Adenocarcinoma & internal hemorrhoids

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10
Q

why are internal hemorrhoids not painful

A

due to visceral inervation

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11
Q

what is the lymphatic drainage above the pectinate line

A

internal iliac lymph nodes

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12
Q

describe the venous drainage above the pectinate line

A

superior rectal—inf rectal—mesentary vein — portal system

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13
Q

what lymphatic drains the testes and ovaries

A

para-aortic

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14
Q

what pathology is seen below the pectinate line

A

ext hemorrhoids, squamous cell cancer

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15
Q

what nerve branch is responsible for the somatic innervation of Ext Hemmorhoids

A

inferior rectal branch of pedental nerve

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16
Q

lymphatic drainage below the pectinate line

A

superficial inguinal nodes

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17
Q

what location do the tear of anal fissure take place

A

below the pectinate line posteriorly because it is poorly perfused

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18
Q

list presentation of anal fissure

A

pain while pooping

Blood on toilet Paper

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19
Q

Anal fissure is associated with what two things?

A

low fiber diet & constipation

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20
Q

the blood supply below the pectinate line come from what branch?

A

Inferior Rectal artery which is a branch of

Internal Pudental artery

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21
Q

macrophage in the liver is also called?

A

Kupffer cells

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22
Q

What cells in the space of disse stores VIt A, and also produces ECM when activated?

A

Ito cells aka hepatic stellate cells

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23
Q

what zone of the liver is first affected by viral hepatitis

A

periportal zone (zone 1)

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24
Q

what zone in the liver does cocaine affect?

A

periportal zone (zn 1)

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25
yellow fever targets what zone in the liver?
intermediate zone (zone 2)
26
which zone is affected 1st by ischemia
zone 3 ( centrillobular)
27
what zone do you see the pericentral vein?
zone 3
28
what zone is the most sensitive to metabolic toxins
zn 3
29
what zone is the site for alcohol hepatitis
zone 3
30
what zone contains cytc p450
zn 3
31
blood get into the systemic circulation via what vein and what pathology affects it?
Hepatic vein & Bud Chiari
32
Gall stones that block the common bile duct and pancreatic duct at the ampulla of Vater causes what two pathologies?
cholangitis & Pancreatitis
33
list all the causes of acute pancreatitis?
I GET SMASHED
34
what type of pathology is associated with the head of the pancreas that cause painless jaundice
Ductal adenocarcinoma (obstruct common bile duct)
35
where is the position of the femoral vein in relation to the femoral artery in the femoral triangle
femoral vein is medial to the femoral artery (remember NAVEL from Lateral to Medial)
36
list the items present in the femoral triangle
VAN is present in the femoral triangle
37
which structure is not found in the femoral sheet
femoral n
38
Cremastic muscle and fascia comes from what inguinal canal structure?
Internal oblique
39
Transversals Fascia becomes what part of spermatic cord?
internal spermatic fascia
40
External Oblique becomes
external spermatic Fascia
41
what is the site of protrusion of direct Hernia?
Abdominal wall
42
What is the site of protrusion of Indirect Hernia
Deep (internal) inguinal Ligament
43
Complicated hernias present with what symptoms?
Tenderness, Erythema & Fever
44
defect of pleuroperitoneal membrane refers to what disease?
Diaphragmatic hernia
45
why does Diaphragmatic Hernia commonly occur on the left side?
due to the protection of the right Hemidiaphragm by the liver
46
what is hiatal hernia
Cardia of the stomach herniate upwards thru the esophagus hiatus of the diaphragm
47
Hour Glass stomach refers to?
Sliding hiatal Hernia
48
what is a complication of sliding hiatal hernia
GERD
49
Bonus: list clinical features of GERD
Heartburn (mimicking cardiac chest pain), Asthma & Cough, Damage to the Enamel of teeth and ulceration with strictures
50
DOUBLE BONUS: what is a complication of GERD
Barrett Esophagus
51
Triple Bonus: what kind of cancer is associated with Barret Esophagus?
Adenocarcinoma
52
Fundus protruding into the thorax is seen in what pathology?
Paraesophageal Hernia
53
what is the most common type of diaphragmatic Hernia
Sliding Hiatal
54
goes through the deep inguinal ring and superficial inguinal ring then into the scrotum refers to .......
Indirect Hernia
55
Occurs in infants due to failure of the processus Vaginialis
Indirect hernia
56
what other pathology is associated with failure of process vaginalis
hydrocele
57
Occurs lateral to inferior epigastric artery
Indirect
58
what type of Hernia is covered by all three layers of the spermatic fascia
Indirect
59
protrudes through the hesselbach triangle
Direct
60
Goes through the external inguinal ring only
direct
61
covered by external spermatic fascia
Direct
62
type of Hernia Usually in older adult
Direct
63
Medial to Inf epigastric artery
Direct
64
protrudes through the inguinal ligament through femoral canal below and lateral to pubic tubercle
femoral hernia
65
what type of hernia is more common in females
femoral hernia
66
what makes up the hesselback triangle
inferior epigastric artery lateral border of the rectus abdomens & Inguinal Ligament
67
Quadruple Bonus: whats another name for Inguinal ligament
Poupart ligament
68
what zone is affected by hemochromatosis
zone 1

First Aid 2016 - Bolu (10 decks)

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