Hutchinson: Digestive System Flashcards Preview

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Flashcards in Hutchinson: Digestive System Deck (35):
1

What organs are intraperitoneal?

StomachSmall intestinespleenlivergallbladdervermiform appendixsome lg intestines

2

What organs are primary retroperitoneal?

Kidneysadrenal glands

3

What organs are secondary retroperitoneal?

Most of duodenumPancreasColon, ascending and descending, rectum

4

What are the folds of skin inside the stomach called?

longitudinal rugal folds

5

What are the 2 ligaments that connect the liver to the lesser omentum

Hepatogastric ligHepatoduodenal ligament

6

What is the hole that connects the lesser sac with the greater sac?

epiploic foramen

7

What three vessels make up the portal triad?

Bile duct, portal vein, proper hepatic artery

8

What path does the portal triad take to the liver?

thru to hepatoduodenal lig. and covers the epiploic foramen.

9

What is the function of the duodenum?

Releases bile (lipid digestion), bicarbonate(acid neutralization), and pancreatic enzymes (digestion)

10

What is another name for the major duodenal papilla

Ampulla of Vater

11

What structures are on the inside of the duodenum?

Brunner's glandsCircular folds

12

What structures are on the inside of the jejunum?

Large circular folds

13

What structures are on the inside of the ileum

Peyer's patchesSmall circular folds

14

What type of tissue make up the appendix?

lymphoid tissue

15

Which organ system is the transverse colon a part of?

intraperitoneal

16

Where is the gall bladder located?

tucked under the right inferior lobe of the liver

17

What is the function of the spleen?

Remove blood cells that are damaged, immune functions

18

What are the functions of the adrenal gland?

Stress responsesex hormonesmetabolismimmune system

19

Where is the caudate lobe of the liver?

posterior and superior, central part of the liver, just above the gall bladder

20

Where is the quadrate lobe of the liver

Between the gall bladder and the common bile duct.

21

What vessels are associated with the caudate lobe?

left and right hepatic arteries

22

What Organs are in the foregut, midgut and hindegut?

ED and JT are DRs (Esophagus to beginning of Duodenum; Jejunum (and latter part of duodenum) to Transverse colon; Descending colon to rectum)

23

Which general vessels supply the foregut, midgut and hindegut?

Foregut - Celiac Trunk (L1)Midgut - SMA (L1)Hindegut - IMA (L3)

24

What are the vessel pathways of the celiac trunk?

Celiac trunk 1. left gastric 2. splenic a. Left gastro-omental b. pancreatic aa 3. common hepatic a. proper hepatic b. Right gastric c. Gastroduodenal i. Right Gastro-omental ii. Anterior and posterior pancreatic-duodenal iii. Duodenal aa

25

What are the pathways of the SMA?

SMA 1. Inferior pancreaticoduodenal 2. Middle Colic 3. Ileocolic 4. Right Colic 5. Jejunal and Ileal aa

26

What are the pathways of the IMA?

IMA 1. Left colic 2. Sigmoid aa. 3. Superior rectal

27

Where in the colon is the highest risk for ischemia?

Left colic flexure

28

Where are the anastomoses within and between the 3 major GI tract arteries?

1. Pancreas (inferior pancreaticoduodenal from SMA and superior pancreaticoduodenal from celiac trunk)2. Left colic flexure (Marginal artery of Drummond from SMA and IMA)3. Rectum (superior rectal from the IMA and inferior rectal from internal iliac a.)

29

Where does the right testicular a drain into? The left?

right: IVCleft: Left renal vein

30

What are the 3 portal-cabal anastomoses?

GUT, BUTT, and CAPUT1. Esophagus Portal: gastric vv. to hepatic portal vein Caval: esophageal vv. to azygos vv.2. Rectum Portal: Sup rectal vv to HPV Caval: Mid and Inf rectal to IMV3. Superficial Abdomen Portal: Paraumbilical vv. to HPV Caval: epigastric vv. to femoral v.

31

What is it called when there is an issue with the superficial abdomen anastomoses?

caput medusa

32

What innervates the foregut and midgut sympathetically?

t5-T12 and least splanchnic nerves

33

What innervates the handgun sympathetically?

L1-L2

34

What innervates the foregut and midgut parasympathetic ally?

Vagus

35

What innervates the handgun parasympathetic ally?

S2-S4