Oesoohagus Flashcards

1
Q

The oesophagus is a hollow fibromuscular tube

T/F

A

T

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2
Q

Esophagus

Length: Approximately ___cm in length and a diameter of about __cm

It transports food from the ____ to the _____.

Runs (anterior or posterior?) to the trachea and the heart

A

25

2

pharynx

stomach

Posterior

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3
Q

Oesophagus originates at the (superior or inferior?) border of the ____ cartilage (C__) and extends to the ________ of the _____ (T__).

A

Inferior

cricoid; 6

cardiac orifice

stomach

11

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4
Q

The abdominal portion of the oesophagus is approximately ___cm long.

It enters the abdomen through the ______ opening of the diaphragm situated at the level of vertebra ____, slightly to the (right or left?) of the median plane.

A

1.25

oesophageal

T10

Left

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5
Q

EXTENT of abdominal esophagus

•Extends from the ________ to the _______ of the stomach.

A

diaphragmatic hiatus

cardia orifice

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6
Q

Abdominal esophagus

Lies slightly (right or left?) of median plane
• Related to the (anterior or posterior?) surface of the ____ lobe of the liver
• Right border is continuous with _______ & left ends in the _________
• Covered by peritoneum (anteriorly or posteriorly?)
•Posteriorly, it lies on the ____ of _____ and _______________ artery

A

Left

Posterior; left

lesser curvature; cardiac notch

Anteriorly

left crus; diaphragm

left inferior phrenic

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7
Q

Arterial supply and Venous Drainage of the Abdominal part of Oesophagus

The abdominal oesophagus is supplied by the _____ artery (a branch of the _____) and _________ artery.

A

left gastric; coeliac trunk

left inferior phrenic

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8
Q

Venous Drainage of abdominal part of esophagus
•This part of the oesophagus has a mixed venous drainage via two routes:
•To the portal circulation via ______ vein
•To the systemic circulation via the _____ vein.
•These two routes form a porto-systemic anastomosis, a connection between the portal and systemic venous systems.

A

left gastric

azygous

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9
Q

Abdominal Portion of the Oesophagus
•The oesophagus runs downwards and to the (left or right?) in front of the left crus of the diaphragm and of the (superior or inferior?) surface of the (right or left?) lobe of the liver, and ends by opening into the ____ end of the stomach at the level of vertebra ___, about ___ cm to the left of the median plane.

Peritoneum covers the oesophagus only _____ and on the ___ side.

A

Left

Inferior

Left

cardiac

T11

2.5

anteriorly; left

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10
Q

The oesophageal opening also transmits the ____ and ____ nerves, the oesophageal branches of the ____ artery and the accompanying veins.

A

anterior and posterior gastric

left gastric

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11
Q

The esophagus has ___ curvatures and ___ restrictions

A

2

4

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12
Q

CURVATURES of the esophagus

  • at —————
  • near _______
A

root of the neck

the lower end

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13
Q

CONSTRICTIONS of the esophagus

  • abdominal/_______ constriction ; __ cm
  • ____constriction; __ cm
  • ______ constriction: ____
  • ______ constriction ;__cm from ______ teeth
A

diaphragmatic; 37.5

aortic; 22.5

bronchial; 27.5

circopharyngeal; 15; incisor teeth

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14
Q

ARTERIES!!!! Of the esophagus

  • upper third by ______ artery
  • middle third by ____
  • lower third by _____ artery

VEINS!!! Of the esophagus
Upper third by _____ veins
Middle third by _____ vein
Lower third by _______ vein

A

inferior thyroid

thoracic aorta

left gastric

inferior thyroid

azygos

left gastric

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15
Q

LYMPH!
Upper is _____
Middle is _______
Lower is _______ and ____

NERVES!!
____________ and ____ nerve

These two join inferior to the _______ to form the _____

A

deep cervical

sup and post mediastinal

celiac and left gastric

Sympathetic trunk; vagus

roots of the lung

eosophageal plexus

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16
Q

APPLIED ANATOMY
(1)oesophageal carcinom: leads to ______ which is difficulty in swallowing which can progressively get worse with time leading to blockage of the oesophagus

(2)Barrette’s oesophagus: from Lower oesophageal _____ to _____
Due to ______ of the _____ cells by excess ____ exposure from the stomach. This could be as a result of malfunctioning of the _______

A

dysphagia

squamous; gastric columnar

Irritation

squamous

Acid

lower esophageal sphincter