Oesophagus Flashcards

1
Q

Oesophagus goes through the diaphragm at which vertebral level

A

10

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2
Q

Oesophagus deviates from midline to left and returns to midline at … then deviates back to left at …. before it enters abdominal cavity

A

T5

T7

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3
Q

Oesophagus enters which side of the stomach

A

Right side

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4
Q

Anteroposterior curves follow …

A

Cervicothoracic cirvatures of the vertebral column

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5
Q

Relations in the neck?

A

Anteriorly, trachea and rln
Posteriorly, vertebral column
Laterally, lobes of the thyroid gland

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6
Q

Anterior relations in thorax

A

Trachea, left rln, left main bronchus, pericardial sac, left atrium

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7
Q

Posterior relations?

A

Bodies of thoracic vertebrae,thoracic duct, azygos vein, right posterior intercostal arteries, descending aorta (lower part)

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8
Q

Right relation

A

Mediastinal pleura, arch of Azygos vein

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9
Q

Left relation

A

Left subclavian artery, arch of aorta, thoracic duct, mediastinal pleura

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10
Q

Below lung roots relation

A

Oesophageal plexus, lt vagus anterior, rat vagus posterior

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11
Q

How long is oesophagus in abdominal region

A

1 to 2.5 cm long

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12
Q

1st oesophageal constriction?

A

Pharyngoesophagueal junction

15cm from incisor teeth

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13
Q

2nd constriction

A

Where it is crossed by left main bronchus

22.5 cm from incisor teeth

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14
Q

3rd constriction

A

Due to left atrium

27.5 from incisor teeth

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15
Q

4th constriction

A

Oesophageal hiatus, opening into diaphragm

38cm from incisor

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16
Q

Esophagus enters abdominal cavity in which part of the diaphragm

A

Right crus of diaphragm

17
Q

Anterior and lateral parts … by posterior surface …

A

Intraperitoneal and retroperitoneal

18
Q

Anterior relations in abdomen

A

Posterior surface of left lobe of liver and left vagus

19
Q

Posterior relations in abdomen

A

Left crus of diaphragm and right vagus

20
Q

Upper sphincter created by which muscle

A

Cricopharyngeus. Circular started fibers

21
Q

Upper third of oesophagus supplied by

A

Inferior thryroid artery

22
Q

Middle third supplied by

A

Oesophageal branches of aorta and bronchial artery

23
Q

Lower third of oesophagus supplied by

A

Left gastric artery

24
Q

Upper third drains into

A

Inferior thyroid veins(empty into brachiocephalic veins)

25
Q

Middle third drains into

A

Azygos veins

26
Q

Lower third drains into

A

Left gastric vein(tributary of hepatic portal vein)

27
Q

Lymph drainage in upper third

A

Dee cervical node

28
Q

Middle third of oesophagus lymphatic drainage

A

Superior and posterior mediastinal node

29
Q

Lower third of oesophagus lymphatic drainage

A

Nodes along the left gastric vessels and the celiac node

30
Q

Nerve supply of oesophagus is

A

Autonomic

31
Q

Parasympathetic fibers reach cervical oesophagus through

A

Rln

32
Q

Parasympathetic to thoracic part is via oesophageal plexus formed by

A

Vagus nerve

33
Q

Vasomotor sympathetic fibers (post synaptic)

A

Sympathetic chain from upper 4 or 6 thoracic segments