Small Intestine Flashcards

1
Q

How long is the duodenum

A

10 inches (25 cm) long

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2
Q

What type of peritoneum in the duodenum:

A

Mostly retroperitoneal. Except 1st part

1st part- intraperitoneal

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3
Q

How many parts of the duodenum

A

4

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4
Q

First part of the duodenum

A

duodenal bulb (cap)

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5
Q

duodenum first part hase a pyloric orifice to the:

A

Gall bladder

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6
Q

Where is the first part of the duodenum located?

A

Just to the right of L1

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7
Q

Transpyloric plane level of 1st part of the duodenum

A

L1

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8
Q

How long is the first part of the duodenum

A

2 inches (5cm)

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9
Q

Location of the second part of the duodenum

A

From the gall bladder to the lower border of L3

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10
Q

How long is the 2nd part of the duodenum

A

3 inches long

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11
Q

Vertebral level of the 2nd part of the duodenum

A

L2 and L3

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12
Q

Openings in the 2nd part of the duodenum

A

Major and minor duodenal papilla

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13
Q

Longest part of the duodenum

A

Third part (horizontal/inferior part)

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14
Q

How long is the 3rd part of the duodenum

A

3 inches (8 cm)

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15
Q

Location of 3rd level of duodenum

A

Level of L3

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16
Q

Length of 4th part of the duodenum

A

2 in (5cm)

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17
Q

Where does the 4th part of the duodenum end

A

Duodenojejunal flexure (junction)

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18
Q

Fibers holding the duodenojejunal flexure to the diaphragm- keeps small intestine from getting twisted up

A

Ligament of Treitz

19
Q

Is duodenal bulb smooth or tuberculated?

20
Q

Major duodenal papilla

A

Opening to the hepatopancreatic ampula

21
Q

Minor duodenal papilla (DOES/DOES NOT) have a sphincter

22
Q

Plicae circularis

A

Circular folds in the duodenum?????? Double check on this

23
Q

Capillary beds in the duodenum are called the

A

Intestinal villi

24
Q

Duct that collects lipids in the duodenum

A

Lacteal duct

25
Arterial supply to the duodenum
Upper half: Celiac trunk- supraduodenal artery and superior pancreaticoduodenal arter (anterior and posterior) Lower half: Superior mesenteric artery: Inferior pancreaticoduodenal artery (ant and post) First jejunal branch
26
Length of jejunum and ileum
18-20 feet
27
Location and length of jejunum
Proximal 8 feet | Lies in the left upper quadrant
28
Location and length of ileum
Distal 12 feet Lies in the right lower quadrant
29
Properties of internal jejunum
Deeper red Larger lumen Thicker wall Prominent plicae circulares
30
External properties of jejunum
Less prominent arterial arcades Longer vasa recta Less mesenteric fat
31
Atrial arcades
Arterial web-like network coming off of the artery towards the small intestine
32
Vasa recta
Long finger-like arterials branching off of the arterial arcades, connecting to the small intestin
33
Internal properties of the ileum
Pale pink Smaller lumen Thinner wall Fewer plicae circulares Peyer’s patches
34
External ileum properties
More arterial arcades (more complex) Shorter vasa recta More mesenteric fat
35
Peyer’s patches
Lymphoid tissue that fights large amounts of bacteria in undigested food, keeping it from entering the large intestine
36
Arterial supply to the jejunoileum
Superior mesenteric arter
37
Branches of the superior mesenteric artery that supply the small intestine (6)
Inferior pancreaticoduodenal artery Jejunal arteries Ileal arteries Ileocolic arter Right colic artery Middle Colic artery
38
Branches of the ileocolic artery
Ileal branches Colic branches Anterior Cecal branch Posterior cecal branch Appendicular branch
39
A 2-layered fold of peritoneum that attaches part of the intestine to the posterior abdominal wall and allows blood vessels, nerves, and lymphatics to pass between these folds to the intestine
Mesentery
40
Mesenteries (3)
Dorsal mesentary Transverse mesocolon Sigmoid mesecolon
41
Mesentery that suspends the jejunoileum Makes the greater omentum
Dorsal mesentary
42
Connects the transverse colon to the posterior abdominal wall
Transverse mesocolon
43
Attaches the sigmoid colon to the False pelvic cavity
Sigmoid mesocolon