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Andomen ~ Anatomy > Stomach And Small Intestine > Flashcards

Stomach And Small Intestine Flashcards

(49 cards)

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1
Q

Stomach bed means;

A

Posterior relation of Stomach,

Stomach bed formed by 7 Structures

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2
Q

Stomach bed Structures;

A
  1. Left crux of Diaphragm
  2. Pancrease (except tail)
  3. Splenic Artery
  4. Left supra renal gland
  5. Left kidney
  6. Transverse mesocolon
  7. Spleen
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3
Q

Arterial supply of stomach;

A

On lesser curvature;

  1. Right gastric artery
  2. Left Gastric artery

On greater curvature;

  1. Left gastroepiploic artery
  2. Right gastroepiploic artery
  3. Short gastric artery
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4
Q

Left gastric artery is a branch of

A

Celiac trunk

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5
Q

Right gastric artery is a branch of

A

Common hepatic artery

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6
Q

Right gastroepiploic artery is a branch of

A

Gastroduodenal artery

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7
Q

Left gastroepiploic artery is a branch of

A

Splenic artery

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8
Q

Branch from the Splenic artery to the fundus of stomach is

A

Short gastric artery

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9
Q

Left Gastroepiploic vein and Short gastric vein drains into

A

Splenic Vein

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10
Q

Left and Right Gastric Vein drains into

A

Portal vein

Left gastric vein and Right gastric vein are direct tributaries of Portal vein

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11
Q

Right Gastroepiploic vein drains into

A

Superior mesentric vein

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12
Q

Superior mesentric vein and Splenic vein joins together to form

A

Portal vein

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13
Q

Division of Stomach into 4 areas for Lymphatic Drainage;

A

First divide the stomach into Right 2/3rd and Left 1/3rd

Then into Four areas

1 - Right upper 2/3rd

4 - Right lower 1/3rd

2 - Left lower 2/3rd

3 - Left upper 1/3rd

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14
Q

Lymphoma from the Area 1 goes to

A

Left gastric nodes

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15
Q

Lymph from the Area 2 goes to

A

Right Gastroepiploic nodes and Pyloric node

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16
Q

Lymph from area 2 drains into

A

Pancreaticosplenic nodes

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17
Q

Lymph from area 4 drains into

i.e; lesser curvature and accompanying pyloric part drains into

A

Right gastric nodes and Hepatic nodes

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18
Q

All the Lymph nodes draining from stomach will finally drain into

A

Celiac nodes

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19
Q

Sympathetic Fibres to Stomach are given by

A

Greater splanchnic nerve (T5 - T9)

It also carries the Pain fibres

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20
Q

Function of Sympathetic innervation to Stomach;

Study These Flashcards
A
  1. Vasomotor

2. Inhibit gastric muscles except Pylorus

21
Q

Function of Parasympathetic fibres to Stomach;

Study These Flashcards
A
  1. Secretomotor
  2. Stimulate Gastric muscles
  3. Relaxes pylorus
22
Q

Anterior vagal trunk is derived from the;

23
Q

Anterior vagal trunk divided into

Study These Flashcards
A

Hepatic branch and

Gastric branch (nerve of Latarjet)

24
Q

Hepatic branch of Anterior vagal trunk is divided into

Study These Flashcards
A

Ascending and Descending Branch

25
Ascending hepatic branch (of anterior vagal trunk) supplies;
1. Liver | 2. Extraheparic biliary system
26
Descending hepatic branch (of Anterior vagal tone) supplies;
Pyloric part of Stomach
27
Posterior vagal trunk derived from;
Right vagus
28
Three branches of Posterior vagal trunk;
1. Coeliac branch 2. Gastric branch (nerve of Latarjet) 3. Nerve of Grassi
29
Nerve of Grassi supplies;
Fundus of the stomach Nerve of Grassi (branch of Posterior vagal trunk)
30
Coeliac branch of Posterior vagal trunk gives contribution to
Coeliac plexus
31
Truncal vagotomy refers to
Cutting of Both Anterior and Posterior Vagal trunk
32
Selective vagotomy refers to
Sparing the Hepatic and Coeliac branch Rest others branches will be cut off
33
The main disadvantage of Truncal or Selective vagotomy
Gastric emptying is affected
34
To prevent the side effect of Truncal or Selective vagotomy (i.e; gastric emptying) what we can do
High Selective Vagotomy In which only Criminal nerve of Grassi is resected Gastric emptying is not affected as the nerve to pylorus (nerve of Laterjet) is spared
35
‘Criminal’ Nerve of Grassi- it is implicated as 'criminal' | because
it is often missed during a Vagotomy procedure and can Result in Recurrent peptic ulcer disease
36
``` Four parts of duodenum (size & orientation) 1st part - 2nd part - 3rd part - 4th part - ```
1st part: 5 cm 2nd part: vertical part Extends from L1-L3 Measures 8-l0 cm 3rd part: Horizontal part Measures 10cm 4th part: smallest part Measures 2.5cm continues as Jejunum
37
Common Bile Duct divided into 3 parts by
1st part Duodenum
38
Common Bile Duct divided into 3 parts by 1st part of duodenum are
Above 1st part of Duodenum: Supra duodenal part of CBD Behind 1st Part of Duodenum: Retro duodenal part of CBD Below 1st part of Duodenum: Infra duodenal part of CBD
39
Three structures, Behind the 1st part of Duodenum
1. Retro duodenal part of CBD 2. Gastro duodenal artery 3. Portal vein
40
Ulcer in the posterior part of 1st part of duodenum erodes
Gastro duodenal artery
41
Circulars Folds / Valves of Kerckring are throughout the | length of Small intestine except.
in the 1st part of | duodenum
42
On contrast study : No circular Folds in 1st part of duodenum appears as
Duodenal cap
43
2nd part of Duodenum Extension
8-10 cm Descends in front of Hilum of Right kidney Extends from L1-L3 Vertebra
44
Major Duodenal papillae- | projecting in the
Posteromedial wall of 2nd part of Duodenum
45
Major Duodenal papillae- | Contains
Ampulla of Vater | opening of Common Bile duct + Pancreatic duct
46
Minor Duodenal papillae- Situated Receive
2cm above major duodenal papillae Receives accessory pancreatic duct (if present)
47
3rd part of Duodenum (Horizontal part) Extension
10 cm Extends from Inferiors duodenal Flexure to Abdominal Aorta
48
Anterior Relation of 3rd part of Duodenum (Horizontal part)
- Superior mesenteric artery & vein | - Root of Mes entry
49
Posterior Relation | of 3rd part of Duodenum (Horizontal part)
- IVC - Aorta - Right psoas major - Right Genitofemoral nerve - Right Gonadal Vessels - Right ureter

Andomen ~ Anatomy (3 decks)

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