Stomach, Spleen, Liver (Gray's)

Question 1

What is positioned between the abdominal esophagus and the small intestine?

Answer 1

Stomach

Question 2

What 3 abdominal regions can the stomach be found in?

Answer 2

epigastric, umbilical, and left hypochondrium

Question 3

What most distal part of the stomach containes a thickened ring of gastric circular muscle?

Answer 3

pyloric sphincter

Question 4

Describe the location of the pyloric orifice?

Answer 4

Its located just to the right of the midline in the transpyloric plane (through L1)

Question 5

What area surrounds the opening of the esophagus to the stomach?

Answer 5

The cardia

Question 6

What area of the stomach is superior to the cariac orifice?

Answer 6

Fundus

Question 7

What is the largest region of the stomach?

Answer 7

the body

Question 8

What two things make up the pyloric part of the stomach?

Answer 8

• Pyloric antrum

- Pyloric canal

Question 9

What attaches to the greater curvature of the stomach?

Answer 9

1. Gastrosplenic ligament

2. greater omentum

Question 10

What attaches to the lesser curvature of the stomach?

Answer 10

Lesser omentum

Question 11

What is the arterial blood supply to the stomach?

Answer 11

1. Left Gastric Artery (from celiac trunk)
2. Right Gastric Artery (from Hepatic a. proper)
3. Right Gastro-Omental Artery (from gastroduodenal a.)
4. Left Gastro-Omental a. (from splenic a.)
5. Posterior Gastric a. (from splenic a.)

Question 12

In what quadrant of the abdomin is the spleen located in?

Answer 12

Left upper quadrant

Question 13

T or F: the spleen lies on the diaphragmatic surface deep to ribs 9-11.

Answer 13

True

Question 14

What connects the spleen to the stomach and what is contained in this structure?

Answer 14

• Gastrosplenic Ligament

Contains:

1. Short gastric vessels
2. Gastro-omental vessels

Question 15

Besides the stomach what other structure is the spleen attached to?

Answer 15

• Left kidney via splenorenal ligament

Splenorenal ligament contains:
1. Splenic vessels

Question 16

What is the arterial supply to the spleen?

Answer 16

Splenic artery from the celiac trunk

Question 17

What is the entry point for the splenic vessels?

Answer 17

Splenic Hilum

Question 18

What 3 facets are located on the visceral surface of the spleen?

Answer 18

• Gastric
• Colic
• Renal

Question 19

In what quadrants is the liver located?

Answer 19

• Right upper quadrant

- a portion of Left upper quadrant

Question 20

T or F: the diaphragmatic surface of the liver extends into the anterior, superior, and posterior directions

Answer 20

True

Question 21

What surface of the liver is located in the inferior direction?

Answer 21

Visceral surface

Question 22

Describe the location and anatomical features of the subphrenic recess.

Answer 22

• separates the diaphragmatic surface of the liver from the diaphragm (located more anteiorly)
• divided into L and R areas by falciform ligament

Question 23

A portion of what embryologic structure gives rise to the falciform ligament?

Answer 23

• ventral mesentary

Question 24

T or F: the hepatorenal recess is a part of the peritoneal cavity on the left side between the liver and the Left kidney and Left suprarenal gland

Answer 24

False, its located on the right side between the right kideny and left suprarenal gland

Question 25

What is the porta hepatis of the liver?

Answer 25

- serves as the point of entry into the liver for: 1. hepatic arteries 2. portal vein - point of exit for: 1. hepatic ducts

Question 26

What attaches the liver to the anterior abdominal wall?

Answer 26

falciform ligament

Question 27

What is the only part of the liver not surrounded by visceral peritoneum?

Answer 27

bare area (part that is pressed against the diaphragm)

Question 28

What are the boundaries of the bare area?

Answer 28

- Anterior: anterior coronary ligament - Posterior: Posterior coronary ligament - Laterally: right triangular ligament

Question 29

What two structures come together laterally to form the right triangular ligament?

Answer 29

Anterior and Posterior Coronary ligaments

Question 30

What divides the liver into right and left lobes?

Answer 30

Fossae fot the gallbladder and inferior vena cava

Question 31

T or F: the caudate and quadrate lobes arise from the left lobe of the liver

Answer 31

False, they arise from the right lobe

Question 32

What are the boundaries of the quadrate lobe?

Answer 32

Left: ligamentum teres Right: Fossa for gallbladder -Note: the quadrate lobe is FUNCTIONALLY more related to the left lobe of the liver

Question 33

T or F: the caudate lobe is visible from the anterior part of the liver

Answer 33

False, the quadrate lobe is visible on the anterior part of the liver

Question 34

What are the boundaries of the caudate lobe of the liver?

Answer 34

Left: fissure for ligamentum venosum Right: Groove for the inferior Vena Cava

Question 35

What provides arterial supply to the liver?

Answer 35

- Right and Left hepatic arteries | both branch from the heaptic artery proper a branch of the common hepatic artery from the celiac trunk

Question 36

Where is the gallbladder located?

Answer 36

Between the right and quadrate lobes

Question 37

What is the fundus of the gallbladder?

Answer 37

- rounded end of the gallbladder that projects to the inferior border of the liver

Question 38

What two structures join to form the common hepatic duct?

Answer 38

R and L hepatic ducts

Question 39

What two structures join to form the bile duct?

Answer 39

Cystic duct and common hepatic duct

Question 40

What artery branches from the abdominal aorta at the upper border of L1?

Answer 40

Celiac artery

Question 41

What artery branches from the abdominal aorta at the lower border of L1?

Answer 41

Superior mesenteric artery

Question 42

What artery branches from the abdominal aorta at at L3?

Answer 42

Inferior mesenteric a.

Question 43

What makes up the structures of the foregut and what is the blood supply to this area?

Answer 43

Start: Abdominal esophagus End: Midway along descending duodenum (including major duodenal papilla) -BS: Celiac Trunk

Question 44

What makes up the midgut and what is the blood supply to this area?

Answer 44

Start: Inferior to major duodenal papilla End: Distal 1/3 of transverse colon -BS: Superior Mesenteric a.

Question 45

What makes up the hindgut and what is the blood supply to this area?

Answer 45

Start: Distal 1/3 transverse colon End: Midway down anal canal -BS: Inferior Mesenteric a.