the foregut Flashcards

(91 cards)

1
Q

how is the abdomen divided into?

A

foregut
midgut
hindgut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

where does the foregut range from?

A

esophagus to duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the particularity of each gut?

A

Each gut is separated and receive single blood supply from a single artery which further branches off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

at what level does the aorta pass the diaphragm

A

T12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what branches does the abdominal aorta give off?

A
inferior phrenic a.
celiac trunk
superior messenteric a
inferior messenteric a
common iliac a
renal a
gonadal a
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what A. supplies blood supply to the inferior surface of the diaphragm

A

inferior phrenic A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

at what level is the celiac trunk found

A

T12/L1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

where does the common iliac split?

A

L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the esophagus a continuation of?

A

the pharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the esophagus divided into?

A

3 parts
cervical
thoracic
abdominal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what type of movement is allowed in the esophagus, what muscles accomplish it?

A

inner circular muscles

outer longitudinal muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the goal of the sphincters at each end of the esophagus?

A

to keep each the acid from stomach to mix with bases of the SI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how is the UES controlled?

A

Voluntary control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how is the LES controlled?

A

involuntary control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

at what level does the esophagus pass the diaphragm?

A

T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where is the stomach located in the abdomen? precisely what regions?

A

upper left quadrant

in the epigastric, umbilical and left hypochondriac regions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

where is the cardia of the stomach found?

A

it the portion of the stomach that is closes to the heart,

the cardia orifice opens at the LES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

in what part of the stomach does gas build up?

A

fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

where is the fundus located?

A

upper portion of the stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what happens to the body of the stomach as we go from the superior to inferior portion of the stomach?`

A

it narrows

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

where does chyme get secreted out of the stomach from?

A

pyloric canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what Controls movement of chyme from stomach to SI and is a thickened region of circular muscles?

A

pyloric sphincter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is a rugae?

A

Folds of the inner stomach wall that will flatten as the stomach distends to increase in size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what are the curvatures of the stomach?

A

lesser and greater curvature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
where is the duodenum located in the abdomen?
ranges from upper left to upper right quadrants
26
how is the duodenum divided into?
``` 4 parts D1: Superior D2: descending D3: inferior D4: ascending ```
27
what parts of the abdomen are intraperitoneal?
D1 and a part of D4 (distal)
28
what parts of the abdomen are retroperitoneal?
D2-D3-D4(proximal)
29
what does the SI divide into?
o Duodenum o Jejum o ileum
30
what type of organ is the pancreas? exception?
Retroperitoneal organ (except for the tail)
31
what is the function of the pancreas?
Responsible for producing and secreting insulin and digestive enzymes
32
how can the pancreas be viewed?
Can be viewed by entering the lesser sac deep to the stomach
33
where is the head of the pancreas located?
in the concavity of the duodenum
34
where is the uncinate process of the pancreas found?
Near the head of the pancreas on the inferior surface
35
how does the body and tail of the pancreas travel in the abdomen? at what levels?
travel to the left, deep to the stomach, anterior to left kidney L1-L4
36
is the spleen a vital organ?
no
37
what type of organ is the spleen?
intraperitoneal
38
what is the function of the spleen?
Responsible for filtration and recycling of the red blood cells Involved in the immune system
39
where is the spleen located?
upper left quadrant between ribs 9-11 at mid-axillary line
40
what are the hilum of the spleen and what do they border?
anterior surface aka the colic area borders the splenic fissure of the colon the superior surface akak gastric area borders the stomach the inferior surface aka renal surface borders the left kidney
41
what are the ligaments thta are close to the lesser sac at the level of the spleen on the left hand side?
- gastrosplenic ligament | - splenorenal ligament
42
is the liver a vital organ?
yes
43
what is the function of the liver?
Filters all venous blood from GIT
44
where is the liver located?
upper right quadrant of the abdomen above transpyloric line (L1)
45
what level does the superior border of the liver reach anteriorly?
5th rib (above diaphragm)
46
what level does the superior border of the liver reach posteriorly?
9th rib
47
what type of organ is the liver?
intraperitoneal
48
what part of the liver is not covered by the peritoneum?
the bare area
49
what creates the anterior and posterior coronary ligaments?
 Peritoneum extending between the inferior surface of the diaphragm and the superior border of the liver
50
what creates the right and left triangular ligaments?
Where anterior and posterior coronary ligaments converge on the right and left sides of the liver
51
how is the liver divided?
into 4 lobes | left and right lobe and the right lobe is further divided into the caudate and the quadrate lobes
52
what lobe of the liver sits next to the IVC?
caudate lobe
53
what lobe of the liver sits next to the gallbladder anteriorly?
quadrate lobe
54
what is the falciform ligament?
Peritoneal fold containing ligamentum teres
55
what is ligamentum teres?
Fetal remnant of the ductus venosus that acted as a fetal shunt to bypass liver and bring oxygenated blood from umbilical cord from the mother’s placenta to the heart via IVC allowing it to be pumped out
56
how does the bile leave the liver?
via the right and left hepatic bile ducts
57
what do the left and right hepatic ducts converge into?
common hepatic duct
58
what does the common hepatic duct merge with? what does it form?
Common hepatic duct merges with the cystic duct of the gallbladder to form the common bile duct
59
how does bile go in and out of the bile duct?
Spiral mechanism inside allowing bile to come in through one and out the opposite spiral
60
how does the common bile duct travel?
posterior to D1
61
what is the function of the common bile duct?
Responsible for bringing bile into the SI
62
what happens to the common bile duct before it brings bile into the SI?
meets with pancreatic duct and provides enzymes
63
how is the accessory pancreatic duct created?
Common hepatic duct merges with the pancreatic duct creating the heptopancreatic ampulla of vater
64
where in the duodenum does emptying of the pancreatic occur?
D2 at the major duodenal papilla
65
where does the minor pancreatic duct empty itself?
D2 above pancrearic duct at the minor duodenal papilla
66
how is the celiac trunk divided?
left gastric A splenic A Common hepatic A
67
how does the left gastric A travel?
Follows along the lesser curvature of the stomach
68
what organs are supplied by the left gastric A?
esophagus via the esophageal A
69
what is particular about the splenic A (makes it easy to identify)
its tortuous structure
70
how does the splenic a REACH THE SPLEEN?
by traveling posterior to the stomach, it also travels along the superior border of the pancreas
71
how does the splenic vein differ from the A
vein is not tortuous and travels posterior to the pancreas
72
what does the common hepatic A branch off into?
hepatic A. proper and gastroduodenal A
73
what recieves blood from the hepatic A. proper?
liver and gallbladder
74
where does the hepatic A proper travel?
o Lesser curvature of the stomach | o Goes up towards the liver
75
what does the hepatic A. proper branch off into?
left and right hepatic A
76
what does the right hepatic A branch off into?
cystic A and right gastric A
77
what does the right gastric A anastamose with?
left gastric A
78
Where does the gastroduodenal a travel?
along the Greater curvature of the stomach Travels to duodenum and stomach Travels posterior to D1 segment
79
what branches comes from the gastroduodenal a
supraduodenal A | right gastroepiploic A
80
what does the right gastroepiploic A anastamose with?
left gastroepiploic A from the splenic A
81
into what does the superior pancreaticoduodenal A branch off into?
anterior and posterior branches
82
what type of organ is the gallbladder?
intraperiorneal
83
what is the function of the gallbladder?
storage of bile
84
what is the gallbladder divided into?
neck body fundus
85
what is the neck of the gallbladder?
Narrowing of the gallbladder leading into the cystic duct
86
where is the body of the gallbladder located
next to the liver
87
how is the cystic duct made to allow 2-way flow?
spiral internal design
88
what is contained in the hilum of the lungs?
the portal triad
89
what composes the portal triad?
hepatic A proper common bile duct portal vein
90
what is the portal vein responsible for?
venous drainage of the digestive system and various organs of the abdomen
91
how does the portal vein travel?
posterior to the hepatic Artery proper and common bile duct