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Stomach, spleen, small intestine
Anatomy test block 4
64
Anatomy
Graduate
12/02/2014

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Cards

Term
the esophagus passes through the esophageal hiatus at what vertebral level?
Definition
t10
Term
what 3 things make up the esophagogastric sphincter?
Definition
folds of mucosa from cardiac notch, decussating fibers of the diaphragn, and smooth muscle of lower esophagus
Term
where does the esophagus receive blood from?
Definition
left gastric artery and inferior phrenic artery.
Term
what vein does the esophagus blood drain into?
Definition
left gastric vein
Term
what are magenstrasse?
Definition
more permanent gastric folds along the lesser curvature of the stomach (define channels)
Term
at what vertebral level does the cardiac end of the stomach begin?
Definition
t11
Term
at what vertebral level does the pyloric end of the stomach terminate?
Definition
L1
Term
what side of the stomach does the ventral mesentery attach during development?
Definition
lesser curvature
Term
what is the lesser omentum a remnant of?
Definition
ventral mesentery
Term
what side of the stomach does the dorsal mesentery attach?
Definition
greater curvature
Term
the greater omentum is a remnant of what?
Definition
dorsal mesentery
Term
what ligament spans from the lesser curvature of the stomach to the liver and is part of the lesser omentum?
Definition
hepatogastric ligament
Term
what ligament connects the left portion of the greater curvature to the spleen?
Definition
gastrosplenic ligament
Term
what ligament connects the dorsal fundus to the diaphragm?
Definition
gastrophrenic ligament
Term
what ligament connects most of the greater curvature of the stomach to the transverse colon?
Definition
gastrocolic ligament
Term
which region of the abdomen does the spleen reside?
Definition
left hypochondrium
Term
with which rib does the spleen correspond?
Definition
rib 10
Term
the spleen is located _____ to the fundus of the stomach and _______ to the diaphragm
Definition
posterior, inferior
Term
what ligament contacts the inferior surface of the spleen?
Definition
phrenicocolic ligament
Term
where does the spleen develop?
Definition
dorsal mesogastrium
Term
what ligament is formed by 2 layers of mesentery passing between the greater curvature of the stomach and hilum of the spleen?
Definition
gastrosplenic ligament
Term
what ligament is formed by a reflection of the splenic peritoneum that connects to the renal fascia?
Definition
splenorenal ligament
Term
what 2 ligaments form the splenic pedicle?
Definition
splenorenal and gastrosplenic
Term
what 2 vessels are contained within the splenorenal ligament?
Definition
splenic artery and vein
Term
the duodenum is mostly what relative to the peritoneum?
Definition
secondarily retroperitoneal
Term
the duodenum begins at vertebral level _____ at the pylorus and ends at the vertebral level ______ 2-3 cm to the left of the midline
Definition
L1, L2
Term
circular folds are present where within the duodenum?
Definition
distal portion
Term
where is the major duodenal papilla located?
Definition
2/3 of the way down the 2nd part of the duodenum
Term
what 2 structures flow into the major duodenal papilla?
Definition
common bile duct and main pancreatic duct
Term
where is the minor duodenal papilla located?
Definition
1/3 of the way down the 2nd part of the duodenum
Term
what structure flows into the minor duodenal papilla?
Definition
accessory pancreatic duct
Term
the initial part of the duodenum is called what?
Definition
ampulla
Term
the second part (descending part) of the duodenum is where relative to the peritoneum?
Definition
retroperitoneal (secondarily)
Term
the descending part of the duodenum runs along which vertebrae?
Definition
1st, 2nd, and 3rd lumbar
Term
which vertebra does the 3rd section of the duodenum cross?
Definition
L3
Term
the ascending part of the duodenum ends at what vertebral level?
Definition
L2
Term
what is the suspensory muscle of the duodenum?
Definition
a fibromuscular band that extends with the right crus of the diaphragm and attaches to the duodenojejunal flexure
Term
where does the ileum articulate with the cecum?
Definition
right iliac fossa
Term
the root of the mesentery (i.e. attachment of mesentery to dorsal body wall) extends superiorly from _____ vertebral level to the right ________ joint
Definition
L2, sacroiliac
Term
which section of the small intestine is characterized by long vasa recta, large circular folds, less fat in the mesentery, and few peyer's patches?
Definition
jejunum
Term
what is meckel's diverticulum?
Definition
protrusion from the anti-mesenteric border of the ileum, caused by persistance of vitelline duct that connected the midgut to the yolk sac
Term
what vessel supplies the embryonic foregut?
Definition
celiac trunk
Term
what vertebral level does the celiac trunk arise?
Definition
t12
Term
what artery is housed between the layers of the hepatogastric ligament?
Definition
left gastric artery
Term
what branches come off of the left gastric artery?
Definition
esophageal and dorsal/ventral branches that feed the stomach
Term
within what ligament does the hepatic artery proper descend through the abdomen/
Definition
hepatoduodenal ligament
Term

the right gastric artery is a branch off of what artery, and through what structure does it run?

 

where does it go to?

Definition
hepatic artery proper, lesser omentum, pyloric end of the stomach
Term
what artery feeds the first part of the duodenum, and what artery does it branch from?
Definition
supraduodenal artery, gastroduodenal artery
Term
the splenic artery gives rise to many _____ branches along its path toward the spleen
Definition
pancreatic
Term
the right and left gastro-omental arteries anastomose within what ligament?
Definition
gastrocolic ligament
Term
The superior mesenteric artery supplies what region?
Definition
midgut
Term
the SMA arises from the aorta at what vertebral level?
Definition
L1
Term
the pancreas and duodenum are fed from what branches off of the SMA?
Definition
inferior pacreaticoduodenal arteries
Term
the terminal ileum, cecum, and appendix are supplied by what specific branch off of the SMA?
Definition
ileocolic artery
Term
the portal vein is formed by the union of what 2 vessels?
Definition
superior mesenteric vein and the splenic vein
Term
short gastric veins, left and right gastro-omental veins, pancreatic veins, and sometimes the inferior mesenteric vein all contribute to what vein?
Definition
splenic vein
Term
the left gastric vein receives what smaller veins?
Definition
esophageal
Term
the right gastric vein terminates directly into what?
Definition
IVC
Term
the prepyloric vein is a is a tributary to what vein?
Definition
right gastric vein
Term
celiac nodes drain which 3 other nodes?
Definition
gastric, hepatic, and pantreaticosplenic
Term
the superior mesenteric nodes drain which other nodes?
Definition
mesenteric, ileocolic, right and middle colic, and pyloric
Term
what nodes form the intestinal trunk?
Definition
celiac and superior mesenteric nodes
Term
where does the intestinal trunk terminate (usually)?
Definition
in the left lumbar trunk
Term
what is the cisterna chyli?
Definition
right and left lumbar trunks come together and ends in the thoracic duct
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