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116 Cards in this Set

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Length of esophagus in cm and inch

25 cm and 10 inch

Width of esophagus

2cm

Esophagus is continuation of

Oro-pharynx

Does esophagus has serous coat?

Yes, only in abdominal part (peritoneum)

Which part of esophagus is covered by peritoneum?

Only anterior surface of abdominal part

Esophagus begins at (anatomical landmark vertebral level)

Lower border of cricoid cartilage (Lower border of C6)

Esophagus situated in which mediustinum?

Superior and posterior

Esophagus pierces diaphragm at the level of

T10 (Left 7th costal cartilage)

Esophagus ends in the cardiac orifice at the level of

T11

Esophagus pierces diaphragm ____ cm from midline?

2.5 cm

Esophagus surrounded by fibers of which crus of diaphragm?

Right crus

Esophagus join the somach at

T11

How many curvatures esophagus has?

2 anteroposterior


2 side to side


Total 4

Extension of cervical part of esophagus

From lower border of cricoid cartilage to superior border of manubrium sterni

Extension of thoracic part of esophagus

From superior border of manubrium sterni to esophageal opening in the diaphragm

Parts of esophagus

3 parts


Cervical


Thoracic


Abdominal

Lentgth of cervical part of esophagus

4 cm

Length of thoracic part of esophagus

20 cm

Length of abdominal part of esophagus

1-2 cm

Narrowest part of esophagus

It's commencement at the cricopharyngeal sphincter

Constrictions of esophagus

C6


T4


T6


T10

Arch of aorta cosses esophagus at

T4

Left principal broncus crosses esophagus at

T6

Relation of esophagus with trachea

Esophagus situated behind the trachea

Relation of esophagus with decending thoracic aorta

Esophagus situated in front of decending thoracic aorta

Anterior relation of thoracic part of esophagi

1. Trachea


2. Arch of aorta


3. Right pulmonary artery


4. Left principal bronchus


5. Left atrium enclosed in pericardium


6. Diaphragm

Blood supply of cervical part of esophagus

Supllied by inferior thyroid arteries and


Drained by inferior thyroid veins

Blood supply of thoracic part of esophagus

Supplied by decending thoracic aorta & bronchial arteries.


Drained by azygos & hemiazygos veins

Blood supply of abdominal part of esophagus

Supplied by left gastric artery & left inferior phrenic artery.


Drained by left gastric vein to portal vein

Parasympathetic supply of esophagus

Recurrent laryngeal nerve &


Vagus nerve

Sympathetic supply of esophagus

T5-T9 spinal segments

Histological structure of esophagus

Adventitia


Muscular


Submucosa


Mucosa

Lining of esophagus

Non-keratinized stratified squamous epithelium

Cardiac esophageal glands presents in which part and which layer of esophagus?

In the lower part only and in mucosa layer

Mucous Esophageal glands present in which layer

Submucous layer

Muscular distribution of esophagus

Upper 1/3rd - skeletal muscle(voluntary)


Middle 1/3rd - both skeletal & smooth


Lower1/3rd-smooth muscle(involuntary)

Which part of esophagus doesn’t contain serous coat

Posterior surface of abdominal part


Esophagus is developed from

Foregut

Muscle pattern in abdominal part of esophagus

Outer longitudinal


Inner circular

Physiological sphincter present in

Lower end of esophagus

Most dilated part of GIT

Stomach

Capacity of stomach

1000-1500ml

Shape of empty stomach

J shape

Shape of distended stomach

Pyriform shape

Hypersthenic stomach, which ulcer common

Duodenal ulcer

Hyposthenic/asthenic stomach, which ulcer common

Gastric ulcer

Among cardiac end and pyloric end of stomach, which one is superficial and more movable?

Pyloric end

Waste products excreted by gastric mucosa?

Urea, Ammonia, Opium

Length of pylorus

10 cm

Pylorus of the stomach is identified by

Prepyloric vein of Myo

Length of pyloric antrum and pyloric canal

7.5 cm and 2.5 cm

What is angula incisure?

A bend on the lasser curvature

Vertebral level of pylorus

L1

Pylorus situated behind which cartilage

9th costal cartilage

Vertebral level of cardia

T11

Cardia situated behind which cartilage

7th costal cartilage

Distance of cardia from midline

2.5 cm left

Distance of pylorus from midline

1.25 cm right

In empty stomach, pyloric orifice is open or closed

Open

Deepness of cardia from AAW and distance from incisor teeth

10 cm deep to AAW


40 cm away from incisor teeth

Stomach bed is formed by

1. Left crus of diaphragm


2. Left suprarenal gland


3. Left kidney


4. Spleenic artery


5. Transverse mesocolon


6. Pancreas


7. Left colic flexure


8. Spleen

DR S K SAHA SOMETIMES MANAGE THE PATIENT CAREFULLY

Stomach bed is separated from stomach by

Lesser sac or omental bursa

Spleen is separated from stomach by

Greater sac

Perforation of stomach in posterior surface, products accumulate in

Lesser sac

Perforation of stomach in anterior surface, products accumulate in

Greater sac

Histologically stomach consist of how many layers

10

Histological structure of stomach

Serous


Muscular


Submucous


Mucous

Arrangement of muscular layer in stomach

Inner oblique


Middle circular


Outer longitudinal

Total layers in GIT except stomach

9

Which layer is present in stomach but missing in GIT

Muscular layer - Inner oblique layer

Function of inner oblique muscle layer in stomach

Mixes gastric juice and chyme

Function of middle circular muscle layer in stomach

Retains gastric content & complete digestion

Function of outer longitudinal muscle layer in stomach

Propel food to duodenum

In GIT all glands presents in which histological layer

Lamina propia

In duodenum Bruner's gland present in

Submucosa

Submucosal glands presents in

Only dudenum

Dilator component of pyloric sphincter

Longitudinal muscle

Sphincter component of pyloric sphincter

Circular muscle

Extension of gastric canal

Cardiac orifice to pyloric antrum

Other name of parietal cell

Oxyntic cell

Pepsinogen is secreted by

Chief cell


Parietal cell secrate

HCL and IF of castle

Gastrin is secreted by which gland

Pyloric gland

Abdominal police guard

Greater omentum

Distribution of APUD system

Pylorus to rectum

Which artery of stomach doesn’t have corresponding vein

Gastro-duodenal artery

Which vein of stomach doesn’t have corresponding artery

Prepyloric vein of myo

In duodenal ulcer, artery of haemorrhage

Gastro- duodenal artery


Muscles of the stomach is derived from

Lateral plate mesoderm

Lining of stomach is developed from

Foregut endoderm

Why carcinoma of the stomach spread to esophagus but do not extent to duodenum?

Circular muscle is not continuous with duodenum.

Left gastric artery branch of

Coeliac trunk

Right gastric artery branch of

Common hepatic artery

Right gastro epiploic artery branch of

Gastro duodenal artery

Left gastro epiploic artery branch of

Splenic artery

Short gastric artery branch of

Splenic artery

Left gastric vein drain into

Portal vein

Right gastric vein drain into

Portal vein

Right gastroepiploic vein drain into

Superior mesenteric vein

Left gastroepiploic vein drain into

Splenic vein

Short gastric vein drain into

Splenic vein

Lymphatics from the stomach drain into

Celiac node

Truncal vagotomy

Both trunks divided

Selective vagotomy


(Fiber cut & retained)

Vagotomy with retaining of celiac and hepatic branch

Drainage procedure in selective vagotomy

Gastrojejunostomy or pyloroplasty

Highly selective vagotomy


(Fiber cut or retained)

Only fibre entering the stomach divided both anteriorly and posteriorly


Nerve of Lateterjet is retained

Drainage procedure in highly selective vagotomy

No drainage procedure is needed

Derivative of dorsal mesogastrium

Greater omentum


Gastro splenic ligament


Gastro phrenic ligament


Lieno renal ligament


Spleen

Left-sided ligaments of stomach related with spleen

Derivatives of ventral mesogastrium

Lesser omentum


Falciform ligament


Coronary ligament


Right and left triangular ligament

Right sided ligaments of stomach related with liver

Cells of fundic and body glands of stomach

Chief cell


Parietal cell


Mucous neck cell

3

Cells of pyloric gland in stomach

G cell


D cell


EcfL cell

3

Chief cell secrete

Pepsinogen

Parietal cell secret

HCL & IFC

Somatostatin is secreted by

D cell

Histamine is secreted by

Enterochromaffin like cell

Serotonin is secreted by

Argentiffin cell