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116 Cards in this Set
- Front
- Back
- 3rd side (hint)
Length of esophagus in cm and inch |
25 cm and 10 inch |
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Width of esophagus |
2cm |
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Esophagus is continuation of |
Oro-pharynx |
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Does esophagus has serous coat? |
Yes, only in abdominal part (peritoneum) |
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Which part of esophagus is covered by peritoneum? |
Only anterior surface of abdominal part |
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Esophagus begins at (anatomical landmark vertebral level) |
Lower border of cricoid cartilage (Lower border of C6) |
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Esophagus situated in which mediustinum? |
Superior and posterior |
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Esophagus pierces diaphragm at the level of |
T10 (Left 7th costal cartilage) |
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Esophagus ends in the cardiac orifice at the level of |
T11 |
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Esophagus pierces diaphragm ____ cm from midline? |
2.5 cm |
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Esophagus surrounded by fibers of which crus of diaphragm? |
Right crus |
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Esophagus join the somach at |
T11 |
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How many curvatures esophagus has? |
2 anteroposterior 2 side to side Total 4 |
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Extension of cervical part of esophagus |
From lower border of cricoid cartilage to superior border of manubrium sterni |
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Extension of thoracic part of esophagus |
From superior border of manubrium sterni to esophageal opening in the diaphragm |
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Parts of esophagus |
3 parts Cervical Thoracic Abdominal |
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Lentgth of cervical part of esophagus |
4 cm |
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Length of thoracic part of esophagus |
20 cm |
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Length of abdominal part of esophagus |
1-2 cm |
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Narrowest part of esophagus |
It's commencement at the cricopharyngeal sphincter |
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Constrictions of esophagus |
C6 T4 T6 T10 |
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Arch of aorta cosses esophagus at |
T4 |
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Left principal broncus crosses esophagus at |
T6 |
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Relation of esophagus with trachea |
Esophagus situated behind the trachea |
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Relation of esophagus with decending thoracic aorta |
Esophagus situated in front of decending thoracic aorta |
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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 |
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Blood supply of cervical part of esophagus |
Supllied by inferior thyroid arteries and Drained by inferior thyroid veins |
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Blood supply of thoracic part of esophagus |
Supplied by decending thoracic aorta & bronchial arteries. Drained by azygos & hemiazygos veins |
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Blood supply of abdominal part of esophagus |
Supplied by left gastric artery & left inferior phrenic artery. Drained by left gastric vein to portal vein |
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Parasympathetic supply of esophagus |
Recurrent laryngeal nerve & Vagus nerve |
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Sympathetic supply of esophagus |
T5-T9 spinal segments |
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Histological structure of esophagus |
Adventitia Muscular Submucosa Mucosa |
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Lining of esophagus |
Non-keratinized stratified squamous epithelium |
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Cardiac esophageal glands presents in which part and which layer of esophagus? |
In the lower part only and in mucosa layer |
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Mucous Esophageal glands present in which layer |
Submucous layer |
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Muscular distribution of esophagus |
Upper 1/3rd - skeletal muscle(voluntary) Middle 1/3rd - both skeletal & smooth Lower1/3rd-smooth muscle(involuntary) |
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Which part of esophagus doesn’t contain serous coat |
Posterior surface of abdominal part |
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Esophagus is developed from |
Foregut |
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Muscle pattern in abdominal part of esophagus |
Outer longitudinal Inner circular |
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Physiological sphincter present in |
Lower end of esophagus |
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Most dilated part of GIT |
Stomach |
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Capacity of stomach |
1000-1500ml |
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Shape of empty stomach |
J shape |
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Shape of distended stomach |
Pyriform shape |
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Hypersthenic stomach, which ulcer common |
Duodenal ulcer |
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Hyposthenic/asthenic stomach, which ulcer common |
Gastric ulcer |
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Among cardiac end and pyloric end of stomach, which one is superficial and more movable? |
Pyloric end |
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Waste products excreted by gastric mucosa? |
Urea, Ammonia, Opium |
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Length of pylorus |
10 cm |
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Pylorus of the stomach is identified by |
Prepyloric vein of Myo |
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Length of pyloric antrum and pyloric canal |
7.5 cm and 2.5 cm |
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What is angula incisure? |
A bend on the lasser curvature |
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Vertebral level of pylorus |
L1 |
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Pylorus situated behind which cartilage |
9th costal cartilage |
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Vertebral level of cardia |
T11 |
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Cardia situated behind which cartilage |
7th costal cartilage |
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Distance of cardia from midline |
2.5 cm left |
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Distance of pylorus from midline |
1.25 cm right |
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In empty stomach, pyloric orifice is open or closed |
Open |
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Deepness of cardia from AAW and distance from incisor teeth |
10 cm deep to AAW 40 cm away from incisor teeth |
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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 |
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Stomach bed is separated from stomach by |
Lesser sac or omental bursa |
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Spleen is separated from stomach by |
Greater sac |
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Perforation of stomach in posterior surface, products accumulate in |
Lesser sac |
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Perforation of stomach in anterior surface, products accumulate in |
Greater sac |
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Histologically stomach consist of how many layers |
10 |
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Histological structure of stomach |
Serous Muscular Submucous Mucous |
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Arrangement of muscular layer in stomach |
Inner oblique Middle circular Outer longitudinal |
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Total layers in GIT except stomach |
9 |
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Which layer is present in stomach but missing in GIT |
Muscular layer - Inner oblique layer |
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Function of inner oblique muscle layer in stomach |
Mixes gastric juice and chyme |
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Function of middle circular muscle layer in stomach |
Retains gastric content & complete digestion |
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Function of outer longitudinal muscle layer in stomach |
Propel food to duodenum |
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In GIT all glands presents in which histological layer |
Lamina propia |
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In duodenum Bruner's gland present in |
Submucosa |
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Submucosal glands presents in |
Only dudenum |
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Dilator component of pyloric sphincter |
Longitudinal muscle |
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Sphincter component of pyloric sphincter |
Circular muscle |
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Extension of gastric canal |
Cardiac orifice to pyloric antrum |
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Other name of parietal cell |
Oxyntic cell |
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Pepsinogen is secreted by |
Chief cell |
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Parietal cell secrate |
HCL and IF of castle |
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Gastrin is secreted by which gland |
Pyloric gland |
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Abdominal police guard |
Greater omentum |
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Distribution of APUD system |
Pylorus to rectum |
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Which artery of stomach doesn’t have corresponding vein |
Gastro-duodenal artery |
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Which vein of stomach doesn’t have corresponding artery |
Prepyloric vein of myo |
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In duodenal ulcer, artery of haemorrhage |
Gastro- duodenal artery |
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Muscles of the stomach is derived from |
Lateral plate mesoderm |
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Lining of stomach is developed from |
Foregut endoderm |
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Why carcinoma of the stomach spread to esophagus but do not extent to duodenum? |
Circular muscle is not continuous with duodenum. |
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Left gastric artery branch of |
Coeliac trunk |
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Right gastric artery branch of |
Common hepatic artery |
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Right gastro epiploic artery branch of |
Gastro duodenal artery |
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Left gastro epiploic artery branch of |
Splenic artery |
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Short gastric artery branch of |
Splenic artery |
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Left gastric vein drain into |
Portal vein |
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Right gastric vein drain into |
Portal vein |
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Right gastroepiploic vein drain into |
Superior mesenteric vein |
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Left gastroepiploic vein drain into |
Splenic vein |
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Short gastric vein drain into |
Splenic vein |
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Lymphatics from the stomach drain into |
Celiac node |
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Truncal vagotomy |
Both trunks divided |
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Selective vagotomy (Fiber cut & retained) |
Vagotomy with retaining of celiac and hepatic branch |
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Drainage procedure in selective vagotomy |
Gastrojejunostomy or pyloroplasty |
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Highly selective vagotomy (Fiber cut or retained) |
Only fibre entering the stomach divided both anteriorly and posteriorly Nerve of Lateterjet is retained |
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Drainage procedure in highly selective vagotomy |
No drainage procedure is needed |
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Derivative of dorsal mesogastrium |
Greater omentum Gastro splenic ligament Gastro phrenic ligament Lieno renal ligament Spleen |
Left-sided ligaments of stomach related with spleen |
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Derivatives of ventral mesogastrium |
Lesser omentum Falciform ligament Coronary ligament Right and left triangular ligament |
Right sided ligaments of stomach related with liver |
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Cells of fundic and body glands of stomach |
Chief cell Parietal cell Mucous neck cell |
3 |
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Cells of pyloric gland in stomach |
G cell D cell EcfL cell |
3 |
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Chief cell secrete |
Pepsinogen |
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Parietal cell secret |
HCL & IFC |
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Somatostatin is secreted by |
D cell |
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Histamine is secreted by |
Enterochromaffin like cell |
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Serotonin is secreted by |
Argentiffin cell |
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