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80 Cards in this Set

  • Front
  • Back
what is an outpouching on the ileum or caecum called?
meckrel's outpouching
what rule can be applied to a meckrel's outpouching?
rule of 2
what cell types are present in a meckrel's diverticulum?
gastric, pancreatic or colonic mucosa
what is peritonitis and what causes it?
inflammation of the peritoneum. caused by gastric tissue secreting HCL
what is the function of the gall bladder?
stores and concentrates bile
what is the duct called that comes from the gall bladder?
cystic duct
what is bile?
contains water,cholesterol, bile pigments, phospholipids and bicarbonate responsible for fat digestion
what is a gall stone and what problems can they cause?
crystalline bodies made of cholesterol or bilirubin and calcium salts
what are the functional regions of the pancreas called?
endocrine and exocrine
what forms the bulk of the pancreas?
exocrine
what is the most common pathology to affect the pancreas?
diabetes mellitus
where does the blood in the hepatic portal vein arise from?
gastrointestinal organs
what is the blood supply for the pancreas and where do these arise from?
superior and inerior pancreaticoduodenal arteries from gastroduodenal and superior mesenteric arteries
what vessels unite to form the hepatic portal vein?
superior mesenteric and splenic veins
where do anastomoses (joining vessels) occur?
oesophagus and stomach which can become enlarged in portal hypertension
what is portal hypertension and why is it so dangerous?
increase in pressure in the liver and can result in raised pressure in the oesophagus and gastric vessels which may rupture resulting in haematosis
what divisions of the gut does the coeliac trunk supply?
foregut
what divisions of the gut does the superior mesenteric artery supply?
mid-gut
what are the lobes of the liver called?
left and right caudate and quadrate
what is the function of the liver?
filter blood
where does the bile produced in the liver open into the intestinal trunk?
sphincter of oddi
what is the arterial supply of the liver?
hepatic artery
where does the arterial supply of the liver arise from?
coealic trunk
what is the region called where all these structures enter the liver?
porta hepatis
what is the round ligament of the liver?
remnant of the umbilical vein
in foetal life what passed through a patent round ligament and what was the purpose of it?
bypass the liver to allow nutrients to reach the foetus directly rather than being processed in the liver
what comprises the pharyngeal plexus and what type of fibres are present in it?
glossopharyngeal and vagus nerves comprising motor and sensory fibres primarily
name the pharyngeal constrictors, how do they differ in their muscular arrangement compared to the rest of the gastrointestinal tract?
superior, middle and inferior constrictors. they have inner longitudinal and outer circular arrangements of muscle
what role do the pharyngeal constrictors perform and what would happen if their nerve supply was damaged? how might you test for this clinically?
contraction of pharynx. inability for food to pass down sufficiently. ask the patient to say ahh as the same nerves also supply the uvula
what type of epithelium is present in the oesophagus?
stratified squamous (non-keratinised)
what layer of the oesophagus are blood vessels found?
lamina propria
what are the anatomical regions of the stomach?
cardia, fundus, body and pylorus
what attatches onto the greater curvature of the stomach?
greater omentum
what is contained within the greater omentum?
adipose tissue,lymphatics, blood vessels and nerves
what is the role of the greater omentum?
encases infection
how do the types of muscle vary throughout the oesophagus's length?
upper skeletal, middle mixed, lower smooth
what forms the lower oesophageal sphincter?
diaphragm
whats the nerve supply of the diaphragm?
phrenic (C345)
what is the function of temporalis?
elevation and retraction of mandible
what is the nerve supply of temporalis?
trigeminal nerve
what is the function of the buccinators and the nerve supply?
maintains food in th middle of the oral cavity. facial nerve
what common pathology may result in buccinators not functioning and what are the functional consequences for the patient?
stroke. drooling
what are the proximal and distal attatchments of the masseter muscle?
zygomatic arch and mandible
what is the function of the masseter?
elevation of mandible
what is the nerve supply of the masseter?
trigeminal nerve
how would you clinically test the integrity of the masseter?
get patient to clench teeth and feel muscle bulk and power
how do the secretions the parotid gland produces enter the oral cavity?
pass through buccinators to open opposite 2nd upper molar tooth
what nerve pases through the parotid gland?
facial nerve
what type of secretion does the parotid gland produce?
serous
what are the 2 lower salivary glands called and what do the secrete?
sublingual=mucous and submandibular= mixed
identify the different components of the pharynx?
nasopharynx, laryngeal, oral
what are the anatomical boundaries of the nasopharynx?
base of skull and soft palate
what type of lymphoid tissues are closely related to the auditory tube?
pharyngeal and tubular tonsils
what does the auditory tube communicate with and why is it such a problem in children?
middle ear. it is shorter and straighter allowing easier acces for infection
what are the folds on the inner lining of the stomach called?
rugae
what are the differences in cell types in the various regions of the stomach called?
cardie-mucous body-peretalcalls pylorus-mucous
what is the material called when it is churned up in the stomach?
chyme
embryologically what are the divisions of the gut referred to as and what classification does the stomach come under?
foregut, midgut and hindgut. foregut
what cell types exist in the gastric lining and what are their functions?
see lecture
what type of muscle fibre is the diaphragm composed of?
skeletal
what nerve provides inervation to the disphragm?
phrenic nerve
what are the nerve roots of the phrenic nerve?
cervical nerves 3-5
why does the nerve supply of the diaphragm arise so far away from it?
during folding of the embryo the diaphragm is caudal (lower end) to the heart at the level of the cervical vertebrae. during the further development the dorsal aspect of the embryo grows faster than the ventral pulling the diaphragm down with its nerve supply from the cervical region
what comprises the thoracic cage?
12 pairs of ribs, manubrium, sternum and xiphoid process
what bone is the jugular notch found on and when is this landmark used clinically?
superior border of the manubrium. used for palpitation of the trachea to assess its position
what is the manubriosternal joint used to identify?
2nd rib
how many pairs of ribs are there?
12
what are the 3 classifications of ribs and how many are in each?
1-7 true 8-10 false and 11 and 12 are floating
what are the different components of the sternum?
manubrium, sternum and xiphoid process
what vessels are found lateral to the sternum?
internal thoracic vessels
what do the internal thoracic vessels supply and drain?
intercostal muscles and skin overlying chest
what clinical application do the arteries from the sternum site serve as an excellent donor for?
coronary artery bypass grafting
what is the mediastinum?
group of structures in the thoracic cavity excluding the lungs
the structures found in the mediastinum are loosely bound by connective tissue what is the clinical relevance of this?
allows for cushioning, a small degree of movement and is clinically relevant in that infection and tumours can spread rapidly throughout this vast communicating area
what are the subdivisions of the mediastinum?
superior and inferior. inferior is subdivided into anterior, middle and posterior
where does blood in the right atrium come from, what vessel brings this blood into the right Atrium?
whole body vie superior and inferior venae cavae. deoxygenated
where does blood in the left atrium come from? what vessel brings it?
lungs, left and right pulmonary veins, oxygenated
what embryological remnant can be seen in the right atrium?
fossa ovalis
what role did the fossa ovalis have in foetal circulation?
allowed blood to pass from right to left atrium bypassing the lungs
what vessels unite to form the superior vena cava?
laft and righ brachiocephalic valve