Gi: Anatomy: Blood Vessels

Front 1

At what vertebrae level is the cardiac orifice of the stomach?

Back 1

T10

Front 2

At what intercostal space is the fundus of the stomach?

Back 2

L 5th

Front 3

Folds of mucosa inside the stomach

Back 3

Rugae (increase surface area)

Front 4

MC acquired hiatal hernia; regurgitation of acid

Back 4

Sliding (GE jxn slides superiorly into the chest through the lax esophageal hiatus)

Front 5

Pouch of peritoneum containing the fundus of the stomach extending through the esophageal hiatus anterior to the esophagus; pain and N/V but NO regurgitation of acid

Back 5

Paraesophageal (Rolling) hernia

Front 6

Which part of the duodenum is NOT retroperitoneal?

Back 6

First or superior part

Front 7

Common site of the duodenum for peptic ulcers

Back 7

posterior wall of the dudoenal cap or bulb (ampulla)

Front 8

Which artery may be at risk when a pt has a peptic ulcer of the duodenal cap?

Back 8

Gastroduodenal artery (pancreas is also there)

Front 9

Suspends the 4th part of the duodenum from the right crus of the diaphragm

Back 9

Suspensory ligament (Ligament of Treitz)

Front 10

Which part of the duodenum receives the openings of the bile and pancreatic ducts?

Back 10

2nd part

Front 11

Where do you find plicae circularis?

Back 11

Circular folds of the jejunum

Front 12

Where do you find lymphatic nodules (Peyer's patches)?

Back 12

Ileum

Front 13

Longitudinal muscle fibers confined to three parallel bands of the LI

Back 13

teniae coli

Front 14

Sacculations between teniae of the LI

Back 14

Haustra

Front 15

Small sacs of fat covered with peritoneum of the LI

Back 15

Appendicies epiploicae

Front 16

Where the terminal ileum (via the ileocecal orifice) and the appendix enter

Back 16

Cecum

Front 17

The base of the appendix usually lies ____to McBurney's point

Back 17

lateral

Front 18

Initially, where is the referred pain of appendicitis?

Back 18

T 10 umbilicus

Front 19

About what vertebrae does the sigmoid lie?

Back 19

S3

Front 20

Inflammation of herniations of the mucosa through the muscle layer of the sigmoid colon

Back 20

Diverticulitis

Front 21

About what vertebrae is the celiac trunk?

Back 21

T12

Front 22

Name the 3 branches of the celiac trunk

Back 22

L gastric, Common hepatic and splenic

Front 23

Name the 2 branches of the common hepatic

Back 23

hepatic artery proper and gastroduodenal

Front 24

Name the 4 branches of the hepatic artery proper (a branch of the common hepatic)

Back 24

R gastric (lesser cuvature), L hepatic (L lobe), Right hepatic (R lobe) and Cystic (gallbladder)

Front 25

What artery supplies the lesser curvature of the stomach?

Back 25

R gastric

Front 26

Name the 3 branches of the gastroduodenal artery (a branch of the common hepatic)

Back 26

supraduodenal (duodenum), superior pancreaticduodenal arteries, and R gastroomental (greater curvature)

Front 27

Name the 3 branches of the splenic artery

Back 27

Pancreatic branches, short gastric (fundus) and L gastroomental

Front 28

Which artery supplies the fundus of the stomach?

Back 28

Short gastric of the splenic

Front 29

What arteries supply the greater curvature of the stomach?

Back 29

R and L gastroomentals

Front 30

About which vertebrae does the superior mesenteric artery arise?

Back 30

L1

Front 31

Name the 3 branches of the superior mesenteric artery to the small bowel

Back 31

Inferior pancreaticoduodenal, jejunal and ileal branches

Front 32

Name the 3 branches of the superior mesenteric artery that go to the large bowel

Back 32

R colic and Middle colic (to transverse mesocolon), R colic and Ileocolic (and its appendicular branch)

Front 33

About which vertebrae does the inferior mesenteric artery arise?

Back 33

L3

Front 34

The inferior mesenteric artery arises ________ from the abdominal aorta

Back 34

retroperitoneally

Front 35

Name the 3 branches of the inferior mesenteric artery

Back 35

L colic, sigmoid arteries and superior rectal

Front 36

The marginal artery (of Drummond) begins at the ileocolic jxn and ends where it anastomoses with the ________

Back 36

superior rectal artery

Front 37

The marginal artery of drummond makes an anastomotic loop between which "parent" arteries?

Back 37

SMA and IMA

Front 38

The anterior vagal trunk is derived from the ____ vagus nerve and usually enters the abdomen on the ____surface of the esophagus

Back 38

Left; anterior

Front 39

The posterior vagal trunk is derived from the ____vagus nerve and enters the abdomen on the ______ surface of the esophagus

Back 39

Right; posterior

Front 40

Which vagal trunk gives off the celiac branch?

Back 40

posterior vagal

Front 42

The sympathetic innervation of the small and LI is via the ___ and ___ nerves

Back 42

thoracic and lumbar splanchnic nerves

Front 43

Which fibers are usually assocaited with conducting pain back to the CNS

Back 43

sympathetics

Front 44

Afferents associated with refexes

Back 44

parasympathetic

Front 45

Referred pain of appendicitis is usually due to which nerve?

Back 45

R lesser splanchnic