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29 Cards in this Set

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  • Back
What are the 4 arteries that branch from the superior mesenteric artery?
1)inferior pancreaticoduodenal artery (separates into ant/post branches)
2) middle colic artery
3) right colic artery
4) ileocolic artery
What causes arteriomesenteric occlusion?
In very thin individuals there is less fat surrounding the gut & mesenteries --> less space around intestines -->SMA moves closer to aorta and squeezes the L. renal vein & 3rd part of the duodenum
What is the spatial relationship between the SMV & SMA?
SMV is anterior & to the right of SMA
The middle colic artery supplies branches that lead to what anastomotic network?
Marginal artery of Drummond
The right colic artery can come from what 2 locations?
1) SMA, after the middle colic artery
2) ileocolic artery
The right colic artery supplies which organ/region with blood?
ascending colon (retroperitoneal)
The last main branch of the SMA branches off into which 5 smaller arteries?
1) ascending branch
2) anterior cecal artery
3) posterior cecal artery
4) ileal branch
5) appendicular artery
The jejunal and ileal arteries consist of which subdivisions?
arterial arcades and "straight" arteries (arteriae rectae).
What is the difference between the arcades & vasa recta of the jejunum & ileum?
Jejunum - few arcades, long vasa recta
Ileum - numerous arcades, short vasa recta
The Superior Mesenteric Artery & Inferior Mesenteric Artery are at which vertebral levels?
SMA - L1
IMA - L3
What are the branches of the Inferior Mesenteric Artery? (3)
1) left colic artery
2) two to four sigmoid branches
3) superior rectal artery
The left colic artery supplies which parts of the colon?
descending colon & left colic flexure
Which veins drain into the hepatic portal vein?
superior mesenteric, inferior mesenteric, splenic
The superior & inferior mesenteric lymph nodes form _____ trunks, which drain into ______.
intestinal lymph (trunks), cysterna chyli
The branches of which arteries contribute to the Marginal Artery of Drummond? (6)
ileocolic, right colic, middle colic, left colic, sigmoid, superior rectal
What is the functional role of the Ligament of Treitz?
It supports the weight of the jejunum & ileum.
Where is the Ligament of Treitz located?
At the duodenojejunal flexure
What ceccal structure will "lead you" to the appendix?
Taenia coli
What characteristics would allow you to distinguish/separate the jejunum from the ileum? (2)
1) Jejunum has few arcades & long vasa recta; ileum has lots of arcades & short vasa recta
2) The folds/plicae on the inner surface of the ileum are shorter & fewer
What artery is located inside the superior ileocecal fold?
Anterior cecal artery
Pain in which regions of the abdomen could indicate appendicitis?
Central (near umbilicus)
Right lower quadrant
The transverse colon is attached to the stomach by what structure?
gastrocolic part of greater omentum
What 3 unique structural features of the large intestine would allow you to distinguish it from the small intestine?
1) haustrae (sacculations)
2) appendices epiploica (hanging fat tags)
3)teniae coli
How much of the rectum is in contact w/ peritoneum?
upper 1/3
Pain from the ureter refers to which vertebral segments?
T12-L2
Vagal fibers contain which plexes? (3)
1)esophageal plexus
2) cardiac plexus
3) superior mesenteric plexus
Pelvic splanchnic nerves come from which vertebral regions?
S2-S4
What 3 nerve fibers would you expect to find along a typical gut vessel?
2) sensory nerve to dorsal spinal cord
3) sympathetic motor nerve
4) parasympathetic motor nerve
Where do greater splanchnic nerves begin and end?
Begin - T5-T9
End - celiac ganglion