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36 Cards in this Set

  • Front
  • Back
describe the surface anatomy of the spleen
9th - 11th ribs posteriorly
posterior to mid axillary line
rests on colic flexure
long axis parralel to 10th rib
when is the spleen palpable
when it is 2-3x its size
how is the spleen connected to the stomach?
by the splenorenal ligament
what runs in the gastrosplenic ligament
short gastric, left gastroomental vessels
what runs in the splenorenal ligament
splenic vessels
what is posterior to the spleen?
the left part of the diaphragm
what is anterior to the spleen?
the stomach
what is inferior to the spleen?
the left colic flexure
what is medial to the spleen
the left kidney
what does the spleen form the boundary of?
the omental bursa
what is the blood supply of the spleen
the splenic artery from the celiac trunk
describe the course of the splenic artery
goes superior to the superior margin of the body and tail of the pancreas, anterior to the left kidney, within the layers of the splenorenal ligament
what is the venous drainage of the spleen?
the splenic
what is the course of the splenic vein
joined by the IMV
forms the HPV behind the neck of the pancreas
runs posterior to body and tail of pancreas
lymphatic drainage of spleen
pancreaticosplenic lymph nodes drain to celiac lymph nodes
what plexus innervates the spleen
the celiac plexus
describe the surface anatomy of the pancreas
overlies L1-L2 in level of transpyloric plane
relations of pancreas
in between duodenum and spleen
attached to transverse colon by anterior border
posterior to stomach
describe head of pancreas -
embraced by C shaped of duodenum
lies on IVC, right Renal A and V, left renal vein
to the right of SMV
bile duct in posterior surface
uncinate process: hooks posteriorly to SMV and A
describe neck of pancreas
overlies superior mesenteric vessels
SMV joins splenic to form HPV
anterior surface adjacent to pyrlorus of stomach
body of pancreas
passes over aorta - attached here, no peritoneum
tail of pancreas
lies anterior to left kidney
related to spleen and left colic flexure
located in splenorenal ligament
describe pancreatic duct
runs from head to tail
joins with bile duct
forms hepatopancreatic ampulla
opens into duoednum at major papilla
accessory duct opens in at minor papilla
arterial supply of pancreas?
mostly from splenic artery
pancreatic vessels from splenic: greater and dorsal arteries
superior and inferior pancreaticoduodenual arteries from gastroduodenal and SMA
venous drainage of pancreas?
pancreatic drains drain mainly to splenic vein but also to SMV
lymphatic drainage of panceas?
pancreaticoduodenal nodes
pyloric nodes
to celiac and superior mesenteric lymph nodes
innervation of pancreas
celiac and superior mesenteric plexuses
liver surface anatomy:
from ribs 7-11
crosses midline towards left nipple
where is the diaphragmatic surface of the liver
anterior, superior and posterior surfaces
what is the subhepatic recess
the part of the supracolic compartment inferior to liver, extends posteriorly into hepatorenal recess
what is the subphrenic recesss
space between the liver and diaphragm, separated into right and left parts by the falciform ligament
where does fluid flow from the omental bursa?
hepatorenal recess
what do the parts of the left coronary ligament form?
anterior: the falciform ligament
posterior: the lesser omentum
what lies in the bare area of the liver?
the IVC
what makes up the left saggital fissure?
anteriorly the ligamentum teres, round ligament, umblical vein
posteriorly the ligamentum venosum, from ductus venosum
what makes up the right saggital fissure?
the IVC and fossa for the gall baldder.