What structure is found after the pyloric sphincter?
Which ligament connects the liver with the duodenum?
What is contained within the hepatoduodenal ligament?
portal triad (hepatic portal V, hepatic A proper, bile duct)
What structures can be found around the omental foramen?
inferior: stomach, duodenum
anterior: lesser omentum, hepatoduodenal ligament
What structure holds vessels running to, in, and around the gut?
What are the two compartments found anterior and inferior to the greater omentum?
Where is the lesser sac?
behind the lesser omentum and hepatoduodenal ligament
Where is the rectouterine pouch open?
at the fingers of the fallopian tube (ovarian fimbra)
Celiac trunk major branches:
Branches of the Left Gastric A:
Branches of the Common Hepatic A:
proper hepatic, right gastric, gastroduodenal
Branches of the Splenic A:
dorsal pancreatic, short gastric, left gastro-omental
What ducts form the bile duct?
cystic and common hepatic
A blocked common hepatic duct causes:
A blocked cystic duct is life-threatening.
False: function is normal with a blocked cystic duct, but bile is not concentrated
Name major structures contacting the liver:
What are the major parts of the pancreas?
Where does the head of the pancreas sit?
in the second part of the duodenum
What organ must be carefully avoided during a splenectomy?
What are the intraperitoneal organs?
What are the retroperitoneal organs?
At what level is the superior mesenteric artery?
What are the branches of the superior mesenteric artery?
Which artery supplies the appendix?
What are the branches of the inferior mesenteric artery?
What veins come together to form the portal vein?
What veins from the liver drain into the IVC?
left, middle, right hepatic veins
What is unique about the venous return of the testicular/ovarian veins?
they enter the venous system in an asymmetrical way
L t/o V -> Left Renal V
R t/o V -> IVC
Describe the parasympathetic innervation of the gut:
vagus: top down to the mid-transverse colon
pelvic splanchnic: below mid-transverse colon
Describe the areas of contact for the right kidney:
(superior to inferior)
right colic flexure
duodenum (at hilum)
Describe the areas of contact for the left kidney:
(superior to inferior, and medial to lateral)
What two important nerves run behind the kidneys?
How many narrow points can be found on the ureters? Where are they?
1-where ureter bends coming out of kidney
2-point where it crosses the common iliac A
3-at the entrance into the bladder
What two muscles are located in the posterior abdominal wall?
What are the major nerves of the lumbar plexus?
lateral cutaneous N of thigh
Root, innervation, path
sensory to medial thigh; motor to adductors in lower extremity
through psoas major, behind common iliac vessels, along lateral wall of lesser pelvis, to the obturator foramen, and through the obturator canal
Root, innervation, path
anterior compartment of thigh
through psoas major, beneath inguinal ligament through muscular lacuna, into thigh
What is the main lymphatic drain for the gut?
The cysterna chyli eventually becomes the:
What does the cysterna chyli travel with?
aorta and azygos V
Where does the thoracic duct dump?
the junction between left subclavian and jugular veins