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Hint
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Answer
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Most common point for duodenal ulcers
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duodenal cap (superior duodenum)
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Drainage of major duodenal papilla
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Major pancreatic duct and bile duct (hepatopancreatic ampulla)
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Drainage of minor duodenal papilla
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Accessory pancreatic duct
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Boundary of fore and mid gut
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major papilla
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Blood supply to duodenum Foregut
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superior pancreaticoduodenal artery and supraduodenal artery
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Blood supply to duodenum midgut
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inferior pancreaticoduodenal artery
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Site of most of duodenal ulcers
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posterior wall of superior duodenum.
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haemorrhage from ulcer
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gastroduodenal artery
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Blood Supply to foregut
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Coeliac Trunk
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First major branch arising from abdominal aorta
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coeliac trunk T12
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3 Major arteries arising from coeliac trunk
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Common hepatic artery
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3 Major arteries arising from coeliac trunk
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Left gastric artery
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3 Major arteries arising from coeliac trunk
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Splenic artery
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Blood Supply to Midgut (2nd branch of AA)
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Superior Mesenteric Artery
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Blood Supply to Hindgut (3rd branch of AA)
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Inferior Mesenteric Artery
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Branches of SMA (5)
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Inferior pancreaticoduodenal
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Branches of SMA
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Jejunal/ileal arteries
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Branches of SMA
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Middle Colic
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Branches of SMA
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Right Colic
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Branches of SMA
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Ileocolic
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Branches of IMA (3)
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Left Colic - descending colon
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Branches of IMA
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Sigmoid arteries
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Branches of IMA
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Superior Rectal Artery
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Sympathetic Innervation Stomach
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Greater splanchnic nerves T5-T9 via coeliac plexus
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Parasympathetic Innervation Stomach
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Left and Right Vagus
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Relationship between vagal nerves and trunks after oesophageal hiatus
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left vagus as anterior trunk, right as posterior
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Transtubecular plane location
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L5, connects iliac crests
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