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Hint
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|
Answer
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SMA branches
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Middle colic
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SMA branches
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Right colic
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|
|
|
|
|
Hepatic Portal Vein formed of what?
|
|
Superior mesenteric vein and splenic vein
|
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SNS innervation of midgut
|
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Lesser thoracic splanchnic nerves
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PNS innervation of midgut
|
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Vagus
|
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Plexuses modulated by ANS
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Submucosal and myenteric plexus in intestinal walls
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|
|
|
|
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Last part of Hindgut + dividor
|
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Upper half of anal canal, pectinate line
|
|
Descending Colon intra or retroperitoneal usually?
|
|
Secondary retroperitoneal
|
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Level of rectosigmoid junction
|
|
S3
|
|
|
|
|
|
2 Factors that help maintain continence
|
|
Anorectal flexure angle
|
|
Factors that help maintain continence
|
|
Ampulla of rectum
|
|
|
|
|
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Epithelium superior + inferior to pectinate line
|
|
Columnar + stratified squamous
|
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Arterial supply + venous drainage superior + inferior to pectinate line
|
|
Superior rectal, middle and inferior rectal
|
|
Nervous supply superior + inferior to pectinate line
|
|
Inferior hypogastric plexus, Inferior rectal from pudendal nerve
|
|
Lymphatic drainage superior + inferior to pectinate line
|
|
Internal iliac nodes, superficial inguinal nodes
|
|
What vertebral level does IMA arise from AA
|
|
L3
|
|
|
|
|
|
Branches of IMA (4)
|
|
Left Colic (and ascending + descending)
|
|
Branches of IMA
|
|
Sigmoid
|
|
Branches of IMA
|
|
Superior rectal
|
|
Branches of IMA
|
|
Marginal artery
|
|
|
|
|
|
What acts as the collateral supply for hind and midgut?
|
|
Marginal artery of Drummond allows anastomosis between SMA and IMA
|
|
Where does middle rectal artery arise from?
|
|
Internal iliac
|
|
Where does inferior rectal artery arise from
|
|
Internal Pudendal
|
|
|
|
|
|
Superior rectal vein drainage
|
|
Inferior mesenteric vein (portal system)
|
|
Middle rectal vein drainage
|
|
Internal iliac (systemic)
|
|
Inferior rectal vein drainage
|
|
Internal Pudendal (systemic
|
|
|
|
|
|
Lymphatic Drainage of Hindgut
|
|
intestinal lymphatic trunk and cisterna chyli
|
|
|
|
|
|
Where is gallbladder pain often referred to
|
|
back of the shoulder
|
|
Effects of portal hypertension in terms of blood flow systems
|
|
Blood flows from portal system to systemic vein system and dilation can cause rupture
|
|
|
|
|
|
4 Major Anastomoses between portal and systemic circulations. Causes varices/signs
|
|
Oesophageal branches of azygos + left gastric vein
|
|
4 Major Anastomoses (anorectal)
|
|
superior and inferior rectal veins
|
|
4 Major Anastomoses (caput medusa)
|
|
paraumbilical veins and periumbilical superficial epigastric veins
|
|
4 Major Anastomoses (gastric varices)
|
|
left gastric and short gastric veins to oesophageal plexus
|
|
Hard to drain cos of high portal pressure
|
|
Splenic vein causing splenomegaly
|
|
|
|
|
|
What's cholelithiasis?
|
|
Gallstone formation
|
|
Associations of gallstones
|
|
female, fair, fat, forty, fertile
|