the abdomen functional anatomy 212

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the abdomen the abdomen functional anatomy 212 * t290 entire gut laid out t318 barium meal/small intestines t315 overall layout of gut a1 embryonic plate, gastrulation/streak mf10 embryological devt of mesentaries t13 gut rotation t14 gut rotation cont. t8 situs invertus t39 omental bursa t311 greater and lesser sac mg6(?) fusion of trans mesocolon with omentum t38 retroperitoneal attachments (post abd. wall) t160 suspensory ligament of duodenum (of treitz) t37 duodenal pockets/folds t43 ileocecal fold (put volvulus etc here from next lecture slides?) overview embryology revision foregut, midgut and hindgut suspended by the dorsal mesentary, initially straight ventral mesentary connects stomach and ant. abd. wall, rest of gut free anteriorly mesentary supplies blood and nerves to gut between layers of peritoneum complex adult layout due to 270o rotation * blood supply to abdominal organs foregut celiac trunk midgut superior mesenteric artery hindgut inferior mesenteric artery rectum internal iliac artery (pudendal …
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duct falciform ligament runs from liver to ant abd. wall * mesenteries are important:- paracolic gutters channel fuid stop herniation due to bipedal posture supply blood/nerves sensitive to stretch contain infection useful in surgery * on return some gut fuses with posterior wall rectum desc. colon asc. colon duo. 1 2 3 4 1.lienorenal lig. 2.trans. mesocolon 3.mesentary proper 4.mes. of sig. colon diaphragm * retro-peritoneal oesophagus 10 inches from pharynx to stomach narrow at cricoid cartilage where left bronchus crosses oesophageal hiatus in diaphragm mucous membrane folded (normally collapsed) stratified squamous epithelium striated above smooth below trachea on right, lower aorta on left medial to l. lung, behind left atrium * duodenum first 12 inches of gut four parts form c shape duodenal cap radiologically identified, ulcers form here mobile descending part pancreatic and bile ducts horizontal part crosses psoas, ivc and aorta crossed by mesentery, sup mesen. art. …
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bile duct (common bile duct) gall bladder body and fundus, salts and water absorbed store for bile, released in response to cholecystokinin * pancreas pancreas head in concavity of duodenum body across vertebrae tail reaches the spleen pancreatic duct (+ accessory?) ampulla duodenal papilla * spleen the spleen lies in left hypochondriac region between gastric fundus and diaphragm at level of 9th-10th rib (not normally palpable) soft, friable, highly vascular, dark purple diaphragmatic surface convex and smooth facing diaphragm visceral surface gastric, renal, pancreatic and colic impressions * slides t74 pancreas from back (bile duct) t75 annular pancreas formation t83 annular pancreas t82 ducts inside annular pancreas these should have gone in last lecture? t73 splenic artery t86 splenic pedicle and accessory splenicules(need slide of development?) t87 splenic artery, short gastrics and left gastro-epiploic t159 point of attachment of lienorenal ligament t88 hilum of spleen t89 many sorts of splenic …
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the abdomen the abdomen functional anatomy 212 * t290 entire gut laid out t318 barium meal/small intestines t315 overall layout of gut a1 embryonic plate, gastrulation/streak mf10 embryological devt of mesentaries t13 gut rotation t14 gut rotation cont. t8 situs invertus t39 omental bursa t311 greater and lesser sac mg6(?) fusion of trans mesocolon with omentum t38 retroperitoneal attachments (post abd. wall) t160 suspensory ligament of duodenum (of treitz) t37 duodenal pockets/folds t43 ileocecal fold (put volvulus etc here from next lecture slides?) overview embryology revision foregut, midgut and hindgut suspended by the dorsal mesentary, initially straight ventral mesentary connects stomach and ant. abd. wall, rest of gut free anteriorly mesentary supplies blood and nerves to gut betwe...

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