Medicine /USMLE - GI Flashcards Part 4

USMLE - GI Flashcards Part 4

Medicine25 CardsCreated 5 days ago

This deck covers key concepts related to the gastrointestinal system, including anatomical structures, hernias, hormones, and their functions. It is designed to aid in the preparation for the USMLE exam.

Common Bile Duct Formed from Goes to

Cystic Duct + Common Hepatic Duct | Joins Main Pancreatic Duct at Ampulla of Vater in Duodenum
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Key Terms

Term
Definition
Common Bile Duct Formed from Goes to
Cystic Duct + Common Hepatic Duct | Joins Main Pancreatic Duct at Ampulla of Vater in Duodenum
Ampulla of Vater
Where the Main Pacreatic Duct joins the Common Bile Duct in the 2nd part of the Duodenum
Sphincter of Oddi
Sphincter around ampulla of vater
Gallstones lodged in ampulla of Vater block
Both bile and pancreatic ducts
Tumors that arise near the head of the pancreas near the duodenum can cause
Obstruction of the common bile duct
Organization of Vessels in Femoral Region
Lateral to Medial to find your "NAVEL" | Nerve, Artery, Vein, Empty space, Lymphatics

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TermDefinition
Common Bile Duct Formed from Goes to
Cystic Duct + Common Hepatic Duct | Joins Main Pancreatic Duct at Ampulla of Vater in Duodenum
Ampulla of Vater
Where the Main Pacreatic Duct joins the Common Bile Duct in the 2nd part of the Duodenum
Sphincter of Oddi
Sphincter around ampulla of vater
Gallstones lodged in ampulla of Vater block
Both bile and pancreatic ducts
Tumors that arise near the head of the pancreas near the duodenum can cause
Obstruction of the common bile duct
Organization of Vessels in Femoral Region
Lateral to Medial to find your "NAVEL" | Nerve, Artery, Vein, Empty space, Lymphatics
Femoral Triangle contains
Femoral Vein, Artery, and Nerve
Femoral Sheath Location Contents
3-4cm below inguinal ligament | Contains femoral vein, artery, and canal (deep inguinal lymph nodes) but not the femoral nerve
Relation between IVC and the Aorta
IVC is to the R of Aorta in MRI/CT
Contents of Inguinal Canal
Ilioinguinal nerve Male: Spermatic Cord Female: Round Ligament
Diaphragmatic Hernia Definition Think what kind of pt? Most common kind of DH?
Abdominal structures enter the thorax May occur in infants a a result of defective development of pleuroperitoneal membrane Most commonly a Hiatal Hernia (stomach herniates through esophageal hiatus of diaphragm)
Sliding Hiatal Hernia Frequency? Results in what?
Most common hiatal hernia | GE junction is displaced upwards resulting in a hourglass stomach
Paraesophageal Hernia
GE junction is normal | Fundus protrudes into the thorax
Indirect Inguinal Hernia Goes through Location Occurs in what kind of pt? Follows path of? What is it covered by?
Goes through internal (deep) inguinal ring, external (superficial) inguinal ring and into the scrotum. Enters internal inguinal ring lateral to the inferior epigastric artery Occurs in male infants owing to failure of processus vaginalis to close (from hydrocele) Follows path of descent of the testes Covered by all 3 layers of spermatic fascia
Direct Inguinal Hernia Definition Location Occurs in what kind of pt? Goes through What is it covered by?
Protrudes through inguinal (Hesselbach's) Triangle Bulges directly through abdominal wall medial to inferior epigastric artery Older men Goes through external (superficial) inguinal ring only Covered by external spermatic fascia
Location of Direct vs Indirect Inguinal Hernias?
"MDs don't LIe" Medial to inferior epigastric = Direct Lateral to inferior epigastric = Indirect
Femoral Hernia Location Goes through Most common in Leading cause of
Protrudes below inguinal ligament Goes through Femoral Canal below and lateral to pubic tubercle Most common in Women Leading cause of bowel incarceration
Hesselbach's Triangle
Inferior epigastric vessels Lateral border of rectus abdominis Inguinal ligament
Gastrin Source Location of Source Action
G Cells in Antrum of stomach ↑ Gastric H secretion (through ECL cells that release Hist) ↑ Growth of gastric mucosa ↑ Gastric motility
Gastrin ↑ by ↓ by What syndrome produces ↑ Gastrin secretion?
↑ by stomach distention, alkalinization, AA (esp Phenylalanine and Tryptophan), peptides, vagal stimulation ↓ by stomach ph < 1.5 ↑↑ in Zollinger-Ellison Syndrome
Chronic Proton Pump Inhibitors (PPI) lead to
↑ Gastrin production
Cholecytokinin Source Location of Source Action Regulation
I cells in the duodenum and jejunum ↑ pancreatic secretion (via muscarinic pathways) and gallbladder contraction ↓ gastric emptying Relaxes sphincter of Oddi CCK secreted in response to ↑ FA and AA in duodenum
Secretin Source Location of Source Action Regulation
S cells in duodenum ↑ pancreatic bicarb secretion, bile secretion ↓ gastric acid secretion Secretion ↑ w/ acid and FA in duodenum
Pancreatic enzymes function at what pH
Basic pHs
Somatostatin Source Location of Source Action Regulation Affects Re Growth?
D cells in pancreatic islets and GI mucosa ↓ gastric acid and pepsinogen secretion, pancreatic and small intestine fluid secretion, gallbladder contraction, insulin and glucagon release Secretion is ↑ by acid Secretion is ↓ by vagal stimulation Antigrowth hormone (inhibits digestion and absorption of substances needed for growth)