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Questions and Answers
What is the average length of the large intestine?
What is the average length of the large intestine?
Where does the distal ileum open into the large intestine?
Where does the distal ileum open into the large intestine?
Where is the appendix located in relation to the terminal ileum?
Where is the appendix located in relation to the terminal ileum?
How is the appendix supplied with blood?
How is the appendix supplied with blood?
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What is a radiological feature of an inflamed appendix on ultrasound?
What is a radiological feature of an inflamed appendix on ultrasound?
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What are taeniae coli?
What are taeniae coli?
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Which muscles lie superficial to the ribs and intercostal muscles in the upper abdomen?
Which muscles lie superficial to the ribs and intercostal muscles in the upper abdomen?
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Where can the domes of the diaphragm be distinguished from the liver and other intra-abdominal viscera?
Where can the domes of the diaphragm be distinguished from the liver and other intra-abdominal viscera?
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What forms linear structures extending from the posterior aspect of the liver and spleen to the anterior surface of the abdominal aorta?
What forms linear structures extending from the posterior aspect of the liver and spleen to the anterior surface of the abdominal aorta?
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What structures are contained in the retrocrural space formed by the crura and adjoining diaphragm?
What structures are contained in the retrocrural space formed by the crura and adjoining diaphragm?
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Where does the IVC remain in relation to the crura below T8 level?
Where does the IVC remain in relation to the crura below T8 level?
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Which ligament defines the inferior limit of the greater sciatic foramen?
Which ligament defines the inferior limit of the greater sciatic foramen?
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Which muscle is the largest, most superficial, and most posterior gluteal muscle?
Which muscle is the largest, most superficial, and most posterior gluteal muscle?
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Which muscle is the principal support of the pelvic floor?
Which muscle is the principal support of the pelvic floor?
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Which ligament runs from the ischial tuberosity to the sides of the sacrum and coccyx?
Which ligament runs from the ischial tuberosity to the sides of the sacrum and coccyx?
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Which muscle passes obliquely from the anterior aspect of the sacrum exiting the pelvis through the greater sciatic foramen?
Which muscle passes obliquely from the anterior aspect of the sacrum exiting the pelvis through the greater sciatic foramen?
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At which level can the portal veins and branches of the hepatic artery and bile ducts be seen?
At which level can the portal veins and branches of the hepatic artery and bile ducts be seen?
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Which structure is posterior to the fissure for the ligamentum venosum?
Which structure is posterior to the fissure for the ligamentum venosum?
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Where does the spleen lie in relation to the diaphragm and ribs?
Where does the spleen lie in relation to the diaphragm and ribs?
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Which structure separates the morphological right and left lobes of the liver at the porta hepatis level?
Which structure separates the morphological right and left lobes of the liver at the porta hepatis level?
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Which vessels may be confused with an adrenal abnormality?
Which vessels may be confused with an adrenal abnormality?
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Which part of the large intestine runs from the ileocaecal valve to the inferior surface of the liver?
Which part of the large intestine runs from the ileocaecal valve to the inferior surface of the liver?
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What is the approximate length of the caecum?
What is the approximate length of the caecum?
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Where does the abdominal aorta divide into the right and left common iliac arteries?
Where does the abdominal aorta divide into the right and left common iliac arteries?
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What is the composition of the coccyx?
What is the composition of the coccyx?
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Where does the inferior vena cava (IVC) pass on the right of the aorta?
Where does the inferior vena cava (IVC) pass on the right of the aorta?
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What are haustra along the colon caused by?
What are haustra along the colon caused by?
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Where is the spleen located?
Where is the spleen located?
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What is the color of a healthy spleen?
What is the color of a healthy spleen?
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Which surface of the spleen is smooth and convex?
Which surface of the spleen is smooth and convex?
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Where does the posterior end of the spleen rest?
Where does the posterior end of the spleen rest?
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What is the largest and most concave impression on the spleen?
What is the largest and most concave impression on the spleen?
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Where is the hilum located in relation to the gastric impression?
Where is the hilum located in relation to the gastric impression?
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What is the primary function of the spleen?
What is the primary function of the spleen?
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Where does the right adrenal gland lie in relation to the diaphragmatic crus?
Where does the right adrenal gland lie in relation to the diaphragmatic crus?
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From which vessel does the left adrenal vein drain?
From which vessel does the left adrenal vein drain?
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At what level are the adrenal glands visible on plain films of the abdomen?
At what level are the adrenal glands visible on plain films of the abdomen?
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What is a radiological feature that allows identification of the right adrenal gland on a CT scan?
What is a radiological feature that allows identification of the right adrenal gland on a CT scan?
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What is a feature of adrenal cortical tissue called cortical bodies?
What is a feature of adrenal cortical tissue called cortical bodies?
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What is the approximate number of nephrons in the kidney?
What is the approximate number of nephrons in the kidney?
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What is the composition of the renal parenchyma calyces?
What is the composition of the renal parenchyma calyces?
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Where is the hilum of the left kidney located in relation to the vertebrae?
Where is the hilum of the left kidney located in relation to the vertebrae?
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How many pairs of minor calyces are usually found in each kidney?
How many pairs of minor calyces are usually found in each kidney?
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What structures drain via their infundibula to the pelvis?
What structures drain via their infundibula to the pelvis?
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What is the functional subunit of the kidney called?
What is the functional subunit of the kidney called?
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Which vessels drain directly to the inferior vena cava?
Which vessels drain directly to the inferior vena cava?
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What forms linear structures extending from the posterior aspect of the liver and spleen to the anterior surface of the abdominal aorta?
What forms linear structures extending from the posterior aspect of the liver and spleen to the anterior surface of the abdominal aorta?
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What structures are part of the retroperitoneum?
What structures are part of the retroperitoneum?
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How are the adrenal glands visualized on MRI?
How are the adrenal glands visualized on MRI?
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Where can the adrenal glands be seen in thin individuals using ultrasound?
Where can the adrenal glands be seen in thin individuals using ultrasound?
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Where do the kidneys lie within the body?
Where do the kidneys lie within the body?
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What is the average length of the kidneys?
What is the average length of the kidneys?
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How are the adrenal glands visualized on CT?
How are the adrenal glands visualized on CT?
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Where is the hilum of the spleen located?
Where is the hilum of the spleen located?
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What is the primary function of the spleen?
What is the primary function of the spleen?
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Where are the adrenal glands located?
Where are the adrenal glands located?
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What shapes do the left and right adrenal glands respectively have?
What shapes do the left and right adrenal glands respectively have?
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What arteries supply each adrenal gland?
What arteries supply each adrenal gland?
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Where can the adrenal glands be seen on a modern CT scan?
Where can the adrenal glands be seen on a modern CT scan?
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At what level are small masses of adrenal cortical tissue called cortical bodies found?
At what level are small masses of adrenal cortical tissue called cortical bodies found?
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How are the adrenal glands visualized on MRI?
How are the adrenal glands visualized on MRI?
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Where can the adrenal glands be seen in thin individuals using ultrasound?
Where can the adrenal glands be seen in thin individuals using ultrasound?
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Where do the kidneys lie within the body?
Where do the kidneys lie within the body?
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What is a radiological feature of an inflamed appendix on ultrasound?
What is a radiological feature of an inflamed appendix on ultrasound?
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What is a feature of adrenal cortical tissue called cortical bodies?
What is a feature of adrenal cortical tissue called cortical bodies?
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What is a radiological feature that allows identification of the right adrenal gland on a CT scan?
What is a radiological feature that allows identification of the right adrenal gland on a CT scan?
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What structures drain via their infundibula to the pelvis?
What structures drain via their infundibula to the pelvis?
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What is the functional subunit of the kidney called?
What is the functional subunit of the kidney called?
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How many pairs of minor calyces are usually found in each kidney?
How many pairs of minor calyces are usually found in each kidney?
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Where is the hilum of the left kidney located in relation to the vertebrae?
Where is the hilum of the left kidney located in relation to the vertebrae?
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What forms linear structures extending from the posterior aspect of the liver and spleen to the anterior surface of the abdominal aorta?
What forms linear structures extending from the posterior aspect of the liver and spleen to the anterior surface of the abdominal aorta?
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What is the approximate number of nephrons in the kidney?
What is the approximate number of nephrons in the kidney?
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What is drained by the renal veins?
What is drained by the renal veins?
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What is the relation of the kidneys to the vertebrae?
What is the relation of the kidneys to the vertebrae?
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What structures drain via their infundibula to the pelvis?
What structures drain via their infundibula to the pelvis?
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What structures are contained in the retroperitoneum?
What structures are contained in the retroperitoneum?
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Where is the spleen located?
Where is the spleen located?
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What is the color of a healthy spleen?
What is the color of a healthy spleen?
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Which surface of the spleen is smooth and convex?
Which surface of the spleen is smooth and convex?
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Where does the posterior end of the spleen rest?
Where does the posterior end of the spleen rest?
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Which impression on the spleen is for the fundus of the stomach?
Which impression on the spleen is for the fundus of the stomach?
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Which border of the spleen is notched by the anterior end?
Which border of the spleen is notched by the anterior end?
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What divides the left and right lobes of the liver?
What divides the left and right lobes of the liver?
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What divides the right lobe into anterior and posterior segments?
What divides the right lobe into anterior and posterior segments?
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What is the basic structural unit of the liver?
What is the basic structural unit of the liver?
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How is blood supplied to the liver?
How is blood supplied to the liver?
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What divides the liver into right and left lobes?
What divides the liver into right and left lobes?
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What is the smaller lobe of the liver?
What is the smaller lobe of the liver?
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What is the shape of a liver lobule?
What is the shape of a liver lobule?
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Which ligament connects the liver to the abdominal wall?
Which ligament connects the liver to the abdominal wall?
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What is segment IV of the liver formed by?
What is segment IV of the liver formed by?
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What is formed by segment II and III of the liver?
What is formed by segment II and III of the liver?
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What is the primary function of the hepatic portal system?
What is the primary function of the hepatic portal system?
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Where is bile stored before being released into the small intestine?
Where is bile stored before being released into the small intestine?
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What is the main function of the pancreas's exocrine component?
What is the main function of the pancreas's exocrine component?
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What does a plain abdominal radiograph, such as an AP supine abdomen, aim to rule out?
What does a plain abdominal radiograph, such as an AP supine abdomen, aim to rule out?
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What does the superior mesenteric artery supply blood to?
What does the superior mesenteric artery supply blood to?
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What is the role of the common hepatic artery?
What is the role of the common hepatic artery?
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Where is adrenal cortical tissue called cortical bodies found?
Where is adrenal cortical tissue called cortical bodies found?
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What structures does the porta hepatis level define?
What structures does the porta hepatis level define?
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What do taeniae coli cause along the colon?
What do taeniae coli cause along the colon?
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What do acute abdominal series aim to demonstrate?
What do acute abdominal series aim to demonstrate?
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Where are the psoas major muscles located?
Where are the psoas major muscles located?
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Which organ is an expandable reservoir for food and fluids within the abdominal cavity?
Which organ is an expandable reservoir for food and fluids within the abdominal cavity?
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What is the first organ of digestion within the abdominal cavity?
What is the first organ of digestion within the abdominal cavity?
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What is the approximate length of the small intestine?
What is the approximate length of the small intestine?
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Which organ follows the stomach in the digestive process within the abdominal cavity?
Which organ follows the stomach in the digestive process within the abdominal cavity?
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What is the final organ of digestion within the abdominal cavity?
What is the final organ of digestion within the abdominal cavity?
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Where are the diaphragm and psoas major muscles located in relation to each other?
Where are the diaphragm and psoas major muscles located in relation to each other?
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Which organs are included in the digestive system within the abdominal cavity?
Which organs are included in the digestive system within the abdominal cavity?
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Study Notes
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The taeniae coli, a longitudinal muscle layer, cause the formation of sacculations called haustra along the colon.
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The caecum is a blind pouch of large bowel, approximately 6 cm long, with its own mesentery, making it mobile and easily distensible.
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The ascending colon runs from the ileocaecal valve to the inferior surface of the liver, where it turns medially into the hepatic flexure.
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The transverse colon runs from the hepatic flexure across the midline to the splenic flexure.
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The descending colon runs from the splenic flexure inferiorly to the sigmoid colon.
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The abdominal aorta is a major blood vessel that enters the abdomen through the aortic hiatus and lies anterior to L1-L4 vertebral bodies.
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The abdominal aorta divides into the right and left common iliac arteries at L4 vertebral level and is approximately 12 cm long.
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The inferior vena cava (IVC) is formed by the union of the right and left common iliac veins at L5 vertebral level and passes on the right of the aorta as far as T12 level.
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The pelvis is a bony ring consisting of paired innominate bones, the sacrum, and coccyx.
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The ilium is a curved bone that bears the iliac crest superiorly and has an arcuate line at its base.
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The sacrum is a triangular bone consisting of five fused vertebrae with four pairs of sacral foramina, lateral masses, and a midline opening called the sacral hiatus.
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The coccyx is composed of three to five fused vertebrae and articulates at an acute angle with the sacrum.
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The sacroiliac joints are covered with cartilage, lined with synovium, and supported by ligaments.
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The inferior vena cava receives tributaries from the third and fourth lumbar veins, right gonadal vein, right renal vein, right adrenal vein, small veins from the liver, and the right and middle hepatic veins.
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The pelvis is a bony ring consisting of paired innominate bones, the sacrum, and coccyx, with the ilium forming the superior and anterior part of each innominate bone.
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The ilium bears the iliac crest superiorly, with anterior and posterior superior iliac spines, and an arcuate line at its base.
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The sacrum is a triangular bone consisting of five fused vertebrae, with four pairs of sacral foramina, lateral masses, and a midline opening called the sacral hiatus.
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The coccyx is a bone composed of three to five fused vertebrae with an acute angle of articulation with the sacrum.
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The inferior vena cava (IVC) is a major blood vessel that receives tributaries from the third and fourth lumbar veins, right gonadal vein, right renal vein, right adrenal vein, small veins from the liver, and the right and middle hepatic veins.
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The abdominal aorta is a major blood vessel that enters the abdomen through the aortic hiatus and lies anterior to L1-L4 vertebral bodies. It divides into the right and left common iliac arteries at L4 vertebral level.
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The caecum is a blind pouch of large bowel, approximately 6 cm long, with its own mesentery, making it mobile and easily distensible. It is located proximally (inferiorly) to the ileocaecal valve.
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The ascending colon runs from the ileocaecal valve to the inferior surface of the liver and turns medially into the hepatic flexure.
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The transverse colon runs across the midline from the hepatic flexure to the splenic flexure.
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The descending colon runs from the splenic flexure inferiorly to the sigmoid colon.
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The abdominal aorta and inferior vena cava (IVC) are major blood vessels in the abdomen.
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The inferior vena cava (IVC) is a large vein that receives tributaries from various organs and structures in the abdomen and pelvis and passes through the pericardium and enters the right atrium.
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The caecum is the first part of the large intestine, located proximally to the ileocaecal valve.
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The ascending colon runs from the ileocaecal valve to the inferior surface of the liver and turns medially into the hepatic flexure.
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The transverse colon runs from the hepatic flexure across the midline to the splenic flexure.
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The descending colon runs from the splenic flexure inferiorly to the sigmoid colon.
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The abdominal aorta is a large artery that enters the abdomen through the aortic hiatus and divides into the right and left common iliac arteries at L4 vertebral level.
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The inferior vena cava (IVC) is a large vein that receives tributaries from various organs and structures in the abdomen and pelvis and passes through the pericardium and enters the right atrium.
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The caecum is a blind pouch of the large intestine, approximately 6 cm long, located proximally to the ileocaecal valve.
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The ascending colon runs from the ileocaecal valve to the inferior surface of the liver and turns medially into the hepatic flexure.
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The transverse colon runs from the hepatic flexure across the midline to the splenic flexure.
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The descending colon runs from the splenic flexure inferiorly to the sigmoid colon.
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The inferior vena cava (IVC) is a large vein that receives tributaries from various organs and structures in the abdomen and pelvis and passes through the pericardium and enters the right atrium.
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The abdominal aorta is a large artery that enters the abdomen through the aortic hiatus and divides into the right and left common iliac arteries at L4 vertebral level.
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The caecum is a blind pouch of the large intestine that is approximately 6 cm long and located proximally to the ileocaecal valve.
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The ascending colon runs from the ileocaecal valve to the inferior surface of the liver and turns medially into the hepatic flexure.
-
The transverse colon runs from the hepatic flexure across the midline to the splenic flexure.
-
The descending colon runs from the splenic flexure inferiorly to the sigmoid colon.
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The inferior vena cava (IVC) is a large vein that passes through the pericardium and enters the right atrium. It receives tributaries from various organs and structures in the abdomen and pelvis.
-
The abdominal aorta is a large artery that enters the abdomen through the aortic hiatus and divides into the right and left common iliac arteries at L4 vertebral level.
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The caecum is a blind pouch of the large intestine, approximately 6 cm long, located proximally to the ileocaecal valve. It is approximately 6 cm long and has its own mesentery.
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The ascending colon runs from the ileocaecal valve to the inferior surface of the liver and turns medially into the hepatic flexure. It is approximately 55 cm long.
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The transverse colon runs from the hepatic flexure across the midline to the splenic flexure. It is approximately 55 cm long.
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The descending colon runs from the splenic flexure inferiorly to the sigmoid colon. It is approximately 100 cm long.
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The inferior vena cava (IVC) is a large vein that passes through the pericardium and enters the right atrium. It has no valves except for an incomplete semilunar valve at its entry.
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The abdominal aorta is a large artery that enters the abdomen through the aortic hiatus and divides into the right and left common iliac arteries at L4 vertebral level. It has several branches, including the coeliac trunk, superior mesenteric artery, inferior mesenteric artery, and several paired visceral arteries.
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The inferior vena cava (IV
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Kidneys are approximately the size of three-and-a-half lumbar vertebrae and their associated discs on a radiograph
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Each kidney consists of an outer cortex and an inner medulla, separated by columns of Bertin (extensions of the cortex)
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There are usually seven pairs of minor calyces in each kidney, each pair having an anterior and a posterior calyx
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Minor calyx pairs combine to form two or three major calyces, which drain via their infundibula to the pelvis
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The pelvis may be intrarenal or partially or entirely extrarenal, and is filled with fat, forming the renal sinus
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The functional subunit of the kidney is called the nephron, which consists of a glomerulus in the cortex and a tubule in the medulla
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The kidney has approximately 1 million nephrons
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The kidneys have various relations with surrounding organs, including: posteriorly (diaphragm, ribs, and muscles), superiorly (adrenal glands), and anteriorly (liver, stomach, pancreas, spleen, and intestines)
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The kidneys are supplied by the renal arteries, which have two divisions: one posterior and one anterior, and interlobar arteries that pass between the pyramids
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The kidneys are drained by the renal veins, which drain directly to the inferior vena cava, and lymphatic drainage follows the arteries to para-aortic nodes
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The kidneys are surrounded by a true fibrous capsule, perirenal fat, and are part of the retroperitoneum, which is divided into three compartments: perirenal, anterior pararenal, and posterior pararenal spaces
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The renal parenchyma contains three types of calyces: simple (one papilla) and compound (more than one papilla), with compound calyces being less efficient in preventing intrarenal reflux and more common in the upper pole.
Additionally:
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The hilum of the kidney is where the renal artery and vein enter and exit, and the left kidney's hilum is located slightly lower than the right due to the presence of the liver above
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The relation of the kidneys to the vertebrae is that the left kidney's hilum is located at the L1 vertebral level and the right kidney's hilum is slightly lower at L1/L2 level
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The kidney's vascular anatomy includes the renal arteries and veins and their branches, as well as the extensive anastomosis between the veins
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The intravenous urogram (IVU) shows the various structures of the kidney, including major and minor calyces, and the course of the ureters.
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Kidneys are approximately the size of three-and-a-half lumbar vertebrae and their associated discs on a radiograph
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Each kidney consists of an outer cortex and an inner medulla, separated by columns of Bertin (extensions of the cortex)
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There are usually seven pairs of minor calyces in each kidney, each pair having an anterior and a posterior calyx
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Minor calyx pairs combine to form two or three major calyces, which drain via their infundibula to the pelvis
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The pelvis may be intrarenal or partially or entirely extrarenal, and is filled with fat, forming the renal sinus
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The functional subunit of the kidney is called the nephron, which consists of a glomerulus in the cortex and a tubule in the medulla
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The kidney has approximately 1 million nephrons
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The kidneys have various relations with surrounding organs, including: posteriorly (diaphragm, ribs, and muscles), superiorly (adrenal glands), and anteriorly (liver, stomach, pancreas, spleen, and intestines)
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The kidneys are supplied by the renal arteries, which have two divisions: one posterior and one anterior, and interlobar arteries that pass between the pyramids
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The kidneys are drained by the renal veins, which drain directly to the inferior vena cava, and lymphatic drainage follows the arteries to para-aortic nodes
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The kidneys are surrounded by a true fibrous capsule, perirenal fat, and are part of the retroperitoneum, which is divided into three compartments: perirenal, anterior pararenal, and posterior pararenal spaces
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The renal parenchyma contains three types of calyces: simple (one papilla) and compound (more than one papilla), with compound calyces being less efficient in preventing intrarenal reflux and more common in the upper pole.
Additionally:
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The hilum of the kidney is where the renal artery and vein enter and exit, and the left kidney's hilum is located slightly lower than the right due to the presence of the liver above
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The relation of the kidneys to the vertebrae is that the left kidney's hilum is located at the L1 vertebral level and the right kidney's hilum is slightly lower at L1/L2 level
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The kidney's vascular anatomy includes the renal arteries and veins and their branches, as well as the extensive anastomosis between the veins
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The intravenous urogram (IVU) shows the various structures of the kidney, including major and minor calyces, and the course of the ureters.
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The diaphragm, located between the abdominal and thoracic cavities, must be motionless during abdominal radiography.
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Patients are instructed to breathe appropriately to prevent diaphragm movement.
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The psoas major muscles are located on either side of the lumbar vertebral column and should be faintly visible on diagnostic abdominal radiographs.
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The abdominopelvic cavity contains several organ systems, with the digestive system being the most extensive.
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The digestive system includes the oral cavity, pharynx, esophagus, stomach, small intestine, and large intestine.
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The digestive organs within the abdominal cavity are the stomach and small and large intestines.
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The stomach is an expandable reservoir for food and fluids and is the first organ of digestion within the abdominal cavity.
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The small intestine follows the stomach and is a long, tube-like structure that continues for approximately 5 meters. It is divided into the duodenum, jejunum, and ileum.
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The large intestine is the final organ of digestion, beginning at the ileocecal valve and continuing through the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum.
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The large intestine's shape and location vary depending on body habitus.
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The small and large intestines have a complex blood supply and venous drainage system.
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Description
Test your knowledge of abdominal anatomy with a focus on the psoas muscle, duodenum, colon, and jejunum. Identify the location and relationships of these structures within the abdominal cavity.