High-Yield by Dr. Ronald W. Dudek PhD

By Dr. Ronald W. Dudek PhD

High-Yield Gastrointestinal Tract is the 5th in a sequence of High-Yield Systems books by means of a best-selling scientific textbook writer that hide the elemental sciences of the scientific college curriculum utilizing a systems-based procedure. This technique is helping scholars combine their first years' direction fabric and provides first-class coaching for USMLE Step 1 and scientific rotations.

Chapters assessment each one easy science—embryology, gross anatomy, radiology, histology, body structure, pathology, microbiology, and pharmacology—as it pertains to all of the organs alongside the gastrointestinal tract. The booklet is replete with radiographs, CT and MRI scans, and micrographs of ordinary tissue and pathologic conditions.

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Sample text

The arterial supply of the cervical esophagus is from the inferior thy- roid arteries (subclavian artery → thyrocervical trunk → inferior thyroid artery) that give off ascending and descending branches that anastomose with each other across the midline. The arterial supply of the thoracic esophagus is from four to five branches from the descending thoracic aorta. The arterial supply of the abdominal esophagus is from the left gastric artery (abdominal aorta → celiac trunk → left gastric artery).

Indd 29 Arterial supply. The arterial supply of the appendix is from the appendicular artery (abdominal aorta → superior mesenteric artery → ileocolic artery → posterior cecal artery → appendicular artery). Venous drainage. The venous drainage of the appendix is to the posterior cecal vein (posterior cecal vein → superior mesenteric vein → portal vein → hepatic sinusoids → central veins → hepatic veins → IVC). 6/15/2009 4:33:01 PM 30 CHAPTER 2 D. Appendicitis begins with the obstruction of the appendix lumen with a fecal con- cretion (fecalith) and lymphoid hyperplasia followed by distention of the appendix.

The overall length of the esophagus obviously varies with trunk length but the average adult length of the esophagus is 23 to 25 cm. In clinical practice, endoscopic distances are measured from the incisor teeth and in the average male, the gastroesophageal junction is 38 to 43 cm away from the incisor teeth. For purposes of classification, staging, and reporting of esophageal malignancies, the esophagus is divided into four segments based on the distance from the incisor teeth: cervical segment, upper thoracic segment, midthoracic segment, and lower thoracic segment.

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