Digestion Quiz Developed by: Sorcha McCaughley & Mark Brims Approved by: Gawain Hammond & Maureen Bain Supported by: The Chancellor’s Fund Digestion Quiz START! Developed by: Sorcha McCaughley & Mark Brims Supported by: The Chancellor’s Fund Choose a Region… • The jaws and teeth • Oesophagus • Abdominal Gastro-Intestinal Tract (Note: See Respiration for Hyoid bones) I want to view the…. • Mandible and Maxilla • Teeth • Comparitive Mandibles & TMJ’s • Comparitive Teeth Comparative Mandible & TMJ’s Feline Mandible Coronoid Bovine Mandible Condylar Angular TMJ Equine Skull, Lateral Feline Skull, Lateral Page 2 > Comparative Mandible/Maxilla Feline Maxilla Palatine Fissure < Page 1 Feline Mandible Vomer Symphysis Choose a Region Comparative Teeth 1 Ovine Skull, Lateral Equine Mandible & Maxilla, D/V Ruminant Dental Formula: 0-0-3-3 3-1-3-3 Feline Skull, Lateral Feline Dental Formula: Equine Dental Formula: 3-1-3-1 3-1-2-1 3-1-3(4)-3 3-1-3-3 Page 2 > Comparative Teeth 2 Here it is seen that the roots of the equine cheek teeth are embedded in the Maxillary Sinus. The sinus gets larger as the horse ages and the teeth continually erupt. Equine Maxilla, Lateral Maxillary Sinus This arrangement can cause problems as dental disease may pass through the sinus into the respiratory tract. By entering the sinus surgically the roots of the teeth may be accessed and the infected tooth can be removed. Cheek tooth roots <Page 1 Choose a Region Mandible & Maxilla Part 2 What is structure A? •Body of Mandible •Coronoid Process •Condylar Process Canine Mandible, Lateral What is structure B? •Coronoid Process •Angular Process •Condylar Process What is structure C? •Coronoid Process •Angular Process •Condylar Process Do you know what the orange line D represents? •Answer A B C Canine Mandible, Dorso-Ventral D Mandibular Symphysis • This is the Mandibular Symphysis. It is the joining point between the two halves of the Mandible. It may appear more fused in older animals. • Back to Choose a Region Incorrect • No, this is not the body of the mandible. • The body is the horizontal part extending rostrally: Try Again! Incorrect • No, this is not the Condylar Process. • Here is an example of the Condylar Process: Try Again! Correct! • Yes! A is the Coronoid Process of the mandible. • Here is another example: • Try part B Incorrect • No, this is not the Coronoid Process. • Here is an example of the Coronoid Process: Try Again! Incorrect • No, this is not the Angular Process. • Here is an example of the Angular Process: Try Again! Correct! • Yes! B is the Condylar Process of the mandible. • Here is another example: • Try part C Correct! • Yes! C is the Angular Process of the mandible. • Here is another example: • Try part D Mandible & Maxilla Part 1 a) Is the top radiograph of a Mandible or Maxilla? •Mandible •Maxilla b) Do you know which joint is shown in the blue circle on the bottom radiograph? •Answer Incorrect • No, this is not the Mandible! It forms the bottom part of the jaws. • Here is the Mandible: Try Again! Correct! • Yes! This is the Maxilla. It can be recognised by the presence of the Palatine Fissure and Vomer: • Try part b) Temporo-Mandibular Joint This is the Temporo-Mandibular Joint. It is the joint connecting the Mandible to the Maxilla and the rest of the skull. It is formed by the Condylar Process and the Mandibular Fossa of the Skull. Here is another example: Now try Mandible & Maxilla part 2 Teeth a) Can you identify the roots, pulp cavity, dentine & enamel on the top radiograph? •Answers b) On the bottom radiograph, which teeth are incisors, which are canines and which are premolars & molars? What is the complete dental formula of the dog? •Answers Teeth Pulp Cavity Enamel Dentine Root Now try part b) Teeth Canine (1) Premolars (4) Incisors (3) Molars (3) Complete dental formula: 3-1-4-2 3-1-4-3 Back to Choose a Region Oesophagus Which is the Oesophagus, A or B? B •A •B A Correct! Yes! B is the Oesophagus! It lies dorsal to the Trachea in the neck. It is not normally easy to see on radiographs as it is not rigid and is collapsed: In the example, it has had contrast introduced. (6 is a small volume of gas in the oesophagus. The rest of its length cannot be seen) Back to Choose a Region Incorrect No! A is the Trachea. It is black on radiographs as it is rigid and gas filled. It lies ventral to the Oesophagus. Here is another example: Try Again! (6 is a small volume of gas in the oesophagus. The rest of its length cannot be seen) Abdominal GIT I want to view the: • Liver • Spleen • Stomach and Duodenum • Jejunum and Ileum • Caecum, Colon and Rectum Choose a Region Liver 1 a) The position of the Liver has been highlighted in the top radiograph by injecting contrast into the venous system. What limits the extent of the liver cranially (red arrows)? •Lungs •Stomach •Diaphragm b) Contrast has been introduced into certain blood vessels on the bottom radiograph. Which vessels are shown? •Answers Liver Veins Portal Vein Portal Vein Abdominal Veins (Mesenteric etc.) The radiograph shows the abdominal veins supplying the Portal Vein. The second radiograph, above, shows how the lobes of the liver are heavily vascularised by the branches of the Portal Vein. Now try Liver 2 Incorrect No, the lungs themselves do not limit the extent of the Liver. They are located in the thoracic cavity, they do not come into direct contact with the Liver in the Abdominal Cavity. Try Again! Incorrect No, the stomach does not limit the cranial extent of the Liver. The stomach lies caudal to the liver and may affect its extent in that direction. Try Again! Correct! • Yes! The red arrows point to the diaphragm. The liver lies pressed against the diaphragm and takes on its shape in situ. • This can be seen in this feline example where air has entered the peritoneum and shows the outline of the liver: Try part b) Liver 2 a) The bile duct of this liver has been injected with contrast. What is A? • Gall Bladder • Spleen • Stomach A Correct! • Yes! A is the Gall Bladder. It fills with bile collected from the lobes of the liver. It sits between the Quadrate and Right Medial lobes. • Here is an example in an isolated liver: • Can you name the other lobes? Back to Abdominal GIT Incorrect No! A is not the Spleen. The Spleen is not connected to the Bile duct, is larger and located more caudally than A. Here is an example (labeled): Try Again! Incorrect No! A is not the Stomach. The Stomach is not connected to the Bile duct, is larger and located more caudally than A. Here is an example (with contrast): Try Again! Spleen Do you know where in the abdomen the spleen is located? •Answer Spleen location Here is the location of the spleen. It is located on the left side of the abdomen and lies along the greater curvature of the stomach. As it is connected to the stomach by the gastrosplenic ligament, its exact position depends on the stomach. Back to Abdominal GIT page Stomach & Duodenum a) Can you name the regions of the stomach labelled A, B, C & D? Canine Stomach & Duodenum with contrast Right What types of glands are present in these regions? D •Answers C b) Where is the Duodenum? What side of the abdomen is it on? What are its regions? A B •Answers Cd. Left Click here for lateral and Feline views of the stomach Cr. Lateral & Feline Stomach Canine Stomach & Duodenum with contrast Cd. Feline Stomach Cr. Feline Stomach Back to Stomach & Duodenum Regions of the Stomach A = Cardia (Oesophagus enters. Has mucous secreting Cardiac glands) B = Fundus (Has HCl secreting Parietal cells and pepsin secreting Chief cells. Also endocrine cells secreting Gastrin) C = Body (Has HCl secreting Parietal cells and pepsin secreting Chief cells. Also endocrine cells secreting Gastrin) D = Pylorus (Has mucous cells and endocrine glands which secrete Gastrin. Duodenum begins here) Pylorus Body Cardia Fundus Cd. Cr. Try part b) The Duodenum Here is the Duodenum. It leaves the stomach on the right side of the abdomen, descends caudally, turns back on itself, then ascends cranially a short distance. Canine Stomach & Duodenum with contrast After this, it becomes the Jejunum. Right Descending Duodenum Cranial Flexure Ascending Duodenum Caudal Flexure Left Back to GIT page Jejunum & Ileum The radiograph shows the loops of Jejunum in the circled area. The Ileum is also located in this area but cannot be distinguished from the Jejunum. Some of the loops have a black appearance, why is this? Is this normal? •Answer Jejunum & Ileum Answer •The Jejunum has a black appearance in some places as contains a small amount of gas (gas does not absorb x-rays so the film behind gas-filled structures is maximally exposed). •A small amount of gas is normal in the jejunum but excessive gas build up is not; this may cause digestive problems and can be painful for the animal. Normal An example of excessive gas in the jejunum and ileum is shown here: Back to Abdominal GIT page Abnormal Large Intestine 1 This is a radiograph of a canine abdomen; can you identify the Large Intestine? Also try to identify the other regions of the digestive tract. •Answers Large Intestine 1 Answers Large Intestine Stomach Small Intestine The area in the red circle is the large intestine. It is identifiable by the faecal balls present in the colon. It lies dorsal to the Small Intestine (duodenum, jejunum & ileum). The green arrow points to the stomach. Note that it is distended and gas filled; this is not it’s normal appearance!! Now try Large Intestine 2 Large Intestine 2 Cr. a) This is a dorso-ventral radiograph of a canine Large Intestine filled with contrast. The letters A-D identify the regions of the colon, can you name them? What would the colon look like in a lateral view? B A C •Answers b) What is the organ in the orange circle? •Stomach •Urinary Bladder •Caecum D Cd. Large Intestine 2 Colon answers Here are the regions of the Colon with labels. The image below is a lateral view of the same dog. The regions of the colon cannot be distinguished as they are superimposed on one another. Cr. Transverse Colon Ascending Colon Try part b) Anus Colon Descending Colon Anus Cd. Incorrect No, this is not the stomach! The stomach is much larger than this and located more cranially, as seen in this radiograph: Canine Stomach & Duodenum with contrast Try again! Cd. Cr. Incorrect No, this is not the urinary Bladder! It is located just cranial to the pelvis: Also, contrast has been introduced to the lower digestive tract; it would not enter the bladder from here! Try again! Correct! Yes! This is the Caecum. It is a blind ending pouch found at the junction between the ileum and colon. It lies on the right side of the abdomen. It is smaller in the dog than in herbivorous species, especially hindgut fermenters such as the horse. Back to Abdominal GIT page