Superior Mesenteric Artery:

The SMA is the next of the splanchnic vessels,
Leaves aorta at L1, to it’s right SMV nestles,
Drops anteroinferiorly behind the neck of the pancreas,
Occlusion up here makes the whole small bowel gangrenous; Image
It’s branches are many, we’ll start from the top,
Pancreas gets a branch, acts as coeliac trunk prop,
Inferior pancreatico duodenal artery,
Adds to the pancreas and duodenal symphony; Image
Then jejunal branches, and ileal next,
And our friend ileocolic, which also supplies appendix;
Right and middle colic, gives Colon its blood and,
The watershed kept alive, by the marginal of Drummond; Image
So far coeliac axis and SMA done,
Leaving just the Hindgut, supplied by the last one,
These poems supposedly make anatomy harmonic,
Probably easier to remember if I made a mnemonic!

#SurgEd @drkeithsiau 😄 Image

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More from @ChaseSurgical

3 Aug
Recall of gut anatomy wanes and waxes,
So let’s quickly recap the coeliac axis,
The first of three vessels to supply the intestine,
The content of these vessels normally fluid and sanguine;

#SurgEd @roux_group #SoMe4Surgery @ASiTofficial
Arising from the aorta, at the level of T12,
From beneath the arcuate, into the abdomen it does delve,
Enters lesser sac, then divides into three,
At the upper border of ‘The Queen’, like an inverted tree;
COMMON HEPATIC is first, and heads off to the Right,
Gives off GDA and RIGHT GASTRIC, when liver’s in sight,
‘PROPER HEPATICS’ to the liver blood do serve,
The RIGHT GASTRIC does the same, to the stomachs lesser curve;
Read 6 tweets
28 Jul
My take on teamwork in healthcare…for what it’s worth. 😄#SurgEd

Ada from Lincoln, 4 score years and seven,
Had lived a good life, she was destined for heaven,
Developed a pain, down in her left groin,
Decided to fight, that it wasn’t her time;
Called up her practice to book an appointment,
They listened intently, suggested some ointment,
Explained ‘if things get worse, call 999’,
They couldn’t see her, just didn’t have time;
Later that evening, as she entered ED,
A stressed looking nurse, complained about the GP,
‘They just send you all in, don’t do nowt at all,
Waste of time picking, the phone up to call’;
Read 13 tweets

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