11. Foregut 2 Flashcards

1
Q

Name the lobes of the liver (4)

A

Left
Right
Caudate
Quadrate

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2
Q

What are the ligaments of the liver?

A

Falciform ligament
Triangular ligaments (R and L)
Coronary ligament
Ligamentum teres (string of tissue that hangs down from falciform ligament)

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3
Q

What is the function of the falciform ligament of the liver?

A

Holds the liver to the body wall

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4
Q

What is the ligamentum teres an embryological remnant of?

A

Umbilical vein

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5
Q

What makes up the porta hepatis?

A
Bile duct (most anterior)
Hepatic artery 
Portal vein (most posterior)

NOT hepatic veins - these are within the liver itself

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6
Q

What ducts form the bile duct?

A

Right and left hepatic ducts form common bile duct

Which joins with cystic duct

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7
Q

Which important structure attaches to the porta hepatis?

A

Free edge of lesser omentum

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8
Q

What type of peritoneum covers the liver?

A

Visceral

**except the part of the liver attached to the diaphragm - it is bare here

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9
Q

What do the layers of falciform ligament of the liver form?

A

R –> coronary ligament

L –> left triangular ligament

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10
Q

Describe the blood supply of the liver.

A

30% - oxygenated blood from hepatic artery

70% - deoxygenated, nutrient rich blood from portal vein

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11
Q

Where does blood from the liver drain to?

A

Central veins –>
R and L hepatic veins (4 in total) –>
IVC

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12
Q

Where does lymph from the liver drain?

A

Nodes at porta hepatis

Then coeliac nodes

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13
Q

Where can pain from the liver refer to?

A
Epigastric region
R shoulder (via diaphragm)
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14
Q

Where is bile secreted?

A

Liver

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15
Q

Where is bile stored?

A

Gall bladder

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16
Q

Where does the bile duct pierce the duodenum?

A

In second part of duodenum

via sphincter of Oddi (major duodenal papilla)

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17
Q

What makes up the ampulla of Vater? Aka the hepatopancreatic ampulla

A

Bile duct + main pancreatic duct

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18
Q

What is released from the small intestine when there is fat in the duodenum?

A

Cholecystokinin

19
Q

What effect does cholecystokinin have on the gall bladder?

A

Causes contraction

20
Q

What artery is the cystic artery a branch of?

A

Right hepatic artery

21
Q

Where does the cystic vein drain?

A

Into portal vein

22
Q

Where does lymph from the gall bladder drain?

A

Cystic node –>
Hepatic node –>
Coeliac ndoes

23
Q

Where does pain from the gall bladder refer?

A

Epigastric region

because nerve supply from coeliac plexus

24
Q

Which organs are anterior to the pancreas? (2)

A

Transverse colon

Stomach

25
Q

Which organs/ vessels/ structures are posterior to the pancreas? (10)

A
Bile duct
Portal vein
Splenic vein
IVC
Aorta
Superior mesenteric artery
L psoas
L supra-renal gland
L kidney
Spleen
26
Q

What arteries supply the pancreas? (3)

A

Superior pancreaticoduodenal
Inferior pancreaticoduodenal
Dorsal

27
Q

Which artery is the dorsal pancreatic artery a branch of?

A

Splenic

28
Q

Which artery is the superior pancreaticoduodenal artery a branch of?

A

Gastroduodenal

29
Q

Which artery is the inferior pancreaticoduodenal artery a branch of?

A

Superior mesenteric

30
Q

Into which veins does blood from the pancreas drain?

A

Splenic vein
Superior mesenteric vein

(then into portal system)

31
Q

Where does lymph from the pancreas drain to?

A

Coeliac nodes at T12

Superior mesenteric nodes at L1

32
Q

What is the nerve supply of the pancreas?

A

Coeliac and superior mesenteric plexuses

33
Q

Where does pain from the pancreas refer?

A

Epigastric region

34
Q

Where in the abdominal cavity does the spleen lie?

A

Left hypochondrium
Inferior to ribs 9 - 11
Posterior to stomach

35
Q

What ligament connects the greater omentum and the hilum of the spleen?

A

Gastrosplenic ligament

36
Q

What vessels does the gastrosplenic ligament contain?

A

Short gastric

Gastro-epiploic

37
Q

What ligament connects the left kidney and the spleen?

A

Lienorenal ligament

38
Q

What does the lienorenal ligament contain?

A

Splenic vessels

Tail of pancreas

39
Q

What artery supplies the spleen?

A

Splenic artery (largest branch of coeliac)

40
Q

Where does blood from the spleen drain?

A

Splenic vein

41
Q

What vein drains into the splenic vein?

A

Inferior mesenteric vein

also smaller branches from stomach and pancreas

42
Q

What veins make up the portal vein?

A

Splenic vein

Superior mesenteric vein

43
Q

Where does lymph from the spleen drain?

A

Pancreaticosplenic nodes

44
Q

What is the nerve supply of the spleen?

A

Coeliac plexus