[3] Liver, Gallbladder, and Stomach

Question 1

What % of the lymph entering the thoracic duct comes from the liver?

Answer 1

25 - 50%

Question 2

Where is lymph formed in the liver?

Answer 2

Perisinusoidal Spaces (of Disse)

Question 3

Origin of the innervation of the liver

Answer 3

Hepatic Plexus (Largest derivative of the Celiac Plexus)

Question 4

Where is the needle inserted during a liver biopsy?

Answer 4

Right 10th ICS Midaxillary Line

Question 5

Define: Cirrhosis

Answer 5

Progressive destruction of hepatocytes and replacement by fat and fibrous tissue

Question 6

Differentiate: Lobectomy and Segmentectomy

Answer 6

L: Removal of right/left part of liver without excessive bleeding

S: Removal of only the segments that have sustained a severe injury with a cauterizing scalpel and laser

Question 7

How much bile does the gallbladder hold?

Answer 7

50mL

Question 8

What do you call the inferior surface of the gallbladder?

Answer 8

Hartman’s Pouch

Question 9

Function: Spiral Valve of Heister

Answer 9

Helps keep the cystic duct open

Question 10

Referred pain in the Epigastric region points to what affected organ?

Answer 10

Stomach

Question 11

Referred pain in the Umbilicus points to what affected organ?

Answer 11

Small Intestine

Question 12

Referred pain in the Right Upper Quadrant + Neck + Shoulder + Scapula points to what affected organ?

Answer 12

Gallbladder

Question 13

Referred pain in the Right Lower Quadrant points to what affected organ?

Answer 13

Appendix

Question 14

What innervates the parietal peritoneum and skin in the Umbilicus area?

Answer 14

10th Intercostal Nerve