5 liver anatomy and function Flashcards

1
Q

what separates the 2 lobes?

A

falciform ligament

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2
Q

What is different about the 8 segments?

A

blood supply and bile drainage

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3
Q

What is liver stroma?

A

connective tissue, with many different collagens, and glycoprotein links to cells. Integrins allow bi-directinoal communication between cells

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4
Q

What is in the middle and points of hepatic lobules?

A

central vein

surrounded by sinusoids connecting it to 3 portal tracts

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5
Q

What are the structure of bile drainage from smallest to largest?

A

bile canaliculi
canal of Herin
bile duct

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6
Q

what cells are within the sinusoids?

A

blood from hepatic artery and portal vein

kupffer cells

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7
Q

What are the funcitons of epithelium lining the sinusoids?

A

antri-thrombogenic agent
regulation of leukocytes
removal of waste products

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8
Q

Where are Stellate cells found, where are they?

A

in the space of disse, for perisinusoidal fat storage

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9
Q

What are Kupffer cells?

A

hepatic macrophage

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10
Q

What are the 6 main hepatic functions?

A
Digestion
Cholesterol Synthesis
Bile production
Immune function
Detoxificaiton and elimination
synthesis
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11
Q

How does a liver ‘digest’?

A

metabolises carbs and fats

stores vitamins and minerals

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12
Q

How do statins inhibit cholesterol synthesis?

A

inhibit the HMG-CoA reductase step in cholesterol synthesis

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13
Q

About how much bile can be stored in the gall bladder?

A

300-400ml

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14
Q

How does the liver help with excretion?

A
urinary excretion (hydrophilics)
biliary ecretion (lipophilics)
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15
Q

What does the liver synthesise?

A
albumin
fibrocentctin
plasminogen
tranferrin - iron absorption
hepcidin
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16
Q

What are the 4 stages of liver health?

A

healthy
fatty
fibrosis (scar tissue)
cirrhosis (connective tissue growth)

17
Q

What are the 3 main causes of cirrhosis?

A

viral infeciton (strong immune responses can kill hepatocytes too), 90% of those infected probably don’t know though.
alcohol - inflammatory response
metabolic syndrome - fatty accumulation