Ab viscera II (Liver and Pancreas) Flashcards
what are the 5 fluids in the liver?
arterial blood, portal blood, venous blood, bile, lymph
the liver is an _____peritoneal organ
intraperitoneal
the liver is bordered by the:
subphrenic space, hepatorenal recess, bare area (posterior)
what attaches the liver to the anterior abdominal wall?
the falciform ligament
what’s at the bottom of the falciform ligament?
the round ligament of the liver
what lobe is between the ligamentum teres and the gallbladder?
quadrate lobe
what lobe is between the IVC and the ligamentum venosum?
caudate lobe
on a CT scan, the gall bladder appears ____
darker because it is filled with liquid
the liver has ____ segments which each has it’s own ____
9, 5 fluid connections
the ____ artery splits the liver into two sides
hepatic
the ______ encloses the portal triad
hepatoduodenal ligament
disease in the liver can lead to _____ hypertension
portal
the portal vein is fed by the ______
superior and inferior mesenteric veins and the splenic vein
what anastomoses can accommodate blood in portal hypertension?
- tributaries of the left gastric to the azygos system 2. retroperitoneal area- colic veins with lumbar veins 3. superior rectal veins with the middle and inferior rectal veins 4. umbilicus veins and iliac veins 5. phrenic veins
esophageal varices
Dilated submucosal veins due to portal hypertension and shunting of blood from the portal to systemic venous system. If they start bleeding, there is a high risk of mortality
caput medusa
Result of portal hypertension - dilation of abdominal veins. Increased pressure causing dilation of collateral veins radiating over abdomen
ERCP
Endoscopic Retrograde Cholangio-Pancreotography. Come from the esophagus and inject contrast material in a retrograde fashion
a complication of gallstones is:
fistulas forming between other organs
the gallbladder gives referred pain to the ____, or if it irritates the diaphragm, the ___
epigastric area, right shoulder
the pancreas is primarily a _____ organ, except for the head, which is ____
retroperitoneal, intraperitoneal
the superior mesenteric artery and vein travel in back of the ____ of the pancreas, and in front of the ____ of the pancreas
neck, uncinate process
the ____ pancreatic duct merges with the common bile duct
main
the pancreas gets blood from the _____
superior mesenteric and the celiac trunk
pancreatitis is caused by ____
alcoholism and gall stones
what are the two ligaments that connect to the spleen?
gastrosplenic ligament, splenorenal ligament
the gastrosplenic ligament has the _____ in it
left gastroepiploic and short gastric arteries
the splenorenal ligament has the _____ in it
splenic artery
if the spleen is penetrated, you should check the ____ for a _____
pleura, pneumothorax
