Abdomen 4 Flashcards
What if the function of the spleen?
Storage of red blood cells
Phagocytosis
Filter blood (breaks down old RBCs)
Stores iron (as ferritin or bilirubin)
How is the spleen peritonised?
Intraperitoneal
In which region of the abdominal cavity is the spleen located?
Left hypochondrial
Does the spleen move with respiration?
Yes
What structures are in the hilum of the spleen?
Splenic artery
Splenic vein
Gastrosplenic ligament
The tail of which organ is closely related to the hilum of the spleen?
Pancreas
What must a surgeon take care not to damage during removal of the spleen?
Pancreas
What is unique about the pancreas in terms of what type of gland it is?
It is partly exocrine and partly endocrine
How is the pancreas peritonised?
Retroperitoneal
What is A?
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Abdominal aorta
What is B?
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Spleen
What is C?
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Tail of pancreas
What is D?
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Duodenum
What is E?
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Neck of pancreas
What is F?
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Celiac trunk
Which vein is formed posterior to the neck of the pancreas?
Hepatic portal vein
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In which part of the duodenum does the pancreatic duct open?
Descending part
What is A?
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Right lobe of liver
What is B?
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Coronary ligament
What is C?
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Left triangular ligament
What is D?
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Left lobe of liver
What is E?
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Falciform ligament
What is F?
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Round ligament of liver
What is G?
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Gallbladder
What is the round ligament of the liver also known as?
Ligamentum teres
The round ligament of the liver is a remnant of which embryological structure?
Fetal umbilical vein
What is A?
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Caudate lobe
What is B?
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Bare area of liver
What is C?
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Right lobe of liver
What is D?
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Gallbladder
What is E?
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Quadate lobe
What is F?
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Left lobe of liver
What is G?
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Porta hepatis
What is the ‘bare area’ of the liver bare of?
Peritoneum
Name 4 structures that are present in the porta hepatis?
Hepatic portal vein
Hepatic artery
Hepative nerve plexus
Hepatic ducts
What fold of peritoneum is wrapped around the structures of the porta hepatis?
Visceral
What does the extrahepatic biliary apparatus consist of?
Common hepatic duct
Cystic duct
Gall bladder
Left hepatic duct
Right hepatic duct
Where is bile produced?
Liver
Where is bile stored?
Gallbladder
Where does bile enter the gut tube?
Descending duodenum
What is the function of bile?
Emulsify fat so can be absorbed in the small intestine
What is A?
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Right hepatic duct
What is B?
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Left hepatic duct
What is C?
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Common hepatic duct
What is D?
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Bile duct
What is E?
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Main pancreatic duct
What is F?
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Cystic duct
What is G?
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Cystic duct
What is A?
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Hepatopancreatic sphincter
What is B?
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Descending duodenum
What is C?
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Sphincter of bile duct
What is D?
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Bile duct
What is E?
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Main pancreatic duct
What is F?
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Sphincter of pancreatic duct
What is G?
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Hepatopancreatic ampulla
What may be caused of biliary obstruction?
Gall stones
Cancer of the head of the pancreas
What forms Calot’s cystohepatic triangle?
Cystic duct
Common hepatic duct
Inferior surface of liver
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What are the main histological features of the pancreas?
Islets of Langerhans
Pure serous acini
Small lobules surrounded by connective tissue septa
What is this image of?
Liver
What is this an image of?
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Pancreas
What is A?
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Islet of Langerhans
What are the main histological features of the liver?
Cells are arranged in sheets and converging towards centre (central vein)
At the corner of the lobule connective tissue encloses portal areas which contain blood vessels and ducts
What is 4?
Central vein
What is this image of?
Spleen
What is the spleen covered by and what is it formed by?
Dense fibromuscular capsule formed of collagen and elastic fibres with scattered smooth muscle
What is the parenchyma of the spleen called?
Pulp (red pulp and white pulp)
What is the main contents of red pulp?
Venous sinuses and splenic cords
What is the main contents of white pulp?
Lymphatic tissue
Which costal cartilage is the surface marking of the gallbladder?
9th costal carilage
Does the liver move with respiration?
Yes, due to being intraperitonised
Which ribs relate to the spleen?
Ribs 9 to 11
Which abdominal plane crosses the pancreas?
Transpyloric plane
Which part of the pancreas crosses through the transpyloric plane?
Neck of pancreas
What organs does the transpyloric plane run through?
Duodenum (descending)
Pancreas (neck)
Kidneys
What costal cartilage does the transpyloric plane relate to?
9th costal cartilage
What kind of radiological procedure is this?
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Abdominal angiogram
What is A?
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Right common ilac artery
What is B?
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Inferior vena cava
What is C?
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Abdominal aorta
What is D?
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Left common iliac artery
What spinal level is this?
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T11
What is A?
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IVC
What is B?
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Stomach
What is C?
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Spleen
What is D?
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Spinal cord
What is E?
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Body of vertebrae
What is F?
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Abdominal aorta
What is G?
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Liver
What spinal level is this?
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L2
What is A?
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Right kidney
What is B?
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Liver
What is C?
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Transverse colon
What is D?
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Left kidney
What spinal level is this?
L3