Abdomen stuff I forgot Flashcards

1
Q

Segmentally, what divides the liver into right and left livers?

A

-The division of the portal triad into right and left branches

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2
Q

Describe the blood supply for each segment

A

-Each segment has their own blood supply and biliary drainage

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3
Q

Describe the hepatic veins segmentation

A
  • Hepatic veins are intersegmental

- They drain blood from portions of multiple segments adjacent to them

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4
Q

What is the main difference between anatomical divison and hepatic segmentation

A
  • Left medial division lies on the right side of the liver

- But it is included in the right side for hepatic segmentation

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5
Q

What is the inferior part of the left medial division

A

-Quadrate lobe

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6
Q

RECAP- Each segment has…

-and what is shared

A
  • Arterial blood supply
  • Biliary drainage

-Venous drainage is shared

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7
Q

What is special about the caudrate lobe

A

The caudrate lobe receives 2 different blood supplies and biliary drainage

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8
Q

This is the second capillary bed that is between the left ventricle and the right atruium

A

Portal system

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9
Q

Portal venous blood delivers oxygen to the…

A

Hepatocytes

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10
Q

Where does the portal venous blood drain from?

A

Drains from the intestines –> liver

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11
Q

What absorbs lipids

A

lymphatic vessels

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12
Q

______ branch off of the celiac truck

A

Hepatic arteries

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13
Q

Where do the hepatic arteries bring blood

A

-Intrahepatic bile ducts

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14
Q

Where do portal blood and hepatic artery blood dump into?

A

Sinusoids (no basement membrane)

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15
Q

Sinusoids drain into the…

A

Lobule

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16
Q

The lobule goes to the…

A

Central vein

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17
Q

The central vein goes to the…

A

Hepatic vein

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18
Q

What are the direct branches that make the portal vein

A
  • Splenic vein

- Superior mesenteric vein

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19
Q

What are other tributaries of the hepatic portal vein

A
  • R & L gastric
  • Pancreaticoduodenal
  • Cystic
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20
Q

In what structure does the portal triad travel

A

-Hepatoduodenal ligament

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21
Q

This is an area on the visceral surface of the liver where the vessels and ducts emerge and enter

A

Porta hepatitis

22
Q

What type of blood does the left liver receive

A
  • Splenic

- Gastric

23
Q

Where does the right liver receive blood from

A

-Small intestine

24
Q

What is the function of the gallbladder

A

-Concentrate, store, and deliver bile

25
Q

Where does the body of the gallbladder lie in relation to the duodenum

A

Anterior to the duodenum

26
Q

Where does the neck and the cystic duct lie in relation to the duodenum

A

-Superior to duodenum

27
Q

Describe the gallbladders relationship with peritoneum

A

Gallbladder is completely surrounded by peritoneum and this binds it to the liver

28
Q

What duct connects the gallbladder to the common hepatic duct

A

-Cystic duct

29
Q

What is formed when the cystic duct and the common hepatic duct meet?

A

Bile duct

30
Q

What 2 things form the common hepatic duct

A

Right and left hepatic duct

31
Q

Where does the bile duct empty into?

A

-The second part of the duodenum at the major duodenal papulla

32
Q

What are the boundaries of the cystohepatic triangle

A
  • Common hepatic duct
  • Cystic duct
  • LIver
33
Q

What is in the cystohepatic triangle

A

Cystic artery

34
Q

What does the cystic artery supply

A
  • Cystic duct

- Gallbladder

35
Q

What are the boundaries of the Triangle of Calot

A
  • -Common hepatic duct
  • Cystic duct
  • Cystic artery

(important in a cholecystectomy)

36
Q

Where does the pancreas lie?

A
  • Retroperitoneal
  • Behind the stomach
  • On the abdominal aorta
  • L2 level
37
Q

Where does the head of the pancreas lie

A
  • In the duodenum

- On the IVC, right renal a &v, and left renal vein

38
Q

Where does the neck of the pancreas lie

A

-Over the SMV and Splenic vein (where the portal vein is formed)

39
Q

The tail lies..

A
  • Anterior to the left kidney

- Close to the splenic hilum

40
Q

Where does the pancreas receive blood from

A
  • Branches of splenic

- Superior and inferior pancreaticoduodenal artery

41
Q

Where do pancreatic veins drain

A

-Splenic vein

42
Q

What are characteristics of the spleen

A
  • Intraperitoneal
  • Hilum
  • Thin fibrous capsule
  • Lies on the left colic flexure
43
Q

What organs are on the surfaces of the spleen

A

Anterior=stomach
Posterior= left hemidiaphragm
Inferior=left colic flexure
Medially= left kidney

44
Q

What are the 2 ligaments of the spllen

A
  • Gastrosplenic (greater omentum)

- Splenorenal ligament

45
Q

Blood supply for the spleen

A

-Splenic artery and vein

46
Q

Where do the kidneys receive blood from

A
  • Inferior phrenic arteries
  • Renal arteries
  • Abdominal aorta
47
Q

What are the layers of the kidney

A
  • Kidney
  • Capsule
  • Perirenal fat (goes into sinuses)
  • Fascia
  • Pararenal fat
48
Q

What structures contact the kidney

A
  • Diaphragm
  • QL
  • Liver
  • Duodenum
  • Asc/RCF
  • Stomach
  • Spleen
  • Pancreas
  • Jejunum
  • Descending colon
49
Q

What do the renal sinuses contain

A

Renal pelvis

50
Q

The ureters run _____ to the gonadal vessels

A

posteriorly

51
Q

What are the 3 characteristic narrowings of the ureters

A
  • Junction of ureter with renal pelvis
  • Where ureters cross the brim of the pelvic inlet
  • Where ureters enter the bladder