Abdominal Viscera Flashcards

1
Q

What covers the liver? What kind of layer is it?

A

Glisson’s capsule

It is a fibrous layer

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2
Q

What are the 4 lobes of the liver?

A

Right, left, caudate and quadrate

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3
Q

Which lobe (R&L) is larger of the liver?

A

Right lobe is larger

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4
Q

Where is the portal hepatis and what is it? What passes through here?

A

Between the caudate and quadrate lobes of the liver
It is a deep fissure
All neurovascular structures except hepatic veins and ducts pass through here

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5
Q

What does the falciform ligament attach?

A

Attaches the liver to the anterior abdominal wall

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6
Q

What does the coronary ligament attach?

A

Attaches the diaphragm and the liver

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7
Q

Which 2 ligaments make up the lesser omentum?

A

Hepatogastric and hepatoduodenal

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8
Q

What does the lesser omentum attach?

Via which ligaments

A

Attaches the liver to the stomach and the 1st part of the duodenum
Via the hepatogastric and hepatoduodenal ligaments

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9
Q

What is the bare area of the liver?

What happens here?

A

Area of the liver that is not covered by any peritoneum

It is where the coronary ligaments split

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10
Q

Where is the hepatic artery proper derived from?

A

Coeliac trunk

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11
Q

What does the hepatic artery split into?

A

Left and right hepatic arteries

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12
Q

What do the hepatic veins drain into?

A

The IVC

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13
Q

What is the parasympathetic and sympathetic innervation of the liver?

A

Para - vagus nerve

Symp - coeliac plexus

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14
Q

Which lobe of the liver is the gall bladder located next to?

A

The quadrate lobe

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15
Q

Which 2 vessels merge to form the common bile duct?

A

Cystic duct and common hepatic duct

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16
Q

What is the blood supply of the gall bladder?

A

Cystsic artery - branch from the common hepatic artery (from coeliac trunk)

17
Q

What is the parasympathetic and sympathetic innervation of the gall bladder?

A

Para- vagus nerve

Symp - coeliac plexus

18
Q

In which 2 regions of the abdomen does the pancreas lie?

A

Left hypochondriac and epigastric

19
Q

Is the pancreas retroperitoneal or intraperitoneal?

A

Retroperitoenal

20
Q

What is the widest part of the pancreas? What does this lie in?

A

The head

lies within the c-shaped curve created by the duodenum

21
Q

What is the uncinate process?

A

Projection arising from the lower part of the head of the pancreas

22
Q

What is the only part of the pancreas to be intraperitoneal?

23
Q

Which cells are a) exocrine and b) endocrine of the pancreas?

A

A) exocrine = acinar cells

B) endocrine = islets

24
Q

What forms the ampulla vater?

A

Pancreatic duct and common bile duct

25
What does the ampulla vater drain into and via what?
Ampulla vater drains into the duodenum via the major duodenal papilla
26
What is the blood supply of the pancreas? Give 2 main vessles and the smaller ones from these
Coeliac trunk and SMA | Anterior and posterior superior (coeliac trunk) and inferior (SMA) pancreaticodueoneal arteries
27
What is the venous drainage of the pancreas?
Head is drained by superior mesenteric branches of the hepatic portal vein The rest is drained by pancreatic veins via splenic vein
28
What is the para and symp innervation of the pancreas?
Para - vagus | Symp - greater and lesser splanchnic nerves
29
Is the spleen retro or intraperitoneal?
Intraperitoneal
30
What do the gastrosplenic and splenorenal ligaments connect?
Gastrosplenic - spleen to greater curvature of the stomach | Splenorenal - hilum of spleen to left kidney
31
What is the blood supply of the spleen?
Splenic artery from coeliac trunk
32
Why can one segment of the spleen be surgically removed without affecting others?
Once splenic artery reaches spleen it branches into 5, giving rise to vascular segments
33
What is the venous drainage of the spleen?
Splenic vein
34
What does the splenic vein combine with? What does this form?
Superior Mesenteric Vein to form the hepatic portal vein
35
What is the innervation of the spleen?
Coeliac plexus