Accessory Organs

Question 1

Describe the spleen

Answer 1

Covered by peritoneum besides at Hilum, LUQ A: sto, P: dia R9-11, I: left colic flex, M: L Kid
A/V: Splenic, L: pancsplenic, N: celiac plexus

Question 2

Describe the pancreas

Answer 2

Retroperitoneal and endocrine (Glucagon and Insulin) and Exocrine (dig enzyme) function. 4 parts. Art= pancreatic art (splenic), gastroduodenal, Inf panduod. L: panspl - pyloric - SMV or celiac

Question 3

What are the 4 parts of the pancreas

Answer 3

1. Head (uncinate process) embraced by duod, post is SMA, Ant: IVC, R renal AV
2. Neck - short and ant to portal vein where Spl and SMV join
3. Body - left of SMA/V, passes aorta at L2
4. Tail - ant to L kid, mobile, tip at spleen hilum

Question 4

What are the ducts of the pancreas

Answer 4

1. Main duct (Duct of Wirsung) tail to 2nd duod at Oddi with bile duct
2. Accessory (Duct of Santori) - to minor papillae above main

Question 5

Location of Liver

Answer 5

RUQ, R7-11, Enclosed by Dia on sup side. Dia surface is convex while visceral is Concave. Divided by falciform ligament to right and left lobe and all is covered by peritoneum.

Question 6

What is morrisons pouch

Answer 6

Right side of hepatorenal recess and if filled with liquid can be used to diagnose hem or Infection

Question 7

Describe neurovasculature of Liver

Answer 7

A: Hepatic proper
V: portal to live, Hepatic veins from (RML)
N: Celiac plexus (S) Vagus (P)

Question 8

What are the sections of inferior liver

Answer 8

Left, Caudate (post), Right, Quadrate (Ant)

Question 9

What are the impressions on left side

Answer 9

CW: Gastric (10) Eso (1.5), Pyloric (5)

Question 10

What are the impressions on Quadrate

Answer 10

Duodenal

Question 11

What are the impressions on Right side

Answer 11

CW: Diaphragm (1.5) Right Renal (3) Right Colic (5) Right Suprarenal (9)

Question 12

What are the defining borders of inferior liver sections

Answer 12

Lig Venosum and round ligament on left sagittal, IVC and gall bladder on Right Sagittal. Tranverse ligament is location of triad

Question 13

Describe the gall bladder

Answer 13

Fundus, body, neck, anterior to 1st duod, releases CCK for lipids. Cholecystectomies for gall stones. A/V: Cystic. L: cystic to hepatic to celiac

Question 14

Describe the cystolic triangle of calot

Answer 14

Common hepatic duct medial, cystic duct lateral, cystic art superior

Question 15

What is the path of bile

Answer 15

Portal duct to RL Hepatic duct to meet cystic duct ( contains spiral of Hersher = bile storage) forming common bile duct which meets with main pancreatic duct to form ampulla of vater and empties into Oddi

Question 16

How do you palpate spleen

Answer 16

supide and palp r9-11

Question 17

What are the causes of splenomegaly

Answer 17

leukemia and HBP