Ach Lab 4-Liver, Gallbladder, Pancreas, Spleen Flashcards

1
Q

Ligament of Treitz

A

suspensory ligament for the duodenojejunal flexure

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2
Q

Which part of the pancreas is NOT retroperitoneal?

A

Tail

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3
Q

Tumor growth in the head of the pancreas can obstruct what?

A

The bile or pancreatic ducts

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4
Q

What drains at the minor duodenal papilla?

A

Accessory pancreatic duct (if it is present)

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5
Q

What comes together behind the major duodenal papilla?

A

The hepatopancreatic ampulla where the bile duct and pancreatic ducts come together

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6
Q

What surrounds the hepatopancreatic ampulla to control combined opening of the ducts?

A

Shpincter papillae (sphincter of Oddi)

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7
Q

What arteries anastomose in the lesser curvature of the stomach?

A

L and R gastric arteries

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8
Q

What 3 vessels come off the celiac trunk?

A

Left gastric artery
Splenic artery
Common Hepatic Artery

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9
Q

What does the common hepatic artery branch into?

A

The Hepatic artery proper and the Gastroduodenal artery

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10
Q

What artery usually branches off the R hepatic artery?

A

Cystic artery

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11
Q

What forms the Cystohepatic Triangle?

A

Left & R Hepatic Arteries and the bottom of the liver (the cystic artery is found within this triangle)

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12
Q

What do the pancreaticoduodenal arteries branch from?

A

Gastroduodenal artery

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13
Q

What forms the Common hepatic duct?

A

R and L hepatic duct

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14
Q

What forms the Common Bile duct?

A

Common Hepatic duct and cystic duct

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15
Q

What smooth muscle folds keep the cystic duct open at all times so bile can flow easily into and out of the gall bladder?

A

Spiral folds

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16
Q

What is Biliary colic?

A

An intense spasmodic pain felt in the epigastric region or the RUQ.

17
Q

What forms the cross limb on the H that separates the caudate and quadrate lobes of the liver?

A

Porta Hepatis

18
Q

What does the umbilical vein form?

A

Ligamentum teres

19
Q

The caudate and quadrate lobes are anatomically part of which lobe?

A

Right

20
Q

What are anatomical lobes based upon the position of?

A

Falciform ligament

21
Q

What are the caudate and quadrate lobes functionally a part of?

A

Left lobe (and all 3 are served by the Left hepatic artery)

22
Q

Do the right and left hepatic arteries and ducts communicate?

A

NO

23
Q

Where is the blood from that enters the portal vein?

A

GI tract

24
Q

What is a liver lobule?

A

hepatocytes arranged irregularly around a central vein

25
Q

What does blood pass through the liver in?

A

sinusoids

26
Q

What forms the portal triad?

A

Bile duct
Hepatic Artery Proper
Portal Vein

27
Q

Where are the coronary and R triangular ligaments?

A

on the R posterior side of the liver

28
Q

What do the hepatic veins drain into?

A

IVC

29
Q

Pancreatic cancer patients may require placement of a stent to prevent jaundice. Where would the stent be placed?

A

Common bile duct

30
Q

In resecting a tumor in the quadrate lobe of the liver, which artery must be clamped to control bleeding without injury to other organs?

A

Left Hepatic Artery

31
Q

Blood supply to the spleen is carried in the: ?

A

Lienorenal ligament

32
Q

A patient is admitted with syptoms of an upper GI blockage. CT confirms the 3rd part of the duodenum and was compressed by a large vessel. The most likely vessel is the: ?

A

Superior Mesenteric Artery