Anatomy of the Liver Flashcards
What are the 4 lobes of the liver? [4]
Right lobe
Left lobe
Quadrant Lobe
Caudate lobe
Label A-D
A: Left lobe
B: Right lobe
C: Quadrate lobe
D: Caudate lobe
The liver is:
intraperitoneal
retroperitoneal
The liver is:
intraperitoneal
retroperitoneal
Which of the following is hepato-renal recess?
A
B
C
D
E
F
Which of the following is hepato-renal recess?
A
B
C
D
E
F
Label A-F
A: Falciform ligament
B: Right subphrenic space
C: epiploic foramen
D: hepato-renal reccess
E
F
Label A-F
A: Falciform ligament
B: Right subphrenic space
C: epiploic foramen
D: hepato-renal reccess
E: subphrenic space
F: lesser sac
A: Falciform ligament
B: Right subphrenic space
C: epiploic foramen
D: hepato-renal reccess
E
F
Label A-C
A: Anterior coronary ligament
B: Falciform Ligament
C: Round ligament of the liver / ligamentum teres
Label A-E
A: Right triangular ligament
B: Posterior coronary ligament
C: Left triangular ligament
D: Falciform ligament
E: Anterior coronary ligament
Which of the following is the quadrate lobe?
A
B
C
D
E
F
Which of the following is the quadrate lobe?
A
B
C
D
E
F
Which of the following is the ligamentum teres ?
A
B
C
D
E
F
Which of the following is the ligamentum teres ?
A
B
C
D
E
F
Which of the following is the ligamentum venosum ?
A
B
C
D
E
F
Which of the following is the ligamentum venosum ?
A
B
C
D
E
F
Which of the following is the caudate lobe ?
A
B
C
D
E
F
Which of the following is the caudate lobe ?
A
B
C
D
E
F
Which of the following is the portahepatis ?
A
B
C
D
E
F
Which of the following is the lportahepatis?
A
B
C
D
E
F
what is the ductus venosus a shunt between? [2]
umbilical vein to the inferior vena cava
Label A-C
A: Ligamentum venosum
B: Falciform ligament
C: Round ligament of the liver/ Ligamentum teres
Within free border of lesser omentum is which three structures? [3]
Within free border of lesser omentum is the hepatic portal vein, hepatic artery proper and the bile duct.
Label A-E
A: Hepatic portal vein
B: Hepatic artery
C: Bile duct
D: Bile canalliculi
E: Central vein
Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by [] , [] and [] , leading to loss of liver function. [3]
What do the sinuses look like? [1]
Cirrhosis is a consequence of chronic liver disease characterized by replacement of liver tissue by fibrosis, scar tissue and regenerative nodules leading to loss of liver function.
Wavy sinuses: increases vascular resistance
Oesophageal Varices occur at the anastomoses of which two veins? [2]
At the [] junction [1]
left gastric vein with oesophageal veins at Gastro-oesophageal junction
Variceal bleeding is the most severe complication of [] and is the second most common cause of mortality among the patients
Variceal bleeding is the most severe complication of cirrhosis and is the second most common cause of mortality among the patients
At what vertebral level do the two common iliac veins unite to form the inferior vena cava?
L2
L5
T5
T8
At what vertebral level do the two common iliac veins unite to form the inferior vena cava?
L2
L5
T5
T8
Which vein does NOT drain directly into the inferior vena cava?
Left renal vein
Splenic vein
Right hepatic vein
Right testicular vein
Which vein does NOT drain directly into the inferior vena cava?
Left renal vein
Splenic vein
Right hepatic vein
Right testicular vein
The splenic vein drains into the portal system, which in turn empties into the inferior vena cava.
Which of the following is not a tributary to the splenic vein?
Short gastric veins
Pancreatic veins
Left gastric vein
Left gastro-omental vein
Which of the following is not a tributary to the splenic vein?
Short gastric veins
Pancreatic veins
Left gastric vein
Left gastro-omental vein
The left gastric vein is a tributary of the portal vein.
What does this CT show?
Ascites
Explain mech. of portal htn causing ascites
Why does hepatic portal HTN cause splenomegaly? [1]
increased HPV pressure causes blood to back up into spleen causing enlargement
What causes caput medusae?
portal hypertension leading to re-canalisation of ligamentum teres
A: cystic duct
B: common hepatic duct
C: Right hepatic duct
D: Left hepatic duct
E: Common bile duct
Bile is produced by which cells? [1]
Describe the flow of bile from these cells to the gall bladder [2]
bile produced by hepatocytes in sinusoids and flows through bile canalliculi into bile ducts
R and L hepatic bile ducts > common hepatic duct > gall bladder
Gall stone in common bile duct causes which symptoms? [2]
Why? [1]
jaundice with biliary colic
bile blocked from leaving liver and gall bladder
Gall stones in gall bladder causes which symptoms? [1]
often asymptomatic
Gall stones in gall bladder causes which symptoms? [1]
often asymptomatic
What symptoms would occur from this situ? [2]
Stone blocks bile leaving the gall bladder, when gall bladder contracts,
RUQ pain AND Bilary colic
(Biliary colic happens when the gallbladder contracts and causes a gallstone to temporarily block the duct).
What is cholechystitis and what is it caused by? [2]
Acute inflammation of gall bladder: usually caused by gall stone obstructing bile flow
Why does jaundice occur if gall stone occurs in common bile duct?
Stone blocks bile leaving the gall bladder and the Liver.
So bilirubin in bile is not able to be broken down
accumulates in blood causing jaundice and biliary colic.
What symptoms would occur here? [3]
biliary colic, jaundice and pancreatitis
Portosystemic Anastomoses at the Esophagus is made from? [2]
splenic (HPV) and azygous veins (IVC)
Caput meduase is caused by htn in anastomoses in which two veins?
Paraumbilical veins (ligamentum teres recanalised)
Intercostal and inferior epigastric veins
Label A-F
A: splenic artery
B: gastroduodenal artery
C: hepatic artery proper
D: SMA
E: SMV
F: Hepatic portal vein
Label A-C
A: Coronary Ligament
B: Right Triangular Ligament
C: Left triangular Ligament
A: coronary ligaments
B: falciforms ligament
Which of the following is the hepatic artery proper
A
B
C
D
E
F
G
H
Which of the following is the hepatic artery proper
A
B
C
D
E
F
G
H
Which of the following is the common hepatic duct
A
B
C
D
E
F
G
H
Which of the following is the common hepatic duct
A
B
C
D
E
F
G
H
Which of the following is the hepatic portal vein
A
B
C
D
E
F
G
H
Which of the following is the hepatic portal vein
A
B
C
D
E
F
G
H
Which of the following is the cystic duct
A
B
C
D
E
F
G
H
Which of the following is the cystic duct
A
B
C
D
E
F
G
H
