Ch 12 Flashcards

0
Q

How much does liver weigh

A

3-4 pounds

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1
Q

Liver located in

A

Right upper quadrant above right kidney and below 10th rib

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2
Q

What does the liver do

A

Makes bile that’s stored in the gallbladder

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3
Q

Size/shape of liver

A

Largest solid organ in the body/ triangular shape

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4
Q

Left major liver lobe

A

Smaller of majors, separated by falciform ligament

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5
Q

Minor liver lobes

A

Quadrate lobe is Posterior between gallbladder and falciform ligament. Posterior to that is caudate lobe.

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6
Q

How does bile travel

A

To gallbladder or directly to duodenum by right/left hepatic duct

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7
Q

Two ducts combine to form

A

Common hepatic duct

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8
Q

Common hepatic duct turns into

A

Common bile duct before emptying in duodenum through hepatopancreatic duct

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9
Q

What % of people have separate opening for common bile duct

A

40%

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10
Q

Length/width/location of common bile duct

A

7.5 cm long
Width of drinking straw
Superior portion of duodenum & head of pancreas

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11
Q

What does common bile duct connect w/ and empty in

A

Connects w/ pancreatic duct, empties in descending portion of duodenum

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12
Q

Gallbladder length/width/shape

A

7-10 cm long
3 cm wide
Pear shape

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13
Q

Distal end of gallbladder sac

A

Fundus

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14
Q

Main section of gallbladder sac

A

Body

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15
Q

Narrow proximal end of gallbladder sac

A

Neck

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16
Q

How much bile is in gallbladder

A

30-40 cc

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17
Q

Function of gallbladder

A

Stores bile

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18
Q

Why is bile concentrated

A

Hydrolysis (remove h2o)

19
Q

Fatty acids secretes hormone called

A

Cholecystokinin (cck)

20
Q

Cystic duct length

A

3-4 cm long

21
Q

Spiral folds

A

Membranous folds along length of cystic duct. Prevents collapse

22
Q

Gallbladder on asthenic patient

A

Near level of iliac crest, close to midline. 35-40 degree Lao

23
Q

Gallbladder sthenic and hypo sthenic

A

Between xyphoid tip and lower rib, 20-25 degree Lao

24
Q

Hyper sthenic gallbladder located

A

High and lateral. 15-20 degree Lao

25
Q

Best way to visualize gallbladder

A

Ultrasound

26
Q

Reasons to have oral cholecystogram

A

Nausea, heartburn, vomit, right side pain

27
Q

What forms gallstones

A

Calcium

28
Q

Choledocholithiasis

A

Stones in the biliary ducts

29
Q

Gallstones discomfort for patient

A

Pain especially when eating on right side

30
Q

Who is at great risk for gallstones

A

Pregnant women

31
Q

Exams for finding gallstones

A

Ultrasound, CT

32
Q

Milk calcium bile

A

Emulsion of biliary stones in gallbladder

33
Q

How is milk calcium bile demonstrated

A

Right lateral decub

34
Q

Cholelithiasis

A

Stones in gallbladder

35
Q

Reasons for non visualization of gallbladder

A

Removed, need contrast

36
Q

Neoplasms

A

New growth either benign or malignant

37
Q

Biliary stenosis

A

Narrowing of biliary ducts

38
Q

Congenital anomalies

A

Acquired at birth

39
Q

Chole

A

Relationship to bile

40
Q

Cysto

A

Sac or bladder

41
Q

Choleangiogram

A

Examination of biliary ducts

42
Q

Cholecystocholangiogram

A

Study of both gallbladder and biliary ducts

43
Q

Choleliths

A

Gallstones

44
Q

Cholelithiasis

A

Condition of having gallstones

45
Q

Cholecystitis

A

Inflammation of gallbladder

46
Q

Cholecystectomy

A

Surgical removal of gallbladder