Chapter 53: Biliary Tract Flashcards
what are the small ducts that drain bile directly into the galbladder from the liver
Ducts of Luschka
what aretery is susceptible to injury during cholecystectomy
RIght hepatic artery because of its proximity to the cystic artery and calot’s triangle
where is the infundibulum of the gallbladder
near the cystic duct
where is the fundus of the gallbladder
at the end of the gallbladder
what are the boundaries of the triangle of calot
- common hepatic duct
- liver
- cystic duct
what is the source of ALP
bile duct epithelium therefore expected to be elevated in bile duct obstruction
what is in bile
cholesterol, lecthin(phospholipid), bile acids, bilrubin
what does bile do
emulsifies fat
what is the enterohepatic circulation
circulation of bile acids from the liver to the gut and back to the liver
where are most of the bile acids absorbed
terminal ileum
what stimulates gallbladder emptying
- CCK
- vagal imput
what is the source of cck
duodenal mucosal cells
cck actions
- gallbladder emptying
- opening of ampula of vater
- slowing of gastric emptying
- pancreatic acinar cell growth and release of exocrine products
at what level of serum bilrubin does one start to get jaundiced
2.5
where does one first find evidence of jaundice
under the tongue because UV breaks down bilrubin at other sites
