digestive glands Pt 1

Question 1

T/F: Digestive glands are foregut derivatives

Answer 1

True

Question 2

What quadrant does the liver reside in?

Answer 2

Upper right quad of abdomen

Question 3

What makes the liver hard to palpate? What is it suspended from?

Answer 3

Ribs. Diaphragm.

Question 4

double layer of peritoneum/mesentary dividing living into anatomical left and right and attaching the liver to the anterior abdominal wall

Answer 4

falciform ligament

Question 5

How is the anterior attachment of the liver unique?

Answer 5

Falciform ligament attaches liver to ANTerior abdominal wall

Question 6

The lower margin of the falciform ligament forms ____

Answer 6

ligamentum teres

Question 7

Ligament teres is a remnant of?

Answer 7

umblilican VEIN (carries OXYgenated blood from placenta to systemic circulation of fetus)

Question 8

T/F: The gall bladder is a gut derivative

Answer 8

true

Question 9

The gall bladder is described as _____ because of its attachment to the liver

Answer 9

Intraperitoneal (loses its mesentery and attach to bottom of liver–not ab wall)

Question 10

The lobes created by the transverse fissure can only be view from _____ view

Answer 10

inferior or posterior

Question 11

Lobe located in front of and anterior to horizontal fissure

Answer 11

quadrate

Question 12

lobe located posterior to horizontal fissure

Answer 12

Caudate Lobe (resembles a tail)

Question 13

Contents of right sagittal fissure? Ant and Post

Answer 13

Anterior: Gallbladder
Posterior: IVC

Question 14

Contents of left sagittal fissure? Ant and Post

Answer 14

Anterior: Lig Teres
Posterior: Ligamentum venosum (remnant of ductus deferens in fetus) AND Root of Lesser Omentum*

Question 15

Hilum of liver, Portahepatis (where bile duct, hepatic artery, and portal vein enter/exit liver) are seen here (enclosed by part of lesser omentum)
–Omental Foramen
both here

Answer 15

Horizontal Fissure?

Question 16

The Liver is partially mesenteric and ___

Answer 16

secondary retroperitoneal (adhesion to posterior ab wall) COVERED WITH VISCERAL PERITONEUM

Question 17

Part of liver that adheres directly to diaphragm/posterior ab wall, forming retroperitoneal area with NO peritoneal covering

Answer 17

Bare Area of Liver (bound by reflections)

Question 18

Suspends the stomach from the liver, connects liver to duodenum, and originates in the posterior part of the left sagitall fissure

Answer 18

lesser omentum

Question 19

Contents of the Porta Hepatis/Hilum of liver

Answer 19

Bile duct, hepatic artery, portal vein

Question 20

The peritoneun covering the liver eventually becomes part of ___

Answer 20

greater omentum

Question 21

T/F: The liver is partially mesenteric (cov by visceral perit) and partially retroperitoneal/secondary retroperitoneal

Answer 21

True

Question 22

What is the omental foramen and what are its boundaries?

Answer 22

Where greater/lesser sac communicate. Anterior Wall: lesser omentum with portal structures
Posterior Walls: IVC

Question 23

If finger inserted into omental foramen of a cadaver where would it enter?

Answer 23

lesser sac

Question 24

formed by the reflection of parietal peritoneum onto visceral peritoneal; encircles the bare are of the liver

Answer 24

Coronary Ligament

Question 25

The Coronary Ligament is continuous with:

Answer 25

2 layer of lesser omentum; two layer of falsiform ligament

Question 26

Ligaments attaching liver to diaphragm

Answer 26

triangular ligaments

Question 27

Formed by the constricted part of thr peritoneal cavity; located between liver and diaphragm

Answer 27

Subphrenic process

Question 28

Posterior ab wall parietal peritoneum reflecting on visceral; located between the liver and right kidney (underneath and behind liver)

Answer 28

Hepatorenal Process/morison's pouch? **potential site for fluid accumulation due to limited fluid movement)

Question 29

T/F: Constricted spacs like subphrenic and hepatorenal recesses are often sites of absess formation in case of infection

Answer 29

true--limited fluid movement--gravity guides infectious material info these spots in bedridden patients

Question 30

Portal structures are found between the 2 layers of the ___

Answer 30

lesser omentum (pass through omental foramen)

Question 31

T/F: Lymph from ab organs usually drains along arteries supplying organ

Answer 31

true

Question 32

T/F: Lymph nodes/vessel run BACKWARD along arterial supply

Answer 32

true

Question 33

In the liver, lymph drainage follows the branches of __

Answer 33

celiac artery

Question 34

Liver is initially covered with ___ and diaphragm with ____; these layers adhere and ____ dissolves

Answer 34

visceral peritoneum; parietal peritoneam; perioneum dissolves (allowing direct contact)

Question 35

When Liver and Diaphragm contact in base area, what happens?

Answer 35

peritoneum dissolves; vessels in liver and diaph form anastomoses across bare area (imp for metast of cancer)

Question 36

A small fraction of the liver drains upward to ___ nodes and lungs VIA diaphragm

Answer 36

thoracic lymph nodes (significant for metast of cancers--could spread in either direction)

Question 37

___ is secreted by the liver to help with digestion

Answer 37

bile

Question 38

Two bile ducts dividing the liver:

Answer 38

Left and Right Hepatic (bile) duct

Question 39

Duct draining the left lobe, quadrate lobe, and caudate lobe

Answer 39

Left Hepatic (bile) duct

Question 40

Duct draining the right lobe of the liver

Answer 40

Right Hepatic (bile) duct

Question 41

Branches of the Hepatic Artery Proper:

Answer 41

Left and Right Hepatic Arterties

Question 42

Supplies the left functional side of liver (left lobe, quad lobe, caud lobe)

Answer 42

Left Hepatic Artery

Question 43

Supplies the right lobe and may partially supply the quadrate lobe (DUAL supply in most people)

Answer 43

Right Hepatic Artery

Question 44

Supplies the Gallbladder

Answer 44

Cystic Artery (typically branches from right hep art but is variable in origin)

Question 45

The Liver is supplied by branches of the ___ and gallbladder supplied by branches of the ___

Answer 45

Liver (Hepatic Artery Proper--left and right hep); Gallbladder (Final Branch of celiac artery--cystic artery)

Question 46

Gallbladder store ___ produced by the liver

Answer 46

bile