digestive glands Pt 1 Flashcards

1
Q

T/F: Digestive glands are foregut derivatives

A

True

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2
Q

What quadrant does the liver reside in?

A

Upper right quad of abdomen

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3
Q

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

A

Ribs. Diaphragm.

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4
Q

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

A

falciform ligament

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5
Q

How is the anterior attachment of the liver unique?

A

Falciform ligament attaches liver to ANTerior abdominal wall

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6
Q

The lower margin of the falciform ligament forms ____

A

ligamentum teres

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7
Q

Ligament teres is a remnant of?

A

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

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8
Q

T/F: The gall bladder is a gut derivative

A

true

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9
Q

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

A

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

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10
Q

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

A

inferior or posterior

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11
Q

Lobe located in front of and anterior to horizontal fissure

A

quadrate

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12
Q

lobe located posterior to horizontal fissure

A

Caudate Lobe (resembles a tail)

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13
Q

Contents of right sagittal fissure? Ant and Post

A

Anterior: Gallbladder
Posterior: IVC

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14
Q

Contents of left sagittal fissure? Ant and Post

A

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

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15
Q

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

A

Horizontal Fissure?

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16
Q

The Liver is partially mesenteric and ___

A

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

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17
Q

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

A

Bare Area of Liver (bound by reflections)

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18
Q

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

A

lesser omentum

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19
Q

Contents of the Porta Hepatis/Hilum of liver

A

Bile duct, hepatic artery, portal vein

20
Q

The peritoneun covering the liver eventually becomes part of ___

A

greater omentum

21
Q

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

A

True

22
Q

What is the omental foramen and what are its boundaries?

A

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

23
Q

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

A

lesser sac

24
Q

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

A

Coronary Ligament

25
Q

The Coronary Ligament is continuous with:

A

2 layer of lesser omentum; two layer of falsiform ligament

26
Q

Ligaments attaching liver to diaphragm

A

triangular ligaments

27
Q

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

A

Subphrenic process

28
Q

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

A

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

29
Q

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

A

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

30
Q

Portal structures are found between the 2 layers of the ___

A

lesser omentum (pass through omental foramen)

31
Q

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

A

true

32
Q

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

A

true

33
Q

In the liver, lymph drainage follows the branches of __

A

celiac artery

34
Q

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

A

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

35
Q

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

A

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

36
Q

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

A

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

37
Q

___ is secreted by the liver to help with digestion

A

bile

38
Q

Two bile ducts dividing the liver:

A

Left and Right Hepatic (bile) duct

39
Q

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

A

Left Hepatic (bile) duct

40
Q

Duct draining the right lobe of the liver

A

Right Hepatic (bile) duct

41
Q

Branches of the Hepatic Artery Proper:

A

Left and Right Hepatic Arterties

42
Q

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

A

Left Hepatic Artery

43
Q

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

A

Right Hepatic Artery

44
Q

Supplies the Gallbladder

A

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

45
Q

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

A

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

46
Q

Gallbladder store ___ produced by the liver

A

bile