Exam 3: Remaining Material Flashcards

1
Q

2 interlinked venous systems

A

Portal venous system

Caval venous system

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2
Q

Portal venous system drains

A

GI tract, spleen, pancreas and gallbladder

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3
Q

Caval venous system drains

A

Everything else

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4
Q

These organs exclusively drain into caval system

A

Kidney and suprarenal gland

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5
Q

MC organ outside intestinal tract for colon cancer to metastasize to

A

Liver

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6
Q

All nutrients except for ___ pass thru portal vein to liver

A

Fats

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7
Q

Fats are picked up by ____

A

Lymphatic vessels called lacteals

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8
Q

Fats enter liver via

A

Hepatic artery proper

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9
Q

Blood flow in portal venous system

A

Ab organs — tributaries of portal v — portal v (R and L) — liver sinusoids — inferior vena cava via hepatic v

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10
Q

Blood flow in caval venous system

A

Body wall and organs — tributaries of superior and inferior vena cava — superior and inferior vena cava

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11
Q

Portal vein formed by union of

A

Splenic and superior mesenteric vein

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12
Q

Tributaries of portal vein

A

Splenic
Superior mesenteric
Left gastric
Paraumbilical

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13
Q

Paraumbilical veins accompany

A

Ligamentum teres to umbilicus

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14
Q

Portal caval anastomosis in distal esophagus

A

Esophageal v
Left gastric v
Esophageal varices

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15
Q

Portal caval anastomosis around umbilicus

A

Superficial v
Paraumbilical v
Caput medusae

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16
Q

Portal caval anastomosis in rectum and anal canal

A

Middle/inferior rectal
Superior rectal
Hemorrhoids

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17
Q

Liver is the largest

A

Visceral organ and gland

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18
Q

Functions of liver

A

Bile secretion
Metabolism of protein, fat, carbs
Storage of glycogen, vitamins, iron
Detoxification

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19
Q

Diaphragmatic surface of liver is

A

Superior and convex

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20
Q

Visceral surface of liver is

A

Inferior and concave

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21
Q

Diaphragmatic and visceral surfaces liver separated by

A

Sharp, inferior border

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22
Q

Porta hepatis is the ___ of the liver

A

Hilum

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23
Q

Porta hepatis contains

A

Common hepatic duct
Hepatic artery proper
Portal vein

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24
Q

Bile duct becomes _____ prior to passing through porta hepatis

A

Common hepatic duct

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25
Q

Largest lobe of the liver

A

Right lobe

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26
Q

Gallbladder lies in a fossa in this lobe

A

Right lobe

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27
Q

______ lies posterior to gallbladder

A

Inferior vena cava

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28
Q

Quadrate lobe is between ____ and _____ to porta hepatis

A

Right and left lobes; anterior

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29
Q

Quadrate is anterior to

A

Porta hepatis

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30
Q

Caudate lobe lies between _____ and _____ to porta hepatis

A

Right and left lobes; posterior

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31
Q

Left lobe of the liver is to the left of

A

Falciform ligament

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32
Q

Functional division of liver is made

A

Right of falciform lig

Forward from inferior vena cava

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33
Q

Left functional half contains hepatic segments

A

I-IV

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34
Q

Right functional half contains hepatic segments

A

V-VIII

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35
Q

Structures distribute to L and R functional halves

A

Hepatic artery
Portal vein
Common hepatic duct
Hepatic veins

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36
Q

Bare area of liver

A

No visceral peritoneum
Posterior aspect
Contact w/ diaphragm

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37
Q

_______ lies within bare area

A

Inferior vena cava

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38
Q

Falciform ligament connects

A

Liver to diaphragm and anterior ab wall

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39
Q

Coronary ligament

A

Splitting of falciform ligament posteriorly

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40
Q

Coronary ligament forms borders of

A

Bare area

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41
Q

Coronary ligament parts

A

Superior and inferior

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42
Q

Right and left triangular ligaments

A

Junction of superior and inferior layers of coronary ligament

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43
Q

Ligamentum teres forms

A

Free edge of falciform ligament

44
Q

Ligamentum teres if the remnant of

A

Obliterated umbilical vein

45
Q

Ligamentum venosum location

A

Between L and caudate lobes

46
Q

Ligamentum venosum is the remnant of

A

Ductus venosus

47
Q

Ligament of inferior vena cava

A

Covers Inferior vena cava

48
Q

Fissure for ligamentum teres

A

Between left quadrate lobes

49
Q

Fissure for ligamentum venosum

A

Between left and caudate lobes

50
Q

Fossa for gallbladder

A

Between right and quadrate lobes

51
Q

Fissure for inferior vena cava

A

Between right and caudate lobe

52
Q

Porta hepatis

A

Forms crossbar of H made by all of the fissures

53
Q

Liver blood supply

A

Portal vein

Hepatic artery

54
Q

Innervation of liver

A

Hepatic plexus — extension of celiac plexus

55
Q

3 parts of gallbladder

A

Fundus
Body
Neck

56
Q

Gallbladder drains into

A

Cystic duct

57
Q

Gallbladder stores and concentrates

A

Bile

58
Q

Gallbladder contracts to expel bile when

A

Food arrives; CCK initiates contraction

59
Q

Blood supply to gallbladder

A

Cystic artery (form R hepatic artery)

60
Q

Innervation of gallbladder

A

Celiac plexus

61
Q

Hepatic ducts (R and L) drain

A

Functional halves of liver

62
Q

Common hepatic duct

A

Union of R and L hepatic ducts

63
Q

Cystic duct

A

Drains gallbladder

64
Q

Bile duct

A

Union of common hepatic and cystic duct

65
Q

Hepatopancreatic ampulla

A

Union of bile duct and pancreatic duct

66
Q

Hepatopancreatic ampulla empties into

A

2nd part of duodenum

67
Q

Sphincter of ampulla surrounds

A

Hepatopancreatic ampulla

68
Q

Narrowest point in duct system

A

Sphincter of ampulla

69
Q

Sphincter of bile duct surrounds

A

Inferior terminus of bile duct

70
Q

Sphincter of pancreatic duct surrounds

A

Terminal part of pancreatic duct

71
Q

Spiral folds located within

A

Cystic duct — keep it open

72
Q

Sphincter of pancreatic duct is

A

Weak — does not resist pressure well

73
Q

Pancreas is both

A

Exocrine and endocrine gland

74
Q

Exocrine function of pancreas

A

Secrete digestive enzymes

75
Q

Endocrine function of pancreas

A

Secrete insulin and glucagon

76
Q

5 parts of pancreas

A
Head
Neck
Body
Tail
Uncinate process
77
Q

Uncinate process of pancreas is

A

Projection of head

Behind superior mesenteric vessels

78
Q

Pancreas lies posterior to stomach in what regions

A

Epigastric and L hypochondrium

79
Q

Pancreas is a _______ ogran

A

Retroperitoneal

Except for tip of tail

80
Q

Head of pancreas lies within

A

Concavity of duodenum

81
Q

Splenic artery runs along ________ while splenic vein runs along

A

Superior surface of pancreas; posterior surface

82
Q

Pancreas is drained by

A

Pancreatic and accessory pancreatic ducts

83
Q

Pancreatic ducts drains

A

Neck, body, tail

84
Q

Pancreatic duct joins _____ to form ______

A

Bile duct; hepatopancreatic ampulla

85
Q

Pancreatic duct empties into

A

Major duodenal papilla (2nd part of duodenum)

86
Q

Accessory pancreatic duct drains

A

Head and uncinate process

87
Q

Accessory pancreatic duct empties into

A

Minor duodenal papilla (2nd part duodenum)

88
Q

Blood supply to pancreas

A

Pancreatic branches of splenic

Superior and inferior pancreaticoduodenal artery

89
Q

Innervation of pancreas

A

Celiac plexus

90
Q

Spleen is a large

A

Lymphatic organ

91
Q

Functions of spleen

A

Produce lymphocytes in newborn
Removes worn out RBC and cellular debris
Stores RBCs

92
Q

Spleen consists of ______ tissue that is ______

A

Soft, easily injured; highly vascularized

93
Q

Spleen lies against

A

Diaphragm and ribs 9-11

94
Q

Spleen lies within

A

L hypochondrium

95
Q

Diaphragmatic surface of spleen

A

Convex, against diaphragm

96
Q

Visceral surface of spleen

A

Concave, against abdominal viscera

97
Q

3 subdivisions of visceral surface of spleen

A

Gastric
Colic
Renal

98
Q

Gastric surface of spleen

A

Against stomach

99
Q

Colic surface of spleen

A

Against L colic flexure

100
Q

Renal surface of spleen

A

Against L kidney

101
Q

Splenic hilum transmits

A

Nerves and vessels

102
Q

Gastrosplenic ligament

A

Attaches stomach to spleen

103
Q

Splenorenal ligament

A

Attaches spleen to L kidney

104
Q

Spleen is

A

Intraperitoneal

105
Q

Blood supply to spleen

A

Splenic artery

Splenic vein

106
Q

Innervation of spleen

A

Celiac plexus

107
Q

Most frequently injured abdominal organ

A

Spleen