Exam 3: Remaining Material Flashcards
2 interlinked venous systems
Portal venous system
Caval venous system
Portal venous system drains
GI tract, spleen, pancreas and gallbladder
Caval venous system drains
Everything else
These organs exclusively drain into caval system
Kidney and suprarenal gland
MC organ outside intestinal tract for colon cancer to metastasize to
Liver
All nutrients except for ___ pass thru portal vein to liver
Fats
Fats are picked up by ____
Lymphatic vessels called lacteals
Fats enter liver via
Hepatic artery proper
Blood flow in portal venous system
Ab organs — tributaries of portal v — portal v (R and L) — liver sinusoids — inferior vena cava via hepatic v
Blood flow in caval venous system
Body wall and organs — tributaries of superior and inferior vena cava — superior and inferior vena cava
Portal vein formed by union of
Splenic and superior mesenteric vein
Tributaries of portal vein
Splenic
Superior mesenteric
Left gastric
Paraumbilical
Paraumbilical veins accompany
Ligamentum teres to umbilicus
Portal caval anastomosis in distal esophagus
Esophageal v
Left gastric v
Esophageal varices
Portal caval anastomosis around umbilicus
Superficial v
Paraumbilical v
Caput medusae
Portal caval anastomosis in rectum and anal canal
Middle/inferior rectal
Superior rectal
Hemorrhoids
Liver is the largest
Visceral organ and gland
Functions of liver
Bile secretion
Metabolism of protein, fat, carbs
Storage of glycogen, vitamins, iron
Detoxification
Diaphragmatic surface of liver is
Superior and convex
Visceral surface of liver is
Inferior and concave
Diaphragmatic and visceral surfaces liver separated by
Sharp, inferior border
Porta hepatis is the ___ of the liver
Hilum
Porta hepatis contains
Common hepatic duct
Hepatic artery proper
Portal vein
Bile duct becomes _____ prior to passing through porta hepatis
Common hepatic duct
Largest lobe of the liver
Right lobe
Gallbladder lies in a fossa in this lobe
Right lobe
______ lies posterior to gallbladder
Inferior vena cava
Quadrate lobe is between ____ and _____ to porta hepatis
Right and left lobes; anterior
Quadrate is anterior to
Porta hepatis
Caudate lobe lies between _____ and _____ to porta hepatis
Right and left lobes; posterior
Left lobe of the liver is to the left of
Falciform ligament
Functional division of liver is made
Right of falciform lig
Forward from inferior vena cava
Left functional half contains hepatic segments
I-IV
Right functional half contains hepatic segments
V-VIII
Structures distribute to L and R functional halves
Hepatic artery
Portal vein
Common hepatic duct
Hepatic veins
Bare area of liver
No visceral peritoneum
Posterior aspect
Contact w/ diaphragm
_______ lies within bare area
Inferior vena cava
Falciform ligament connects
Liver to diaphragm and anterior ab wall
Coronary ligament
Splitting of falciform ligament posteriorly
Coronary ligament forms borders of
Bare area
Coronary ligament parts
Superior and inferior
Right and left triangular ligaments
Junction of superior and inferior layers of coronary ligament
Ligamentum teres forms
Free edge of falciform ligament
Ligamentum teres if the remnant of
Obliterated umbilical vein
Ligamentum venosum location
Between L and caudate lobes
Ligamentum venosum is the remnant of
Ductus venosus
Ligament of inferior vena cava
Covers Inferior vena cava
Fissure for ligamentum teres
Between left quadrate lobes
Fissure for ligamentum venosum
Between left and caudate lobes
Fossa for gallbladder
Between right and quadrate lobes
Fissure for inferior vena cava
Between right and caudate lobe
Porta hepatis
Forms crossbar of H made by all of the fissures
Liver blood supply
Portal vein
Hepatic artery
Innervation of liver
Hepatic plexus — extension of celiac plexus
3 parts of gallbladder
Fundus
Body
Neck
Gallbladder drains into
Cystic duct
Gallbladder stores and concentrates
Bile
Gallbladder contracts to expel bile when
Food arrives; CCK initiates contraction
Blood supply to gallbladder
Cystic artery (form R hepatic artery)
Innervation of gallbladder
Celiac plexus
Hepatic ducts (R and L) drain
Functional halves of liver
Common hepatic duct
Union of R and L hepatic ducts
Cystic duct
Drains gallbladder
Bile duct
Union of common hepatic and cystic duct
Hepatopancreatic ampulla
Union of bile duct and pancreatic duct
Hepatopancreatic ampulla empties into
2nd part of duodenum
Sphincter of ampulla surrounds
Hepatopancreatic ampulla
Narrowest point in duct system
Sphincter of ampulla
Sphincter of bile duct surrounds
Inferior terminus of bile duct
Sphincter of pancreatic duct surrounds
Terminal part of pancreatic duct
Spiral folds located within
Cystic duct — keep it open
Sphincter of pancreatic duct is
Weak — does not resist pressure well
Pancreas is both
Exocrine and endocrine gland
Exocrine function of pancreas
Secrete digestive enzymes
Endocrine function of pancreas
Secrete insulin and glucagon
5 parts of pancreas
Head Neck Body Tail Uncinate process
Uncinate process of pancreas is
Projection of head
Behind superior mesenteric vessels
Pancreas lies posterior to stomach in what regions
Epigastric and L hypochondrium
Pancreas is a _______ ogran
Retroperitoneal
Except for tip of tail
Head of pancreas lies within
Concavity of duodenum
Splenic artery runs along ________ while splenic vein runs along
Superior surface of pancreas; posterior surface
Pancreas is drained by
Pancreatic and accessory pancreatic ducts
Pancreatic ducts drains
Neck, body, tail
Pancreatic duct joins _____ to form ______
Bile duct; hepatopancreatic ampulla
Pancreatic duct empties into
Major duodenal papilla (2nd part of duodenum)
Accessory pancreatic duct drains
Head and uncinate process
Accessory pancreatic duct empties into
Minor duodenal papilla (2nd part duodenum)
Blood supply to pancreas
Pancreatic branches of splenic
Superior and inferior pancreaticoduodenal artery
Innervation of pancreas
Celiac plexus
Spleen is a large
Lymphatic organ
Functions of spleen
Produce lymphocytes in newborn
Removes worn out RBC and cellular debris
Stores RBCs
Spleen consists of ______ tissue that is ______
Soft, easily injured; highly vascularized
Spleen lies against
Diaphragm and ribs 9-11
Spleen lies within
L hypochondrium
Diaphragmatic surface of spleen
Convex, against diaphragm
Visceral surface of spleen
Concave, against abdominal viscera
3 subdivisions of visceral surface of spleen
Gastric
Colic
Renal
Gastric surface of spleen
Against stomach
Colic surface of spleen
Against L colic flexure
Renal surface of spleen
Against L kidney
Splenic hilum transmits
Nerves and vessels
Gastrosplenic ligament
Attaches stomach to spleen
Splenorenal ligament
Attaches spleen to L kidney
Spleen is
Intraperitoneal
Blood supply to spleen
Splenic artery
Splenic vein
Innervation of spleen
Celiac plexus
Most frequently injured abdominal organ
Spleen