GA1. Liver & Gallbladder Flashcards

1
Q

6 fxn of the liver

A
  1. Metabolism
  2. Secretes bile
  3. Synthesize protein and lipids
  4. process endogenous & exogenous sub
  5. Elimination of the senescent cells and particulate matter
  6. In fetus, participates in heotopioesis
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2
Q

Fxn of bile

A

to emosify fat

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3
Q

Broken down particles of fat are called?

A

micelles

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4
Q

C.C:Condition when fat can not be broken down bc there isnt enough bile.

A

sceatorrhea

  • produces alot of gas
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5
Q

Another name for fatty liver

A

liver serosis

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6
Q

Phagocytic cells in the liver are called

A

Von Cooper cells

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7
Q

_____ recess is an extension of the lesser sac

A

Hepatorenal recess

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8
Q

_____ recess is an extension of the greater sac

A

Subphrenic recess

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9
Q

The _____ space is immediately inferior to the liver

A

subhepatic space

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10
Q

Name the quadrants that a majority of the liver is in

A

R. hypochondrium , Epigastric, L. Hypochondrium

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11
Q

_______ fissure separates the L. Lobe from the R. Lobe

A

Umbilical (L. sagittal) fissure

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12
Q

Is the caudate lobe a part of the R. / L. Lobe?

A

Right lobe

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13
Q

Is the quadrate lobe a aprt of the R. / L. Lobe

A

Right lobe

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14
Q

What are the names of the two additional lobes that are a part of the R. lobe

A

Quadrate & caudate lobes

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15
Q

_______ is the line that divides the Caudate lobe from the Quadrate lobe

A

Porta Hepatis

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16
Q

______ is the fissure that separates the R. lobe from the caudate and Quadrate lobes

A

R. sagittal Fissure

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17
Q

Structurally the caudate and quadrate are a part of the ______ lobe

A

Right lobe

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18
Q

Functionally the quadrate and caudate are a part of the _____ lobe

A

left

common blood supply & venous drainage
( bile produced in the Quad. & caud is carried to the L. lobe)

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19
Q

Bile produced by the caudate & quadrate lobes is carried to the L. lobe by the ____

A

L. hepatic duct

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20
Q

______ seaparates the L lobe from the caudate?

A

Ligamentum venosum (ductus venosus)

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21
Q

_____ separates the L lobe from the quadrate

A

Round lig. (umbilical vein)

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22
Q

______ is located between the quadrate and the r. lobe

A

Gallbladder

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23
Q

the ______ separates the caudate from the R. lobe

A

IVC

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24
Q

The _____ separates the Caudate from the Quadrate

A

Portal triad (that enters at the porta hepatis)

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25
Q

At what structure does the portal triad enter into the liver?

A

Porta Hepatis

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26
Q

What is the portal triad made of ?

A

portal vein
hepatic art.
bile passage

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27
Q

Name two non peritoneal lig. of the liver

A
  1. round lig

2. ligamentum venosum

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28
Q

Name the four peritoneal lig. of the liver

A
  1. falciform
  2. coronary
  3. R/L triangular
  4. Lesser omentum
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29
Q

Where is no visceral peritonum where on the liver?

A

in the fossa of the GB

it is over the GB

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30
Q

Falciform lig. connects the ____ to the _____

A

liver to the diaphragm

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31
Q

Lesser omentium connects the _____ to the ____

A

stomach to the liver

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32
Q

Coronary lig. attaches the ____ to the ____

A

liver to the diaphragm

33
Q

_____ lig. demarkate the R. from L. Lobe

A

falciform lig

34
Q

The name of the hilum in the liver

A

porta hepatis

35
Q

remnent of the ductus venosus

A

ligamentum venosum

36
Q

Remnent of the umbliical v.

A

round lig.

_ found on the free edge of the falciform lig.

37
Q

L & R triangular lig. attaches the liver to the ___

A

diaphragm

38
Q

Liver sinoids are lines by ____ which are phagocytosis cells

A

Von Kuffer Cells

39
Q

Reticuloendothelium cells are ______ cells

A

Von Kuffer

40
Q

_______ –> portal venuels –> liver sinoid–> drain into central vein –> sublobular v. –> hepatic v. –> IVC

A

Portal V.

41
Q

POrtal V. –> _________ –> liver sinoids –> drain into central vein –> sublobular v. –> hepatic v. –> IVC

A

portal venuels

42
Q

Portal v. –> portal venuels –> _____–> drains into central v. –> sublobular v. –> hepatic v. –> IVC

A

Liver sinoid

43
Q

Portal vein–> portal venuels –> liver sinoids–> drain into _____–> sublobular v. –> hepatic V –> IVC

A

Central vein

44
Q

Portal v. –> portal venuels–> liver sinoids –> central v. –> _______–> hepatic v. –> IVC

A

sublobular v.

45
Q

POrtal v. –> portal venuels –> liver sinoids –> central v. –> sublobular v. –> ______–> IVC

A

Hepatic V

46
Q

Portal v.–> portal venuels–> liver sinoids –> central v. –> sublobular v. –> Hepatic v. –> _____

A

IVC

47
Q

C.C. _____ is when cells are replaced by fibrous tiss., the sinoids are obliterated and blood is then blocked and cant get to the portal v.

A

liver cirrhosis

48
Q

The blood supply to the liver is the _____ aa.

A

hepatic aa.

49
Q

2 Veins that enter into the liver

A
  1. portal vein

2. hepatic v.

50
Q

Name the 3 branches of the cyliac trunk

A
  1. L. gastric art
  2. Splinic art.
  3. Common hepatic art
51
Q

Name the two branches of the common hepatic art

A
  1. proper hepatic art.

2. gastro duodenuim

52
Q

_______v. is formed by the union of the splenic v. and superior mesinteric v.

A

portal vein

53
Q

The portal vein is formed by the unioe of the ____ v. and ______v.

A

splenic v. & superior mesinteric v.

54
Q

What vein is blocked during liver currhosis

A

portal v.

55
Q

C.C metalic taste in the mouth is a tribute of ____

A

liver cirrhosis

- engorged esophageal v.

56
Q

Lymphatic draingage : _____–> celiac nodes –> cisterna chyli

A

hepatic nodes

57
Q

Lymphatic drainage: lymphatic nodes –> _______ –> cisterna chyli

A

celiac nodes

58
Q

lymph drainage : Hepatic nodes –> celiac noddes –> _______

A

cisterna chyli

59
Q

Where does the lymph from the liver get drained to?

A

cisterna chyli

60
Q

Nerve plexus that supplies the liver is _____

A

celiac plexus

61
Q

________v. carried O2 blood to the baby

A

umbilical v.

62
Q

The umbilical v. becomes ______ after birth

A

Round lig. of the liver

63
Q

Bile is secreted by the _____

A

liver

64
Q

bile is stored and concentrated in the _____

A

GB

65
Q

2 fx. of the GB

A
  1. store bile

2. concentrate bile

66
Q

biliary system consists of: _________ –> common hepatic duct –> GB & cystic duct ==> common bile duct –> main pancreatic duct –> 2n portion of duodenum

A

R & L hepatic ducts

67
Q

R___horm stim the GB to release bile

A

cholecystokinin

68
Q

What does cholecystokinin do?

A

hormone that stim the GB to realease Bile

69
Q

C.C ___: enlargement of the liver which may be due to metastatic carcinoma or liver cirrhosis

A

hepatomegaly

70
Q

What is jaundice due to ?

A

hyperbilirubinemia

71
Q

c.C. ________: yellowish discoloraction of the skin and sclerae due to hyperbilirubinemia

A

jaundice

72
Q

C.C. alcoholic cirrohosis replaces the _____ cells wit fibrous tissue

A

heptatocytes

73
Q

c.c. ________: progressive destruction of hepatocytes and replacement of them by fibrous tissue, usually leads to portal hypertension

A

alcoholic cirrhosis

74
Q

c.c__________: due to crystallization of the bile salts and cholesterol

A

cholelithiasis (gallstones)

75
Q

Another name for gallstones

A

cholelithiasis

76
Q

Name the 2 procedures done to remove a gallstone

A
  1. laparoscopic cholecystectomy

2. ERCP (endoscopic laparoscopic cholecystectomy)

77
Q

Name the 5F’s that leads a person to being more suseptiable to getting cholithiasis

A

female, fat, 40, fertial, gassy

78
Q

What are 3 bile components:

A
  1. bilirubian
  2. bile salts
  3. cholesterol