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
At what structure does the portal triad enter into the liver?
Porta Hepatis
26
What is the portal triad made of ?
portal vein hepatic art. bile passage
27
Name two non peritoneal lig. of the liver
1. round lig | 2. ligamentum venosum
28
Name the four peritoneal lig. of the liver
1. falciform 2. coronary 3. R/L triangular 4. Lesser omentum
29
Where is no visceral peritonum where on the liver?
in the fossa of the GB | it is over the GB
30
Falciform lig. connects the ____ to the _____
liver to the diaphragm
31
Lesser omentium connects the _____ to the ____
stomach to the liver
32
Coronary lig. attaches the ____ to the ____
liver to the diaphragm
33
_____ lig. demarkate the R. from L. Lobe
falciform lig
34
The name of the hilum in the liver
porta hepatis
35
remnent of the ductus venosus
ligamentum venosum
36
Remnent of the umbliical v.
round lig. _ found on the free edge of the falciform lig.
37
L & R triangular lig. attaches the liver to the ___
diaphragm
38
Liver sinoids are lines by ____ which are phagocytosis cells
Von Kuffer Cells
39
Reticuloendothelium cells are ______ cells
Von Kuffer
40
_______ --> portal venuels --> liver sinoid--> drain into central vein --> sublobular v. --> hepatic v. --> IVC
Portal V.
41
POrtal V. --> _________ --> liver sinoids --> drain into central vein --> sublobular v. --> hepatic v. --> IVC
portal venuels
42
Portal v. --> portal venuels --> _____--> drains into central v. --> sublobular v. --> hepatic v. --> IVC
Liver sinoid
43
Portal vein--> portal venuels --> liver sinoids--> drain into _____--> sublobular v. --> hepatic V --> IVC
Central vein
44
Portal v. --> portal venuels--> liver sinoids --> central v. --> _______--> hepatic v. --> IVC
sublobular v.
45
POrtal v. --> portal venuels --> liver sinoids --> central v. --> sublobular v. --> ______--> IVC
Hepatic V
46
Portal v.--> portal venuels--> liver sinoids --> central v. --> sublobular v. --> Hepatic v. --> _____
IVC
47
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.
liver cirrhosis
48
The blood supply to the liver is the _____ aa.
hepatic aa.
49
2 Veins that enter into the liver
1. portal vein | 2. hepatic v.
50
Name the 3 branches of the cyliac trunk
1. L. gastric art 2. Splinic art. 3. Common hepatic art
51
Name the two branches of the common hepatic art
1. proper hepatic art. | 2. gastro duodenuim
52
_______v. is formed by the union of the splenic v. and superior mesinteric v.
portal vein
53
The portal vein is formed by the unioe of the ____ v. and ______v.
splenic v. & superior mesinteric v.
54
What vein is blocked during liver currhosis
portal v.
55
C.C metalic taste in the mouth is a tribute of ____
liver cirrhosis | - engorged esophageal v.
56
Lymphatic draingage : _____--> celiac nodes --> cisterna chyli
hepatic nodes
57
Lymphatic drainage: lymphatic nodes --> _______ --> cisterna chyli
celiac nodes
58
lymph drainage : Hepatic nodes --> celiac noddes --> _______
cisterna chyli
59
Where does the lymph from the liver get drained to?
cisterna chyli
60
Nerve plexus that supplies the liver is _____
celiac plexus
61
________v. carried O2 blood to the baby
umbilical v.
62
The umbilical v. becomes ______ after birth
Round lig. of the liver
63
Bile is secreted by the _____
liver
64
bile is stored and concentrated in the _____
GB
65
2 fx. of the GB
1. store bile | 2. concentrate bile
66
biliary system consists of: _________ --> common hepatic duct --> GB & cystic duct ==> common bile duct --> main pancreatic duct --> 2n portion of duodenum
R & L hepatic ducts
67
R___horm stim the GB to release bile
cholecystokinin
68
What does cholecystokinin do?
hormone that stim the GB to realease Bile
69
C.C ___: enlargement of the liver which may be due to metastatic carcinoma or liver cirrhosis
hepatomegaly
70
What is jaundice due to ?
hyperbilirubinemia
71
c.C. ________: yellowish discoloraction of the skin and sclerae due to hyperbilirubinemia
jaundice
72
C.C. alcoholic cirrohosis replaces the _____ cells wit fibrous tissue
heptatocytes
73
c.c. ________: progressive destruction of hepatocytes and replacement of them by fibrous tissue, usually leads to portal hypertension
alcoholic cirrhosis
74
c.c__________: due to crystallization of the bile salts and cholesterol
cholelithiasis (gallstones)
75
Another name for gallstones
cholelithiasis
76
Name the 2 procedures done to remove a gallstone
1. laparoscopic cholecystectomy | 2. ERCP (endoscopic laparoscopic cholecystectomy)
77
Name the 5F's that leads a person to being more suseptiable to getting cholithiasis
female, fat, 40, fertial, gassy
78
What are 3 bile components:
1. bilirubian 2. bile salts 3. cholesterol