L11 “gallbladder” Flashcards

1
Q

biliary system consists of

A

liver, gallbladder & bile
ducts

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2
Q

biliary system is involved in

A

production➡️ hepatocytes
storage➡️ gallbladder
transportation of bile➡️ common bile duct

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3
Q

Bile is secreted by

A

Liver or hepatocytes at a constant rate of about 40 ml
per hour

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4
Q

When digestion is not occurring bile is stored and concentrated in

A

gallbladder

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5
Q

When digestion is occurring bile is delivered to

A

the 2 Part of duodenum.

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6
Q

Bile ducts consist of

A

• Bile canaliculi
• Interlobular ducts
• Intrahepatic ducts
• Right and left hepatic ducts
• Common hepatic duct
• Gallbladder & Cystic duct
 • Common bile duct

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7
Q

Cystic duct is a continuation of

A

The neck of gallbladder

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8
Q

Cystic duct united with Common hepatic duct to form

A

Common bile duct

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9
Q

liver cells secrete

A

bile

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10
Q

bile canaliculi carry the bile to

A

interlobular ducts

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11
Q

interlobular ducts join one another to form

A

larger ducts and at the porta hepatis form the right and left hepatic ducts

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12
Q

right hepatic duct drains the

A

right lobe of the liver

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13
Q

left hepatic duct drains the

A

left lobe, the caudate lobe, &
quadrate lobe

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14
Q

the caudate lobe, & quadrate lobe part of RT lobe

A

Anatomically

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15
Q

the caudate lobe, & quadrate lobe part of LT lobe

A

Physiologically “functionally ”

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16
Q

Right and left hepatic duct united to form

A

common hepatic duct

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17
Q

Length of common hepatic duct

A

1.5 inch (4 cm) long
الدبل يكون 3 انش

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18
Q

common hepatic duct is descends within the free margin of

A

the lesser omentum

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19
Q

Origin of cystic duct

A

the gallbladder

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20
Q

Length of The common bile duct

A

about 3 inches (8 cm) long

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21
Q

The common bile duct is descends within the free margin of

A

lesser omentum along with portal vein and hepatic artery

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22
Q

Posterior to portal vein

A

Inferior vena cava

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23
Q

Behind the head of pancreas which of the following structure pass

A

Common bile duct

24
Q

In case of carcinoma of the head of pancreas which of the following structure affected

A

Common bile duct

25
In case of carcinoma of the head of pancreas which of the following diseases occur 
Obstructive jaundice
26
The bile duct ends below by
piercing the medial wall of the second part of the duodenum
27
What’s the sphincter of Oddi
circular muscle , surrounded the hepatopancreatic ampulla
28
pear-shaped sac lying on the undersurface of the liver
Gallbladder
29
capacity of Gallbladder
30 to 50 ml, and stores bile if digestion isn’t taking place
30
Location of gallbladder’s fundus
tip of the ninth right costal cartilage
31
Neck of gallbladder continues as
Cystic duct
32
body of Gallbladder lies in
contact with the visceral surface of the liver
33
fundus of Gallbladder lies in
contact with the anterior abdominal wall
34
sphincter of Oddi close in case of
No digestion
35
Anteriorly Relations of Gallbladder
• Anterior abdominal wall • Inferior surface of the liver
36
Posteriorly Relations of Gallbladder
• Transverse colon • First & second parts of the duodenum
37
Function of the Gallbladder
• Concentrates bile • Stores bile • Excretes cholesterol • Secretes mucus
38
Blood Supply of gallbladder
cystic artery which is branch of the right hepatic artery
39
Gallbladder drainage
Into cystic vein
40
cystic vein drains directly into
portal vein
41
Mention three tributaries drain directly into portal vein
1. Right gastric vein 2. Left gastric vein 3. Cystic vein
42
Lymph Drainage
drains into a cystic lymph node
43
Location of the cystic lymph node
near the neck of the gallbladder
44
Cystic lymph nodes drain into—— through the hepatic artery
Hepatic lymph nodes
45
Hepatic lymph nodes drain into
celiac lymph nodes.
46
Sympathatic & visceral nerve supply (pain) from the
celiac nerve plexuses
47
Parasympathatic Nerve Supply
(vagus nerve) causes contraction of the gall bladder and relaxation of the sphincter at hepatopancreatic ampulla
48
Somatic afferent fibers by
right phrenic nerve
49
The gallbladder contracts in response to
cholecystokinin (CCK)
50
Length of cystic duct is about
1.5 inch (3.8 cm) long
51
What is the hartmann’s pouch
Dilated posteromedial wall of neck
52
Clinical importance of hartmann’s pouch
Gall stones may lodge in it
53
The mucous membrane of the cystic duct is raised to form
spiral fold
54
What’s the name of the fold of cystic duct
spiral fold
55
spiral fold commonly known as
spiral valve
56
function of spiral valve
keep the lumen constantly open
57
Murphy’s sign positive in
Cholecystitis