L8 “Liver” Flashcards

1
Q

The largest gland in the body :

A

Liver

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2
Q

It is exocrine secrete:

A

bile

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3
Q

It is endocrine secrete:

A

Albumen

prothrombin

fibrinogen

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4
Q

Function of the liver :

A

• Secretion of bile & bile salt

• Metabolism of carbohydrate, fat and protein

• Formation of heparin & anticoagulant substances

• Detoxication

• Storage of glycogen

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5
Q

Location of Liver :

A
  • Right hypochondrium
  • Epigastrium
  • Extends to left hypochondrium
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6
Q

Surfaces of the liver :

A

• Visceral surface (Postero -inferior surface)

• Diaphragmatic surface (Superior surface )

• Anterior surface

• Posterior surface

• Right surface

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7
Q

Relations of visceral surface of the liver :

A

• stomach

• Esophagus

• lesser omentum

• gallbladder

• right colic flexure

• right kidney and right suprarenal gland

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8
Q

Lobes of the liver :

A

• Right Lobe

• Left lobe

• Quadrate lobe

• Caudate lobe

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9
Q

Right Lobe :

A

• Largest lobe

• Occupies the” right hypochondrium”

• Divided into anterior and posterior ections by the right hepatic vein

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10
Q

Left Lobe :

A

• Lies in the epigastric and left hypochondriac regions

• Divided into lateral and medial segments by the left hepatic vein

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11
Q

Right & Left lobe separated by :

A

• Falciform ligament

• ligamentum venosum

• Ligamentum teres

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12
Q

Caudate Lobe it’s present in the :

A

• Posterior surface from the Rt. Lobe

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13
Q

Processes Caudate Lobe :

A

1- Caudate process “down to the right ”

2- Papillary process “down to the left ”

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14
Q

Relations of caudate lobe :

A

• Inf . —> Porta hepatis

• The right —> Inferior vena cava

• The left —> fossa for the lig.venosum.

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15
Q

Quadrate lobe it’s present on the :

A

• inferior surface from the Rt. Lobe

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16
Q

Relation of Quadrate lobe :

A

• Ant. —> anterior margin of the liver

• sup. —> porta hepatis

• Rt. —> fossa for the gallbladder

• Lt. —> by the fossa for lig.teres

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17
Q

What is the hilum of the liver ?

A

Porta hepatis

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18
Q

Porta hepatis lies between the………. and……….

A

caudate and quadrate lobes

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19
Q

between Lesser curvature and porta hepatis :

A

Lesser omentum

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19
Q

What is attach to the margin of porta hepatis?

A

Lesser omentum

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20
Q

Contents of Porta hepatis :

A

• Bile duct anteriorly

• Hepatic artery in the middle.

• Portal vein posteriorly .

21
Q

Above the porta hepatis :

A

Posterior surface

22
Q

Below the porta hepatis :

A

Inferior surface

23
Q

The liver is covered by ……….. Except at……… .

A

peritoneum (intraperitoneal organ) , bare area (it is origin from septum transversum)

24
Q

The bare area of the liver is clinically important because of the

A

Porto-systemic anastomosis

25
Q

Inferior surface covered with peritoneum of ………. Except ……. , ………… , ……..

A

greater sac , porta hepatis, G.B & fissure For Lig.teres

26
Q

The ligaments of the liver :

A

1- The Falciform ligament of liver
2- The Ligamentum teres hepatis
3- The coronary ligament
4- The right triangular ligament
5- The left triangular ligament
6- The Hepatogastric ligament
7- The hepatoduonedenal ligament
8- The Ligamentum venosum

27
Q

The cord-like ligament found within the falciform ligament is :

A

Ligamentum teres

28
Q

The Falciform ligament Consists of:

A

double peritoneal layer

29
Q

Shape of Falciform ligament :

A

Sickle shape

30
Q

The Falciform ligament Extends from :

A

anterior abdominal wall (umbilicus) to liver

31
Q

Free border of the Falciform ligament contains :

A

Ligamentum teres (obliterated umbilical vein)

32
Q

The area between upper and lower layer of the coronary ligament is the ………..of liver which contact with the …………

A

bare area , diaphragm

33
Q

Left and Right extremity of coronary ligament form:

A

Left and right triangular ligaments

34
Q

Hepatogastric ligament between……… and ……..

A

Liver , stomach

35
Q

Hepatoduodenal ligament between……… , ……….

A

Liver , duodenal

36
Q

Hepatogastric ligament , Hepatoduodenal ligament part of :

A

Lesser omentum

37
Q

ligamentum venosum is ……… band that is the remains of the
………….

A

Fibrous , ductus venosus

38
Q

ligamentum venosum Is attached to the :

A

left branch of the portal vein and ascends

39
Q

The ligamentum venosum serves primarily as a ……. and source of controlling the.……..during …….

A

landmark , left hepatic vein , dissections

40
Q

Blood supply of the liver :

A

• Proper hepatic artery —> The right and left hepatic arteries enter the porta hepatis.

• The right hepatic artery usually gives off the cystic artery, which runs to the neck of the gallbladder.

41
Q

The cystic artery branch of ……..

A

Right hepatic artery

42
Q

Right hepatic artery branch of

A

common hepatic artery and the common hepatic artery is branch of celiac artery

43
Q

during a cholecystectomy what is ligated ?

A

The cystic artery

44
Q

The left branch of portal vein connected with ………..(during embryo)by ………….

A

inferior vena cava , ligamentum venosum

45
Q

The portal vein divides into right and left terminal branches that enter the ………

A

porta hepatis behind the arteries

46
Q

The hepatic veins (three or more) drain into the :

A

inferior vena cava

47
Q

Lymph leave the liver and enters several lymph nod in porta hepatis efferent vessels pass to ………

A

celiac nods

48
Q

A few vessels pass from the bare area of the liver through the diaphragm to the …………..

A

posterior Mediastinal lymph nodes

49
Q

The bare area is clinically important:

A

Site of poto-systemic anastomosis

IVC

coronary ligament

Right triangular ligament

“ The bare area direct contact with: Liver “

50
Q

Inflammation of liver:

A

Hepatitis

51
Q

What is the disease In case of the Liver is replaced by fibrous tissue and shrinks in size ?

A

Cirrhosis