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Anatomy (cole) > Lecture 19 Digestive Glands > Flashcards

Lecture 19 Digestive Glands Flashcards

1
Q

Where is liver located?

A

upper right quadrant

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2
Q

What is the largest internal organ?

A
  • liver
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3
Q

What incases/protects the liver?

A
  • ribs and costal cartilages
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4
Q

Can you easily palpate the liver?

A
  • no unless patient takes deep breath

- if you can palpate without deep inspiration it has become enlarged

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5
Q

What splits the left lobe from right lobe?

A
  • double layered peritoneum called the falciform ligament
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6
Q

Ligamentum teres

A
  • vessels pass through it as fetus

- umbilical vein travels through it

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7
Q

Gallbladder

A
  • gut derivative
  • at some point in development has mesentery
  • adheres to surface of the liver
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8
Q

How does the gallbladder lose its mesentary

A
  • it adheres to the anterior surface of the liver

- still considered mesenteric

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9
Q

The liver has 4 lobes

A
  • left lobe
  • right lobe
  • caudate lobe
  • quadrate lobe
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10
Q

What fissures run front to back?

A
  • sagittal fissures
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11
Q

What connects the sagittal fissures?

A
  • horizontal fissure
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12
Q

What is the anterior lobe of the liver that lies between the two sagittal fissures?

A

-quadrate lobe

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13
Q

What is the posterior lobe of the liver that lies between the two sagittal fissures?

A
  • caudate lobe`
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14
Q

Ligamentum teres

A
  • lies in left sagittal fissure

- obliterated after birth

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15
Q

Ligamentum venosum and root of lesser omentum

A
  • lies in posterior left sagittal fissure

-

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16
Q

Gall bladder

A
  • anterior right sagittal fissure

- quadrate lobe

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17
Q

Where does the inferior vena cava pass in the liver?

A
  • posterior sagittal fissure
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18
Q

Porta hepatis

A
  • region around h. fissure that is doorway to liver
  • bile exiting
  • blood entering
  • nerve supply and lymphatics pass through
  • horizontal fissure
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19
Q

What part of liver makes contact with the post. abdominal wall?

A
  • bare area of liver

- this part of liver is sec. retroperitoneal

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20
Q

Is the liver retroperitoneal or mesenteric?

A
  • it is both
21
Q

All peritoneum of the liver is considered?

A
  • visceral
22
Q

What mesentery suspends the stomach?

A
  • lesser omentum
23
Q

Where is omental foramen?

A
  • right wall of lesser sac
24
Q

what ligament of the liver lines of with the midline of the body?

A
  • falciform ligament
25
Q

Coronary ligament

A
  • cut margin of visceral peritoneum that goes around the margins of bare area
26
Q

Lymph nodes/vessels

A
  • tend to run alongside blood supply vessels in abdomen
27
Q

Bare area and diaphragm lymph system

A
  • when they come together they from tiny channels that carry lymph from liver to thoracic lymph nodes
  • important route for metastasis of cancer
28
Q

Lung cancer

A
  • can easily travel to liver through diaphragm into bare area of liver
29
Q

Functional left side bile drainage of liver

A
  • left
  • quadrate
  • caudate
30
Q

Functional right side bile drainage of liver

A
  • right side
31
Q

Functional left side arterial blood supply of liver

A
  • left
  • quadrate
  • caudate
32
Q

Functional right side arterial blood supply of liver

A
  • right

- quadrate lobes

33
Q

What lobe of liver has arterial blood supply from both the left and right side?

A
  • quadrate
34
Q

What artery supplies the liver?

A
  • the left and right hepatic arteries that branch off of the celiac artery
35
Q

What artery supplies the gall blader?

A
  • cystic artery
36
Q

Approximate position of gall bladder

A

-intersection of lateral margin of rectus abdominus muscle and lower margin of costal margin

37
Q

cystic duct

A
  • drainage from gall bladder
38
Q

Common bile duct

A
  • comes into second section of duodenum

- where bile goes

39
Q

Cholesterol stones are found where?

A
  • gall bladder
40
Q

Portal vein

A
  • carries venous blood into liver from the intestines

- posterior to common hepatic artery and common bile duct

41
Q

Does the majority of the pancreas lie inferior or posterior to the stomach?

A

posterior

42
Q

Pancreas functions

A
  • manufactures insulin and inserts it into blood

- pancreatic juices (exocrine)

43
Q

Is the pancreas 2nd retroperitoneal?

A
  • Yes
44
Q

Hepatopacreatic ampulla (of Vater)

A
  • where common bile duct and

- main pancreatic duct merge

45
Q

What blood supplies the head and neck of the pancreas?

A
  • superior PD artery (celiac)
46
Q

What are the body and tail of the pancreas supplied by?

A
  • splenic artery (celiac)
47
Q

What the head and uncinate process of the pancreas supplied by?

A

inferior PD aa (superior mesenteric)

48
Q

What part of the pancreas is mesenteric?

A
  • the tail
49
Q

What part or parts of the pancreas is secondarily retroperitoneal?

A
  • head, body, and neck

Anatomy (cole) (15 decks)

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