Lecture 6

Question 1

Largest organ in the abdomen

Answer 1

Liver

Question 2

What covers the liver and what is it made of

Answer 2

Glisson’s capsule

Thin connective layer

Question 3

Where is the glissons capsule thickets

Answer 3

Around the IVC

Question 4

Live is intra or retro

Answer 4

Intra except around bare area

Question 5

Where does margin does the majority of the liver lie beneath

Answer 5

Right costal margin

Question 6

2 main surfaces of the liver

Answer 6

Anterior (parietal)

Posterior/inferior (visceral)

Question 7

What landmarks do we use to divide the liver into different parts

Answer 7

Fissure
Ligaments
Vasculature

Question 8

3 fissures of the liver

Answer 8

Main lobar fissure
Left intersegmental fissure
Right intersegmental fissure

Question 9

7 liver ligaments

Answer 9

Falciform
Teres/ round
Ligamentum venosum 
Hepatodoudenal 
Gastroheptic
Coronary
Right and left triangular

Question 10

Falciform ligament divides…

Answer 10

Liver into L and R lobe

Question 11

Ligamentum teres divides …

Answer 11

Medial and lateral portion of left lobe

Question 12

What covers the porta hepatic enterance to the liver

Answer 12

Hepatoduodenal ligament

Question 13

What connets lesser stomach to liver

Answer 13

Gastohepatic ligament

Question 14

What connects anterior liver to diaphragm

Answer 14

Coronary ligament

Question 15

What connects liver to body wall

Answer 15

R and L triangular

Question 16

Where is the bare area located

Answer 16

Posterior sup aspect of the liver

Question 17

Hepatic veins size and wall comparable to the PV?

Answer 17

Yes

Question 18

Intersegmental (PV or HV)

Answer 18

Defines between borders (HV)

Question 19

Intrasegmental

Answer 19

Borders between unclear (PV)

Question 20

Length of the midclavicular line for the right lobe

Answer 20

13-17 cm

Question 21

Echotexture of liver

Answer 21

Homogenous

Question 22

Echogenicity

Answer 22

Echogenic

Hyperechoic or isoechoic to renals

Hypoechoic to the spleen

Question 23

Contour of liver

Answer 23

Smooth

Question 24

Left lobe is shaped

Answer 24

Triangular

Question 25

Right lobe

Answer 25

Varies

Question 26

Positions to scan liver

Answer 26

Supine

Left lateral

Question 27

Subcostal means

Answer 27

Under rivs

Question 28

Intercostal means

Answer 28

Between ribs

Question 29

What frequency transduce do we use for liver

Answer 29

Use 3.5-5 MHZ

Question 30

How long does patient need to fast before liver scan

Answer 30

6 to 8 hours