Liver

Question 1

Name the Vessels coming out of the SMA/SMV

Answer 1

Intestinals A/V, Right Colic A/V, Middle Colic A/V

Question 2

Name the Vessels coming out of the IMA/IMV

Answer 2

Left Colic A/V, Sigmoid A/V, Rectal A/V

Question 3

Describe the difference between the IMA & IMV in how they are placed.

Answer 3

The IMV ends up in the splenic V. and then the splenic V. ends up in the portal V.

Question 4

What does the Common hepatic A. splitt into

Answer 4

Right gastric A, Proper hepatic A, Cystic A.

Question 5

What does the Proper hepatic A. split into

Answer 5

R/L hepatic A.

Question 6

What is the usual relation of the Renal A/V?

Answer 6

The A. is usually superior to the V. and the L Renal V are always crossing anteriorly of the Abdominal A.

Question 7

Describe the placing of the liver

Answer 7

The liver is placed in the most superior part of the abdomen, with the largest portion to the right of the patient. it is placed just by the diaphragm. and superior of the gallbladder.

Question 8

Describe the parts and splittings of the liver and their relations

Answer 8

The liver is split into two major parts, the right and left lobe which are separated by a falciform ligament, which is a rest product from the navel. the right lobe is usually larger than the left lobe. The right lobe is usually 6-7 inches while the right lobe is usually 3 inches.

Question 9

Whats the region called where all the veins, arteries and bile meet?

Answer 9

Porta hepatis

Question 10

Describe the vascular system of the liver (low level) and give the name

Answer 10

Portal Triad. The whole liver is built up of this structure, which makes it into a parallel organ and not a serial organ. Every portal triad has a Hepatic A. supplying oxygenrich blood, a Portal V. supplying nutrient rich blood, and a bile duct which drains all the unneded rests from the process of enriching. all the blood are collected and leaves the liver threw the hepatic V. and connects to the IVC

Question 11

Whats the Bilary tree?

Answer 11

It consists of the common bile duct, the gallblader/cystic duct and the common hepatic duct, which consists of the R/L Hepatic ducts who gets their bile from bile ducts inside the liver who get their bile from the ductules.

Question 12

Name some imaging techniques of the liver

Answer 12

ERCP (Endoscopic retrograde cholangiopancreatogram) Gadolinium contrast MRI, Contrast enhanced CT.

Question 13

Describe the function of the liver

Answer 13

Break down fat
Convert Glucose to glycogen ()
Make some Amino acids
Storage of vitamins & minerals (A D B12, K)
Produce the Urea
Filtration of the blood (alcohol, drugs/chemicals)