Liver Anatomy Flashcards

1
Q

Why can the liver not usually be palpated

A

Under ribcage

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2
Q

What does the liver sit underneath

A

Right dome of diapragm

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3
Q

4 lobes of the liver

A

Left
Right
Quadrate
Caudate

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4
Q

Is the liver retro or intraperitoneal

A

Intraperitoneal

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5
Q

What is the area of the liver not covered by the peritoneum called

A

Bare area

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6
Q

What is the bare area of the liver

A

Area of liver not covered by peritoneum

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7
Q

5 ligaments of the liver

A

Anterior coronary
Posterior coronary
Falciform
Round / Ligamentum Teres
Left triangular

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8
Q

What is the function of the ductus venosus in the foetal circulation

A

Bypass liver and shunt blood straight to IVC

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9
Q

What is the Ligamentum venosum a fibrosed remnant of

A

Ductus venosus

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10
Q

What is the round ligament of the liver/ Ligamentum Teres a fibrosed remnant of

A

Umbilical vein

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11
Q

What structures run in the free border of the lesser omentum

A

Hepatic portal vein
Hepatic artery proper
Bile duct

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12
Q

Hepatic portal circulation

A

Deoxygenate blood from the digestive tract passes to the liver before returning to the heart

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13
Q

What vessels join to form the hepatic portal vein

A

Splenic vein
Superior mesenteric vein
Inferior mesenteric vein

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14
Q

What disease leads to cirrhosis

A

Chronic liver disease

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15
Q

Cirrhosis

A

Replacement of liver tissue by fibrosis, scar tissue, and regenerative nodules

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16
Q

Why do varicella increase in size and rupture

A

High pressure of blood

17
Q

Where do oesophageal varies form

A

Gastro oesophageal junction - anastomosis of left gastric vein w oesophageal veins

18
Q

Haematemesis

A

Vomiting blood

19
Q

Most sever complication of cirrhosis

A

Variceal bleeding

20
Q

How are oesophageal varices treated

A

Oesophageal banding

21
Q

What veins are most commonly effected in caput medusae

A

Paraumbilical veins
Intercostal veins
Inferior epigastric veins

22
Q

Most what veins does the inferior rectal vein drain into

A

Internal pudendal vein

23
Q

What vein do the internal pudendal veins and middle rectal veins drain into

A

Internal iliac vein

24
Q

Where does the superior rectal vein drain to

A

Inferior mesenteric vein

25
Ascites
Fluid in peritoneal space
26
How does portal hypertension increase lymph formation leading to ascites
Incr capillary pressure
27
How does vasodilator production due to portal hypertension lead to ascites
Decr bp causes RAAS activation and water+ sodium retention
28
Parts of the biliary tree
Right hepatic duct Left hepatic duct Cystic duct Common hepatic duct Common bile duct Hepatopancreatic ampulla
29
What vessels does bile flow through in sinusoids
Bile canaliculi
30
What connects the common bile duct and duodenum
Hepatopancreatic ampulla
31
Acute cholecystitis
Inflammation of gall bladder due to bile flow obstruction
32
Biliary colic
Pain in upper right quadrant of abdomen
33
How does a gall stone blocking bile leaving the gall bladder and liver lead to jaundice and biliary colic
Bilirubin in bile cannot be broken down so accumulates in blood
34
What does a kidney stone blocking bile leaving the gall bladder cause
Biliary colic when gall bladder contracts
35
What does a kidney stone blocking bile leaving the gall bladder and liver cause
Jaundice Biliary colic
36
What does a kidney stone blocking the bile duct and pancreatic duct stop
Biliary colic Jaundice Pancreatitis